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Paincast: Daily Summaries Delivered
by Canadian Physiotherapy Association Pain Science Division
Paincast brings together researchers, clinicians, and students to facilitate knowledge translation, discussion, and critical thinking on topics related to pain and physiotherapy. The views expressed in each episode are of individual guests, do not constitute medical advice, and do not represent the views of the Pain Science Division or the Canadian Physiotherapy Association. While there is an effort to incorporate research evidence in the episodes, and the topic is researched by the host, we recognize there is room for improvement and there is expertise in the community. As such, we invite constructive critique and that you inform us of any inadvertent errors, so that we may correct them.
Latest Episodes
The most recent episodes — sign up to get AI-powered summaries of each one.
- 4 weeks ago1h 35m
Ep51: Beyond Nerve Flossing: Applying Nerve Mechanics and Physiology to Pain Relief with Michael Shacklock
Sign up for Paincast 3-2-1 newsletter to get episode summaries and reflections delivered to your inbox for free, no more than once a month. Here's the link to read this episode's newsletter issue: https://paincast.beehiiv.com/p/neurodynamics-and-pain-ep51 In this episode, we discussed: Neuromechanics and neurophysiology and their clinical implications A system to diagnose and treat issues under clinical neurodynamics Planning progressions and regressions for neurodynamics treatments Intersection of clinical neurodynamics and pain science Michael Shacklock, DipPhysio, MAppSc, FACP, is an internationally recognized physiotherapist, researcher, educator, and pioneer in the field of clinical neurodynamics. He is the founder of the neurodynamics approach in physical and manual therapy and the Founding Director of Neurodynamic Solutions, an organization dedicated to advancing the understanding and clinical application of neurodynamics worldwide. Michael trained as a physiotherapist in New Zealand before completing postgraduate studies in advanced manipulative therapy and a Master of Applied Science at the University of South Australia. His master’s research focused on his discovery of neurodynamic sequencing, a concept that has since become an important part of contemporary neurodynamic assessment and treatment. In 2007, he was made a Fellow of the Australian College of Physiotherapists by original contribution. He is the author of Clinical Neurodynamics: A New System of Musculoskeletal Treatment, which has been translated into multiple languages, and has contributed extensively to the scientific literature on neural biomechanics, neurodynamic testing, spinal cord and peripheral nerve movement, sciatica, lumbar radiculopathy, and carpal tunnel syndrome. Michael has taught and presented internationally at universities, professional conferences, clinics, and elite sporting organizations. His educational and consulting work has included organizations such as Liverpool FC, Manchester City FC, FC Barcelona, the Chicago Bulls, the Australian Institute of Sport, and Stanford University Sports Rehabilitation. Through his ongoing clinical, research, and educational work, Michael continues to develop and refine how clinicians understand, assess, and treat disorders involving the nervous and musculoskeletal systems. Resources Dombrowski, M. E., Rynearson, B., LeVasseur, C., Adgate, Z., Donaldson, W. F., Lee, J. Y., & Anderst, W. J. (2018). ISSLS PRIZE IN BIOENGINEERING SCIENCE 2018: dynamic imaging of degenerative spondylolisthesis reveals mid-range dynamic lumbar instability not evident on static clinical radiographs. European spine journal, 27(4), 752-762. Rade, M., Pesonen, J., Könönen, M., Marttila, J., Shacklock, M., Vanninen, R., & Airaksinen, O. (2017). Reduced spinal cord movement with the straight leg raise test in patients with lumbar intervertebral disc herniation. Spine, 42(15), 1117-1124. Pesonen, J., Rade, M., Kön
- Aug 30, 20261h 13m
Ep50: Behind Paincast—What 50 Episodes Have Taught Me About Pain, Practice, and People
For Paincast's 50th episode, we're turning the microphone around. Alex Chisholm interviews host Tiffany Tiu for a behind-the-scenes conversation about where Paincast came from, how it is made, what it has become, and where it is going next. We discuss the history and philosophy of Paincast, how topics and guests are selected, the research and preparation behind each interview, the challenges of producing and sustaining the podcast, and the mentorship of physiotherapy students through the Pain Science Division Student Committee. Tiffany also reflects on one of the biggest lessons she has learned through 50 episodes: understanding pain science matters, but knowledge alone is not enough. We aren't simply treating pain—we are caring for people whose lives are affected by pain. Paincast links: Paincast 3-2-1 Newsletter link: https://paincast.beehiiv.com/ YouTube Channel: https://www.youtube.com/@PainScienceDivision Instagram: https://www.instagram.com/paincast.psd/ Feedback Form: https://forms.gle/UFfbUHBh8uKwSKgS8 FeedSpot Top 5 Canadian Physical Therapy Podcast list: https://podcast.feedspot.com/canada_physical_therapy_podcasts/ Find Tiffany: Instagram https://www.instagram.com/fitt.physio.tiff/ LinkedIn https://www.linkedin.com/in/tiffany-tiu/ Email me: paincast.psd@gmail.com
