Pain and Learning

What does chronic pain have to do with learning? Here's a quick post with links and quotes from three new papers that help explain the role of associative learning in chronic pain. Because many of the quotes contain a bunch of fancy language, here's a quick bit of background on the key concept - learning through pavlovian association

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A Systems Perspective on Chronic Pain

We can better understand the complexity of chronic pain, and its relationship to other multi-symptom disorders, by learning something about systems theory. The basic idea is that chronic pain is often driven by dysregulation of a “supersystem” that coordinates defensive responses to injury. The supersystem results from dynamic interaction between different subsystems, most notably the nervous system, immune system, and endocrine system.

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Five Great New Titles for Blog Posts

I have a favor to ask my readers.* I am working on a new set of posts that I think will really drive some traffic to the site. Market research shows people just love to read about certain subjects, and I have put together some great new blog post titles addressing those subjects. But I am having some real problems filling out the content.

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How Structure Affects Function

This blog is focused on the central nervous system - how it affects the way we move and feel, and what we can do to change its function in that regard. But that doesn't imply that the structure of the body is unimportant, or that good movement is “all in your head.” The structure and health of the musculoskeletal system are essential for quality movement, just as a mechanically sound car is required for safe driving.

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Do You Even Mobility?

A few months ago I came across a very informative video by Dom Mazetti, a distinguished professor of bro-science. In the video, Dom uses a flow chart and well-established principles of bro-logic to determine whether someone "even lifts." If you haven't already watched it, I highly recommend it.

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Interview at Cinema Says

I just did an interview with Cinema, a physical therapist who writes a great blog at Cinema Says. I was honored to be asked to do the interview and the questions were great. We talked about my background as an attorney, what I think about evidence-based versus science-based practice, my upcoming book, how I practice, my favorite books, and lots of other subjects I don''t often talk about on this blog. It think it came out pretty well.

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Graded Exposure

Graded exposure is a key concept in understanding how to reduce pain caused by movement. It's a very common sense idea, and one that most people kind of know at some level, because there is profound truth to it. But it's also an idea that most people will probably fail to put into practice in a systematic way. Here’s a brief discussion of what it is, why it works and how to do it.

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