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 […]

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

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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 […]

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 […]

Fibromyalgia — creating conditions for change

Pain and symptoms can and do change. They can change moment to moment and day to day, but if you suffer persisting symptoms, all of the variations can blend into a long physical and mental struggle. Striving for change needs understanding, motivation, resilience and a plan of how to reach your goals. Fibromyalgia is biology […]

When do we seek help for our pain?

When do we seek help? I am interested in the point at which an individual decides that they need help. The timeline varies enormously from the initial feeling of pain to years of discomfort that finally become intolerable or limiting. Each person will have their own view that is grooved by prior experiences, culture, beliefs […]

An ode to the receptionist

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I once had a conversation with a member of staff who told me that she was ‘just a receptionist’. Anyone who has considered the patient journey will realise that this statement is untrue. There is no ‘just’. There are important people involved with the patient’s experience from the start, and usually the receptionist is the […]

Pain – the unseen force

Protect the body with armour - the muscular system

“Do we see the hundred-thousandth part of what exists? Look, here is the wind, which is the strongest force in nature, which knocks men down, destroys buildings, uproots trees, whips the sea up into mountains of water, destroys cliffs, and throws great ships onto the shoals; here is the wind that kills, whistles, groans, howls–have […]

Too many cases of “I can’t” — the effects of persisting pain

Turn 'no' into 'yes'

Frequently patients tell me at the first meeting that they cannot do x, y and z. Naturally, when something hurts we avoid that activity or action because pain is unpleasant. It hurts physically and mentally. In the acute stages of an injury or condition, it is wise to be protective as this is a key […]