Ladies and Chronic Discomfort No, This is Not ‘All inside your Head’

 

Can Stress And Anxiety Cause Physical Pain? | Neuroscience Of The Mind Body Connection

Video taken from the channel: Sukie Baxter Whole Body Revolution


 

Is Pain Just All In Your Head?

Video taken from the channel: Science Plus


 

Pain, Is it all in your mind?: Silje Endersen Reme at TEDxNHH

Video taken from the channel: TEDx Talks


 

THE PAIN IS NOT IN YOUR HEAD

Video taken from the channel: The Cure For Chronic Pain with Nicole J. Sachs, LCSW


 

It’s All In Your Head: A Virtual Reality Experience of Chronic Pain Trailer

Video taken from the channel: UBC Medicine Educational Media


 

Chronic Pain Is it All in Their Head? Daniel J. Clauw M.D

Video taken from the channel: Michigan Medicine


 

Chronic Pain in Women

Video taken from the channel: Stanford Medicine


Women are more likely to be diagnosed with chronic pain and yet, when we ask for pain management help, we’re more apt to be told that the problem is “all in our head.” by Barbara Brody Chronic pain is no joke, yet pain management is sometimes treated that way—especially when the person experiencing it is female. Women and Chronic Pain: No, It’s Not ‘All in Your Head’. inLifestyleonJuly 23, 2019July 23, 20191. Chronic pain is no joke, yet pain management is sometimes treated that way—especially when the person experiencing it is female. Compared with men, women are more likely to be diagnosed with chronic pain disorders like. Women and Chronic Pain: No, It’s Not ‘All in Your Head’ Chronic pain is no joke, yet pain management is sometimes treated that way—especially when the person experiencing it is female.

Compared with men, women are more likely to be diagnosed with chronic pain disorders like arthritis, fibromyalgia, and. Is Your Chronic Pain All in Your Head? The causes of chronic pain can be hard to pinpoint.

Seeing specialists, undergoing tests, and coping with the stress in your life are all possible keys to. To return to the issue of chronic pain, 70% of the people it impacts are women. And yet, 80% of pain studies are conducted on male mice or human men.

One of the few studies to research gender differences in the experience of pain found that women tend to feel it more of the time and more intensely than men. Chronic Ear Pain: It’s Not All in Your Head, Part I Chronic ear pressure, pain, or discomfort can be extremely frustrating. This is especially true when there is no clear cause found by your doctor.

Usually this will result in treatment for an ear infection (otitis media or otitis externa) inappropriately and unsuccessfully. pressure and pain in your ears and head; This chronic condition generally results from abnormal pressure on the Trigeminal neuralgia is most common in women and people above the age of 50. Chronic fatigue syndrome (CFS) is a condition that causes you to feel exhausted and weak, no matter how much rest or sleep you get.

It often causes insomnia. It often causes insomnia. Chronic pain can lead to sexual problems. When you are in pain, the last thing you probably want to do is be intimate with your partner. But it is important to remain close to your loved one.

I believe all med schools need to have a Chronic pain course that extends to enough time for students to learn about myalgia, neuralgia and chronic pain diseases. When neuralgia is not treated, the person develops a centralized neuropathic pain disease. Ignorance is killing people.

Posted May 8th, 2017 at.

List of related literature:

This is especially true for women who have chronic pain.

“The American Society of Addiction Medicine Handbook on Pain and Addiction” by Ilene Robeck, Melvin Pohl, Michael Weaver
from The American Society of Addiction Medicine Handbook on Pain and Addiction
by Ilene Robeck, Melvin Pohl, Michael Weaver
Oxford University Press, 2018

Women suffer from more painful disorders than men, such as fibromyalgia, migraine headaches, and irritable bowel syndrome (Bartley & Fillingim, 2013).

“Psychology of Gender: Fifth Edition” by Vicki S. Helgeson
from Psychology of Gender: Fifth Edition
by Vicki S. Helgeson
Taylor & Francis, 2016

Women are told that pain is usually in their head and that they should consult a psychologist or a psychosexologist.

“The Textbook of Clinical Sexual Medicine” by Waguih William IsHak
from The Textbook of Clinical Sexual Medicine
by Waguih William IsHak
Springer International Publishing, 2017

In contrast, a woman with chronic, undefined musculoskeletal pain may be plagued by thoughts that her pain is “not real,” is uncontrollable, or is caused by her own actions.

“Medical-Surgical Nursing: Assessment and Management of Clinical Problems, Single Volume” by Sharon L. Lewis, RN, PhD, FAAN, Linda Bucher, Margaret M. Heitkemper, RN, PhD, FAAN, Shannon Ruff Dirksen, RN, PhD
from Medical-Surgical Nursing: Assessment and Management of Clinical Problems, Single Volume
by Sharon L. Lewis, RN, PhD, FAAN, Linda Bucher, et. al.
Elsevier Health Sciences, 2013

Pain perception and coping in female tension headache sufferers and headache-free controls.

“Principles and Practice of Stress Management, Third Edition” by Paul M. Lehrer, Robert L. Woolfolk, Wesley E. Sime, David H. Barlow
from Principles and Practice of Stress Management, Third Edition
by Paul M. Lehrer, Robert L. Woolfolk, et. al.
Guilford Publications, 2007

Women consistently report chronic pain more frequently than men.

“Geriatric Psychiatry: A Case-Based Textbook” by Ana Hategan, James A. Bourgeois, Calvin H. Hirsch, Caroline Giroux
from Geriatric Psychiatry: A Case-Based Textbook
by Ana Hategan, James A. Bourgeois, et. al.
Springer International Publishing, 2018

Women are at greater risk of a variety of chronic pain conditions such as headache, facial pain, abdominal pain and musculoskeletal pain (LeResche, 1999; Unruh, 1996).

“Potter & Perry's Fundamentals of Nursing AUS Version E-Book” by Jackie Crisp, Catherine Taylor, Clint Douglas, Geraldine Rebeiro
from Potter & Perry’s Fundamentals of Nursing AUS Version E-Book
by Jackie Crisp, Catherine Taylor, et. al.
Elsevier Health Sciences, 2012

Research indicates that women are more likely than men to experience chronic pain and report higher sensitivity to pain (Bartley and Fillingim, 2013).

“Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use” by National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Board on Health Sciences Policy, Committee on Pain Management and Regulatory Strategies to Address Prescription Opioid Abuse, Jonathan K. Phillips, Morgan A. Ford, Richard J. Bonnie
from Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use
by National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, et. al.
National Academies Press, 2017

My question, however, is why haven’t physicians and researchers in the field of chronic pain even considered female hormonal factors when the majority of patients with fibromyalgia are female?

“Screaming to be Heard: Hormonal Connections Women Suspect... and Doctors Still Ignore” by D. Lee D. Vliet
from Screaming to be Heard: Hormonal Connections Women Suspect… and Doctors Still Ignore
by D. Lee D. Vliet
M. Evans, 2005

As is the case with other forms of chronic pain, women seem to be more often afflicted than men.

“Handbook of Pain Assessment, Third Edition” by Dennis C. Turk, Ronald Melzack
from Handbook of Pain Assessment, Third Edition
by Dennis C. Turk, Ronald Melzack
Guilford Publications, 2011

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
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109 comments

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  • No. Chronic pain can be hell. We have sought out all kinds of medicinal herbs and natural therapies. My wife uses CBD and Kratom to help with her chronic pain. We get our kratom at soulfulherbals.com and our CBD at charlotesweb CBD.

  • Is this a type of cognitive behavior therapy? That is what is sounds like. Calming the autonomic nervous system in order to function more normally through chronic type pain..

  • So much misinformation here! The only reason why it looks like we prescribe more opioids is because doctors must write a prescription for opioids every month (and now in some states every 7 days if acute pain) where as in other countries write that same prescription every three months.

  • It’s interesting to see that after a long arc away from the notion of psychosomatic disorders, science is finally taking another look. Psychologists tried for years to sweep this concept under the carpet due to its Freudian/Jungian baggage, but fMRI and other study methodologies have brought it back into focus again. Of course the mind influences the body—and vice versa!

  • I think unless you suffer from CHRONIC PAIN you only have a biased opinion.
    Not something you can actually speak on. You’re regurgitating studies and words someone else fed you. You have no understanding of pain. You think you understand the concept of pain. Nothing more.

  • I have fibromyalgia and spinal stenosis from degenerative disc disease. My primary doctor suggested calling this doctor’s office since I live in the same city. Perhaps I could get into a clinical trial. Turns out this doctor doesn’t see or treat fibromyalgia patients at all. When I listen to him speak I just think he’s a moron. Basically his theory is just a glorified way of saying “it’s all in your head”

  • I’m sorry I have tried CBD oil, THC, the only thing I am able to take is Norco as it doesn’t upset my stomach. I have chronic pain everyday, from osteoporosis& osteoarthritis. This medicine has been the only medication I can take that works for me. I have been on this for several years and I am able to function with some normalcy.

  • Ok Dr Clauw I don’t know what to think of your amplifier turned up in your brain theory. I do know that we have nerves running all over our bodies. Does a damaged nerve show up in diagnostic image? How about if someone has an actual damaged nerve in their back? The nerve damage would be in the back not in their head..

  • well.,I passed a kidney stone while driving. went to the hospital e.r. and those stupid idiots didn’t believe me. I’m a nurse myself. they said I’d be on the floor. I have a high pain tolerance. I would ignore it. when I had contractions giving birth, I just passed out from the pain. but I didn’t scream. my body just gave out. so yeah it’s all mental. but a necessity.

  • Amitriptyline worked well for my pain, but it gave me palpitations. What are alternatives for people who are heart sensitive to these drugs?

  • No it’s not when you can’t sleep at night and the bed is the worst place to be. So tell, where does your rest come from, my pain is all over, but the main area is my chest, where my doctors nearly killed me after a lung biopsy. This medical law concerning opiates is being blown way out of control. And a lot of doctors have gone serial minded with no compassion and this fear of writing or prescribing the medicine needed for patients like myself who suffer mightily. Guns don’t kill people, people kill people, opioiate don’t kill people, the needles and the use of other drugs and alcohol kill people.

  • Sir you are wrong!!!!!! This is 2017, it is now 2020 and what you are saying is wrong. Truth updated here Dr Thomas Kline https://www.youtube.com/watch?v=NHPU-ibZCxc

  • You dont know what you are talking about. Dont claim that you know what you are talking about until you have suffered from chronic pain. The many pain diagnosis is because they dont know what the pain is or they cant fix it so they just keep putting more labels on a person that suffers. And for you to claim it is a mental disorder just makes you an idiot. Where do you get your information. Do you believe what you hear. YOU S #CK The drugs just make it easier to cope with the pain. Why dont you listen to the patients instead listening to people who dont suffer.

  • Is that how handle cronic pain by turning you mouth side ways an gritting your teeth. I can tell hes in pain the way he moves his croked mouth

  • Bitch try to fool a fool like yourself bc u can’t fool me! I know all the tricks that you doctors and the fucking government are cooking together and fucking each other in the ass!!!! U don’t

  • I m so amazed how holistic and system thinking is scarce among medical ppl. Yeah fibro pain is linked to neurons and brain. But fibro is often created as a result of various other things including immune and gut problems that create inflammation and send stress hormones to the brain… You wanna keep resolving brain pain without addressing the deeper underlying engine of brain pain? Sadly, such academic scientists don’t connect things; they look at a static picture and feel so happy of their isolated findings. Obviously if they want to go into the depth of the illness they won’t have a job about resolving brain pain…….. And I also find it rude when this man talks in front of a bunch of ppl with pain and emphasises several times how much pain insensitive he is. I know academics can be very much lost in their small world but there should be some limits to their inconsiderate behavior when they deal with the fragile public……… finally, these talks are dangerous because they affect the mind of juniors ppl in health system about chronic pain and the way they behave their patients with brain pains that have underlying physical reasons. And I do believe most of the brain pain comes from physiology and you cant resolve the pain if the engine of pain is not addressed.

  • Government! Does 1 thing well, KILL!!! Wars All Kinds!

    Their was not a drug problem. 1% or so, then the 1970 drug war!!! The rest is what you see today!!!

  • I’m not sure but,if anyone else trying to find out natural remedies for pain webmd try Proutklarton Blade Card Plan ( search on google )?

    It is an awesome one off product for discovering how to make the best survival food minus the headache. Ive heard some super things about it and my mate got cool results with it.

  • Could you guys let me know how to get access to the movie? I teach A&P and I suffer from chronic pain. I would pay to get a copy of this!

