Nocebo Resources

Here is a short list of papers warning of harm that can be caused simply by word choice. My current favourite is Vranceanu AM, Elbon M, Ring D., 2011, The emotive impact of orthopedic words. J Hand Ther. 2011 Apr-Jun;24(2):112-6. 1. Excerpt: “The human system that evolved to process an abundance of words and messages has been described in terms of two types of message processing: central processing (an active and critical thinking process focused on the message), and peripheral processing (a passive process that takes cues from other parts of the message—the tone and pitch of voice, credibility of speaker, mannerisms, emotive content). The concept of peripheral processing emphasizes that we evaluate the message based on much more than the language.” 2. Excerpt: “ Patients are intimidated by the medical setting and are more likely to use peripheral rather than central processing when presented with complex medical language.Words with negative connotations, such as ‘‘tear,’’ ‘‘injury,’’ ‘‘overuse,’’ and ‘‘over compensation’’have more negative impact” [according to ANEW, a measure of affective influence of words, rated for pleasure, arousal, and dominance] “..than words with a neutral or positive connotation…. it would seem preferable to start with a baseline diagnosis of arm ache (nonspecific arm pain, idiopathic arm pain) to frame the illness in the most positive, optimistic, enabling, and practical construction that is consistent with current evidence.” 1. Caroline Bittar , Osvaldo J.M. Nascimento; Placebo and nocebo effects in the neurological practice. Arq. Neuro-Psiquiatr. vol.73 no.1 São Paulo Jan. 2015 (FULL TEXT)
2. Benedetti F, Lanotte M, Lopiano L, Colloca L; When words are painful: Unraveling the mechanisms of the nocebo effect. Neuroscience 147 (2007) 260 –271 (FULL TEXT) 3. Colloca L, Benedetti F.; Nocebo hyperalgesia: how anxiety is turned into pain. Curr Opin Anaesthesiol. 2007 Oct;20(5):435-9.
4. Vagg, Michael; The right words matter when talking about pain. The Conversation (US pilot)December 2 2015 online (FULL TEXT)
5. Susanna E. Bedell, Thomas B. Graboys, Elizabeth Bedell, Bernard Lown; Words That Harm, Words That Heal. ARCH INTERN MED/ VOL 164, JULY 12, 2004 (FULL TEXT)
6. Ben Darlow, Anthony Dowell, G. David Baxter, Fiona Mathieson, Meredith Perry, and Sarah Dean; The Enduring Impact of What Clinicians Say to People With Low Back Pain. Ann Fam Med. 2013 Nov; 11(6): 527–534 (FULL TEXT)
7. Ben Darlow, Beliefs about back pain: The confluence of client, clinician and community. IJOM, June 2016 Vol 20 53-61 8. Colagiuri B, Quinn VF, Colloca L; Nocebo Hyperalgesia, Partial Reinforcement, and Extinction. J Pain. 2015 Oct;16(10):995-1004 9. Oliver P. Thomson, Katie Collyer; ‘Talking a different language’: a qualitative study of chronic low back pain patients’ interpretation of the language used by student osteopaths. International Journal of Osteopathic Medicine Volume 24, June 2017, Pages 3-11
10. Darlow B1, Dean S, Perry M, Mathieson F, Baxter GD, Dowell A.; Easy to Harm, Hard to Heal: Patient Views About the Back. Spine (Phila Pa 1976). 2015 Jun 1;40(11):842-50
11. Vranceanu AM, Elbon M, Ring D., 2011, The emotive impact of orthopedic words. J Hand Ther. 2011 Apr-Jun;24(2):112-6

Pain Science Essential Reading List

Thank you to Lars Avemarie for putting together and sharing this wonderful reading list!

Pain Science Essential Reading List

with Anoop Balachandran, Paul Ingraham, Ben Cormack, Prof. Lorimer Moseley, Dr. Jonathan Fass, Diane Jacobs, Dr. Bronnie Lennox Thompson, Dr. Jo Nijs, Dr. Mick Thacke, Max Zusman, Louis Gifford, Todd Hargrove, Dr. Serge Marchand, Dr. Gregory, Matthew Danziger, Tony Ingram and Dr. Jason Silvernail

The Ultimate Guide to Pain

Pain really is in the mind, but not in the way you think…

Why Most People Are Wrong About Injuries and Pain…/why-most-people-are-wrong-about…/

50 Shades of Pain with Dr. Lorimer Moseley

Louis Gifford and his legacy

The Ultimate Guide to Pain

Pain is weird

Does Massage Therapy Work? (or manual therapy)

The Pain Expert series

The myth of structuralism

Are we guilty of single factor thinking…/

20 unpopular opinions in pain management and physiotherapy…/20-unpopular-opinions-a-guest-b…/

Central Sensitization in Chronic Pain…/central-sensitization.php

Does Fascia Matter?

The 5Rs of pain rehab

Quite a Stretch

Trigger Point Doubts…/trigger-point-doubts.php

Meaningful movement, pain-memories and recalibration…/

Graded Exposure and pain

A Primer on Pain

Outdated Pain Theories, Part I – Damage and Degeneration

Outdated Pain Theories, Part II – Posture and Body Structure

Outdated Pain Theories, Part III – Muscle Imbalances & the “Core”

Perpetuating the Idea that Poor Posture Causes Pain…/perpetuating-the-idea-that-…/

How Pain Cognitions Can Influence the Pain Experience…/

Why Your Body is Not Like a Car

The importance of language…/the-importance-of-language/

Adriaan Louw on Therapeutic Neuroscience Education…

Pain Science: An Interview With Pain Expert Jason Silvernail…/

Moving Beyond the Exercise: Exercise Prescription and Clinical Reasoning…

Online Video Lectures (17,5 hours of lectures)

Pain science lectures with Pain Experts like Moseley, Stanton, Butler, O’Sullivan, Nijs, O´Connell, Zusman, Lehman, Reme, Thacker, Louw, Pearson and Dr. Kieran O’Sullivan….

And then read these reviews:

Moseley, G. Lorimer. Reconceptualising pain according to modern pain science Physical Therapy Reviews 2007; 12:…/Reconceptualising-Pai…

G Lorimer Moseley. Teaching people about pain: why do we keep beating around the bush? Pain Manage. (2012) 2(1), 1–3.

Melzack R., Katz J. (2013), Pain. WIREs Cogn Sci, 4: 1–15.…/wcs.12…/asset/1201_ftp.pdf…

And then buy these books, one at a time 😉

Books on Pain and Pain Science

1. Therapeutic Neuroscience Education by Adriaan Louw
2. Explain Pain Supercharged by Butler/Moseley
3. Louis Gifford’s Aches and Pains
4. Painful Yarns by Moseley (pain stories)
5. The Challenge of Pain by Melzack/Wall
6. Gordon Waddell’s The Back Pain Revolution
7. Pain a textbook for health professionals by Griensven/Strong (2th ed).
8. Fordyce’s Behavioral Methods for Chronic Pain
9. Textbook of Pain 6 Ed by Wall/Melzack