07/05/2026
Hello, it's your local nerd on pain management again. I've recently re-read the 2015 critical review "Fifteen Years of Explaining Pain: The Past, Present, and Future" and thought I'd share the gist.
Pain is one of the most misunderstood experiences we have.
Most of us grow up believing pain works like an alarm system: if something hurts, something in the body must be damaged.
Except human bodies are much weirder and more interesting than that. Pain is indeed like an alarm system, but the kind of smoke alarm that can save our life from a fire or ruin our night sleep when the humidity is too high. Pain is the kind of reverse sensors that scream when you reverse near anything at all, to stop you from denting your new Subaru *he hem*. The alarm is trying to protect you, but it's a good gauge of danger or damage.
Modern pain science shows that pain isn’t just a direct signal from injured tissues. It’s a protective response created by the nervous system after weighing up all sorts of information — not just what’s happening in the body, but stress, past experiences, fear, context, beliefs, sleep, emotions, and even the stories we’ve been told about our bodies over the years.
As a culture, we’re still pretty bad at understanding this. We still talk about bodies being “out of alignment”, “bone on bone”, “wearing out”, or “crumbling apart by 40” — as though the human body is basically a 2004 Toyota Corolla with poor service history.
Modern pain education isn’t just about helping people cope with pain better. Research over the past two decades has shown that when people genuinely understand what pain is, why it happens, and how overprotective the nervous system can become, pain can reduce. Not because the pain was “imaginary”, but because the nervous system becomes less convinced the body is under threat.
In other words: understanding pain can change pain - not through positive thinking, or by ignoring symptoms, but by helping the body feel safer.
Being understood is therapeutic. Who knew!?
Reference:
G. Lorimer Moseley & David S. Butler (2015). Fifteen Years of Explaining Pain: The Past, Present, and Future. The American Pain Society.