Admittingly, I use analogies to get my point across during clinical education to students for imagery and basic fun. More admittingly, they are typically horrible but do get a good laugh across….and some blank stares.
As a Duke college basketball fan and overall being stoked here lately due to March Madness fever, I expressed to current intern a similarity between providing pain science education, shooting 3 pointers and getting results in clinical practice. Hang in there…
As they say for Duke, you ‘live and die by the 3’. If they go in and you’re hot, you have a better chance. If not, pack your bags.
No matter how sexy and new (3 point line came around in 1986 vs basketball starting in 1891), it is not the main squeeze in the game. You have to go back to basics, have an inside game, and big men to step up in the paint. If not, you don’t get the results…and you lose.
I think pain science education is like shooting 3’s. It makes sense, it takes skill, knowledge to step back behind the line and you can get more out of it if its successful. It is the newest approach out, it takes a different skill set and you can show off your distance. However, it is not a high percentage shot—unless you’re Andre Dawkins.
I am a goober just like everyone else when it comes to pain science. I like to be up-to-date. I have created my own “Cartesian-Pain” on my whiteboard in the office, I have a specific ‘Knowledge Track’ section on Medbridge to share with my students and I had second row seats to see Moseley/Butler at CSM in Vegas a few months ago. Sound like a groupie??
However, I know it has its limitations. I am sure you do too. I haven’t seen exemplary results from implementing it into my practice patterns, but it is a part of it for sure. There are a few cheers when the pain education sinks in, but many times—long bricks when it doesn’t.
Our profession is growing exponentially. Our brand is improving. You know one of the reasons? It is because we get results. Our results are becoming several strides ahead of other MSK professionals. I don’t want science to get in the way of the art—and results in relief for patients.
You have to keep getting into the paint to get results. You have to get your hands on someone—treat locally but also think globally. You don’t need to spend the entire treatment releasing who knows what, but remember the power in results from centuries of manual therapy.
So keep throwing up the three’s and hope you get more cheers than bricks. However, don’t leave the paint as that game will always give you results and positive outcomes.