We need to keep in mind that there is no pain signal coming in from the periphery.
Pain is not an input. It is simply (and complexly?!) a nerve being stimulated, sending an action potential up to the spinal cord and then brain, where the brain interprets those signals.
…and that’s where it get’s sticky… because what is Continue reading
I had chronic low back pain.
The first incident was years prior in college: randomly getting up from a nap on the couch (college!) and my back grabbed me and put me on the floor. 9/10 P! Never happened before, so I just lay there for a bit and crawled around until I could relax enough to stand.
Fast forward: after college I would try to Continue reading
And you’d be surprised… the answer goes further back than you might think.
So if you read Part 1, we left with a series of questions — all boiling around the conundrum of what I will call “the pain education lag.” This can be defined as the time it takes for the education to take an effect (i.e. reduction of aberrant pain). Essentially, you provide a treatment, but it’s possible for no effect to be seen immediately (and its also highly likely for this to occur in such a delayed fashion). And this is something that is significant. Other treatment effects take place immediately. Yet, with pain education Continue reading
Remember when you first began practice? Patients came to you for help. You were the solution to their pain..or were you?? Admittedly, you might have been a little scared…not entirely sure of how to deal with your first complex patient of the day. He had chronic LBP for the past 8 years…heck maybe for the past Continue reading