I am a Canadian physiotherapist working in a chronic pain management program through a health authority (publicly funded). This presentation was well done. I love the varied backgrounds of all 3 presenters. It would have been useful to have a rehab. clinician working with clients provide a perspective and briefly share a few effective therapies for some common conditions. I enjoyed the research presented , and would have liked to see some newer studies (within the last 10 years) with higher levels of evidence presented in terms of chronic pain (I realize that gaps exist) management. Thanks so much for sharing this with us on KZfaq. It helps to build an international community and help patients improve their lives. We all win.

This webinar was also hosted in 1856! Can you hear what an amazing job they did restoring the distorted audio!?

Two things. First it IS possible to quantify pain by the dosage required to give full pain relief to an opioid naive patient. That was my experience. After 28 years of unrelieved pain from infection & surgical damage it took 22.5 mg of a prescription opioid to give me full relief without over titrating. It's the only way I've ever been able to quantify my lifetime chronic pain. Want to win a Nobel Prize? Invent a machine that objectively measures--quantifies--pain OR discover an enzyme or other biochemical marker which does. Second. "To have pain is to have certainty, to hear about pain is to have doubt" was written by Elaine Scarry in her 1985 book The Body In Pain. It's a book about torture but if you remove the sinister psychology between torturer and torture victim Scarry's description of the effects of pain applies to all sufferers of acute and chronic pain. The subtitle of her book is "The Making and Unmaking of the World." Severe chronic lifetime pain has been the unmaking of mine. Reading the introduction to her book is all you need to know.

Myofascial pain syndrome is the most common manifestation of chronic pain. Myofascial Trigger Points are a constant source of nociceptive input from the periphery. Myofascial trigger points are discrete hyperirritable nodules in a taut band of skeletal muscle that can only be diagnosed by systematic palpation of the soft tissue by an experienced. Myofascial trigger points are created by a leakage of acetylcholine at the neuromuscular junction from, stress/anxiety, muscle overuse or infection. Constant input from myofascial trigger points can increase excitability of dorsal horn neurons leading to central sensitization. Myofascial trigger points cause referred pain. Dry needling is unequivocally the most effective and simplistic way of treating the most common cause of non articular musculoskeletalpain

Hypermobility spectrum disorder can cause severe pain and constipation.

Loved the discussion. Unfortunately our Governments have more important was of spending the taxpayer's money. Like The big WAR machine