Tame Pain

Tame Pain We are an educational and remote consultation company dedicated to helping individuals with pain man
(11)

We know chronic pain can be debilitating, robbing humans of their identity and ability to engage life. Our mission is to empower those dealing with chronic pain through education and guidance to engage their life again.

FREE access to The Guide to Knee Meniscus TearsI’m actively working on The Guide to Knee Pain, which will come with an u...
06/20/2024

FREE access to The Guide to Knee Meniscus Tears

I’m actively working on The Guide to Knee Pain, which will come with an updated release of my knee rehab template. In anticipation of this new guide, I’ve decided to re-release The Guide to Knee Meniscus Tears, updated with free access. There’s a lot of misinformation on this topic, and I hope this guide is an informative resource for decision making in such scenarios. - Dr. Ray, Founder of Tame Pain

Excerpt:
The medical machine acts quickly. This is a good thing when situations are dire and life or limb are at stake. However, in less serious situations the expediency of the process may result in a failure to consider all the current evidence regarding diagnosis, treatment options, and their influence on prognosis. The urgency of the process may at first seem reassuring to the patient, instilling confidence that the clinician knows what they are doing. This process should be collaborative, but often it becomes authoritative. Patients are expected to make quick decisions as a layperson to the field. Thus, the process necessitates trust. Trust in the clinician, trust in the decision making, and trust that the information being delivered to them is the best we have (hopefully based on current research evidence).

https://www.tamepain.com/post/the-guide-to-knee-meniscus-tears

The medical machine acts quickly. This is a good thing when situations are dire and life or limb are at stake. However, in less serious situations the expediency of the process may result in a failure to consider all the current evidence regarding diagnosis, treatment options, and their influence on...

Finding Relief and Strength: My Journey with Dr. Ray’s Pain Science Approach“For the past two years, I have been experie...
06/12/2024

Finding Relief and Strength: My Journey with Dr. Ray’s Pain Science Approach

“For the past two years, I have been experiencing non-specific back pain. I had tried out several different options such as physical therapy, taking time off work, and consulting with a medical doctor. Not only was my pain persistent, but the advice I was getting, “Don’t lift heavy things in the gym”, “You need to stretch more”, and “You are wearing out your back”, led me to become more frustrated. During my search for a remedy for this problem, I came across pain science and Dr. Ray’s work.

Dr. Ray’s work made a lot of sense to me, but I was still unsure of the process as it was very different advice from what other medical professionals had told me in the past. My back pain was negatively affecting every area of my life so I decided to give Dr. Ray’s approach a try. I purchased a consultation with Dr. Ray and explained my situation and past experience dealing with my back pain. He told me he was happy to help and we had a Zoom meeting where we discussed the process and first steps towards getting back to doing the things I enjoyed. Communicating with Dr. Ray was very refreshing because he really wanted to understand my experience and wasn’t just telling me all the things that I did wrong and how they were influencing my back pain. After the Zoom meeting, I felt a lot of relief and I felt confident that he could help me get back to all the things I enjoy doing.”

Read more at tamepain.com.

https://www.tamepain.com/post/finding-relief-and-strength-my-journey-with-dr-ray-s-pain-science-approach

For the past two years, I have been experiencing non-specific back pain. I had tried out several different options such as physical therapy, taking time off work, and consulting with a medical doctor. Not only was my pain persistent, but the advice I was getting, "Don't lift heavy things in the gym"...

Words can harm. We may mean well and just trying to help, but our narratives about pain experiences, the meaning of such...
05/29/2024

Words can harm. We may mean well and just trying to help, but our narratives about pain experiences, the meaning of such experiences, and how to respond can have profound impact on someone’s beliefs and behaviors.

This is a quote from someone I’ve been working with (shared with permission).

Unfortunately, it’s a common theme I hear when working with individuals experiencing pain.

“I got most of my fears surrounding my body within the last year, and it was from doctors telling me not to work out, not to ride my bike, not to squat, not to lift weights.”

