A Complex Pain Science Case & A Functional Approach to Patellar Tendinosis
On this week's episode of the Week in Review, Dr. Beau Beard, Dr. Alex Coleman, Dr. Daniel O’Quinn, and Seth Graham discuss a trauma-related pain science case and a stick-to-your-guns functional approach to patellar tendinosis.
Show Notes
In the first part of the conversation, two patient cases were discussed. The first case involved a high school soccer player with knee pain, and the second case involved a male with neck and back pain. The discussion focused on treating tendon injuries, the importance of loading tendons, and the criteria for return to play. The conversation also touched on the concept of central sensitization and the potential impact of past trauma on a patient's condition. The use of medications and the role of past trauma in the second case were explored. This conversation explores the topic of chronic pain and the role of psycho-emotional factors in its development and management. The hosts discuss the journey of a patient named Dan, who experienced chronic pain and sought various treatments before finding relief by addressing the psycho-emotional component. They emphasize the importance of understanding the whole human and properly diagnosing the underlying causes of pain. The conversation also highlights the need to rewrite the current understanding of pain and the role of emotional responses in its perception. The hosts conclude by emphasizing the importance of confidence in assessment and the complexity of chronic pain.
Takeaways
Chronic pain can be influenced by psycho-emotional factors and addressing these factors can lead to relief.
Understanding the whole human and properly diagnosing the underlying causes of pain are crucial in effective treatment.
The current understanding of pain and its classification should be revised to include the role of emotional responses.
Confidence in assessment is essential for building trust with patients and providing effective care.
Chapters
00:00 Patient Case 1: High School Soccer Player with Knee Pain
11:23 Discussion on Treating Tendon Injuries and Function
19:27 Discussion on Loading Tendons and Return to Play Criteria
24:09 Patient Case 2: Male with Neck and Back Pain
32:48 Discussion on Central Sensitization and Past Trauma
45:17 Continuation of Patient Case 2: Past Trauma and Medications
50:27 Introduction to Chronic Pain
51:14 The Journey of Dan
52:04 The Damaging Bond
52:24 Addressing the Psycho-Emotional Component
53:22 The Impact of Emotional Trauma
54:18 The Connection to His Mother's Passing
55:04 The Role of Psycho-Emotional Pain
56:12 The Need to Rewrite the Matrix
57:28 The Importance of Understanding the Whole Human
58:21 The Importance of Proper Diagnosis
59:37 The Role of Emotional Responses in Pain
01:00:55 The Complexity of Chronic Pain
01:03:44 The Importance of Fundamental Assessment
01:04:13 The Case of the Hip and Foot Pain
01:07:00 The Importance of Confidence in Assessment
01:08:19 Closing Remarks
