Reinjury is a common challenge following an initial injury—especially in high-demand environments like sports and military service. Understanding how to prevent it is crucial for long-term recovery and performance.

In this episode, host Tom Hoppe is joined by Daniel Crumback, a highly credentialed expert in rehabilitation and performance. Daniel is a Physiotherapist, Sport Physiotherapist, Clinical Exercise Physiologist, Certified Strength and Conditioning Specialist, High Performance Specialist, Chartered Activity and Health Practitioner, and Director of Strategic Health and Performance.

Together, they discuss his recent research aimed at reducing reinjury rates in the Canadian Armed Forces. While the study focuses on military populations, the insights and strategies shared are highly relevant for anyone recovering from injury—athletes, active professionals, and civilians alike.

For more about the Chronic Pain Centre of Excellence visit https://www.veteranschronicpain.ca/

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In previous episodes, we've discussed the deep connection between mental health and chronic pain. Today, we take that conversation further with Dr. Venue Karapareddy, a psychiatrist with specialized expertise in brain health, neuroplasticity, and innovative mental health treatments.

Dr. Karapareddy is a clinician and researcher who focuses on complex conditions such as PTSD, treatment-resistant depression, and chronic pain. He is actively involved in advancing the use of neuromodulation therapies—including transcranial magnetic stimulation (TMS) and ketamine—for individuals whose symptoms have not responded to traditional treatments.

In this episode, host Tom Hoppe sits down with Dr. Karapareddy to explore how chronic pain and PTSD are linked in the brain, how neuroplasticity can be harnessed for healing, and how emerging therapies are reshaping what’s possible in pain and trauma recovery.

For more about the Chronic Pain Centre of Excellence visit https://www.veteranschronicpain.ca/

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Today, we welcome back Dr. Jeffrey Mogil, E.P. Taylor Chair in Pain Studies at McGill University, to explore the fascinating world of preclinical pain research—specifically, the role of gender differences.

In this episode, host Tom Hoppe asks Dr. Mogil to explain what preclinical research is and why studying sex differences in animal models, like rats, is critical for understanding how pain is experienced and treated differently in men and women.

Tune in to learn why this research matters and how it could shape the future of pain management.

For more about the Chronic Pain Centre of Excellence visit https://www.veteranschronicpain.ca/
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In Season One, we explored how chronic pain can affect children—and how parental pain may increase the risk of chronic pain in the next generation.

In this episode, host Tom Hoppe welcomes back Dr. Melanie Noel, Principal Investigator of the original study, to discuss her latest research examining the unique needs of Veteran families living with chronic pain. Together, they explore how chronic pain impacts not just individuals, but entire families—and what can be done to support better outcomes across generations.

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How does mindset influence chronic pain, recovery, and treatment outcomes? And what role does identity play in the healing process?

In this episode, host Tom Hoppe is joined by Nicholas Held, Interim Scientific Director of the Canadian Institute for Military and Veteran Health Research (CIMVHR). Nicholas shares insights from his recent research exploring mindset, identity, and transition during physical rehabilitation and recovery. Together, they discuss how these psychosocial factors affect chronic pain management—and what clinicians and patients alike can take from this evolving understanding.

Links

CIMVHR - https://cimvhr.ca/

For more about the Chronic Pain Centre of Excellence visit https://www.veteranschronicpain.ca/

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Many of you may be familiar with the biopsychosocial model of pain, which recognizes that chronic pain isn’t just physical—it also has psychological and social dimensions.In this episode, host Tom Hoppe is joined by Dr. Tim Salomons, Associate Professor in the Department of Psychology at Queen’s University. They explore the phenomenon of pain flashbacks, treatment options including mindfulness and ketamine, and the complex challenges of treating chronic pain when it overlaps with PTSD.Tune in for a deep dive into the intersection of trauma, memory, and pain—and how research is shaping more holistic approaches to care.


