Skip to main content

How to Develop Therapeutic Alliance to Help Manage Persistent Pain

How to Develop Therapeutic Alliance to Help Manage Persistent Pain

How to Develop Therapeutic Alliance to Help Manage Persistent Pain

This course includes
2:10:26 of Course Material (View)
Lifetime access after purchase
Certificate of completion
This course was recorded in April 2020

About The Course

Are you struggling to help your patients suffering from persistent pain?

With so many treatment options available (many of varying effectiveness), where should you start?

You’ve likely heard that communication and an effective patient-therapist relationship can have a HUGE impact on clinical outcomes – but what does that look like in a clinical setting? What does the research say? How do you go about this?

Maybe it’s time to get back to basics and master the core concept of any clinical encounter, the patient-therapist interaction! 

In this 2-hour online course you can expect:

  • Maxi Miciak leading you through her “how-to” guide in developing an effective therapeutic alliance
  • Jason Silvernail discussing how communication and coaching techniques can help manage the impact of health behaviors on pain and function
  • Sandra Woods, a patient-partner with CRPS to provide her unique perspective of living with pain

Learn how to coach and communicate to develop better therapeutic alliance with your patients in this online course with Maxi, Jason, and Sandra. This course is brought to you by the Pain Science Division of the Canadian Physiotherapy Assocation.


In This Online Course, You Will Learn How To:

  1. Apply strategies to develop an effective therapeutic alliance in the clinical setting
  2. Apply principles in communication and coaching to improve the impact of negative health behaviors on pain and function.


Who Is This Course For?

This online course is for all rehabilitation professionals, including physiotherapists, physiotherapy assistants, occupational therapists, occupational therapy assistants, chiropractors, athletic therapists, exercise therapists, kinesiologists among others.

The instructors
Jason Silvernail

Jason Silvernail has been a practicing physical therapist since 1997, on duty in the United States Army as a career military officer with over 25 years of service. Dr. Silvernail has worked with a wide variety of patient populations and settings including orthopedic/sports, chronic pain, amputee and neurological rehabilitation, and strength and conditioning.

Dr Silvernail earned his Doctor of Physical Therapy degree from the University of Scranton, and his Doctor of Science from Baylor University. He is board-certified in Orthopedic Physical Therapy and is a Certified Strength and Conditioning Specialist. He is also a graduate of the prestigious Army-Baylor Army-Baylor Doctoral Fellowship in Orthopedic Manual Physical Therapy at Fort Sam Houston, earning him a Fellowship in the American Academy of Orthopedic Manual Physical Therapy.

A clinician and researcher, he has published clinical commentaries and original research in the medical literature (including the Journal of Orthopedic and Sports Physical Therapy, Manual Therapy, and the Journal of Manual and Manipulative Therapy) and he has a prominent professional presence online where you can connect with him on Facebook or Twitter.

Opinions expressed by Dr. Silvernail are his own and do not represent the official policy or position of the United States Army, the Department of Defense, or the United States Government.

Maxi Miciak
Dr. Maxi Miciak strives to positively influence the care patients receive and the use of research evidence in health services and policy decision-making. Her work has broad reach, extending from clinical to system levels. Drawing upon her experiences as a physical therapist, Maxi’s research interests probe the factors that influence provision of care from social and systems (e.g. care models) perspectives. Her conceptual framework of the therapeutic relationship in physical therapy is being used in research with uptake in entry-to-practice and post-graduate education and clinical practice. Her expertise has resulted in numerous invitations to speak at local, national, and international webinars, events, and conferences in physical therapy and inter-professionally. Maxi also works to advance the nascent area of research impact assessment. She has collaborated with local, national, and international health system stakeholders to co-develop and implement frameworks to assess research impact on informed decision-making and the scale and spread of research and innovation in the healthcare system. Maxi is an Adjunct Associate Professor in the Faculty of Rehabilitation Medicine, University of Alberta. She received a doctorate in Rehabilitation Science (2015) from the University of Alberta and was the inaugural Cy Frank postdoctoral fellow in impact assessment at Alberta Innovates, Canada.

Sandra Woods
CIPP/C, M. Bioethics, BA Phil (Ethics)

Sandra has worked in healthcare for over 20 years, primarily in bioethics. She managed a research ethics board, and was part of an epidemiology team at the CHUM Research Centre. Her industry experience includes healthcare philanthropy and patient privacy protection. She spent 5 years in the Canadian Air Force reserve, specializing in wilderness survival. Sandra was a Major at the Regional Officer-Instructor School, training other officers, while Captain as deputy commanding officer of her squadron.

In May 2016 Sandra was diagnosed with CRPS, following an earlier Colles’ fracture. She now applies her bioethics and research knowledge to advocating for chronic pain patients, often one-on-one.

Her CRPS and chronic pain awareness-raising focuses on HCPs. Sandra has presented to medical students through the MUHC’s Alan Edwards Pain Management Unit (AEPMU), and to medical residents. She was a Patient Partner & Twitter Team member for the 2018 Canadian Pain Society conference. 

Pain Science Division

The Pain Science Division is a special interest group of the Canadian Physiotherapy Association that serves physiotherapists who have an interest in better understanding and managing pain and in connecting with likeminded clinicians, educators and researchers. The mission of the Pain Science Division is to: Foster connections and collaborations between clinicians, educators and researchers interested in pain and physiotherapy, facilitate the bidirectional translation of knowledge between pain research and clinical practice and integrate the professional interests of Canadian physiotherapists within national and international pain networks.

The PSD wants to help advance the level of pain education across the country. Pain is a multi-faceted and complex experience that warrants careful consideration and reflection by both entry-level students and experienced clinicians. Our goal is to address this issue from a multi-pronged perspective. In addition to providing clinicians with opportunities for professional development we also want to be in close communication with university-level educators and clinical specialization regulators. 

Canadian Physiotherapy Association

As the vital partner for the profession, the Canadian Physiotherapy Association (CPA) leads, advocates, and inspires excellence and innovation to promote health. CPA’s goal is to provide exceptional service, valuable information and connections to the profession of physiotherapy, across Canada and around the world.
Course Material included in this course
  • How to Develop Therapeutic Alliance by Creating Safety
  • Patient Perspective Pt1
  • "How to" Develop Therapeutic Alliance by Creating Safety
  • Presence
  • Receptivity
  • Being Open
  • Review
  • Feedback
  • Motivation, Self-Efficacy, and Goal Setting
  • Patient Perspective Pt2
  • Motivation, Self-Efficacy, Goal Setting
  • Four Strategies, Four Skills
  • RULE
  • OARS
  • MI Exercise
  • Feedback
  • Conclusion
  • Patient Perspective Pt3
  • Q&A Pt1
  • Q&A Pt2
  • Feedback
© 2024 Embodia