Dr. Rachel Zoffness @DrZoffness
Pain scientist. Psychologist. Prof @UCSFmedicine. Lecture @Stanford. Disruptor. Author 📚The Pain Management Workbook. Neuroscience nerd 🧠 #SciComm #MedEd zoffness.com Northern California Joined August 2019-
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Just a thought. You cannot “proof yourself” against low back pain. You can reduce some risk factors like obesity, smoking, lack of sleep, low activity levels. But push come to shove (pun intended) you will by chance alone develop low back pain sometime in your lifetime.
❌ Pain isn't just about our bad back or knee. 🧠 Pain is also COGNITIVE, controlled by beliefs, perception & ATTENTION. 🌟 This is the science behind why distracting a child with screens during a shot makes it HURT LESS 💉👇🏼 #MedTwitter #MedEd #painexplained 🔥🔥🔥
These are my babies, #microglia (🟡); they are the specific macrophages of the brain! Many neuroscientists I know think these are some of the coolest cells in the brain, and I agree. 😁 #FluorescenceFriday
These are my babies, #microglia (🟡); they are the specific macrophages of the brain! Many neuroscientists I know think these are some of the coolest cells in the brain, and I agree. 😁 #FluorescenceFriday https://t.co/tE4i1m3D5z
How much does placebo account for #ketamine and #esketamine benefits? 72%, from new analysis: pubmed.ncbi.nlm.nih.gov/38525254 Similar to placebo contribution for antidepressants (62-82%). Meds make a real difference, but the power of the placebo is welcome news for the human spirit.
There is no "pain center" in the brain. Rather, pain is a diffuse neurological process involving MANY brain sites, including PFC (attention), cerebral cortex (thoughts), & limbic system - the brain's EMOTION CENTER💥💥 📣Pain is BOTH physical AND emotional ALWAYS 👏🏼 #MedTwitter
Top 2 reasons we mismanage pain: 1. Our profit-driven healthcare system cares more about 💰 from 💊💉🔪 than actual healing 2. The egregious lack of pain education in med school & other disciplines: 96% of med schools have ZERO compulsory pain ed. Additions? #medtwitter #FOAMed
Neurons (🟠) and microglia (🔵), brain's immune cells! Check the number of microglia available for each neuron. That's because this photo was taken in the cerebral cortex 🧠🔬. In humans, the glia-to-neuron ratio in the cerebral cortex is 3.72 (72% glia), while that in the…
Phenomenal talk on the neuroscience of sex-differences in pain processing - including analgesia induced by mindfulness meditation - by the brilliant @FadelZeidan @dianatavf + Jeff Mogil 🧠🔥 I love this sh*t #neuroscience #usasp2024
Touch is an important part of therapy. Don’t let the doubters say otherwise.
Touch is an important part of therapy. Don’t let the doubters say otherwise.
Who's going to the USASP conference in Seattle in April??? Hands up please 🙋🏻♀️🙋🏻♀️🙋🏻♀️ Looking forward to seeing my pain people, long overdue! 🤓 @US_ASP @TheJournal_Pain @torwager @FadelZeidan @PainBurel @Nackley_Lab @IASPpain @TylerBellPhD @DrKatieMartucci @speakingabtpain
👉🏼 Diagnoses that respond to diet, exercise, sunshine, nature, social support, sleep + stress reduction: ✔️high cholesterol ✔️heart disease ✔️anxiety ✔️depression ✔️diabetes ✅ CHRONIC PAIN 🔥🔥🔥 Health is biopsychosocial, so Treatment must be, too. 🙏🏼 #MedTwitter #MedEd 🧠
Thermosensory predictive coding underpins an illusion of pain! Our new study reveals how perceptions of pain can emerge from the interplay between thermal sensations, expectations, and uncertainty. Check out our thread for all the details! 🧵👇 biorxiv.org/content/10.110…
Oof. In fairness to the doc this person is complaining about, if I agreed to consult with every colleague who asked, I'd have zero time for my patients -- let alone a personal life. 😅 Boundaries are important, even for the most compassionate among us 🙏🏼
Oof. In fairness to the doc this person is complaining about, if I agreed to consult with every colleague who asked, I'd have zero time for my patients -- let alone a personal life. 😅 Boundaries are important, even for the most compassionate among us 🙏🏼
Question: Is the "sharp rise in adolescent depression" (and anxiety disorders, eating disorders, suicidal ideation, ADHD, etc.) due to exogenous causes like social media/smart phones, parental coddling, life history theory, etc? What if the cause is endogenous—an artifact of…
STRESS is a well-established pain amplifier. 🔥 Stress 💪🏼increases muscle tension 💦triggers the SNS 🫀alters endocrine, digestive, cardiac + immune function 🚨AMPLIFIES THE BRAIN'S PAIN ALARM Pain is physical AND emotional 📣 ✨Always.✨ #MedTwitter #MedEd
Why is the insula the most interesting region in the brain? Here are 6 things worth knowing. This is topic #3 for our lab's Friday 'Ode to Neuroanatomy' series.
