Role of psychosocial factors in the development of multisite pain

Tory Madden

The Journal of Pain recently published a paper that caught our eye for its simple design and clever investigation of the role of psychosocial factors in the development of multisite pain. And if you got stuck on the word development, then you’ll know why we got excited. Previous research into this has been correlational: depression, fear of pain … [Read more...]

Gender and the body language of pain

Ed Keogh

It is now well established that men and women show general differences in how they report and experience pain - women tend to report more pain, with greater severity and frequency than men. Examples are numerous, and range from laboratory-based pain induction studies on healthy adults through to epidemiological and clinical investigations of … [Read more...]

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...]