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Why is Pain Painful?

Why is Pain Painful

This is not an easy questions but we love to philosophy. Laura Rathbone – one of our team members sharing her thoughts.
Pain is painful because it is pain. Painful feelings are painful because they are full of the experience of pain. Seems tautological to me because pain is simply the language we’ve decided to give something we experience and mutually agree upon.
I don’t think one can reasonably make any argument that doesn’t include an evolutionary perspective on the merit of feeling some sort of unpleasant experience tied to an increased likelihood of danger wether it be physical or psychological
Pain is pain because evolution has deemed it quite helpful…otherwise we likely wouldn’t be here and we wouldn’t see nocifensive behavior across just about every other living creature.
What pain (that word we ascribe that somewhat mutually defined experience to) means to each person is of course different…and in part I firmly believe that is mainly due to environmental/lifestyle, psychological, and sociological evolutions in humans that have far outpaced physical evolution
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Shut Up and Listen! A Patient Takeover

Shut up and listen! A patient takeover

About this event

Well this is a first for Le Pub, a patient takeover!

This Le Pub is being taken over by Joletta Belton and Keith Meldrum, both well known patient voices in the pain world.

One of our goals at Le Pub is to bring together researchers, clinicians, AND people who live with pain. We strive to give people experiencing pain direct access to the science that informs their treatment. This time we’re flipping it on its head and bringing scientists and clinicians to hear the patients’ perspective.

You’ve shut up and listened, now what?

Join Keith and Jo for a conversation about where we go from here in the evolution of pain care, with perspectives from those living with pain and the clinicians who are leading the way in meaningful patient partnerships.

Joletta and Keith will share their experiences and discuss how this has informed their knowledge, thoughts, opinions, and recommendations on the future of care for people experiencing pain.

Joletta and Keith will be joined by regular Le Pub panellist, Kat (@tmopain)another strong patient voice and Diarmuid Denneny, who will be known to many of you through his role as chair off the Physiotherapy Pain Association

This promises to be a really lively discussion and debate and we’re super excited to see where Joletta, Keith, Kat and Diarmuid take us.

World Event Times

London – Friday, 27 November 2020, 20:00:00 GMT

Amsterdam – Friday, 27 November 2020, 21:00:00 CET

New York – Friday, 27 November 2020, 15:00:00 EST

Adelaide – Saturday, 28 November 2020, 06:30:00 ACDT


Jo makes sense of pain through science and stories on her blog,, and is an advocate for integrating the lived experience of pain into the study, education, and treatment of pain. She is co-chair of the IASP Global Alliance of Pain Patient Advocates presidential task force and the first Patient & Public Partnerships Editor at JOSPT.


Kat is learning to live well with persistent neuropathic pain. After her first diagnosis of a “chronic, progressive” pain disorder, she learned to meditate and somewhat navigate the healthcare system. After receiving her second, she began discovering pain science and is finding strength in (mostly gentle) movement. She has a special interest in the ways we communicate about pain. A thoughtful presenter and engaging public speaker, Kat interprets the lived experience of persistent pain for clinicians and researchers world-wide.”


Diarmuid is professional lead physiotherapist at the Pain Management Centre (PMC), University College London Hospitals NHS Foundation Trust in the UK. Clinically he is an advanced practitioner physiotherapist and independent prescriber.

He is chair of the Physiotherapy Pain Association, a Professional Network linked to the Chartered Society of Physiotherapy.

Diarmuid has a particular interest in psychologically informed practice, co-production methods, and the role for health care professionals in supporting people who have pain and medication related issues. He has published peer reviewed articles relating to pain and physiotherapy practice.

Diarmuid is a member of the guideline development committee for the NICE chronic pain guidelines. He is a module lead (Strategies for the Self-Management of Pain) for the new UCL MSC in Pain Management. He also has interests in the non-medical management of CRPS and is a committee member of CRPS UK.

Check out more upcoming events –

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.


Please note that Le Pub Home Brew is a LIVE EVENT. We are looking at options for giving access to recordings in the future, but right now, we are doing what we are best at – bringing you awesome live and interactive learning events!

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The value of uncertainty

Brilliant essay on uncertainty – co-authored by a previous Le Pub panellist Mark Miller.

Quick summary:

– We can deal with a bit of uncertainty in our lives, in fact it is healthy

– However, uncertainty takes many forms and when our worlds are turned upside down (with no predictable end) this can be unhealthy

– Engaging in activities that question or tease our expectations may be helpful, particularly when they’ve become entrenched (predictable). For the inner geek relating to chronic pain and volatility:”Sustained exposure to such volatile situations and environments [i.e. ongoing pain]

– where the outcomes of actions appear inherently unpredictable

– leads to an inevitable decrease in confidence in one’s ability to bring about the outcomes they expect. At that point, our predictive brains begin to infer an inability to exert successful control, and this then forms a damaging part of the model that guides our future actions.”

– perhaps leading to a state of learned helplessness?!

Check it out – read and re-read – there’s an incredible depth of insight and knowledge.