  • When I play sports, I don’t feel pain until the game is over. Like, I had a fever of 105 and I couldn’t even tell until 5 seconds after the game was over.

  • Duh it’s in the brain!? Yes pain signals travel to the brain and we therefore “feel” it. I get it. I’m always in pain with failed back and bad knees and elbows from years of football abuse. I like horse racing and in the final stretch, my mind often wanders off my pain and I “forget” my pain for moments but it is not gone. Same thing when it is 2am and all is quiet and my pain gets worse because outside stimuli is muted so yes I get it! However, pain is at times horrible and i wake up when I roll over onto my back when I sleep and i happen to use a pain med called buprenorphine. I bought into the “in your mind and opiates make it worse” notion and tried for a whole year not being on medications but it did not work in the long run. Opioid medication has improved my function and quality of life and it sickens me when I read BS like Sarno’s book that back pain is all in one’s head-try my life for a day and meditate your way out of pain. Good luck!

  • This guy doesn’t want to lose his credentials and has sided on the government side. I have been on over 360 MME’s of opioids since 2006 and have actually been taking less because my back pain isn’t as bad. I haven’t built up any tolerance and the withdrawals are flu like symptoms that either I put up with the withdrawals or the pain which was a no brainer. I have significant pain and opioids are the only thing that are helping me. I am a Unicorn and their are a lot out there like me!! If they continue to reduce my medicine I will not make it! I hope they change their rules pretty quick!

  • “And the million dollar question. Is the pain all in the mind?
    Yes of course where else could it be”
    What was the point in saying this? Obviously it’s in the brain. I am not going to walk to the shops to collect my pain it’s in my brain!

  • Daniel Clauw is a Professor of Anesthesiology. Medicine (Rheumatology) and Psychiatry at the University of Michigan. He serves as Director of the Chronic Pain and Fatigue Research Center. Until January 2009 he also served as the first Associate Dean for Clinical and Translational Research within the University of Michigan Medical School, and PI of the UM Clinical and Translational Sciences Award (CTSA)

  • This man is another idiot..if you have neuropathy and back disk messed up…I really hope this man loved one gets chronic pain!..this man is going to push GABAPENTIN…WHICH CAUSES SUICIDE AND DEPENDANCY…that’s why people are switching to KRATOM…PAIN IS REAL!..WAIT UNTIL YOUR KIDS OR WIFE GETS CHRONIC PAIN!

  • Hey Dr. You pricks were OK with me living in pain, then you were OK with me living handicapped. Now I’m living crippled, why the fuck are you docs paid so much????? ��

  • … endometriosis pain is caused by uterine tissue growing outside of the uterus. How exactly is it a volume control issue when it is literally a structural problem?

  • We have effect drugs called opiates/opioids! Obviously you’re NOT an expert! Chronic Pain can kill! It definitely Can ruin lives! Not ALL people should be doing everything! We don’t except our pain to be completely gone just have a better quality of life. Remember chronic pain patients are usually on disability and don’t have the money for theses alternative therapies! #CRPS #MCTD #HemicranialContinua #FM #ME

  • Just pushing more meds and dependency.
    In our world today, the push is for “if you think you’re the opposite sex”, it’s a fact, but if you think you have pain it’s a some kind of mind problem. BACKWARDS! Come Lord Jesus!!!

  • Due to 3 neck injuries, I’ve had a headache since 10/1/1995…24/7, plus my face droops on one side. In 4/2018 I had the 3rd neck/head injury and the pain level skyrocketed, including new symptoms like blood vessels in my eyes breaking. Way over 100 doctors and healers have not been able to help me. I just exist and am so scared. It’s so hard to hold down a job. I don’t qualify for disability because no one can actually figure out what’s crushing my brain. Pain destroys.

  • Every chronic disease is caused by chronic inflammation and every chronic inflammation is caused by gut dysbiosis the rest is bulshit

  • idk I have major back issues I have been told a few diffrent things, herniated disk,and bulging disks arthritis, DDD, ect. It started getting bad around age 30 now Im only 34 almost 35 latley its been so bad I cant even do anything without being in pain. NOW I have started having other issues and was diagnosed with fibromyalgia s well which sotimes is bad but the back thing is unbearable to stand a lot of the time. Pain meds DO help with that but NOW no one will prescribe and IM left suffering, I cant do as much with my kids, exercise as much walk around a theme park or whaever (laundry,cook,clean or shop)without being in pain, I get to point every single day where I cant walk and thats unacceptable with 3 kids. THAN that really puts a damper on things causing deppresion??! opiates DO help with that pain Im sorry but there is a way to use them correctly.

  • Hey there! Have you tried fast abs magic (do a search on google)? Ive heard some incredible things about it and my GF got great 6 pack abs and lost tons of belly fat with it.

  • I have had a rare neuro issue the last 5 years, chronic pain is a part of it.

    I remember the first time I saw a neurologist he said what I have might be psychogenic.

    He didn’t explain what the implications of that were. Me, being in tremendous discomfort, pain, and confusion got very angry that this was even suggested. I assumed he meant it was all in my head (what he should’ve done is explained some of the things you’re saying).

    Now after 5 years have passed and reading through some of “unlearn your pain” and coming across your work (haven’t read dr sarnos work yet), I understand that the pain itself is real, created by neural pathways, but might be non pathological..I’m open to the possibility that this is emotionally rooted, and something within me recognizes that there is something to this..

  • I have been researching various tech solutions to accelerate and assist with a recent and young stroke survivor’s rehabilitation. (My amazing wife) I came to your channel after checking out Hololense and 3D VR building/spaces/etc…. The more I learn and understand her condition(s), rehabilitation theory and technique, along with knowing her specifically, pre-stroke, I believe tremendous opportunities exist. Your vids are really helping me out. TY!!

  • A recent publication ( doi:10.1007/s00586-013-2675-y ) had success in treating back pain with antibiotics against acne bacteria, which can invade the cartilage of the spine.

  • So coming from myself a chronic pain guy with a good steady job thanks to painkillers… Is it all in my head as apposed to “their head” as the title states? How can it be their head? Or should it be their heads plural? Of course it’s in my head because if it wasn’t I certainly would not feel it. Right?

  • It’s like he’s describing me. If you have fibromyalgia or other chronic pain syndromes, I recommend you take the time to watch this talk. It’s the most informative video I’ve come across.

