Some of the props that educators endorse are also challenged, such as disk bulge/herniation models used as patient education tools. For example, certain seemingly benign explanations may rob a patient of his or her self-efficacy and negatively impact long-term outcomes (e.g., your spine is out, I will realign it your rib is stuck, and I will get it moving again or your spine is unstable, I will teach you core stability). This should be of interest to all chiropractic educators, as the book challenges common explanations and metaphors that appear to stem from well-meaning educators and clinical supervisors. The book discusses in detail how clinicians may unintentionally facilitate rather than treat persistent pain. This promotes survival but also makes it difficult to reverse problems such as persistent pain. Chiropractic educators may find these sections particularly useful if they are looking for engaging new ways to relay complex biological processes to students and interns.Ī common theme throughout this book is that humans are adaptable, as they have biological interdependence and redundancy. Clinical pearls are presented along with the basic science, including assessment techniques that can help identify likely biological processes that may be contributing to a person's pain. Mick Thacker: “If we are to accept the immense privilege of helping people understand their pain and how they can recover from it, then we are absolutely obliged to know what it is we are talking about and if that requires some serious work, then so be it.” It is clear that some significant work went into developing these sections the authors detail key aspects of pain biology through the use of thoughtful illustrations and stories that often personify physiology to make it humorous and memorable (e.g., story of romance and subsequent breakup between NGF and NGF receptor in relation to peripheral sensitization). The biology sections are preluded with the following foretelling quote from Dr.

Supercharged explain pain pdf