Chronic Pain Management

I especially enjoyed learning about the nutritional aspects that can help chronic pain. I will start keeping a good journal to track my pain levels.

Abigail E. Campbell LMT Austin, TX

Course is very thorough, concise and informative. Great subject!

Aline Devreotes, LMT

Great course very educational, lots of useful knowledge.

Charlene Weston, LMT

Easy to read and follow. Information is relevant to any one in the healthcare industry.

Chet Crowley, NCTMB, LMT, Body Repair Massage Therapy Americus

Good overview of various approaches to assist clients who deal with chronic pain.

Dana, RN, LMT, Nashville, TN

This course gave me some useful things to think about in working with elderly clientele.

Emily H. LMT, Thinking Heart Massage - Portland OR

Course was informative and interesting.

Jessica Mowrey, CMT from MD

Useful material not only as a LMT but also in my new role as a RN.

Julie Jackson, LMT, RN Clarkston , GA

It was very informative, I really enjoyed the learning.

Karen Guthrie, LMT Mobile, AL

Another great course easily applied to use in my day to day client interactions

Lauren M. Theademan, LMT Union, KY

I thought this was a great course and a great way to finish my CEUs

Lea Downie, LMT, NCTMB

Great course, very easy to follow and informative!

Lori, CMT

It was informative and easy to follow.

Nicole F. Thayer LMBT and medical esthetician

The content was very easily understood and worded quite nicely.

Nikki L. Blanchard, LMT - North Platte, NE

The site was easy to use and I enjoyed the review in my own home on my on time

Ruthann Martin Advanced Neuromuscular Therapist, Zen BodyTherapi

Helpful course for clients friends and family!

Shauna Michelle Moody CMT San Diego, California

This course is one of the best courses I have taken. Very important and valuable information for the massage therapists and for healing practitioners. An eye opener You have done a great job! Thank You

Nora Sasson, RMT

i was excited and impressed with this course and will enjoy personal and professional benefit from information presented. Thank you!

Greg Satorie, LMT

Very interesting course, it gave new insights regarding clients who experience chronic pain and how to effectively help them deal with their condition.

Susan Price, LMT, NCTMB

I really enjoyed the course; it was very informative. I focus on therapeutic and rehabilitative modalities in my practice, and this will be very beneficial.

Angela Ivanovskiy, LMT

Loved the information presented in this course. Very interesting!

Angela McGill, LMT

Excellent course on pain management! Informative and comprehensive with benefits to both practitioner and patient.

Kimberly R. Thomas, LMT

I thoroughly enjoyed the course and the information was very detailed. It was especially helpful to understand more about the pain response of the muscles since this is the area most clients are concerned about. I would recommend this to all of my massage staff

Jessica Chun, LMT, NCTMB

An excellent source of information about dealing with chronic pain in clients.. And also helpful to therapists themselves. Great course.

David Palmisano, LMT, NCTMB

Professionally presented and documented. I will be back

Catherine Friend, RMT

I loved this course. I deal with Chronic Pain issues, and this made some things more clear for dealing with the conditions. Also, it gave me great tips on how to work on people with these conditions as well.

Michelle Rogers, LMT

I found this class very informative. I appreciate good on line classes. thank you

Sr. Stella Cronauer, LMT, NCTMB

This is my 2nd course and I have been very pleased with both.

Pamela Ashmall, LMT

This course answered so many questions for me and to pass along to my clients. Your company is the BEST!

Ilisa Green, LMT

This was a very informative class, thank you!

Rosemarie Daiek, LMT

Very interesting! This course refreshed my perspective in regards to natural and holistic pain management and treating the whole person, body, mind and spirit.

Connie Messer, LMT, NCTMB

These courses are amazing and very comprehensive. I plan on taking more courses.

Jewell Zweegman, LMT

I liked this course very much, it is full of so much information. It has helped me understand so much about my own frustration's in the medical field as I battle chronic pain as well as help me bring new information and tools to my clients who also battle daily pain. I believe we will win the war of chronic pain, thank You.

Sarah Grinslade, LMT, NCTMB

Great, informative course on Chronic Pain!

Anna Jackson, RMT

A well rounded and informative presentation

Tami Longton, LMP

love your courses a great way to get extra ceus and gain knowledge

Steve Tolnai, LMT, NCTMB

Made me realize some other avenues of helping my clients with chronic pain!

