Transforming Pain Management: Pain Reprocessing Therapy with Howard Schubiner

Dr. Howard Schubiner discusses the link between childhood trauma and pain, as well as the brain's role in creating pain. He highlights the challenges in training healthcare professionals to understand and address mind-body pain. Dr. Schubiner introduces the symptom perception model and explains the process of pain reprocessing therapy. He emphasizes the importance of ruling out structural problems and using the FIT criteria to determine if the pain is functional, inconsistent, and triggered. This conversation explores the revolutionary data on non-structural pain and the importance of transitioning to understanding the emotional piece of chronic pain. It delves into the role of emotional awareness and expression in pain management and the challenges clinicians face in incorporating a mind-body approach. The conversation also highlights the healthcare system challenges and available resources for clinicians and patients. Finally, it discusses the future of mind-body approaches and training opportunities.

***TIMESTAMPS***
00:00 - Start
03:24 - How did Howard get to his current focus?
08:54 - Challenges we face in education of healthcare professionals
16:34 - Do clinicians need to go through a journey before they can adopt this type of approach?
18:47 - Are we overdiagnosing structural causes of pain?
31:01 - How does Howard's approach manage the emotional components of pain?
38:00 - Any concerns of crossing professional lines into psychology ?
41:06 - Barriers to utlizing this type of approach
44:04 - The struggle healthcare professionals have to make the transition to BPS practice
45:22 - Where can people seek training?

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

[Hinz]

Absolutely wonderful. Dr. Schubiner is so approachable and explains these concepts so well. He has been kind enough to email with me. He truly cares and wants people to succeed.

[antoniorasco]

I have just gone through a tennis elbow case for 8 months, doing everything I could from a physical angle. I then discovered PRP and the minute I realized and believed (150%) that there could not be anything wrong with my elbow, the pain was gone in literally 2 days. I don't usually post anything on YouTube but I feel that if my post can help others with chronic pain, then great. As magical as it sounds this works. The root of my issue was stress related and going back in the past I also identified other pain episodes that had the same emotional root. This is a life changing discovery for me. Now, I wonder if all those clinics who very happily took my money and treated the issue as 100% physical don't know about this. On one occasion I told my chiropractor that instead of focusing of pain-avoiding therapy, I should instead start facing the breaking the pain-fear cycle. He told me he wanted to continue focusing on pain free activities. I find it hard to believe that a clinic that deals with pain 365 days a year are unaware of the most common cause of chronic pain. I think they use fear for business.

[elainehewitt]

Eloquent articulate young man with a timely message. Very nice. Thank you!

[RashidaAbbas-iv]

Hi Dr Schubiner
I have trigeminal neuralgia & I’m in severe constant pain both day & night. Im naturally stressful person & have a a tendency to be negative. Things play on my mind & I can’t stop thinking. I have Asperger’s & wonder if this is the course of my negative outlook on life. My husband on the other hand is always positive & his glass is always half full. He says I shouldn’t take life so seriously but I can’t help it. I’m sure all this negativity isn’t helping my pain. Any advice would be appreciated.

[OldPainGoStevenBlake]

Schubiner does great work and it aligns with OldPain2Go concepts.

[totaltherapysolutions]

Great episode. Watched the full thing.

[sweetmountainbaby]

Hi are you looking for participates for the PRT study this summer ?

[michelefinizio]

Thank you this is amazing is there any way I can get in touch with Dr Schubner?

[DeniseOsullivan-ug]

If I have a broken vertraba tv12 can I still be able to help myself

[perroesbueno]

The background “music” is super distracting.

[raoulsamuelkray]

Did
anyone get the name of the app dr. shubiner metioned?

[joesedlacek]

How do you find a clinician? I’m interested in finding one in Cleveland, but don’t know where to look.

[NE-pzku]

It is the letting go of the anger after imagining f-ing someone up that isn't so easy. The mindbody doesn't believe me when I say I have let it go, the anger is still there.

[ameliabaldwin]

The background music is a little off putting but i persevered and really appreciated the input. I am trying to find a way to treat my chronic pain and this sounds very interesting and realistic..

[terriewood]

I can resonate with the doctor that committed suicide. I have felt that way but I do believe in the mind body approach and have experienced relief from back pain for a good period of time but it is back now with a vengeance and I am really suffering. There are no practitioners where I live. I need help. Where can I get it?

[ramondearmas]

If you got super tight muscles, the mind can't undo that. You have to do it, when the mind senses less tension it will start to do that.

[elainehewitt]

Our health care system is so F ed up in bed with shitty insurance companies that a lot of docs who really want to help people do it out of pocket so they don’t’ have to deal with all of it thereby reducing the number of people who can pay for such services. I’m spending savings at 74 to get good folks to do this with me. 🤷‍♀️

[lynnpartain]

Do you think reprocessing therapy can lower the pain for people with structural pain?

[MistaTwitch]

Hello everyone I think I have nearly convinced myself my pain is neuroplastic. I have been to two doctors. They have found absolutely nothing wrong with me. It would be so helpful to me if I knew certain symptoms other people cured them with these techniques. I hear a bunch of stories on the podcast specifically about pain. But I have a lot of i guess Flu like or covid like symptoms. Again doctors found nothing wrong) The * ones I need most convincing about. I just want to know if other people have seen these symptoms reduce in themselves.
Pins Needles *
Headaches
Swelled glands in my groin.*
Feeling hot/ fake fevers. I have took my temperature it's normal.
Feeling wiped out *
anxiety
brain fog *
stabbing pains in chest and arms
aches in legs
coughing, snotty nose *
bubbly digestive system *
unusual bowl movements and stomach pain *

[songs-rjqh]

this is great but some of these assaults on our emotions happen EVERYDAY also imaginary practice of saying what you'd really like to say and get really angry with the people that deserve it we dont get that actual opportunity so that imaginary thing isn't very satisfying anonymous letter writing can be good or when you dont have anything to lose write a scathing letter to that awful person. as for pain perpetrated on others people who were victims it can be very upsetting to live with that the injustices. and finally most people do not want to be sat down face to face eye to eye and tell others how they have been unfair or rude or mean or cruel. Few people would go along with that. All this said it was a wonderful discussion thank you!