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Functional Nutrition for Chronic Pain Level 2

Functional Nutrition for Chronic Pain Level 2

Functional Nutrition for Chronic Pain Level 2

This course includes
12:00:00 of Course Material (View)
Lifetime access after purchase
Certificate of completion
The instructors
This course was recorded in January 2020


Functional Nutrition Level 2 is a continuation of Level 1. Part 2 will expand into the science behind the gut microbiome, gastrointestinal hormone imbalances, how nutrition influences neuroinflammation, and central sensitization.

This part of the certification also reviews evidence-based nutritional supplements for the treatment of many chronic pain syndromes, as well as standard blood work and functional medicine testing.


This Online Course is Broken Down into 6 Weeks:


Week 5: Gastrointestinal Imbalances

The complex interaction of diet along with the gut microbiome in the development and reversal of chronic pain is a link too strong to ignore in your practice. This week teaches you innovative and effective strategies that center around gastrointestinal imbalances with an emphasis on digestion, intestinal barrier permeability, alterations in the gut microbiome, assimilation of nutrients, and the gut-immune system.

Health conditions reviewed include inflammatory bowel diseases, irritable bowel syndrome, celiacs and nonceliac gluten sensitivity and disorders of systemic inflammation. Nutritional support of GI function and repair is emphasized with a focus on the gut-joint connection.

Week 6: Autoimmune Disease

Autoimmune disease is on the rise and the immune system is a critical driver of pain both centrally and
peripherally. In this week, you will gain a thorough understanding of the most common autoimmune
diseases and learn to intervene using functional nutrition.

Other topics looked at in detail are predictive autoantibodies; infection; endocrine influences; and
environmental and xenobiotic factors that contribute to autoimmune disease. By the end of this week, you will understand why common autoimmune conditions once identified as idiopathic now have a root cause etiology that informs natural pain care.

Week 7: Brain in Pain, Fatigue & Energy 

Nociception and pain begin (and end) with the brain. Here we take a comprehensive and often-overlooked view of the influence of nutrition on mitochondrial dysfunction and other mechanisms of abnormal energy production .

You’ll examine neuropathic pain, central sensitization, and the overall role the central nervous system plays in pain and nociception. In addition, this week evaluates chronic fatigue — common in 50% of those with pain. Conditions such as neurodegenerative disorders, chronic fatigue, and fibromyalgia will be reviewed.

Week 8: Hormones and Neurotransmitters

This week looks at how nutrition and psychoemotional stress influence the delicate balance and imbalance of neurotransmitters and hormones the body uses for communication. Particular emphasis is placed on the hypothalamic-pituitary-adrenal (HPA) axis, thyroid dysfunction, sex hormones and adrenal physiology.

The effects of diet, nutrient deficiencies, gut health, botanicals, and stress on neurotransmitters and hormones are analyzed within a functional nutrition framework.

Week 9: Evidence-based Supplements

This week helps you sort out the confusion as it looks at the evidence-base behind which nutritional supplements modulate inflammation, nociception, and decrease pain. You’ll gain expert insights about when to recommend supplements; what type of patients benefit from them; and the top supplement protocols that are most effective.

The information presented in this week is a strong complement to the nutrition and diet frameworks
taught in week nine. Finally, we will look at how common pain medications may be creating nutrient
deficiencies and how to intervene.

Week 10: Functional Testing

Achieving the best possible outcomes for patients may require that certain conventional and functional tests are utilized. This week explores the import tests that may include the collection of blood, saliva, urine and/or stool – and the role these tests play in a functional nutrition intervention.

You’ll learn how such tests can uncover hidden nutrient deficiencies and health stressors that have developed over a period of years that may have been ignored or under-appreciated in conventional medicine.

By learning to implement sound functional testing into your practice, you’ll learn how to effectively restore long-term health and optimal function for your patients.

Plus, this course contains Bonus content including group coaching call replays!



This online course is available to all healthcare professionals including physiotherapists/physical therapists, occupational therapists, chiropractors, athletic therapists, kinesiologists, osteopaths, as well as movement and yoga therapists.

Patients experiencing chronic pain expect more in today’s information-driven world than just recommendations for exercise and some manual therapy. They want to achieve long-term relief and look to you for expertise and guidance to help them feel better in every way.

Nutrition is a crucial part of that.

By gaining an in-depth understanding of how nutrition influences pain, you will …

  • Accelerate the healing process and alleviate your patients’ chronic pain
  • Experience dramatic improvements in patient satisfaction and outcomes
  • Gain a reputation as a valuable go-to resource within your community
  • Deepen your skills and prepare yourself for multidisciplinary care



This is Part 2 of a 2-Part course. In order to qualify for CEUs, you must complete both courses. On checkout, you will be able to purchase both courses together (with a discount!). You can find Part 1 of this course here

Parts 1 and 2 of 'Functional Nutrition for Chronic Pain' are approved for a total of 36 Physical Therapy Continuing Education Units!

The Integrative Pain Science Institute is recognized by the New York State Education Department, State Board of Physical Therapy, as an approved provider of physical therapist & physical therapist assistant continuing education. Courses are approved in New York as well as more than 30 states through reciprocity (see below for a list of states).


States Approved Through Reciprocity:

Alaska, Arizona, California, Colorado, Connecticut, Delaware, Georgia, Hawaii, Idaho, Indiana, Iowa, Kansas, Kentucky, Maine, Massachusetts, Michigan, Mississippi, Missouri, Montana, Nebraska, New Hampshire, New York, North Carolina, North Dakota, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, Wisconsin, and Wyoming.

NOTE: Many state boards accept offerings accredited by national or other state organizations. If your state is not listed, please check with your professional licensing board to determine whether the accreditations listed are accepted.

For participants outside of the United States or those who do not require a formal CEU certificate, you will receive a certificate of completion when you complete this course. The Integrative Pain Science Institute can also provide a Letter of Participation form that you may keep for your records. Upon completion of the course, please contact us at to request the form. Please check with your industry governing body to confirm whether this is required for your continuing education.

The instructors
Joe Tatta

Dr. Joe Tatta is one of the pioneering experts in lifestyle interventions for treating persistent pain. A unique combination of physical therapist, nutritionist, and ACT trainer, he has 25 years of experience in physical therapy, integrative models of pain care, leadership and private practice innovation. He holds a Doctorate in Physical Therapy, is a Board-Certified Nutrition Specialist and has trained extensively in Acceptance and Commitment Therapy. Dr. Tatta is the Founder of the Integrative Pain Science Institute, a company dedicated to reinventing pain care through education, research and professional training.

In 2017 he was a key member of the APTA task force expanding nutrition as part of the scope of practice for physical therapists. He is chair of the Physiotherapy SIG at the Association for Contextual Behavioral Science, the parent organization of Acceptance and Commitment Therapy. He also volunteers his time on the New York Physical Therapy Opioid Speakers Bureau and the New York Physical Therapy Association Opioid Alternative Task Force. Dr. Tatta is author of the bestselling book, Heal Your Pain Now and host of The Healing Pain Podcast, featuring interviews and free training from respected pain experts.

