A while back, we wrote about retraining your brain to get rid of your pain. The article’s point is to focus on pain not only as a mechanical issue (e.g., tendon or labrum tear), but as a complex interaction between different body systems, with the brain working as the central governor.
First is a review done by the often outspoken physiotherapist Adam Meakins. On his Instagram, he put out a series looking at the reliability of MRIs. If you click the links below, swipe or click the right arrow to see the full post.
Click here forPart 1, which reviewed a study done on a patient with back pain. They received 10 MRIs over the course of 3 weeks. There were 49 different issues identified by the imaging, but none of them showed up on all 10 reports.
Then inPart 2, Adam reviewed a study of over 100 people with chronic shoulder pain. The study scanned both the painful and non-painful shoulders and found just as much pathology on the pain-free side!
The Change in Pain Science
As you can see from the results above, the non-painful shoulders were just as beat up as the painful ones! Adam’s conclusion to this series is accurate: “MRIs help exclude serious or sinister issues, but they DO NOT tell you what’s causing pain.”
The next stop on this look at pain is a quick video by Prof Paul Hodges.
Dr. Hodges is a world leader in movement control, pain, and rehabilitation, specifically focused on why people move differently in pain.