Annie O'Connor PT OCS Cert MDT
Annie O’Connor received her BS in PT from St. Louis University in 1986 and a masters in Orthopedic PT from Northwest University in 1993. She’s an orthopedic clinical specialist as recognized by the APTA since 1999 and is credentialed in MDT since 2005. She’s co-authored multiple peer-reviewed studies, articles in national and international publications, book chapters and is the co-author of her new book A World of Hurt: A guide to Classifying Pain.
Annie is the recipient of the 2009 Henry B. Betts Innovation Award. She currently is the clinical manager for the Rehab Institute of Chicago at the River Forest Spine and Sport Center.
Annie gives us a rundown of the important questions within the MDT assessment, and how these questions can help us key in on the patient’s pain.
Pain location, duration
Worse/Better, directional preference
She goes on to help interpret central sensitivity and some familiar frustrating patient scenarios.
Memorable Patient Case
Annie recalls several patient scenarios where a 2 week pain journal came in handy. She explains the 3 dimensions of pain (mechanical, emotional, and social), and discusses how valuable a tool a pain journal can be to recognize that pain is connected to other dimensions than just movement.
Annie compares pain to a criminal investigation. She notes the importance of identifying all potential “perpetrators” in order to rule in and out pain mechanisms.
Annie encourages us to ask people if you can make recommendations, rather than assuming that people want your help. She stresses the importance listening to the patient.