Course Material included in this course
  • Week #5: Gastrointestinal Imbalances
  • Introduction
  • Video- GI Imbalances 1
  • Slides- GI Imbalances 1
  • Video- GI Imbalances 2
  • Slides- GI imbalances 2
  • Paper- Dietary fructose intolerance, fructan intolerance and FODMAPs
  • Paper - The diagnosis and management of food allergy and food intolerances
  • Paper - Pain regulation by gut microbiota: molecular mechanisms and therapeutic potential
  • Nutrition ed - IBS Diet and Nutrition
  • Nutrition ed - Low FODMAP Diet
  • Nutrition Ed - Healthy Eating Plate for Elimination Type Diets
  • Nutrition ed- Food Reintroduction Guide and Symptom Tracker
  • Module #5 Quiz
  • Optional reading - Efficacy of the Autoimmune Protocol Diet for Inflammatory Bowel Disease
  • Optional Reading - An insight into the gastrointestinal component of fibromyalgia- clinical manifestations and potential underlying mechanisms
  • Feedback
  • Week #6: Autoimmune Disease
  • Video- AI 1
  • AI 1 Slides
  • Video- AI 2
  • AI 2 Slides
  • Paper - Managing RA with diet
  • Paper - Randomized-controlled trial of a modified Mediterranean diet for multiple sclerosis: A pilot study
  • Paper - A Multimodal Intervention using Paleo Diet in Patients with Secondary Progressive Multiple Sclerosis
  • Paper - Efficacy of the Autoimmune Protocol Diet as Part of a Multi-disciplinary, Supported Lifestyle Intervention for Hashimoto’s Thyroiditis
  • Paper - Comparison between Paleolithic Diet for Multiple Sclerosis and the Recommended Healthy U.S.-Style Eating Pattern
  • Nutrition Ed - 5 Step Approach to Reverse Pain & Inflammation Using Nutrition
  • Nutrition Ed - Immune Health Questionnaire
  • Nutrition Ed - Leaky Gut Assessment
  • Nutrition Ed - Food Reintroduction Guide and Symptom Tracker
  • Nutrition Ed - 5 Foods to Eliminate Pain
  • Nutrition Ed - 7 Day Elimination Diet Recipes
  • Nutrition Ed - Popular Food Substitutions
  • Nutrition Ed - 7-Day Elimination Diet Meals, Foods, Recipes
  • Module #6 Quiz
  • Optional reading - Paleolithic nutrition for metabolic syndrome- systematic review and meta-analysis
  • Optional reading - CVD From a Diet at Odds With Our Paleolithic Genome How to Become a 21st Century Hunter Gatherer
  • Optional reading - Cross Reaction between Gliadin and Different Food and Tissue Antigens
  • Feedback
  • Week #7: Brain in Pain, Fatigue & Energy
  • Video - Brain & Pain
  • Slides Video - Brain & Pain
  • Video - Ketogenic Diet
  • Slides - Ketogenic Diet
  • Paper - Ketogenic diets and pain
  • Paper - Low-Fat Versus Ketogenic Diet in Parkinson’s Disease- A Pilot Randomized Controlled Trial
  • Nutrition ed - 7-Day Ketogenic Meal Plan, Food List and Recipes
  • Module #7 Quiz
  • Optional reading - How Can a Ketogenic Diet Improve Motor Function?
  • Optional reading - Ketogenic Diet in Neuromuscular and Neurodegenerative Diseases
  • Optional reading - Metabolism, nervous system and keto diet
  • Feedback
  • Week #8: Hormones and Neurotransmitters
  • Video - Hormone and Neurotransmitters
  • Slides - Hormone and Neurotransmitters
  • Paper - Chronic Stress, Cortisol Dysfunction, and Pain: A Psychoneuroendocrine Rationale for Stress Management in Pain Rehabilitation
  • Paper - Gut brain and role of lipids in the regulation of inflammation, pain, CNS diseases.
  • Module #8 Quiz
  • Optional reading - Chronic Pain and Sex Hormones
  • Optional reading - Neuropeptides & microglial activation & inflammation
  • Optional reading - Chronic pain therapy and hypothalamic-pituitary- adrenal axis impairment
  • Feedback
  • Week #9 - Evidence-based Supplements
  • Video- Supportive Supplements
  • Ordering Supplements
  • Supportive Supplement Slides
  • Supplement Claims
  • Supplement Protocols
  • Paper - Dietary supplements for treating osteoarthritis- a systematic review and meta-analysis
  • Paper - Complementary and Integrative Medicine for Episodic Migraine: an Update of Evidence from the Last 3 Years
  • Supplement Reflection Question
  • Feedback
  • Week 10 - Functional Testing
  • Disclosure & Information
  • Video- Functional Testing
  • Functional Testing Slides
  • NIH Resource Blood Tests
  • Adrenal Test
  • SIBO Breath Test
  • GI- MAP Test
  • NutrEval Test
  • Laboratory Assessment of Metabolic Syndrome and Cardiovascular Disease
  • Optional Reading - GI-MAP-Interpretive-Guide
  • Optional Reading - Autoantibodies Associated with Connective Tissue Diseases: what Meaning for Clinicians?
  • Feedback
  • Bonus #1- Case Studies
  • Start Here!
  • Nutrition Protocols for Pain & Inflammation
  • Skill Building Assignment
  • Bonus #2 - Mindful Eating & Behavior Change
