Orthopaedic Physiotherapy Grand Rounds 16 - Persistent LBP with Psychosocial Involvement

Overview:

History of Grand Rounds

“In the late 19th century, the Johns Hopkins Medical School introduced bedside teaching as a new approach to clinical education. Residents learned as faculty passed from patient to patient, explaining their methods of diagnosis and treatment.

These rounds were moved from the bedside to an auditorium and the traditional approach to grand rounds was created.

Traditional rounds were a ‘well-organized, decorous, stately, and punctual exercise.’”

(Can We Make Grand Rounds “Grand” Again? by Sandal, Iannuzzi and Knohl, 2013)

Orthopaedic Physiotherapy Grand Rounds

In a similar fashion, the Adjunct Education Committee of the National Orthopaedic Division has introduced the Orthopaedic Physiotherapy Grand Rounds.

Orthopaedic Physiotherapy Grand Rounds 16 was presented online on December 6, 2023; this is the recording from that presentation.

Case 

This month’s case involves a 38-year-old male struggling to recover from a workplace low back injury almost a decade ago and continues to experience persistent pain as a result. His journey is further complicated by mental health and substance use disorders.

You can find all recorded Grand Round sessions from the Orthopaedic Division of the CPA here.

Case Presenter: 

Will Bateman, Physiotherapist

William Bateman assisted in designing and implementing Steps Services, an interdisciplinary primary care team of allied health clinicians serving vulnerable and marginalized clients with persistent pain, mental health and substance use concerns in Vancouver's Downtown Eastside. His experience on this team has highlighted the complex interplay between mental and physical health and allowed him to explore the role PTs play in supporting clients' mental health concerns. Before his time at Vancouver Coastal Health, he ran a small clinic in Squamish treating persistent pain in rock climbers. He currently sits on the CPA Pain Science Division executive committee and is a UBC Clinical Educator.

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Panelists:

Neil Pearson, PT, MSc(RHBS), BA-BPHE, C-IAYT, ERYT500 

Neil is a physical therapist, yoga therapist, researcher, Clinical Associate Professor at UBC, and faculty in three IAYT-accredited yoga therapy programs. He is the founding chair of CPA’s Pain Science Division, and the recipient of awards honouring his work in pain care, patient education and physiotherapy by Queen’s University, the Canadian Pain Society, and Physiotherapy Associations of BC and Canada, including the Canadian 2021 Medal of Distinction.  He co-authored – Yoga and Science in Pain Care 2019, authored Understand Pain Live Well Again in 2008, and is the lead contributor to many free patient resources offered by Pain BC.

Dave Walton, PT, PhD 

Dave is an Associate Professor with the School of Physical Therapy (cross Dept. of Psychiatry) at the University of Western Ontario. He is a clinical researcher with interests in clinical measurement, recovery prognosis, trauma-informed care, and knowledge mobilization. He is Co-Director, of Innovative Solutions with Western's CANSpine clinical research laboratory and publishes widely in the fields of pain and spinal trauma rehabilitation.

Dominique Gilbert, M.Sc., pht physiothérapeute

Ms. Dominique Gilbert has been working as a physiotherapist for more than 40 years. She obtained a post-graduate diploma in Insurance Medicine and Forensics from the University of Montreal in 2009. Following her graduation, she became a member of the Quebec Society of Forensic Experts (SEEMLQ) in 2013, as well as a member of the Canadian Society of Medical Evaluators in 2014. She is a clinical specialist in Pain Science and in 2015 obtained her Master's in Biomedical Science from the University of Montreal. She is currently the chair of the Pain Science Division.