Got a sore back and rolling your eyes at the idea of "seeing a psychologist for it"? You're not alone and this episode is for you.

Lachlan puts that exact skepticism to pain psychologist Sophie and what follows is a masterclass in the real, physiological role psychology plays in persistent pain. They unpack the "window of tolerance," why the nervous system can become overprotective, how adverse life experiences shape our pain response and why phantom limb pain proves pain is never just about tissue damage.

From practical tools - progressive muscle relaxation, the stress bucket analogy, graded exposure, CBT, ACT and pain reprocessing therapy - to the bigger picture of why multidisciplinary care changes outcomes, this conversation bridges the physical and psychological divide that so many pain patients get stuck in.

Lachlan and Sophie also share the story behind Paced Health, their new multidisciplinary telehealth pain clinic - why they built it, what the name means, and how they're trying to fix the fragmented, confusing experience so many people with chronic pain describe.

RESOURCES:

- Pain Coach: Clinical software helping clinicians turn complex chronic pain into
simple habit targets. Sign-up here: https://paincoach.co [https://paincoach.co?utm_src=sopod]
- Paced Health website:  https://www.pacedhealth.com [https://www.pacedhealth.com/]
- Paced Health Instagram: https://www.instagram.com/pacedhealth/

KEY TOPICS:

00:00 – Cold open: "Can psychology really help my back pain?"
01:00 – Meet Sophie, pain psychologist at Managing Pain
01:36 – Why a psych referral for pain feels invalidating — and how to start
03:17 – Noticing patterns: what pain psychologists actually look for
04:34 – What is nervous system regulation? The "window of tolerance"
06:35 – Signs you're in hyperarousal (fight-or-flight)
07:48 – Signs you're in hypoarousal (shutdown/freeze)
10:13 – How adverse childhood experiences shape your nervous system
12:46 – Complex trauma vs. single-event trauma
16:20 – Why do some people develop PTSD (and pain) — and others don't?
18:43 – How to actually widen your window of tolerance
20:33 – Allostatic load and the "stress bucket" analogy
22:00 – Doing hard things on purpose: habituation and control
27:11 – Phantom limb pain: proof pain isn't just physical
28:31 – Practical tools: breathing, PMR, mindfulness
30:31 – Cognitive functional therapy & movement experiments
33:29 – CBT and Acceptance and Commitment Therapy for pain
35:13 – What is Pain Reprocessing Therapy?
37:17 – Why multidisciplinary teams change outcomes
39:17 – The Paced Health origin story
42:05 – The idea: multiple clinicians, one room, one hour
44:12 – Why the name "Paced Health"?
47:09 – The Tour de France analogy for pacing
49:13 – Why build this business at all?
51:07 – How to get involved (clients + clinicians)
52:13 – Advice for someone at their lowest point with pain
54:27 – Closing thoughts: autonomy, hope, and community

Disclaimer: This podcast is not personalised medical advice. Please consult a health professional before acting on anything discussed.

Skeptical About Psychology for Chronic Pain? This Episode Will Change Your Mind | Sophie O'Dwyer

"When Tasha speaks about pain, everyone should listen" - Merv Travers (previous guest and pain researcher)

In this episode, Professor of Clinical Pain Neuroscience, Tasha Stanton translates the current science of persistent pain into practical reasoning.

Tasha explains that pain is a protective system that can become over-sensitive - in her words, "a system that's working too well." She's candid about what she's moved away from over her career — why giving the brain sole focus, and the notion that "the brain decides," are both inaccurate - and what it takes to communicate pain science without a patient hearing it's all in your head.

From there it's straight into application: assessing body perception and two-point discrimination, sensorimotor and tactile discrimination retraining, what the RESOLVE trial suggests about mechanism, the role of systemic inflammation and why loading helps, and using active inference and predictive processing to drive change - including her group's VR cycling work, which improves how patients feel while they work harder.

Tasha is also clear that the evidence for persistent pain points to hope rather than inevitability, and she closes with what she'd actually say to a patient in pain.

If you treat people in persistent pain and want better outcomes, sharper communication, and theory you can use in clinic, this one's for you.

