Therapeutic neurophysiology education often includes the structural issue, if relevant, but goes into depth on the neuroscience and in particular, plastic changes in the nervous system. Most are biomechanically based i.e., structure based education programmes with reported benefits ranging from excellent (Udermann et al., 2004) to very little (Gross et al. There are a number of studies on the effects of education on pain and disability. Butler, 2000 Butler & Moseley, 2003 Moseley 2005 Janig et al 2006 Melzack, 1999 Wand et al. Flor, 2000 Verne, Robinson, & Price, 2004) and an understanding of stress biology, allow the predictions that altering the threat value of an injury, procedure or pain state will have a beneficial influence on brain plastic changes and biological coping and healing systems such as the immune, endocrine, sympathetic, motor, respiratory, pain and other systems (eg. Using novel paradigms such as the neuromatrix (Melzack, 1999), in association with rapid developments in brain imaging techniques such as functional MRI (e.g. Modern views of evidence based medicine pay attention to basic sciences and controlled trials (Sackett et al. Explain Pain education gives a biological base to the psychological factors. Psychological factors have long been known as strong predictors of long term disability and chronic pain (eg. Pain is seen as not necessarily a sign of damage but more an individual response to threat, real or perceived. These education models are based firmly within the biopsychosocial approach (Waddell, 2004). There is a particular focus on the brain and it, therefore, involves education about the role of thoughts, attitudes, perceptions and superstitions, as well as tissue damage and healing. The education models in Explain Pain are novel in that they take neuroscience education about the whole body, including the nervous system, to people in trouble in a language they can understand. It is self-evident that patients who get appropriate answers will be more satisfied, feel less threatened and cope better. Published by Noigroup Publications, Adelaide, South Australia (2013) IntroductionĮveryone, when injured or in pain wants to know what is wrong, how long the problem will last and what can be done about it. Scientific evidence behind Explain Pain Second EditionĪuthors Dr David Butler and Prof Lorimer Moseley, ISBN 978-0-987

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