Why Does It Still Hurt?

how the power of knowledge can overcome chronic pain

Author: Paul Biegler

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Chronic pain is the single biggest cause of human suffering. Yet pain that persists for three months or more is often unrelated to any physical injury. So why does it still hurt?

(1 review)

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Summary

Chronic pain is the single biggest cause of human suffering. Yet pain that persists for three months or more is often unrelated to any physical injury. So why does it still hurt?

Description

Chronic pain is the single biggest cause of human suffering. Yet pain that persists for three months or more is often unrelated to any physical injury. So why does it still hurt?Research over the last few decades shows that many of us - sufferers of chronic pain and health practitioners alike - are victims of a devilish trick of the nervous system. Where we believe that pain has its root in a damaged body, it is the brain that prolongs the hurting long after the body has healed. This leads to hundreds of billions of dollars being spent each year on treatments that sometimes do nothing and sometimes make matters worse.Paul Biegler, a science journalist and former doctor who has been on his own pain journey, investigates the true source of chronic pain - our brain's so-called neuroplasticity - and emerging therapies, including cognitive therapy and graded exercise exposure, that take advantage of that same neuroplasticity to rewire the brain and end the suffering. As he knows only too well, this doesn't mean the pain is all in a person's head. The pain is real, but its meaning is often misunderstood.Through conversations with scientists, doctors, and people who have overcome chronic pain, Biegler shines a light on the rigorous new studies - and emotional personal stories - that are changing the way we understand and treat pain. Most importantly, he shows how to take control over persistent pain and truly heal.'As someone who lived with chronic pain for decades, I can't recommend this book highly enough.'-Fiona Capp, The Sydney Morning Herald'Why Does It Still Hurt? convincingly asks us to look beyond the usual offerings for pain - painkillers, surgeries, even replacement body parts - to psychological methods that challenge how we usually respond to physical suffering. By book's end, Biegler says it's up to us what we do with this new arsenal of knowledge. Profound possibilities are out there for treating pain that are now impossible to ignore.'-Nathan Smith, The Saturday Paper'Biegler's book is for those who want to understand the history of pain as well as the most recent breakthroughs in treatment ... This is an inherently optimistic book- the author delves deep into the positive effect that mental strategies such as hypnosis can have on pain and quality of life. Accordingly, it will be an invaluable resource for people suffering with chronic pain, and will hopefully open up alternative strategies and ultimately give readers hope. People who appreciated Karra Eloff's The Chronic Pain Couple might find value in Why Does it Still Hurt?.'-Rebecca Whitehead, Books + Publishing

Critic Reviews

“Praise for The Ethical Treatment of Depression : 'Biegler's wonderful book sheds new light on autonomy, depression, and the moral purposes of medicine, making a strong case for preferring psychotherapeutic over drug treatments for depression. His clearly written, scientifically well-informed book is essential reading for all interested in medical ethics or mental disorders.'”

The way we understand pain evolves, and it is misunderstood even within the medical community. Part physical, part psychological, it is notoriously difficult to study. In Why Does it Still Hurt?, journalist, academic and former doctor of emergency medicine Paul Biegler gives a framework for understanding pain and how it affects the 3.4 million Australians living with chronic pain today. Biegler's book is for those who want to understand the history of pain as well as the most recent breakthroughs in treatment. Looking at injuries and surgery in particular, we learn about the controversial history of surgery for tennis elbow and the journey of one surgeon from surgery zealot to sceptic. We look at the complicated process of 'sham' or blind surgery trials, in which doctors and scientists attempt to unpick the influences of the mind and the body on the experience of pain. Most importantly, Biegler explains the concept of central sensitisation, in which the body creates its own understanding of what is painful. This is an inherently optimistic book: the author delves deep into the positive effect that mental strategies such as hypnosis can have on pain and quality of life. Accordingly, it will be an invaluable resource for people suffering with chronic pain, and will hopefully open up alternative strategies and ultimately give readers hope. People who appreciated Karra Eloff's The Chronic Pain Couple might find value in Why Does it Still Hurt? Rebecca Whitehead is a freelance writer from Melbourne.

About the Author

Paul Biegler is a journalist, academic, and former specialist physician in emergency medicine. He is the author of The Ethical Treatment of Depression, which won the Australian Museum Eureka Prize for Research in Ethics.

Product Details

Publisher

Scribe Publications

Published

10th January 2023

Pages

304

ISBN

9781922585233

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CUSTOMER REVIEWS

16 Jun, 2025

I recommend this book to my chronic pain patients…easy read. My only criticism is there is a bit too much “waffle” prior to some of the interviews, descriptive information setting the scene, which both me and my patients find a bit unnecessary. Otherwise, good book.
By Veronica

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