Detailed guides to painful problems, treatments & more

About PainScience.com

19 years of publishing science-based advice about aches, pains, and injuries

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The science of aches, pains, and injuries is surprisingly weird, controversial, and interesting. My job is to wrap my head around that science and translate it for both patients and pros. I try to make it friendlier than the institutional health care sites, but more scholarly and detailed than most health blogs. This is a full-time job, paid for with book sales and donations, not advertising.

Head shot of author Paul Ingraham, handsome devil, tidy dark hair, thick eyebrows, and a short goatee, in a black suit jacket and a nice blue shirt.

Paul Ingraham
PainScience.com Publisher
Vancouver CANADA


778-968-0930

PainScience.com is …

The word count for all that is about 2 million in all, bigger than all the Game of Thrones novels. For ideas about where to start, see the home page or what’s new.

What makes PainScience.com different and better?

And who am I?

Me & my lovely wife.

I am a science journalist from Vancouver, Canada. I got some clinical experience as a Registered Massage Therapist from 2000–2010, and some exceptional training in critical analysis as the assistant editor of ScienceBasedMedicine.org from 2009–2016. I am an amateur athlete with lots of experience with my own injuries and, unfortunately, some serious chronic pain too. I grew up in the Canadian north, but I've been in the southwest corner of Canada since the early 90s. I’ve been married for 20 years. Full bio, with more information about my qualifications in particular.

Follow the money

Most of the content on PainScience.com is free. Revenue comes from the sale of educational e-books exclusively, about 69,500 of them so far. I do not sell advertising. The self-publishing success story is of interest to many readers. Support PainScience.com by buying a book (for yourself or for someone else who needs it), making a donation, or just sharing a favourite article on social media or your own blog.

Q. Is “pain science” a treatment method (modality)?

A. No! But this is a common misconception. Pain science is a generic term for the scientific study of the phenomenon of pain. This website is devoted to the science of pain, and definitely not any branded method of treatment.more

This phenomenon (“pain science” being misinterpreted as a modality) just keeps getting more irritating, bizarre, and worrisome for me as the publisher of PainScience.com. I used to think it was just a bit of odd tribal crankery, easily ignored, but it just seems to be picking up more and more steam.

Never for one minute have I ever thought of “pain science” as anything but a broad sub-genre of medical science, as generic as “geology” or “astronomy.” The study of a subject. The study of pain. Never once a method, not even a tiny bit. No other interpretation was even on my radar, and I am rather horrified and baffled by other interpretations that have emerged since then!

On the bright side, it is astonishing how many people are talking about “pain science” these days… even if a large percentage of them seem to have a bizarrely specific and hopelessly wrong interpretation of what it means.

But all publicity is good publicity, right? Actually, no…

Q. There’s a lot of debunking on PainScience.com. Why so “negative”?

A. I reject the premise of the question! Read about why I’m a debunker (and get a taste of some of my fabulous hate mail).

Q. If you’re such a debunker, why isn’t Brand X debunked here?

A. Usually due to the legal risks. PainScience.com sticks mostly to reviewing therapy claims in principle, rarely pointing at specific brands or gurus.more

It’s legally dangerous to criticize brands in general, and even worse in this field, where bullshit abounds and skins are thin. About half the serious anti-quackery activists I know have been sued at least once, and nearly all have been threatened or significantly harassed in some way. The danger is real. It doesn’t matter how right you are or how ridiculous the legal claim is: it’s expensive to fend off a determined SLAPP — strategic lawsuit against public participation — because that’s the whole point of them. There are anti-SLAPP laws in many places around the world now, so it’s getting better, but it’s still tricky and risky, especially because plaintiffs can often find a way to sue in a jurisdiction without anti-SLAPP laws (or ones with significant loopholes). Have a look at John Oliver’s comedic reporting on SLAPP suits. It’s more fun than mine (obviously).

And so I stick to reviewing therapy claims in principle, and will only go after a few quite strategically chosen brands.

Q. So what’s with the salamander anyway?

A. He’s more mascot than logo, a symbol of regeneration and healing. Their regenerative superpower is an inspiring, profound example of what is possible in biology. Regenerative biology isn’t very relevant to most aches and pains and injuries, but that may change as the (over-hyped) stem cell therapies are refind and advanced. Read more.

More about PainScience.com

The salamander is a symbol of potent regeneration & healing.


Kind of like Wikipedia

A reader mentioned to me by email that the “problem” with PainScience.com is that “it’s exactly like this” — like getting lost in fascinating distractions in Wikipedia. A very generous comparison. I do try …
xkcd #214 © xkcd.com by Randall Munroe


The fine print pages …