Seedman claims pain scientists misunderstand the role of inflammation in pain, which is supposedly the key link between aberrant movement and pain. Posture and habitual movement patterns are not irrelevant for pain, but have been massively overemphasized in common practice. The studies cited by Seedman are cherry picked, and run against the overall weight of the evidence, which is shown with a fuller examination of the research. Seedman claims pain scientists have misinterpreted the research showing poor correlations between pain, posture, and “dysfunctional” movement patterns. However, several studies have found that MRI results for asymptomatic people have little or no ability to predict future pain, even after five or ten years. Seedman claims these people will surely have pain in the future. Seedman claims pain scientists misinterpret MRI studies showing that high percentages of people without pain have significant tissue damage such as herniated discs, torn rotator cuffs and degenerative changes in joints. The truth is that pain scientists don’t say these things and frequently disclaim them. These are straw men arguments, and it is telling that Seedman doesn’t identify any specific individuals or quotes. Seedman claims pain science experts teach that pain is “all in your head,” and that people shouldn’t worry about tissue damage, injury, and movement technique. Seedman’s post is extremely long, but boils down to a few major claims, which I answer in brief in this section and in more detail below. For those who are, this article might serve as a convenient reference or link in debates on social media. Following is a detailed response, geared toward people who are not familiar with the work of pain science educators like Lorimer Moseley, David Butler, Adrian Louw, Peter O’Sullivan, Greg Lehman or Ben Cormack. But the article may be persuasive to those with less exposure to the subject matter. Regular readers of this blog, and anyone familiar with the pain science community, will quickly recognize that these claims are very obviously not true. Joel Seedman, a personal trainer, recently wrote an article called the The Truth about Pain Science and Biomechanics, which presents a lengthy attack on “pain science experts.” Seedman claims they spread dangerous misinformation about the connection between movement and pain, including that pain is all in your head, that injuries or tissue damage don’t matter for pain, that there are no wrong and right ways to move, and that even athletes and heavy weightlifters shouldn’t worry about moving with good technique to protect themselves, even when high levels of force are involved.
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