RESOURCES
- Pain Coach: Clinical tool discussed by Lachlan. Use today with a patient - click here [https://paincoach.co?utm_src=tspod]
- Prof. Tasha Stanton Research: https://researchers.adelaide.edu.au/profile/tasha.stanton
- The Resolve Trial: https://jamanetwork.com/journals/jama/fullarticle/2794765
- The Knee Osteoarthritis Handbook (NOIgroup) - Tasha is a co-author: https://www.noigroup.com/product/knee-osteoarthritis-handbook/

KEY TOPICS
00:00 — Teaser
00:59 — Why Tasha comes so highly recommended
01:31 — From an overwhelming caseload to pain science
03:40 — The mentors who shaped her clinical thinking
05:10 — When the system fails patients: lessons from her mum's care
07:22 — Lachlan's own experience of persistent pain
08:53 — Reframing pain for patients: protection, not damage
10:50 — Pain as a changeable process (bioplasticity)
13:43 — What Tasha changed her mind about — and why clinicians should too
16:06 — Language in clinic: from "brain" to "dysregulated systems"
17:44 — A clinically useful model of pain to share with patients
22:35 — "The carpentry looks good": pain after knee replacement
23:22 — Assessing body perception and post-surgical pain risk
29:52 — A thoracic pain case: what two-point discrimination revealed
31:38 — Sensorimotor retraining in practice: grids, graphesthesia, dosage
33:33 — Does sensory change drive pain change? CRPS & the RESOLVE trial
41:49 — Inflammation, central sensitisation, and why loading helps
44:49 — Translating complexity into simple, actionable interventions
46:48 — A knee OA case: shifting outcomes by shifting the narrative
48:17 — Targeting lifestyle factors for the individual in front of you
49:21 — Optimising the rest–activity balance across 24 hours
51:11 — Applying active inference and predictive processing clinically
52:58 — VR cycling: engineering a prediction error to drive adaptation
56:55 — What to say to a patient who's in pain right now
58:03 — Framing prognosis: hope over inevitability
59:21 — Clinician resources: Pain Plans and where to learn more

Disclaimer: Not personalised medical advice, consult a health professional.






"Are You Telling Me It's All in My Head?" The Truth About Chronic Pain | Prof. Tasha Stanton

Could the key to easing chronic joint pain lie in how you sleep?

In this episode, Lachlan Townend talks with Associate Professor Michelle Hall from the University of Sydney's Musculoskeletal Research Hub. They unpack what osteoarthritis really is, why your X-ray often doesn't match how you feel and why myths like "bone on bone" and "exercise wears the joint out" don't hold up.

Then they turn to sleep — why poor sleep doesn't just follow pain but can actively drive it, how cognitive behavioural therapy for insomnia (CBT-I) helps most people within weeks, often without medication and what Michelle's clinical trials could mean for the future of pain care.

If you live with pain, or treat people who do, it's a practical and hopeful listen.

Resources

 * Is sleep contributing to you or your patients' pain? Try Pain Coach for free and find out: Click here [https://paincoach.co?utm_src=pcmhpod]
 * Lachlan Townend on LinkedIn: https://www.linkedin.com/in/lachlan-townend/
 * Michelle Hall on LinkedIn: https://www.linkedin.com/in/michelle-hall-548627111/
 * Michelle's research profile: https://profiles.sydney.edu.au/michelle.hall/about
 * Musculoskeletal Research Hub, University of Sydney (Charles Perkins Centre): https://www.sydney.edu.au/charles-perkins-centre/our-research/research-groups/musculoskeletal-research-hub.html
 * Musculoskeletal Research Hub on LinkedIn: https://www.linkedin.com/company/111559366/
 * Online sleep resources based in cognitive behavioural therapy for insomnia (Sleepio): https://sleepio.bighealth.com/
 * SLEEP-FIT Trial (sign up): https://redcap.sydney.edu.au/surveys/?s=AKTTJLD44NNMYMHK
 * Referenced paper (open access): Klyne DM, Hall M. Is sleep the new treatment for pain? Two issues need resolving before deciding. Sleep. 2024;47(6):zsae089. https://doi.org/10.1093/sleep/zsae089

