Dr. Rachel Zoffness

There is no "pain center" in the brain. Rather, pain is a diffuse neurological process involving MANY brain sites, including PFC (attention), cerebral cortex (thoughts), & limbic system - the brain's EMOTION CENTER💥💥 📣Pain is BOTH physical AND emotional ALWAYS 👏🏼 #MedTwitter

'... according to a new study led by the University of New South Wales and Neuroscience Research Australia, helping people with chronic pain manage their emotions can lessen their experience of pain.' ow.ly/QVWj50VObP0 #ChronicPain #LowBackPain

Navigating the biopsychosocial landscape: A systematic review on the association between social support and chronic pain journals.plos.org/plosone/articl…

File under “your scan is not necessarily your destiny” The associations between magnetic resonance imaging findings and low back pain: A 10-year longitudinal analysis pmc.ncbi.nlm.nih.gov/articles/PMC56…

New study shows no relationship between neck posture and pain in 18-21 year old adults. “Text Neck” is not a thing can we stop saying it is? link.springer.com/article/10.100…

Let's #TalkTurkeyAboutLowBackPain! Rx Meds are not always the best treatment for #LowBackPain. Experts agree that non-drug strategies should be tried 1st. Heat, acupuncture, exercise, PT, spinal manipulation, massage, or a combo of modalities may help. #LowBackPainRealities

Perfect example of how hurt (pain) and harm (damage) ARE 👏🏼 NOT 👏🏼 THE 👏🏼SAME. #MedTwitter

🛑 SIGNS A PROVIDER HASNT BEEN TRAINED IN PAIN ❌blames it just on tissue damage & skips the 🧠 ❌recommends only 💊 or 🔪 ❌fails to target diet, sleep, trauma, movement, mental health ❌targets only a body part, not a WHOLE PERSON 📣 Pain is biopsychosocial ALWAYS #MedTwitter

Trauma reshapes the brain at the cellular level. 🧵1/10

🔥Most important paper of 2025🔥 👉Injury/disease don't reliably predict pain 👉Biomarkers alone can't explain pain 👉PSYCHOSOCIAL factors reliably predict chronic pain 👉Painful conditions can be predicted from the SYNERGY btwn bio + psychosocial factors tinyurl.com/jiksh

Biological markers and psychosocial factors predict chronic pain conditions pubmed.ncbi.nlm.nih.gov/40355673/

Evထlve Pain Care Academy provides a tiered training program towards becoming a certified Cognitive Functional Therapy practitioner. Learn about our first course, Tier 1 - KNOWLEDGE here: evoolvepaincare.academy/course/knowled… #cft #lowbackpain #backpain #chronicpain #physio #chiro #medicine

Why Storytelling Is Part of Being a Good Doctor | The New Yorker—The Scalpel and the Pen, published today newyorker.com/magazine/2022/…

I have watched this approximately 9,345,678 times so far today

Friend & bada$$ @TrueHoop wrote a book called Ballistic about movement, injuries, prevention & intervention. It's a great read!!! Highly recommend to athletes, sports-lovers, movers & shakers alike. 🔥🙌🏼 Congrats to you, Henry!!! Find it here: henryabbott.com #pttwitter

Not sure who's still here, but anyway! We collected all the placebo controlled trials for non-surgical Rx on back pain together in a systematic review. It was pretty epic, and pretty sobering results-wise. Hope you like it. ebm.bmj.com/content/early/…

Psychoneuroimmunology (def): a field of science devoted to the INTERACTION btwn emotions, cognitions, neuroendocrine + immune systems- 📣 aka, the effect of #psychology on HEALTH, DISEASE & PAIN💥💥💥 Brain + body are connected 💯% of 👏🏼 the👏🏼 time👏🏼 #MedTwitter #psychtwitter

Academics are paid nothing for peer review. Yet journals made a total of over $8.3 billion on article processing charges alone between 2019-2023. Make it make sense.

People often say “my depression just came out of nowhere.” No it didn’t. It came out of months or years of silently suffocating under the demands of life until every ounce of your being revolted.