748: Dr. Orit Hickman: When Pain Science Meets Real-World Practice

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In this episode of the Healthy, Wealthy and Smart podcast, Dr. Karen Litzy speaks with Dr. Orit Hickman about the evolving understanding of persistent pain and the implications for physical therapy practice. They discuss personal journeys in understanding pain, the importance of modern pain science, and the need for a supportive therapeutic environment. The conversation also covers practical steps clinicians can take to better serve patients with persistent pain, the challenges posed by healthcare systems, and the transition towards a more patient-centered model of care.

Takeaways

Pain management requires understanding both the physical and psychological aspects of pain.
Modern pain science emphasizes the importance of education in treatment.
Therapists must create a safe environment for patients to discuss their pain.
Pacing and nervous system safety are crucial in treatment plans.
Capacity and tolerance must be assessed to tailor treatment effectively.
Healthcare systems often hinder the implementation of evidence-based practices.
Clinicians should focus on building trust and rapport with patients.
Transitioning to a patient-centered model can improve outcomes.
Listening to patients is key to understanding their unique experiences.
Team collaboration and shared vision are essential for successful practice.

Chapters

00:00 Introduction to Persistent Pain and Evolving Science
03:06 Personal Journeys in Understanding Pain
05:53 Modern Pain Science in Clinical Practice
09:06 Therapeutic Environment and Patient Engagement
11:52 Pacing and Nervous System Safety
15:02 Capacity vs. Tolerance in Pain Management
17:49 Healthcare System Challenges in Pain Treatment
21:51 Transitioning to a Patient-Centered Model
26:37 Practical Steps for Clinicians
33:50 Lightning Round: Myths and Hope in Pain Care

More About Dr. Hickman:

Dr. Orit Hickman is a doctor of physical therapy and founder of Pain Science Physical Therapy in Burien, Washington, where she leads a clinic dedicated to evidence-based care for people with persistent pain. Drawing on 25 years of clinical experience and 16 years of business ownership, she is focused on redesigning how physical therapy is delivered so pain science can truly work in everyday practice. She mentors both new and experienced physical therapists and shares educational content through multiple social media platforms.