Suicidality does NOT = a "chemical imbalance" ❌❌ 👉🏼Contributors include trauma, hopelessness, loneliness, life events, sleep/diet/exercise/sunlight, despair + desperation, lack of meaning + purpose. Thanks @tferriss for shining a light 🌤️ tinyurl.com/SuicideTF
Jonas Salk creates the first polio vaccine, 1955. Salk decided not to patent his polio vaccine so that it would be affordable for millions of people who couldn't afford it. In an interview, Edward R. Murrow asked Salk who owned the patent to the polio vaccine. "Well, the…
In a survey of 27 different fields and ~300 participants, @AndreiCimpian's team found that neuroscience had the HIGHEST scores in both perceived masculinity-content culture AND perceived emphasis on brilliance. Friends, we need to be talking about this. journals.sagepub.com/doi/full/10.11…
ɹǝʇlnoԀ pıʌɐ�.. @Retlouping
24K Followers 965 Following All my opinions are my own. Dislikes evidence based ostriches ( An evidence based ostrich ignores evidence against, whilst waiting for evidence to support)Peter O'Sullivan @PeteOSullivanPT
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5K Followers 1K Following #Physicaltherapist on a journey to think clearer, care more, and stay curious | private practice owner | writerJerry Durham @Jerry_DurhamPT
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5K Followers 2K Following Ted Price is Director of the Center for Advanced Pain Studies at UTD. We try to cure pain in all its forms. Ted would prefer to be playing basketball.Dr. Christine Chamber.. @DrCChambers
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1K Followers 798 Following Professor of Anesthesiology at Washington University Pain Center. @WashUPain @WUSTL_AnesRsrch Focused on better understanding pain and how people experience it.Richmond Stace - The .. @painphysio
10K Followers 11K Following helping you understand & overcome your chronic pain • chronic pain specialist • pioneer of pain coaching • physio • humanitarian • author & podcastElliott Diamond @ElliottDiamond7
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71 Followers 647 Followingcara @athingtoflout
90 Followers 2K Following chronic pain person/anti-eugenics ❤️🔥 behold our end, which is no end 👁Lesley Scott @Les_CT
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1 Followers 21 FollowingRenee Despres, PhD, M.. @knityarn
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111 Followers 3K Following offer 🌱 vitamins and supplements https://t.co/Lm515BaAQS https://t.co/eZ3CDhQSll https://t.co/trzaLxctxh https://t.co/kiNzPpPDqe https://t.co/lPpCHZ0bH6 🌱Sophie Kyprianou @kypkyp
402 Followers 445 Following pronouns: she/her. MSK Physiotherapist 🏃🏽♀️@saracensmavs U21sAdam Stenman @AdamStenman
215 Followers 1K Following Educator of Swedish primary care physios. 9:27 Ironman.OsteoMinDO @OsteoDocOMT
34 Followers 89 Following DO physician. board certified in family medicine and osteopathic neuromusculoskeletal medicine. currently in CanadaMario Flores @mariosflores
16 Followers 623 FollowingɹǝʇlnoԀ pıʌɐ�.. @Retlouping
24K Followers 965 Following All my opinions are my own. Dislikes evidence based ostriches ( An evidence based ostrich ignores evidence against, whilst waiting for evidence to support)Peter O'Sullivan @PeteOSullivanPT
56K Followers 655 Following Professor, Curtin University, Specialist PT, https://t.co/PtvOZsO0my, Bridging research and practice to empower clinicians & people in pain. My views.Seth Peterson @DrSethPT
5K Followers 1K Following #Physicaltherapist on a journey to think clearer, care more, and stay curious | private practice owner | writerPainResearchEducation @SanDiegoSummit
8K Followers 6K Following #PainManagement #PainResearch Conference. #WomanOwned. Watch 2015-2023 here: https://t.co/lGNuLyyRCwSandyHiltonPT @SandyHiltonPT
14K Followers 4K Following Pain, Pelvic Health, & Ortho PT @PainSciPod @EntropyPhysio, SW Physical Therapy, and Courses 🤓 https://t.co/T3v0RYrn6S Go To: https://t.co/Cqzj1nn6KgTed Price of the Duss.. @UTDPainLab
