Happy New Year to the Healthy Wealthy and Smart family! To start off 2017, I had the pleasure of welcoming Dr. David Butler to the show to chat about his work, Explain Pain Supercharged, co-written by Dr. Lorimer Moseley. David is a clinician, an international freelance educator, an Adjunct Associate Professor with the University of South Australia and an Honoured Lifetime Member of the Australian Physiotherapy Association. His professional interests focus around the integration of neurobiology into clinical decision making and public and professional education in pain, stress and performance management.
In this episode, we discuss:
-David’s patient centered updates in Explain Pain Supercharged
-How the immune system and nervous system interact and impact pain symptoms
-David explains SIMS and DIMS and how to treat the patient more holistically
-Evidence for opioid alternatives that everyone possesses in their brain
-And much, much more!
Reconceptulizing pain as a protective signal instead of a marker of injury or disease is an important target concept to improve pain outcomes for persistent pain patients. David states, “The primary root metaphor out there has been pain is enemy. Therefore you see pain killers, war against pain, shotgun approach. It’s a big battle but we’re trying to change the primary metaphor to pain is protector so therefore pain softener, you can be sore but safe, hurt not harm and to get metaphors coming off this deeper, deeper conceptual metaphor.”
One of David’s goals of Explain Pain Supercharged is to create a digestible curriculum for patient education. David believes, “Knowledge is the greatest pain liberator of all.”
Physical therapists are at the forefront of empowering chronic pain patients with effective alternatives to pharmaceuticals. David stresses, “Your own drug cabinet in the brain can be more powerful than anything else.”
For more information on David:
David Butler is a physiotherapy graduate of the University of Queensland (1978). He has a graduate diploma in advanced manipulative therapy (1985), a masters degree by research from the University of South Australia (1996) and a doctorate in education from Flinders University (2010).
David is a clinician, an international freelance educator, an Adjunct Associate Professor with the University of South Australia and an Honoured Lifetime Member of the Australian Physiotherapy Association. His professional interests focus around the integration of neurobiology into clinical decision making and public and professional education in pain, stress and performance management. Food, wine and fishing are also research interests.
Author of numerous book chapters and articles and the texts Mobilisation of the Nervous System (1991), The Sensitive Nervous System (2000), David has also co-authored of Explain Pain (2003, 2nd Edn 2013), The Graded Motor Imagery Handbook (2012) and The Explain Pain Handbook: Protectometer (2015).
Resources discussed on this show:
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