The Pain Puzzle: The new science behind chronic low back pain

Episode 6 - The Relio program explained

In this episode: * What is Relio? * How does Relio work to help you better manage persistent low back pain? * The research behind Relio and the experts who have helped developed the program * How to access the program and start a 7-day free trial Why does the Pain Puzzle exist? The Pain Puzzle is an educational series designed to bring you the latest science underpinning effective management of chronic low back pain. This series will help you understand chronic low back pain and how you can use mind-based therapies to better manage your pain and get back to the life you love. We’ll be exploring the experience of living with chronic low back pain, why it’s so hard to find a solution that works, how pain is made and why pain sticks around or keeps coming back, how to use mind-based interventions to better manage chronic pain, and the research behind these interventions - including clinical hypnosis. This episode of the Pain Puzzle is brought to you by Relio. Relio is a science-backed digital program that combines cutting-edge pain science education with the effective power of clinical hypnosis to address the key drivers of your pain. Visit reliohealth.com [https://www.reliohealth.com/] to find out more. References: 1. Hypnosis Enhances the Effects of Pain Education in Patients With Chronic Nonspecific Low Back Pain: A Randomized Controlled Trial [https://pubmed.ncbi.nlm.nih.gov/29654980/] 2. Psychological interventions for chronic, non-specific low back pain: systematic review with network meta-analysis [https://www.bmj.com/content/376/bmj-2021-067718] 3. Hypnosis and the Alleviation of Clinical Pain: A Comprehensive Meta-Analysis [https://pubmed.ncbi.nlm.nih.gov/34038322/] Disclaimer: The content in this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or qualified healthcare practitioner. Never disregard professional medical advice or delay seeking it because of topics discussed in this podcast.

Episode 5 - How does clinical hypnosis work for pain management?

In this episode: * Why is clinical hypnosis effective for pain management? * What are the mechanisms for how clinical hypnosis works? * What does it feel like to be hypnotised? Why does the Pain Puzzle exist? The Pain Puzzle is an educational series designed to bring you the latest science underpinning effective management of chronic low back pain. This series will help you understand chronic low back pain and how you can use mind-based therapies to better manage your pain and get back to the life you love. We’ll be exploring the experience of living with chronic low back pain, why it’s so hard to find a solution that works, how pain is made and why pain sticks around or keeps coming back, how to use mind-based interventions to better manage chronic pain, and the research behind these interventions - including clinical hypnosis. This episode of the Pain Puzzle is brought to you by Relio. Relio is a science-backed digital program that combines cutting-edge pain science education with the effective power of clinical hypnosis to address the key drivers of your pain. Visit reliohealth.com [https://www.reliohealth.com/] to find out more. Disclaimer: The content in this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or qualified healthcare practitioner. Never disregard professional medical advice or delay seeking it because of topics discussed in this podcast.

Episode 4 - The research behind clinical hypnosis

In this episode: * What is clinical hypnosis? * An exploration of three core meta-analyses on the effectiveness of clinical hypnosis in the management of pain * A comparison to other treatments for chronic low back pain, including opioids, CBT & surgery Why does the Pain Puzzle exist? The Pain Puzzle is an educational series designed to bring you the latest science underpinning effective management of chronic low back pain. This episode of the Pain Puzzle is brought to you by Relio. Relio is a science-backed digital program that combines cutting-edge pain science education with the effective power of clinical hypnosis to address the key drivers of your pain. Visit reliohealth.com [https://www.reliohealth.com/] to find out more. References: 1. A meta-analysis of hypnotically induced analgesia: how effective is hypnosis? [https://pubmed.ncbi.nlm.nih.gov/10769981/] 2. A meta-analysis of hypnosis for chronic pain problems [https://pubmed.ncbi.nlm.nih.gov/24256477/] 3. Hypnosis and the Alleviation of Clinical Pain: A Comprehensive Meta-Analysis [https://pubmed.ncbi.nlm.nih.gov/34038322/] 4. Opioids for chronic noncancer pain: a meta-analysis of effectiveness and side effects [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1459894/] 5. Oxycodone for neuropathic pain in adults [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6457997/] 6. Rates of opioid misuse, abuse, and addiction in chronic pain [https://pubmed.ncbi.nlm.nih.gov/25785523/] 7. Satisfaction with, and the beneficial side effects of, hypnotic analgesia [https://pubmed.ncbi.nlm.nih.gov/16950685/] 8. The effectiveness of cognitive and behavioural treatment of chronic pain in the elderly [https://www.ncbi.nlm.nih.gov/books/NBK77028/] 9. Hypnosis as an adjunct to cognitive-behavioral psychotherapy: a meta-analysis [https://pubmed.ncbi.nlm.nih.gov/7751482/] 10. Surgical versus non-surgical treatment of chronic low back pain: a meta-analysis of randomised trials [https://pubmed.ncbi.nlm.nih.gov/17119962/] 11. Rates, costs, return to work and reoperation following spinal surgery in a workers’ compensation cohort [https://pubmed.ncbi.nlm.nih.gov/34511093/] 12. Long-term safety and efficacy of closed-loop spinal cord stimulation to treat chronic back and leg pain [https://pubmed.ncbi.nlm.nih.gov/31870766/] 13. Spinal cord stimulation for low back pain [https://www.cochrane.org/CD014789/BACK_spinal-cord-stimulation-low-back-pain] Disclaimer: The content in this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or qualified healthcare practitioner.

