Posted on Leave a comment

Pain Revolution Fundraiser

Welcome to the Pain Revolution

First Up

Ever wondered what a Pain Revolution public event looks like? We have! And we are super excited welcome Local Pain Educator, Abbie Norrish to demonstrate live how they are changing people’s understanding of pain on a grand scale.

Abbie’s personal journey from lived experience to pain educator is an inspiration in itself, she’ll be ‘on the couch’ with Lorimer sharing her story; the highs and lows, the challenges and rewards of being a key part of the Pain Revolution.

Next…

Ever wanted to be a fly on the wall in Lorimer Moseley’s clinic? Yeeeesss! Lorimer Moseley invites you to join him for what promises to be an enlightening and entertaining clinical encounter. See Lorimer as never before, how does he put a patient at ease? What questions does he ask? How does he cope with challenges?

Followed by…

How was it for you? Lorimer and his patient will be interviewed about the encounter and invited to open up about how it felt from both view points.

And finally…

We’ll be wrapping up with details about you can get more involved with Pain Revolution from ‘Peaks for Pain’ to free online patient events.

So…what are you waiting for? Grab your ticket and join the revolution!

Pain Revolution

Pain Revolution started in 2017 with a group of clinicians, researchers and advocates in Australia riding into the outback to provide support to local health professionals to become pain experts and spread the word in their community.

Riding 870kms in a week is a big effort. So is living with Persisting Pain. We’re taking health and care out of the clinic, and meeting the communities that need help and support, so we can work together to create solutions for better pain management and education

World Event Times

  • Adelaide: Tuesday, 29 June 2021, 19:30 ACST
  • London: Tuesday, 29 June 2021, 11:00 BST
  • Amsterdam: Tuesday, 29 June 2021, 12:00 CEST
  • New York: Tuesday, 29 June 2021, 06:00 EDT
  • Wellington: Tuesday, 29 June 2021, 22:00 NZST

Check out more upcoming events – www.lepubscientifique.com

Cancellation Terms Places can be cancelled and refunded up to 48 hours before the start of the event. Within 48 hours of start time no refund.

Recordings Buy now watch later. If you buy a ticket you can either watch live or catch up later. A link to the recording will be sent out to everyone who buys a ticket.

Posted on Leave a comment

Pain Revolution Fundraiser

Do you want to be part of the biggest Pain Revolution on the planet?

 

Well now is your chance…

Pain Revolution is going global and now is your chance to be part of it. Join Le Pub Scientifique, Lorimer Moseley and Pain Revolution to see how you can get involved. This is the first of a series of fundraisers for Pain Revolution – half of all proceeds are going towards transforming the future of global pain education and care.

First up…

Ever wondered what a Pain Revolution public event looks like?

We have! And we are super excited welcome Local Pain Educator, Abbie Norrish to demonstrate live how they are changing people’s understanding of pain on a grand scale.

Abbie’s personal journey from lived experience to pain educator is an inspiration in itself, she’ll be ‘on the couch’ with Lorimer sharing her story; the highs and lows, the challenges and rewards of being a key part of the Pain Revolution.

Next…

Ever wanted to be a fly on the wall in Lorimer Moseley’s clinic?

Yeeeesss! Lorimer Moseley invites you to join him for what promises to be an enlightening and entertaining clinical encounter. See Lorimer as never before, how does he put a patient at ease? What questions does he ask? How does he cope with challenges?

Followed by…

How was it for you?

Lorimer and his patient will be interviewed about the encounter and invited to open up about how it felt from both view points.

And finally…

We’ll be wrapping up with details about you can get more involved with Pain Revolution from ‘Peaks for Pain’ to free online patient events.

So…what are you waiting for? Grab your ticket and join the revolution!

Pain Revolution

Pain Revolution started in 2017 with a group of clinicians, researchers and advocates in Australia riding into the outback to provide support to local health professionals to become pain experts and spread the word in their community.

Riding 870kms in a week is a big effort. So is living with Persisting Pain. We’re taking health and care out of the clinic, and meeting the communities that need help and support, so we can work together to create solutions for better pain management and education

World Event Times

Adelaide: Tuesday, 29 June 2021, 19:30 ACST

London: Tuesday, 29 June 2021, 11:00 BST

Amsterdam: Tuesday, 29 June 2021, 12:00 CEST

New York: Tuesday, 29 June 2021, 06:00 EDT

Wellington: Tuesday, 29 June 2021, 22:00 NZST

Check out more upcoming events – http://www.lepubscientifique.com

Cancellation Terms

Places can be cancelled and refunded up to 48 hours before the start of the event. Within 48 hours of start time no refund.

Recordings

Buy now watch later. If you buy a ticket you can either watch live or catch up later. A link to the recording will be sent out to everyone who buys a ticket.