Donna Costa, LMT, NCTMB

I enjoy the download study material, easier to view and study..

Roberto Chacon, RMT

I'm always looking for new ways to help my clients with chronic pain. This course has given me a better understanding of chronic pain and valuable information to share with my clients.

Sierra Patterson, LMT

Very Informative and helpful. I enjoyed reading the material.

Rebecca Schulte, LMT

Very informative information, it will really help with all my clients working as an LMT & MLD therapist!

Ivy, K, LMT & MLD Therapist

Having taught in-depth Neurology in Nursing; developed Continuing Education programs;as a Practicing Massage Therapist; a current Medical Hypnotherapist and former writer of test questions...... my evaluation: -the explanation of the pain process, the supporting physiology and the presentation style were among the easiest to understand and by far the best for student learning. -The flow of content was consistent and went from simple to complex in nature but still understandable -The test questions were constructed appropriately with the exception of #'s 10 & 21". Put "it" and "to" in the stem of the question to reduce redundancy in the foils. Kudos to the writer. Well done indeed !!

Judith Dean, RN, DSci., NCTMB, CHt Former Chair, National Certificatio

I really enjoyed this course. It was diverse and concise and gave me lots of things to think about incorporating into my practice.

Clair Smith, LMT

This course seemed relatively easy. It was very informative and held my interest. I will be printing the information out and refer to the course to share with others. Thank you for allowing me to read the information on a normal level and not a genius level that is hard to interpret or understand.

Carol Simpson, LMT, NCTMB

Really enjoyed it. Information is interesting & easy to absorb & apply in my practice. The staff is extremely helpful. A pleasure to work with.

Mary Chlebina, LMT, NCTMB

I have enjoyed all the courses I've taken from the Institute. This one was particularly relevant for several of my clients. Thank you.

Barbara Schreiber, LMT

This is a must "KNOW" for all Massage Therapists.

Ingrid Harris, LMT, NCTMB

Easy to read and comprehend and much more interesting than I expected from an on-line course. I am looking forward to my next 2 courses.

William Hunter, RMT

Chronic pain is a big issue for a lot of individuals. It makes simple tasks difficult. Taking this class will help me understand what they are going through.

Amanda Downour, LMT

Very informative. I will use material as reference in future

Robin Alexander, LMP

I am also a licensed counselor in Texas and have worked with chronic pain patients. This would be a good course for other counselors or other health care professionals. I am glad I chose this as one of my courses.

Bill Roach, RMT

I felt the information was presented well and that it will be of great use for me at my practice.

Cindy Long, LMT, NCTMB

very informative, helpful, and useful.

Sandra Teague, LMT

Very informative. I like that the course included information on homeopathy, herbs, acupuncture. Very well-rounded and concise.

Joy Scarano, LMT

One of the best I've taken with our company. I can use this information for myself, my wife, our families and my clients, friends, associates, my allopath, and other interested persons. Really very informative, well written, researched and presented in a most easily understood way.

Jason Ryan, LMT, NCTMB

This course was very informative. Especially enjoyed the info on dental metal chelation.

Carlene Pfeister, LMT

Hi I enjoyed reading the material but remembering the information was harder because there was a lot to recall. I found my self having to look back more times then i liked. The answers weren't easy to find. But I still enjoyed the material and it will be useful to me.

Holly Sahouli, LMT, NCTMB

Great information. Material gave excellent overview of pain and treatments.

Holly Brim, LMT, NCTMB

This was my first online CE class and I have to say I am very surprised that I learned so much. Great Job!

Abedel Migbel, LMT

Gained some great information pertaining to chronic pain management and how to apply to my practice.

Mike Lubovich, LMT, NCTMB

Great information that can be passed on to my clients.

Annette Hull, LMT, NCTMB

Course was clear concise, instructions were clear & concise & it's availability made it a good choice

Michael Kelly, LMT

I was pretty surprised when I downloaded the study, it was in depth and quite informative, I really enjoyed it and learned quite a lot from it. I have done other studies from different places and found them way too easy and never learned much but this one exceeded my expectations - great stuff. Thank you

Emily Lovell, LMT, NCTMB

After taking this course, I know that I can better serve my clients with chronic pain.