  • I’m surprised he never touched on the relationship of vitamin D and fibro pain. There are several studies showing that those who suffer with frequent flairs also have low vitamin D and with the addition of a vitamin D supplement people found they had less flairs and what flairs they had were less severe and lasted for shorter amounts of time. I was surprised at the improvement when I started taking it. I was initially taking it because my pcp was wanting to treat dismal vitamin D levels and to get ahead of my SAD, since seeing an improvement of my fibromyalgia I have since done research into the correlation.

  • Great Video clip! Sorry for chiming in, I would appreciate your opinion. Have you tried Dinanlinson Rebooting Health Approach (search on google)? It is a good one of a kind product for getting rid of chronic fatigue syndrome without the headache. Ive heard some super things about it and my best friend Jordan finally got excellent results with it.

  • It a very imformative video about fibromyalgia, I am not sure that he is right about the cause, research is still being done but he does describe the intense pain correctly. Many patients and research studies show the medications he is talking about barely do better than a placebo & the side effects are very concerning. I, and many, chronic pain parients do not understand why doctors are saying opioids do not treat our pain, when we clearly say they do. Antidepressants do not help pain. We do not even know if they help depression! There are too many overdoses, in general, yes but I don’t think doctor’s and chronic pain patients are to blame. The FDA & DEA are pitting doctor’s, patients and pharmacists against each other. Too many pain patients have now been lost to suicide or quality of life dramatically decline. Cannabis is illegal here & if it were legal, I would only use it to sleep. I don’t know.

  • The government, with their WAR on drugs, and the chronic drug abusers. Have made life miserable for those of us with chronic pain. The governments were under pressure to put an end to the deaths associated with opiates. Threatening doctors medical license if they are thought to be over prescribing opioids. Therefor, the medical community is forced to err on the side of extreme caution, or risk their ability to practice medicine. So, the deaths continue to increase, because people trying to cope with their pain, seek out additional remedies seeking to manage their pain. When you are in pain, your ability to think clearly is diminished, and when the medical community is actively limiting your ability to obtain the needed medication, people will seek out other sources. Patients having their opioids medically reduced turn to the street, where the availability, potency and purity is often in question, death continue to rise. Ask any methadone withdrawal surviver if they ever contemplated suicide and you would find, they all did. To think its just the medication causing all the death is overly simplistic. I could go on and on but let me conclude, the government’s attempt to fix the drug problem is in reality counterproductive and is killing as many as it saves.

  • The speaker is confusing correlation with causation, and also overstates the worth of CBT (which is what she’s talking about), which meta-analysis shows is not effective for chronic pain. Chronic pain involves central sensitisation, mediated via the amygdala region of the brain, and is best approached via MDR, a method for switching off pain signalling permanently. There must be a twin focus of treatment, focussing on both direct and indirect triggers to pain signalling.

  • How about slaming the door on ya head then keep doing it every day then be mindful and give him antidepressants what about nerve pain from surgery.Oh yes hes getting paid from the big antidepressant companies

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  • A. Smith Dr. Clauw is a researcher at University of Michigan Hospital. He doesn’t treat people with Fibromyalgia Syndrome/Chronic Fatigue Syndrome/Myalgic Encephalomyolitis (aka: FMS/CFS/ME). Please, don’t wish severe chronic pain on him. I have had severe chronic pain for 29 years. I was diagnosed with FMS 27 years ago by a Rheumatologist, after being misdiagnosed by GP’s as having ” early osteoarthritis.” At the time I acquired this, I thought I had Cancer…..that’s how bad the pain was. It’s no wonder one of Jack Kevorkian’s assisted suicides was a 40 year old woman who, it was later believed, had Fibromyalgia. She likely had been to many doctors, who couldn’t physically find anything wrong with her. I know how she felt. Suicide entered my mind numerous times, and I wouldn’t wish this on anyone, not even Dr. Clauw. If you noticed at the beginning of his lecture, he showed a list of sponsors which were all pharmaceutical companies.
    When I was finally diagnosed with FMS, my doctor started me on Vicodin ES (Norco)7.5/325 and Elavil 10 mg. I am now on Norco 10/325 and Elavil 150 mg, and Restoril 15 mg. These drugs allowed me to keep pushing myself and continue working another 25 years until I reached an age where I didn’t have it in me to push myself Ashmore, and stopped working in 2011 and applied for disability in 2012. I believe he is saying that doctors need to treat those areas in our brains that are amplifying the neurological pain we all feel, instead of just masking the pain with opioids. He is not saying our pain isn’t real, he’s saying treat the source, not just the symptoms.
    I have recently come to the conclusion that my diagnosis of FMS is incorrect, based on the severe and different symptoms I experienced prior to going to my Rheumatologist the first time, and multiple symptoms that have come and gone, as well as ones I still have that I didn’t KNOW we’re symptoms, and never mentioned them to him. I believe, Myalgic Encephalomyelitis (ME) is what has tortured me for 29 years.Unlike FMS and CFS, there is blood testing that can be done to confirm it, or rule it out entirely. Right now, I am waiting on info. about the blood tests and where to send the blood samples to, since I have been told there is only one lab that currently does these tests in the U.S. I have a step-daughter near Sacramento CA who has ME and is mailing the lab & testing info to me.

  • Funny how all these drug-war type physicians try to convince us that “opioids aren’t actually effective for chronic pain” with all their flawed studies, but I have yet to meet a SINGLE chronic pain patient who has tried an opioid and had it actually not work or stop working.

    I personally have central pain condition meaning that it is coming from my brain like described in this video, not any physical problem in my body. It is stemming from autonomic nervous system dysfunction. I was told for a long time about how addictive opioids are and how they would not work and all this and that and then I finally got a long acting opioid prescription from a physician who I have known for a very long time and it literally changed my life. I have been taking them for 2 years now, we increased the dose during the first month or two but since then I have remained on the same dose ever since I started. I haven’t had any problems with the medications, no desire to take more than prescribed or more often than prescribed, I don’t even find the feeling “enjoyable” beyond the fact that it takes away my debilitating physical pain. I could not live before this. I had to cut back my job to 10 hours per week, I had to get accommodation after accommodation in school just to be able to sit through a 2 hours lecture, I wasn’t able to sleep for more than 2 hours at a time before I would be woken up by pain, I was popping aspirin like candy and I always had a tens unit and a brace on me wherever I went, I couldn’t hike anymore, I couldn’t do leisure walks, I couldn’t carry a backpack, when I went to the zoo with my girlfriend I had to use a wheelchair because I couldn’t do the walking.

