Could Attempting to "Fix" Pain Make Pain Persist? A REAL Case Story
Could Attempting to "Fix" Pain Make Pain Persist? A REAL Case Story
This course includes
The instructors
Overview
In this clinical case study, physiotherapist Bahram Jam shares the journey of a 14 year old basketball player whose hip pain persisted despite multiple interventions. Discover how reframing treatment from “fixing deficits” to centering on meaningful function and patient led goals can change outcomes. This course challenges traditional PT priorities, like pain, ROM, and strength, by shifting the focus to functional goals, daily activities, and patient centered care. Learn practical strategies to evaluate and prioritize function for optimal recovery outcomes for children and teens living with primary chronic pain.
Learning Objectives
- Upon completion of this online course, participants will be able to:
- Differentiate between the neurophysiological effects of "escaping" pain versus "pursuing" pleasure during therapeutic exercise.
- Identify how the fear of never returning to a valued activity can be more disabling than the physical tissue injury itself.
- Adapt standard therapeutic exercises to simulate a patient's specific functional goals to reduce nervous system hypersensitivity.
- Gain greater confidence in assisting the recovery of children and teens living with primary chronic pain by shifting the focus from structural "fixing" to functional restoration.
Audience
This online course is for any healthcare professional who treats children and adults with persistent pain, including physiotherapists, kinesiologists, chiropractors, occupational therapists, and pediatric therapists.
Why This Course Matters
When young athletes experience chronic pain, standard clinical advice to "rest until the pain is gone" can lead to significant psychological distress and physical deconditioning. This course provides practitioners with an actionable framework to bypass fear avoidance behaviors by integrating highly valued personal activities directly into the rehabilitation process, shifting the nervous system from a state of threat to a state of safety.
About the Presenters
Bahram Jam is a physiotherapist and the founder of the Advanced Physical Therapy Education Institute (APTEI). With over 30 years of clinical experience, Dr. Jam has instructed more than one thousand post graduate orthopaedic and pain science courses across Canada and internationally. He is a Fellow of the Canadian Academy of Manipulative Physiotherapy (FCAMPT) and holds a Doctorate in Physical Therapy from Andrews University. Dr. Jam is a prominent advocate for the biopsychosocial model of pain management and has authored several influential resources, including "The Pain Truth" series and numerous clinical workbooks. His primary mission is to empower patients through education and functional independence, moving beyond traditional structural "fixing" toward evidence based, patient centered recovery.
The instructors
PT, D.SC.PT, M.PHTY, B.SC.PT, FCAMT
Bahram is a physiotherapist and founder of the Advanced Physical Therapy Education Institute (APTEI). He's taught 1000+ continuing education courses to healthcare professionals across Canada & internationally.
He has instructed over one thousand post-graduate orthopaedic and pain science courses and has been a guest presenter at several physiotherapy and medical conferences across Canada and internationally.
His primary clinical approach is to identify relevant functional impairments and determine the best self-management strategy to maximize patient independence.
The Paediatric Division is a special interest group within the Canadian Physiotherapy Association. Our membership consists of clinicians from all practice settings, students, educators, researchers, physiotherapy assistants and administrators all of whom have a passion for promoting participation and enhancing the lives of children and their families. We are dedicated to provide resources and information for paediatric patients and their families to promote participation and function independence in all aspects of life.
Paediatric physiotherapists employ clinical expertise in the early detection of health problems, treatment, education and management of congenital, developmental, neuromuscular, skeletal, cardiorespiratory or acquired disorders/diseases. Paediatric physiotherapists work with children of all ages, from infants through young adulthood to promote participation and functional independence. Paediatric physiotherapists have a unique role in that they not only work with the child, but also their families in the context of their daily home, school and recreational environment.
Paediatric physiotherapists use validated outcome measures to assess the level of strength, flexibility, gross-, and fine-motor coordination and overall functional capabilities to determine participation limitations or restrictions as a result of injury, disease or disability.
Through analysis of objective assessment findings, the paediatric physiotherapist uses evidence-based treatment interventions specifically tailored to the client and their family's goals. Treatment interventions focus on improving gross and fine motor skills, balance and coordination, strength and endurance, as well as cognitive and sensory processing/integration.
Material included in this course
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Could Attempting to "Fix" Pain Make Pain Persist? A REAL Case Story
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Welcome and Slides
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Let's Talk About Patient-Led Goals (PLG)
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PLG as a Treatment Guide
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Mindset Matters
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Conclusion
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Summary and Key Insights
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Knowledge Check
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Feedback
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Next Steps
Patient education included in this course
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The Pain Truth: Set goals
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The Pain Truth: Pleasure with endorphins
I'm a member of the Canadian Physiotherapy Association (CPA). What are the discounts available to CPA Members on Embodia?
As part of our partnership with the CPA, we offer its members discounts on courses and Embodia Memberships. Learn more about the partnership on this page.
In order for the discount to be applied, you first need to authenticate your CPA membership. This is an important step as this is how Embodia 'knows' that you are a CPA member.
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Please note that your email address on your CPA account must match your email address on Embodia. If needed, you can update your information on Embodia as outlined in this guide.
Is a certificate of completion included with this course?
Once you have completed the course, a certificate of completion (including learning hours and course information) will be generated. You can download this certificate at any time. To learn more about course certificates on Embodia please visit this guide.
This can be used for continuing education credits, depending on your professional college or association. If this course has been approved for CEUs in specific jurisdictions, it will be noted on the course page and CEU information may be added to your course certificate. Please read this guide for more information.