Key Topics:
00:00 Intro
01:19 Michelle's path into research
04:00 Why her dad's pain started it all
08:23 From biomechanics to the whole person
13:04 What osteoarthritis really is (and why scans mislead)
19:52 Myths, exercise & weight loss
27:57 Why sleep matters in pain
31:14 Is sleep the new treatment for pain?
34:16 CBT for insomnia, explained
43:52 Inside the trials
52:07 Beyond knees: other pain
55:24 Where to start
57:23 One habit from lasting relief
58:20 Find Michelle

Disclaimer

This podcast is for educational purposes only. The views expressed do not constitute medical advice and are general in nature. Please obtain specific advice from a qualified health professional before acting on any information in this episode.

Is Sleep the New Treatment for Pain? | Associate Professor Michelle Hall

For decades, pain care has run on a simple question: what's wrong with you? Risk factors, deficits, pathology, problems. It's well-intentioned but could the deficits focus being making things worse?

In this episode of Pain Coach, Lachlan sits down with Dr Niamh Moloney and PhD candidate Barry Moore from Curtin University to unpack a quietly radical reframe in persistent pain research: stop leading with what's wrong, and start asking what's right.

Niamh shares the the beachside journaling session that flipped her thinking. Barry walks through his newly published scoping review in the European Journal of Pain, surfacing 79 studies on protective factors like self-efficacy, optimism, resilience and social connection, that help people live well with pain.

Crucially, this isn't toxic positivity. It's not about ignoring pathology or dismissing what hurts. It's about refusing to reduce a person to a list of their risk factors and building care around the resources they already carry.

If you've ever walked out of an appointment feeling smaller than when you walked in (or  unintentionally sent a patient home that way) this conversation will change how you think about pain care.

One problem in, a couple of solutions out. That's the goal.

RESOURCES:

 * Free trial of Pain Coach: https://paincoach.co?utm_src=podB&N [https://paincoach.co/?utm_src=podB&N]
 * Dr Niamh Moloney on X: https://x.com/drniamhmoloney
 * Barry E. Moore LinkedIn: https://www.linkedin.com/in/barry-moore-006a24145/
 * 📄 Moore, B. E., Schleidgen, L., Hang, C. P., et al. (2026). "Protection from Chronic Musculoskeletal Pain: A Scoping Review." European Journal of Pain, 30(4): e70273. → https://doi.org/10.1002/ejp.70273 [https://onlinelibrary.wiley.com/doi/10.1002/ejp.70273]
 * 📄 Rabey, M. & Moloney, N. (2022). "I Don't Know Why I've Got this Pain!" Allostasis as a Possible Explanatory Model. Physical Therapy, 102(5), pzac017. → https://doi.org/10.1093/ptj/pzac017 [https://academic.oup.com/ptj/article/102/5/pzac017/6535131]

KEY TOPICS

00:00 — Intro

00:43 — Disclaimer & welcome

01:22 — Meet Dr Niamh Moloney & Barry — paths crossing at Curtin

03:05 — What is chronic / persistent pain?

05:18 — Why pain persists: the multifactorial picture

09:35 — Central sensitisation in lay terms

12:47 — Why "central sensitisation" grinds Niamh's gears

15:36 — How to know if your nervous system is involved

18:43 — Niamh's lived experience of persistent pain

20:34 — The "why" behind the wider project

24:46 — The allostatic load paper: "I don't know why I've got this pain"

26:14 — Confronting her own risk factors

27:55 — The beach notebook: writing down what kept her well

29:44 — CliftonStrengths and the leadership lightbulb

31:39 — From deficits to strengths: a research pivot

33:09 — Antonovsky, Holocaust survivors & the salutogenic model

36:16 — Barry's scoping review (European Journal of Pain) — 79 studies

38:25 — Strengths aren't just the opposite of risk factors

40:04 — What surprised the researchers

43:30 — Lived experience: how people actually use their strengths

46:13 — Strengths ≠ toxic positivity: validating patients first

48:56 — Why disability (not pain) was the chosen outcome

51:22 — Pain intensity work is coming next

52:43 — The decade-long wider project & future studies

56:58 — Building hope, not despair

58:18 — Advice for someone at their low point

1:04:04 — Where to follow Niamh and Barry

The Strengths-Based Shift: Why Pain Researchers Are Asking "What's Right With You?" Instead of "What's Wrong?" | Prof. Niamh Moloney & Barry Moore

