PainScience.com (Paul Ingraham)
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painsci.bsky.social
PainScience.com (Paul Ingraham)
@painsci.bsky.social
Highlights and skeptical snark about the science of chronic pain and injury rehab, from PainScience.com publisher Paul Ingraham. + Digressions into astronomy, Roman history, palaeontology, more. Everything is too interesting to focus!
For instance, there's a whole bunch under the umbrella of "fascial stretching" which is 98% nonsense:

PainScience.com/fascia

Or: trigger point therapy, which is more cromulent, but still often delivered much to aggressively and overconfidently:

PainScience.com/all_trps_articles
The Trigger Points Index
Every article on PainScience.com about trigger points.
PainScience.com
November 23, 2025 at 12:21 AM
I have written a book about it 🙂 and many articles. But "myofascia" kind of meaningless, barely more specific than "focusing" on "tissue" or "body." Myo is muscle, fascia is connective tissue wrappings, so basically "sausage and casing."

Very much depends on the specific method.
November 23, 2025 at 12:21 AM
It’s a wide-angle-lens perspective on the idea of “manual therapy” after more 25 years of experience and hard study.

I’ve already made a number of improvements in response to some good feedback, as I do. But I’ve ignored a lot more childish insults and outrage. 🙄
November 22, 2025 at 7:45 PM
Just updated my list. Did a little homework, learned that public libraries are mostly not great for this … but university libraries are quite good, though you do have to be able to actually get to one.
November 16, 2025 at 9:10 PM
I know that once upon a time I tried that and it was a dead end; I just couldn't get access to most of what I needed. But … that really was ages ago, and I definitely should check that option again. Thanks for the reminder!
November 15, 2025 at 5:16 PM
I phrased that poorly. What I meant was not that the moon is continuously very close throughout the entire month, but rather that it remains relatively close for several days before and after being full at perigee ("supermoon")…and it will do that yet again next month, for the third month in a row.
November 11, 2025 at 8:47 PM
Moon comparison image by Şenol Şanlı: www.instagram.com/snlsanli/

As showcased recently by APOD:

www.star.ucl.ac.uk/~apod/apod/a...

APOD unavailable at its NASA.gov since the shutdown…but you can still get it from mirror sites, still posting. All the mirror URLs:

apod.nasa.gov/apod/lib/abo...
November 11, 2025 at 6:38 PM
I’ve been intending to write about this topic for about 20 years now. I think I’ve been procrastinating as I tried to figure out what how to say what I wanted to say! 😜
November 8, 2025 at 8:10 PM
The post is a 4-minute read. TL;DR:

Isn't it good to relieve suffering? Yes! Are they really different? They are, but they have a very close working relationship. Why does this matter? Conflating them is bad for care!
November 8, 2025 at 7:33 PM
… after injuring their sciatic nerves, far away in the hip! …

And the mapping showed a shift in activity over a month from the motor cortex to the hypothalamus, which sheds some light on how pain becomes chronic.

This is my 1st take, with no commentary on cromulence.
November 4, 2025 at 9:09 PM
So microglia are the immune cells of the central nervous system, and they shape-change depending on their activity.

When provoked by injury, infection, or stress, they get amoeboid, thickened, and mobile.

This study mapped where these changes happened in the BRAINS of rats …
November 4, 2025 at 9:09 PM
I also used a 10 sec shutter delay to give it plenty of time to stop jiggling after the last touch. I took 100s of moon photos in the last month before realizing this — but now that I’ve seen it, I can't un-see it. 😜 At 60×, that thing is DANCING for several seconds before settling down.
October 30, 2025 at 8:07 PM
(And yet think about how many things are “prescribed” for pain that are essentially just … pleasant!)
October 30, 2025 at 3:49 PM