We can and must do better.


Have you heard harmful narratives from healthcare professionals regarding pain and activity? If so, comment below. 👇

Does Krill oil effective treat knee pain related to OA?Based on a recent study in JAMA, it doesn’t appear so.You may be ...
05/28/2024

Does Krill oil effective treat knee pain related to OA?

Based on a recent study in JAMA, it doesn’t appear so.

You may be wondering - what is Krill oil exactly?
It’s a marine version of omega-3 fatty acids derived from Krill, an aquatic arthropod.

Why do we think this may help osteoarthritis related knee pain?
Prior studies in rheumatoid arthritis showed improvements for outcomes such as pain reporting.

Krill oil is thought to have a distinct advantage due to containing an antioxidant known as astaxanthin - which may help reduce free radicals and associated oxidative stress as well as reducing inflammation.

Wait, is inflammation linked with OA?
It depends. These researchers specifically recruited those with joint effusions (“water on the knee”) as well as imaging documented synovitis - inflammation/thickening of the synovium, that membrane which lines our synovial joints. These radiological findings have previously been linked to greater pain reporting.

3 prior trials showed some effectiveness of krill oil in this context but didn’t assess effusion-synovitis.

The researchers did a phenomenal job on designing the study to appropriately assess their primary outcome, which was pain intensity measured through the visual analog scale. VAS is a scale of 0 - 100 where 0 = no pain and 100 = most intense pain possible for the individual. They set the minimally important clinical improvement at 15 points on the scale. 262 participants were randomized to either placebo or krill oil. The krill oil group received 2 grams/day in a gel cap form and placebo received the same appearing gel cap without the same “active” ingredients in the krill oil (e.g., DHA/EPA). The authors gathered A TON of secondary outcomes but we won’t go into that at this time. After 24 weeks, both groups had reduction in knee pain without a meaningful difference between groups.

Takeaway: when it comes to using krill oil for OA related knee pain, save your money and don’t buy krill oil … yet.

New Blog Post https://wix.to/I5JnmXSThe Clinician's Narrative: Why Words matter
05/13/2024

New Blog Post https://wix.to/I5JnmXS
The Clinician's Narrative: Why Words matter

The Clinician's Narrative - Why Words Matter

In honor of combating misinformation, for a limited time only, here is free access to The Guide to Low Back Pain Tame Pa...
04/30/2024

In honor of combating misinformation, for a limited time only, here is free access to The Guide to Low Back Pain Tame Pain

Most humans will experience low back pain (LBP) at some point in their life. Despite the prevalence of LBP, there remains significant misinformation surrounding why it occurs. In this guide we will bring clarity to the discussion based on current research evidence, while outlining a path forward for...

Embrace your unique movement style!Don’t fall prey to movement perfectionism. Remember, movement is as unique as handwri...
04/29/2024

Embrace your unique movement style!

Don’t fall prey to movement perfectionism. Remember, movement is as unique as handwriting - each person has their own style and that’s totally fine!

🌟 Understanding Pain: A Deeper Dive 🌟Pain is defined as “an unpleasant sensory and emotional experience associated with,...
04/29/2024

🌟 Understanding Pain: A Deeper Dive 🌟

Pain is defined as “an unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage.” Here’s what you need to know:

🔹 Personal Experience: Pain is influenced by biological, psychological, and social factors, making it a uniquely personal experience.

🔹 Pain vs. Nociception: Pain and nociception are different phenomena. Pain isn’t just about physical sensation—it’s about perception too and can’t be inferred solely from sensory neuron activity.

🔹 Learning about Pain: We learn the concept of pain through life experiences, which shapes how we perceive and react to it.

🔹 Respect and Recognition: A person’s report of pain should always be respected as their personal experience.

🔹 Beyond the Physical: While often serving an adaptive role, pain can adversely affect one’s function and health.

🔹 Expressing Pain: Pain can be expressed in many ways, and the inability to communicate verbally does not negate the possibility of pain.

