See also the complete articles index, sitemap or home page.
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, about 35,000 of you each day, viewing about 1.0 million pages/month. 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.
PainScience.com is …
- 244 featured articles about common pain problems, how pain works, and reviews of treatments and therapies. Many of these are “best of breed” articles that I’ve been updating constantly for many years.
- 10 book-length tutorials about some of the most maddeningly stubborn pain problems and injuries (like neck pain or iliotibial band syndrome). I sell these for $20 each to fund the site without ads.
- 859 smaller blog posts about interesting (and weird) stuff I come across while I am updating the big articles.
- 2750+ scientific paper citations in a curated bibliography, about 550 of them described more thoroughly.
What makes PainScience.com different and better?
- clean design, clear writing
- no ads, popups, or social media buttons
- more detail on many topics than anywhere else
- no flaky bullshit, an openly pro-science bias
- endless dorky, quirky details in footnotes that popup in place1My footnotes contain either extra commentary and whimsical asides, or citations to science and other sources, like this:
Woolf CJ. Central sensitization: Implications for the diagnosis and treatment of pain. Pain. 2010 Oct;152(2 Suppl):S2–15. PubMed #20961685 ❐ PainSci #54851 ❐
- constantly updated with fresh science2Detailed update logs (like Wikipedia) mean readers can easily see what’s new (or corrected). These logs demonstrate a long-term commitment to quality and accuracy. (Although they are “fine print,” I think they are more meaningful than 98% of the comments that most Internet pages waste pixels on.) See the What’s New on PainScience.com? page for all updates around the site going back many months.
And who am I?
Me & my lovely wife.
I am a former Registered Massage Therapist (2000–2010), and the assistant editor of Science-Based Medicine 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, and I’ve lived in Vancouver since 2000, married for twenty 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 66,000 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
- I have a reading guide just for card-carrying skeptics — an important audience for me.
- How did PainScience.com get started? The origin story.
- How does PainScience.com work? Take a behind-the-scenes tour of some of the quirky tech used here.
- PainScience.com does not host comments, because reasons. (“Because reasons” is a bit of cute slang.)
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