Posted on Leave a comment

A Must listener – Stephen McMahon at PRF

Musings on the Progress of Pain Research: A Podcast with Stephen McMahon

 

You could spend 45 minutes in a whole bunch of worse ways…
“McMahon discusses his early days in the pain research field, what it was like to train with Patrick Wall, the gate control theory of pain, central sensitization, and much more”

“Not the smartness of people but the smartness of nature, I still think that there are many thinks to be discovered from the natural world that would greatly help in our efforts to develop analgesics”

 

Stephen McMahon

 

Go to Podcast here

About Stephen McMahon

In this third IASP podcast features pioneering pain researcher Stephen McMahon, PhD. Dr. McMahon is Sherrington Professor of Physiology at King’s College London, UK, where he leads a research group in clinical neuroscience. He also directs the Wellcome Trust Pain Consortium, an international network of leading pain researchers. He trained under Patrick Wall at University College London before moving to King’s College London in 1985 to run his own lab. His major research interest is pain mechanisms, and he has been working to identify and understand pain mediators. More recently, he has focused on neuroimmune interactions and the role of genetics and epigenetics in pain.

Posted on Leave a comment

Pain Medicine in Medical Curricula

Pain in medical school

Synopsis

“Ninety-six percent of medical schools in the UK and USA, and nearly 80% of medical schools in Europe had no compulsory dedicated teaching in pain medicine”
“On average, the median number of hours of pain content in the entire curriculum was 20 in Canada (2009), 20 in Australia and New Zealand (2018), 13 in the UK (2011), 12 in Europe (2012/2013), and 11 in the USA (2009). Neurophysiology and pharmacology pain topics were given priority by medical schools in all countries.”
Stop and consider, just for a moment, how many hours in total an entire medical school curriculum may consist of… and the vanishingly small % that 11-20 hours may represent…
 

Link to the paper

Check out the open access article here: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6251835/

Posted on Leave a comment

Meet Dr. Kirsty Bannister

Kirsty Bannister

Biography

I lead the Bannister lab group, where we focus on the biological, pharmacological and anatomical basis of pain pathways and their plasticity in chronic pain states. Chronic pain affects up to 20% of the adult population and can occur in the presence or absence of any past injury or evidence of body damage. Modules that I teach on include Physiology and Pharmacology of the Central Nervous System, Pharmacology of Neurological and Psychiatric Disorders, Core Year One Fundamentals of Pharmacology, and Neuroscience. My lab’s research is funded by the Academy of Medical Sciences and the NC3Rs.

Please see my Research Staff Profile for more detail

Posted on Leave a comment

Why Pain Experience is not a Controlled Hallucination of the Body

Synopsis

This is where a Le Pub Scientifique can lead to. Professor Mick Thacker and Dr. Julian Kieverstein just published this paper. A must read!

 

This paper aims to provide an account of the subjective character of pain experience in terms of predictive processing. The PP theory is often taken to support a view of perceptual experience as a controlled hallucination of the external world. Transposed to pain this would have the consequence that pain is a controlled hallucination of the body. The PP theory would have the consequence that the body that is in pain is just another hidden cause of sensory input that stands in need of inference and control by the brain. We argue that pain experience cannot be a controlled hallucination of the body since the predictive machinery that constitutes pain experience is not brain bound. The subject’s pain experience is physically realised in a system that is spread
across the body as a whole. This system comprises the immune system, the endocrine system, and the autonomic system in continuous causal interaction with pathways spread across the whole neural axis. We will argue that these systems function in a coordinated and coherent manner as a single complex adaptive system to maintain homeostasis. This system, which we refer to as the neural-endocrine-immune (NEI) system maintains homeostasis through the process of prediction error minimisation. We go on to propose a view of the NEI system as a multiscale nesting of Markov blankets that integrates the smallest scale of the cell to the largest scale of the embodied person in pain. The NEI system is the embodied subject’s first-person perspective on the world. The PP theory, we will argue, can therefore make sense of how a living body that acts to minimise prediction error can also be a lived body, the subject’s embodied point of view on their surrounding world.

Key Points

We have shown how the predictive processing theory of pain is best understood against a backdrop of a view of the whole NEI ensemble as working predictively. Pain experience cannot be reduced to nociception or decomposed into sensory-discriminatory, affective-motivational and cognitive-evaluative elements. Instead we have argued pain is the outcome of predictive processing that takes place in the whole neural axis in continuous reciprocal interaction with the immune system, the neuroendocrine and the autonomic system. All of these systems are working together as an integrated whole. Pain occurs when all of these systems together conclude that the prediction of body integrity is likely to be disconfirmed. Body integrity here means the states of the body the organism should return to under a wide variety of different conditions that are necessary if it is to continue to exist. Pain is an allostatic process that aims to maintain the body in these states under conditions of constant change, providing the organism with feedback that it is diverging in potentially dangerous ways from these (adjustable) setpoints.  

 

We have argued that the predictive processing theory of pain does not support a conception of pain as controlled hallucination of the body. Proponents of the PP theory often present the body as just another hidden cause of sensory input no different from anything else in the environment external to the body. We have argued this is a mistake. Predictive processing takes place in all of the systems that maintain the homeostasis of the body. What travels up the neural axis to the brain is prediction error from these systems, not a sensory signal originating from an external hidden cause.

 

In place of a view of the brain separated from the body by an evidentiary boundary we have proposed to think of the predictive processing that takes place within each of the systems that makes up the nervous system as producing and maintaining a nesting of Markov blankets. At the smallest scale to the largest scale processes of prediction error minimisation play out that separates but also connects and integrates these systems. This nesting of Markov blankets makes sense of how the body is presented in pain not as an object but as the subject’s point of view on the world. Pain is not only in the brain. Pain is a state of the whole body that prioritises the actions the organism needs to undertake to return the body to the state of healthy flourishing that is expected.

Research papers