• The Flipping Pain initiative aims to boost knowledge and understanding of persistent pain in society.
• Reaching generalists who interact with patients on a daily basis is crucial for disseminating accurate pain-related knowledge.
• The campaign focuses on changing the way people think, talk, and treat persistent pain, promoting a biopsychosocial approach.
• The lived experience of pain is a vital component of the campaign, providing relevant and powerful perspectives.
• Barriers to spreading accurate pain-related knowledge include competing messages and the need to lift expectations and be more optimistic about recovery.

• "Flipping pain is about trying to change understanding on a community level, on a public health level about persistent pain."
• "We need to take the best strategies from marketing and for communication and utilize those in our endeavors to try and communicate a better understanding of persistent pain."
• "Recovery is possible. That's it, actually how I greet the person coming in."

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Tim Beames and Bart discuss the debate surrounding surgery for pain. They explore whether surgery is a panacea or a placebo, and share their thoughts on the topic. They discuss the influence of influential figures like Elon Musk and Tiger Woods, as well as the role of surgery in treating neurological problems. They also touch on the importance of a balanced approach and the need for clinicians to inform patients about the potential risks and benefits of surgery.

Keywords

surgery, pain, panacea, placebo, debate, neurological problems, Elon Musk, Tiger Woods, success, immune system, inflammation, research, bias, placebo surgery

Takeaways

• The debate surrounding surgery for pain is complex, with no definitive answer as to whether it is a panacea or a placebo.
• Surgery can be effective for treating neurological problems, but its efficacy for pain alone is less clear.
• The success of surgery can vary depending on individual circumstances and the underlying cause of the pain.
• Clinicians should inform patients about the potential risks and benefits of surgery and help them make an informed decision.
• There is a need for more research and high-quality studies on the effectiveness of surgical procedures for pain.

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In this episode, Tim talks to the acclaimed osteopath and PhD candidate, Alison Sim about her research on preventing chronic pain after injury, particularly in the context of compensable care.

Alison discusses the stressful and distressing nature of the compensation claim process, which can significantly impact recovery. Her research reveals an overlap in frustrations experienced by both claimants and clinicians, particularly regarding delays in care and lack of support. Alison's team developed a beneficial 5-session telehealth intervention based on co-design workshops with claimants. Interviews with experienced clinicians highlighted a common pattern of initial feelings of being underskilled, seeking further education, and ultimately developing a sense of mastery in their role. Alison suggests improvements to the compensation system, including early access to high-quality care and streamlining the claims process. Her research emphasises the importance of addressing psychosocial aspects of injury recovery in compensable care settings to foster better outcomes for individuals.

Keywords

chronic pain, compensable care, claims process, early interventions, pain self-management, social support, clinician experience, complexity, uncertainty

Takeaways

• The claims process in compensable care can be distressing for both claimants and clinicians, and it is a significant predictor of poor outcomes.
• Early interventions that provide information about the claims process, pain self-management strategies, and social support can help improve outcomes for claimants.
• Experienced clinicians working in compensable care can find fulfillment and a sense of mastery in managing complexity and uncertainty.
• Improving access to high-quality care, enhancing communication skills, and providing support for both claimants and clinicians are essential for better outcomes in compensable care.
• Further research and evaluation are needed to assess the impact of interventions and systemic changes in compensable care.

• "I am interested in looking at early interventions to prevent the development of chronic pain following injury and particularly interested in injury in the setting of compensable care."
• "The distress of interacting with the processes required to engage with a claim is a big predictor of poor outcomes."
• "People didn't understand the claims process and felt overwhelmed by it."

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