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Why clinicians often push back when their beliefs about pain are questioned, how those beliefs are learned from childhood and through training, and why hearing a real patient's story can shift them where lectures fail.
A live demonstration of how Peter opens a consultation, using Karen's own history of years of disabling neck pain to show how questions about meaning, context, fear and impact reveal the story behind the pain.
How the cycle of threatening beliefs, vigilance, guarding and avoidance keeps pain going, how sense-making and graded exposure helped Karen out of it, and how clinicians can use exposure to rebuild trust in the body.
When to bring pain education into treatment, why experiential learning and violation of expectations come first, and why ligament laxity and sacroiliac joint dysfunction do not explain pelvic girdle pain in pregnancy.
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