Noigroup

Noigroup Noigroup is an active network for pain treatment, neuroscience and neurodynamics education – healthy notions of self through neuroscience knowledge.

So... what is NOI? Neuro Orthopaedic Institute (NOI) Australasia has been in operation for three decades, with highly qualified instructors working on all continents with multidisciplinary audiences. Organising over 100 seminars a year throughout the world, NOI’s faculty members are active in many conferences, university programmes and other postgraduate education sessions. The company reinvests i

n education and clinically based research and Noigroup Publications has grown from the demand for resources to support this emerging research. The essence of NOI
Our vision is to seed ‘healthy notions of self through neuroscience knowledge’ worldwide. There are currently five critical conceptual change issues which underpin this:
1/ Injury or disease does not mean that you feel pain.
2/ The nervous system moves and stretches as we move.
3/ Pain, stress and performance are outputs of the brain.
4/ Knowledge and movement are the greatest pain and stress liberators.
5/ Nervous system plasticity gives new hope and technique. The biopsychosocial approach, or the merging of the biology of human pain, stress and performance with the psychological and social environment, is the basis of the NOI educational philosophy. It is essentially ‘scientific holism’. Derived mostly from British science, the approach is best typified by Wall and Melzack’s (2005) ‘Textbook of Pain’. NOI also espouses strong clinical reasoning strategies, again arising from British critical thinking and later, Australian manual therapy. Assessment and management of the physical aspects of the nervous system and brain sciences with a focus on neuroplasticity - particularly how the brain represents our body - is an important focus. Overall, the nervous system is a remarkable, mobile, complex, plastic and changeable organ, and this impacts on both acute and chronic injuries and disease. The NOI education system covers acute and chronic musculoskeletal, central and peripheral, and neuropathic pain states. Challenges for NOI
Chronic pain and stress are experienced by approximately 20% of the population. The cost is huge and dollar/pound/euro figures do not cover the impact on families and loss of creativity and productivity and its social impact. Despite overwhelming evidence for biopsychosocialism, biomedicalism (i.e. pathoanatomical searches for a singular cause for chronic problems) persists. The public still seeks a passive answer for many problems and active answers are not often provided. In the health domain, therapeutic education is underestimated. Chronic pain and stress are at epidemic levels, yet in the past epidemics have only been altered by education. Many problems such as chronic pain and stress are still ‘off the radar’ in terms of health professional, business and government understanding. NOI is actively engaged in these challenges on a daily basis.

15/05/2026

Rachael Sheat joins Brendon Haslam for a conversation about a patient population that doesn't fit neatly into any single diagnosis, and what that means for clinical practice.

Pain is not fixed – and neither are we.Part 3 explores how yoga may support learning, adaptation and change through the ...
13/05/2026

Pain is not fixed – and neither are we.
Part 3 explores how yoga may support learning, adaptation and change through the lens of modern pain science.

Inside:
• neuroplasticity (and ‘bioplasticity’)
• attention, breath and self-regulation
• pain as a homeostatic emotion – not just a sensation

Rather than acting as a specific ‘treatment’, yoga may create the conditions for change.
And that shift – from fixing to facilitating – matters.

👉 Read Part 3: https://www.noigroup.com/noijam/yoga-philosophy-and-pain-science-part-3/

This is part 3 of a 4-part series.

12/05/2026

Understanding = less fear?

A study of 300+ people with fibromyalgia found that those who entered a recovery program and were provided with a contemporary understanding of pain finished with less fear around movement.

This isn’t causative, but it does propose an interesting possibility.

How we make sense of pain shapes how threatening movement feels, and influences how we engage with daily activities.

Understanding might just be one small way to create enough safety to start re-engaging in activities that we’ve stopped doing.

PMID: 42085953

NATIONAL FIBROMYALGIA AWARENESS DAY - May 12

In acknowledgement of Fibromyalgia Day today 💜, we are sharing a new blog exploring an interesting recent study on pain ...
12/05/2026

In acknowledgement of Fibromyalgia Day today 💜, we are sharing a new blog exploring an interesting recent study on pain understanding and recovery.

Could how we understand pain before treatment influence how we engage with recovery?

A new fibromyalgia study raises important questions about pain education, fear of movement, and how people make sense of pain during rehabilitation.

Importantly, the findings were nuanced – but they may suggest that how we make sense of pain shapes how we engage with recovery.

We explore the paper and some of the bigger questions it raises in the latest Noigroup blog.

