Imagining: How Graded Motor Imagery Fits

Robert Johnson PT, DPT, OCS Imagine having chronic, persistent pain. Twenty to 25% of Americans have it. They cannot find an answer. They have been around the block with their pain, consulting surgeons, therapists, body-workers, chiropractors, acupuncturists, and...

Chronic Pain: How Did We Get Here?

Kris Beebe, MS, MPT Chronic Pain Management in the Past… I had the great fortune to work as a physical therapist under Hubert Rosomoff, MD, a neurosurgeon and a pioneer in pain medicine.  Dr. Rosomoff believed that chronic pain was generally a nonsurgical...

Central Sensitization in Chronic Pain

Michael Trujillo, PhD Vice President of Clinical Affairs, Karuna Labs, Inc. Figure 1: A schematic of the central nociceptive (pain) pathway. In acute pain, excitability is temporarily increased in response to painful stimuli such as Central Sensitization Pain...

The First Steps to Changing Patient Beliefs

Our contemporary understanding of pain and the brain is allowing us to develop strategies and approaches to reducing and even eliminating pain. For example, we understand more clearly the differences between acute pain (hours, days, or weeks of pain) and chronic pain...

Virtual Reality Treatment for CRPS

Jay Mosesson, PT, DPT cert. MDT, certified Schroth Therapist. Owner of Active Spine Physical Therapy in Cary and Chapel Hill, North Carolina I use a very effective treatment for CRPS called visual mirror imagery (VMI). VMI uses a mirror box to hide the body part with...