Do you have a question related to PNE that isn't addressed on this site?
Here's your opportunity to ask Adriaan Louw.
Select questions will be answered in a video blog format and posted on this page as a resource to all PNE practitioners. You will be notified when new videos are available.
Please note: ASK ADRIAAN is intended for health professionals to ask questions related to research on, evidence for or the application of pain neuroscience education. Patient-specific questions will not be addressed. Not all submitted questions will be answered. Selected questions will be addressed in video format and posted to this page, and those who submitted will be notified.
Do you have any suggestions for how to apply PNE principles specifically to an inpatient setting?
I took your weekend course in Denver at Regis University last year and it changed my practice in the best way, as an outpatient physical therapist. I am wanting to perform one (or multiple) in-services with my clinic here in Albuquerque, NM, however, I am not really sure where to start and/or best things to include. I was wondering if you had any advice on how to go about creating a presentation for a group of PTs and PTAs that a majority of have a negative outlook on treating "pain" and/or "chronic pain?
I have a 15 y.o. pt I have treated for several months with global myofascial pain...dealing with this for several years and we have done a lot of trigger point compression treatment with PT sessions over the course of treatment. In elementary school she would have global pain with normal running around and thought "it was normal, and every other kid must feel this way too." However, over time she discovered her pain was not normal. Since onset of PT in January she has learned a lot about her impairments and ways to manage but we are at a point where she will struggle to be in sports and moderate intensity activities. She had physical medicine & neurology consults at Mayo clinic including Dr. Wilder. They encouraged her and her family to consider a few different programs including Pediatric Pain rehab which I believe is a 3-week intensive program. Another one is called RESET and that is a 2-week program. What are your thoughts on these intensive programs?
I have just completed one of your online courses from Medbride regarding using neuroplasticity techniques to treat chronic pain patients such as those with neuropaty and CRPS. My question is this, if a patient has pain in bilateral hands, or bilateral feet, how would you go about doing mirror box therapy? Or is it not possible to use mirror box therapy if they don't have a "good side?"
I have already started studying PNE, by reading Explain Pain Supercharged and I was wondering, looking at your resources, if it would be more useful for me to buy "Understanding, Evaluating and Treating Pain for the PT and PTA Student" (more recent but perhaps too basic) or "Pain Neuroscience Education" (goes in more detali but it's older and therefore perhaps less up to date)?
Hi Adriaan, I'm a physical therapist and I'm going through all of your Medbridge courses and I purchased the PNE system. I hope to take some of your courses through EIM as well. My ultimate goal is to take the TPS certification program. My question is, you mentioned a standardized script for pre op PNE. Is there actually a written script available or should I watch your presentation again and put together a script based on how you said it?
I am working on putting some brief training together for our Grad Nurses (first year out of school) about PNE. Do you have any suggestions for how to apply this specifically to an inpatient setting? Also, do you have any suggestions for how this would apply to a population working with very young children/infants?
I attended a pain science con-ed course for PTs with Adriaan Louw several years ago and he briefly mentioned gluten-intolerance not actually being a sensitivity to gluten, but he did not elaborate. As this "diet fad" is still fairly common and more prevalent in my patients, and I don't know much about the topic, can you please send me more information about the background of this "condition" and what may actually be occurring.
I recently listened to your speaker series "The Neuroscience of Pain" at my job for EXOS. I lost of my sister to bladder cancer this year. She was in a great deal of physical pain which led me to research everything I could find on pain management. The research included cryo therapy, ozone therapy, hypnosis, homeopathic medicine and a myriad of other healing modalities. I liked what you said about "acknowledging" their pain and giving an overview of how pain works. This definitely helped my sister. One thing I did was a lot of meditation and talk therapy, We talked about "giving her pain a positive purpose" as reframing what the pain is doing. Has anyone done this type of "research" on the psychological impetus to pain perception? Can we "rewire" what the pain is doing? If you're aware of research or articles done on this, I would greatly appreciate it.
How do you do PNE with people with phantom limb pain?
What professionals are allowed to provide PNE?
For patients that have been in therapy for many months and have some resources for PNE, should you go back to the beginning and start over with PNE when they come to you as a new patient? Where do you start with them/how do you determine where to start with them?
I am an Osteopath and after reading Norman Doidge's book on brain healing I approached the concept of neuroplasticity. I knew the influence on pain of fear, catastrophizing, the importance of activating the parasympathetic system etc. I would like to know what I can buy from you to improve my chronic pain management treatments?... What do you propose, if the patient is committed, that takes less time [than some other techniques] to obtain benefits on pain?
How do you utilize PNE after an acute neurological injury such as a stroke, brain injury or spinal cord injury? Can you utilize PNE to help prevent these acute injuries from transitioning to chronic pain conditions?
Are there any new methods for Neuropathy pain in lower extremies?
For the last 25 years I've worked as an Advanced Sports Therapist, Hypnotherapist (nlp) and Teacher/Lecturer. During this time the subject of pain is an integral part of my teaching, within: Sports therapy, Sports massage and Corrective exercise, however, the resources within this area have either been incorrect or unreliable...With this in mind I was wondering how I can use your services within my teaching (and my clinical work) so that I can deliver the best possible Pain-Based-Classes within my work?