David Butler - Explain Pain

Welcome to the Explain Pain Second Edition eBook

A handbook for clinicians, people in pain and their families.

All pain is real, and for many people it is a debilitating part of everyday life. However, it is now known that the more we understand pain, the less we will hurt.

Modern neurophysiology, brain imaging, immunology, psychology, pain sciences and thousands of peoples pain stories now provide a revolutionary and new way to treat pain. The Explain Pain Second Edition, in easy to follow language, discusses how pain experiences are constructed in response to dangers and threats in our bodies and influenced by our thoughts, beliefs and context. This knowledge is the key to recovery.

With the advances in pain sciences, Lorimer and David have subtly changed some of the language and content so that the second edition can be delivered with increased confidence. Explain Pain Second Edition is extensively referenced and links to the Explain Pain Handbook: Protectometer.

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Published by Noigroup Publications for NOI Australasia, Pty Ltd.

2020 Noigroup Publications

Noigroup Publications NOI Australasia Pty Ltd 19 North Street, Adelaide City West,South Australia 5000 www.noigroup.com Telephone +61 (0)8 8211 6388 Facsimile +61 (0)8 8211 8909 noi@noigroup.com

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior written permission from the publisher, except for brief quotations embodied in critical articles and reviews.The procedures and practices described in this book should be implemented in a manner consistent with professional standards set for the circumstances that apply in each situation. Every effort has been made to confirm accuracy of the information presented and to correctly relate generally accepted practices.The authors, editor and publisher cannot accept responsibility for errors or exclusions or for the outcome of the application of the material presented herein. There is no expressed or implied warranty of this book or information imparted by it.

Butler, David S. and Moseley, G. Lorimer Explain Pain Second Edition Includes index

First print edition 2013

Print book ISBN: 978-0-9873426-6-9

eBook EPUB edition June 2020

ISBN: 978-0-6480227-2-5

THE AUTHORS & ARTIST

David Butler

EdD MAppSc BPhty GDAMT HonMAPA

David is a director of the Neuro Orthopaedic Institute, an adjunct associate professor at the University of South Australia and an international freelance educator. His forty years of professional life have been a blend of education, the clinic, research and writing. Education is his great love, in particular the translation of neuroscience into palatable therapeutic stories for those in pain.

David has taught manual therapy and how to Explain Pain to thousands of clinicians on all continents over the past 30 years. His books Mobilisation of the Nervous System, The Sensitive Nervous System and The Neurodynamic Techniques Handbook are regarded as key texts for manual therapists. He presides over the widely popular noijam.com an international blog for clinical scientists.

Lorimer Moseley

AO DSc PhD FAAHMS FACP HonFFPMANZCA HonMAPA

Lorimer is Director of IIMPACT in Health, Professor of Clinical Neurosciences and Foundation Chair in Physiotherapy at the University of South Australia.

Lorimers interests lie in the role of the brain and mind in chronic pain and is widely considered the most important researcher in this field. He has written over 170 articles, several books and numerous book chapters.

A regular keynote presenter at major international pain conferences, Lorimer is an associate editor for PAIN, The Journal of Pain, European Journal of Pain and British Journal of Sports Medicine. He has won numerous awards including the IASPs Ulf Lindblom Young Investigator Award for Clinical Science (2008).

Lorimer and David pioneered the Explain Pain approach in clinical practice. Together they have co-authored Explain Pain (2003), Explain Pain Second Edition (2013), The Explain Pain Handbook: Protectometer (2015), The Graded Motor Imagery Handbook (2015), Explain Pain Supercharged (2017) and The Explain Pain Handbook: Knee Osteoarthritis (In Press 2020).

Sunyata

Sunyata has been an exhibiting artist since 1983, originally working out of a studio in the Willunga Basin, South Australia. Sunyatas disciplines are broad and eclectic and include printmaking, sculpting, ceramics, painting and music. Shortly following the release of Explain Pain, Sunyata left to experience life in India. He is now a practicing artist of the world returning to Adelaide occasionally.

Acknowledgements: SECOND EDITION

Acknowledgement of country

We acknowledge and respect the Kaurna people, the traditional custodians on whose ancestral lands in Adelaide, South Australia, we live and work. We recognise the deep attachment and relationship of the Kaurna people to country and we respect and value their cultural beliefs and their past, present and ongoing connection to the land. We also extend that respect to other Aboriginal Language Groups and other First Nations around the world.

From the authors

We are quite chuffed that the second edition of Explain Pain is quite similar to the first edition which means that we must have written the scientific side of EP reasonably correctly the first time. You will find plenty more references and support in this edition and in particular we have refined and corrected some of our language of pain.

We would like to thank the many people from around the world who took the time to give us feedback, both good and bad, on the first one. If you look carefully, you will see we have responded. Thanks to all the team at NOI who have carried this off with their usual flare, penchant for style, eye for detail and admirable patience with the authors. Ariane Allchurch and Paula Filippone for design and typesetting, Juliet Gore for editing and the multi-tasking Karin Kosiol, Kat Waterman, Tim Cocks, Dominic Legg, Fran Ammirato, Rosa Nocera and Angela Gray.

Thanks to the growing community of clinical and basic pain scientists who are working hard to better understand pain, its prevention and its treatment. These are some of the sharpest tools in the global shed and we reckon we should all be grateful that their substantial resources are working for the common good.

Thanks to the clinicians around the world who have taken the Explain Pain ball and run with it, who have collectively raised the bar with regards to what we can realistically expect in chronic pain, by giving people the resources to master their situation.

Thanks to those clinical scientists who have not taken our word for it but undertaken their own clinical trials and shown that

Explain Pain is not just for Australians it seems to be equally helpful for Europeans, North and South Americans, Africans, Asians and Arabs. Thanks to the many people who have respectfully asked us if they can use parts of Explain Pain for their own clinical work or teaching, and others who have advocated for us and for explaining pain with their colleagues, their judiciary, on YouTube, in industry panels, pharmaceutical campaigns, prisons, parliaments, and sporting clubs.