Race, bias, and ambiguity – Toward a better understanding of pain treatment disparities

Adam Hirsh

Poor pain care is an unfortunate reality for many patients, especially those belonging to racial minorities. Many factors have been proposed to explain pain-related racial disparities, but precious few studies have actually tested these hypotheses. My research group recently published a paper that aimed to better understand how provider racial bias … [Read more...]

A Virtual Balloon-Popping Task for Kids with CRPS

Andrea Stevenson Won

Virtual reality (VR) has been used to treat pain for over twenty years. Initial attempts took advantage of the immersive, interactive qualities of VR to distract patients who were undergoing painful procedures; for example, by sending burn patients through a snowy virtual world with animated snowmen while their wounds were being cleaned [1].  Later … [Read more...]

Art of Pain Exhibition is a hit; ‘Whiplash – to treat or reassure?’

Lorimer Moseley

As part of National Pain Week, University of South Australia’s Hawke Centre, PainAdelaide Stakeholders’ Consortium and The Australian Network for Art and Technology (ANAT), joined forces to put on the inaugural Art of Pain Exhibition and seminar series. A thousand members of the general public attended and the feedback was top shelf indeed. Our … [Read more...]

Central pain masquerading as peripheral: re-examining the mechanical presentation

Virtual Reality Experiment

When pain is predictably provoked by mechanical stress, and eased by its alleviation, we quickly implicate a mechanical, or at least peripheral, nociceptive mechanism, and apply diagnoses like mechanical low-back pain that justify our favoured peripherally directed interventions. While the logic is attractive, what if central processes could … [Read more...]

If only surgery wasn’t such a pain in the…. knee!!

Kristian_Petersen

Liz, a 65 year old retired nurse, was diagnosed with knee osteoarthritis (OA) several years ago. Her GP subsequently prescribed a range of non-surgical and pharmaceutical interventions to treat her knee pain with limited success. Recently, she was referred to an orthopedic surgeon to evaluate the need for a total knee replacement (TKR). While TKR … [Read more...]

Treating more than just the back in chronic low back pain

Aoife Synnott

'Physiotherapists may stigmatise or feel unprepared to treat people with low back pain and psychosocial factors that influence recovery: a systematic review' (Synnott et al, 2015) There is considerable evidence that when people have chronic low back pain (LBP), several factors can be involved in delaying their recovery and/or their ability to … [Read more...]

EP 15 years in: historical and theoretical underpinnings

Lorimer Moseley

This is my second post based on a perspectives piece David Butler and I wrote for the Journal of Pain. You can get the gist of it by just reading the bolded sentences. It is some time now since John Loeser adapted Engel’s biopsychosocial model to fit it to the lived experience of chronic pain. From my perspective as someone who had experience on … [Read more...]

Isometrics reduce tendon pain

Ebonie Kendra Rio

Anyone with tendon pain will tell you, it’s a pain in the butt (hamstring tendon pain that is). If it’s your Achilles tendon, the mornings are a struggle and you may have stopped walking, running or playing with your kids. For the athlete, pain relating to the Achilles, Patellar, Hamstring or Adductor tendons can strip away power and spring needed … [Read more...]

Brain Image Biomarkers for Pain: Why should we?

BodyInMind

Indulge me for a moment. Let’s say you just arrived at your physician’s office with a troubling symptom. She says “Hold on, I need to put you in the MRI to see if this symptom is pain, or if you are a pain patient.” There have been a number of scientific papers and popular press releases that suggest we need to replace self-report of pain … [Read more...]

15 years of Explaining Pain – where have we been and where are we going?

Lorimer Moseley

Neuroscience was clearly my favourite course at uni – I loved it so much I was learning for fun, not for exams. I don’t recall ever studying for a neuroscience exam – it all seemed to magically stick in there – as if there were tailored docking stations in my brain just waiting for their particular neuroscience nugget to lock in. I found it … [Read more...]