Dr Millie Mardon is a pelvic pain researcher at Western Sydney University with her own lived experience of the condition. Diagnosed with endometriosis at 14 after years of debilitating period pain, Millie navigated surgeries and a complex healthcare system — and is now happy to say she is pain-free. That experience became the foundation of her entire research career.

RESOURCES: 

 * Try Pain Coach for free [https://paincoach.online/?utm_src=MMpod]
 * Millie's Research "I Wish I Knew Then What I Know Now"  [https://journals.lww.com/pain/abstract/2023/06000/i_wish_i_knew_then_what_i_know_now___pain_science.25.aspx]
 * Millie's Instagram [https://www.instagram.com/pelvicpain_researcher/] 
 * Millie's researcher profile [https://researchers.westernsydney.edu.au/en/persons/millie-mardon]

KEY TOPICS:

0:00 — Introduction & trailer
1:25 — Why Millie devoted her life to pelvic pain research
3:12 — Millie's personal story: endometriosis from her first period
3:36 — The 7–9 year diagnosis delay in Australia — and why it matters
7:23 — The role of parental advocacy in getting answers
9:26 — Is a diagnosis the be-all and end-all?
12:55 — Pain-free for over 10 years
14:06 — What Millie thinks made the difference in her recovery
16:17 — "I Wish I Knew Then What I Know Now" — her landmark research study
18:05 — The 4 pain science education concepts that actually help people with pelvic pain
22:34 — Where lifestyle fits into pain: sleep, stress, diet & exercise
25:40 — How a medical scientist ended up in pain research
27:24 — The influence of Lorimer Moseley, David Butler & Explain Pain
29:45 — What actually is endometriosis?
33:20 — Prevalence: 1 in 7 women, 1 in 5 with persistent pelvic pain
34:48 — Why is endometriosis still so underfunded?
40:09 — Surgery for endometriosis: what does the research actually say?
40:43 — The Melbourne surgery scandal (ABC Four Corners: Scarred)
42:05 — The real numbers: 50% improve, 25% stay the same, 25% get worse
43:26 — Ablation vs excision: which works better and why
48:38 — The danger of swinging too far — biomedical vs biopsychosocial
52:46 — Millie's current research projects
53:28 — The pelvic pain social media campaign for young people
54:39 — The EndoEd trial: pain science education before laparoscopy
56:14 — The big unanswered question: why do some people get better and others don't?
57:14 — Gut health and endometriosis: 97% of people have GI symptoms
59:50 — Millie's parting advice for anyone navigating pelvic pain



Nine Years To Be Believed: The Endometriosis Diagnosis Crisis, The Surgeon Allegedly Performing Unnecessary Endo Surgery & Why Pain Science Education Needs A Female Rewrite | Dr Millie Mardon (PhD)

If you've been told your pain is "all in your head" or that it's purely a problem with structures in your body - this episode will challenge both of those ideas.

Dr Merv Travers is a physiotherapist, PhD researcher and strength & conditioning coach based in Perth, Western Australia. He's a Senior Research Scholar at the University of Notre Dame Australia, working in the areas of low back pain, tendon pain, and exercise rehabilitation.

In this conversation, Merv explains why pain belongs to the whole person - not just the brain and not just the body. He breaks down active inference and predictive processing in plain language, shares a story of a professional athlete he treated for Achilles pain and makes a compelling case for why the RESOLVE trial may be the most important musculoskeletal pain trial we've ever had.

We also explore the common threads between some of the best research that has been done on persistent pain - Cognitive Functional Therapy, Pain Reprocessing Therapy and Graded Sensorimotor Retraining - and why Merv believes the active inference framework ties them all together.

