more than one of you out there is an expert in pain aching disabling intense
expert in pain aching disabling intense
expert in pain aching disabling intense neck shoulder back or maybe knee pain
neck shoulder back or maybe knee pain
neck shoulder back or maybe knee pain and you have tried message acupuncture
and you have tried message acupuncture
and you have tried message acupuncture crown therapy and even drugs but times
crown therapy and even drugs but times
crown therapy and even drugs but times it seems not to completely disappear and
it seems not to completely disappear and
it seems not to completely disappear and it could become chronic but its pain
it could become chronic but its pain
it could become chronic but its pain itself the issue the short and shocking
itself the issue the short and shocking
itself the issue the short and shocking answer is no if we can change the way we
answer is no if we can change the way we
answer is no if we can change the way we consider pain we can decrease it and we
consider pain we can decrease it and we
consider pain we can decrease it and we can increase the quality of our lives I
can increase the quality of our lives I
can increase the quality of our lives I will show you that it’s not so difficult
will show you that it’s not so difficult
will show you that it’s not so difficult true story
true story
true story a careless worker nail it his foot and
a careless worker nail it his foot and
a careless worker nail it his foot and immediately started screaming in agony
immediately started screaming in agony
immediately started screaming in agony once he arrived at the hospital the
once he arrived at the hospital the
once he arrived at the hospital the doctors weren’t able to remove the shoe
doctors weren’t able to remove the shoe
doctors weren’t able to remove the shoe because the man was such in pain that no
because the man was such in pain that no
because the man was such in pain that no one could even touch his foot so they
one could even touch his foot so they
one could even touch his foot so they decided to scan him and this is what
decided to scan him and this is what
decided to scan him and this is what they found a nail in the foot all right
they found a nail in the foot all right
they found a nail in the foot all right what’s interesting about this story once
what’s interesting about this story once
what’s interesting about this story once the doctors were able to remove the shoe
the doctors were able to remove the shoe
the doctors were able to remove the shoe cutting it away they saw the nail had
cutting it away they saw the nail had
cutting it away they saw the nail had passed precisely in the twin details
passed precisely in the twin details
passed precisely in the twin details without any tissue damage
this story can help you understand that
this story can help you understand that pain is not directly correlated to
pain is not directly correlated to
pain is not directly correlated to tissue or structural damage
tissue or structural damage
tissue or structural damage if we compare visual system and pain
if we compare visual system and pain
if we compare visual system and pain system we can see they are quite similar
system we can see they are quite similar
system we can see they are quite similar peripheral receptors neurons conduct the
peripheral receptors neurons conduct the
peripheral receptors neurons conduct the stimulus to the brain the brain
stimulus to the brain the brain
stimulus to the brain the brain elaborate the information making sense
elaborate the information making sense
elaborate the information making sense of these electrical signals leading to
of these electrical signals leading to
of these electrical signals leading to conscious perception sight is a very
conscious perception sight is a very
conscious perception sight is a very precise way of perceiving information
precise way of perceiving information
precise way of perceiving information from the environment have a look at your
from the environment have a look at your
from the environment have a look at your hand how many details could you
hand how many details could you
hand how many details could you appreciate yet it is very easy to trick
appreciate yet it is very easy to trick
appreciate yet it is very easy to trick the eye let’s have a look to this short
the eye let’s have a look to this short
the eye let’s have a look to this short video
I want you to consider that sometimes
I want you to consider that sometimes your brain is tricking you into thinking
your brain is tricking you into thinking
your brain is tricking you into thinking you’re in pain but Bing is only
you’re in pain but Bing is only
you’re in pain but Bing is only conscious expression of how your brain
conscious expression of how your brain
conscious expression of how your brain perceives something dangerous or not and
perceives something dangerous or not and
perceives something dangerous or not and that’s the reason why sometimes you can
that’s the reason why sometimes you can
that’s the reason why sometimes you can feel pain without any tissue damage in a
feel pain without any tissue damage in a
feel pain without any tissue damage in a study published in 2015 in the american
study published in 2015 in the american
study published in 2015 in the american journal of naval radiology 3110
journal of naval radiology 3110
journal of naval radiology 3110 asymptomatic subjects underwent an MRI
asymptomatic subjects underwent an MRI
asymptomatic subjects underwent an MRI scan of their back what researchers
