Here is a great youtube video on some of the basic ideas of modern pain science. As PTs, many if not the majority of patients we will see have a primary complaint of pain. Understanding pain and how to explain pain to our patients is very valuable and often overlooked skill for PTs.
Here is the lecture by Allan Basbaum PhD, FRS
Some of the main take home points I took from the video:
No brain, no pain.
Pain threshold is actually very similar between all people. Where people differ is in their pain tolerance.
Pain depends on the psychological state of the subject when they are being stimulated.
The stimulus DOES NOT determine the amount of pain a person has, it is far more complex
Pain is higher when you attend to the pain. (distraction can effectively reduce pain)
Placebo can be very good. If you have a good placebo use it.
I hope you enjoy the lecture. More to come soon.
Tank
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