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We’ve often discussed the importance of movement, exercise, and muscle strength on this podcast. But as we age, our bodies naturally lose muscle mass—a process that can significantly impact chronic pain and overall function.So, how can we slow muscle loss and maintain strength over time?In this episode, host Tom Hoppe welcomes back Dr. Sarah Vadeboncoeur to explore the science behind muscle loss and the best strategies to preserve muscle as we age. Tune in for practical insights and expert advice to support long-term health and pain management.


For more about the Chronic Pain Centre of Excellence visit https://www.veteranschronicpain.ca/

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Many people living with chronic pain also experience inflammation, which can significantly affect their quality of life. But what exactly is inflammation, and how can you reduce it?In this episode, host Tom Hoppe is joined by Dr. Alexandra Perel-Winkler, a licensed naturopathic doctor and co-founder of Clementine Natural Health. Dr. Perel-Winkler brings an integrative approach to health care, focusing on the root causes of illness and empowering patients through education and natural therapies. Together, they explore the connection between inflammation and chronic pain—and practical strategies for managing both.

Dr. Alexandra Perel-Winkler - https://clementinenaturalhealth.com/

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Welcome to Season Six of The Most Painful Podcast!

This season, we’re diving deeper into the science and stories behind chronic pain with evidence-based insights to help improve your health and quality of life. Topics this season include inflammatory burden and how to reduce it, the intersection of sex and chronic pain, supplements for muscle loss, and much more—so be sure to subscribe!In this episode, host Tom Hoppe speaks with Dr. Jeffrey Mogil, Professor of Psychology at McGill University, about the importance of pre-clinical pain research and how it plays a crucial role in advancing our understanding of chronic pain and developing new treatments.

For more about the Chronic Pain Centre of Excellence visit https://www.veteranschronicpain.ca/
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Back by popular demand, Dr. Max Sun—Professor at UBC and Pain Specialist—returns to the podcast to dive deeper into a topic that affects millions: inflammatory arthritis. In Season 4, Dr. Sun gave us a broad overview of arthritis, and since then, we've heard from many listeners wanting to learn more. 

In this episode, Tom Hoppe explores the different types of inflammatory arthritis, how they’re diagnosed, and the latest treatments available. Whether you're newly diagnosed, supporting someone with arthritis, or just looking to understand it better, this episode is packed with expert insight to help you take informed steps toward managing pain and improving quality of life.


For more about the Chronic Pain Centre of Excellence visit https://www.veteranschronicpain.ca/

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In this episode, Tom Hoppe explores how chronic pain research translates into real-world impact. This episode's guest is Cam Kowalski, the Director of Operations at the CPCoE. Cam shares how the CPCoE supports cutting-edge research and what that means for people living with chronic pain. 

Whether you're a clinician, caregiver, or someone living with pain, this conversation will give you insight into how research drives better care—and how you can use that knowledge to advocate for yourself and improve your quality of life.

For more about the Chronic Pain Centre of Excellence visit  https://www.veteranschronicpain.ca/

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Today, Tom Hoppe is joined by Dr. Sarah Vadeboncoeur to discuss a topic that was requested by the audience, postmenopausal symptoms.

This episode will cover what postmenopause symptoms are, how to manage them and some helpful tips.

Dr. Sarah Vadeboncoeur - https://drsarahv.ca/
Dr. Sarah’s Podcast - https://drsarahv.ca/podcast-page/

For more about the Chronic Pain Centre of Excellence visit https://www.veteranschronicpain.ca/

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In this episode, Tom Hoppe speaks to Dr. Pavlos Bobos, an Assistant Professor in musculoskeletal health and a clinical epidemiologist who received education in physiotherapy. Dr. Bobos has just completed the latest research on regenerative procedures for Osteoarthritis.

For more about the Chronic Pain Centre of Excellence visit https://www.veteranschronicpain.ca/
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In today’s episode, we dive into how brain health plays a crucial role in chronic pain management. Tom Hoppe is joined by Dr. Brenda Lau, the Medical Director and renowned pain specialist at ChangePain in Vancouver, B.C.