Whether you're a clinician looking for a better way to treat persistent pain or someone living with pain who's been told nothing else can be done - this episode offers real hope backed by real science.

RESOURCES:

 * Try Pain Coach for free [https://paincoach.online/]
 * RESOLVE      Trial (Bagg et al., JAMA 2022) [https://jamanetwork.com/journals/jama/fullarticle/2794765]
 * The Fit for Purpose Model (Wand      et al., Physical Therapy 2022)  [https://doi.org/10.1093/ptj/pzac151]
 * Recognise App (for      laterality training) [https://www.noigroup.com/product/recognise/]
 * Dr Merv Travers / Optimise Rehab [https://www.optimiserehab.com/]

KEY TOPICS

00:00 — Teaser & Introduction
01:05 — Merv's Mission: Helping Clinicians Help Patients
02:44 — How Do You Understand Pain?
04:13 — Predictive Processing Explained Simply
08:00 — The Teacher Who Said "Your Back Never Heals"
09:50 — Beyond Predictive Processing: Active Inference
12:02 — Pain Equals Body Damage x Nervous System Threat?
14:19 — The Wine Experiment: How Expectations Shape Experience
18:02 — Why Every Person's Pain Is Unique
21:48 — Treating Athletes: The Culture of Structural Thinking
23:28 — The Achilles Story: "I Don't Know What I'm Going to Do"
24:56 — Sensory Acuity Testing: "Foot Fetish Tinder"
27:07 — The RESOLVE Trial: The Most Important Pain Trial We've Had
30:21 — Why The Trial's Rigour Matters
31:40 — CFT, Pain Reprocessing Therapy & What's Coming Next
33:58 — The Common Threads Across All Three Treatments
37:07 — Get To Know Your Patient (Pain Coach Ad)
37:33 — Movement Experimentation & Modifying Symptoms
44:05 — Manual Therapy Isn't Excluded From This Framework
48:56 — The Fit For Purpose Model: Three Pillars
51:07 — Self-Evidencing Through Movement
54:19 — The Placebo Effect Is Not A Dirty Word
58:55 — A Universal Truth For Someone In Pain
01:01:21 — Where To Find Merv Travers

Pain Is Not In Your Brain And It's Not In Your Tissues - So Where Is It? | Dr Mervyn Travers (PhD)

Dr. Rachel Zoffness (PhD) is a pain psychologist and author who has devoted her career to understanding why we suffer with pain and what we can actually do about it.

We discuss:

 * The childhood experience with chronic pain that sparked her obsession with understanding suffering. 
 * The "biopsychosocial" truth about pain that medicine has known for 65 years but never tells patients. 
 * Why the healthcare system only treats one-third of the pain problem. 
 * The "pain dial" in your nervous system and the three factors that turn it up or down. 
 * How she learned to warm her hands to 90 degrees using only her thoughts. 
 * The difference between a "high pain recipe" and a "low pain recipe" – and how to craft yours. 
 * If there is an off switch for pain and whether you would want one. 

And much more...

Rachel's new book Tell Me Where It Hurts is out March 24th and is available for pre-order on Amazon.

RESOURCES

 * Pain Coach: Find Lifestyle Targets for Treating Pain  [https://paincoach.online?utm_src=RZpod]
 * Tell Me Where It Hurts [https://www.zoffness.com/books]
 * Rachel's Website [https://www.zoffness.com/]
 * Book an appointment to see Lachlan [https://www.physiopaincoach.com.au/]
   

KEY TOPICS

00:00 The lie medicine has sold you about pain

01:24 Why Rachel devoted her life to studying pain

03:02 Chronic pain as a child & what she wishes she'd known

05:28 What is pain? The biopsychosocial model explained

08:05 The three domains: Bio, Psych & Social

09:05 The missing two-thirds of pain treatment

11:32 Why pills and procedures aren't working

12:13 Central sensitization: How pain becomes chronic

15:01 The piano analogy: Your brain practices pain

17:50 Is there hope? Can the pain pathway shrink?

