I was recently made aware of a youtube video by Thomas Myers (on soma simple). In this video, Mr. Myers tackles the concept of pain, in a rather unique way. This post is to provide insight on some of the topics discussed by Mr. Myers. I would recommend you first watch his video, and read below:
My Analysis (please note this is simply a critique of concepts and not a critique of Mr. Myers):
1:02: Mr. Myers states, “Pain is sensation accompanied by the motor intention to withdraw. If you’re not trying to get away from it, it isn’t pain. It’s just sensation“.
The International Association for the Study of Pain (IASP) is the leading governing authority in the concept of pain. They define pain as: “An unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage.”
The IASP does not appear to draw any conclusion on pain with motor planning/execution.
In the Neuromatrix, as described by Ronald Melzack, action programming appears to be an independent output which may, or may not, occur with an experience of pain.
In my own M.I.P Algorithm for motor control, as presented at AAOMPT 2013, 2014, we have come to a very similar conclusion to Dr. Melzack.
1:18: Mr. Myers discusses how pain varies.
This is consistent with current literature describing pain to be an individual experience.
2:38: Mr. Myers states: “…tear the fascia off you, off your sternum, which is a place where it very commonly gets stuck down both biomechanically and emotionally”
I performed a quick google scholar search between the years 2000-2014 on “fascia” and “emotion”. I did not find any articles to suffice or even describe the relationship between “emotion” and “fascia”. This does not mean they do not exist and I would welcome anyone to share literature showing this.
2:56: Mr. Myers describes a “burning” sensation from free-nerve endings stuck in-between fascial layers, when functional fascial layers move on each other. He also reports this as a feeling of as”tearing”. He reports once this tearing takes place, movement will increase between these surfaces.
Anytime I hear “Buring” and “Nerves”, I suspect we must consider “causalgia”. As defined by IASP: “A syndrome of sustained burning pain, allodynia, and hyperpathia after a traumatic nerve lesion, often combined with vasomotor and sudomotor dysfunction and later trophic changes.” I am not sure I understand completely what is tearing and how this results in movement? Typically, when we tear or damage cells or tissue, we create an acute inflammatory reaction. This process is generally not accompanied by an increase in movement.
4:51: There are three types of pain. 1. Pain Coming into the Body 2. There’s pain stored in the body 3. Pain leaving the body
By definition, pain is pain. Smart et al. have published several articles validating a mechanisms-based classification system for pain and there are 3 mechanisms which potentially could result in pain: 1. Nociceptive 2. Peripheral Neuropathic 3. Central Sensitization
6:36: Mr. Myers states, “When a bone has been broken, when you have a psychological trauma, when an organ has been traumatized, there will be pain stored in that and I believe you have to feel that pain on the way out.”
There are many instances in which tissue injury does not result in pain. This is well-documented in research studies on cohorts who are asymptomatic and undergo diagnostic imaging.
Categories: Critical Thinking