5K Followers 2K Following Ted Price is Director of the Center for Advanced Pain Studies at UTD. We try to cure pain in all its forms. Ted would prefer to be playing basketball.Ryan Shelton, PT, DPT @ryansheltonPT
3K Followers 1K Following Small Business Owner. Physical therapist. Passionate about improving healthcare accessibility, music, and philanthropy. #PhilanthroPT He/HimDr. Melanie Noel @MelanieNoel
7K Followers 3K Following Pediatric Pain Scientist & Psychologist. Professor of Clinical Psychology at UCalgary. Killam Memorial Emerging Leader Chair. (She/Her) 🌈🟡 PT Pintcast™ @PTPintcast
11K Followers 4K Following The radio show for the physical therapy profession. Hosted by former rock radio DJ turned Doctor of Physical Therapy - Jimmy McKay, PT, DPTChronic Pain Champion.. @PainChampions
3K Followers 1K Following Led by self-management pundit & pain strategist, Tom Bowen - focused on understanding #chronicpain, accepting pain, & adapting to pain. Not medical advice.Dr. Tonya Palermo @TonyaPalermo
3K Followers 1K Following Pediatric psychologist; Pain researcher; Professor of Anesthesiology and Pain Medicine, @UWMedicine @Seattlechildren; Mom of 3Laura Rathbone🌈 sh.. @laurarathbone
4K Followers 5K Following 🌈Rainbow Warrior🏳️⚧️ Advanced Practice Physio Interests: pain, philosophy, social justice, psychedelics, knitting, cats @PhilsClinsChat @paingeeksAbby Gordon @agordon55
2K Followers 2K Following Sports Physical Therapist @seattlechildren 🐳🧡Occasional Blogger👩💻PainNeuroscienceNerd🧠 @uconn Alum🏀💙 thoughts my own💪🏻Martin Christensen @Martin_Nekkolai
4K Followers 885 Following Physio. Dad. Husband. Beer Brewer. Beer drinker. The Forefather of Failures. All opinions are probably stolen. FAIS MethodBurel Goodin @PainBurel
1K Followers 798 Following Professor of Anesthesiology at Washington University Pain Center. @WashUPain @WUSTL_AnesRsrch Focused on better understanding pain and how people experience it.Rebekah Griffith PT, .. @RGriffithDPT
4K Followers 4K Following Physical Therapist passionate about Emergency PT, wellness, critical care, policy, education, and service. All views are my own. 2023 incoming.Andrea D. Furlan MD P.. @adfurlan
6K Followers 2K Following I'm a physician, scientist, teacher, YouTuber and author. I try to help the person that has chronic pain, not just the pain they have (opinions my own)🇨🇦🇧🇷Gay Lynn Schlosser PT.. @UberPT
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5K Followers 4K Following CEO @caruthstaffing 🏡|| Co-host @thealexandmo 🎙️||🌟Beautiful Days Begin With A Beautiful Mindset #weekdayMo’tivation 💫 #DailyDose 💊|| HU🦬Elliott Diamond @ElliottDiamond7
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31 Followers 92 Following Clinical/Peds Psychologist. Just here trying to know things. But only if those things are social justice, mental health equity, and cat adjacentMariya Manahova, PhD @m_manahova
319 Followers 199 Following PhD in cognitive neuroscience Mother of 2 kids Lifestyle & priorities coachThe Rheumatology Phys.. @physiojack
15K Followers 799 Following Jack March Rheumatology Clinical Lead - Chews Health & @TPMPodcast Operations DirectorJA Health and Therapy @jordanawale
595 Followers 460 Following Physiotherapy | Strength and Conditioning | Combat Sports | BantsChase Montague, PT, D.. @ChaseMontague26
100 Followers 233 Following Physical Therapist for PT Solutions. Georgia State University DPT 2019. University of Georgia 2015. Dawgs, Falcons, Braves, United, and Hawks all day, everyday.Dr. Ralph Sciullo @hamsportschiro
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29 Followers 103 Following “true clinical biopsicosocial intervention based on current and emerging best evidence”Alex @Alex15Estrada
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866 Followers 826 Following Family Physician, Medical Educator, Public Health Advocate, East NashvillianJean-Luc Banks, MD @Jeanluc_Banks
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223 Followers 246 Following Pain Researcher- Brain Neurochemicals- Headaches- Advanced Practice PhysiotherapistBrain & Mind Centre @BrainMind_Usyd