Let’s broaden our understanding and increase our empathy towards the complexities of pain. 🙌💙

​⬤

Reading philosophy and teaching research methods has provided a unique opportunity to further ponder our thinking proces...
04/23/2024

Reading philosophy and teaching research methods has provided a unique opportunity to further ponder our thinking process in healthcare and how we arrive at our conclusions (e.g., diagnosis) leading to management and recommendations.

This involves three types of reasoning:
1) Deductive
2) Inductive
3) Abductive

The system we’ve created in healthcare for helping humans works quite well … until it encounters cases that don’t fit our traditional approach and training; such as chronic pain.

This is part 1 to a multi part series. Swipe left for insight.

Author note: please comment, ask questions, and discuss. This is a longstanding thought of mine that made an appearance on social media … like most ideas, it’s not in a final form. Engagement and discussion helps all involved to ponder complex topics more.

Repost from •Rehab PeriodizationI put this post together a few years back and it’s been updated a couple of times. Here’...
04/21/2024

Repost from

Rehab Periodization

I put this post together a few years back and it’s been updated a couple of times. Here’s the latest version of Rehab Periodization.

Sometimes we have to make alterations to training for various reasons, one of which may be pain. During this time, instead of chasing numbers, sets, reps, time, competitions, etc (performance based goals) - a better premise would be training with tolerable symptoms to return to baseline rather than training for improvement based on our abilities prior to symptoms.

This premise shift of building towards baseline will help with accepting an “embrace the process” mindset while making appropriate progressions. In situations where we are making alterations to training due to symptoms it is likely we will have a loss of baseline fitness (defined based on athlete’s activity of choice) but what matters - we alter training to minimize complete loss of baseline fitness levels while keeping the athlete progressing back towards baseline, having a game plan can help with this.

Periodization is defined as the planned manipulation of training variables: frequency, intensity, volume, duration, and rest.

There are two principles to keep in mind when programming through rehab to ensure we progress athletes from where they are at day 1 in the clinic to where they want to be based on their goals:
1) Specificity
2) Progressive Overload

Here are some slides I put together to help guide the path (swipe left) through four phases:
1) Return active range of motion
2) Strength
3) Power
4) Return to Sport (i.e. pre-season)
*** Sometimes it may be appropriate to progress based on just RPE/RIR, % of 1RM, or both. Some cases may not warrant a particular phase.***

Reference:

CURRENT CONCEPTS IN PERIODIZATION OF STRENGTH AND CONDITIONING FOR THE SPORTS PHYSICAL THERAPIST. International journal of sports physical therapy. 2015; 10(6):734-47.

We are here to help.————-Let us help.If you’ve worked with us previously, please share and let others know about your ex...
04/21/2024

We are here to help.

————-
Let us help.

If you’ve worked with us previously, please share and let others know about your experience.

Guiding the path to your goals.

Our latest investigation into clinician beliefs about low back pain is out in the journal Musculoskeletal Care.A major f...
03/30/2024

Our latest investigation into clinician beliefs about low back pain is out in the journal Musculoskeletal Care.

A major finding was the undertone of patient blaming.

“Language was identified privileging the clinician as authoritarian or parental and the patient as subordinate or child (Cox & Fritz, 2022).

Examples attributed inadequate positive outcomes to patients, citing lifestyle choices, lack of healthcare continuity, or failure to manage stress. Other times, participants blamed various body parts of patients, such as the brain, for creating LBP.”

Swipe left for examples.

The quote about models by George Engel comes to mind: “The more socially disruptive or individually upsetting the phenomenon, the more pressing the need of humans to devise explanatory systems.”

Perhaps we become hyper-focused on the objectification of the individual experience, seeking explanations within them. However, this vigilance has two potentially negative effects: 1) Harm in crafting narratives to explain pain based on the individual’s mind and body, patient blaming and 2) tunnel vision leading to lack of attention on socio-environmental factors influencing an individual’s pain experience.

Have you had a chance to read this paper? Thoughts?

