Join Morton & Ben as they chat about the complex and confusing world of nocicplastic pain
Nociplastic pain is......
Pain that arises from altered nociception despite no clear evidence of actual or threatened tissue damage causing the activation of peripheral nociceptors or evidence for disease or lesion of the somatosensory system causing the pain.
Morton & Ben discuss.....
Whats the difference between a pain descriptor and a pain mechanism?
Why does the term nociplastic pain exist? What was the need for it?
What mechanisms might underpin nociplastic pain? What treatments might help nocicplastic pain? Should it be a focus of treatment?
About Morton.....
After qualifying as a clinical physiotherapist (1999) and completing several clinical exams, Morten was granted the title of specialist physiotherapist in musculoskeletal physiotherapy (2005) and sports physiotherapy (2006). From 2010-12 he joined the multidisciplinary Pain: Science & Society MSc-program at King's College London (UK). Between 2015-19 Morten did his PhD in Medicine/pain at Center for Neuroplasticity and Pain (CNAP), Aalborg University, where he is now associate professor.
Recent paper on Nociplastic pain - https://www.jospt.org/doi/10.2519/jospt.2025.13335
In this episode Ben dives into the world of uncertainty in healthcare
Ben discusses 3 main areas. Uncertainty for clinicians with tests and treatments, uncertainty for patients and then communicating uncertainty.
One of the biggest areas is the emotions associated with uncertainty, often anxiety of not knowing what is going to happen
Here are two papers discussed
The ubiquity of uncertainty in low back pain care
https://pubmed.ncbi.nlm.nih.gov/36215924/
Tolerating Uncertainty - The Next Medical Revolution?
https://pubmed.ncbi.nlm.nih.gov/27806221/