From Fixer to Guide: Transforming Your Chronic Pain Treatment

In this episode of the Modern Pain Podcast, host Mark Kargela is joined by Mathilde Kehler to explore the transformative shift from a 'fixer' to a 'coach' in helping patients manage chronic pain. They delve into the importance of positioning the patient as the main character, focusing on their goals, and leveraging their resources rather than just diagnosing and treating symptoms. Mathilde shares her journey from physiotherapy to creating a pain coach program, emphasizing the need for personalized, patient-centered care. The episode highlights the critical role of communication, listening, and effective questioning in pain management, aiming to build patient self-efficacy and meaningful change. They also discuss the challenges and strategies for clinicians transitioning to this approach and the potential future of pain coaching in healthcare systems.

00:00 Introduction to Coaching in Pain Management
02:05 Guest Introduction: Mathilde Kehler
02:46 Mathilde's Journey from Dance to Physiotherapy
04:10 Integrating Pain Science and Psychology
05:22 The Shift to a Coaching Mindset
07:30 Challenges in Traditional Physiotherapy
10:18 The Role of a Pain Coach
12:21 Effective Communication in Coaching
19:52 Initial Assessment and Patient Goals
23:56 Understanding the Goal in Coaching
24:21 Connecting with the Person Behind the Goal
24:38 The Importance of the Goal-Setting Process
25:13 From Micro to Macro: Shifting Perspectives
26:59 Building Therapeutic Alliances
28:16 The Role of Physical Examination and Reassurance
30:18 Empowering Patients Through Self-Management
33:15 Training Clinicians in Communication Skills
38:34 The Future of Pain Coaching
42:02 Developing a Pain Coach Education Program
49:43 Final Thoughts and Encouragement

**LINKS**
Mathilde's Website - https://smerteguiden.dk/
Instagram -   / smerteguiden  

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness