Michael Reoch, RMT Continuing Education

Out for a run in the forest with Comox, the GWP! It's good for my physical and mental health, and I make these outings part of my weekly routines.

Moreover, exercise can help control chronic pains, such as back pain, joint pain, and muscle stiffness, by keeping the nervous system happy with a healthy blood supply. It also helps muscles, bones, and joints stay strong and flexible and your digestive system running smoothly.

So, if you want to improve your physical and mental health, incorporating exercise into your routine is a great way to start. What activities do you enjoy doing to keep yourself fit and healthy?

Some pictures of a fantastic weekend in Golden, BC teaching DNM.🗻 A very smart and engaged group with RMTs, an AT and a PT. we even had 2 RMTs from Edmonton drive over 8 hours each way to take my course!
Golden is such a great town and the building we were in had such a beautiful layout. There are plans to return in the spring to teach my Neurocentric course so stay tuned!👀

Morning all from Golden, BC. Thick fog in the valley but a beautiful view from kicking horse where I'm staying while teaching here this weekend

Great infographic from on tendon pain

From British Journal of Sports Medicine (BJSM) what volume load and frequencies help with tendon pain

📚👩‍⚕️ Attention Manual Therapists! Treating Low Back Pain the Right Way 🩺💆‍♂️

Tips for the latest insights and best practices in manual therapy for managing acute low back pain, based on quality standards recommended by experts in the field.

📋 Quality Statement 1: Clinical Assessment
People with acute low back pain who seek primary care receive a prompt comprehensive assessment. This initial step is crucial in tailoring the right treatment plan.

📸 Quality Statement 2: Diagnostic Imaging
People with acute low back pain do not receive diagnostic imaging tests unless they present with red flags that suggest serious pathological disease. Minimizing unnecessary tests for a more accurate diagnosis.

🧠 Quality Statement 3: Patient Education and Self-Management
People with acute low back pain are offered education and ongoing support for self-management that is tailored to their needs. Empowering patients to take an active role in their recovery.

🚶‍♂️ Quality Statement 4: Maintaining Usual Activity
People with acute low back pain are encouraged to stay physically active by continuing to perform activities of daily living, with modification if required. Keeping patients moving for better outcomes.

🤗 Quality Statement 5: Psychosocial Information and Support
People with acute low back pain who have psychosocial barriers to recovery (yellow flags) identified during their comprehensive assessment are offered further information and support to manage the identified barriers. Addressing the mind-body connection.

💊 Quality Statement 6: Pharmacological Therapies
People with acute low back pain whose symptoms do not adequately improve with physical activity, education, reassurance, and self-management support are offered information on the risks and benefits of non-opioid analgesics to improve mobility and function. Exploring options when necessary.

🌿 Quality Statement 7: Additional Nonpharmacological Therapies
People with acute low back pain whose symptoms do not adequately improve with physical activity, education, reassurance, and self-management support are offered information on the risks and benefits of additional nonpharmacological therapies to improve mobility and function. Expanding the toolkit.

For a deeper dive into these quality statements and to ensure your practice aligns with the latest standards, we recommend checking out the full document here: https://hqontario.ca/Portals/0/documents/evidence/quality-standards/qs-low-back-pain-placemat-en.pdf?fbclid=IwAR00JN6p9fgGz9uP9UBAcfTQl_Y-Sclj7do7UmJOgCOSfOw3OqY3K2tpRFA

Remember, staying up-to-date with best practices is essential for delivering top-notch care to your patients. Let's work together to make a positive impact on the lives of those dealing with low back pain. 💪👨‍⚕️👩‍⚕️

hqontario.ca

This article discusses the influence of expectations on the pain sensitivity changes observed during pain-inducing massage

The authors conducted a study involving healthy participants who received either pain-inducing massage or pain-free massage, along with either positive or negative expectation instructional sets. Here are the key findings and conclusions:

Background: Manual therapy is a popular approach for pain management, but its effectiveness varies. A mechanistic-based approach, targeting pain mechanisms, has been suggested to enhance treatment effects. Quantitative Sensory Testing (QST) is used to assess pain sensitivity and inform personalized pain medicine.

Previous Study: Previous research found that pain-inducing massage can reduce pain sensitivity, similar to conditioned pain modulation (CPM). CPM is a pain modulation process in the lower brainstem.

Treatment Expectations: Expectations about treatment outcomes can influence pain management. Positive treatment expectations are associated with better clinical outcomes, while the placebo effect demonstrates that expectations can be experimentally manipulated to enhance pain relief.

Study Purpose: The current study aimed to determine the effect of expectations on massage-related hypoalgesia. The authors hypothesized that pain sensitivity would decrease following pain-inducing massage and that positive expectations would enhance this effect.

Methods: Healthy participants received pain-inducing or pain-free massages along with positive or negative expectation instructional sets. Pressure pain threshold (PPT) testing was used to measure pain sensitivity. Expectations were assessed before and after the instructional set.

Results: The study found that expectations significantly influenced pain sensitivity changes during pain-inducing massage. Participants who received a positive expectation instructional set before pain-inducing massage experienced greater reductions in pain sensitivity compared to those with negative expectations. However, expectations did not significantly affect pain sensitivity during pain-free massage.

Conclusion: This study suggests that expectations play a significant role in the pain sensitivity changes observed during pain-inducing massage. Clinicians should consider the influence of expectations when using such therapies. Negative expectations may diminish the beneficial effects of pain-inducing massage. The findings may have implications for clinical care and could help clinicians tailor treatments based on patient expectations.

Note: The study was conducted with healthy participants, and further research is needed to validate these results in clinical settings with a more diverse population.

Expectations affect pain sensitivity changes during massage Pain-inducing massage produces comparable changes in pain sensitivity as a cold pressor task, suggesting shared neurophysiological mechanisms of conditioned pain modulation. Manual therapy and conditioned pain modulation are influenced by positive and ...

🌟 Only a few spots left: Discover the Power of Dermoneuromodulating in Golden, BC! 🌟

Join us for an immersive two-and-a-half-day Dermoneuromodulating (DNM) workshop in the picturesque town of Golden, BC, from October 20th to October 22nd!

📍 Location: Golden Civic Centre, 806 10th Ave S, Golden, BC V0A 1H2
💡 What: Dermoneuromodulating Workshop
💼 When: October 20th - 22nd
💰 Cost: CA$550.00

🤩 About the Workshop:
DNM, short for Dermoneuromodulating, is a revolutionary approach to pain relief and well-being. This workshop will equip you with the philosophy, methods, and techniques of DNM, empowering you to understand pain and the nervous system like never before.

👐 Hands-On Learning:
Experience practical, hands-on applications of DNM. DNM is a personalized manual care technique that targets nervous system signals to reduce discomfort and pain. It fosters collaboration between therapist and patient, improving tenderness relief and overall well-being.

🌈 Benefits of DNM:
DNM can offer an effective solution to reduce pain and enhance your patients' quality of life.

Take advantage of this opportunity to embark on a learning journey in the heart of Golden, BC. Reserve your spot today and be part of a transformative experience!

Secure your spot now: https://wellandable.ca/continuing-education-courses/dermonuromodulating-in-cumberland-bc-s8g7t

For more information, visit our website: wellandable.ca

Join us in Golden, BC, and embrace a pain-free future with Dermoneuromodulating. Spread the word and tag someone who needs to know about this incredible workshop! 🙌

Dermonuromodulating in Golden, BC October 20, 21, 22 — well+able This course in Golden, BC, lasts two and a half days and teaches the philosophy of DNM, which stands for Dermoneuromodulating. The course aims to help people understand pain and the nervous system and includes hands-on, practical applications. In the field of Manual Therapy, there are many techni

A well-put-together guideline for managing low back pain https://hqontario.ca/Portals/0/documents/evidence/quality-standards/qs-low-back-pain-placemat-en.pdf?fbclid=IwAR00JN6p9fgGz9uP9UBAcfTQl_Y-Sclj7do7UmJOgCOSfOw3OqY3K2tpRFA

hqontario.ca

I've been a big fan of Dave Nicholls so I was super happy to see his name on Mark Kargela's Modern Pain Podcast.
I think this is well worth a listen

The Modern Pain Podcast - Unearthing the History and Future Prospects of Physical Therapy: A Deep Dive with David Nicholls In this insightful episode of The Modern Pain Podcast, host Mark Kargela sits down with David Nicholls to discuss the evolving landscape of physical therapy and healthcare. They delve into the challenges facing the industry, such as economic pressures, digital disruptions, and dated cultural narrati...

This study confirms my bias. 😄
NDS and MOB are precisely how I'd approach this population.

Effects of spinal manipulation or mobilization as an adjunct to neurodynamic mobilization for lumbar disc herniation with radiculopathy: a randomized clinical trial - PubMed Pan-African Clinical Trial Registry: PACTR201812840142310.

Visit http://wellandable.ca/continuing-education-courses/dermonuromodulating-in-cumberland-bc-s8g7t

Join me in Golden.
DNM is a patient centered approach to Manual Therapy that is gentle, focuses on your patients nervous system, built on a foundation of reality/science knowledge, and can easily incorporate your favorite techniques. Visit: http://wellandable.ca/continuing-education-courses/dermonuromodulating-in-cumberland-bc-s8g7t

Come learn DNM in Golden BC

Checking out locations for courses next year. Pools and hot tubs can be great places to talk shop in a more relaxed setting.
What do you think?

Come join me in Golden for a weekend of fun and learning! https://wellandable.ca/continuing-education-courses/dermonuromodulating-in-cumberland-bc-s8g7t

Dermonuromodulating in Golden, BC October 20, 21, 22 — well+able

Join me in Golden BC this October!

Dermonuromodulating in Golden, BC October 20, 21, 22 — well+able This two-and-a-half-day course in Golden, BC, will cover the philosophy of DNM- Dermoneuromodulating. We will learn about pain and the nervous system and spend lots of time with hands-on applications. The term DNM Stands for Dermo (skin), Neuro (nervous system) Modulation (a change from one state

What a fantastic group in Cumberland this weekend! Super fun, enthusiastic, and curious bunch for MTs and PTs who really wanted to learn about helping people in pain.

On my way to Cumberland on Vancouver Island to teach this weekend.
Seconds after this photo was taken I saw a fin whale breach. It may even be in this picture

There is now a large body of evidence linking your metabolic health to pain in general and specific conditions such as osteoarthritis & tendinopathy. These include factors such as obesity, increased cholesterol, high blood pressure & increased visceral fat.

We now understand that these general health problems result in a heightened level of "low grade" inflammation throughout your body. This changes the sensitivity of the nervous system and the health of our body tissues (muscle, tendon, bone etc) and how well these tissues adapt to load/use.

It is essential that clinicians both i) understand these factors are relevant and ii) work with people to address these factors as part of management. The role of general health & lifestyle cannot be underestimated.

Ref: https://www.mdpi.com/2075-1729/13/3/730

Womens' pain not taken as seriously as mens' pain: A new study suggests that when men and women express the same amount of pain, women's pain is considered less intense based on gender stereotypes. Researchers found that when male and female patients expressed the same amount of pain, observers viewed female patients' pain as less intense and more likely to benefit from psychotherapy versus medication as compared to men's pain, exposing a significant patient gender bias that could lead to disp...

Come Join me in Cumberland, BC, this July and learn some DNM in this spectacular destination.

Dermoneuromodulation - Learn DNM in Cumberland, BC this summer — well+able Dermoneuromodulating is an underlying framework for an interactive, hands-on approach to treating the experience of pain. It considers the nervous system of the patient to treat from “skin cell to sense of self.” Techniques are usually light, and holds are slow. Limbs and trunk are positioned to...

New bio site up: https://bio.site/wellandable

Check back here for news about upcoming courses

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Interested in taking my DNM and/or Neurocentric courses? I've put them both on sale for the week. $100.00 off both courses until the 2nd of December 2022
follow the link to reserve your spot.

Continuing Ed Courses for Massage Therapists with Michael Reoch, RMT — well+able Learn easy, evidence-based, and effective ways to increase your results with patients while saving your body and hands. Advanced pain management skills.

There are no good or bad postures, variety is key.

Having ‘good’ posture doesn't prevent back pain, and 'bad' posture doesn't cause it We’ve all been told our whole lives we need ‘good’ posture: sit up straight, stand straight with shoulders back, and lift by bending the knees. It turns out there’s really no evidence for that advice.

Hey everyone,
It's been a busy summer, and I have neglected to advertise my course for October. Because of this, there are a bunch of spots left. If you are interested in a course that teaches from a science base and is full of helpful information on how you can treat painful complaints please come join us this fall.

Neurocentric approach to manual therapy — well+able manual therapists: learn how to best treat chronic and complex pain with active and passive therapies

This is the wrong way to look at relieving neck pain. We should be suggesting active ways people can get relief on their own not techniques with false narratives that cause you to rely on others. I have no faith in Massage Envy if this is the person leading their training.

5 Ways To Release Neck Pain From a Massage Pro | Well+Good Release neck pain effectively by using these techniques from a massage therapist, including self myofascial release.