Chronic Pain Chronicles with Dr Karmy
Aug 25, 2026 · 41 min · 12 segments
Dr. Jam is a Renaissance man who is a physiotherapist, an educator, and a musician. Join Dr. Karmy for an in-depth interview with Dr. Jam about the approach he developed over 35 years of practice to…
Bahram JamGuest
Grigory KarmyHost
And physiotherapy is a very broad tool used for many different conditions, and it's not just used for pain.
One is sports injuries, which are typically, fortunately, self-limited, and then there's physiotherapy for chronic pain.
See, when pain is from an actual injury, like sports injury or a car accident, the treatment is relatively easy, [laughs] meaning, first of all, time heals most things, from fractures to torn muscles.
And physiotherapy helps, you know, maintain the mobility of the patient as they, as they recover, strengthen them as they recover so they get back to their sports, or being able to lift their child, or be able to walk to the grocery store again, to get them back to function.
Nothing's happened to them, or something happened 20 years ago, and they still blame that what happened 20 years ago.
So that's when treatment becomes much more challenging, to say the least, because obviously time does not heal that kind of pain.
In fact, time often makes things worse, 'cause they don't get better, and traditional physiotherapy treatments to strengthen or stretch or put machines on don't really work.
Even medications prescribed by family doctors, anti-inflammatories that normally work for acute injuries, they don't work for chronic pain, so that's where people feel stuck.
And physiotherapy is a very broad tool used for many different conditions, and it's not just used for pain.
One is sports injuries, which are typically, fortunately, self-limited, and then there's physiotherapy for chronic pain.
See, when pain is from an actual injury, like sports injury or a car accident, the treatment is relatively easy, [laughs] meaning, first of all, time heals most things, from fractures to torn muscles.
And physiotherapy helps, you know, maintain the mobility of the patient as they, as they recover, strengthen them as they recover so they get back to their sports, or being able to lift their child, or be able to walk to the grocery store again, to get them back to function.
Nothing's happened to them, or something happened 20 years ago, and they still blame that what happened 20 years ago.
So that's when treatment becomes much more challenging, to say the least, because obviously time does not heal that kind of pain.
In fact, time often makes things worse, 'cause they don't get better, and traditional physiotherapy treatments to strengthen or stretch or put machines on don't really work.
Even medications prescribed by family doctors, anti-inflammatories that normally work for acute injuries, they don't work for chronic pain, so that's where people feel stuck.
The rest of this transcript — segmented and speaker-labeled, so you land on the exact moment something was said
Search every transcript — by keyword, by phrase, or by meaning, across every show Radar indexes
Trends — what is surging across podcasts, measured against its own baseline
Alerts — when a name you follow appears in a newly indexed episode
No account is needed to search Radar.