Isn't he what! He has evolved over the years, but he still spouts off about chronic primary pain and never mentions that you cannot Explain Pain to someone with secondary pain and expect their pain to magically go away. His entire career is based on lies, well marketed lies. I don't know how he sleeps at night.
Agree with this. The pendulum has swung so far towards the frankly impossible-to-pin-down biopsychosocial model of pain that most GPs I speak to end up just bewildered
Yes! But GPs, in Austrlia at least, are being taught the Explain Pain model of pain, and again, secondary pain is not mentioned. They are taught that fear is the root cause of pain and education and psychologcal therapes are teh only treatments. and that medications should not be prescribed. This leaves people who live with painful, progressive diseases to suffer, and its Moseley's fault. GPs don't have time to question, to dig into the research. And they should be able to trust their colleges have vetted this information. But they can't.
This is a brilliant observation. Also, when a limb is amputated, it's not like cutting through a pencil, with a clean cut and all elements just end at the same plane where they are severed. The terminal end of an amputated limb doesn't resemble a ribeye steak, or a slice of tree-trunk, with all the layers visible. Skin, muscle, connective tissue -- and the nerves within them -- are repositioned on the stump. This is another difference between a limb that is amputated and one missing from birth.
Here's some more robust evidence that pain is not a creation of a conscious mind that only exists because we can communicate our suffering. Pain is detectable in animals, infants, coma patients, and people with dementia.
In addition to people who are born without limbs, there is a hereditary condition called Congenital Insensitivity to Pain. There's two subgroups. One form involves the nerve cells that carry pain signals failing to form of dying early. People with the second form have the nerves but the signals fail to travel. These people are at risk of unknowningly breaking a bone or suffering an infection. They may also be unaware of having. heart attack.
Pain is a very important indicator in diagnosing many diseases. This article about CIP mentions how important pain is in the process of a doctor developing a diagnosis
This is definitely a valid argument. Even just having carpal tunnel or a rhysotomy makes the nerves go haywire. After my rhysotomy and carpal tunnel surgery I wondered about my decision. My nerves went berserk and hurt for about a week.
He is infuriating!!!
Isn't he what! He has evolved over the years, but he still spouts off about chronic primary pain and never mentions that you cannot Explain Pain to someone with secondary pain and expect their pain to magically go away. His entire career is based on lies, well marketed lies. I don't know how he sleeps at night.
He sleeps just fine with a nice little nest egg!!!!
Agree with this. The pendulum has swung so far towards the frankly impossible-to-pin-down biopsychosocial model of pain that most GPs I speak to end up just bewildered
Yes! But GPs, in Austrlia at least, are being taught the Explain Pain model of pain, and again, secondary pain is not mentioned. They are taught that fear is the root cause of pain and education and psychologcal therapes are teh only treatments. and that medications should not be prescribed. This leaves people who live with painful, progressive diseases to suffer, and its Moseley's fault. GPs don't have time to question, to dig into the research. And they should be able to trust their colleges have vetted this information. But they can't.
This is a brilliant observation. Also, when a limb is amputated, it's not like cutting through a pencil, with a clean cut and all elements just end at the same plane where they are severed. The terminal end of an amputated limb doesn't resemble a ribeye steak, or a slice of tree-trunk, with all the layers visible. Skin, muscle, connective tissue -- and the nerves within them -- are repositioned on the stump. This is another difference between a limb that is amputated and one missing from birth.
Here's some more robust evidence that pain is not a creation of a conscious mind that only exists because we can communicate our suffering. Pain is detectable in animals, infants, coma patients, and people with dementia.
In addition to people who are born without limbs, there is a hereditary condition called Congenital Insensitivity to Pain. There's two subgroups. One form involves the nerve cells that carry pain signals failing to form of dying early. People with the second form have the nerves but the signals fail to travel. These people are at risk of unknowningly breaking a bone or suffering an infection. They may also be unaware of having. heart attack.
Pain is a very important indicator in diagnosing many diseases. This article about CIP mentions how important pain is in the process of a doctor developing a diagnosis
https://scientificorigin.com/why-do-some-people-never-feel-pain-the-genetic-key-to-a-pain-free-life
This is definitely a valid argument. Even just having carpal tunnel or a rhysotomy makes the nerves go haywire. After my rhysotomy and carpal tunnel surgery I wondered about my decision. My nerves went berserk and hurt for about a week.