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Reconceptualizing Complex and Persistent Pain Bob Isler, PT Providence Persistent Pain Project and Rehabilitation Services.

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Presentation on theme: "Reconceptualizing Complex and Persistent Pain Bob Isler, PT Providence Persistent Pain Project and Rehabilitation Services."— Presentation transcript:

1 Reconceptualizing Complex and Persistent Pain Bob Isler, PT Providence Persistent Pain Project and Rehabilitation Services

2 Pain Education As A Treatment Intervention Decrease in pain rating (Van Oosterwijck et al 2011, Meeus et al, 2010, Ryan et al, 2010, Moseley, 2002, 2003, 2004) Decrease in fear of reinjury (Van Oosterwijck et al 2011, Moseley, 2002, 2003) Decrease in pain catastrophizing (Meeus et al, Moseley 2004) Increase in function (Van Oosterwijck et al 2011, Moseley, 2002, 2003

3 PARADIGM SHIFT PAIN IS AN OUTPUT FROM THE BRAIN ALL PAIN IS REAL PAIN PAIN ≠ HARM STRESS AND PAIN ARE CLOSELY RELATED adapted from material from G. Lorimer Moseley: Understand and Explain Pain course material 2010

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5 Persistent Pain Project Patient Outcomes

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7 Managing and Coping with Chronic Pain Understanding and Treating Persistent Pain Reference: “Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education and Research,” Board of Health Science Policy, Institute of Medicine, of National Academies, Washington 2011 VS.


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