🌞 Exciting Summer Course Announcement! 🌟🔍 Unlock the Keys to Chronic Pain Management: Tame Pain’s Summer Course for Alli...
03/03/2024

🌞 Exciting Summer Course Announcement! 🌟
🔍 Unlock the Keys to Chronic Pain Management: Tame Pain’s Summer Course for Allied Health Professionals - PAINOLOGY

Are you an allied health professional passionate about empowering individuals to overcome chronic pain and reclaim their lives? We’re thrilled to introduce our immersive summer course designed just for you!

🚀 What’s in Store?
🔹 In-depth Pain Education
🔹 Therapeutic Exercise Strategies
🔹 Practical Tools for Rehabilitation
🔹 Expert Insights & Case Studies

👩‍💻 Why Join?
✨ Gain Proven Techniques
✨ Elevate Patient Outcomes
✨ Connect with other clinicians✨

📅 Save the Date: May 28th – July 19th
📅 Tuesday/Thursdays 6:30 - 8:00pm EST
📌 Format: Virtual Sessions via Zoom
🌐 Limited Spots Available! 15 to a cohort.

Ready to make a difference in the lives of your patients and enhance your professional expertise?

🌈 Join us on this transformative journey!

🎁 Early Bird Special: Enroll by April 6th for exclusive discounts and bonuses! Message for link.

Price: $750
Early Bird: $500

🔗 Learn More & Reserve Your Spot: Message “Add me”

👥 Tag an Allied Health Professional who needs to see this! Let’s 💙

📣 Spread the Word! Share this post and help us create a community of empowered healthcare professionals.

Together, let’s make a positive impact! 🌐✨

Note: we are willing to add a second cohort for M/W/F if there’s a demand.

Addressing the intertwined struggles: Chronic Pain & Mental Health. 💬💪 Did you know anxiety and depression are 5 times m...
02/29/2024

Addressing the intertwined struggles: Chronic Pain & Mental Health. 💬💪 Did you know anxiety and depression are 5 times more prevalent in those with chronic pain? It’s crucial to adopt a holistic approach to support individuals facing these challenges.

Citation:
De La Rosa JS, Brady BR, Ibrahim MM, Herder KE, Wallace JS, Padilla AR, Vanderah TW. Co-occurrence of chronic pain and anxiety/depression symptoms in U.S. adults: prevalence, functional impacts, and opportunities. Pain. 2024 Mar 1;165(3):666-673. doi: 10.1097/j.pain.0000000000003056. Epub 2023 Sep 21. PMID: 37733475; PMCID: PMC10859853.

🔍👩‍⚕️ Unveiling Insights: Early meniscal surgery may not be the ultimate solution! 🌟 The latest study indicates that exe...
02/26/2024

🔍👩‍⚕️ Unveiling Insights: Early meniscal surgery may not be the ultimate solution! 🌟 The latest study indicates that exercise therapy and education, offering the option of later surgery, prove equally effective in enhancing pain relief, function, and quality of life for young adults with traumatic meniscal tears! 💪🩹 Let’s reconsider the path to healing and embrace a holistic strategy. 🔄🏥

Empower yourself with  ! 🌟 Transform setbacks into triumphs and reclaim your strength. Our personalized solutions guide ...
02/24/2024

Empower yourself with ! 🌟 Transform setbacks into triumphs and reclaim your strength. Our personalized solutions guide you through the journey of overcoming obstacles, so you can rewrite your story and rise above challenges stronger than ever! Let’s conquer together! 💪

Wondering how we are different than usual rehab? This exchange with a client helps demonstrate how we approach movement ...
01/15/2024

Wondering how we are different than usual rehab?

This exchange with a client helps demonstrate how we approach movement and pain differently.

Need help? We got you. Just send a message.

