Despite studying for a foundation module in pain management, I learnt an awful lot. It was great other members found the biopsychosocial model of chronic pain so useful. It reinforced what I have been learning. I shared some of the resources which are available for general access which I think is essential as we all want to improve patient care. Right at the end, the physiotherapist who attended this session mentioned establishing a chronic pain clinic with education and paced activities at its heart. I am very keen to get involved so volunteered to help. I hope to include neuropathy patients (non-freezing cold injury). My own hypothesis is if we can normalise what these individuals are complaining of, give them a label of chronic pain (albeit of neuropathic origin) and get them to engage with other chronic pain sufferers, I think they will do better. They will feel engaged and empowered.
Interestingly and once again, we had a physiotherapist attend as an observer but who also played an active part. He is about to undertake a dissertation as part of an MSc in pain management. In the end, he was one of the group, contributing and discussing like the rest of us. Having a healthcare professional from other disciplines in a small group learning environment represents a wonderful opportunity. There is the possibility of funding for a more widespread study into PBSGL within Defence Primary Healthcare and I hope we can extend it to our physiotherapy and nursing colleagues.
In the end, we summarised what we had learned and shared the resources. Here are a few & I hope you find them useful:
Palouse mindfulness – I shared this after I discovered about it at a psychiatry course. Well worth a look.
Head Space as the go-to app (based on evidence, albeit one study, small & undertaken by the app authors!). Also, highest rated mindfulness app according to another paper using the MARS scale. I should add, there doesn’t appear to be hard evidence that Mindfulness improves chronic pain. It enhances acceptability but not intensity, probably by enhancing affective elements.
www.paincommunitycentre.org – requires registration but a fantastic resource for chronic pain presentations and educational material. UPDATE Unfortunately this website was discontinued on Feb 19. However, a lot of the talks are available at the Vimeo site.
pain-ed.com – not thoroughly evaluated but looks good.
The pain team page at the University College Hospital London – some good videos for patients who want to learn more.
Understanding pain in less than 5 minutes – YouTube video
Lower Back Pain by DocMikeEvans – YouTube video
Am I safe to move – Audio lecture by Prof Lorimer Moseley on pain