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30 Followers 45 Following PhD student at the University of Sydney, Brain & Mind Centre | Neuroimaging & PainGlenn Yamakawa @Suprachiasm
183 Followers 191 Following Neuroscientist, Slam Poet, Part time ninja SamuraiSydney Harris @sydaharris1
102 Followers 87 Following (she/her) Neuroscience | Abusive Head Trauma | Pain | Seizures and Epilepsy | Monash University PhD student | 🏳️🌈Sabrina Salberg @SalbergSabrina
306 Followers 218 Following Postdoctoral fellow at Monash University. Neuroscience program, with interests in TBI and chronic pain. 🇨🇦🇦🇺Lewis Crawford @LewisCrawford63
223 Followers 308 Following Postdoctoral associate at the University of Sydney Brain and Mind Centre | Chronic pain and MRI | (he/him)KevinKeay&LNSF @LNSFSydney
1K Followers 2K Following Kevin Keay & Lab of Neural Structure & Function. We study #Neuroscience of Emotional Coping in #Chronic #Pain. #Science & Life. 🧠🏳️🌈🌏Rutger de Zoete @DrRdeZoete
405 Followers 393 Following Senior Lecturer and Researcher @UniofAdelaide. Research: everything neck pain.Dr Niamh Moloney @drniamhmoloney
543 Followers 126 Following Specialist Musculoskeletal Physiotherapist and Pain ResearcherRobert Waller @RobWallerPT
157 Followers 92 Following Lecturer & Researcher Curtin University. Physiotherapist, PhD. Loves physical activity.Andrew Briggs @AndrewMBriggs
722 Followers 183 Following Professor, Curtin University, Australia. Working to improve health services and systems for better musculoskeletal health globally. Consultant, WHOProf Anne Burke @anne__burke
791 Followers 276 Following Lead - South Australian Chronic Pain Statewide Clinical Network, Past President - Australian Pain Society (2019-2021), Psychologist and clinical researcherSimon Rosenbaum @simon_rosenbaum
6K Followers 990 Following Physical activity & mental health researcher | trauma & humanitarian contexts | Olympic Refuge Foundation Think Tank Member | Scientia Associate Professor @UNSWKristina Micheva @kdmicheva
309 Followers 154 Following Neuroscientist, array tomographist, learner of languages and martial arts🇪🇺 🌎 Marie-A.. @AudeVisine
1K Followers 2K Following Signe ce que tu éclaires, non ce que tu assombris. (R. Char) #politiquespubliques #sciences #santé #éthique #FrAgTwBrian M @BrianMcAdams20
239 Followers 2K Following Biologist/Neuroscientist, history, origins of life, astrophysics, microscopyDr Kalin Narov @embryosafari
321 Followers 131 Following Biomedical 3D artist. PhD in Developmental Genetics. #Anatomy is the Way 🦴🧠🫀 Open to commissions and collaborations 🎥🎨Phyllis G @PhyllisG123
736 Followers 2K Following #CovidisAirborne Science, Politics, Dogs, Nature, Music, Skepticism.Sam Carew, PhD @lameocampus
461 Followers 570 Following Neuro postdoc @MUNMed. Interested in synaptic plasticity, inflammation, and Alzheimer's disease. Mom to 2 small humans. Opinions are mine 🤘🏻Renee Despres, PhD, M.. @knityarn
2K Followers 5K Following Freelance journalist specializing in medicine, public health, and health policy. English prof when the whim hits. Literature and medicine always.Bruce W. Holsted @depayser
2K Followers 4K Following Do all the good you can, By all the means you can, In all the ways you can, Businessman. Patient volunteer at Arkansas Hospice.dave MD @Davembmd
6K Followers 7K Following Pediatric Orthopaedic Surgeon (scoliosis & fractures) Views don’t represent employer. Dad. Grandad. Surgical innovation. 3D printing. Woodwork. AuthorCharles Rismyhr, MD @crismyhrmd
99 Followers 626 Following food supremacist • espresso drinker • night runnerBernadette J Johnson @beejjay
145 Followers 247 FollowingSuzy Speirs @suzy_speirs
2K Followers 914 Following Consultant podiatric surgeon, foot surgery, sports injuries, adult & paediatric biomechanics/gait analysis 🐈⬛🐈 🐾 WSET trainedKurt Harris MD 🇺�.. @radfugee
1K Followers 930 Following Neuroradiology Ronin/Capitalist/Unlicensed Architect/Surfer@Retlouping @DanReprime @DrZoffness If biomechanical causes were important all the ergonomics and safe manual handling efforts should have reduced in incidence. These efforts have not.
