Uploaded July 2026 | Updated September 2026, 2 weeks ago
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Summary
In this episode, physiotherapist Bahram Jam shares his 34 years of experience in understanding and treating chronic pain, emphasizing the importance of shifting from structural fixes to a focus on primary pain and the psychological aspects of pain management. Discover insights on how to better approach persistent pain, debunk common misconceptions, and explore innovative concepts like pain as a musical.
00:00:00 Introduction
00:01:28 How has your understanding of chronic pain changed over time?
00:04:14 When does pain stop being mainly tissue-driven?
00:06:27 If tissues have healed, why can pain still persist?
00:08:43 What do patients with persistent pain get told that makes things worse?
00:11:36 Sponsored segment: Physiotutors courses
00:13:20 How do you explain persistent pain in a way that helps patients move forward?
00:16:32 What is primary pain versus secondary pain?
00:22:43 What are you trying to figure out in a first consultation?
00:25:17 How do you handle resistance when patients are skeptical?
00:27:09 Sponsored segment: Physiotutors membership
00:29:05 Where do clinicians go wrong with persistent low back pain?
00:39:04 How do you approach patients who have tried everything?
00:41:49 How do you explain MRI findings that do not match symptoms?
00:45:44 What makes TMJ disorders tricky and what do clinicians miss?
00:49:29 Sponsored segment: WriteUpp
00:51:04 What exercise approach do you use for persistent low back pain?
00:57:08 How do you balance manual therapy, exercise, and education?
00:58:41 How important are lifestyle factors in persistent pain?
01:01:42 What is your one piece of advice for clinicians treating persistent pain?
01:06:18 Is there anything else you want to add?
01:08:08 Outro
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This is not medical advice! The content is intended to be educational only for health professionals and students. If you are a patient, seek care of a health care professional.
Download the FREE Physiotutors App 📲: https://physiotutors.app
Get 3 months free of WriteUpp's Practice Management software. visit writeupp.com/physiotutors for more info!
Summary
In this episode, physiotherapist Bahram Jam shares his 34 years of experience in understanding and treating chronic pain, emphasizing the importance of shifting from structural fixes to a focus on primary pain and the psychological aspects of pain management. Discover insights on how to better approach persistent pain, debunk common misconceptions, and explore innovative concepts like pain as a musical.
00:00:00 Introduction
00:01:28 How has your understanding of chronic pain changed over time?
00:04:14 When does pain stop being mainly tissue-driven?
00:06:27 If tissues have healed, why can pain still persist?
00:08:43 What do patients with persistent pain get told that makes things worse?
00:11:36 Sponsored segment: Physiotutors courses
00:13:20 How do you explain persistent pain in a way that helps patients move forward?
00:16:32 What is primary pain versus secondary pain?
00:22:43 What are you trying to figure out in a first consultation?
00:25:17 How do you handle resistance when patients are skeptical?
00:27:09 Sponsored segment: Physiotutors membership
00:29:05 Where do clinicians go wrong with persistent low back pain?
00:39:04 How do you approach patients who have tried everything?
00:41:49 How do you explain MRI findings that do not match symptoms?
00:45:44 What makes TMJ disorders tricky and what do clinicians miss?
00:49:29 Sponsored segment: WriteUpp
00:51:04 What exercise approach do you use for persistent low back pain?
00:57:08 How do you balance manual therapy, exercise, and education?
00:58:41 How important are lifestyle factors in persistent pain?
01:01:42 What is your one piece of advice for clinicians treating persistent pain?
01:06:18 Is there anything else you want to add?
01:08:08 Outro
------
This is not medical advice! The content is intended to be educational only for health professionals and students. If you are a patient, seek care of a health care professional.
