CONTRADICTORY MESSAGES ABOUT PAIN: WHAT ABOUT PAIN EDUCATION IN CURRENT CURRICULA?   August 30th, 2024
Finding the cause of a patient’s pain complaint can be a real struggle for both the patient and the healthcare provider, especially when the pain is chronic (i.e., lasts longer than three months (1)) and widespread. This struggle often leads to frustration in many patients, as the messages they receive about the cause and treatment of their pain are often contradictory, depending on their healthcare providers (2). Unfortunately, this problem is very common in daily clinical practice.
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Pijn: een expeditie naar interdisciplinair gebied   August 29th, 2024
Nieuw zijn in de wereld van pijnonderzoek, maar zeker wel vol zitten met interesse en motivatie, moedigde mij aan om in de literatuur te duiken rond het onderwerp. Niet enkel in professionele en academische context, maar ook daarbuiten in het dagelijkse leven kreeg mijn leeslijst langzaamaan een andere inhoud. In deze tekst vertel ik de lezer graag meer over mijn meest recente literair avontuur: Pijn: een expeditie naar onbestemd gebied, door Sanne Bloeminck.
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Shifting the Focus: How the European Pain Federation’s Latest Position Paper on Physical Activity for chronic pain and the PECAN Study can Transform Chronic Pain Management After Breast Cancer   August 28th, 2024
Chronic pain is a significant issue that affects millions of people, including those who have survived breast cancer. Traditional treatments often focus on medications, but recently published insights from the European Pain Federation (EFIC) are shifting the spotlight toward physical activity as a primary intervention for chronic pain.
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What’s in a name? Discussion about whiplash associated disorders (WAD)   August 27th, 2024
Whiplash associated disorders (WAD) have been a source of discussion for a long time. Controversy exists between the presence of chronic complaints of the cervical spine and a sustained whiplash trauma with questions about the diagnosis, treatment, and prognosis of whiplash injuries (Yadla S et al, 2008).
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THE INFLUENCE OF CHRONIC STRESS ON CORTISOL LEVELS AND ITS ASSOCIATION WITH CHRONIC PAIN   August 27th, 2024
An introduction to the stress response systems In modern society, we have to deal with daily stressful events challenging our own body and its capabilities1. Think about posting something on Instagram and waiting for that first like, managing a heavy workload with strict deadlines, or worrying about the things you will have to do tomorrow.
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“Are you a catastrophizer?” Understanding the patient perspective on pain catastrophizing   August 26th, 2024
The term "catastrophizing" was first introduced in 1962 by A. Ellis to describe a key factor in emotional dysfunction.1 He defined it as “exaggerating adversities into something far worse than they actually are; seeing things at their worst when they are sometimes relatively minor; and greatly exaggerating the frequency and/or danger of something that you dislike”.
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The social prescription: why do we need to pay attention to the social environment and support of our patients?   July 23rd, 2024
The American College of Lifestyle Medicine identifies social connection as one of the essential pillars of therapeutic lifestyle interventions for treating chronic conditions. This pillar, alongside others such as nutrition, physical activity, stress management, restorative sleep, and the avoidance of risky substances like tobacco and alcohol, plays a crucial role in promoting health.
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Chronic pain: The brain didn’t get the message.   May 31st, 2024
Lisa Feldman Barrett, a well-respected neuroscientist, psychologist and known for her groundbreaking research on emotion, the brain, and the mind, shares some sublime insights in her book “How Emotions are Made.
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The Healing Power of Breath: Exploring Deep Breathing Exercises for Pain Management   May 31st, 2024
In the hustle and bustle of modern life, it's easy to overlook the simple yet profound act of breathing. However, for centuries, cultures around the world have recognized the therapeutic benefits of deep breathing exercises. In this blog post, we delve into the realm of breathwork and its remarkable potential in managing pain, offering a holistic approach to well-being that harnesses the power of the breath.
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Phenotyping nociceptive, neuropathic, and nociplastic pain in the past, present and future   May 30th, 2024
​Do you consider all myofascial pain to be nociceptive pain? Do you consider all carpal tunnel syndrome and/or all post-chemotherapy pain pure neuropathic pain? Do you explain pain in the same way to patients with nociceptive, neuropathic, and nociceptive pain?1 If you respond positively to at least one of these questions, we invite you to continue reading. You see, phenotyping persistent pain into predominantly nociceptive, neuropathic or nociplastic pain is not that straightforward and potentially, pain phenotyping has clinical implications.
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A paradigm shift from a tissue- and disease-based approach towards multimodal lifestyle interventions for chronic pain   May 29th, 2024
It’s been two decades since we started studying the role of central nervous and immune systems in patients with chronic pain. Back then, we could not imagine what massive, global impact pain science would have on our profession and healthcare for patients suffering from pain in general.
