Summary of Where Pain Lives

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You and a friend both get MRIs of your spines, and both reveal bone spurs, ruptured discs and spinal degeneration. You are incapacitated by back pain, but your friend springs up from bed every morning with the vigor of a 20 year old. It turns out that there’s little correlation between spinal imaging results and chronic back pain. And unfortunately for you, traditional treatment options offer limited relief. getAbstract recommends Cathryn Jakobson Ramin’s smart, engaging essay to readers who suspect that “the reign of pain is mainly in the brain,” or to those who deny it.

In this summary, you will learn

  • Why spinal imaging results don’t necessarily pinpoint the origins of back pain,
  • What genetic factors are associated with pain sensitivity, and
  • How some rehabilitation clinics are successfully treating chronic back pain.
 

About the Author

Cathryn Jakobson Ramin’s work has appeared in The New York Times, Scientific American and NPR.  Her book Crooked: Outwitting the Back Pain Industry and Getting on the Road to Recovery came out in 2017.

 

Summary

Back pain that persists after the initial injury has healed originates in the central nervous system and is a “neurobiological learning disorder.”

Spinal imaging results have little correlation with a patient’s experience of pain. Two people might obtain similar imaging results but feel different levels of pain. Chronic back pain is like a “neurobiological learning disorder” that resides mostly in the central nervous system, not in the back itself. When a pain response to an injury lingers long past the point of usefulness, doctors often suggest that patients be cautious about using their backs. But sufferers might develop “fear-avoidant behavior” that weakens back muscles...


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