scan of their back what researchers
scan of their back what researchers found is very interesting they found a
found is very interesting they found a
found is very interesting they found a lot of structural alteration even in
lot of structural alteration even in
lot of structural alteration even in very young subjects and all these
very young subjects and all these
very young subjects and all these alteration are irrelevant for the
alteration are irrelevant for the
alteration are irrelevant for the production of pain for example if you
production of pain for example if you
production of pain for example if you are 50 years old it’s more plausible
are 50 years old it’s more plausible
are 50 years old it’s more plausible that you have a disc bulge than not even
that you have a disc bulge than not even
that you have a disc bulge than not even if you have no pain many times I see
if you have no pain many times I see
if you have no pain many times I see patients suffering from chronic pain
patients suffering from chronic pain
patients suffering from chronic pain this is the case of a 19 years old girl
this is the case of a 19 years old girl
this is the case of a 19 years old girl that underwent an MRI scan over back
that underwent an MRI scan over back
that underwent an MRI scan over back because it started hurting what they
because it started hurting what they
because it started hurting what they found is a herniated disc and even if
found is a herniated disc and even if
found is a herniated disc and even if her symptoms were not relevant for that
her symptoms were not relevant for that
her symptoms were not relevant for that kind of problem she had been told that
kind of problem she had been told that
kind of problem she had been told that she was in danger that she needed
she was in danger that she needed
she was in danger that she needed immediate care to prevent the worsening
immediate care to prevent the worsening
immediate care to prevent the worsening of her discs she was really scared I
of her discs she was really scared I
of her discs she was really scared I explained to her that you can have disc
explained to her that you can have disc
explained to her that you can have disc bulge without no pain and that her
bulge without no pain and that her
bulge without no pain and that her symptoms were justified by the complex
symptoms were justified by the complex
symptoms were justified by the complex biology of pain after three session I
biology of pain after three session I
biology of pain after three session I asked her to climb back on a 40
asked her to climb back on a 40
asked her to climb back on a 40 centimeter box and this is what she
centimeter box and this is what she
centimeter box and this is what she answered me
answered me
answered me you’re crazy I can ride my legs so high
you’re crazy I can ride my legs so high
you’re crazy I can ride my legs so high because of my thing I was starting to
because of my thing I was starting to
because of my thing I was starting to doubt my treatment because of the poor
doubt my treatment because of the poor
doubt my treatment because of the poor result but then something happened while
result but then something happened while
result but then something happened while I was explained to her once again how
I was explained to her once again how
I was explained to her once again how wrong ideas could maintain her symptoms
wrong ideas could maintain her symptoms
wrong ideas could maintain her symptoms she noticed her shoelace was loose and
she noticed her shoelace was loose and
she noticed her shoelace was loose and without thinking she lifts up her foot
without thinking she lifts up her foot
without thinking she lifts up her foot on the 40 centimeter box to fasten her
on the 40 centimeter box to fasten her
on the 40 centimeter box to fasten her swing I continued talking but my mind
swing I continued talking but my mind
swing I continued talking but my mind was already thinking what the heck is
was already thinking what the heck is
was already thinking what the heck is happening I stopped talking she put down
happening I stopped talking she put down
happening I stopped talking she put down her foot we stare each other for maybe
her foot we stare each other for maybe
her foot we stare each other for maybe ten seconds and then she asked me so
ten seconds and then she asked me so
ten seconds and then she asked me so what’s the next exercise you did it and
what’s the next exercise you did it and
what’s the next exercise you did it and she realize it on the day she started
she realize it on the day she started
she realize it on the day she started crying after three more session she was
crying after three more session she was
crying after three more session she was back to her normal life I want you to
back to her normal life I want you to
back to her normal life I want you to consider that pain has changed your way
consider that pain has changed your way
consider that pain has changed your way of thinking your way of acting and the
of thinking your way of acting and the
of thinking your way of acting and the quality of your life there are many
quality of your life there are many
quality of your life there are many studies that demonstrate the linking
studies that demonstrate the linking
studies that demonstrate the linking pain intensity the structural damage is
pain intensity the structural damage is
pain intensity the structural damage is wrong in a study a symptomatic needs of
wrong in a study a symptomatic needs of
