rTMS and chronic pain: Our two penny’s worth

Some of you might have heard of repetitive transcranial magnetic stimulation (rTMS) and its use in chronic pain. Basically rTMS uses magnetic fields to generate electrical currents within the brain. This is a direct way of altering neuronal firing or excitability in the brain and a number of research groups have been investigating whether it might … [Read more...]

Evidence Based Arguing

I love Science. I love reading about science, I love doing science and I love thinking about how science can be applied to helping patients. But what I really love about science are the arguments! It is good and proper that in science ideas are debated, views challenged and criticisms aired, so when an article appeared looking at the science of … [Read more...]

Misinformed Consent? What not to tell a patient with back pain

We just came across a fancy patient information form that was given to a patient after an assessment by a clinician. The form just blew our minds (but not in a good way) because it seemed to be the perfect clinical tool for generating ongoing pain and disability, and all by the simple process of ramping up the fear. So, just for fun, we thought … [Read more...]

Benedict Wand on Brain Changes in Chronic Pain

BWand

It now seems clear that the brain changes in patients with chronic pain problems. However, this is probably where the consensus ends as there is still much that remains unclear and speculative in this area. This elegant study by Rodriguez-Raecke and colleagues from the University of Hamburg (abstract at the end of this article) investigate two … [Read more...]