    Now I am living a normal life. I am so thankful that I am living a normal life that a normal 20 year old university student should be living. I am studying neuroscience and on an average day my pain is 2/10, I have no trouble sleeping, I can carry a backpack around and walk to all my classes. I have had no physical problems and no problems with the medications. The little pill that’s saved my life and many other people’s life that is being demonized because of street opioid overdoses. The prescription opioid crackdown has made fatal opioid overdose INCREASE though not decrease, look at the numbers, look at the spike in 2016

  • The fact that we treat pain is not a bad thing! In Russia child cancer patients must go without any pain care. Is that what we want?!?

  • Where are the non-opioid pain meds that work? Why, in this day and age, haven’t we got a medication for pain that really works. Seems cronic pain is a lot like cancer. So long as there’s no cure, someone gets to make a ton of money on shit that just don’t work. Let’s see you do some of those fancy surgeries without prehistoric ineffective opioids. Your patient would die on the table from shock, from what you just did to them! It’s just like firearms, YOU give up YOURS first! YOU give up YOUR opioid armed guards first!

  • This guy has never had serious pain. He is pain insensitive,, yeah rite. He should get going about 40 on a motorcycle and slam into a cement wall. If he lives I’ll bet he sings a different tune. Make sure he sees a judgemental asshole to treat his pain that hasn’t a clue how it is to live every day for the rest of your life like that.

  • Abigail Randall Research SPIRULINA. It is a dietary supplement that comes from blue-green algae, and contains vitamin D as well as vitamin A, all of the B vitamins, C, K, Calcium, Magnesium, essential amino acids, non-essential amino acids, more proteins than beef, pork, or chicken, and a host of other vitamins and minerals that are good for you. It has been called a “Super-Food” by the World Health Organization (WHO). I started researching online for vitamins & minerals that will (hopefully) stop my hair from falling out, (one of many symptoms of Myalgic Encephalomyelitis) and stumbled upon Spirulina. I tried Biotin that is supposed to be good for hair, skin, and fingernails, and it did nothing. If you decide to try it, make sure you know where it comes from. You don’t want Spirulina that is grown in China or India as they have been known to grow it in areas that contain toxic chemicals, heavy metals, herbicides, and pesticides. The purest Spirulina is grown, processed, and packaged in Hawaii. I purchased a bottle of Nutrex (brand) Hawaiian Spirulina, 1,000 mg, 360 tablets per bottle so I only have to take 3 tabs per day. I bought it on Amazon for $35.00 + tax & shipping. It’s a 3 month supply. Nutrex has been providing Spirulina for over 35 years, and I have peace of mind that it is safe and pure. It comes in both tablet and powder form (for adding to smoothies). It arrived faster than expected, and I began taking it 6 days ago, and I’ve already noticed the quantity of hair I have been losing has declined. Some reviewers on Amazon have stated it reduced the severity of their chronic pain. I haven’t noticed that yet, as I have been focusing my attention on the hair loss issue. I will start paying more attention to my chronic pain as well. It is non-GMO, vegan, and recommended as a source of protein for people who are vegetarian or vegan.

  • So this little twit asked 600 people some questions about their back pain and now shes an expert on chronic pain? I promise you my pain is not all in my head and my mother in law is dead…. This is the most idiotic thing I’ve ever heard!

  • pain doesn’t exist in your peripheral body, in your body only have nociception (stimulus potentially cause pain in your brain), pain is the production of brain. think about phantom pain, where their pain signal come from?? Pain come from body theory has problem explaining chronic pain, with which people always seek peripheral cause of problem.

  • Hi, my name is Deborah Molitor and i live in Michigan…. here’s why i am writing to You….. I am crippled up in my bed and can’t even shower and the Doctor thinks its from Stenosis and DDD ex ex i can put a link to some of my scans in this message..but i have Low Laying Tonsils and have almost every one of the symptoms for Chiari so does Low Laying Tonsils mean Chiari? my head hurts soooo bad and i can’t see a Doctor until the stay at home is lifted im in so much pain that i don’t even want to go on can someone please answer this question? below is my scans…. http://bittersweetloveonfubar.blogspot.com/ PS. I’m gonna try to add my actual scans with that link to my written reports Toyko.. I seen You replied but now Your message is gone. this is the link to the actual pictures of my scans….. http://bittersweetloveonfubar.blogspot.com/

  • I’m laying in bed with a bad back. I fell asleep and dreamt that I was getting out of bed. The pain woke me up and i am still in bed (???)

  • This guy is a total idiot! I have chronic pain due to a birth defect in my
    lower spine. I actually handle pain better then almost anyone I know.
    But the part of my back that is the issue, a level 2 slippage of the
    S0-L5 and being born without a disk there, causes my sciatica to be brutal.
    Opioids are THE only things that have ever worked. They do not take away
    all pain, but reduce it enough that I can live a relatively normal life. It always
    amazes me how so called experts have all the solutions but have
    never had to personally deal with chronic pain. This guy is a total quack.

  • I honestly think all the smart ones should know this from experience by now:)
    Might sounds crazy, but I can really block pain or even protect myself from flu of fever using this methode.

  • It has been known for a long time that opioids are a very effective substance for ‘acute treatment’ of pain, both acute pain and chronic pain, but are not effective when given for long continuous periods the body creates further dopamine receptors which means more opiate is required and you get to the point where you are at the max dose and you are just taking the opioid to stave off withdrawl symptoms… with no pain-suppressing benefit… just like drug users who no longer get high, but need the drug still, ie, addicts.

    I was on dyhydrocodeine for more than 20 years, initially prescribed by a medical professional and continued by multiple health professionals including pain specialsts, functional restoration specialists, orthopaedic consultants, GPs, physiotherapists, pharmacologists. A couple did say they were going to get me off Dihydrocodeine, but did no more than ‘say’. Last year I had had enough and worked hard myself to come off Dihydrocodeine. I had tried and failed several times over the years, but this time I read up on and understood the issue and the problem with opioid withdrawl.

