E1: "Where do I Start?"

In our first full supervision session, Alex Scott brings a particularly challenging case to the table: a 14-year-old boy navigating persistent low back pain following a traumatic brain injury (TBI) and a complex refugee background.Alex and James unpack the imposter syndrome that often hits clinicians when faced with high-complexity cases and discuss why traditional pain education isn't always the right first step. We explore the tactical shift from "fixing the pain" to "building a routine" and the importance of meeting a client where they feel most empowered.In this episode, we discuss:The case study: Navigating TBI, PTSD, and persistent pain in a pediatric community setting.The approach: Why Alex chose to prioritise the client’s goal of bulking up over traditional Pilates or core exercises.Trauma-informed care: Practical applications of the five pillars: Safety, Choice, Empowerment, Trustworthiness, and Collaboration.The evidence base: What recent Cochrane reviews say about exercise types for non-specific low back pain (Hint: there’s no magic exercise).Clinical realities: An honest reflection on what worked and what didn't, the importance of clinician gender in rapport and knowing when a case is beyond your direct scope.Resources mentionedWhat is Trauma Informed Care - ACIExercise for treatment of chronic low back pain - Cochrane Review 2021Trauma and Pain - NIH 2021Any questions, comments or requests?Your direct line to Alex and James is [email protected] out more about who we are and what we do on our website independent-rehab.com.au or follow us on insta @independentrehab.Disclaimer: This podcast is for educational purposes only and does not constitute medical advice or a provider-patient relationship. Full terms and disclaimers available at https://independent-rehab.com.au/privacy-policy