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The Performance Lab A place to discuss the role of physical exercise on health in diseased and non-diseased states.

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Old 20-03-2012, 02:31 AM   #1
Gil Haight
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To all , especially moderators

As you may recall, I will be speaking at this summers' National Convention with Mark Erickson. The presentation in entitled "Understanding the Pain System : the Gateway to Resolving the Difficult Patient Challenge". I would like to highlight the work of this group by including " Nothing Simple- Ten Steps to Understanding Pain". I will of course identify the source of the information and would like to thank Jon Neuman in particular. The handouts are due soon so soon let me know what you think.
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Old 20-03-2012, 03:27 AM   #2
Jason Silvernail
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Sounds great Gil


[From my iPhone, please excuse typing]
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The views expressed in this entry are those of the author alone and do not reflect the official policy or position of the Department of the Army, Department of Defense, or the US Government.
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Old 20-03-2012, 04:13 AM   #3
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Gil,
I wrote a post a while ago called "the top 10 things you dont know about pain"...this may be of some assistance?
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Old 20-03-2012, 01:55 PM   #4
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Gil,

Are you looking for ideas on what 10 things to include or do you just plan to use the Current Consensus of Pain already posted?

Side-note, this is great that you and Mark will have this platform. It's great to see more and more of these presentations hitting the national conventions.
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Old 20-03-2012, 02:48 PM   #5
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Kory,

I am going to use the existing list. I was not personally involved with its development so I want make sure it is OK with those who were. I plan to mention only Jon Neuman by name.
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Old 20-03-2012, 02:56 PM   #6
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No objection from me. None at all.
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Old 20-03-2012, 03:02 PM   #7
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Do it Gil. Change your spelling to "Newman"

I know you'll encourage participation on SS.
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Old 20-03-2012, 05:37 PM   #8
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Thanks for that Barrett, embarrassing.

This is what the handout will look like:


Nothing Simple - Ten Steps to Understanding Pain
1. Pain is a summation of complex experiences, not a single sensation produced by a
single stimulus.
2. Nociception (warning signals from body tissues) is neither necessary nor sufficient to
produce pain. In other words, pain can occur in the absence of tissue damage.
3. A pain experience may be induced or amplified by both actual and potential threats.
4. A pain experience may involve a composite of sensory, motor, autonomic, endocrine,
immune, cognitive, affective and behavioral components. Context and meaning are
paramount in determining the eventual output response.
5. The brain maps peripheral and central neural processing into each of these components
at multiple levels. Therapeutic input at a single level may be sufficient to resolve a threat
response.
6. Therapies that are most likely to be successful in treating non-pathological pain are
those that address unhelpful cognitions and fear concerning the meaning of pain,
introduce movement in a non-threatening internal and external context, and/or convince
the brain that the threat has been resolved.
7. Manual and movement therapies may affect peripheral and central neural processes at
various stages:
-transduction of nociception at peripheral sensory receptors
-transmission of nociception in the peripheral nervous system
-transmission of nociception in the central nervous system
-processing and modulation in the brain
8. The corrective physiological mechanisms responsible for resolution are inherent. In
non-pathological pain states a therapist need only provide an appropriate environment for
their expression.
9. Force is not necessary to produce a therapeutic change. Manually applied forces will
almost never directly result in clinically relevant and lasting change in tissue length, form
or symmetry.
10. Neuromuscular reconditioning is best initiated after near or full resolution of the pain
experience. Conditioning for the purpose of fitness and function or to prompt exercise-
induced analgesia can be performed concurrently, but threat and nocebo should be
considered. Conditioning should be conducted in the knowledge that there is no
substantial evidence that posture, muscular weakness or weight are risk factors for
neuromusculoskeletal pain .



Developed by moderators and others from SomaSimple.com. Special thanks to Jon Newman for his input with this project as well as for all he contributed to the profession of Physical Therapy
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Old 20-03-2012, 06:10 PM   #9
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Looks great, Gil.
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Old 20-03-2012, 08:34 PM   #10
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excellent, Gil.
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Old 20-03-2012, 08:48 PM   #11
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Looks great, Gil. I might change "weight" in item #10 to "body weight" or "body mass index"-but that would be nitpicky.
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