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We question whether it is ethical to cause pain during manual therapy and unpack what nociception, tissue insult, and consent truly mean. We challenge heuristics like no pain, no gain and ground decision-making in evidence, context, and patient autonomy.

• defining pain and nociception as signals of actual or potential tissue damage

• challenging bruising and discomfort as therapeutic proof

• critiquing hurt does not equal harm as a blanket rule

• considering acute movement without adding insult
• separating clinical experience from mechanisms

• identifying knowledge gaps and outcome bias

• using informed consent beyond a checklist

• acknowledging identity, change, and humility in practice

• recognizing social determinants and inequities in pain care

Pain Education NoScript Provided is now available for purchase on my website, the CEBE.com

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If you enjoyed this episode, please like and share to your favorite social media platforms. If you'd like to connect with me directly, I can be reached through my website or send me a DM through either Facebook or Instagram at EricPurves RMT.

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The Massage Science Podcast and my company, The Centre for Evidence-Based Education (The CEBE), are now official partners with Noterro.

Partnering with them feels like a natural alignment with our mission to support busy clinicians.

Get Noterro free for 44 days!
Noterro makes clinic management easy with scheduling, billing, and charting all in one place

Support the show

Head on over to my website. This includes a list of all my upcoming courses, webinars, self-directed learning opportunities as well as some helpful learning resources.
thecebe.com
Please connect with me on social media

FB: @ericpurvesrmt

IG: @eric_purves_rmt

YouTube: https://www.youtube.com/@ericpurves2502

Would you like to make a donation to help support the costs of running my podcast?

You can buy me a coffee by clicking here

Send us a text

What if pain education got the fundamentals wrong by chasing tidy scripts instead of solid mechanisms? We sit down with researcher and educator Monica Noy to rethink how clinicians learn, reason, and communicate about pain. Rather than leaning on “explain pain” narratives and one-size-fits-all language, Monica anchors care in a clear premise: nociception is necessary—though not always sufficient—for pain. That single shift reframes assessment, reduces blame, and helps us speak to people with honesty and respect.

Across a candid, story-rich conversation, we explore why pain care remains under-taught across health professions despite being the top reason people seek MSK help. Monica traces the evolution of common teaching approaches, the biases that shaped them, and the real-world fallout when clinicians over-educate, over-promise, or quietly fault patients for not “thinking right.” We talk ethics, too: if pain is associated with actual or potential tissue damage, what does it mean to create pain during treatment? When does intensity cross into harm, and how do we decide with patients rather than for them?

You’ll hear a grounded way to use the biopsychosocial lens without turning it into a moving target that justifies endless chasing. We discuss definitions, semantics, and why shared language matters; how better mechanism literacy leads to fewer words and better questions; and what Monica’s new course, Pain Education, No Script Provided, offers clinicians who want to be less wrong and more helpful. Expect fewer scripts, more clarity, and a renewed respect for autonomy—yours and your patients’.

Enjoyed the conversation? Subscribe, share with a colleague who teaches or treats pain, and leave a review to help others find the show.

The Massage Science Podcast and my company, The Centre for Evidence-Based Education (The CEBE), are now official partners with Noterro.

Partnering with them feels like a natural alignment with our mission to support busy clinicians.

Get Noterro free for 44 days!
Noterro makes clinic management easy with scheduling, billing, and charting all in one place

Support the show

Head on over to my website. This includes a list of all my upcoming courses, webinars, self-directed learning opportunities as well as some helpful learning resources.
thecebe.com
Please connect with me on social media

FB: @ericpurvesrmt

IG: @eric_purves_rmt

YouTube: https://www.youtube.com/@ericpurves2502

Would you like to make a donation to help support the costs of running my podcast?

You can buy me a coffee by clicking here

Send us a text

The Massage Science Podcast and my company, The Centre for Evidence-Based Education (The CEBE), are now official partners with Noterro.

Partnering with them feels like a natural alignment with our mission to support busy clinicians.

Get Noterro free for 44 days!
Noterro makes clinic management easy with scheduling, billing, and charting all in one place

Support the show

Head on over to my website. This includes a list of all my upcoming courses, webinars, self-directed learning opportunities as well as some helpful learning resources.
thecebe.com
Please connect with me on social media

FB: @ericpurvesrmt

IG: @eric_purves_rmt

YouTube: https://www.youtube.com/@ericpurves2502

Would you like to make a donation to help support the costs of running my podcast?

You can buy me a coffee by clicking here