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    PainScience.com

    painscience.com · Personal blog · on HN since 2014

    Paul Ingraham's site offers long, referenced articles on chronic pain, injuries, stretching, and trigger points, aimed at general readers.

    Visit blogRSSHN submissions
    HealthScience
    What HN says

    HN commenters recommend it to people with chronic pain, calling it excellent and citing its trigger points tutorial as especially helpful.

    Stats for nerds
    34HN people shared it
    12linked in comments
    199story points
    Jul 2025last shared
    2014people per year2025

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      The Pricing of Painscience.com E-Books
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    10. 10
      Trigger points
      3 people · first shared 2022

    What HN people wrote when they linked it

    • wanionFeb 2015

      Science Based Medicine is a movement to improve Evidence Based Medicine with a stronger focus on scientifically rigorous evidence. It's not in opposition to EBM.

      To quote the SBM blog's about page:

      "Good science is the best and only way to determine which treatments and products are truly safe and effective. That idea is already formalized in a movement known as evidence-based medicine (EBM). EBM is a vital and positive influence on the practice of medicine, but it has limitations and problems in practice: it often overemphasizes the value of evidence from clinical trials alone, with some unintended consequences, such as taxpayer dollars spent on “more research” of questionable value. The idea of SBM is not to compete with EBM, but a call to enhance it with a broader view: to answer the question “what works?” we must give more importance to our cumulative scientific knowledge from all relevant disciplines."

      You can find the original Science Based Medicine announcement on their blog http://www.sciencebasedmedicine.org/hello-world/ and there's a decent bit of background on Pain Science https://www.painscience.com/articles/ebm-vs-sbm.php as well.

    • peterbozsoNov 2021

      For my fellow chronic lower back painers out there: over the course of many years I tried many things (always staying in the confines of modern medicine). There's certainly no magic bullet, but finally this book (which I have no financial incentives to promote) brought me a long lasting solution:

      https://www.painscience.com/tutorials/low-back-pain.php

      The whole thing certainly worths a read, since the goal of the book is to make you understand your condition and give you relief partly through that. But for me, the single most important thought of the book is "the issue is (almost) always with the tissue". If you have chronic (lower) back pain and you feel like you have tried everything, I recommend learning and applying self-massage regularly. Combined with other important, conservative treatments (physiotherapy, yoga, swimming, workout, etc.), it did wonders for me and I hope it will for others with similar problems.

    • SwizecJan 2023

      A lot of things are religions if you squint hard enough. We humans believe all sorts of stuff without much explicit evidence that it is in fact true.

      For example: New-ish research is showing that some surgeries are no better than placebo. https://www.painscience.com/biblio/four-orthopedic-surgeries-no-better-than-placebo.html

      Another fun example is that allergy drugs, which clinical trials have shown are effective in double-blind studies, are less effective if you watch an ad saying that drug is bad right before taking it. Nocebo effect. If you have a strong belief the drug works, it will work better. Placebo effect is strong even in drugs we know are not placebo. https://freakonomics.com/podcast/is-the-placebo-effect-for-real/

      And then you have the whole field of management and business books. Very close to a sort of federated decentralized religion.

    • bcoughlanOct 2018

      I suffered from chronic pain in all of my major joints - hips, lower back, knees, ankles and shoulders. I went to doctors who fobbed me off as not suffering enough to be worthy of examination.

      Egoscue's book was the only thing that described what I was going through. He describes how issues in one part of the body can have a knock-on effect on the rest of it. The exercises really helped relieve the pain for me.

      After a couple of years the pain started to go away. I had taken a month off work to travel. When I came back I started making a conscious effort to worry less and stress less. I think there's a mind-body connection with these things that is not well understood.

      I would also suggest this website for solid information: https://www.painscience.com/

    • macawfishApr 2019

      Slight tangent: a few years ago it clicked for me how critical breath is in regulating the pH of the blood. The way you breath directly moderates the balance of oxygen vs. carbon dioxide in your blood, which on a basic level effects its pH.

      When you hear people talk about drinking alkaline water or eating alkalizing foods... the most direct thing you can do to effect your blood's pH is by learning different ways of breathing and how they make you feel.

      If you're brave and would like to experience just how powerful your breath is for yourself, try the technique "bioenergetic breathing": https://www.painscience.com/articles/breathing.php

    • jostylrDec 2014

      A scientifically minded approach to pain can be found at https://www.painscience.com/ No magic bullets, but perhaps something that can help.

      As for my two cents, I like trigger points. I have used that technique effectively for years to eliminate angry pain. While the science is apparently still questionable, it is a simple method (find some painfully acute spots somewhere around sources of pain and massage it for 20 seconds or so, several times a day). It is talked about at the site above in addition to a variety of other pain management notions, mainly with a scientifically disappointing dose of reality mixed into it all.

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