Dr Oliver Thomson talks with MSK physiotherapist and researcher Dr Giacomo Rossettini about how our clinical interaction can create a therapeutic context.
Show Notes
Welcome to another episode of The Words Matter Podcast.
On this episode I speak with Dr Giacomo Rossettini. Giacomo is an MSK physiotherapist and researcher from Italy. He competed his PhD’ degree in Neuroscience in 2018 and has been working as a physiotherapist since 2009 specializing in Rehabilitation of Musculoskeletal Disorders.
He is a lecturer of Methodology and Clinical Practice of the Cervical Spine in the Master’s program of Rehabilitation of Musculoskeletal Disorders at Genova University and, he also lectures at Verona University: Bachelor’s program of Manual Therapy in Physiotherapy.
In the last 2 years he has promoted in Italy his course on "placebo, nocebo effects and contextual factors in physiotherapy and musculoskeletal pain”.
Giacomo has a growing track record of research into placebo, nocebo and contextual effects in relation to MSK healthcare practice (see
here). Some of his excellent papers on these topics can be found
here,
here and
here and have contributed to the Words Matter online course (see
here).
In this episode we talk about:
- the nature and definitions of placebo, nocebo and contextual effects.
- how enriching our clinical rituals can constitute a contextual effect and boost placebo.
- avoiding nocebo through unhelpful clinical practice, communication and interaction.
- touch on the ethics of utilising contextual factors to enhance the placebo effect.
- we discuss the challenge of the lack of contextual factors and the ability to control such factors which has been placed on clinicians through face masks and conducting appointments via telehealth during the pandemic.
Huge thanks and applause to Giacomo for stepping up to the challenge and chatting in English- if we were relying on my Italian the podcast would never have happened and we’d all miss out on his incredibly informant information and experience.
I bring you Dr Giacomo Rossettini
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What is The Words Matter Podcast with Oliver Thomson?
The Words Matter Podcast brings you insights, reflections and conversations focused on the latest evidence, theory, philosophy and practice of communication-focused healthcare.
Find out about the more tacit, 'softer' and personal side of clinical practice such as the role of philosophy, beliefs, behaviours, developing therapeutic relationships or the purposeful use of language with people experiencing pain from expert academics, clinicians and researchers from across the world and spanning the musculoskeletal disciplines. This podcast will help you reflect on your own current practice and inform and stimulate you to consider new ways of approaching your practice and patients, to create a better clinical experience and outcomes in people with musculoskeletal pain.
Hosted by Dr Oliver Thomson PhD, an osteopath and Associate Professor who is passionate about researching and educating clinicians on a revised narrative, communication and biopsychosocial approach to musculoskeletal therapy. If you like the podcast, subscribe and check out the online learning and resources at www.wordsmatter-education.com.
Support the show and become a patron https://www.patreon.com/thewordsmatterpodcast