- Jun 19, 20261h 5m
Ep49: Pain Neuroscience is Not Enough: Why Communication and Art Do The Real Healing with Bahram Jam
In this episode, we talked about The way to deliver Pain Science Education more powerfully The most important element in Pain Science Education PAIN! The Musical as an alternative form of Pain Science Education This is a student-led episode under the mentorship of Tiffany Tiu. Soheyl and Tess are Master of Physiotherapy students from the University of Alberta and the University of Manitoba respectively. Bahram Jam graduated from the University of Toronto then he completed a Clinical Masters and a Doctorate in Physical Therapy at the University of Queensland, Australia and at Andrews University, USA respectively. He is an FCAMPT, the founder and director of Advanced Physical Therapy Education Institute (APTEI) and has been a chief instructor for over one-thousand postgraduate Orthopaedic courses across Canada and internationally. He has presented at several national and international conferences. He currently practices at Athlete's Care in Toronto and is the creator of a paediatric chronic pain program at Boomerang Health, SickKids. On the side, he is the creator of PAIN! The Musical which aims to give those living pain & disability a voice and hope. Resources: www.APTEI.ca www.ThePainTruth.org www.PainMusical.ca Email Bahram at jam@aptei.com Social Media: @bahramjamaptei @painthemusical Paincast is dedicated to bringing together researchers, clinicians, and students to discuss topics related to pain and physiotherapy. The primary purpose is to facilitate knowledge translation and critical thinking. Some episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, we recognize there is room for improvement and there is expertise in the community. As such, we invite constructive critique and that you inform us of any inadvertent errors, so that we may correct them. You may submit your feedback through this form: https://forms.gle/UFfbUHBh8uKwSKgS8 Follow Paincast on Instagram: https://www.instagram.com/paincast.psd/
- May 11, 20261h 12m
Ep48: Pain Medicine, Pain Advocacy, Pain Innovation, Pain Research: Canadian Pain Society Conference Special
In this episode, I bring you to Quebec City at the Canadian Pain Society Annual Scientific Meeting to meet 4 incredible individuals: Dr. Andrea Furlan: The role of a physiatrist in interdisciplinary pain rehab and some of the challenges and hopes she has Lynn Cooper: The significance of people with lived experiences at the tables of pain research, pain advocacy, and improving pain management in Canada Tahir Janmohamad: How innovation can fill in the gaps of pain care, particularly how an app with pain tracking and pain psychology can help people living with pain Dr. Kelly Shinkaruk: Research on why people fail interdisciplinary pain programs Speaker Bio and Links Dr. Andrea Furlan is a physiatrist who sees people living with chronic pain at the Toronto Academic Pain Medicine Institute. She is also a Senior Scientist at the KITE Research Institute, the research arm of the Toronto Rehabilitation Institute, and is a professor at the University of Toronto. She also has a YouTube channel on chronic pain management. ECHO UHN on Chronic Pain and Opioid Stewardship: https://uhn.echoontario.ca/Our-Programs/Chronic-Pain Website: https://www.doctorandreafurlan.com/ Channel: https://www.youtube.com/c/DrAndreaFurlan Lynn Cooper was formerly president of the Canadian Pain Coalition. She has spent more than 20 years volunteering with organizations that seek to better understand issues surrounding chronic pain, and furthering research into and management of chronic pain. She was awarded the Person with Lived Experience Leadership Award at the Canadian Pain Society Annual Scientific Meeting 2026. Tahir Janohamad is the founder and CEO of ManagingLife, under which Managing My Pain has been the leading pain app globally. Solace is a first-of-its-kind AI companion bringing pain psychology to people's fingertips. ManagingLife: https://managinglife.com/ Dr. Kelly Shinkaruk is an anesthesiologist working with people living with chronic pain in the Calgary Chronic Pain Centre. She also has a Master's degree in Medical Education with a focus on Interprofessional experiences and collaborative competency development in medical students. Calgary Chronic Pain Centre: https://cumming.ucalgary.ca/centres/anesthesiology/chronic-pain-centre/chronic-pain-centre <p lang="en-us" s
- Apr 7, 20261h 12m
Ep47: A Paradigm Shift in Thinking About and Treating Chronic Pain with Dr. Bronwyn Lennox Thompson
