asking support

Gil Haight · 20-03-2012, 02:31 AM

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.
Thanks
Gil

**Jason Silvernail** · 20-03-2012, 03:27 AM

Sounds great Gil

[From my iPhone, please excuse typing]

joebrence9 · 20-03-2012, 04:13 AM

Gil,
I wrote a post a while ago called "the top 10 things you dont know about pain"...this may be of some assistance?

**zimney3pt** · 20-03-2012, 01:55 PM

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.

Gil Haight · 20-03-2012, 02:48 PM

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.
Gil

**Diane** · 20-03-2012, 02:56 PM

No objection from me. None at all.

**Barrett Dorko** · 20-03-2012, 03:02 PM

Do it Gil. Change your spelling to "Newman"

I know you'll encourage participation on SS.

Gil Haight · 20-03-2012, 05:37 PM

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

**zimney3pt** · 20-03-2012, 06:10 PM

Looks great, Gil.

BB · 20-03-2012, 08:34 PM

excellent, Gil.

**John W** · 20-03-2012, 08:48 PM

Looks great, Gil. I might change "weight" in item #10 to "body weight" or "body mass index"-but that would be nitpicky.

20-03-2012, 03:27 AM	#2
Jason Silvernail Clinician and Researcher Join Date: Dec 2005 Location: Kandahar Province, Afghanistan Age: 39 Posts: 4,085 Thanks: 127 Thanked 550 Times in 186 Posts	Sounds great Gil [From my iPhone, please excuse typing] __________________ Jason Silvernail DPT, DSc, FAAOMPT Board-Certified in Orthopedic Physical Therapy Fellowship-Trained in Orthopedic Manual Therapy Certified Strength and Conditioning Specialist 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.

20-03-2012, 04:13 AM	#3
joebrence9 Senior Member Join Date: Mar 2011 Location: Pittsburgh, Pa Posts: 443 Thanks: 149 Thanked 232 Times in 106 Posts	Gil, I wrote a post a while ago called "the top 10 things you dont know about pain"...this may be of some assistance? __________________ Joseph Brence, DPT "Great spirits have always encountered violent opposition from mediocre minds" - Albert Einstein Blog: www.forwardthinkingpt.com

20-03-2012, 01:55 PM	#4
zimney3pt life long learner, clinician, and instructor Join Date: Dec 2009 Location: Sioux City, IA Age: 43 Posts: 1,906 Thanks: 152 Thanked 687 Times in 267 Posts	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. __________________ Kory Zimney, PT, DPT http://koryzimney.blogspot.com "Study principles not methods, a mind that can grasp principles will create its own methods." - Gill "All truths are easy to understand once they are discovered; the point is to discover them." - Galileo Galilei

20-03-2012, 02:56 PM	#6
Diane Human Primate Social Groomer and Neuroelastician Join Date: Mar 2004 Location: Weyburn Sask. Posts: 19,813 Thanks: 1,544 Thanked 3,362 Times in 1,627 Posts	No objection from me. None at all. __________________ Diane www.dermoneuromodulation.com SensibleSolutionsPhysiotherapy HumanAntiGravitySuit blog Neurotonics PT Teamblog Diane Jacobs.com (personal website) Canadian Physiotherapy Pain Science Division (Archived newsletters) Canadian Physiotherapy Association Pain Science Division Facebook page @PainPhysiosCan WCPT PhysiotherapyPainNetwork on Facebook @WCPTPTPN Neuroscience and Pain Science for Manual PTs Facebook page @dfjpt SomaSimple on Facebook @somasimple "Rene Descartes was very very smart, but as it turned out, he was wrong." ~Lorimer Moseley “Comment is free, but the facts are sacred.” ~Charles Prestwich Scott, nephew of founder and editor (1872-1929) of The Guardian , in a 1921 Centenary editorial “If you make people think they're thinking, they'll love you, but if you really make them think, they'll hate you." ~Don Marquis "In times of change, learners inherit the earth, while the learned find themselves beautifully equipped to deal with a world that no longer exists" ~Roland Barth "Doubt is not a pleasant mental state, but certainty is a ridiculous one."~Voltaire

20-03-2012, 03:02 PM	#7
Barrett Dorko Writer and Clinician Join Date: Nov 2005 Location: Cuyahoga Falls, Ohio Age: 61 Posts: 12,900 Thanks: 662 Thanked 1,541 Times in 907 Posts	Do it Gil. Change your spelling to "Newman" I know you'll encourage participation on SS. __________________ Barrett L. Dorko P.T. www.barrettdorko.com

20-03-2012, 02:31 AM	#1
Gil Haight Senior Member Join Date: Dec 2005 Posts: 275 Thanks: 57 Thanked 54 Times in 26 Posts	asking support 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. Thanks Gil

20-03-2012, 02:48 PM	#5
Gil Haight Senior Member Join Date: Dec 2005 Posts: 275 Thanks: 57 Thanked 54 Times in 26 Posts	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. Gil

20-03-2012, 05:37 PM	#8
Gil Haight Senior Member Join Date: Dec 2005 Posts: 275 Thanks: 57 Thanked 54 Times in 26 Posts	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

20-03-2012, 06:10 PM	#9
zimney3pt life long learner, clinician, and instructor Join Date: Dec 2009 Location: Sioux City, IA Age: 43 Posts: 1,906 Thanks: 152 Thanked 687 Times in 267 Posts	Looks great, Gil. __________________ Kory Zimney, PT, DPT http://koryzimney.blogspot.com "Study principles not methods, a mind that can grasp principles will create its own methods." - Gill "All truths are easy to understand once they are discovered; the point is to discover them." - Galileo Galilei

20-03-2012, 08:34 PM	#10
BB Arbiter Join Date: Mar 2004 Location: Vancouver, WA Posts: 3,468 Thanks: 142 Thanked 152 Times in 70 Posts	excellent, Gil. __________________ Cory Blickenstaff, PT, OCS Far and away the best prize that life has to offer is the chance to work hard at work worth doing. ~Theodore Roosevelt My facebook page My youtube channel Twitter Neurotonics: a PT team blog Somasimple on twitter Pain and Neuroscience for Manual Physical Therapists Facebook page

20-03-2012, 08:48 PM	#11
John W Harmless creampuff Join Date: Sep 2006 Location: New Orleans, LA Age: 48 Posts: 4,672 Thanks: 639 Thanked 997 Times in 444 Posts	Looks great, Gil. I might change "weight" in item #10 to "body weight" or "body mass index"-but that would be nitpicky. __________________ John Ware, PT Fellow of the American Academy of Orthopedic Manual Physical Therapists "Nothing can bring a man peace but the triumph of principles." -R.W. Emerson “If names be not correct, language is not in accordance with the truth of things. If language be not in accordance with the truth of things, affairs cannot be carried on to success.” -The Analects of Confucius, Book 13, Verse 3

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