The pain field in a nutshell

The misunderstanding of imaging, findings (or lack thereof) and pain, revolves around tissue damage. Tissue damage is indeed an important part of shaping human understanding of pain, as it is usually our first encounter in life with activation of our evolutionarily conserved

I have seen at least two CRPS patients without the P…”painless CRPS”. It doesn’t make any sense naming a pathology based on a symptom. It is true that often pain is the most disturbing aspect of this condition but it is a peripheral nociceptive apparatus dysfunction - not a

NOPE! Your back does not hurt because of this nonsense

Nociplastic pain is a revolutionary concept, but unfortunately widely misunderstood and misinterpreted. This is a recent response of ours published open access in the Korean Journal of Pain. You can find the original paper, author’s response and an editorial in the journal. All

A new review about the history of pain. Small inaccuracies and some aspects missing. Nevertheless, a nice read.

New blog from Drs. Quintner and Cohen painlosophy.wordpress.com/2025/04/09/pai…

According to Betteridge's law of headlines, the answer to the titles question is: NO! Microscopic effect size for the contribution of psychological factors in the persistence of shoulder pain!

Fellow healthcare providers. The logic of many educational/cognitive interventions for pain is very simple: Primary (non specific) “chronic pain is a fear response”, or because “of the brains assessment of threat” or because it is a “prediction of threat” etc. The logic then

Interesting, by now the majority answered NO. This makes one wonder why so many lead researchers in the field of pain field are convinced that the answer is YES?

Two papers accepted. Both important for Pain Science and Medicine. But of course I am biased 💁🏻‍♂️ One is an extensive empirical and logical refutation of the theoretical basis of cognitive-based therapies for chronic pain (PNE, CBT, ACT and mindfulness), and the other explores the

Very interesting direction and result of a placebo controlled RCT with a moderate effect size for metformin on pain reduction. I calculated it to be d=0.52. More studies are needed

In my epistemological divings into bibliographies of key prominent leaders in the pain field, I have discovered most of them don’t know and didn’t know (those now dead) how to cite papers. So, many of their claims are simply not supported and were never supported. And yes, the

Seriously, show me a non bio/pharma treatment for chronic pain with such crazy effects like CGRP antibodies for migraines. The future of pain relief is biological and it’s already here. Just look at the numbers and crazy effect sizes: 1. Monthly migraine headache days: • Before

Neuroimmune science advancing 💥New phase 1B RCT-placebo controlled trial, of an injectable medication targeting multiple immune signalling pathways, leads to a statistical and clinically meaningful pain reduction, and restores disc height in 17 subjects! No adverse events in the

Work in progress for a future project...I like the way it's unfolding and feel a desire to share. I'm not sure about the text in the picture yet. Might change that...

A new creation per request. I wish I could just do those all day.

We can get a man to the moon because it’s right there where you see it. We can’t find the reason for back pain in tissues, because it’s simply not there, and not anywhere - it is an experience, not an objective entity that resides in communal space.