Episode 3 - How pain is made and why it persists

In this episode: * How pain is made in the pain system, including the role of pain sensors, the spinal cord, and the brain * Why pain turns chronic or persistent * The role of emotions, beliefs, and environmental context in generating a pain response Why does the Pain Puzzle exist? The Pain Puzzle is an educational series designed to bring you the latest science underpinning effective management of chronic low back pain. This series will help you understand chronic low back pain and how you can use mind-based therapies to better manage your pain and get back to the life you love. We’ll be exploring the experience of living with chronic low back pain, why it’s so hard to find a solution that works, how pain is made and why pain sticks around or keeps coming back, how to use mind-based interventions to better manage chronic pain, and the research behind these interventions - including clinical hypnosis. This episode of the Pain Puzzle is brought to you by Relio. Relio is a science-backed digital program that combines cutting-edge pain science education with the effective power of clinical hypnosis to address the key drivers of your pain. Visit reliohealth.com [https://www.reliohealth.com/] to find out more. Resources: 1. NOI group pain science education [https://www.noigroup.com/resources/] 2. TED talk with Lorimer Moseley - Why things hurt [https://youtu.be/gwd-wLdIHjs?si=APQ3Yj6XZrRjYVVC] Disclaimer: The content in this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or qualified healthcare practitioner. Never disregard professional medical advice or delay seeking it because of topics discussed in this podcast.

Episode 2 - Why is chronic low back pain so hard to treat?

In this episode: * Why it’s so difficult to find an effective solution to chronic low back pain * Breaking down common myths about chronic low back pain * How beliefs about back pain can negatively impact on recovery * The problem with existing treatment approaches The Pain Puzzle is an educational series designed to bring you the latest science underpinning effective management of chronic low back pain. This series will help you understand chronic low back pain and how you can use mind-based therapies to better manage your pain and get back to the life you love. This episode of the Pain Puzzle is brought to you by Relio. This episode of the Pain Puzzle is brought to you by Relio. Relio is a science-backed digital program that combines cutting-edge pain science education with the effective power of clinical hypnosis to address the key drivers of your pain. Visit reliohealth.com [https://www.reliohealth.com/] to find out more. References: 1. Magnetic resonance imaging of the lumbar spine in people without back pain. [https://pubmed.ncbi.nlm.nih.gov/8208267/] 2. Systematic literature review of imaging features of spinal degeneration in asymptomatic populations. [https://pubmed.ncbi.nlm.nih.gov/25430861/] 3. Clinical Pain Management: A Practical Guide. [https://onlinelibrary.wiley.com/doi/book/10.1002/9781119701170] 4. What happens to the lower lumbar spine after marathon running: a 3.0 T MRI study of 21 first-time marathoners. [https://pubmed.ncbi.nlm.nih.gov/34541607/] 5. Relationship of significance of wound to pain experienced. [https://pubmed.ncbi.nlm.nih.gov/13345630/] 6. Non-specific low back pain. [https://pubmed.ncbi.nlm.nih.gov/27745712/] 7. Chronic Pain [https://www.ncbi.nlm.nih.gov/books/NBK553030/]. 8. Efficacy, Tolerability, and Dose-Dependent Effects of Opioid Analgesics for Low Back Pain: A Systematic Review and Meta-analysis. [https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2522397] 9. Spinal cord stimulation for low back pain. Cochrane Database of Systematic Reviews 2023. [https://www.cochrane.org/CD014789/BACK_spinal-cord-stimulation-low-back-pain] 10. Clinical Care Guidelines for Chronic Low Back Pain. [https://www.safetyandquality.gov.au/publications-and-resources/resource-library/low-back-pain-clinical-care-standard-2022] Disclaimer: The content in this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or qualified healthcare practitioner. Never disregard professional medical advice or delay seeking it because of topics discussed in this podcast.