When people talk about “pain signals” from the brain how do people who say this perceive the signal gets to the extremity or area of original nociception?

There are no nerves from the brain to the periphery carrying “pain signals”

Pain is a perceptual experience not a signal.

I’m on to it

Revisiting McKenzie’s original thoughts on tissue deformation and pain. In his original text Mechanical Diagnosis and Therapy, The Lumbar spine, McKenzie wrote the following. “For scarring to take place, and as scarring increases the concentration of chemical irritants…

Revisiting McKenzie’s original thoughts on tissue deformation and pain.

retlouping331888347.wordpress.com/2026/04/17/r...

Human Posture: Controversy, Evidence, and Temporary Solutions By David Poulter (@Retlouping)Originally posted as a Twitter thread on March 24, 2022, with ongoing updates through 2025. Transposed into this readable blog format while preserving all original tex…

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Human Posture: Controversy, Evidence, and Temporary Solutions

retlouping331888347.wordpress.com/2026/04/17/h...

Thanks , I don’t have full text access, but I’m guessing I’m not referenced?

Discovering the Gentle Power of Homeopathy: Real Healing Beyond the Skeptics Hopefully you won’t think I’ve gone mad. This was a challenge to show how we can spin anything even “useless treatment” using evidence and of course AI. Thanks for the suggestion Matt. Discovering …

Discovering the Gentle Power of Homeopathy: Real Healing Beyond the Skeptics

retlouping331888347.wordpress.com/2026/04/16/d...

“Hey listen to how I treat my own pain and what you need to avoid” is no more valid because you study pain or have a PhD.

It is still n of 1 anecdote.

Scientists commit the same fallacies as lay people all the time.

The myth of spinal coupling

retlouping331888347.wordpress.com/2026/04/11/t...

www.frontiersin.org/journals/psy...

Understanding Torticollis A brief AI review to begin this blog. This text explores the developmental anatomy and clinical management of torticollis, focusing specifically on the role of the unc…

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Understanding torticollis

retlouping331888347.wordpress.com/2026/04/10/u...

Choose your words with care, but don’t “word shield” 🎵 You think that I don’t even meanA single word I sayIt’s only words and words are all I haveTo take your heart awayIt’s only words and words are all I haveTo take your heart away…

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Choose your words with care, but don’t “word shield”

retlouping331888347.wordpress.com/2026/04/09/c...

Cycled into central London to Marylebone to meet up with @DrZoffness for lunch. She is in London doing promotional work for her new book “Tell me where it hurts” serendipitously I was in London too.

Why do we get acute deformities.

My latest blog. No AI involved.
retlouping331888347.wordpress.com/2026/03/30/w...

First in Best Dressed: Why the Information We Learn First Sticks the Longest — And Why Unlearning Is So Tough

retlouping331888347.wordpress.com/2026/03/28/f...

The lesser quoted Brinjikji et al study

MRI Findings of Disc Degeneration are More
Prevalent in Adults with Low Back Pain than
in Asymptomatic Controls: A Systematic
Review and Meta-Analysis

www.ajnr.org/content/ajnr...

A Brief Thread on Learning: Rethinking Patient Education in Pain Science by David Poulter (@Retlouping)Originally posted on X (formerly Twitter) – 29 January 2021 This blog post transforms the original X thread into a clean, readable long-form article while preserving t…

A Brief Thread on Learning: Rethinking Patient Education in Pain Science

retlouping331888347.wordpress.com/2026/03/23/a...

Thread to blog:

Understanding Spondylolisthesis: The Five Types (Not Just the Grades) – A Clear, Evidence-Based Overview

retlouping331888347.wordpress.com/2026/03/23/u...

The History of Lumbar Shift Correction: Evolution of a Technique, Clinical Reasoning, and Patient Empowerment A comprehensive long-form exploration based on the insightful thread by David Poulter (@Retlouping), a clinician with 40+ years of hands-on experience in spinal care. This blog post compiles and ex…

Another thread to blog.

The History of Lumbar Shift Correction: Evolution of a Technique, Clinical Reasoning, and Patient Empowerment

retlouping331888347.wordpress.com/2026/03/22/t...

