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Tame Pain's The Guide to Low Back Pain is now available for purchase, $9.95.
3 Parts:
Part 1 - Introduction to low back pain discussing definitions, risk factors, and healthcare models
Part 2 - Low back pain in healthcare, involving a lengthy discussion on what is normal vs pathological, and the negative effects of unnecessary imaging
Part 3 - Being a Guide, this section discusses in-depth management for low back pain and specifically guides clinicians through the process of helping others.
I hope folks enjoy this guide and find it useful. As always, feedback is welcomed.
The Guide to Shoulder Pain will be available for purchase on Amazon kindle soon (likely next week but pre orders should be up this week). $9.95
I’ll also be uploading pdf versions to the website (Tame Pain) for download at the same price.
Several more guides will launch in both locations in the coming weeks. Amazon link in comments. Thanks for the support!
It's done. Tame Pain The Guide to Shoulder Pain is out.
54 minute read, 12,662 words, and 67 citations.
Topics:
🖋Anatomy
🖋Utility of imaging
🖋Scapular Dyskinesis
🖋Internal/External Impingement
🖋Rotator Cuff Tears,
and
🖋Management (exercise therapy, injections, surgery, etc)
https://www.tamepain.com/post/the-guide-to-shoulder-pain
Side note - after several people for quite some time telling me I need to charge, I gave in.
I've avoided it long enough ... I started charging for access. Nothing crazy ... $9.95 for outright purchase of this guide alone or $5/month subscription for full access. The subscription price will likely go up in the future due to more content being released so don't wait.
Hope you all find it helpful.
Almost done with the Tame Pain shoulder guide … I should probably charge for this …
As someone with a small following and as a healthcare professional/academic, I want to do my part to ensure those in need of healthcare seeking abortions have access.
With this in mind, I felt compelled to launch this t-shirt: Pro-Choice, Don't Tread On Me through my company Tame Pain.
100% of proceeds will be donated to aid those in need of healthcare seeking abortions. Example: National Network of Abortion Funds
https://www.tamepain.com/product-page/pro-choice-don-t-tread-on-me
If you decide to comment on this post, I encourage respect, open-mindedness, and empathy. Otherwise comments will be deleted.
Edit: Now available in black and white.
Raised: $163.14 as of 07/17
👩🎨Original idea and creation attributed to RAYGUNshirts
Those asking for flags - they already have them in their store so go check it out! They also donate proceeds towards abortion access.
Next guide at Tame Pain
Next up - The Guide to Neck Pain
Should be up next week. Tame Pain
Just spent a chunk of today updating the knee meniscus blog. I honestly don’t think there is a more comprehensive guide to the research on the topic available right now … I should probably charge for this … meh … it’ll drop this week. Stay tuned. Tame Pain
𝐈𝐭’𝐬 𝐚 𝐣𝐨𝐮𝐫𝐧𝐞𝐲
Weird feelings with this day. We just turned in our keys to the first location of Shenandoah Valley Performance Clinic.
In 2015 Erica Ray and I moved to a new city where we knew no one.
We planned months leading up to my graduation from chiropractic school to relocate to a beach area further south. Shortly before graduation we realized a strong desire to be closer to family in MD and WV. So we decided on how far we were willing to drive, looked at a map, drew a circle, and began searching for a city. Harrisonburg checked a lot of boxes for us.
Erica began searching for a job in the area and landed a prestigious pastry chef position at a highly rated hotel/restaurant. I searched for jobs in the area, shadowed a few places, but my suspicions were confirmed - my ability to practice the way I wanted would be greatly constrained. It was then I made the decision to open my own clinic.
We ran a gym and clinic out of this location from 2015-end of 2018. Erica has since opened a bakery (Bittersweet Bakery) with Alicia Barger.
We have met many people over the years and although the gym has not continued on, we are beyond thankful for the opportunity to work with and help so many people in the community.
We now move on to the next step of our journey with SVPC at a new location. It’s taken a lot of hard work, the kind of work someone may try and warn you about but difficult to comprehend until you are in “it”. However, I wouldn’t trade this for anything else. Viktor Frankl once said,
“What man actually needs is not a tensionless state but rather the striving and struggling for some goal worthy of him. What he needs is not the discharge of tension at any cost, but the call of a potential meaning waiting to be fulfilled by him.”
The journey isn’t easy but for us, it is definitely worth it and adds a lot of meaning to life.
Thanks to everyone we’ve met over the years and who has trusted us to guide their journey, whether related to fitness or rehab. We are beyond thankful. We look forward to the future, continuing to serve the areas of Harrisonburg and Rockingham county. Cheers!
𝐏𝐫𝐢𝐧𝐜𝐢𝐩𝐥𝐞𝐬 𝐭𝐨 𝐠𝐮𝐢𝐝𝐞 𝐜𝐚𝐫𝐞 𝐨𝐟 𝐚𝐜𝐮𝐭𝐞 𝐧𝐨𝐧-𝐭𝐫𝐚𝐮𝐦𝐚𝐭𝐢𝐜 𝐩𝐚𝐢𝐧 𝐢𝐧 𝐬𝐩𝐨𝐫𝐭
This is an excellent recent editorial by Canerio et al in the British Journal of Sports Medicine (BJSM) that summarizes quite well our approach to these scenarios Barbell Medicine and Shenandoah Valley Performance Clinic.
The title says it all, “There is more to pain than tissue damage”. The editorial provides 8 principles to guide care of acute non-traumatic pain in sport:
1. In the absence of trauma, do not assume that pain indicates tissue damage
2. Do not refer for imaging unless it will directly influence care, or when there is suspicion of serious or specific pathology
3. Explore biopsychosocial factors that may contribute to pain (see photo of Table 1)
4. Deliver positive messages about pain during examination and treatment
5. Improve tissue tolerance to load and sports exposure
6. Use passive treatments only as an adjunct to active management
7. Use shared decision-making to build self efficacy
8. Use an interdisciplinary approach to deliver a unified message
This paradigm shift will certainly take effort and collaboration but is a necessary change.
The authors close with:
“Implementing these principles will require a cultural change within sport and sports medicine. Enormous barriers exist such as vested interests, clinician/coaching silos, pain beliefs reinforced by early access to imaging, treatment expectations and provision of quick ‘fixes’ and conflicting messages regarding training and return to sport for athletes in pain. Even with buy-in from clinicians, coaches and athletes this new paradigm will provide a major implementation challenge.”
Link:
https://bjsm.bmj.com/content/early/2020/09/08/bjsports-2019-101705
Thoughts? Comment below for a discussion. Tag someone who needs to read this.
Harrisonburg folks:
Looking for a new space for Shenandoah Valley Performance Clinic.
Preferably downtown Harrisonburg area (near Farmer’s Market and Bittersweet Bakery).
Space needs:
1000 - 1500 sq feet of space
A single bathroom
Hi/low water fountains
Open floor plan
First floor
Move in date: October
If you are aware of a space please let us know!