Nathan Trainor, CMT

This was a great course. Thank you!

Deete Petrus, LMT

I LOVE this topic!!!

Shawn Stevens, LMT

Keep up the good work...many thanks! :-))

Modesta Best, LMT, NCTMB

Loved the course. Brief and useful!

Kristi Nelson, LMT

I am grateful that these courses are made available to us. They are educational and informative and help me learn what I am interested in and more about what I am dealing with on a daily working basis.

Martha Duval, LMP, NCTMB

I enjoyed this course. There are lots of good ideas that were presented to me for the first time. I am excited to see how they will work for some of my clients.

Les Nuckles

The course covered a lot of material in a short paper. I learned many new insights regarding chronic pain. some of my older clients suffer from this, fibromyalgia, PHN, and other ailments that they must live with. The content of the course has helped me become more aware of how I can help them

Kathleen Warm, RMT

New information gained and great review!!

Colette Bomback, LMT

I really enjoyed taking this course, thank you!

Nicole Steed, LMT

I am so pleased, once again, with the curriculum in this and the other class I purchased! I gained more knowledge and will use this in my practice!

Patricia Woodby, LMT

I truly enjoyed this course. It is very interesting and informative. Great information to share with my clients as well. The best of it all, the course is very affordable. What a great saving! Thank you.

Barbara Acosta, LMT

I enjoyed the scope of information. I will continue to learn more thru the references that were included. Thank you.

Susan Cox, LMT

The content was clear, concise, organized well, and memorable.

Cheryl Berry, LMT, NCTMB

Excellent reminder and new information for me to pass along to my clients. I plan on using portions of the course materials to hand out to my clients. They appreciate whatever I can teach them. Thank you

Julie Omdahl, LMT

This may have been my favorite course thus far. Definitely what I am into.

Michelle Keinath, LMT

Great course!

Dondi Gasper, LMT, NCTMB

I was diagnosed with Rheumatoid Arthritis 6 years ago and I see clients that are experiencing chronic pain. I found this course very helpful both personally and professionally. I look forward to trying some of the recommended interventions to reduce abnormal inflammation and bring body/mind/spirit back into a healthy balance.

Mary Osten, LMT, NCTMB

I found this course very enlightening and will be using the information in my practice to enlighten my clients!

Rachele Zimprich, LMT

I really enjoyed this course. The content was varied and very engaging.

Andrea Ullom, LMT

This was an informative and interesting course. Thanks.

J Morgan Whitney, LMT

straightforward and easy to complete.

Gina McConnell, LMT

Course was great. Thank you!

Lori Uretsky, LMT, NCTMB

Another great course.

Kay Lilljedahl, LMT

good course!!!

Edie Hill, LMT

Very good course

Wendell Manning, LMT

I really learned a lot from this course. We hear everyday and work with people who are experiencing pain, but do not have the empathy to get to the root of the problem. Would suggest this course for every practioner.

Linda Moye, LMT

Easily understandable!

Dagmar Lemich, LMT, NCTMB

I'm a therapist, but i'm also a chronic pain patient. This course helped me understand acute/chronic pain better, and some other things I can do to help both my pain and my clients pain. I loved it!

Rhonda Aichele-Johnson, LMT

I enjoyed this course. I already knew so much of this info because I use essenial oils in my practice. But I studied herbs before I did Massage. A lot of this we learned in school, but that was 12 years ago. It was great for an update and I can refer my clients to some of this info with references! Thanks

Bettina Lail, LMT

great test and very interesting

Jean Nottage Van Horn, LMT, NCTMB

Great Content !

Irma Reeves, LMT

This information was so valuable to me in both private practice and personal life.

Barbara Kadri, NCTMB

Course has some interesting recommendations I can relay to my clients. I liked the wide variety of options for dealing with pain. I can definitely use this information in my practice.

Teresa Larsen, LMT

To me, this was the most engaging of your courses so far, really inspiring me to seek out additional material.

Claire Dana, LMT, NCTMB

Another great course! Material was clear, interesting and very helpful to my practice. I especially liked the nutrition information and how it's linked to pain.

Melanie Ashmore, LMT

Seems almost all my clients are experiencing chronic pain; this was immensely helpful!

Patricia Perdue, LMT, NCTMB

Enjoyed the course!

