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One hundred per cent of the time it serves to protect body tissue. Moseley: Well, a true Darwinian would say ‘There’s no point of anything, it’s just a fluke.’ But, I guess, the effect of pain is protection. Ah, but you’re completely right, that it hurts in your leg, and I would say: ‘The pain is in your leg.’ But the pain is constructed by your brain.
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So, look, one of the beautiful things about the human brain is how precisely it can construct an experience that serves to protect you, and it would be ridiculously stupid for your brain to make your shoulder hurt when there was danger in your leg. Did I get my geography right? Can you go through Milton Keynes on the way to Edinburgh?Įvans: You’re speaking to a Welshman who would …Įvans: Who would never go from London to Edinburgh, so let’s assume you’re right. Everyone in Edinburgh thinks it’s the London train, so they’re Londoners that are on it, but maybe they got it on Milton Keynes. Just like: if you catch a train from London to, you’ll have to forgive my bad geography, but let’s say London to Edinburgh. Or perhaps, and this is very possible, they might be generated within the corridor between your leg and your brain. And that’s because that’s where danger messages are probably coming from. The only reason it hurts in your leg is because your brain decides that’s the best place to make it hurt. Moseley: That is a fabulous question, Paul, because it’s got everything to do with your brain. So, my first question had to be: when I hurt my leg, the pain is in my leg: what does that have to do with my brain? He’s Professor of Clinical Neurosciences and Chair in Physiotherapy at the University of South Australia, and he leads a research group looking to understand the role of the brain and the mind in chronic pain. He’s co-author of Explain Pain, an outstanding and very readable book, which I thoroughly recommend to you all. In August of 2012, I went to the International Association for the Study of Pain’s 14th World Congress on Pain in Milan, where I met Dr Lorimer Moseley. So, today’s edition is devoted entirely to that most fundamental question: what is pain? And it’s in line with what we hope to achieve on these Airing Pain programmes. This edition is supported by the Scottish Government.ĭr Lorimer Moseley: Good experiments have been undertaken by several research groups around the world, in several languages, all of which show that if you can teach people with chronic pain about their pain, in a way that they understand it, their pain reduces.Įvans: That’s a very powerful claim for what must be one of the most cost effective forms of treatment for chronic pain. Paul Evans: Hello, I’m Paul Evans, and welcome to Airing Pain, a programme brought to you by Pain Concern the UK charity that provides information and support for those who live with pain. Issues covered in this programme include: Understanding pain, physiotherapy, brain signals, education, medical research, neuropathic pain, fibromyalgia, neuroscience, nervous system, educating health professionals, communicating pain and pain perception. According to Moseley, the evidence shows that learning about your chronic pain can lead to a reduction in the pain you experience.
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The importance of providing good explanations of pain to those living with it is also looked at. In this programme Dr Lorimer Moseley, Professor of Clinical Neurosciences and Chair in Physiotherapy at the University of South Australia, explains the relationship between chronic pain and the brain, incorporating personal stories that illuminate this relationship.