A Provocative Ponderance Parable: Mechanisms of Causation vs. Sources of Pain By David Poulter (originally shared as a Twitter/X thread in 2022)Adapted into blog format with all original images and intent preserved. This is a light-hearted but powerful analogy for clinicians…

A Provocative Ponderance Parable: Mechanisms of Causation vs. Sources of Pain

retlouping331888347.wordpress.com/2026/03/21/a...

The paradox is real and reflects a tension in modern musculoskeletal (MSK) practice. The Biopsychosocial model v the rise of diagnostic ultrasound. Screenshot This article was generated by Grok AI based on my question and concern about the paradox of MSK clinicians pushing the Biopsychosocial model yet also promoting the use of diagnosis ultra…

The paradox is real and reflects a tension in modern musculoskeletal (MSK) practice. The Biopsychosocial model v the rise of diagnostic ultrasound.

retlouping331888347.wordpress.com/2026/03/20/t...

Another thread to blog

Rethinking Inflammation: Acute Repair vs. Chronic Repair.

retlouping331888347.wordpress.com/2026/03/20/r...

Understanding Spinal Stenosis: A Physiotherapist’s Clear, Practical Guide David Poulter (@Retlouping) is a physiotherapist with decades of hands-on experience in spinal conditions. In April 2020 he posted a detailed “dinosaur twittertorial” (his words) explaining stenosi…

Another thread to blog post thanks to Grok AI

Understanding Spinal Stenosis: A Physiotherapist’s Clear, Practical Guide

retlouping331888347.wordpress.com/2026/03/19/u...

Experience and Expertise in Clinical Care: Is There a Difference? A thoughtful exploration by David Poulter (@Retlouping) – Physiotherapist, McKenzie Method advocate, and lifelong learner in evidence-based practice. Originally posted as a Twitter/X thread on 6 Oc…

Experience and Expertise in Clinical Care: Is There a Difference?

retlouping331888347.wordpress.com/2026/03/16/e...

Let’s do text book neck next 😂

Text neck and neck pain in 18-21-year-old young adults

pubmed.ncbi.nlm.nih.gov/29306972/

This study did not show an association between text neck and neck pain in 18-21-year-old young adults.

Poulter’s Paradox: The Hips, Pelvis, SI Joint, and Lumbar Spine By David Poulter (@Retlouping)Adapted and formatted from the original X thread (updated September 23, 2022) Introduction In the “old man screaming at clouds” series, today’s topic is Poulter’s Para…

Poulter’s Paradox: The Hips, Pelvis, SI Joint, and Lumbar Spine

retlouping331888347.wordpress.com/2026/03/14/p...

Directional Preference vs. Accommodation Positions: A Crucial Distinction in Musculoskeletal Self-Treatment Adapted and compiled from the original 2021 X thread by clinician David Poulter (@Retlouping), with later updates and supporting references included for full context. This distinction is especially…

Another thread to blog transfer

Directional Preference vs. Accommodation Positions: A Crucial Distinction in Musculoskeletal Self-Treatment

retlouping331888347.wordpress.com/2026/03/13/d...

Synergistic History and Examination: The ACTIVE/INACTIVE Model and BIG PICTURE Assessment Below is a thread I wrote and has beed transposed for me by Grok AI so that it is now a blog post and transferable to other apps. I have often been critical of how the McKenzie system is used and a…

A new thread to blog.

It outlines why I don’t do the standard McKenzie exam that you may have learnt on a McKenzie course.

Synergistic History and Examination: The ACTIVE/INACTIVE Model and BIG PICTURE Assessment

retlouping331888347.wordpress.com/2026/03/12/s...

Another thread to blog post. Nerve v nerve root

Understanding Nerve Compression: From a “Dead Arm” to Piriformis Syndrome and the Centralisation Phenomenon

retlouping331888347.wordpress.com/2026/03/10/u...

File under “as you think so it shall be:”

Clinicians who think scapular dyskinesis is important are more likely to identify it in healthy individuals

journals.sagepub.com/doi/10.1177/...

The Learner’s Responsibility: Why Unlearning Is Hard and How We Can Do Better in Clinical Education Adapted and compiled from a classic X thread by David Poulter (@Retlouping), a clinician and educator. Originally posted in June 2020 and re-shared in May 2024 after reflecting on teaching experien…

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The Learner’s Responsibility: Why Unlearning Is Hard and How We Can Do Better in Clinical Education

retlouping331888347.wordpress.com/2026/02/23/t...