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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Tim and Bart dive into the world of pain science and uncover the truth behind common misconceptions in their brand-new podcast series, The Painful Truth. With their signature blend of expertise, humour, and compassion, Tim and Bart tackle the most pervasive ideas surrounding pain care and treatment head-on.

In this inaugural episode, they take on the popular notion that you "can't go wrong getting strong" when it comes to managing chronic pain. But is this advice as straightforward as it seems? Tim and Bart explore the nuances and potential pitfalls of applying this mantra to everyone, shedding light on the importance of personalised approaches to pain management.

They share valuable insights on the complex relationship between strength training and chronic pain, the psychological impact of pain, and the risks of one-size-fits-all exercise prescriptions. You'll come away with a deeper understanding of what it takes to effectively manage chronic pain and why a multifaceted, individualized approach is key.

Whether you're living with chronic pain, supporting a loved one, or simply interested in the latest pain science, this episode is a must-listen. Tune in to The Painful Truth and join Tim and Bart on an enlightening journey towards better understanding pain, strength, and the path to improved well-being.

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Internationally acclaimed educator & specialist pain physiotherapist Mike Stewart (KnowPain Mike) sits down with Tim Beames to explore the intricacies of uncertainty in pain care. In this insightful session, Mike delves into the patient's perspective, likening the experience to being swamped and navigating through a perpetual traffic jam without a clear understanding of the cause.

As they delve deeper, they ponder the necessity of a structural diagnosis and the implications it holds for effective pain management. Additionally, they shed light on the concept of solution-focused care, unravelling its significance in guiding patients towards tangible relief and empowerment amidst uncertainty.

Tune in for an engaging discussion that promises to challenge conventional perspectives and inspire innovative approaches to pain care.

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Welcome to "Le Pub Scientifique: The Pain Podcast,"

'Every consultation is seen as an opportunity for micro changes, hope, and a shift in perspective. Join our insightful host, Tim Beames, as he takes you on a journey behind the scenes, serving as a fly on the wall during consultations with Dr. Deepak Ravindran.

In this episode, we delve into the world of pain management with Dr. Deepak Ravindran, a seasoned expert with over 20 years of experience dedicated to helping individuals overcome their pain. Dr. Ravindran is a rare gem in the UK's medical landscape, holding triple certification in lifestyle medicine, musculoskeletal medicine, and pain medicine.

As a consultant in pain medicine since 2010 at the Royal Berkshire NHS Foundation Trust, one of the largest district general medical hospitals in the UK, Dr. Ravindran has been at the forefront of cutting-edge pain management. Currently serving as the clinical lead for specialist pain services in West Berkshire since 2015, he brings a wealth of knowledge and a unique perspective to the table.

More about Deepak: https://deepakravindran.co.uk/

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Fear and Pain: An Inside Look with Professor Jonas Zaman

Discover how fear transforms our experience of pain and movement on this week's episode of the Le Pub Scientifique Pain Podcast. Professor Jonas Zaman joins us to explain his experimental work investigating the intricate relationship between emotions, learning, memory, perception, and pain. We explore how fear affects not just pain, but a wide range of bodily sensations and behaviors.

Professor Zaman provides rare insight into the complex mechanics behind our responses to fear and pain. Learn how emotions and experiences can alter our perceptions, movements, and memories. This compelling discussion illuminates the depths of the mind-body connection and how fear learning impacts our lives.

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Welcome to Le Pub Scientifique's The Pain Podcast! In this episode, our host Tim Beames engages in a compelling conversation with Rajam Roose, the visionary behind The San Diego Pain Summit. As the founder, owner, and organizer of this groundbreaking interdisciplinary event, Rajam brings clinicians, researchers, and individuals with lived experiences of pain together to revolutionize the way we approach pain management.

Join us as we delve into the intricacies of creating and managing a large-scale event solely dedicated to the profound subject of pain. Rajam shares her insights on the unexpected challenges encountered in organizing such an event, as well as the triumphs that arise from uniting diverse voices in the pursuit of transforming the narrative surrounding pain. Don't miss this enlightening exploration of the behind-the-scenes journey of The San Diego Pain Summit, offering a unique perspective on the complexities and successes of fostering change in pain management.

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Professor Romy Parker is the director of the Pain Management Unit at the University of Cape Town. She is an active physiotherapist and researcher focusing on the power of context and culture in treating pain. In this podcast, she shares her experiences on the challenges of pain education and the significance of cultural nuances for effective communication and treatment strategies.

She examines the importance of approaching patients with humility and curiosity, advocates for acknowledging the limitations of one's understanding and encourages a collaborative, team-based approach to unravel the complexities of pain management within diverse populations. Don't miss this enlightening episode on pain, culture, and compassionate healthcare!

Professor Romy Parker

Romy Parker, PhD, is a professor and director of the Pain Management Unit in the Department of Anaesthesia and Perioperative Medicine at the University of Cape Town in South Africa. She is an active researcher, as well as an experienced physiotherapy clinician working in chronic pain management as part of the Chronic Pain Management interdisciplinary team of Groote Schuur Hospital. She leads a team of clinician researchers working in both perioperative pain and chronic pain management. Their aim is to develop, test and implement effective, culturally appropriate and sustainable treatments.

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In this Pain Podcast episode podcast physiotherapist Luke Bongiorno delves deep into the world of sports health, sharing his 25 years of experience working with elite athletes. Luke explores the interconnected web of physical, mental, and emotional aspects of sports injuries, providing valuable insights and practical advice.

Exciting news! Our clinical confidence series with Dr. Ebonie Rio is set to launch soon. Through a series of recorded sessions, she delves deeper into the intricacies of working with athletes dealing with pain and injuries. Stay tuned for invaluable insights!

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