Episode 15 - Chronic and Persistent Pain with Thomas Marshall

Welcome back to The Student Physio Podcast. Hosted by Connor Wright and Lewis Cowan we are joined by Physiotherapy lecturer Thomas Marshall. Tom qualified in 2007 after working in steel construction for 8 years, was an MSK Physio, and is now a lecturer at the University of Bradford. Over the last 14 years, he has worked across a variety of settings from orthopaedics, paediatrics, sport, MSK, and private healthcare and during this time has developed an interest in pain and how we work with people in pain. In this episode, we explore how chronic pain develops, the pathophysiology, and motivational interviewing, and commitment therapy as methods of treatment for chronic pain. Disclaimers: - This episode contains strong language - Tom’s views are not representative of the University of Bradford. Useful resources discussed in this episode: Mike Stewart’s Persistent Pain Website – https://www.knowpain.co.uk/ Worry and chronic pain: A misdirected problem-solving model (Eccleston and Crombez 2007) - https://journals.lww.com/pain/Citation/2007/12050/Worry_and_chronic_pain__A_misdirected_problem.5.aspx  - DOI: 10.1016/j.pain.2007.09.014 Paul Lagerman – The Naked Physio - https://thenakedphysio.com/about-me/ David Hanscom - https://backincontrol.com/ WHO Paper on Chronic Low Back Pain (Ehrlich 2003) – https://www.who.int/bulletin/volumes/81/9/Ehrlich.pdf What is LBP (Hartvigsen et al 2018) - https://pubmed.ncbi.nlm.nih.gov/29573870/ - DOI: 10.1016/S0140-6736(18)30480-X Biomedical (Engel 1977) - https://pubmed.ncbi.nlm.nih.gov/847460/ - DOI: 10.1126/science.847460 Cognitive functional therapy in patients with non-specific chronic low back pain (Fersum 2012) - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3796866/ - DOI: 10.1002/j.1532-2149.2012.00252.x Cognitive Functional Therapy for disabling low back pain (O’Sullivan 2018) - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6037069/ - DOI: 10.1093/ptj/pzy022 Beyond the biopsychosocial model (enactive approach) – (Stillwell and Harman 2019) - https://link.springer.com/article/10.1007%2Fs11097-019-09624-7 - DOI: 10.1007/s11097-019-09625-6 Stillwell and Harman Youtube - https://youtu.be/1iHQfDbjtio Pain and the Neuromatrix in the Brain (Melzack 2001) Peter O’Sullivan and Pain Ed team on CFT - http://www.pain-ed.com/team/ Steve Peters - Chimp Paradox - https://youtu.be/BGife9qjJSQ Geraint Thomas and Jens Voigt Podcast - https://podcasts.apple.com/gb/podcast/pain-with-jens-voigt/id1547237758?i=1000543445450 Robert Sapolsky Limbic system and stress – why zebras don't get ulcers - https://youtu.be/D9H9qTdserM Flippin Pain - https://www.flippinpain.co.uk/ Mick Thacker & Louis Gifford - https://www.larsavemarie.com/louis-gifford-and-his-legacy/ and https://www.problemofpain.com/about-mick