Teaching people about pain – a kind of position paper

Fig1_PhyTherRev_12_169

Some time ago, I wrote this paper, at the request of the journal Physical Therapy Reviews, on reconceptualising pain. It is a little old now but it has come to be a bit of a position paper. The position has four fundamentals, none of which will be very surprising to anyone I imagine:(i) pain does not provide a measure of the state of the … [Read more...]

The Brain in CRPS-More Barriers or New Opportunities

From a biological perspective, I find CRPS very perplexing. So do many other people—the community of scientists that are pursuing better treatments, through a better understanding of the basic mechanisms, or by developing better animal models of CRPS, or by undertaking clinical investigations and clinical trials, stretches across many countries and … [Read more...]

Reflections, imagery, and illusions: the past, present and future of training the brain in CRPS

RSDA

More than a century ago, Harvard Professor Charles Burnett described a set of experiments in which healthy volunteers moved their hands in front of a mirror(1). He reported that watching the reflection of their own bodies disrupted the movement and perceived position of their limbs. Since then, many philosophers and psychologists have used mirrors … [Read more...]

Letter to the BMJ – Neuropathic pain – Management is more than pills

We have one important caveat in relation to Freynhagen and Bennett’s review—that evidence based non-pharmacological treatment for neuropathic pain was absent.[1]Several randomised controlled trials show that graded motor imagery reduces pain and disability in chronic complex regional pain syndrome 1 (CRPS1) and phantom limb pain after … [Read more...]