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Biopsychosocial Reframed - A Model for Treating Pain

Biopsychosocial Reframed - A Model for Treating Pain

Biopsychosocial Reframed - A Model for Treating Pain

Part of a bundle
This course includes
19:13:17 of Course Material (View)
1 Year access after purchase
Certificate of completion
This course was recorded in March 2022


Transitioning to a biopsychosocial framework has been a challenge for many clinicians leaving us stuck in our biomechanical training. When patients have a sensitive nervous system, measuring psychosocial distress as objectively as we measure range of motion, muscle strength, proprioception and joint mobility is important when profiling their sensitive nervous system.

This course will teach you to use a model based on psychoneuroimmunology to assess your persistent pain patients so that you can truly incorporate a "whole person" approach.

Explore the strong evidence behind matching evidence-informed treatment techniques such as pain education, yoga, qi gong, meditation, sensory-motor retraining, expressive writing exercises and cardiovascular exercise to each patient’s “driver” of their sensitive nervous system in order to improve patient outcomes. Barrier-breaking strategies of integrating psychologically informed practices into our treatment approach for persistent pain is a key competency of the modern, evidence-informed clinician.


Learning Objectives 

Upon completion of this course, participants will learn:

  • To move beyond “talking” about a biopsychosocial model of care to truly incorporating this model into your practice
  • To define central sensitization and how to measure the characteristics of central sensitization in your clinical practice
  • To understand a clinical framework for treating persistent pain that expands on your current biomechanical skills (from new grad to seasoned clinician)
  • How to assess various drivers of a sensitized nervous system and to “match” evidence-informed psychosocial skills to these drivers
  • Novel movement exercises include four qi gong routines for the upper body, lower body, breathing and pelvic organs to help to address sensory-motor changes as well as generalized tension



This course is developed for ALL manual therapists - physiotherapists, occupational therapists, osteopaths, massage therapists, chiropractors, and others who treat musculoskeletal pain.
Please note: Closed caption in French will soon be available for this course.



"Thank you so much for such an inspiring and eye opening course! This approach is truly a game changer that I have started to incorporate in my daily MSK practice and when discussing various health concerns with my family members. I look forward to revisiting the concepts and expanding my knowledge with THE Biopsychosocial Bundle on Embodia and the many resources you have provided." -Samoya Copeland, PT


Course Bundle

This online course is a part of THE Biopsychosocial Bundle - a very special learning opportunity for all healthcare professionals. 

This course can only be purchased with the whole bundle (not as an individual course).


THE Biopsychosocial Bundle is a carefully designed learning experience that includes 6 different courses by 6 experts in their respective fields. These courses have been carefully selected and constructed for clinicians who wish to excel in a biopsychosocial framework.

Learn more about THE Biopsychosocial Bundle by clicking here!

The instructors
Carolyn Vandyken

Carolyn is the co-owner of Reframe Rehab, a teaching company engaged in breaking down the barriers internationally between pelvic health, orthopaedics and pain science. Carolyn has practiced in orthopaedics and pelvic health for the past 37 years. She is a McKenzie Credentialled physiotherapist (1999), certified in acupuncture (2002), and obtained a certificate in Cognitive Behavioural Therapy (CBT) in 2017.

Carolyn received the YWCA Women of Distinction award (2004) and the distinguished Education Award from the OPA (2015). Carolyn was recently awarded the Medal of Distinction from the Canadian Physiotherapy Association in 2021 for her work in pelvic health and pain science.

Carolyn has been heavily involved in post-graduate pelvic health education, research in lumbopelvic pain, speaking at numerous international conferences and writing books and chapters for the past twenty years in pelvic health, orthopaedics and pain science.

Reframe Rehab
Online Teaching Company

We are a passionate group of highly trained clinicians who champion virtual, live online education courses to develop a biopsychosocial framework for your clinical practice. Our mission is to break down the silos in clinical practice between musculoskeletal pain, pelvic pain, pain neuroscience education, and psychology by providing timely, cost-effective, live online learning opportunities from the world's leading clinical educators on these topics.

Interested in learning more about Reframe Rehab or taking a course with us? Check us out on Instagram @reframerehab or visit our website to view all our course offerings.