📄 https://www.noigroup.com/noijam/fibromyalgia-pain-and-recovery/

What can a 2,000-year-old text offer modern pain care?In Part 2, we explore Patanjali’s Yoga Sutras alongside contempora...
09/05/2026

What can a 2,000-year-old text offer modern pain care?
In Part 2, we explore Patanjali’s Yoga Sutras alongside contemporary pain science.
This blog looks at:
• how perception and meaning shape the experience of pain
• the shift from ‘fixing pain’ to changing our relationship with it
• why person-centred care requires more than a purely biomedical lens

Ancient philosophy doesn’t provide mechanisms – but it offers perspective.
And sometimes, perspective changes everything.

👉 Read Part 2: https://www.noigroup.com/noijam/yoga-philosophy-and-pain-science-part-2/

This is part 2 of a 4-part series.

08/05/2026

🦵🎓🧠📚✨
A modern, science-based approach to knee osteoarthritis with Tasha Stanton.
Explore the latest understanding of cartilage, movement, pain, and recovery through 5+ hours of professionally produced on-demand content designed for clinicians who want practical, evidence-based strategies for better outcomes.

Access Self-Paced Courses section on Noigroup’s website.

What does yoga say about pain?In yoga philosophy, there isn’t a clear divide between ‘physical’ and ‘mental’ pain. The w...
07/05/2026

What does yoga say about pain?
In yoga philosophy, there isn’t a clear divide between ‘physical’ and ‘mental’ pain. The word duhkha reflects suffering as a whole-person experience.

This first blog explores:
• the five koshas (layers of our existence)
• the kleshas (afflictions that shape suffering)
• how these ideas might relate to lived experiences of pain

We also look at what the research says about yoga and chronic pain – where it helps, and where questions remain.
This isn’t about replacing science with philosophy.
It’s about expanding how we think about pain.

👉 Read Part 1: https://www.noigroup.com/noijam/yoga-philosophy-and-pain-science-part-1/

This is part 1 of a 4-part series.

05/05/2026

Bioplasticity refers to the irresistible force for change in all our bodily systems.

Changes in our biology are inevitable, but how we change is not. This means that there are things you can do right now to guide your change over time.

Many factors influence pain and its clinical trajectory. The trajectory can differ markedly based on an individual's understanding of pain, and whether there is a mindset of hope or one of decline or stagnation.

A person’s understanding of their pain condition plays a major role in shaping long-term pain outcomes.

Through bioplasticity, change is possible – and it is an enormous driver of a person's outcome.

PMID: 26761387

03/05/2026

When treatment clashes with education.

Learning and sense making isn't just influenced by what we say, but also by what we do.

Learning outcomes are shaped by an individuals previous experiences, expectations and beliefs, and what we say and what we do.

Individuals may make sense of the treatment approach through their current understanding of pain and treatment, which may inadvertently reinforce unhelpful beliefs.

Checking in with a patient's understanding, and sense making, is a great starting point to support sense making that aligns with a modern understanding of recovery.

01/05/2026

The Twin Peaks Model is one way to think about how pain protects us when we're injured.

Your mountain top is individual to you – for some it might be walking to the shops. For others it might be running a marathon.

All of our tissues and systems have a certain amount of mechanical, chemical or temperature change that they can tolerate. On the Twin Peaks model, this is marked the ‘Tissue Tolerance line’. The pain system keeps us safe by producing pain before we reach the Tissue Tolerance line.

The onset of pain is marked the 'Protect by Pain’ line. If we are gardening for a few hours, we might get an aching back – this is protection by pain warning us before we hit our Tissue Tolerance line.

Your pain system does not have time to protect you from injuries that occur rapidly.

Your pain system sometimes doesn't detect that you are getting close to Tissue Tolerance if the change is happening very slowly.

By, gradually, and wisely exploring activities within the safety buffer zone (those that potentially provoke bodily protection responses including discomfort or pain), we can facilitate desirable adaptation.

Movement exploration within this zone is necessary to truly drive the adaptation people are after.

29/04/2026

Is it a physical pain or more psychological?

A diagnosis can help simplify complexity, but it can never capture the full picture of what it means to be human, and how the same diagnosis can elicit a wide variety of responses in different people.

Given that our previous experiences, beliefs, other health factors, social factors, and more, can alter our experience of pain, the way we engage in recovery, and influence outcomes, it's essential our clinical interactions reflect this complexity.

Address

19 North Street
Adelaide, SA
5000

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Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm

Telephone

+61882116388

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