Do psychological therapies improve outcomes for children with chronic pain?

Emma Fisher

It is common for adolescents and children to experience chronic pain (Perquin et al., 2000). There are many negative implications associated with chronic pain such as limited social contact, lost days from school, and higher levels of anxiety and depression (Hunfeld et al., 2002; Logan, Simons, Stein, & Chastain, 2008; Walker, Guite, Duke, … [Read more...]

What to call the amplification of nociceptive signals in the CNS that contribute to widespread pain?

Tory Madden

Clifford Woolf, who some may know as the ‘father of central sensitisation’, recently wrote a commentary to PAIN.[1] It piqued our interest because it was about the use of the term ‘central sensitisation’, and we suspect we know people who’d insist that the term ‘central sensitisation’ should only be used to describe changes at the dorsal horn, and … [Read more...]

Music modulation of pain perception

Christine Dobek

One good thing about music, when it hits you, you feel no pain -Bob Marley Playing music for pain relief isn’t exactly a new idea. Music has been used as a tool to promote physical and mental recovery for centuries, with the ancient Greeks initially describing music as a rational treatment strategy. Music is a highly desirable treatment tool for … [Read more...]

The trigger point strikes … out!

John Quintner

John Quintner and colleagues recently published a controversial review in Rheumatology. We asked him to present their position in blog form. I expect it to stir some intriguing emotions in many of you and we welcome comments and alternative perspectives. In anticipation, and with tongue almost completely in cheek - remember to avoid the ad hominem … [Read more...]

Can physical activity influence the course of low back pain?

Rafael Zambelli Pinto

It’s well known in the low back pain (LBP) field that conservative interventions have small to moderate effects at best.[1] Frustration with these small effects has prompted researchers to shift their attention to identifying prognostic factors. Prognostic factors are baseline factors that are associated with a worse or better disease outcome at a … [Read more...]

Capillary dysfunction in CRPS?

Leif ostergaard

Reports suggest that muscles lack oxygen and skin oxygenation is impaired in Complex Regional Pain Syndrome (CRPS). While CRPS might be related to tissue ischemia-reperfusion, the affected limb is often hyperperfused, suggesting that oxygen extraction is severely impaired instead. In a recent paper in Pain, we speculate that capillary flow … [Read more...]

Silencing phantom limb pain by silencing the DRG

Adahan haim

“The surgery was a success and the patient is dead.” This satirical saying sometimes reflects the outlook of patients and their rehabilitation teams when, despite completing a difficult rehabilitation trajectory, a patient is left with unbearable phantom limb pain. The patient mustered up super-human willpower to rehabilitate himself. The … [Read more...]

Change what you think, change what you feel

Tim salomons

Cognitive behavioural therapy reduces central sensitization Pain is not a simple sensory experience. Negative thoughts about the meaning of pain or unpleasant emotions like fear and depression can, in some cases, cause more suffering than the actual sensation. Psychological treatments like cognitive behavioural therapy (CBT) target thoughts and … [Read more...]

Need a reason for a trip to Southern France next May?

NeuPSIG IASP

Well now you have found one. The Biennial congress of NeuPSIG - the Neuropathic Pain special interest group of the IASP, is meeting in May in Nice. As a member of the Scientific Programme Committee, I can honestly declare that (i) I reckon we have a top shelf line up of speakers and sessions, including debates that we know can get a bit fiery, … [Read more...]

On painful choices

Martien Schrooten1

People living with pain often find themselves in situations in which they have to choose between protecting themselves from pain and pursuing other plans or goals. For example, should I stay at home and rest to avoid worsening my pain or should I go to the office and impress my boss to get the promotion? Should I go to bed early so that I feel … [Read more...]