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Let’s connect:
The importance of person-centered communication in pain management   April 11th, 2024
Pain is a complex and subjective experience that requires a person-centered approach in its management. In the realm of healthcare, person-centered communication is often underestimated in the management of pain. It extends beyond the mere collection of information: it serves as a gateway to understanding and a crucial alliance between the healthcare provider and the patient.
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Does pain intensity still serve as gold standard to measure pain?   April 11th, 2024
The individual feeling of suffering and the personal translation of that experience into a patient’s daily living is the signature of the heterogenous subjectivity of chronic pain. By definition, a painful experience is always a personal interpretation. Yet, despite this knowledge, clinicians, pain physicians and clinical researchers still often use oversimplifications and minimizations of a patient’s health status through unidimensional constructs such as pain intensity.
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Left out in the cold – hallmarks of nociplastic pain yet remaining unclassifiable   April 10th, 2024
Nociplastic pain may not be characterized only by sensory hypersensitivity. What about persistent, widespread pain with numbness and sensory loss or hypo-sensitivity? How do we classify people with no allodynia to light touch, stroking nor hot/cold applied to the skin, no hyperpathia nor temporal summation but with widespread, unpredictable pain, perhaps some weakness, fatigue, sleep dysfunction and/or cognitive difficulties?
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The interplay between breathing and experienced symptoms in cancer patients   April 9th, 2024
Patients with cancer experience acute and chronic symptoms such as pain, fatigue, insomnia, anxiety, depression and cognitive impairment. The co-occurence of these symptoms has been described as the symptom cluster, which is negatively associated with quality of life.
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Unpacking the Impact of Social Support on Physical Activity in Cancer Survivors   February 14th, 2024
One in four cancer survivors will experience persistent pain after ending cancer treatment. In our exploration of chronic pain among cancer survivors, evidence shows time and time again that physical activity plays a vital role in alleviating symptoms and improving quality of life.
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Pain management around the clock: the significance of sleep   February 12th, 2024
Our work and lifestyle choices are contributing to the normalization of poor sleep1,2. This is in contrast with the extensive research linking good quality sleep with positive mood, learning, memory consolidation, and physical recovery. Conversely, poor sleep leads to important consequences for our health1.
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Does my body need protection, right here, right now?   February 10th, 2024
​Before delving into the topic of interest for this post, I would first like you to take a look at the image of the two tables. To most people, this image depicts two tables of which one appears longer and thinner than the other. However, the truth is that the two tables are of the exact same size, both in terms of length and width.
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Let’s talk about sex!   December 4th, 2023
Let’s talk about sex, baby (1). Or maybe not? Let’s talk about gender! To talk about gender, I will start with some definitions so we speak the same language.
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​Exploring the link between chronic tinnitus and central sensitization.   October 9th, 2023
Do you sometimes hear a ringing in your ears after a night out or a loud concert? If so, you're not alone. This phenomenon is called tinnitus, and it affects a significant number of people worldwide. In fact, about 10% of the population experiences chronic tinnitus (present for more than 3 months) (1). However, despite the high prevalence of tinnitus, we still have a lot to learn about its causes and effective treatments.
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A new chronic pain pandemic on the horizon? Long COVID affects millions of people   August 20th, 2023
​In 2020, the world was battling COVID-19 and many countries introduced lockdowns or restrictive measures. Three years later, such lockdowns and restrictive measures are luckily not required anymore to protect us from COVID-19, but did you know that millions of people (65 – 144 million) are still living in lockdown or under restrictive measures as a result of their COVID-19 infection? These people suffer from long COVID.
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The role of systemic inflammation in chronic musculoskeletal conditions   August 17th, 2023
Several chronic musculoskeletal conditions are characterized by pain and changes in connective tissue. Treatment has traditionally focused on regional processes. Frequently, it is thought the injuries arise from a local origin. Herein, local inflammation initiates mechanisms to drive adaptation and repair.
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​Words matter! Language to use versus to avoid in the context of acute pain management in children   June 8th, 2023
Acute pain is “a normal, predicted physiological response and experience to a noxious chemical, thermal or mechanical stimulus associated with acute illness, trauma or surgery”.1,2 Acute pain is usually sudden in onset, limited in time, and motivates behavioral responses to avoid actual or potential tissue damage.
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​Individualized care in chronic pain research   June 7th, 2023
Chronic pain is defined as pain that persists for more than three months and currently affects over 20% of people worldwide, making it the leading cause of disability and disease. Despite its prevalence, optimal treatment for chronic pain is still lacking.
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​Cracking the Code of Chronic Cancer Pain: The Immune System and Your Inner Clock   June 6th, 2023
Although there are more cancer survivors due to better treatment options, cancer survivors still face many challenges including chronic pain1,2. According to recent studies, approximately 40% of cancer survivors suffer from chronic pain which significantly impacts their quality of life1,3,4. Nowadays, scientists are investigating the underlying mechanisms so they can better understand the causes of chronic pain in order to improve pain management.
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