In movement and in pain, your outcome is inseparable to your expectations. Expectations determine the sorts of things that you will try, and they alter your pain system ...Read More
There is really strong evidence that perceived threat can turn-up the pain system.
People with long-term pain have all sorts of threat associated with their injury. Pain itself can be threatening – it can interfere with work, sport, family life, and hobbies. Movement can be threatening because it sometimes makes pain worse. Of course movement can make pain better too.Read More
If you have read the previous posts in this series you will have an appreciation for the complexity of pain. It is not a simple cause and effect, 'stub-your-toe-and-it-hurts' phenomenon. Instead, pain is an intricate protective mechanism. It is generated by your brain to look after you, and will protect you from real or perceived danger. And because of this, pain can exist with or without tissue injury. This is really significant. Just because it hurts, doesn't mean there is injury. Injury is not required or sufficient to cause pain.Read More
Pain is an elaborate protective mechanism. It captures attention, and changes behaviour. And of course, it hurts.
Here is the current, accepted definition of pain. 'An unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage (IASP 1994)'. It's a mouthful. But it makes clear that pain can occur with or without tissue damage, i.e. actual or perceived tissue damage.Read More
Pain is the most common reason for people to visit us. And although pain can influence movement and function, people are generally most interested in resolving their pain. The common thought is, 'when my pain goes away I will move better'.
An alternative view is, 'when I move better my pain will go away'.Read More