Latest mini blog retlouping331888347.wordpress.com/2026/01/08/h...

Ponderance Maybe there isn’t just one mechanism of disc causing symptoms. Deforming Cracking Ripping Bulging “Ejaculating” (extruding, sequestration”) Symptoms depend on rate of load application & tissue stress x time. Rule of Toos and boiling frogs 🐸

My latest blog retlouping331888347.wordpress.com/2026/01/06/s... So you want to teach and present at conferences. Caveat Emptor. ( 💩 that has happened and how I dealt with it)

Pain isn’t just about “intensity” ,why do we not measure frequency, duration, distribution, amount of medication and functional improvement, on a regular basis? Would you rather have a 1 second 9/10 or an all day 5/10

People, people people, people,people, people, people, people People, people people, people,people, people, people, people People, people people, people,people, people, people, people People, people people, people,people, people, people….. We treat people not bits or disease.

🧵 So why do we consistently make VAS graphs and use them for outcomes? These graphs only tell us about intensity they do not speak to frequency, duration, medication use or distribution of pain ie sciatica v back pain. Are we measuring the wrong things www.europeanreview.org/wp/wp-conten...

Beware of “𝗧𝗵𝗲 𝗰𝘂𝗿𝘀𝗲 𝗼𝗳 𝗸𝗻𝗼𝘄𝗹𝗲𝗱𝗴𝗲” Sometime what is simple to one person is complex or unknown to another person. Hence my stance on Pathos, Logos. First seek to understand then to be understood. 👇 MRIs are simple to read but not unless you understand L & R

Growth and remodelling of living tissues: perspectives, challenges and opportunities royalsocietypublishing.org/rsif/article...

Understanding why I often refer to myself as a numpty. Ancora Imparo I’m a simplifier retlouping331888347.wordpress.com/2025/11/17/i... A numpties Guide: retlouping331888347.wordpress.com/2021/01/17/c... I am to facilitate learning.

My latest blog retlouping331888347.wordpress.com/2026/01/06/s... So you want to teach and present at conferences. Caveat Emptor. ( 💩 that has happened and how I dealt with it)

Pain is a peculiar sensation, perception,experience,projected illusion. no pain can actually exist in an absent limb or a present one with radicular pain,it’s always a projected perceptual illusion created by the brain.(this does not imply it’s all in your head) www.archives-pmr.org/article/S000...

A ponderance: Pain, hearing, vision, itch, smells & sensations, there are no nerves that carry these from the brain to the periphery or to the eye, nose or ear, only afferent impulses from receptors (inputs). The BRAIN, receives perceives and you experience these things.

Why do we make such a song and dance about nociception and pain but not about auditory transduction and hearing or phototransduction and seeing? I’m genuinely interested.

Empower the patient www.jospt.org/doi/pdf/10.2... 27 years on

Nociception “that’s all I have to say about that”

This is what I’m referring to when I say “ the goal posts have been moved” when talking about nociception v brain generated pain. By including parts of the brain in the “nociceptive apparatus” such as the thalamus, then the slightly of hand is complete.

I honestly don’t know if it’s possible to have the sensation of PAIN without NOCICEPTION, so why are you so confident that you can’t? Possible Probable Convince me.

Adult-Onset NREM Parasomnia with Hypnopompic Hallucinatory Pain: A Case Report d1wqtxts1xzle7.cloudfront.net/87382611/aas...

A neurobiologist's attempt to understand persistent pain pubmed.ncbi.nlm.nih.gov/28850339/ “There is nothing innate to primary afferent nociceptors that endow them , and only them with the capacity to evoke pain

I asked Grok AI : If we can experience orgasms and nocturnal emission without physical stimulus, shouldn’t we similarly be able to experience pain?

A new year ponderance Why is it physiotherapists that believe they are such experts on PAINsplaining and Nociception-splaining and not neuroscientist, neurologists, and pain specialist medical doctors? Or am I just in the wrong SoMe echo chambers?

Detox is still BS

New phrase for 2026 “𝗡𝗼𝗰𝗶𝗰𝗲𝗽𝘁𝗶𝗼𝗻-𝘀𝗽𝗹𝗮𝗶𝗻𝗶𝗻𝗴” to replace “painsplaining” (which I believe I coined on this app?) Definitions also includes bullying, mocking, trolling and derision aimed at anyone asking about the brain as a possible pain experience generator.

