Let me tell you a little more about me, as a chronic pain patient. But first, please understand this: I don’t write about consults that went badly to bag out the clinicians I have consulted.
Explain Pain (and also O’Sullivan’s cognitive functional therapy bullshit) have never once been demonstrated to be better than empathetic support along with staying as active as constraints allow. Never. These things only look good in appallingly-designed (incompetent) studies.
Both Moseley and O’Sullivan refuse to put their ridiculous theories to a real test. I now consider them both to be frauds.
Ah, Moseley and O’Sullivan - what a putrid mess they’ve made.
I don’t know how we wind this back because it’s become a mindless cult that seems to have infected pretty much every physiotherapy practice in our country.
At the core of their work are disgusting and wrong beliefs about people with pain:
** They only have pain because they think they have pain.
**They have pain because they’re cowardly.
**They have pain because they’re lazy.
Every stupid word that comes out of their mouths is based on one or more of those lies. And physios, unable or unwilling to critically assess their junk studies, have swallowed it hook, line and sinker.
"And physios, unable or unwilling to critically assess their junk studies, have swallowed it hook, line and sinker"
THIS is what I can't understand! These are highly educated, intelligent people, whom supposedly have been taught to evaluate research as part of their training? The first time you look at Moseley's 'evidence' it falls apart rapidly!
And even without looking at the research, just listening to him, from a common sense level, much of what he says is so very obviously wrong!
I prefer O'Sullivan, because he also teaches about chronic secondary pain, patholgical pain and when NOT to use his CFT. That's a massive leap forward over Moseley. BUT people who are fear avoidant, who have primary pain, are still a small minority of people who live with chronic pain! These treatments are only useful for a very small percentage of the chronic pain population! And yet they have become accepted, first line treatments for EVERYONE.
And their proponents do NOT care about the harm they are doing to peope who live with severe pain, pain from disease or injury. If patients were included in every research team, this would never have happened. I dont understand how thse 'therapies' became so prevalent, but people do NOT want to be re-educated about pain. They'll die on the hill that 'hurt does not equal harm' and chronic pain is not related to tissue damage.
And as you say, we're all profiled to be lazy, stupid, fearful, needy and very demanding.
"Pain is a thing of the mind," right? When Original Star Trek aired in the. late 60s, that only applied to Vulcans like Spock - aliens. Humans feeling pain was acknowledged as real back then.
BTW, pain can be observed in animals and many people who can't verbally communicate, including infants, people in comas, dementia patients.
My pain is from a birth defect to my pancreas. Going back in medical history, this condition has long been known to cause severe pain. Tell me what exercise is going to do anything to relieve relieve pain from a deformity (clue - there IS none).
Pain patients deprived of safe, effective opioid pain medications exercise less and gain weight, on top of many other complications of untreated pain - including cardiac related deaths.
Thank you for your post. I too, have a form of arthritis. I’m not that old, but experience pain that limits me daily. I’m also from Australia and I find the same thing; professionals don’t truly listen. They think I’m a textbook and they’re reaching for the solution before they’ve heard my story. It’s so frustrating.
Explain Pain (and also O’Sullivan’s cognitive functional therapy bullshit) have never once been demonstrated to be better than empathetic support along with staying as active as constraints allow. Never. These things only look good in appallingly-designed (incompetent) studies.
Both Moseley and O’Sullivan refuse to put their ridiculous theories to a real test. I now consider them both to be frauds.
Ah, Moseley and O’Sullivan - what a putrid mess they’ve made.
I don’t know how we wind this back because it’s become a mindless cult that seems to have infected pretty much every physiotherapy practice in our country.
At the core of their work are disgusting and wrong beliefs about people with pain:
** They only have pain because they think they have pain.
**They have pain because they’re cowardly.
**They have pain because they’re lazy.
Every stupid word that comes out of their mouths is based on one or more of those lies. And physios, unable or unwilling to critically assess their junk studies, have swallowed it hook, line and sinker.
"And physios, unable or unwilling to critically assess their junk studies, have swallowed it hook, line and sinker"
THIS is what I can't understand! These are highly educated, intelligent people, whom supposedly have been taught to evaluate research as part of their training? The first time you look at Moseley's 'evidence' it falls apart rapidly!
And even without looking at the research, just listening to him, from a common sense level, much of what he says is so very obviously wrong!
I prefer O'Sullivan, because he also teaches about chronic secondary pain, patholgical pain and when NOT to use his CFT. That's a massive leap forward over Moseley. BUT people who are fear avoidant, who have primary pain, are still a small minority of people who live with chronic pain! These treatments are only useful for a very small percentage of the chronic pain population! And yet they have become accepted, first line treatments for EVERYONE.
And their proponents do NOT care about the harm they are doing to peope who live with severe pain, pain from disease or injury. If patients were included in every research team, this would never have happened. I dont understand how thse 'therapies' became so prevalent, but people do NOT want to be re-educated about pain. They'll die on the hill that 'hurt does not equal harm' and chronic pain is not related to tissue damage.
And as you say, we're all profiled to be lazy, stupid, fearful, needy and very demanding.
"Pain is a thing of the mind," right? When Original Star Trek aired in the. late 60s, that only applied to Vulcans like Spock - aliens. Humans feeling pain was acknowledged as real back then.
BTW, pain can be observed in animals and many people who can't verbally communicate, including infants, people in comas, dementia patients.
My pain is from a birth defect to my pancreas. Going back in medical history, this condition has long been known to cause severe pain. Tell me what exercise is going to do anything to relieve relieve pain from a deformity (clue - there IS none).
Pain patients deprived of safe, effective opioid pain medications exercise less and gain weight, on top of many other complications of untreated pain - including cardiac related deaths.
“Little did I know then that I would never experience another pain free day.”
Wow - so true. I can just about remember my pre chronic pain life. So blissfully unaware
Thank you for your post. I too, have a form of arthritis. I’m not that old, but experience pain that limits me daily. I’m also from Australia and I find the same thing; professionals don’t truly listen. They think I’m a textbook and they’re reaching for the solution before they’ve heard my story. It’s so frustrating.