  • Dr. Susan Albers training on behavior change and mindful eating
  • Mindful eating patient handouts
  • Optional reading - Mindful eating and intuitive eating in changing eating behaviours effectiveness and associated potential mechanisms
  • Bonus #3 - Pediatric & Adolescent Nutrition
  • Video- Pediatric Nutrition Training with Dr. Nicole Beurkens
  • Pediatric intake forms
  • Paper - Comprehensive Nutritional and Dietary Intervention for Autism Spectrum Disorder—A Randomized, Controlled 12-Month Trial
  • Optional reading - Fecal Transplant Autism Long Term Benefits 2019
  • Additional resources about diet, nutrition, and autism.
  • Feedback
  • Nutritional Pain Lab
  • PPS Webinar - Nutritional Influences on Musculoskeletal Pain and Inflammation
  • Diet Adherence
  • Diet and GI Diary
  • A correlation between intestinal microbiota dysbiosis and osteoarthritis
  • Adult Toxin Exposure Questionnaire
  • Curcumioid-pain meta-analysis
  • DASH Systematic Review
  • Does the Method of Weight Loss Effect Long-Term Changes in Weight, Body Composition or Chronic Disease Risk Factors in Overweight or Obese Adults? A Systematic Review
  • Effect of collagen supplementation on osteoarthritis symptoms- a meta-analysis of randomized placebo-controlled trials
  • Efficacy of the Autoimmune Protocol Diet for Inflammatory Bowel Disease
  • FARE Food Allergy Facts and Stats rev 2019-02-11 letterhead
  • Systematic review: knowledge and educational needs of patients with irritable bowel syndrome
  • How Can a Ketogenic Diet Improve Motor Function?
  • Ketogenic Diet in Neuromuscular and Neurodegenerative Diseases
  • Keto Diet Review
  • Low back pain, obesity, and inflammatory markers- exercise as potential treatment
  • Low-Fat Versus Ketogenic Diet in Parkinson’s Disease- A Pilot Randomized Controlled Trial
  • Multimodal intervention improves fatigue QOL in subjects with MS
  • Nutrient Composition Comparison between a Modified Paleolithic Diet for Multiple Sclerosis and the Recommended Healthy U.S.-Style Eating Pattern
  • The Paleo diet LACKS evidence!?
  • Paleo Editorial
  • Optional reading - Paleo diet lacks evidence
  • Pantry Make Over Nutrition eduction handout
  • Personalized Lifestyle Medicine- Relevance for Nutrition and Lifestyle Recommendations
  • Portion Distortion training- nutrition education
  • Systematic review and meta-analysis of dietary carbohydrate restriction in patients with type 2 diabetes
  • The dietary intake of wheat and other cereal grains and their role in inflammation
  • Wine and Cardiovascular Health
  • Antioxidant Activity of Spices and Their Impact on Human Health- A Review
  • Gut - brain axis. Role of lipids in the regulation of inflammation pain and CNS diseases.
  • Impact of Antinutritional Factors in Food Proteins on the Digestibility of Protein and the Bioavailability of Amino Acids and on Protein Quality
  • Meta-Analysis and Meta-Regression of the Prevalence of Diabetic Peripheral Neuropathy Among Patients with Type 2 Diabetes Mellitus
  • Mood Disorders and Gluten- It’s Not In Your Mind! A Systematic Review with Meta-Analysis
  • Neuropeptides and Microglial Activation in Inflammation
  • Diet Therapy in the Context of Chronic Pelvic Pain
  • Review article: the diagnosis and management of food allergy and food intolerances
  • Dietary fructose intolerance, fructan intolerance and FODMAPs
  • Nociceptive neurons detect cytokines in arthritis
  • Protein for Life- Review of Optimal Protein Intake, Sustainable Dietary Sources and the Effect on Appetite in Ageing Adults
  • The Role of Diet in Multiple Sclerosis- Mechanistic Connections and Current Evidence 2018
  • A Mediterranean diet improves HbA1c but not fastingblood glucose compared to alternative dietary strategies-a network meta-analysis
  • Behavior, nutrition and lifestyle in a comprehensive health and disease paradigm- skills and knowledge for a predictive, preventive and personalized medicine
  • Fibromyalgia & Nutrition
  • What is the evidence for a role for diet and nutrition in osteoarthritis?
  • Water hydration and health
  • The Role of Diet in Multiple Sclerosis- Mechanistic Connections and Current Evidence
  • Supplements and Relaxation
  • Reducing Calorie Intake May Not Help You Lose Body Weight
  • Paleolithic nutrition for metabolic syndrome- systematic review and meta-analysis
  • Herb & Spice Guide
  • Adrenal Exhaustion
  • Nutrient Depletions
  • Nutrient Depletions of Various Pain Medication Classes
  • Nutrition Assessment
  • Sleep hygiene patient education
  • Supplement Protocols
  • Vegan Eating Recommendations
  • Demographic Information
  • Feedback
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