I’m sorry but every time I see of hear “𝗻𝗼𝗰𝗶𝗰𝗲𝗽𝘁𝗶𝘃𝗲 𝗮𝗽𝗽𝗮𝗿𝗮𝘁𝘂𝘀” This image pops in my head 😂 May be “nocicpetive sub-system” would be better 😂

An unpleasant sensory and 𝐞𝐦𝐨𝐭𝐢𝐨𝐧𝐚𝐥 𝐞𝐱𝐩𝐞𝐫𝐢𝐞𝐧𝐜𝐞 associated with, or resembling that associated with, actual or 𝐩𝐨𝐭𝐞𝐧𝐭𝐢𝐚𝐥 𝐭𝐢𝐬𝐬𝐮𝐞 𝐝𝐚𝐦𝐚𝐠𝐞. New year’s conundrum: does emotion and potential damage require “nociception’?

Let’s stop trying to prove that you are right. Science is about testing hypothesis not proving yours. The question still remains “can the brain independently cause a pain experience? “Absence of proof isn’t proof of absence,” Test the hypothesis not deride it.

Context, Context, did I mention Context. I still dont care if you stick em, click em, prick em, rub em or move me. It’s the contextual factors that are the therepeutic herbs and spices to positive outcomes. “When you dance with your patinet let them lead” www.frontiersin.org/journals/psy...

Evidence-­ based recommendations for sacroiliac joint complex pain management rapm.bmj.com/content/rapm...

A new blog, written by me this time. Is AI going to replace PTs (physios) in assessment and treatment of low back pain? retlouping331888347.wordpress.com/2025/12/02/i...

My blog: Has a war been declared on contextual effects? retlouping331888347.wordpress.com/2024/12/03/h...

Latest blog post Spondylolisthesis: It’s Not as Scary as You’ve Been Told retlouping331888347.wordpress.com/2025/11/23/s...

“It works for me” Welcome to the blackbox

Is it time to stop “Painsplaining?” Pain neuroscience education combined with any singular form of physical therapy intervention is not more effective than the single intervention itself: a systematic review www.tandfonline.com/doi/full/10....

Why write a blog if no one reads it? A bog by me. 😂 retlouping331888347.wordpress.com/2025/11/21/w...

My latest blog It’s here, it’s clear, AI abuse and use, should we fear it? retlouping331888347.wordpress.com/2025/11/20/i...

Is anybody listening retlouping331888347.wordpress.com/2025/06/23/i... A short insightful blog on “listening”

Stop publishing nonsense. My letter to the editor about “SIJ Dysfunction” (unpublished) retlouping331888347.wordpress.com/2024/09/24/a... New study www.ftrdergisi.com/uploads/pdf/...

My latest blog, with no AI involvement 😂 (well OK there is PS from Grok 😂) “I am but a simplifier” retlouping331888347.wordpress.com/2025/11/17/i...

My latest blog, with no AI involvement 😂 (well OK there is PS from Grok 😂) “I am but a simplifier” retlouping331888347.wordpress.com/2025/11/17/i...

AI Strikes again: A Comparative Analysis of the McKenzie, Maitland, and Mulligan Methods in Musculoskeletal Assessment and Treatment retlouping331888347.wordpress.com/2025/11/15/a...

Only you can answer what it would take for you to add he extra “S” What would it take?

Evaluating Manual Therapy in Musculoskeletal Pain: Why Certain Trial Designs May Overestimate Effectiveness—A Scoping Review onlinelibrary.wiley.com/doi/10.1002/...

Paradoxes weaken the International Association for the Study of Pain definition of pain www.epain.org/journal/view...

My latest blog written by AI (Grok) in 20 seconds. A timely warning of AI use and abuse. Preferred Directional Loading Strategy: A Proposed Refinement Over the Concept of Directional Preference in Musculoskeletal Pain Management retlouping331888347.wordpress.com/2025/11/12/a...

Work in progress Person presenting with..... Person living with..... Person suffering from...... Differentiating between possible causes of this persons problem....... Not patient, not frozen shoulder, not sore hip, not NSLBP, not knee OA.... PERSON focused One ecosystem

Scientists no Longer Find Twitter Professionally Useful, and have Switched to Bluesky academic.oup.com/icb/article-...

Happy SI joint Halloween

Stop patient blaming

Our paper is free open access. Please read share, and enjoy , thank you 🙏 Contextual effects in musculoskeletal pain: are we overlooking essential factors? www.frontiersin.org/journals/psy...

“Listen to learn about the person in pain, as much as the pain in the person”