@DanReprime @Retlouping @DrZoffness Sorry Dan, I appreciate you are probably helping many people with this approach, but none of this is new or accounts for the complex aetiology of LBP. The evidence precludes definitive answers regarding what constitutes successful treatment
@JoeBarryPhysio @adamdobson123 @MKargelaDPT 💯 @KineticImpactRP this is a straw man argument since pain splaining isn’t what a BPS, enactive, CFT or ACT expert would do. We feel focusing on a “fix it” approach is a slippery slope w/ high nocebo potential. @DrZoffness @adiemusfree @PeteOSullivanPT @MichaelTamePain
In my professional opinion, he fucked up. such a huge following, and he blew it. This is such old school thinking it's ridiculous. I treat low back pain patients everyday and the majority of them get better. I use a combination of treatment styles. Not this.
New Huberman Lab podcast out now: PROTOCOLS TO STRENGTHEN & PAIN PROOF YOUR BACK •Easy Exercises For a Strong Stable Back •3 Simple Methods That Relieve Pain •Reverse Sciatica •Posture, Breathing, Feet, Pelvic Position •Biology, Protocols & Tutorial hubermanlab.com/episode/protoc…
@DanReprime @Retlouping @DrZoffness I will give you every check I make for the rest of my life and call you daddy if you can prove to anyone why back pain happens. I'll add in a @Tesla bc Elon need to learn a thing or two about spinal issues.
Some important pain education on how to help us pain coping skills, even as straightforward as distraction, to change the perception of pain
❌ Pain isn't just about our bad back or knee. 🧠 Pain is also COGNITIVE, controlled by beliefs, perception & ATTENTION. 🌟 This is the science behind why distracting a child with screens during a shot makes it HURT LESS 💉👇🏼 #MedTwitter #MedEd #painexplained 🔥🔥🔥
Just a thought. You cannot “proof yourself” against low back pain. You can reduce some risk factors like obesity, smoking, lack of sleep, low activity levels. But push come to shove (pun intended) you will by chance alone develop low back pain sometime in your lifetime.
@BucksHandExpert @BillingMartin @PhysioTodd I'm a pain sufferer, and I'm in full agreement. I'm first to say patients need to be seen as reliable narrators, but this is different. Maybe try to say it has nothing to do with toughness? Has to be a bitch to explain to male patients.
@BillingMartin @BucksHandExpert @PhysioTodd I tend to acknowledge it. Depending on the context, I may say that pain tolerances can vary through our lives and can be influenced by lots of different factors and then I may explore those.
@DrZoffness Unfortunately, you’re right. Not enough money. Plus not what is taught. And not enough office time.
Delighted to be in Ottawa speaking at the Canadian Pain Society's 2024 Annual Scientific Meeting. #CanadianPain24
@chivo_tweets @DrZoffness Thank you both so much for this discussion and these resources!
These are my babies, #microglia (🟡); they are the specific macrophages of the brain! Many neuroscientists I know think these are some of the coolest cells in the brain, and I agree. 😁 #FluorescenceFriday
From the brain to the bowels, a division of labor between resident tissue #macrophages keeps organs healthy. Learn more in a new @SciImmunology Review: scim.ag/6H4
@DaniBeckman Take care Dani - YOU come first and not everyone deserves access to you 24/7. It takes a lot to recognize you’re overwhelmed, to acknowledge it, and to set that boundary. You’ll be missed but seriously, breaks from this place are such a breath of fresh air and good for the soul
@DaniBeckman I love your beautiful images, supplemented by your thoughtful descriptions. For me, your presence here has been a highlight of my feed & I will miss your posts. Not trying to convince you not to do what you need for your own sanity - just letting you know you're appreciated here
@neuroblues7 As you've already made one correction to your original post I'm sure an honourable person will make a further correction to credit @DaniBeckman on the original post, rather than a QT. (You are honourable, no?)