    After some 20 years of taking between 240-360mg per day, every day… along with 4,000-5,000mg Paracetamol and others (Amitriptyline, Pregabalin, etc)… I am now off Dihydrocodeine, and have been for 6 months. How did I do this? For me, it was about reducing very very slowly cutting down by quarter of a pill (pill size was 30mg, so reduce by just 7.5mg) and run with that daily dose for a week or two, but kept on full Paracetamol all the way through, before dropping down by another quarter of a pill. Also, not being afraid to increase Dihydro on bad days without giving up on journey. I also got myself off Amitryptyline (50mg per day) and Sertraline (20mg per day) during the same long period. Again, very slowly. I no longer feel like a zombie.

    I have Internal Disc Disruption (IDD) to several discs in my lower back, as well as facet joint and sacroilliac joint damage and I can point to exactly the multiple specific focal areas in my lower body where the pain is so the pain is still there, but the amplification of pain has hardly changed and I don’t suffer as much many of the side-effects of long-term opioid use. And if I have a really bad pain episode, where I’m literally climbing up the walls, I take just 1 that’s one 30mg Dihydro with Paracetamol and that hits the spot. I have had to do that twice in the last 6 months. That’s got to be better than 240-360mg of Dihydro every day, day in day out. I have other techniques, which are focused around ‘distraction’, to help turn the pain volume down and so far I am in no worse place for coming off opioids. I’ve also reduced my paracetamol intake to between 1,000 and 2,000mg per day… giving my liver a well-earned rest.

    Next task is to get myself off Pregabalin, but baby steps… no need to rush.

    Disclaimer: I’m not saying people who read this should ignore their medical professionals nor come off these types of drugs on their own… I was just so pished with my medical professionals that I’d had enough and decided to take control of my own destiny.

  • Hey!! Nice video. Ive been watching your videos for a long time. I have a suggestion for a video topic. Could you do a video on how we could use genetic modification for everyday use or at least have that put in as a side topic? I know that you made a video on genetic modification but it didn’t seem like it talked about how we could use it for day to day things enough. I don’t know maybe its just me. Sorry for rambling on and on about the topic. Thanks for reading what i had to say!!

  • So basically you have no idea what your talking about. Fibro is not a poster child jackass. You have absolutely no freaking idea what you’re talking about. You’re a leader in the field of chronic pain my ass. Why don’t you ask the people with chronic pain what helps jackass. Non drug approaches? How about the drugs are the only thing that fucking helps!! Damn you so called experts piss me off so bad! Would you tell someone with cancer not to take drugs for their fucking pain?!!!! Go Fuck yourself!

  • Degenerative disc disease, bone on bone… also diagnosed with Multiple Sclerosis 12 years ago. MRI’s of back and brain showing damage that cannot be fixed. I can pretty much detect if I have pain or otherwise. I wish more than anything I didn’t have Multiple sclerosis, a chronic disease that affects the central nervous system, including the brain, spinal cord and optic nerves.
    This video was back in 2012, I’m texting in December of 2018. SO much more information has come out about pain and how to address it. Pain is REAL…NOT imaginary! Those who suffer with it day to day know.

  • It’s almost as if this Dr. has asked me about my lifestyle and pain, and has devoted this lecture to me. Everything he says in this lecture is exactly what I have experienced, including the trials of drug therapies. All doctors should watch this video to learn how to manage and prescribe for “brain pain”. The doctors and specialists I have seen have not learned this newest information. It is no wonder there is an opiod epidemic! This lecture deserves awards.

  • These guys chop us up, put screws in our bones, then say turn down the volume? Ah yeah, Doctors who experience cronic pain are the ones who know what it is. You may perceive pain in your mind, but it hurts in your body. It is a real thing. It can be disabling. It is a constant battle. I got mine in ’85, I fell from a roof. After thirty-five years of bad medicine, my docs have agreed to a large dose of Suboxone/Narcan.
    So far it works. My pain is controlled and they promise not to reduce my dose as they have the last ten years. This guy with the volume knob is over analyzing everything. Just cover your ass as you always do, and prescribe the Suboxone Doc, please.

  • THE SMARTEST MAN ON THE EARTH. DRUG REPS BELOW ARE BASHING HIM. WATCH OUT. OH WAIT. YOU ARE IN THE OPIOD HOLE AND MAY NEVER SEE OUT. SAD. BEST TEACHER AND HELPER TO DATE AND I BEEN AT IT 23 YEARS IDIOTS

  • I’m a ballet dancer and a massage therapist. You’re full of shit you insulting arrogant asswipe. People are killing themselves because they can’t handle the pain. I hope you get real nerve pain.

  • Know that if u try to fix the problem before it starts you won’t get rich! So u wait till the last minute till it’s too late then u treat the problem just till the person died that way there’s more money more profit into your Pickett as well as our fucking government’s pocket!!! Go

  • Thank you for sharing your wisdom Dr Clauw, it gives me hope knowing intelligent people like you are researching chronic pain, esp. fibromyalgia as I have, I pray you all can find a cure for this “brain pain” malfunction, just know your hard work is appreciated, thank you to infinity and beyond:)

  • This dude never had a spine injury, I gather, if he believes tai chi is just good as heavy pain meds. A healthy person telling the suffering people what SHOULD work, is a travesty….and yes, I am lean and fit, but I have permanent nerve damage. Tai Chi that, brother.

  • This Dr. Clauw has never had pain in his life. If he did he would be writing his own script for pain meds. I hope he develops a Chronic pain and has no relief. He’d be singing a different tune! What a Quack!

  • I work in the field of vocational rehabilitation and from my observations this is very accurate. I believe the same trend pertains to MTBI’s

  • Very good stuff. I would add though, that the implication/statement that for most back pain, as an example, the medical field doesn’t usually find viable causes, isn’t exactly so. At least it’s not so in the US. There are usually xrays and often MRIs and most adults, at least over 40, will show some spinal joint/disc degeneration. BUT the reason the treatments statistically have quite modest success is precisely what the presenter is discussingthe deviations found on imaging are often not the cause, or whole cause, of the pain. In the US, I’d say most doctors are not aligned with the research and understanding discussed here (yet) and many patients experience treatments, including surgeries, that don’t relieve their pain. They should explore work like this, imo. Thanks for this research and talk!