ChangePain - https://www.changepain.ca/

For more about the Chronic Pain Centre of Excellence visit https://www.veteranschronicpain.ca/

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Accessing healthcare can be challenging for Canadians without a family doctor, and Veterans are no exception. For Veterans, having a family doctor is often essential to navigate Veterans Affairs Canada benefits, as assessments, referrals, and documentation require a physician’s involvement. Unfortunately, many Veterans leaving the Canadian Armed Forces face additional hurdles when they find themselves without primary care.In this episode, retired Lieutenant-General Jean-Marc Lanthier joins us to shed light on the release process from the Canadian Armed Forces and discuss a key service designed to support Veterans without family doctors. Tune in to learn how Veterans can access the care they need during this critical transition.

For more about the Chronic Pain Centre of Excellence visit https://www.veteranschronicpain.ca/

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Welcome back to The Most Painful Podcast! We’re wrapping up our Live from Invictus series, bringing you one last inspiring conversation from the 2025 Invictus Games in Vancouver, BC. Today, I have the great opportunity to speak with Oleksandr Androschuk, an athlete competing with the Ukrainian team. He shares his journey of resilience, the challenges of preparing for the Games, and what it means to represent his country on the international stage. From training to competition, Oleksandr’s story is one of determination, strength, and the unbreakable Invictus spirit.

Thank you for joining us for this special series. Stay tuned for more episodes of The Most Painful Podcast!

For more about the Chronic Pain Centre of Excellence visit https://www.veteranschronicpain.ca/
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Welcome back to The Most Painful Podcast! We're continuing our Live from Invictus series, bringing you exclusive conversations straight from the 2025 Invictus Games in Vancouver, BC. In this episode, I had the chance to sit down with Marie-Cécile Boeuf, a French athlete with an incredible story to tell. Competing in Skeleton, one of the most extreme winter sports, she shares a hair-raising account of what it’s like to race headfirst down an icy bobsled track at breakneck speeds. From the adrenaline rush to the mental and physical challenges, Marie takes us inside this thrilling event and what it means to compete on the Invictus stage.Stay tuned for more powerful stories from Live from Invictus!

For more about the Chronic Pain Centre of Excellence visit https://www.veteranschronicpain.ca/
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Welcome back to The Most Painful Podcast! We're continuing our Live from Invictus series, bringing you exclusive conversations straight from the 2025 Invictus Games in Vancouver, BC. In this episode, I had an unexpected but incredible reunion with Bruce Thompson—we discovered that we had served together in the same unit years ago. Bruce is now dedicating his time to supporting fellow Veterans through his work with Veterans Connect, an Edmonton-based organization focused on mental health and peer support. We discuss the challenges Veterans face, the importance of staying connected, and the work being done to ensure no Veteran struggles alone.Stay tuned for more powerful stories from Live from Invictus!

Veterans Connect - https://veteransconnect.ca/

For more about the Chronic Pain Centre of Excellence visit https://www.veteranschronicpain.ca/
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Welcome back to The Most Painful Podcast! We're continuing our Live from Invictus series, bringing you exclusive conversations straight from the 2025 Invictus Games in Vancouver, BC. In this episode, we sit down with Clara John from the Liìote Nation, who carries a deep-rooted background in traditional medicine passed down from her uncle. Clara shares her personal experiences with the effects of traditional healing practices and their role in health and well-being. Join us as we explore the intersection of ancestral wisdom and modern recovery, and how these practices continue to support Veterans and athletes alike.Stay tuned for more inspiring stories from Live from Invictus!

For more about the Chronic Pain Centre of Excellence visit https://www.veteranschronicpain.ca/
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Welcome back to The Most Painful Podcast! We're continuing our Live from Invictus series, bringing you exclusive conversations straight from the 2025 Invictus Games in Vancouver, BC. In this episode, we sit down with Igor Khoeodylo, the medic for the Ukrainian Invictus team. As a former combat medical lead and past Invictus athlete, Igor brings a unique perspective on both the battlefield and the competition. Join us as we discuss his journey, the resilience of Ukrainian athletes, and the vital role of medical support in adaptive sports.Stay tuned for more inspiring stories from Live from Invictus!

For more about the Chronic Pain Centre of Excellence visit https://www.veteranschronicpain.ca/
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