What can a patient’s pain tell us about contributing mechanisms?

contributing mechanisms to pain flow chart

Ever put down a copy of Explain Pain, or some other highly valuable text, and asked 'So how do I integrate all this stuff when I assess a patient and plan treatment?' You might have felt exasperated after reading yet another article on pain mechanisms, or central sensitisation, or cortical reorganisation, and said to yourself 'yes but how do I … [Read more...]

A day in the life of a clinical scientist

I know that many of you out there are 'in the 'hood' with respect to writing and reviewing manuscripts. For the rest of you, here are some reviews we got on a paper concerning the development of CRPS.  I have had to remove some bits because they give away the journal and the study, which we will resubmit somewhere else. However, I think they are … [Read more...]

Hats off to a physiotherapist waving the flag high in the pain world

Steven George

I had the pleasure of meeting Steven George at the American Pain Society meeting. He has done some excellent work and is part of a truly impressive group of people working out of the University of Florida. Now this blog post is simply to pay tribute to what is a great achievement – Dr George has just been announced as the winner of the 2012 Ulf … [Read more...]

Does graded motor imagery satisfy the Burns test?

In the last post, I put Explaining Pain (EP) through its paces on the Burns test of 5 criteria that need to be met if we are to accept a theory of how a treatment works.  Well, today I am going to put graded motor imagery (GMI) through the same test, just to give you all an idea on how far we have to go.  As we point out in the Graded Motor … [Read more...]

It might work, but does it work in the manner you think it does? Another good talk at the American Pain Society meeting in Honolulu.

There are not too many conferences now in which I don’t get the question over tea and biscuits about whether or not I believe in this therapy or that. I find it an intriguing question and one I usually answer with ‘Well, not in the same way I believe in gravity or in the fundamental worth of each human’.  From the look on the face of the … [Read more...]

Vania Apkarian and the holy grail

Vania Apkarian

I love hearing Vania Apkarian speak. He is always so positive about his data and so forthright in his views that you have no doubt what he thinks and no doubt that he loves going to work.  This workshop I went to today was no exception – it was Apkarian at his best. And, quite possibly, he has good reason to be excited. His group at NorthWestern … [Read more...]

His and hers opioids – one size does not fit both

Jon Levine

The American Pain Society held its annual conference in Honolulu this year.  I was fortunate enough to catch some of it. In the theme of blog posts about conference talks, started with our reflections on the NOI congress, this post is about a very interesting and enlightening talk I went to by the very impressive (on many counts) Jon Levine.  … [Read more...]

Windows into pain. Part II

It has been about a month since I wrote a post reflecting on this pain I have in my shoulder. I must say I was overwhelmed by the many offers of diagnostic and treatment advice - it left me both chuffed and a little apprehensive about revisiting it.To start, let me say that my shoulder is less painful than it was. I have been a very good … [Read more...]

The Graded Motor Imagery Handbook: “Thats what I’m talkin’ about!”

I think my 7 year old son knew that if he used this phrase enough it would eventually sneak into a blog post. Well congratulations Lord Adorable SqueakyPants, it has! It has made it in because we are pretty excited that a project we have been working on for some time is almost done - it is at the printing press as we speak.  The Graded Motor … [Read more...]

Is the pursuit of happiness making us miserable?

In case you get bored in this post. I need to put my last sentence first: ‘So come to what looks like a fabulous evening in Sydney, run by the innovative MIND special interest group of the Australasian Faculty of Rehabilitation Medicine – ‘Happiness, depression and health care: Is the pursuit of happiness making us miserable’. It will be … [Read more...]

Windows into pain

I have a painful shoulder. It has been hurting since mid-December. I can recall no incident - just woke up one morning with severe pain on pretty much any movement. Now, I am not looking for diagnoses, nor in fact sympathy. What I would like to do instead is to run you through some interesting reflections I have had.i) I wake up in the night a … [Read more...]

Get moving for chronic pain research

Ride for Pain Research UniSA

WOO HOOOO!  You can register for the most important cycling event of the year - UniSA's Ride for Pain. April 29th (the Sunday directly after the NOI2012 conference).There is something for everyone -  a choice of the easy 35km on the flat, the 45km into the hills, or for the more serious - a 100km through the Adelaide Hills.Feast on some … [Read more...]

World Congress on Physical Therapy releases ‘Teaching people about pain’ Symposium

Amsterdam is a wonderful place to go and last year about 5 thousand physiotherapists from all over the world did exactly that - the World Congress on Physiotherapy was a festival de fysio and I for one, had a ball. The official hosting body, the World Confederation of Physical Therapy, has just released many of the topical symposia presentations. … [Read more...]

The rubber hand illusion is stronger in people with schizophrenia

Clinical conditions characterized by body ownership and temperature regulation disturbances

In our paper in PNAS a couple of years ago, in which we showed that the RHI is associated with a drop in skin temperature of the ‘replaced’ hand, we proposed the idea that the result is relevant to a range of psychiatric and neurological disorders (check out the table we put in as supplementary info:Table S1. Clinical conditions … [Read more...]

Why Things Hurt

Lorimer grew a mo.  To help promote men's health.  It was during this time that he, and his mo, gave a talk at TEDx.  Here it is. httpvh://youtu.be/gwd-wLdIHjs … [Read more...]