The Explain Pain Handbook: Protectometer
David Butler and Lorimer Moseley
The Explain Pain Handbook: Protectometer represents the next step in the Explain Pain Revolution. Ten years in the making, the Handbook represents the most up to date thinking, and many hours of espresso fuelled debate, from Moseley and Butler. The Handbook distils the latest in neuroimmune pain science into an easily accessible book for patients and introduces the ‘Protectometer’ – a ground breaking pain treatment tool.
Ongoing pain is the most costly health problem facing the world. Based on decades of research, Explain Pain (2003, below) launched what can only be called a revolution – the Explain Pain Revolution. Explaining Pain has become one of the world’s most effective and inexpensive treatments for pain. It is now the cornerstone of modern pain treatment and rehabilitation – with clinical studies showing its benefits across cultures, conditions and communities.
In this patient-targeted handbook, we combine unique and original artwork with material that has been refined over the last twenty years. Scientists now agree that pain happens when the credible evidence of DANGER to your body is greater than the credible evidence of SAFETY to your body. Using this knowledge, we have developed the Protectometer – an easy to use tool that will help you apply this principle to understand and deal with your pain.
David Butler and Lorimer Moseley discuss the Explain Pain Handbook: Protectometer and Explain Pain Second Edition over morning coffee.
David Butler and Lorimer Moseley
All pain is real, and for many people it is a debilitating part of everyday life. In a world where 1 in 5 of us experience ongoing pain and where there is increasing evidence for the failure of synthetic drugs, take heart: help is at hand. It is now known that understanding more about why things hurt can actually help treat pain.
Recent advances in fields such as neurophysiology, brain imaging, immunology, psychology and cellular biology have provided an explanatory platform from which to explore pain. In everyday language accompanied by quirky illustrations, Explain Pain Second Edition discusses how pain responses are produced by the brain, how responses to injury from the autonomic motor and immune systems in your body contribute to pain, and why pain can persist after tissues have had plenty of time to heal.
Co-author Dr David Butler, founder of the Neuro Orthopaedic Institute, says that “it is no longer acceptable that pain be just managed: we must expect that it can be treated, and sufferers can alter it themselves through education.”
Explain Pain has sold around 60,000 copies world-wide in 5 languages and continues to inspire clinical research and multidisciplinary pain treatment globally. Explain Pain aims to give people in pain the power to challenge pain and to consider new models for viewing what happens to your body and brain during pain. Once they have learnt about the processes involved they can follow a scientific route to recovery.
Why a second edition?
A decade of scientific research is a lot – and we need to keep on top of it.
In the last 10 years there has been increasing support for therapeutic neuroscience education from clinical trials, educational science, neuroscience, plain logic and the failure of drug therapy on chronic pain outcomes. Lorimer and David have subtly changed some of the language so that the second edition can be delivered with much more authority than the first.
Explain Pain with David and Lorimer
Finally! A handbook arising from the last 15 years of neuroscience, clinical trials and clinical reasoning science is here for both clinicians and pain sufferers.
Graded Motor Imagery (GMI) offers a novel three stage synaptic exercise process for neuropathic pain involving left/right discrimination, imagined movements and mirror therapy. With patience, persistence and often lots of hard work, GMI gives new hope for treatment outcomes.
David Butler shows how curiosity and learning are critical allies in the search for why you or your patients hurt and he encourages a deep knowledge of the therapy and science behind GMI for the best outcomes.
Lorimer Moseley shares his researcher’s inquisitiveness about the science behind GMI and the neuromatrix: the representation of body parts in our brains and how and why these representations may be affected by injury. GMI aims to alter pain ‘neurotags’ or sensitive networks in the brain. Graded motor imagery is a treatment in its infancy. How do we know if it is appropriate to use? How do we know what’s normal?
Tim Beames invites us on a clinical reasoning exploration through patient-therapist narratives, providing invaluable insights into the progression from left/right discrimination, imagined movements to use of mirrors. The online RecogniseTM programme was developed to assess and restore the Lefts and Rights in your brain.
Tom Giles, the go-to guy for RecogniseTM, provides the ‘nuts and bolts’ of how to get the best out of the online programme, smart phone app and other practical GMI tools.
The Sensitive Nervous System updates and integrates the growing science of neurodynamics into current practise. Physical examination of the nervous system is carefully illustrated and explained, and management strategies are underpinned by cutting-edge neurobiology and evidence-based medicine.
Describes an innovative concept of examination and treatment technique. Clinical reasoning processes are associated with a new understanding of the nervous system as a dynamic continuum: mechanical, chemical and electrical aspects are interrelated, and interference with any part may have implications for the whole. Buy
This much anticipated collection of stories, written by Oxford University Fellow and Pain Scientist, Dr GL Moseley, provides an entertaining and informative way to understand modern pain biology. Described by critics as ‘a gem’ and by clinicians as ‘entertaining and educative’, Painful Yarns is a unique book. The stories, some of his travels in outback Australia, some of experiences growing up, are great yarns. At the end of each story, there is a section “so what has this got to do with pain?” in which Lorimer uses the story as a metaphor for some aspect of pain biology. The level of the pain education is appropriate for patients and health professionals. The entertainment is good for everyone. You don’t have to be interested in pain to get something from this book and a laugh or two!
