Ep 116 Chaser – Brett Neilson on Pain Science


Episode 116 Chaser

Live from the PT PAC event in Miami, Jimmy chats with Brett Neilson (@brettneilsondpt), a board certified orthopedic therapist, American Academy of Orthopaedic Manual Physical Therapy Fellow, and certified Therapeutic Pain Specialist. Brett discusses the evolving concepts of pain science, burnout in #FreshPTs, and post-professional education.

Bio: Brett Neilson, PT, DPT, OCS, FAAOMPT, Therapeutic Pain Specialist
Dr. Brett Neilson holds a clinical doctorate in physical therapy. He is Board Certified in orthopedic physical therapy and is a Fellow in the American Academy of Orthopaedic Manual Physical Therapy. He earned his Doctorate of Physical Therapy at the University of Puget Sound, in Tacoma, Washington. He completed an Orthopaedic Physical Therapy Residency and Orthopaedic Manual Physical Therapy Fellowship with Evidence in Motion Institute of Health Professions and earned a certification as a Therapeutic Pain Specialist with the International Spine and Pain Institute (ISPI). Dr. Neilson has experience as a staff therapist as well as clinic director. Additionally, he was a contractor for the US Air Force and has served as Trial Coordinator, coordinating the day-to-day activity on two large multi-center randomized controlled trials in knee osteoarthritis and low back strengthening for Army combat medics. Currently Dr. Neilson is on staff with EIM and serves as their Admissions Director and adjunct faculty. He also serves as Adjunct Faculty for South College Doctorate of Physical Therapy program in Knoxville, TN and the International Spine and Pain Institute. He is an active member of the APTA, PTWA, and AAOMPT. In his spare time, he enjoys spending time with his wife, Cat, son Aiden and dog, Jax. They enjoy outdoor sports and recreation including paddle boarding, hiking, snowboarding/skiing and participating in “fun” runs.

Contact Brett Neilson
Email: bneilson@EIMPT.com
Website: www.evidenceinmotion.com
Twitter: @brettneilsondpt

Episode Shoutouts
Adrian Louw, PT, PhD, CSMT of the International Spine & Pain Institute
Lisa McLaughlin, APTASA Staff Liaison (lisamclaughlin@apta.org)

Episode Highlights
2:01 How has the conference been so far?
3:07 “Pain is the new sexy thing”
“If our interventions are so advanced, why aren’t we any better? Why aren’t we curbing this pain epidemic?”
4:29 How long is it going to take before we catch up on pain science?
“When we’re paid based on what we do, not on how well we help our patients, how are we going to change?”
“Too long we’ve tried to fit a single model to every single patient out there and that just doesn’t work.”
6:32 Is it sometimes better to be hands-off?
“It comes down to choosing the right intervention for the right person at the right time.”
“I think one of the big stigmas with pain science is that we should all sell our treatment tables.”
Referenced article: Louw A, Zimney K, O’Hotto C, Hilton S. The clinical application of teaching people about pain. Physiotherapy Theory and Practice. 2016; 32(5):385-395. (Abstract/Full text)
8:12 Why is burnout coming up so often right now?
“I think we’re so ill-equipped to deal with pain.”
10:02 You got a little more pain education doing a residency. Is that something more students are leaning towards, especially with some gaps in the education?
“Everybody should be considering post-professional education beyond just the stand alone CE courses. We know that those don’t change practice, at least not significantly. What you need is a structured program.”
11:44 What drew you to doing a residency?
12:35 What would you say to a student coming out of PT school now about how to best approach maintaining a good work/life balance so you don’t approach the burnout stage?
“You have to realize when you enter this profession it is a profession, it’s a career, it’s not a job, and a profession takes work, it takes time to develop your skills and you’re profession’s just beginning the minute you enter the profession. It’s not ending.”
“While you’ve got to work hard, I agree that playing hard is also important.”
“I think it all comes down to passion, because if you are passionate about this profession, just like everybody is here, that’s one of your immunities to burnout.”

Get involved and show up, I think it’s as simple as that.

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