  • This stupid supposed expert has obviously never experienced chronic pain, someone or even I should push this fucking quack off a 40 foot scaffold so that he breaks his ignorant back, then let’s see if the pain is all in his fucking head!!

  • actually i experience the worst pain about 4 years ago my guts got twisted or something…and while i was waiting for the ambulance i though i could never control that with my mind when i got to the hospital they pump me full of drugs and i was so grateful there is a limit to what your body can take

  • Could you please supply me with a reference for the fact that 70% of women have endometriosis while only 5-10% have pelvic pain? As far as I’ve managed to find, 1-2% of women have endometriosis.

  • “our experience of pain depends on how we interpret it” wow. What about really bad pain? like being burned? Is it really based mostly on fear?

  • I suffer from Fibro pain abdominal pain colon pain prostate pain all the pains are sharp burning and sometimes I feel like I just cant handle it anymore.:'( I ask my self why me if I am so young and I do not drink. Right now I am alive thanks to the antidepressants.

  • Dr. Dan I have had 18 joint replacements I currently have deep bone infection many of my joint replacements  have failed. Last September the trunion in my hip broke all 3 surgies to replace my hip failed now 10 months later my femur is broken in 2 places the last of 2 of 6 knee replacements have failed I am in severe pain! Now some dumbass like you says its in my head? you wouldn’t last 4 hours in my body. I also have a severe aortic aneurysm from high blood pressure is that in my head too?? to bad you don’t know what real pain feels like. oh my back is fused and Ive had to severe broken necks. thanks a lot for hurting people who need pain meds

  • Pain and painful emotions are stored in the memory and are holographically retrieved to accentuate the present pain. In addition intense brain waves from ongoing issues and stressors add to these. Thus the resultant brain activity gives rise to pain.

  • Chronic sometimes horrific Pain is phsycosomatic created by your traumas..repressed emotions specially rage from childhood accumulated through life. Dr.Sarno was an amazing dr..google him and read all about it if you are suffering like terribly like I am..bless u all

  • Pain management & Rehabilitation programs (or at least the one I went to) is a JOKE.  Think away your pain…..sure, that’s easy, right?  When you have a level 9-10 pain for years and then are dismissed EVERY SINGLE TIME you try to explain that help is needed….The doctors, neurologists, pain management “specialists” I have seen have dismissed me for so long, I am just ready to give up.  Maybe they will find out what is wrong with me on the autopsy.

  • Funny that I came upon this video… I pinched the little finger on my right hand a couple weeks ago. Just before watching this upload, I had pulled the blackened nail off my finger with a pair of pliers. Pain really is all in the mind. In my experience, it’s amazing how quickly we can forget how much something “hurts.”

  • I would like to thank Dr. Clauw & Michigan Medicine for posting this. I was sent here by my rheumatologist. I have a background in cellular biological research.

    I’m only about 20 minutes into this talk, so this may be covered later, but I hope the electric guitar analogy goes on to cover conditions & causes outside the brain that contribute to the amp being turned up that exist outside the nervous system, such as EDS.

    Is the version of this talk for physicians available on YouTube as well?
    Reading & watching peer reviewed materials is how I’ve learned what I needed to effectively advocate for myself. Patients who don’t have my background in anatomy & physiology face an uphill battle in self advocacy that probably feels insurmountable for many

  • What questionnaires did you use to get info on their stress, depression, hopefulness, catastrophising etc? Just wondering how I can incorporate this into clinical practice. Thanks

  • Great presentation of an extremely complex (and fascinating) topic. Awareness of the psychosocial aspects of chronic pain is increasing in the medical community, although it is not even close to being routine for most healthcare professionals to screen and address this in most settings (at least here in Sweden). Patient awareness and acceptance is often a hurdle, but this is in part due to the emphasis on the biomedical model used in mainstream medicine. It is a challenge to convey this to many patients, without implying that their pain is “imagined”. I find that explaining the neurological and endocrinological changes that can occur with chronic pain to be more accepting to most sufferers ie neural sensitisation and HPA axis response can be a good starting point before discussing other issues such as adverse childhood events and stress-related pain (thank you Georgie Oldfield for your excellent course!),. Although of course, we are all individuals and a “one size fits all” approach is seldom the best way. Offering flexible and holistic treatment plans, that include diet, sleep, physical activity and stress probably offer a good foundation.

  • I have migraine and it’s funny with pain meds in this way:

    Paracetamolic painkillers stop the pain from ”growing”. But it stays pretty still. It relieves it a little bit, ofc. But Ibuprofin completely takes it away.

    Those i have meds for my migraine with Natriumproxeine or Naproxen? I think it’s that in english. That works the best.

    But yeah. I don’t like paracetamol.:|

  • “Lyme disease AND co-infections, are now at epidemic levels, with a minimum estimate of 300,000 new cases a year in the U.S.A. alone. The saddest thing is, the MAJORITY do not know they are infected, while doctors misdiagnose them! Lower back pain is one the most common symptoms in untreated advanced Lyme. Lyme damages the synovial tissue in joints, and this doe NOT show on MRI’s, CT scans, X-ray with contrast, and other diagnostics! Pain becomes a 24/7 issue with adanced Lyme nd co-infections, and the pain is real. You would hurt too, having spirochetes literally drilling their way through the body they do not stay in the blood strream.

  • The Disconnect on this thesis is that just because “modern medicine” cannot find a “cause” or an “abnormal” image for pain, then it must be psychological. Would it occur to any “modern, scientific” doctor that maybe their modern medicine hasn’t caught up to all the workings of our bodies? Basically, this could be the equivalent of the Flat Earth thesis…since we can only see so far, the earth looks flat, so we accept that that is the way things exist…discounting the possibility that processes are taking place in the nerves and / or brain that causes actually pain that our current technology cannot detect. It always amazes me that physicians tend to conveniently forget that science and discovery move forward, making many of their past practices archaic and wrongheaded. Bloodletting, anyone? (pass me the vioxx, please)

  • Want people to be cured u guys want sick people that way it’s easier to control the masses and get rich and powerful at the same time!!!! So go fuck yourselves!!!!

  • U just did the right test and exams u could’ve saved that person from getting full blown thyroid issues! But why should u?! There’s no money no profit in that u wait till the person get a full blown thyroid or get diabetic or even ca before u try to treat! Because u

  • Government! Does 1 thing well, KILL!!! Wars All Kinds!

