Silencing phantom limb pain by silencing the DRG

Adahan haim

“The surgery was a success and the patient is dead.” This satirical saying sometimes reflects the outlook of patients and their rehabilitation teams when, despite completing a difficult rehabilitation trajectory, a patient is left with unbearable phantom limb pain. The patient mustered up super-human willpower to rehabilitate himself. The … [Read more...]

Change what you think, change what you feel

Tim salomons

Cognitive behavioural therapy reduces central sensitization Pain is not a simple sensory experience. Negative thoughts about the meaning of pain or unpleasant emotions like fear and depression can, in some cases, cause more suffering than the actual sensation. Psychological treatments like cognitive behavioural therapy (CBT) target thoughts and … [Read more...]

Need a reason for a trip to Southern France next May?

NeuPSIG IASP

Well now you have found one. The Biennial congress of NeuPSIG - the Neuropathic Pain special interest group of the IASP, is meeting in May in Nice. As a member of the Scientific Programme Committee, I can honestly declare that (i) I reckon we have a top shelf line up of speakers and sessions, including debates that we know can get a bit fiery, … [Read more...]

On painful choices

Martien Schrooten1

People living with pain often find themselves in situations in which they have to choose between protecting themselves from pain and pursuing other plans or goals. For example, should I stay at home and rest to avoid worsening my pain or should I go to the office and impress my boss to get the promotion? Should I go to bed early so that I feel … [Read more...]

World Congress on Pain comes to you. 6: Physical Activity and Chronic Pain

Sandy Hilton Physiotherapist

Physical Activity and Chronic Pain: From Cells to Systems and Beyond This workshop concentrated on the role of physical activity and exercise in the prevention and treatment of chronic pain, presented by Dr Sluka, Dr Bement and Dr Rovner. The audience was taken on a journey from basic science studies and predictive behavioral factors to … [Read more...]

World Congress on Pain comes to you. 4: Learning Pain pt 2

Have a quick skim of the last blog post: this one follows on, as Part 2 of our synopsis of Professor Johan Vlaeyen’s plenary lecture at the World Congress on Pain... Having explained non-associative learning and Pavlovian conditioning, Prof Vlaeyen moved on to operant conditioning, a behavioural model of learning which Skinner proposed and … [Read more...]

World Congress on Pain comes to you. 2: Yoga, Mice, Pain and your Brain

Sarah Haag Yoga

The official title of the John J. Bonica Distinguished Lecture at the World Congress on Pain was actually ‘Effect of Environment on the Long-Term Consequences of Chronic Pain'. Prof Catherine Bushnell started her talk by noting comorbidities that any practicing clinician will have noticed at some point if treating people who are dealing with any … [Read more...]

Pain communication through body posture: The many postures of pain

Joe Walsh

Pain is not just a sensory experience. Of course, there is a key biological element to pain, but there is also a much broader range of factors that may influence how we perceive threatening events and noxious stimuli and may feed into the pain experience. An important factor that influences our pain perception is the social context in which we … [Read more...]

Pain and mortality in older adults, what is the relationship?

Rachael Docking

In those of working age there is a known association between pain and increased risk of mortality (excess mortality) for both men and women. Macfarlane et al (2001) found that adults with regional/widespread pain were at increased risk of mortality in the 8 years following onset, and these deaths were predominantly due to external causes (such as … [Read more...]

Can’t reduce your pain? Try a different way!

Hadas Nahman

Our nervous system has the capability to reduce pain by activation of specific pathways that exert inhibitory effects on the messages entering the central nervous system during or after threat or damage to the body. This is called endogenous analgesia. Several paradigms can be used to test its capacity and evaluate its efficiency. One paradigm, … [Read more...]