wrong in a study a symptomatic needs of NCAA basketball athletes were scanned at
NCAA basketball athletes were scanned at
NCAA basketball athletes were scanned at the beginning and at the end of the
the beginning and at the end of the
the beginning and at the end of the season what they found is different kind
season what they found is different kind
season what they found is different kind of alteration and different kind of
of alteration and different kind of
of alteration and different kind of severity the only thing they had in
severity the only thing they had in
severity the only thing they had in common was the complete absence of pain
common was the complete absence of pain
common was the complete absence of pain what’s the most relevant thing is a
what’s the most relevant thing is a
what’s the most relevant thing is a shift in mind what we call in Italian
shift in mind what we call in Italian
shift in mind what we call in Italian come to the metalita regarding pain and
come to the metalita regarding pain and
come to the metalita regarding pain and that it’s the most important thing I’m
that it’s the most important thing I’m
that it’s the most important thing I’m asking you today to better understand it
asking you today to better understand it
asking you today to better understand it scientists and
scientists and
scientists and searchers have developed a
searchers have developed a
searchers have developed a biopsychosocial model that underlines
biopsychosocial model that underlines
biopsychosocial model that underlines the importance of taking into account
the importance of taking into account
the importance of taking into account not only the bio physical aspects of
not only the bio physical aspects of
not only the bio physical aspects of pain but also the psychosocial aspects
pain but also the psychosocial aspects
pain but also the psychosocial aspects that are so relevant as well in the
that are so relevant as well in the
that are so relevant as well in the production and in maintenance of pain
production and in maintenance of pain
production and in maintenance of pain pain is very complex and very hard to
pain is very complex and very hard to
pain is very complex and very hard to understand in general population and
understand in general population and
understand in general population and even for clinicians so what I suggest
even for clinicians so what I suggest
even for clinicians so what I suggest you is always seek out for a health
you is always seek out for a health
you is always seek out for a health professionals but the good news is that
professionals but the good news is that
professionals but the good news is that everyone can get better and treatment
everyone can get better and treatment
everyone can get better and treatment are supported by strong scientific
are supported by strong scientific
are supported by strong scientific evidence for example in the prevention
evidence for example in the prevention
evidence for example in the prevention and the treatment of many
and the treatment of many
and the treatment of many musculoskeletal condition walking has
musculoskeletal condition walking has
musculoskeletal condition walking has reported to be more useful that than
reported to be more useful that than
reported to be more useful that than many passive treatment such as message
many passive treatment such as message
many passive treatment such as message or pain-killing drugs so stay active
or pain-killing drugs so stay active
or pain-killing drugs so stay active avoid passive treatment and over
avoid passive treatment and over
avoid passive treatment and over medication movement can replace any drug
medication movement can replace any drug
medication movement can replace any drug no drug can replace movement in study
no drug can replace movement in study
no drug can replace movement in study 121 patients suffering from moderately
121 patients suffering from moderately
121 patients suffering from moderately disabling pain under when just only one
disabling pain under when just only one
disabling pain under when just only one session of pain
session of pain
session of pain physiology education what they found is
physiology education what they found is
physiology education what they found is that there was a strong relationship
that there was a strong relationship
that there was a strong relationship between cognitive change and pain
between cognitive change and pain
between cognitive change and pain intensity or physical activity even when
intensity or physical activity even when
intensity or physical activity even when there was no opportunity to be physical
there was no opportunity to be physical
there was no opportunity to be physical active such as you right now the author
active such as you right now the author
active such as you right now the author of this study stated this anything that
of this study stated this anything that
of this study stated this anything that change your brains evaluation of danger
change your brains evaluation of danger
change your brains evaluation of danger will change your pain so a shift in mind
will change your pain so a shift in mind
will change your pain so a shift in mind is the first step to a shift toward a
is the first step to a shift toward a
is the first step to a shift toward a better quality of life I hope I’ve
better quality of life I hope I’ve
better quality of life I hope I’ve mine thank you
mine thank you
mine thank you [Applause]
”
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