What central pain processing mechanisms could be responsible for the development of poor pain scores

John Barbis

When patients do not improve after surgery, the search for an answer can be complex and often disappointing. Valencia et al, in a well-performed, rather complex study, try to tease out the components of that answer [1]. Their study tries to determine what central pain processing mechanisms could be most responsible for the development of poor pain … [Read more...]

David Sackett Talks About Evidence Based Medicine

Another in our Golden Oldies series:  Here is a superstar, well I guess he is sort of a pioneer/superstar, of evidenced based medicine, in an interview with a slightly cheesy fellow, just after Sackett won the Gairdner Award for Leadership in Medicine. These awards are extremely posh and Prof Sackett deserves it. The thing I like about him is him … [Read more...]

Acupuncture and a cracking review paper

Going over the archives, Neil wrote this after finding a  review paper written by Professor Donald Marcus "Is Acupuncture for Pain a Placebo Treatment? An examination of the evidence".  First published in The Rheumatologist, it is open access - which means you can read the full paper for free. Acupuncture, some dodgy maths and a cracking review … [Read more...]

Making sense of research and helping it guide our practice

Another in our golden oldie series celebrating BiM's 5th birthday since it published it's first blog post on 17th August 2009.  This one by Neil O'Connell. A sparkling, glittery threat to evidence based practice Here at Brunel I run an MSc module on evidence based practice. In the first session of the module I run an honesty test. Here it is … [Read more...]

Learn something novel every decade

Sculpture Univeristy of Stuttgart

Newly edited we first published this blog post in 2010 just after the new year, now the text is freely available (see reference at the end of the post).  This is another in our golden oldies series. Further evidence to suggest we should learn something novel every decade I remember sitting my folks down and sternly counselling them to make … [Read more...]

Foods that sound better taste better

Another oldie but goodie.  This one on what influences our enjoyment of Pringles. Sound bites - Foods that sound better taste better The pleasure we derive from eating obviously depends on what food tastes and smells like. Visual presentation and colour are also important, as is the feel of the food in the mouth (i.e., its temperature and … [Read more...]

Oldies but goodies

It's summer time in the northern hemisphere and we thought it would be a good idea to look back over the years and post some crackers.  This one is particularly apt for you folks currently in a heat wave. Don't drink in the dark Mosquitoes, or mozzies as we would call them here in Australia, come out at night. I know this in part because I have … [Read more...]

The Language of Pain

It has long been one of my Sunday morning routines to read the Sunday New York times. In the July 12 edition of the “The Times” Joanna Burke offers an interesting commentary that caught my attention, “How To Talk About Pain”. There are several, as David Butler would say, “ nuggets” contained in here that provide insight into value and … [Read more...]

Chronic Pain: Lost Inhibition? PART TWO

In our last blog (Chronic Pain: Lost Inhibition?) we talked about the role of the thalamus in the development and maintenance of orofacial neuropathic pain. We reported that painful trigeminal neuropathic pain (PTN) is associated with altered thalamic anatomy, function and biochemistry, which may disturb central processing and play a key role in … [Read more...]

Enjoy a surf?

Swan neck

Margaret River in Western Australia has some of the best surfing in the world…great food and wine too…but that’s not all. There’s a bit of digital technology wave-riding happening over west too, with 2 new initiatives recently launched and freely available not matter where you live. painHEALTH:  aimed at helping people with persistent … [Read more...]