Pain Science Pillars: Major on the Majors

Credit

Handouts/Brochure

Speaker

Jessie Podolak, PT, DPT, TPS Related seminars and products

Owner

Freedom PT and Body Works, LLC

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Jessie Podolak, PT, DPT, TPS, received her MP degree from the College of St. Catherine, Minneapolis, in 1998, followed by her transitional Doctorate from Regis University, Denver, in 2011. She went on to complete a certification in therapeutic pain science, followed by a Fellowship in Pain Science in 2019. She has been teaching pain neuroscience education and manual therapy techniques at continuing education courses since 2013 and now serves as the Program Director for Evidence in Motion's Pain Science Fellowship. She has participated in and led research exploring the attitudes, beliefs and behaviors of middle school students related to pain, emphasizing healthy options to address pain book chapters in the field of pain neuroscience education. Jessie owns and operates her community's first direct-pay physical therapy practice, seeing a variety of patients with acute and chronic pain conditions. She has special interests in complex and chronic pain, manual therapy, Pilates, spine and running injuries.

Speaker Disclosures:

Financial: Dr. Jessica Podolak is a practicing physical therapist and maintains a private practice. She receives a speaking honorarium from PESI, Inc. She has no relevant financial relationships with ineligible organizations.

Non-financial: Dr. Jessica Podolak is a member of the Wisconsin Physical Therapy Association (WPTA) and the American Physical Therapy Association (APTA).

Additional Info

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Objectives

1. Develop knowledge of how pain works, moving regularly, getting quality sleep, and having meaningful goals is essential for meaningful improvements in pain perception. 
2. Employ simple metaphors, stories, mantras and strategies to facilitate confident movement/exercise, even when it is uncomfortable for patients. 
3. Apply goal setting as a patient-centered treatment strategy versus a box to fill out on an evaluation form. 
4. Determine appropriate sleep-related interventions, including when to seek a sleep specialist. 

Outline

• What is Pain? 
• Purpose of pain/how does pain work? 
  • Sensitive Alarm System 
  • Mature Organism Model 
  • Pain as an output: many common interventions focus on altering input 
  • Pain neuromatrix  

• PNE(+) concept 
• The Pillar Concept 
  • Why only 4?  
  • Why these 4? (processing!) 

• Movement vs. Exercise  
  • Semantics / Fear / Conditioning 
  • Role of cardio (what makes PNS happy?) 
  • Graded exposure 
  • Common exercise mistakes 
• Bioplasticity 
• Practical strategies 

• Beyond SMART goals 
• Digging deep to find meaning - what do you want your health for? 
• Pacing goals 
• Focus on function – the holy grail 
• Importance of measuring progress and revisiting 

• When to seek a sleep specialist 
• Subjective questions 
• STOP-bang tool 
• Prioritizing where to start: Menu concept 

Target Audience

• Physical Therapists
• Physical Therapy Assistants
• Occupational Therapists
• Occupational Therapy Assistants
• Speech-Language Pathologists
• Athletic Trainers
• Massage Therapists
• Chiropractors