Acute/chronic pain is (often) misinterpreted

The terminology “acute/chronic” pain is often misinterpreted and is largely misunderstood by many laymen and some clinicians. The primary difference between acute and chronic pain is in the “relatively arbitrary time posts” (Apkarian et al.). In other words, the main difference is in the duration of the pain experience; it does not say anything concrete […]

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Don’t be a therapist prostitute – 8 reasons why this is wrong

As Adam Meakins has stated, “Just doing what ever a patient wants is prostituting yourself!”. A typical argument for letting the patient choose the choice of treatment is this: “I agree we should advocate for patient education on EBP but that comes at what cost? We’ll never know. Some patients may not return.”

 Often there […]

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The Lived Experience of Pain: Keith Meldrum

Joletta Belton (left) and Keith Meldrum (right) during the 2020 San Diego Pain Summit. Photo by photojournalist Nicolás Ng

 Foreword to the new miniseries (by Lars Avemarie) I started the “Pain Expert series” back in 2014. The series has had entries with some of the most esteemed academics and researchers in the pain field, like […]

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Physiotherapy (1894-2020)

A once-proud profession that lost its way and uncritical accepted too many fads, pseudoscientific interventions, low-quality treatments, passive modalities, and alternative treatments, based upon only a scrap of evidence.  “I have tried physiotherapy, and it did not help me!” This is a typical comment from many people living with pain; they have been to 2-3 […]

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The Lived Experience of Pain: Trevor Barker





Trevor Barker (left) and David Butler (right) during the 2019 Pain Revolution Tour in Australia.   Foreword to the new miniseries by Lars Avemarie I started the “Pain Expert series” back in 2014. The series has had entries with some of the most esteemed academics and researchers in the pain field, like Moseley, Louw, O’Sullivan, Marchand, […]

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An open letter to my follow physiotherapists and healthcare providers

“Digital misinformation has become so pervasive in online social media that it has been listed by the WEF as one of the main threats to human society” (1). So the World Economic Forum has stated that misinformation that is being shared on social networks like Facebook; is a threat to our society. In the Musculoskeletal […]

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The Vocabulary of a giant pioneer in Pain Science with Professor Ronald Melzack PhD

I have, for a long time now, been reading articles, books, textbooks, and research papers by Professor Melzack. Some of these quotes are from articles, books, textbooks, but most are from research papers (or where Prof. Melzack is the first author). Professor Melzack is well known in pain research circles. But among healthcare professionals, he […]

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The health care system as an infinite loop

An infinite loop is a sequence of instructions in a computer program which loops endlessly, this can be due to the sequence having no terminating endpoint, or that the sequence of commands never gets met, or another command that causes the loop to start over. Most often, the “infinite loop” term is used when the […]

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7 therapist and lack of a patient-centered approach

A person with low-back pain goes to a fascial-distortion therapist and gets a fascial focused intervention. The person with low-back pain then goes to a manual therapist and gets a manual “issues with the tissues” therapy intervention.  The person with low-back pain then goes to a movement “dysfunction” therapists and gets a “dysfunction” correction intervention.  The […]

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