Spreading Pain Education in Brazil

Development of the first internet-delivery pain education intervention in Brazil It is well established that pain, especially chronic pain, is a public health problem worldwide. Chronification of pain may be due to mismanagement of acute pain that can result in modifications in the peripheral and central nervous systems. Likewise, insufficient … [Read more...]

“Encontros Saúde & Dor” Bringing Pain Education to Low-Income Communities in Brazil

Approximately 11.25 million Brazilians live in low-income communities or “favelas.” In my home town of Jundiaí, near São Paulo, there are no less than 14 of these low-income communities, the largest of which houses approximately 15 000 families. Some low-income communities, such as Rocinha in Rio de Janeiro, are home to up to 180 000 people. At … [Read more...]

The false promises of shared decision making in rehabilitation

In the recent years, Shared Decision Making (SDM) has been increasingly advocated as an ideal model of treatment decision-making during the medical encounter, as it has been shown to increase benefits for both clinicians and the health-care system (1).  But does SDM result in better outcomes for patients with painful musculoskeletal conditions?  In … [Read more...]

The benefits in taking a men’s health approach to pain

We know that there are sex and gender differences in the perception and experience of pain, with women generally reporting more painful episodes across their lifespan than men. While reasons for these sex differences focus on vulnerability factors (e.g., sex hormones), there are alternative ways of thinking about them. For example, as well as … [Read more...]

Two years on … do we know whether the internet can help to manage chronic pain?

It was just over two years ago when we were kindly invited to write a blog post for BodyInMind, which summarised our initial work trying to develop an internet-delivered pain management program. The eCentreClinic Team and I have been very busy since then. Why try to develop an internet-delivered pain management program? Well, research tells us … [Read more...]

EP 15 years in: historical and theoretical underpinnings

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...]

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

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...]

Is education reassuring?

Acute low back pain is inherently worrying; often there is no clear cause, no effective treatment, and a widely variable time frame in which you can expect to recover. Happily for many, the prognosis is good - they can expect to be a lot better within a matter of weeks. Sadly, for the others, we know all too well where that road can lead. One of … [Read more...]

World Congress on Pain comes to you. 5: Innovative Approaches to Pain Education

Dr Eloise Carr (University of Calgary), Chair of the IASP Pain Education SIG coordinated the session “Innovative Approaches to Pain Education”. The goal of this session was to provide an update of the challenges and ongoing efforts of improving the consistency and accuracy of pain education in medical programs worldwide. Dr Carr, Dr Briggs, Dr … [Read more...]

World Congress on Pain comes to you. 3: Learning Pain pt 1

Professor Johan Vlaeyen delivered his plenary lecture at the World Congress on Pain over video. The IASP promised to provide the recording on their website, but some of you had already asked for blog posts on the congress sessions, so I will provide a synopsis of Prof Vlaeyen’s lecture here. His talk was a helpful exploration of the roles that … [Read more...]