Erica Gray, LMT, NCTMB

Clear, informative and well-written text. Very helpful to my practice and refreshing and enhancing my knowledge of chronic pain management for the benefit of my clients. Thank you!

Marcia West, CMT, NCTMB

I totally enjoyed this course and the detail in what I learned in this study of Chronic Pain Management. I have always found all of your courses to be up to date and informative and brings a better perspective to the learning process

Darryl Hodge, LMT, NCTMB

I enjoyed the content. Thanks for writing it.

Natalie Jones, LMT

I found this difficult in some places to find the correct answers. But eventually I was able to but it took me a long time. I did find this quite informative and helpful since I myself have chronic pain and some of the feelings that were spoken of are some that I carry as well. I use many tools to assist with my own condition and have learned some more here.

Lorraine Cannatta, LMT, NCTMB

Not only is this valuable to my practice, but also to me personally. I am a sufferer of chronic pain, and I was able to relate to many aspects of the course content.

Kelly McGowan, LMT

There was great information about healthy and natural ways of dealing with chronic pain. All the bases were covered (i.e. physical, emotional, nutritional, etc.) I found the course materials to be interesting and the information positively impacted me to help my clients even more than before. I specialize in chronic pain, so anything I can learn in new and updated material is always appreciated. This course reminded me of a few things that I had forgotten about in regards to dealing with chronic pain more holistically. Thank you for a great review of information along with new study statistics, etc...

Debi Casto, LMT

I think that the subject matter was helpful and will be useful in my everyday practice.

Jessica Strickland, LMT

Loved this course

Marshey Smith, RMT

This course will help me to understand better those clients dealing with chronic pain. I liked that it covered various techniques that could be helpful to a client, including the simple reminder that we should try to move all our joints each day (if not contraindicated).

Carol Benjamin

I really found it helpful

Louisa Long, LMT, NCTMB

Very good thank you.

Sr. Catherine Cline, LMT

Easy Read!

Kristin Williams, LMT, NCTMB

Loved this course considering. I have chronic migraines. Now I have better insight on how to help me deal with them before I result to medications.

Monica Hoda, LMT

I was happy to see there was a lot of information on different areas of Pain covered.

Julie Bertin, LMT, NCTMB

This course material will help me explain to my clinics with chronic pain, why massage therapy will benefit them for pain management.

Jessica Clevenger, LMT, NCTMB

I liked how it covered a variety of reasons for the chronic pain.

Amy McLane, LMT

This course was very beneficial, and informative. I highly endorse it.

Mac Simpkins, LMT

The course was comprehensive and met my needs.

Craig Smith, LMT

Clearly presented information, informative, and useful to me both professionally and personally. Thanks!

Mary Bea McCaffray, LMP

Very good course material. Will take another course from Institute for Integrative Healthcare Studies.

Evelyn Browning, COTA/L LMT

Excellent overview of subject matter, well-presented, and useful in massage practices

Janus Hudson, LMT, NCTMB

I picked up some new and valuable information that would be great to share with others.

Louise Landowski, NCTMB

I really appreciate how the course includes a wide variety of holistic options in terms of supplements, foods/herbs and therapies.

Karen Bush, LMT

Great Class. Good and easy information to follow. Look forward to more classes through here.

Terry Olesen, LMT

It was informational. It was a short booklet, but I learned some interesting things about chronic pain.

Lori Martin, LMT, AMTA

I foudn the course to be very informative and relevant to my practice.

Kimberly Lauren, LMT

The information on the links between nutrition and inflammation and chronic pain in the body was especially interesting; definitely something I'll investigate more for myself and my clients.

Katherine Stewart, LMT, NCTMB

Absolutely fantastic course! Great refresher class with lots of new and updated material for me to stay relevant & offer the best treatment possible to my clients.

Deborah Cole, LMT

Excellent course for any massage therapist or anyone dealing with chronic pain. There are great tips to suggest for clients with chronic pain. Personally, I struggle with arthritis/inflammation pain and this article has given me some new treatment options to investigate for myself. Useful information presented clearly and concisely!

Rebecca Mabe, LMT, NCTMB

I'm an Army veteran and have struggled with Chronic Back pain for over a decade. My massage clients and myself will benefit from the information on this class. Thanks!

