Here are a range of comments that clinicians have provided following
the Know Pain course experience:
My thoughts on the Know Pain course by Helen Preston@prestonshealth
Thanks Mike for giving your time and energy to educate us all at Prestons Health.
I can highly recommend the course to all therapists who treat persistent pain.
It is remarkable to think an average of 1% of undergraduate time in physiotherapy education is given to pain science. It dawned on me that all therapists treat pain in some shape or form and the absence of this as a core subject in undergraduate therapy education institutions is quite remarkable. However, this course goes a way in bridging that gap, whether you are a new grad or an old timer like me!
A real strength of this course is its multidimensional nature and just how practical it is in its application to clinical practice. What makes it different from pain courses I have been to before (and i have been in a few!) is how it focuses on the therapist as an educator. Hand on heart, I never considered myself primarily as a teacher before. This course changed that for me. The course provided insight into adult learning theory, which was extremely enlightening as to why my therapeutic approach had worked with some and not with others. I genuinely now approach every clinical interaction with a different hat, much more aware of my role as an educator and the patients learning styles.
Mike has become famous in the physio world for his use of metaphors and he draws on these throughout the course. I am now picking up and utilising patient generated metaphors in treatment planning for my patients. My patients had been handing me clues into how to tap into their potential before and I hadn’t even noticed. Now I do!
I particularly enjoyed the second day when Mike explored lots of different ways to approach pain education. Song lyric analysis. Chinese fingertraps (my patients love these) PHODA. Too many to mention them all!
In summary, Mike’s approach to teaching us as teachers was refreshing and full of insight. There were lots of opportunities for us to synthesise our learning with group activities and case studies at the end. I have to also mention the simply fabulous learning material for the course too. The handouts and file are very well thought out and having our very own Know Pain USB card with the presentations will help ensure the vast amount of information is not forgotten.
All in all, a course well worth investing in. And thoroughly enjoyable. Highly recommended.
Helen Preston BSc (Hons)
I can say with confidence that my clinical practice has been influenced positively as a result of the teaching on persistent pain that you have provided to us as a department. I feel i have far more to offer patients in terms of management options and I believe my clinical outcomes in this patient group are better as a result. I can also speak for my fellow collegues at Kent and Canterbury Hospital Outpatient Physiotherapy department when I say they too feel they have benefited from your teaching in what is a very complex area. Being able to engage with patients confidently using techniques such as cognitive behavioural therapy and the use of metaphors to help patients understand their pain has led to a big change in my clinical practice. At KCH, we have subsequently developed an “understanding persistent pain” class based on Mikes model that he developed over at QEQM. The class runs for one hour each week for consecutive weeks and is purely aimed at educating patients about their persistent pain and how they can improve their self management. Mike has assisted us greatly in the development class and we look forward to sharing our audit results with him at six months.
This course provided clear and simple ideas regarding a complex area of practice. The topics covered can be applied to any patients who present with pain and/or illness behaviours. I think the course encourages you to ask your patients different questions and to look at a different focus in order to help your patients achieve self efficacy.
Know Pain is a brilliant course. Mike is a great speaker with an excellent presentation style. Know pain challenges your own paradigm for treating patients and makes you reflect on what treatment is in patient’s best interest. The course demonstrated practical methods to challenge patient’s beliefs and help them learn to manage their persistent pain.
Great course and great speaker. The content focused on practical ‘how to’ methods, which is something that I need when attempting to manage my patients who struggle with persistent pain. There was great interaction with the audience and I’ve certainly made some useful links between mind blowing neuroscience and simplified patient education. Thank you!
I now feel much more confident discussing pain with my patients. I will now change my practice to include much more patient education about neuroscience. I always thought that this wouldn’t be possible as they wouldn’t get it but I’ve learnt some really useful, common sense metaphors and stories to help me from now on.