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- Why isn’t anyone talking about this pain test?
Why isn’t anyone talking about this pain test?
The patients with the worst pain often have the cleanest scans.
That's not a coincidence.
It's a clue.
When tissue damage doesn't match symptom severity, you’re looking at something different…usually neural circuits that have learned to create symptoms as protection.
Your pain, fatigue, and symptoms are valid and real.
But here's what your doctor may not know:
Research from Dr. Howard Schubiner published in 2023 found that nearly 9 out of 10 people with chronic back or neck pain are experiencing what we call "neural circuit pain". Which is pain generated by protective circuits in the brain…
…Not damage your muscle tissues.
It's your nervous system stuck in a pattern of creating symptoms to protect you from perceived danger
Here’s a simple guide to help you learn the difference between structural pain vs. neural circuit pain.
Structural pain:
Stays localized to the injured area
Follows expected healing timelines
Has consistent, predictable patterns
Responds proportionally to physical interventions
Correlates with clear tissue damage visible on imaging
Neural circuit pain
Flares during emotional stress, even at rest
Spreads to areas that weren't originally injured
Gets worse when you focus on it or anticipate pain
Responds to thoughts, emotions, and stress levels
Varies dramatically day to day without clear physical cause
The biggest red flags you need to look out for to identify neural pain are:
Symptom migration
Your pain shifts locations (back to neck to head) without any mechanical reason for the movement.
Stress correlation
Symptoms intensify during work pressure, relationship conflict, or life transitions, even when you're physically at rest.
Fear amplification
If you recognize these patterns, your nervous system may have learned to create symptoms as a protective response. The research shows this happens when our brain's danger detection system becomes overactive. Often after:
Stress
Trauma
Or prolonged illness.
But neural circuit pain requires a different approach: retraining the brain's protective circuits to recognize safety again.
This is clinical neuroplasticity - not positive thinking or "it's all in your head."
It's teaching your nervous system to turn down the danger signals at their source.
If you want to learn the evidence-based approach to retraining these neural circuits...
The doors open on October 6th I can’t wait to show you what’s inside.
To your healing,
— Kimia