    Their was not a drug problem. 1% or so, then the 1970 drug war!!! The rest is what you see today!!!

  • So going to the dr. for pain is unnecessary.

    Marijuana used for pain is just an excuse for people to get high.
    Extreme trauma requiring pain medication management is a lie.

    All according to this SATANIC society’s separation of tounge.

  • I’m surprised this talk hasn’t been seen by more people because awareness of this concept is definitely growing at last.  Having worked in the field of stress-induced chronic pain for the past 8 years, finally the studies mentioned here are coming to light and there is more openness than there was. The interest in the brain and the mind in chronic pain has meant that more studies are being published.  As well as the studies mentioned in the talk there is also evidence of a strong link between chronic pain and adverse childhood experiences, which clearly shows that we need to look further than the area the pain is felt to find the answer.  Great talk Silje.

  • I don’t understand extrapolating from 1/3 of the sample to form the backbone of this theory of “pain is in the mind”. No doubt psychosocial factors influence pain perception. However, researchers often fail to recognize how this approach is actively used by medicine and society to belittle persons in severe pain. Creating unattainable expectations and continuing derogatory assessments results in a self-fulfilling prophecy about the importance of psychosocial factors as patients are pushed into depression, anxiety, and isolation because their physical pain is dismissed as a secondary problem.

  • I find this interesting since he is the one that diagnosed me 20 years ago with fibromyalgia he insisted on putting me on several medications that I did not feel comfortable taking due to other Med issues I have and the concern of them causes serious problems with these issues. Because of these concerns He told me I didn’t want to get better and I was wasting his times.

  • I know you said broken heart syndrome after being dumped but what about long term depression. I’ve been single for years (i just don’t put myself out there to meet people) and i still get chest pains like that. That ‘drug effect’ doesn’t seem to make sense to me, If i go into total anxiety mode i get those chest pains, perhaps that comes down to the chemical imbalance, that the body is just producing more stress hormones. But after a long time does the body just get used to producing those? Why doesn’t it sort of, level itself?

  • is it just me or does anyone else suffer from just back pain. Before being hit by a speeding car my workfamily were all great. I go to all these Psychologists and they ask all these questions to convince themselves that my pain has psychosocial elements….
    I tell them my back only hurts when I overstress the injury but they just don’t get it…fortunately, I have found that pain specialists see things a lot clearer (I’ve just had a spinal modulation device)…
    Anyone who has experienced similar challenges to me please contact me.

  • I live in a blue collar town and it seems like every one I know has back pain. I know one dude who sells 60 mg morphine tablets that he gets from a family doctor for lower back muscle injury. He makes 200 dollars a day tax free by selling his prescription drugs that his insurance pays for. Many people are fucking dishonest, lazy, doctor enabled junkies. This skews the numbers.

  • That’s the medical system. Your in pain because you want to be. I constantly get its all in your head you need a physiatrist. The best thing to do is avoid the medical system they will kill you. The road to hell is pathed with good intentions

  • Interesting.I just won’t ever understand why the UK won’t legalise MJ for chronic pain sufferers..it should be my choice how I treat my pain.������‍♀️

  • Actually, Trace, my skin is “more damageable” than yours. Look into Ehlers-Danlos syndrome, or any other connective tissue disorder, on why that is the case for EDSers like me.

  • Restore the natural balance within your body and unleash a rapid healing response in just 3 minutes a day please visit here https://naturalsynergycure.com/go/

  • Have you ever gotten a massage and when you are getting massaged you randomly feel like crying? Like I wasn’t in any physical pain but I just felt like crying.

  • I’m pretty tight with pain. I’m not sure if it should always be treated. Sure, the acute physical pain of something that heals should be treated or a chronic 10 that would possibly lead to death, but most pain is like a visceral scar. It’s a part of you, it shapes your mind and manifests in forms of resilience and empathy. It tells you something is wrong and makes you aware of your limits as well as those around you or those freshly exposed to their own mortality. Pain is an intrinsic part of life and can create crescendos in harmony with pleasure. I don’t mean to sound like a masochist, but it’s true. Without a comparable antithesis, we would never know the difference between pain and pleasure, right and wrong. Pain is a part of our humanity. Earlier this year, for the first time, at age 32, I experienced pain beyond the 10 scale. I was afraid at first. I thought it would crescendo to a point and then I would find out what happens after life. In reality, it went up and up and I was screaming and vomiting until my fetal body was too tired to do either and then my pain receptors got tired and turned off for a couple minutes. They’d come back on for a half hr or so, then rest again. It was extremely liberating to cross my own threshold, once and for all and live to tell the tale. I recieved 9 dosages of morphine, no clue what size and the next day I was released and exhausted. The cause is unknown, somewhere in my abdominal area, American heathcare, you know.

  • Dr Sarno talks a lot about the pain coming from repressed anger. You seem to focus on fear. I think pain can come from either one!

  • Interesting. Also i have noticed, that mindfulness (and in that way also meditation since you can learn to become more mindful through it) can dramatically change how bad pain feels for me. Like when i feel pain in the body somewhere, it is much less uncomfortable when i concentrate on it and “actively feel it”, which is ironically kind of the opposite of all the treatments making us feel less pain. I could imagine that there is some science about that, right?

  • Does anyone know if it’s possible to find the jama article he mentions in the video free anywhere on the internet? Or maybe through hoopla library app etc?

    In meantime here is article link if anyone wants to buy or rent.

    1. u have to sign up to jama (free),
    2. sign up for rightslink (free),
    3. then pay $8.99 to rent the article for 24 hrs

    you will be prompted to do all that after clicking link (more or less-u may have to search page for sign up buttons etc)

    https://jamanetwork.com/journals/jama/article-abstract/1860480?redirect=true

  • Of course your worries, small and big that you do not deal with will show in your body, first as light symptoms as a mild headache and stomachache then if not dealt with it will most likely develop into more serious conditions. This is no news at all. However, a lot of people are not aware of this, so to them, this is big news. If people would consider how they feel more important than a lot of other stuff they find ‘important’ the world would look quite different.

  • Yes it is and my head is killing me today. Had some serious injuries in the past to the head and now it is in constant pain mostly.

  • If pain is all in the head, wouldn’t the guaranteed cure be to “Remove the head, or destroy the brain.” (movie reference)
    People in chronic pain or suffering from a break up are a bit like zombies anyways 😉