Pain is a Construct of the Brain

Why does pain exist? What causes it? How does it originate, and once it’s there, why does it sometimes come and go and sometimes it comes and stays? Are there different types of pain? Not just intensity but actually different reasons we sense it?

I love thinking about these issues. I have seen thousands of people in pain for thousands of different reasons, meaning that the circumstance that inflicted the injury or disease is different. However, I believe (and I’m not alone) that the sense of pain is created by one thing – your brain.

Pain is the end result of injury, disease, accidents, and anything in between. In a recent TEDx Talk, Lorimer Moseley discussed “Why Things Hurt” and said, “Pain is a construct of the brain.” I love that quote. It’s true. The sense of pain originates in the brain but it’s created for a reason. Survival. It doesn’t matter if you cut yourself, bump your head, burn your skin, twist your ankle, break a bone… or even develop a systemic disease, your brain is constantly evaluating messages it is sent from the body, most specifically from your sensory nerve endings.

It’s a brilliant orchestration that occurs from the moment you sustain an injury. The receptors in your superficial fascia and skin that are the first to act and detect issues are called nociceptors. They are free nerve endings present relatively everywhere because fascia is everywhere and most of these nociceptors are embedded in your fascia. If nociceptors are activated, a very fast nerve impulse travels along nerve fibers (afferent nerve fibers) and sends a message to your brain.

Your brain, much like me, then asks questions, “Is this a dangerous situation? Has anything like this happened before? What measures must be taken to preserve this body’s life and make sure it doesn’t die?” The thalamus and regions of the brain then get involved to determine the best way to achieve the most beneficial outcome – to save your life.

Pain is part of your survival mechanism. It’s your body’s way of saying, “Ah, hey… something is wrong here. Pay attention please and help me out.” Hopefully you then consciously do something to help your body out and fix the issue.

The question remains though, why does pain sometimes come and stay even when there is no life-threatening situation?

Ah, so here’s where things get more intriguing and where I believe more research and science is needed. When nociceptors react and start sending the message, “danger, danger… something is wrong here,” sometimes they keep sending the same message yet the danger isn’t really there. Why? Here’s my theory and why I believe MELT helps so many people so fast. You have to get the nociceptors to sense something different. When an injury occurs, the connective tissue is frequently what gets damaged. (This is why doctors sometimes can’t find anything wrong with you even when you have an MRI and X-rays.) When the environment around your sensory nerve endings is damaged, it’s like rubbing sandpaper and sticky glue around the nerve endings. Although there’s no external damage, inside there is still a problem.

The first step with chronic pain is to adjust the environment your nerves live in. Give them temperature and pressure change in a positive way and suddenly the message shifts.

But this is important: You can’t cause pain to get out of pain. That’s why using a tool like a hard roller or balls on your body doesn’t seem to resolve underlying issues in your connective tissue environment. Overexciting these overactive nociceptors makes no sense. You have to gently ease positive compression into the body, allow the body to adapt, respond, and adjust on its own. You can’t force it to occur. MELT is the only method of self-care that really takes precise steps, exact measures to help deter the unnecessary pain signals from occurring.

You don’t want to turn off your body’s alarm system with painkillers either. If there is no fire to put out and your nociceptors are simply alerting you that their environment is damaged, it seems like the easiest thing to do is to change the environment. One more reason you should MELT. Learn how to help yourself get out of pain. Let one of the MELT Instructors listed on this site help you. To find if there’s one near you, go to

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