Entries by The Pain PT

Your Autonomic Nervous System Plays a Role in Chronic Pain

Today I go over a study that looked at the role of the autonomic nervous system (ANS) in chronic pain. There are definite links between alterations and dysregulation in the ANS and people with chronic. In fact, the researchers sifted through over 17,000 studies on heart rate variability (HRV), which is a measure of your […]

Evidence of the Week: 10 Back Myths vs. 10 Back Facts

I’m starting a series in 2025 called Evidence of the Week. Each week I will go over some research that is of interest and supports the work we are doing here on looking at and treating the brain and nervous system with chronic health conditions. Today I talk about back pain, dispelling 10 myths that […]

An example of how the brain can produce severe physical symptoms

I wanted to share (via permission) from a patient of mine an example of how the brain can quickly produce severe physical symptoms with absolutely zero injury or physical cause. And also how these same severe symptoms can go away in short order if you approach them from the underlying cause- the brain, instead of […]

How Your Attention Impacts the Placebo & Nocebo Effect

Placebo and nocebo are real physiological effects generated by our brains. They have the power to turn symptoms on, up, or down. Past research has found our expectations (positive and negative) are the primary reason why placebo or nocebo effects occur. This 2024 systematic review found there is something more than expectation alone that contributes […]

Study: Work Psychological Factors Increase Risk for Back Pain

In the early 2000’s, I started to think more deeply about chronic pain and other chronic symptoms that were not getting better through traditional physical therapy (physiotherapy). I was working in an outpatient physical therapy clinic focusing primarily on treating worker’s compensation injuries. What I began to see myself was also starting to show up […]

Avoiding behaviors because of symptoms generalizes to other behaviors

I wanted to highlight how fear of movement because of a symptom (like pain) can generalize to other safe movements from the learning mechanisms in the brain. This is called avoidance generalization. This 2023 study looked at how many people with chronic symptoms (pain) learn to avoid behaviors that cause more symptoms. This is called […]

Trauma increases the risk of somatic symptoms by 2.7 times

This was a nice review paper looking at how psychological trauma affects functional somatic symptoms (FSS) in the body. Functional means no specific identifiable medical cause is found in the body. What the researchers found through looking at the data from 71 different studies was that: “To our knowledge, this is the largest and most […]

Study: “Beliefs about the unacceptability of emotions and emotional suppression relate to worse outcomes in fibromyalgia”

This 2017 study looked at the relationship between beliefs about emotions, emotional suppression, and the global impact it has on fibromyalgia patients. Fibromyalgia is one of the conditions that has its roots from the brain and nervous system. I would imagine based on my personal observation, other brain and nervous system conditions would likely present […]