Sounds good. Happy to help.

Keep me posted. Happy to help. OA often presents with cyst development but without more information, I can’t say that’s what is being seen on imaging.

I unfortunately can not give further insight without more information about your situation (e.g., symptoms, range of motion, imaging, activity programmed in the template, etc). Happy to help but it wouldn’t be appropriate to give recommendations at this time.

Hi, sorry to hear about your ongoing shoulder issues. Admittedly, I think this necessitates a consult with us so we have adequate time to discuss your concerns; particularly the radiological findings. If possible, I’d also like to review the images. If you are interested, please follow this link and we can get you scheduled: forms.wix.com/r/7010981918241981217 I suspect those are subchondral cysts but need more info.

Hey Tino! Sorry for my delayed response as I've been buried in systematic review research. That's great to hear about the pain course at your school. We need such courses to shift the paradigm in healthcare. Treatment plan - out of curiosity, did the case study elaborate on other co-management strategies, such as medication, given the underlying diagnosis of rheumatoid arthritis. Graded exposure - I think your initial approach is spot on regarding dosing her desired activities to tolerance and then slowly building up over time. Finding an entry point tends to be tricky and I usually set the expectation that I want to get a few wins under our belt for this symptomatic activity so airing on the side of easy is preferred. I would also likely make a case for layering in hand grip exercises to aid building up tolerance for activity with her hands. "Does it ''re-educate'' the nervous system to be less sensitive to nosisception or might there another mechanism at play?" - Out of curiosity, what led to this hypothesis?

Yes, this is on the agenda. We will be ready to go for in-person seminars in 3rd quarter. If you want, send an email to contact@tamepain.,com and we can start that discussion.

Hey Jonathan! Great question. We will be offering continuing education courses soon! Likely looking at 3rd and 4th quarter this year. In the meantime, you may like Greg Lehman's course - Reconciling Biomechanics, Ben Cormack's course - Therapeutic Movement and Exercise, Adam Meakin's course - The Painful Shoulder, and/or Scot Morrison's - “Sloptimal Loading”: Realistic ExRx in Rehabilitation. For mental health related discussions, I recommend checking out Laura Rathbone's course - ACT in the clinic. Hope that helps! Cheers.

Hey Tino! Thanks for joining. No worries about schooling … I also obtained a graduate degree that in essence gave me the social affordances to be a healthcare clinician. We have to take the good bits we can use and move on. Keep us posted about schooling. I suspect that may lead to many good discussions with the community.

Hey Oliver! You aren't too far from me (Harrisonburg, VA). Hoping to make a beach trip later this summer when it's a bit warmer. I'll keep you posted and maybe we can meet up. Book club - YES! Although I've been advised by my friend Kyle that I am not allowed to pick the books. 😂

Hey Jonathan! Thanks for joining our forum and for the kind words. Looking forward to learning from everyone here.

Hey Cody! Thanks for joining the forum. Out of curiosity, what are your plans after graduation?