Pain Education, No Script Provided Ep 6, Conflation and Semantics
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We rethink pain from the ground up with Monica Noy, separating nociception from pain and showing how sloppy language and seductive stories distort care. We examine multiple modes of nociceptive activation, challenge “root cause” thinking, and push for ethical, precise explanations that validate lived experience.
• nociception as necessary for pain, not equivalent to pain
• immune, neuroinflammatory, cellular, and prolonged stress pathways activating nociception
• the nail-in-the-boot anecdote clarified and deconflated
• risks of guru narratives and circular brain-first explanations
• the pitfalls of “root cause” and regional interdependence
• pain-driven movement changes versus movement as cause
• clinical descriptors as mechanisms of nociception, not pain types
• social determinants as context, not convenient causal levers
• semantics as shared meaning that improves assessment and care
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