In this episode, we talked about The differences between acute and chronic pain at the physical, neurological and psychosocial level A paradigm shift in thinking about and treating chronic pain patients Acceptance and Commitment Therapy: What it is, how it works and why it can be particularly beneficial for individuals in managing chronic pain Setting realistic expectations with patients while avoiding any sense of invalidation or skepticism This is a student-led episode under the mentorship of Tiffany Tiu. Jules and Brooklyn are Master of Physiotherapy students from the University of Alberta and McMaster University respectively. Dr. Bronwyn Lennox Thompson leads the Postgraduate Programmes in Pain and Pain Management at the University of Otago, based in Christchurch, New Zealand. Dr. Lennox Thompson’s clinical background is occupational therapy and psychology, and her clinical and research focus is on supported pain self-management in daily life. Her research interests include lived experiences of chronic pain, consumer/lived experience involvement in research, policy and service development, and supported self-management in painful medical procedures. Her primary academic work is teaching an interprofessional approach to pain and pain management to clinicians from a diverse range of clinical backgrounds. She was awarded the University of Otago Teaching Excellence Award in 2022, and the University of Otago Gold Medal for teaching excellence in 2025. Resources Acceptance and Commitment Therapy resources by Russ Harris: https://www.actmindfully.com.au/ ACT Made Simple: An Easy-To-Read Primer on Acceptance and Commitment Therapy by Russ Harris [book] Belton, J., & Darlow, B. (2026). Do We Trust Patients in Pain? What Would Happen If We Did?. JOSPT, 56(1), 1-3. Radical Relief: A Guide to Overcome Chronic Pain by Joe Tatta [book] Connect with Dr. Bronnie Thompson Blog: https://healthskills.wordpress.com Instagram and Facebook: https://www.facebook.com/healthskillsNZ LinkedIn: https://www.linkedin.com/in/bronniet/ Paincast is dedicated to bringing together researchers, clinicians, and students to discuss topics related to pain and physiotherapy. The primary purpose is to facilitate knowledge translation and critical thinking. Some episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, we recognize there is room for improvement and there is expertise in the community. As such, we invite constructive critique and that you inform us of any inadvertent errors, so that we may correct them. You may submit your feedback through this form: https://forms.gle/UFfbUHBh8uKwSKgS8 Follow Paincast on Instagram: https://www.instagram.com/paincast.psd/
- Mar 18, 20261h 8m
Ep46: When Physios Can Order Imaging: Smarter Imaging, Better Care with Jack Miller and Rob Werstine
In this episode, we discussed: The principal use of diagnostic imaging and laboratory testing: When it should be used and when it shouldn't be used The limitations of diagnostics and ramifications of overuse on psychological, behavioural, and systemic levels Improving providers' literacy and patient education around diagnostics The impact of physiotherapists having the scope expansion and the current state of advocacy on this topic Resources The Canadian C-spine Rule The Ottawa Ankle Rule The Ottawa Knee Rule Canadian Association of Radiologists Utilization Guideline American College of Radiologist Appropriateness Criteria Brinjikji, W., et al. (2015). MRI findings of disc degeneration are more prevalent in adults with low back pain than in asymptomatic controls: a systematic review and meta-analysis. American Journal of Neuroradiology, 36(12), 2394-2399. Flynn, T. W., et al. (2011). Appropriate use of diagnostic imaging in low back pain: a reminder that unnecessary imaging may do as much harm as good. journal of orthopaedic & sports physical therapy, 41(11), 838-846. Sajid, I. M., Parkunan, A., & Frost, K. (2021). Unintended consequences: quantifying the benefits, iatrogenic harms and downstream cascade costs of musculoskeletal MRI in UK primary care. BMJ open quality, 10(3). Scott, I. A., Slavotinek, J., & Glasziou, P. P. (2024). First do no harm in responding to incidental imaging findings. Medical Journal of Australia, 220(1), 7-9. Sharma, S., et al. (2021). “I would not go to him”: Focus groups exploring community responses to a public health campaign aimed at reducing unnecessary diagnostic imaging of low back pain. Health Expectations, 24(2), 648-658. VOMIT (Victim Of Medical Imaging Technology) Poster: https://www.aptei.ca/product/vomit-radiology-facts-wall-poster/ Rob Werstine BA, BSc, MSc, DPT, FCAMPT, Dip Sport, MBA Rob Werstine is a Physiotherapist who holds an Advanced Practice Provider position in the Rapid Access Clinic for Low Back Pain at LHSC in London and holds an adjunct teaching appointment in the School of Graduate Studies at Western University. Rob has spent his career opening access to health care for Canadians through the development of non-physician specialists. He helped create the first and only degree granting Clinical Master’s program for Physiotherapists in Orthopaedics at Western University in 2007 and helped create a National Clinical Specialists Program in 2012. He chaired the IFOMPT Conference in 2012 and has been an expert consultant for health care associations and regulatory bodies across North America. Rob has continued to help improve the ability of hundreds of non-physician health care professionals to take on Advanced Practice roles through the creation of Key Clinical Skills Inc., a continuing education provider for health care professionals across Canada and around the world, which has been providing education opportunities since 2016. Dr. Jack Miller BSc(PT), Dip MT(NZ), MClSc, DPT, FCAMP Dr. Miller completed his BSc in Physical Therapy at the University of Toronto in 1980. He then spent six years in New Zealand where he completed the New Zealand Manipulative Therapy Association’s