***24 Hour Flash Sale***Know someone needing a bit of help starting exercise? Perhaps they've been dealing with chronic ...
12/31/2023

***24 Hour Flash Sale***
Know someone needing a bit of help starting exercise? Perhaps they've been dealing with chronic pain?
Either way, we've got just the item for you!
For the next 24 hours, our beginner's template, Blueprint, is for sale at $4.99.

https://www.tamepain.com/product-page/beginner-s-template

Purchase includes:
✅Logical progressions
✅26 page guide with educational materials on pain and autoregulation
✅Builds towards meeting activity guidelines over twelve weeks for both aerobic activity and resistance training.
✅A community forum to share experiences
✅Live support if any technical issues arise
✅Video walk through tutorial
✅Research supported
✅Clinician approved In addition to the template, each purchase comes with an eBook guiding the path through the template, aiding with exercise selection, progressions, and much more. We hope you find this template helpful.

Don't miss out on this amazing offer! The clock is ticking.

12/10/2023

It’s been a pleasure to work with Stacy over this past year. When we began working together, he’d been diagnosed with a c6/7 extruded disc with loss of grip strength. He did not want surgery and thankfully his neuro symptoms had stabilized and were not worsening. It’s awesome to see what he was deadlifting week one in this process with a trap bar at 125 # for 8 reps to now pulling 405 # without straps. This is a testament to your dedication to the process. Keep up the hard work, Stacy! 💪 Thanks for trusting us to guide the path.

🌟 Breaking Down Barriers in Sports Medicine 🏋️‍♂️💪 Dive into the insightful editorial by Canerio et al in the BJSM! 📖 Ti...
12/07/2023

🌟 Breaking Down Barriers in Sports Medicine 🏋️‍♂️💪

Dive into the insightful editorial by Canerio et al in the BJSM! 📖 Titled "There is more to pain than tissue damage," it sheds light on 8 game-changing principles for managing acute non-traumatic pain in sports.

🔄 Ready to challenge the status quo?

👁️‍🗨️ Principle Highlights:

1️⃣ No trauma? Don't assume pain means tissue damage!

2️⃣ Imaging should impact care or address serious pathology suspicions.

3️⃣ Uncover biopsychosocial factors shaping pain

4️⃣ Share positive pain messages during exams and treatments.

5️⃣ Boost tissue tolerance to load and sports exposure.

6️⃣ Passive treatments as active management adjuncts.

7️⃣ Empower through shared decision-making.

8️⃣ Unify messages with an interdisciplinary approach.

🔄 Embrace the Challenge: A cultural shift is vital!

Overcome barriers such as vested interests, clinician and coaching silos, outdated pain beliefs reinforced by unnecessary imaging, expectations for quick 'fixes' to pain, and conflicting messaging.

💬 Comment your thoughts below and tag someone in need of this revolutionary perspective.

🌐 Together, let's reshape the narrative in sports medicine! 🚀

🌟 Debunking Posture Myths 🌟1️⃣ No one-size-fits-all! 🚫 There's no "perfect" posture to prevent back pain. Embrace the un...
12/06/2023

🌟 Debunking Posture Myths 🌟

1️⃣ No one-size-fits-all! 🚫 There's no "perfect" posture to prevent back pain. Embrace the uniqueness of your body's natural variations.
2️⃣ Posture speaks volumes! 🗣️ Your stance reflects your emotions and thoughts. Understanding your preferred postures can offer valuable insights into your well-being.
3️⃣ Comfort is key! 😌 Explore different postures, including those you've been told to avoid. Your comfort matters, and changing habits may bring relief4️⃣ Trust your spine! 🦴 It's robust and adaptable, capable of handling various postures. Let go of unnecessary fears and warnings—your spine is resilient.
5️⃣ Sit without worry! 🪑 Contrary to common beliefs, sitting for more than 30 minutes isn't dangerous. Stay active, change positions, and prioritize overall health.
6️⃣ Work smarter, not harder! 💼 Postural screening doesn't prevent workplace pain. Understand that preferred lifting styles vary, and one-size-fits-all advice isn't evidence-based.