Valentina Watson, LMT

I learned a lot of helpful information about chronic pain management from this course that will be of benefit to me as well as my clients.

Annie McFadden, CMT, NCTMB

Thank you for providing an user friendly way of earning CEU's. I enjoyed this course and gained more knowledge about chronic pain that I believe will help my clients.

Amy Blake, LMT

The course was very informative and I will be able to use the information in my practice. I wish I had learned earlier about chronic pain. I also like the other information provided on alternative forms of treatment. I enjoyed the course very much.

Virginia Simonin, LMT

I deal with many patients on a daily basis struggling with chronic pain.This course presented information that will be very useful in viewing these cases in a different, more understanding light. I have used the Institute before and have always been extremely pleased. Would definitely use again and recommend to others. Thank you!!

Kristin Gaulin, LMT, NCTMB

This course was interesting, well developed, and far superior to many online courses I have taken in the past. Thank you!

Kristanne Stone, LMT, NCTMB

One of the best courses I've taken online. Thank you :)

Jenny Hamilton, LMT

The material was complete and easy to understand. An excellent review of Chronic Pain Management!

Davis Beard, LMT

An especially good course for clients as well as myself. Thank you.

Grace Boland, LMT

A very helpful couse. It gave me valuable tools to interact and care for my clients, as well as to manage my own experience with chronic pain. Thank you!

Teresita Del Castillo, LMT

This class will be very beneficial for me in communicating with and giving better service to my clients with chronic pain problems. Thank you!

Alicia Chance, LMT, NCTMB

I was very happy with the course and it was very informative.

Jari Greene, LMT, NCTMB

I really appreciated the course addressing the emotional/ social ramifications of chronic pain- excellent course!

J. Elizabeth Foster, LMT

The material was well organized and clearly put together. The course was a good one. I have already benefitted from it, personally. Professionally, definitely a plus!

Giandomenico Perazzoli, NCTMB

Another well written course with lots of useful information and added websites for furthering one's knowledge. Will be doing that! Thanks.

Nikki Scarpitto, LMT

I learned facts about the body I had never learned and I know a lot! Kudos!

Mary Christine D'Auria, LMT

Have been a professional massage therapist for many years. This course was very informative and professional. It brought back many conditions and treatments I had forgotten about. I appreciate the thoroughness and quickness of your institute in allowing me to get my CEU’s needed to renew my license.

Deborah McKinley, LMT

Great review of physiology of pain and how the brain differentiates between different kinds of pain.

Judith Rivet, RMT

This course was not only convenient, but interesting. Some of the information I already knew, but it is always good to review. I also learned some new information that will be helpful.

Barbara Bundy, LMT

I have never taken an online course before and I was very pleased with how easy it was to register and complete the course. I love the flexibility of this type of learning.

Reta Quartly, RMT

This class was interesting and to the point.

Marilyn Pipp, LMT

Interesting and informative course!

Jay M. Dobrzynski, LMT

Thank you for the Chronic Pain course - I have clients with chronic pain and this course gave me a broader and much more comprehensive understanding of both Acute pain and Chronic pain.

Rita Kathlyn, CMT, NCTMB

Excellent course! Interesting material and I learned new information. The Institute's courses are great!

Kerstin Usher, LMT

This was a very interesting course with some really good information.

Dorothy Cullinane, LMT, NCTMB

The specific therapies and treatments listed for Chronic Pain Management, along with websites are extremely helpful and a great source of information. I also appreciate the references listed for the course materials along with supplementary reading and further websites.

Eileen Keegan, LMT

This course was pretty thorough and touched base on more than I expected such as nutrition, etc. The info can be used in my practice and also personally. Thank you.

Joyce Purington, LMT

The course presented concise and direct information without a lot of superfluous information, which for me helps me to retain the important points of the topic which makes it easy to present to my clients.

Donna Buscarello, LMT

This course was very informative and was presented in a very easy way to understand. I would recommend this course to anybody who works in the field of healing and wants to learn more about how to deal with chronic pain. I love this site and will continue to take more courses here. It is so easy to navigate this site and find another interesting topic. Thank you to all of the people who are running this site.

Rosemary Barnes, CMT, NCTMB

Very good information! Very easy to read and understand.