Here’s a good yarn about Painful Yarns from the coalface.
“Moseley is pain management’s answer to James Herriot. This book captures that illusive ability to both educate and entertain.”
Dr Michael Thacker, Director, Pain Science Program, Kings College, London
“When reading, it is always a good sign when you start to cry from laughing….this is clearly the best book about clinical pain that I have ever read.”
Dr John Keltner, MD (Harvard) Pain Physician, Anethiologist and Research fellow, Oxford University.
“Painful yarns are about life. The way Moseley turns them into metaphors about pain is brilliant. This is a real gem.”
Diane Wilkinson, Freelance Writer.
“I love a good story….but the best bit was that when the stories were compared to how pain works, it made sense.”
Dimos, Lorry Driver (not Hino’s), with chronic back pain.
Persistent pain can be very difficult to understand. These stories provide an engaging, scientifically accurate way of explaining …they will help people understand their pain and help health care professionals understand the pain of their patients.”
Professor Franics J Keefe, Pain Prevention and Treatment Research Program, Duke University Medical Centre, Duke University, USA
Painful Yarns with Lorimer and Tom
Crossmodal Space & Crossmodal Attention
Edited by Charles Spence and Jon Driver
 Department of Experimental Psychology, Oxford University  Institute of Cognitive Neuroscience, University College London
Many organisms possess multiple sensory systems, such as vision, hearing, touch, smell, and taste. The possession of multiple ways of sensing the world offers many benefits. However, combining information from different senses also poses many challenges for the nervous system. In recent years there has been dramatic progress in understanding how information from the different senses gets integrated in order to construct useful representations of external space. This volume brings together the leading researchers from a broad range of scientific approaches to present the first overview of this central topic in cognitive neuroscience.
Gemma Calvert, Charles Spence and Barry E. Stein
 Wellcome Career Development Fellow and Head of the Multisensory Research Group at the Department of Physiology and Center for Functional Magnetic Resonance Imaging of the Brain at Oxford University
 Director of the Crossmodal Research Group at the Department of Experimental Psychology at Oxford University
 Professor and Chair of the Department of Neurobiology and Anatomy at Wake Forest University School of Medicine
This book brings together research from different areas of the emerging field of multisensory integration. After many years of using a modality-specific ‘sense-by-sense’ approach, researchers across different disciplines in neuroscience and psychology now recognize that perception is fundamentally a multisensory experience. To understand how the brain synthesizes information from the different senses, we must study not only how information from each sensory modality is decoded but also how this information interacts with the sensory processing taking place within other sensory channels. The findings in The Handbook of Multisensory Processessuggest that there are broad underlying principles that govern this interaction, regardless of the specific senses involved. The book is organized thematically into eight sections; each of the 55 chapters presents a review by leading researchers in the field. The key themes include multisensory contributions to perception in humans; whether the sensory integration involved in speech perception is fundamentally different from other kinds of multisensory integration; multisensory processing in the midbrain and cortex in model species, including rat, cat, and monkey; behavioral consequences of multisensory integration; modern neuroimaging techniques, including EEG, PET, and fMRI, now being used to reveal the many sites of multisensory processing in the brain; multisensory processes that require postnatal sensory experience to emerge, with examples from multiple species; brain specialization and possible equivalence of brain regions; and clinical studies of such breakdowns of normal sensory integration as brain damage and synesthesia.
Cristy Ho and Charles Spence
 Daiwa-Anglo Japanese Foundation, Japan.  Professor of Experimental Psychology at Oxford University, UK.
Driver inattention has been identified as one of the leading causes for car accidents, estimated to account for as much as 78 per cent. The issue of attentional overload while driving is likely to worsen in years to come, due in part to the availability of increasingly complex in-car technologies. Meanwhile, intelligent transport systems are being developed to assist drivers and to ensure a safe road environment. One approach to the design of ergonomic automobile systems is to integrate our understanding of the human information processing systems into the design process. This book is dedicated to furthering the design of ergonomic multisensory interfaces by highlighting recent evidence in this area emerging from the fast-growing field of cognitive neuroscience. It focuses primarily on two aspects of driver information-processing: multisensory interactions and the spatial distribution of attention in driving. The Multisensory Driverprovides an array of interface design guidelines together with a detailed review of current cognitive neuroscience and behavioral research in multisensory human perception. These guidelines will help to facilitate the future development of more ergonomic interfaces. The discussion on spatial attention is particularly relevant for car interface designers, yet at the same time it should also appeal to cognitive psychologists interested in spatial attention and the applications of their theoretical research findings. By providing a detailed description of a cohesive series of psychophysical experiments on multisensory warning signals conducted in both laboratory and simulator settings, this book provides an approach for those in the engineering discipline who are interested to test their systems with human observers systematically.