Get involved! Translating evidence into practice: Cognitive behavioural techniques for back pain

Translating research into clinical practice is a challenge for researchers in all fields. I work in the UK and funding bodies here appear to be keenly aware of this, and are increasingly providing opportunities to engage with this challenge through dissemination activities and improved research-clinician engagement, for example. Our group at the … [Read more...]

Cognitive Functional Therapy for chronic low back pain: The patients’ perspective

Pain and lack of function are the two main factors that motivate people with non-specific chronic low back pain (CLBP) to seek care [1]. When you ask a person with CLBP what treatments they have tried, the answer is often in the form of a shopping list: manual therapy, stabilising exercises, Pilates, yoga, medication, injections… and so might the … [Read more...]

Talking your pain away…

Like other important sensations, pain elicits automatic nonverbal expressions. The functional significance of these expressions has been recognised by Charles Darwin (Darwin, 1872), who dedicated an entire book to them. In this book, he acknowledged that nonverbal expressions serve as signals for interaction partners. However, he also argued that … [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...]

Directing Attention to Pain

Pain captures our attention instantaneously, and makes it hard to pay attention to anything else. But is it possible to direct attention to pain voluntarily and in a specific manner? Which brain mechanisms would drive voluntary direction of attention to pain? Why is this important? It is likely that chronic pain patients have exaggerated … [Read more...]

Affective Touch by Others Determines how we Perceive our Own Body

Just why does the touch of a loved one feel so good? The answer may have something to do with the fact that slow, gentle touches from another person (like the caress of a loved one) can enhance our sense of self – specifically, the feeling that our body is our own (i.e. the sense of body ownership). This sense of body ownership seems indubitable; … [Read more...]

Preserved ability to integrate a rubber hand indicates intact multisensory integration in CRPS

To the avid BiM reader the Rubber Hand Illusion (RHI) is probably well-known and old hat (for the not-so avid reader see below*). It is a popular paradigm because it can be used to investigate a) functionality of multisensory integration in corresponding brain areas and b) pre-existing mental representations of the body, i.e. body image [1]. We … [Read more...]

It is the instrument that shapes your brain and not only the time you spend with it

We know that repetitive training changes functional circuits and even the structure of the brain.  These structural changes are especially prominent in people who train for many years several hours a day, for example musicians who are highly motivated to play their instrument and often have extensive training periods. It has been demonstrated … [Read more...]

How Academics Face the World

These days, academics routinely talk about their work and place pictures of themselves on web sites like bodyinmind.org. However, the picture we choose to show the world may reveal more about the way we see ourselves than we realise. Together with a great cast of researchers from my laboratory at UniSA and Flinders University I collected 5829 … [Read more...]

Learning and Chronic pain part III

As we have discussed in part 1 and 2 of this series of posts, there is some evidence that classical conditioned responses play a role in chronic pain (Flor and Birbaumer 1994; Schneider, Palomba et al. 2004; Klinger, Matter et al. 2010). We have discussed the work of Flor and others showing that injury response systems (such as motor and autonomic) … [Read more...]