25:52 The Pain Dial: How to turn your volume up and down

26:15 Factor 1: Stress and anxiety

26:40 Factor 2: Mood and emotions

27:25 Factor 3: Attention and focus

28:16 The good news: The opposite is also true

30:18 Is there an on/off switch for pain?

32:04 Why opioids work (and it's not just physical)

33:39 Can chronic pain ever fully disappear?

35:32 The Pain Recipe: High pain vs low pain ingredients

38:35 Crafting your low pain recipe

41:51 Habit change & lasting pain relief

45:08 Biofeedback: How Rachel learned to warm her hands to 90 degrees

51:42 Your thoughts literally change your biology

53:16 Biofeedback is as effective as migraine drugs

54:16 This isn't "manifesting" – it's science

55:55 How to reduce fear during a pain flare

58:24 What surprised Rachel while writing the book

01:00:26 About "Tell Me Where It Hurts"

01:02:10 Rachel's parting advice: Write your pain recipe



The Missing Two-Thirds Of Pain Treatment + Find Your Pain Recipe | Dr. Rachel Zoffness (PhD)

Is what you eat making your pain worse? In this episode, I sit down with Chloe McLeod, founder of Verde Nutrition Co, Accredited Practising Dietitian, and Advanced Sports Dietitian with over 16 years of experience. Chloe is one of Australia's leading experts in gut health, food intolerance, and autoimmune conditions. Chloe  has been featured in Women's Health, Body & Soul, and House of Wellness. We unpack the real connection between nutrition and chronic pain, whether gut health is all hype and what you can actually do to start feeling better. If you live with fibromyalgia, rheumatoid arthritis or persistent pain, this one's for you.

RESOURCES

 * Pain Coach: Find Lifestyle Targets for Treating Chronic Pain  [https://paincoach.online?utm_src=pcpchloe]
 * Verde Nutrition [https://verdenutrition.co/] 

KEY TOPICS & TIME STAMPS

00:00:53 — Introduction to Chloe McLeod & Verde Nutrition

02:02 — The connection between pain and what we eat

03:37 — Nutrition's impact on fibromyalgia & rheumatoid arthritis

05:19 — Is gut health just a craze?

05:49 — The gut-brain axis explained

07:04 — Case study: How 7 days of fast food changed a man's microbiome

09:20 — How to know if your gut is healthy

11:25 — Microbiome testing: Is it worth it?

16:42 — Big ticket items for improving gut health (water & fibre)

18:39 — Resistant starch hack: Cook, cool, and reheat pasta/potatoes

20:32 — Meat, dairy, and gluten: Do you need to eliminate them?

22:26 — Intermittent fasting and chronic pain

25:38 — Processed meat: No safe level of consumption

27:25 — Food chemical sensitivity and pain

29:22 — Added sugar: How much is too much?

31:07 — Omega-3s and extra virgin olive oil as "liquid gold"

32:03 — Working with fibromyalgia, rheumatoid arthritis & osteoarthritis

33:11 — Plants for Joints study and plant-based eating

36:34 — Navigating nutrition with eating disorder history

39:57 — Case study: Fibromyalgia client success with multidisciplinary care

45:36 — The research connecting gut health and fibromyalgia

47:10 — Excitotoxins (artificial sweeteners, MSG) and fibromyalgia

49:05 — The role of supplements in pain management

50:14 — Supplements are "sprinkles on the icing on the cake"

52:23 — Top supplements: Omega-3s, collagen, magnesium

54:40 — Curcumin, probiotics, glucosamine: Second-tier supplements

56:49 — Supplement quality and contamination risks

58:33 — How to screen for quality supplements (Informed Sport, HASTA)

01:00:36 — Final advice for someone struggling with chronic pain


You Don't Know How Good You Can Feel (Until You Do This) | Chloe McLeod 

Dr. Dan Bates, is a sports and exercise medicine specialist, director of the Back, Neck and Joint Clinic in Melbourne, and former head doctor for both Melbourne and North Melbourne AFL teams. Dr. Bates has developed an innovative, algorithmic approach to chronic pain that's helping patients reclaim their lives.