🙌 Let's change the posture narrative! 💙

  are now live at Tame Pain- 50% off any template or ebook- Buy a new consultation and get 1 month of FREE programmingNo...
11/20/2023

are now live at Tame Pain
- 50% off any template or ebook
- Buy a new consultation and get 1 month of FREE programming

Now until Friday at midnight. Don't miss out on our largest sale of the year.

Pain ManagementI've been thinking about a wellness wheel approach to pain management.We can think of this as a bicycle w...
11/10/2023

Pain Management
I've been thinking about a wellness wheel approach to pain management.
We can think of this as a bicycle wheel approach (swipe left), in which each spoke represents an influential variable in our lives. Should one spoke breakdown, then ideally our others shore us up to continue day to day function.
Wellness variables related to pain:
Intellectual = thoughts and beliefs about pain.
Emotional = distress due to persistent pain (e.g., anxiety & depression)
Occupational = pain impact on our job duties.
Environmental = constraints affecting our ability to act within our world.
Financial = access to affordable care to address pain.
Spiritual = finding meaning in daily life.
Physical = engage our world based on values and desires.
Social = ability to relate to and connect with others.
Interesting, pain has a way of affecting may spokes in the wheel. Working with a clinician can help figure out which areas need further attention to help with pain suffering.
Thoughts? Let me know if this is helpful.

Low back pain remains the leading cause of disability throughout the world. Despite the prevalence of the issue as well ...
11/08/2023

Low back pain remains the leading cause of disability throughout the world. Despite the prevalence of the issue as well as the availability of information about treating the pain, there remains substantial misinformation on the topic, which often leads to mismanagement and long term harm.
Swipe left to see the differences between the common linear cause-effect thinking to assess and understand pain in contrast to a multi-causal approach.
Struggling with low back pain? We can help.

Sorry! We forgot to include the FREE Intensity Calculator
11/07/2023

Sorry! We forgot to include the FREE Intensity Calculator

Are you struggling to figure out what level of effort (i.e., intensity) you should be exercising at for aerobic activity or resistance training? We can help. Enclosed in this email is the Tame Pain Calculator for estimating training loads for resistance training as well aerobic activity (click link....

Get Relief from Pain with Tame Pain Remote Consultation
11/06/2023

Get Relief from Pain with Tame Pain Remote Consultation

Services

10/29/2023





Are you dealing with carpal tunnel syndrome (CTS)? Then this post is for you.CTS is a common source of disability in whi...
08/28/2023

Are you dealing with carpal tunnel syndrome (CTS)? Then this post is for you.

CTS is a common source of disability in which a person may experience pain, numbness, tingling, and loss of funciton in the median nerve distribution of the hand (thumb, 1st - 3rd fingers - swipe left).

Typically CTS is associated with specific activities, scuh as typing on a keyboard or playing a musical instrument.
Often, we find that an individual can begin an activity but after a certain period of time or intensity, the symptoms surge. This is usually an area we can discuss the meaning of symptoms, activity dosage (frequency, volume, and intensity), and strengthening exercises (e.g., wrist flexion/extension/pronation/supination) to help with symptoms while pursuing desired activities.

It’s rare that CTS results in the need for surgical intervention (e.g., decompression0 but if the neurological symptoms are progressive and muscle wasting is occurring, then it’s likely time for a surgical consult.

Recent randomized controlled trial found telerehabilitation involving pain education + exercise was more effective than exercise alone at reducing symptom severity and fear of movement.

If you are struggling with this issue, we’d be happy to help. Click the link in our bio.

Our beginner’s template is now on sale at $24.99.Need help starting activity? Then this template is for you. Link in bio...
08/25/2023

Our beginner’s template is now on sale at $24.99.

Need help starting activity?

Then this template is for you.

Link in bio.

Address

250 East Elizabeth Street
Harrisonburg, VA
22801

Alerts

Be the first to know and let us send you an email when Tame Pain posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Contact The Practice

Send a message to Tame Pain:

Videos

Share

Category


Other Doctors in Harrisonburg

Show All

You may also like