Explain Pain: (Revised and Updated, 2nd Edition)
Imagine an orchestra in your brain. It plays all kinds of harmonious melodies, then pain comes along and the different sections of the orchestra are reduced to a few pain tunes. All pain is real. And for many people it is a debilitating part of everyday life. It is now known that understanding more about why things hurt can actually help people to overcome their pain. Recent advances in fields such as neurophysiology, brain imaging, immunology, psychology and cellular biology have provided an explanatory platform from which to explore pain. In everyday language accompanied by quirky illustrations, Explain Pain discusses how pain responses are produced by the brain: how responses to injury from the autonomic motor and immune systems in your body contribute to pain, and why pain can persist after tissues have had plenty of time to heal. Explain Pain aims to give clinicians and people in pain the power to challenge pain and to consider new models for viewing what happens during pain. Once they have learnt about the processes involved they can follow a scientific route to recovery. The Authors: Dr Lorimer Moseley is Professor of Clinical Neurosciences and the Inaugural Chair in Physiotherapy at the University of South Australia, Adelaide, where he leads research groups at Body in Mind as well as with Neuroscience Research Australia in Sydney. Dr David Butler is an international freelance educator, author and director of the Neuro Orthopaedic Institute, based in Adelaide, Australia. Both authors continue to publish and present widely.
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Altered central nervous
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10 2 m
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adrenaline alarm system amount of pain become behaviours biology of pain bones brain brain concludes brain thinks cause pain changes chronic pain clinical clinicians coping cortisol critical level danger message danger messenger neurone danger sensors dorsal horn dorsal root ganglion example excitatory chemicals excitement level explain pain section explain section explain section Page fear ﬂoor health professionals hurt immune system inﬂammation inﬂuences injury inputs involved joints LAFT ligament low back pain message is sent Moseley motor imagery movement muscles nervous system neurone reaches Neuroscience nociception normal orchestra pain experience pain neurotag pain tune patients peripheral nerves persistent pain Phantom limb pain play protect reaches the critical Recap Reﬂect release Remember response section page explain section Page pain sensitised sensors open skin spinal cord stress sympathetic sympathetic nervous system synapse syndrome therapy things threat tissue damage understand pain virtual body