In this episode, we tackle one of the most controversial topics in pain management: what happens when patients are told their pain is "in their head." Dr. Bates reveals why this messaging - even when well-intentioned - can drive hopelessness, helplessness, and suicidal ideation. He shares the simple phrase that makes his patients tear up with relief and teaches the powerful two-word question that gives patients their power back.

You'll learn practical strategies for managing pain amplifiers within your control: how catastrophizing language physically amplifies pain, why depression and anxiety are normal responses to chronic pain (and how they make it worse), and the importance of taking ownership. Dr. Bates reveals his clinical algorithm to determine how he treats his pain patients. 

 Dr. Bates offers hope for those in despair: your pain is real, you're not imagining it, and just because we can't find the cause doesn't mean there isn't one.


RESOURCES 

 * Back, Neck and Joint clinic [https://www.backneckandjoint.com.au/]
 * Dr. Bates' podcast: "It's Not In Your Head" [https://www.iniyh.com/]
 * Free Trial of Pain Coach  [https://paincoach.online/?utm_src=drdanpod]

KEY TOPICS & TIME STAMPS

00:00 - 03:02 Dr. Bates' Journey into Chronic Pain Medicine

03:52 - 07:26 The "It's In Your Head" Problem

07:26 - 13:18 Medical History of Blaming Patients

13:34 - 21:30 Understanding Pain Mechanisms

21:30 - 27:25 Pain Amplifiers You Can Control

27:25 - 32:09 The Two-Word Power Move

32:09 - 37:44 Why Doctors Struggle to Say "I Don't Know"

38:05 - 42:47 The Shocking Truth About Medication Effectiveness

42:47 - 49:36 Getting More Specific with Diagnosis

49:36 - 56:45 The Algorithmic Approach to Treatment

56:45 - 59:59 Final Words for Those in Despair



Why This Doctor's Patients Cry: Two Words That Change Everything | Dr Dan Bates

In this episode, Lachlan Townend sits down with world-renowned pain researcher and clinician Professor Peter O’Sullivan - a man whose work has completely reshaped how we understand and treat back pain. 

If you’ve ever been told your spine is fragile, your core is weak, or your pain always means damage - this episode will change the way you see back pain forever. 

Peter’s research and clinical leadership led to the creation of Cognitive Functional Therapy (CFT) - a revolutionary approach that helps people break free from fear, overprotection, and the belief that pain always equals damage.

Together, Lachlan and Peter explore:

 * Why so many of us have been taught to fear movement and “protect” our backs
 *  How Peter’s own experience with pain changed the way he treats patients
 * The science behind CFT and how it helps people reclaim confidence in their bodies
 *  The role of stress, sleep, exercise, social connection and nutrition
 *  Why posture, scans, and “core stability” might not be what really matters

Resources: 

 * Free trial of Pain Coach [https://paincoach.online/]
 * Book a consultation with Lachlan  [https://www.physiopaincoach.com.au/]
 * Evoolve Pain Care Academy [https://evoolvepaincare.academy/clinician-resources]
 * Cognitive Function Therapy (3 year follow-up) paper [https://www.thelancet.com/journals/lanrhe/article/PIIS2665-9913(25)00135-3/abstract]
 * Body Logic  [https://bodylogic.physio/professor-peter-osullivan/]





The Real Reason Your Back Still Hurts (It’s Not What You Think) | Professor Peter O'Sullivan

Welcome to Pain Coach, the podcast designed to empower you to regain control of your pain treatment journey.

In each episode, Lachlan Townend shares inspiring stories from individuals who have overcome the obstacles of pain, along with insights from health professionals dedicated to helping you reclaim your life. This podcast offers practical tools and guidance for those who refuse to let pain dictate their lives or steal their dreams.

Pain Coach encourages you to find a health professional who acts as a coach—not a 'magic healer'—supporting you in your recovery journey. It’s time to step back into the driver’s seat and reclaim what pain has taken from you.

DISCLAIMER: This podcast is for educational purposes only. The views expressed in this podcast do not constitute medical advice and are general in nature. You should obtain specific advice from a qualified health professional before acting on any of the information within this podcast.

Lachlan Townend

Shows