
← The Modern Pain Podcast11 jan · 36 min
Why Imaging Misses Chronic Pain: Structural vs Physiologic Thinking (Part 2)
<p>Part 2 goes from definitions to implications.</p><p>Bottom-up pain does <b>not</b> mean “it’s in the tissues.”</p><p>This episode is a <b>recording of a live interview</b> with pain researcher and clinician <b>Asaf Weissman</b>. If you haven’t watched <b>Part 1</b>, start there—we laid the foundation: why pain semantics matter, how mixed messages harm patients, and why “nothing is wrong with your body” is an overreach.</p><p><b>In Part 2, we dig into:</b></p><ul><li>What “always bottom up” actually means (and what it doesn’t)</li><li>Structural paradigm vs pathophysiology: why imaging often fails us</li><li>Why stress, fear, and emotions are usually <b>modulators</b>, not causes</li><li>Threshold models: when trajectories may (and may not) be changeable</li><li>The case for neuroimmune mechanisms in chronic pain states</li><li>Where diagnostics and biologics may take chronic pain care next</li><li>What role physios may play as case managers and guides</li></ul><p><br/></p><p>This is the second half of a two-part series. Part 1 builds the framework. Part 2 challenges how we interpret evidence, scope, and clinical uncertainty—while staying anchored to what helps the patient in front of you.</p><p><br/>*********************************************************************<br/>📸 - Follow us on Instagram - https://www.instagram.com/modernpaincare/<br/><br/>🐦 - Follow us on Twitter - https://www.twitter.com/modernpaincare/<br/><br/>🎙️ - Listen to our Podcast - https://www.modernpaincare.com<br/><br/>____________________________________<br/>Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness</p>