There is no pain system

Pain is whole person

Many writers in health journals and magazines continue to refer to pain systems, pain pathways, pain signals, pain messages and pain receptors. There is no pain system, there are no pain pathways, there are no pain messages and there are no pain receptors. Pain emerges from the body (or a space that has a representation in […]

Murray’s attack of the cramps

Most active people have suffered the agony of cramping. The uncontrollable vice-like spasm squeezes the blood out of the muscle, the acids build and the oxygen level drops. End result: writhing or hopping around until the tightness eases and pain gradually subsides. It is not uncommon for the effects to be felt for a day […]

Greatness, smoothness & injury

In response to @simonrbriggs excellent article in the Telegraph (see here) contrasting Federer and Nadal in respect of their physical longevity on the court, I wanted to agree with Simon’s subsequent tweet about the many factors involved with an injury — the line I frequently quote being: ‘no injury happens in isolation’. Whilst I am […]

When in pain, the World looks different

busy-street-new-york-city

We are familiar with the notion that the World is always changing. In fact, change is one of the few certainties in life that we can rely upon. However, change is only possible if there is someone present to experience how things are evolving, and that person is also changing. No two moments are the […]

When is a door not a door? When it’s a jar – a perspective on back pain

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This old joke springs to mind when I think about back pain. We can think simply about a door and create an image of how it appears but in fact a door consists of at least some of the following: a piece of wood (or another material), a handle, some hinges, a lock and a […]

Chronic pain developing at work

Stress and pain at work

Many chronic problems evolve slowly. The aches and pains become increasingly bothersome without any obvious injury as our biology gradually changes. Our bodies are surviving rather than flourishing, and this is because of both physical and mental strain. Recovery time is minimised as the protective systems remain ‘on’, disrupting our ability to think clearly, sleep, laugh, […]

CRPS Bugle | July 2014 | #CRPS

CRPS Specialist Clinics in London

Dear Readers, Welcome to the July 2014 CRPS Bugle, your research update for complex regional pain syndrome. Immobilization contributes to exaggerated neuropeptide signaling, inflammatory changes, and nociceptive sensitization after fracture in rats – Guo TZ1, Wei T1, Li WW2, Li XQ3, Clark JD3, Kingery WS4. J Pain. 2014 Jul 22. pii: S1526-5900(14)00817-7. Abstract A tibia fracture […]

It’s time to bring what we know about chronic pain into sport

I recall a time when a consultant told me that chronic pain does not exist in private medicine. I was somewhat dumbfounded that an intelligent person could have such a thought. As a far as I was (and am) concerned, pain is classless. This was some years ago, however I am reminded of this when […]

It’s not just the pain, it’s the effects of pain that summate to suffering

The question I ask myself is ‘what is pain?’. The straightforward answer is that pain hurts, it hurts in the body and it makes us think and do things differently. Everyone whom I see suffering on-going pain — back pain, fibromyalgia, CRPS, recurring sports injuries, neck pain, RSI etc — will be living this experience, […]

Where have ‘I’ gone?

Neuroscience focuses upon the brain. Neuroscience has shown us that the brain is involved with pain. Consequently the brain has been blamed for pain, the unpleasant motivator that is designed to grab our attention and enforce action that protects us from a threat, actual or potential. Recent thinking that sensibly gathers paradigms from both neuroscience […]