Course Material included in this course
  • Additional Material - Questionnaires
  • Distress Questionnaires: Separate from the Whole Intake Questionnaire
  • Explanation for Extensive Questionnaire
  • PSOCQ Questionnaire
  • Psychologically-Informed Intake Questionnaire
  • Questionnaire Scoring Summary Sheet NEW
  • Adverse Childhood Experiences
  • Part 1.1
  • Moving From Fixer to Facilitator
  • Out with the Old/In with the New
  • Developing a Framework for Treating Pain
  • Assessment Framework for a Biopsychosocial Approach
  • Want to Dig Deeper? Developing a Therapeutic Alliance
  • The Social Arm of the Biopsychosocial approach
  • Want to Dig Deeper? Peer Support in Persistent Pain
  • Emily Wrap-up
  • Part 1.2: Homework and Wrap-up 🏡📝
  • Part 1: Homework and Wrap-up
  • Ah-Ha Moments Part 1
  • Part 1 Quiz!
  • Part 1 Feedback
  • Biopsychosocial Virtual Consult- Emily
  • Part 2.1: Review
  • Follow-Up Discussion from Week One: Case Study
  • Part 2.2: Central Pain Mechanisms: What, How and Why
  • Measuring Sensitivity
  • Using the Central Sensitivity Inventory
  • Applying this Knowledge to our Case Study
  • Explaining Sensitivity to your Patients
  • Part 2.2 Quiz!
  • Part 2.3: Keeping the “Bio” in Biopsychosocial
  • You’ve Measured Sensitivity: Now What?
  • The “BIO” Component of the Biopsychosocial Framework
  • Building a Case for Utilizing a Mechanical Approach
  • Connecting Pelvic Floor Dysfunction and LBP
  • Using Manual Therapy in a Sensitized System
  • Part 2.3 Quiz!
  • Part 2.4: Homework and Wrap-up 🏡📝
  • Homework Review and Group Discussion
  • Ah-Ha Moments Part 2
  • Lab for Non-Nociceptive Input
  • Complexity of LBP: Letters to the Editor
  • Part 2 Feedback
  • Part 3.1: Review
  • Review
  • Part 3.2: Phenotyping Sensitivity
  • Phenotyping Sensitivity gives us Direction
  • Orange Flags
  • Part 3.2 Quiz!
  • Part 3.3: Measuring Depression, Anxiety and Stress
  • Measuring Stress
  • Measuring Depression
  • Measuring Anxiety
  • Using the DASS 21
  • Part 3.3 Quiz!
  • Part 3.4: Targeting Treatment to the Phenotype
  • Target: Nervous System or Tissues?
  • Target: Stress and Pain (Pain Education)
  • Target: Stress and Pain (Evoking the Relaxation Response)
  • Target: Stress and Pain (Constructive Rest Positions)
  • Multidisciplinary Treatment (MDT) For Stress, Anxiety and Depression
  • Target: Depression and Pain (Cardiovascular Exercise)
  • Target: Depression and Pain (Yoga practices)
  • Target: Depression and Pain (Resistance Training)
  • Part 3.4 Quiz!
  • Part 3.5: Homework and Wrap-up 🏡📝
  • Homework Review and Group Discussion
  • Ah-Ha Moments Part 3
  • Nociceptive Case Study (Julie)
  • Combined Mechanisms Case Study (Heather)
  • Nociplastic Case Study (Barbara)
  • Part 3 Feedback
  • Part 4.1: Review
  • Review
  • Part 4.2: Targeting Treatment to the Phenotype Continued
  • Target: Anxiety and Pain
  • DASS21 Reviewed
  • Part 4.2 Quiz!
  • Part 4.3: Assessing and Addressing Catastrophization
  • Biopsychosocial Framework: What’s Next?
  • Measuring Catastrophization
  • Target: Catastrophization and Pain (Mindfulness Meditation)
  • Part 4.3 Quiz!
  • Part 4.4: Assessing and Addressing Self-Efficacy
  • Measuring Self-Efficacy
  • Target: Self-Efficacy and Pain
  • Part 4.4 Quiz!
  • Part 4.5: Qi Gong
  • Qi Gong
  • Practical Considerations
  • Part 4.5 Quiz!
  • Part 4.6: Second Wave of Integration
  • Second Wave of Integration
  • Part 4.7: Sensory-Motor Dysregulation
  • Cliff Hanger: Sensory-Motor Dysregulation
  • Part 4.8: Global Neuroimmune Considerations
  • Deep Dis-EASE
  • Sleep and Pain
  • Part 4.7 & 4.8 Quiz!
  • Part 4.9: Homework and Wrap-up 🏡📝
  • Wrap-up: Modulating Psychoneuroimmunology
  • What’s your Next Step?
  • Ah-Ha Moments Part 4
  • Part 4 Feedback
  • Part 5.1: Additional Material
  • Second Wave of Integration: Low Positive Affect
  • Second Wave of Integration: Injustice
  • Second Wave of Integration: Fear
  • Second Wave of Integration: Low Self-Compassion/Shame
  • Additional Telerehab Consult (Ian) Subjective Assessment
  • Additional Telerehab Consult (Ian) Objective Evaluation
  • Part 5 Feedback
  • Part 5.2: Additional Material - Treatment Strategies
  • De-catastrophization worksheet.pdf
  • Flowchart for Assessing and Treating Phenotypes of Central Sensitization for Physiotherapists.pdf
  • Postpone your Worry.pdf
  • Sensitive Nervous System Map.pdf
  • Telling your Story.pdf
  • Understanding Remapping Exercises.pdf
  • What You Need To Know About Scans, Activity and Pain.pdf
  • Paper on King Diagram
  • What's Next
  • Congrats and what's next!

Click on the 'Buy Bundle' button. On the first payment page, there is a spot to put in your coupon code!

Each course purchase is for a single viewer only, and may not be shared. This provides each participant with their own copy of the course bundle to review at their pace and their own certificates of completion.

For clinics/groups of 3 or more clinicians, we offer a Buy 2 get the 3rd bundle free. If you are a clinic with a membership on Embodia, the clinic manager can purchase the bundles on behalf of staff and contact us to receive the coupon code for the free bundle! If you are a clinic that does not have a paid membership on Embodia, you can contact us with the information of the 2 accounts that have purchased the bundle and we will assist you.

If you are a large group/clinic, please contact us at to arrange a coupon code specifically for your group.

This course has been approved for 3 CPD units by the South Africa Society of Physiotherapists (SASP). If you are a physiotherapist in South Africa and would like the number of approved CPDs to appear on your certificate of completion, please follow the steps outlined in this help article. 

Yes, we have added Closed Captions to this course in French and Spanish. You can preview what this is like by going to the Course Materials section and then watch the Free Preview lesson in the course.

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