We did a live broadcast with Heath Williams (osteopath) and Wade Brennan (physiotherapist) of Corporate Work Health Australia, all about how they offer ergonomic assessments via telehealth and train others to do the same. Watch the replay to see what was discussed.
Chronic pain: a lot of people have it. A lot of people are treated for it. But how can chronic conditions be managed via telehealth, when so many of the existing treatments seem to require in-person treatments?
Dave Moen and Jack Murphy of Permission to Move are here to bust the myth that a hands-on approach is always required to treat chronic pain—which is especially relevant right now when COVID-19 has drastically changed the way that illnesses and injuries, chronic or not, are managed.
Some of the topics we covered were:
What is chronic pain, exactly?
Chronic pain is defined as anything that lasts for twelve weeks or longer (although in many cases, it probably predates this twelve-week mark—the patient may not have attempted to do anything about it until at least twelve weeks, however). When diagnosing chronic pain, you might ask your patients how it’s impacting their life, and what it’s getting in the way of—especially if it’s getting in the way of the things that are necessary for recovery.
Dave and Jack dive into different approaches to pain science and how they can be applied via telehealth treatments. For example, evidence shows that telehealth can be beneficial to those patients with mental health conditions, and it can be a good way to connect with patients, teach communication skills, and promote positive outcomes.
The six-week program
Permission to Move focuses on a six-week program that is designed to empower patients to be pain-free for the long term. The goal isn’t to be completely pain-free by the end of the six weeks, but rather, have developed the skill set to continue to work towards the goal of being pain-free.
Their six-week program outline is as follows:
- Week 0: Connection and direction
- Week 1: Why understanding pain matters
- Week 2. Learning pain
- Week 3. The science of healing
- Week 4. Establish safe to move
- Week 5. Movement and reflection
- Week 6. Robust well-planned actions & true change takes time
They’ve also prepared treatment note templates that you can download and import directly into Cliniko, giving you that first step in getting prepared to treat chronic pain via telehealth!
Helpful links and tools
Treatment note templates
A set of treatment note templates (designed by Permission to Move) that you can import into Cliniko.
Tame the Beast
A free, educational resource meant to help patients understand their pain and hear stories from other patients who have dealt with—and healed from—chronic pain.
GLITtER (Green Light Imaging Interpretation to Enhance Recovery)
A study that looks into methods for communication chronic pain findings to patients, in a manner that is both reassuring and promotes a desire to engage in active recovery.
The Cost of Pain in Australia (Deloitte)
A free PDF ebook that dives into evidence-based research into chronic pain.
Permission to Move by Dave Moen and Farrin Foster
Structured on a three-step process, Permission to Move combines pain science with everyday clinical practice in a complete guide.
Explain Pain by David S. Butler and Lorimer Moseley
Discusses how pain experiences are constructed in response to dangers and threats in our bodies and influenced by our thoughts, beliefs and context, presented in an easy-to-read manner.
Explain Pain Supercharged by David S. Butler and Lorimer Moseley
A comprehensive basis for the optimal treatment of pain, merging with the latest science and educational strategies.
Clinical studies and trials
Effectiveness of an integrated telehealth service for patients with depression: a pragmatic randomised controlled trial of a complex intervention
A study that looks into the Effectiveness of an integrated telehealth service for patients with depression.
Telephone coaching can increase activity levels for people with non-chronic low back pain: a randomised trial
A randomised trial that looks into whether telehealth treatment can contribute to improvement and recovery for patients with non-chronic lower back pain.
- Educational events
- Educational events
Watch our recording of Adapting your business: Objectively assessing functional movement with telehealth
We invited Stephen King (physiotherapist & osteopath, no relation to the famous author!) and Andrew Lemon (osteopath) of Movement Assessment Technologies to join us for a chat about how they use objective assessments to treat patients via telehealth. Here's a summary of what they shared with us.
- Educational events
Watch our recording of Adapting your Business: Securing online data for yourself, your team, and your clients
Joel and Bill (Cliniko ops engineer) took to YouTube to chat about online security during COVID-19. With more people than ever working from home, it’s paramount to ensure the online security of your team, your clinic, and your patients.