Graduate Diploma of Manipulative Therapy in 1984. During this program he had the opportunity to be directly mentored by both Robin McKenzie and Brian Mulligan. On returning to Canada, he went on to complete a Masters of Clinical Science at Western University in London and a Post-Professional Doctor of Physical Therapy Degree from the University of St. Augustine in the USA. Jack has been the senior editor of the Canadian Physiotherapy Association’s Orthopaedic Journal, an executive member of the Orthopaedic Division of CPA, the President of the Canadian Academy of Manipulative Physical Therapy, a member of the CPA Specialization accreditation committee, the conference chair for IFOMPT 2012, and was a founding member of the Mulligan Concept Teacher’s Association. He has presented at conferences internationally, published research articles in peer-reviewed journals, multiple textbook chapters and taught high level, evidence-based manual therapy courses internationally since 1990. He works clinically as an advanced practice consultant triaging patients for imaging, laboratory investigations, medical interventions and surgery www.mulligancanada.com | www.keyclinskills.ca Paincast is dedicated to bringing together researchers, clinicians, and students to discuss topics related to pain and physiotherapy. The primary purpose is to facilitate knowledge translation and critical thinking. Some episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, we recognize there is room for improvement and there is expertise in the community. As such, we invite constructive critique and that you info
- Feb 3, 20261h 28m
Ep45: Young Women and Pelvic Pain: Chronic Pain Stories with Tess and Jane
In this episode, we talked about: Tess and Jane's experiences of developing pelvic pain, the progression of pain during their youth and early adulthood, and their healthcare journey How healthcare encounters can be helpful or harmful to one's pain experience The intricate interactions between biomechanical and psychological factors in chronic pain The unique aspects of pelvic pain contrasted with typical musculoskeletal pain, especially in young women A huge thank you to Tess and Jane for their generous sharing of their pain story. Paincast is dedicated to bringing together researchers, clinicians, and students to discuss topics related to pain and physiotherapy. The primary purpose is to facilitate knowledge translation and critical thinking. Some episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, we recognize there is room for improvement and there is expertise in the community. As such, we invite constructive critique and that you inform us of any inadvertent errors, so that we may correct them. You may submit your feedback through this form: https://forms.gle/UFfbUHBh8uKwSKgS8 Follow Paincast on Instagram: https://www.instagram.com/paincast.psd/
- Dec 31, 20251h 33m
Ep44: Taking Life Back from Pain: Chronic Pain Stories with Jules and Georgia
In this episode, you'll hear about Two fascinating lived experiences of pain and chronic pain management principles unpacked by a physiotherapist and 2 physiotherapy students, Jules and Georgia How pain affected these young ladies physically, psychologically, socially, and how that impact evolved as they progressed in their journey When "pain education" helped and when it hurt, and how they reconciled it The journey from being controlled by pain to taking control over pain Jules and Georgia are physiotherapy students at the University of Alberta. They are also members of this year's Canadian Physiotherapy Association Pain Science Division Student Committee. A huge thank you to their generous sharing of their pain stories. Special acknowledgement to Jeff Vela, PT who kindly spoke and shared his insights in the episode. Paincast is dedicated to bringing together researchers, clinicians, and students to discuss topics related to pain and physiotherapy. The primary purpose is to facilitate knowledge translation and critical thinking. Some episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, we recognize there is room for improvement and there is expertise in the community. As such, we invite constructive critique and that you inform us of any inadvertent errors, so that we may correct them. You may submit your feedback through this form: https://forms.gle/UFfbUHBh8uKwSKgS8 Follow Paincast on Instagram: https://www.instagram.com/paincast.psd/
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About Paincast
Paincast brings together researchers, clinicians, and students to facilitate knowledge translation, discussion, and critical thinking on topics related to pain and physiotherapy. The views expressed in each episode are of individual guests, do not constitute medical advice, and do not represent the views of the Pain Science Division or the Canadian Physiotherapy Association. While there is an effort to incorporate research evidence in the episodes, and the topic is researched by the host, we recognize there is room for improvement and there is expertise in the community. As such, we invite constructive critique and that you inform us of any inadvertent errors, so that we may correct them.
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Frequently Asked Questions
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