Sharon Binder, LMT

I really enjoyed the Chronic Pain Management workshop. It was highly informative. I definitely gained new knowledge especially from the nutritional aspect.

Elisa Gould

Thank you for another informative course! I greatly appreciate the quality of the material and the friendly,professional staff. A small course about Chronic pain management with a huge amount of useful information! J MARTIN, LMT

Janice A. Martin

I highly recommend this course to anyone who wants to advance or improve the knowledge of Chronic Pain. Very informative program. This program will help the client as well as the therapist.

Sharon Miller

Great course! Extremely well written and easy to understand.

Sally Chattin, LMT

Was beneficial, generalized information; felt it could have been added upon with specifics pertaining to massage therapy modalities. Appreciate the holism of the course with inclusion of all realms.

Sharon Leake, LMT

Good course. Upfront teaching -not tricky. Informative.

Shirley Itani, LMT

Absolutely one of my favorite courses to date, and I highly recommend it to everyone!

Elisabeth Nehme, BCTMB

The course was quick, easy and informative. The knowledge gained from the course will help tremendously in my Massage Therapy practice.

Richard Webb, LMT

Good information to refresh our knowledge on current Chronic Pain studies when in need of CEU’s.

Judy Lacy, LMT

I think that this is an excellent course. Although the booklet is short, I learned more from this than many extensive courses. It really help my attention, has many valuable pointers some of which I was already aware of, but quite a few other that I did not know.

Julia M. Calderon, LMT

Great course, easy and affordable too.

Christine Galotti, LMT

I found this course very beneficial. Well organized and informative. New Concepts were presented. The information can be used and will be used in my practice.

Mary Frances Davisson, LMT, BCTMB

This course contains a lot of valuable information. It is very informative.

Joyce Bahr, LMT

I frequently take my courses through the Institute being they are always meeting my expectation and I continuously learn additional information to weave into my personal life as well for my clients. I strongly recommend this course to be a mandatory course as the ethics and research is. Our role as practitioners are to be as compassionate, develop strong listening skills, grounded within ourselves and the role with a client and understand the depth of importance to what it means to be a CHRONIC PAIN PERSON! One's entire self - body, mind, spirit , religious beliefs, lifestyle plus must all be taken into consideration.This alone will help guide a person to regain hope towards living a greater quality of life pain free.

Karen Baskin, LMT, BCTMB

Great information on chronic pain and treatments.

Arica Clay, LMT

This course can be used by anyone wanting to help cope with chronic pain. Easy to study use.

Zelma McCamish, LMT

It was informative, held my attention and easily laid out to follow.

Terri Castrup, LMT, BCTMB

I found this course quite beneficial in terms of my understanding of chronic pain management.

Annie McFadden, CMT, BCTMB

Thanks for putting together such a concise course. It was very on track with what I expected.

Maressa Rahn, LMT, BCTMB

Great course!

Lameka Kirk, CMT

I enjoyed this course because it assists me in education for my clients & patient's of my chiropractor, some of which do suffer from chronic pain & illnesses.

Kimberly Arndt, LMT

• Describe how a client's mind, body and spirit can affect their relationship with chronic pain.
• Identify the key neurological elements involved in chronic pain.
• Define "relaxation response" and why it's useful in chronic pain management.
• List a variety of pain regulation therapies and their possible benefits for clients in chronic pain.
• Describe the primary relationship between nutrition and chronic pain.

Chronic pain is similar to aperpetually stressed state of being. During a fight-or-flight response tostress, our sympathetic nervous system releases adrenalin and other hormones. This increases the heart rate, breath rate, blood pressure and redirects bloodflow to muscles. Normally this process lasts until the perceived threat ordanger is gone; however, if someone is experiencing a constantly stressed stateof being, their recuperative abilities to return to homeostasis are exhaustedand threatened. The following symptoms may emerge: reduced immunity, diarrhea,constipation, fatigue, headaches, sleep disturbance and poor concentration,shortness of breath, weight loss or gain, increased muscle tightness or tension,anxiety and depression. 

from Helping Clients Manage Chronic Pain by Sharon Burch (2008)

Which one of these is NOT a warning sign of severe edema?

1. Observable pitting in the affected area
2. Scabs in the affected area
3. A clear jelly-like substance on the affected area
4. Swelling of more than 3 cm in diameter of affected limb