PainScience.com
painscience.com · Personal blog · on HN since 2014
Paul Ingraham's site offers long, referenced articles on chronic pain, injuries, stretching, and trigger points, aimed at general readers.
What HN saysHN commenters recommend it to people with chronic pain, calling it excellent and citing its trigger points tutorial as especially helpful.
34HN people shared it
25linked it in comments
12stories submitted
199story points
3 months agolast shared
2014people per year2026
Most-shared posts
- 1Pain Science9 people · 5 points · first shared 2014 · discussion on HN
- 2The Trouble with Chairs4 people · 2 points · first shared 2017 · discussion on HN
- 3Pain Is Weird3 people · 3 points · first shared 2016 · discussion on HN
- 4Trigger points3 people · first shared 2022
- 5A stretching habit isn’t doing much of what people hope2 people · 36 points · first shared 2016 · 29 comments on HN
- 6Post-Exercise, Delayed-Onset Muscle Soreness2 people · 3 points · first shared 2020 · discussion on HN
- 7Ebm vs sbm2 people · first shared 2015
- 8Google Update Tanks Traffic1 people · 144 points · first shared 2020 · 101 comments on HN
- 9Less is more than enough: go to the gym less frequently but still gain strength1 people · 3 points · first shared 2016 · 1 comments on HN
- 10Complete Guide to Tension Headaches1 people · 2 points · first shared 2019 · discussion on HN
- 11The Pricing of Painscience.com E-Books1 people · 1 points · first shared 2020 · discussion on HN
- 12Central sensitization1 people · first shared 2019
- 13Low back pain1 people · first shared 2021
- 14Donate by linking1 people · first shared 2015
- 15Cramps spasms twitches tremors1 people · first shared 2022
What HN people wrote when they linked it
polishdude20 · 2025-07-04
Along those lines is this excellent website: https://www.painscience.com/
bcoughlan · 2018-10-28
I suffered from chronic pain in all of my major joints - hips, lower back, knees, ankles and shoulders. I went to doctors who fobbed me off as not suffering enough to be worthy of examination.
Egoscue's book was the only thing that described what I was going through. He describes how issues in one part of the body can have a knock-on effect on the rest of it. The exercises really helped relieve the pain for me.
After a couple of years the pain started to go away. I had taken a month off work to travel. When I came back I started making a conscious effort to worry less and stress less. I think there's a mind-body connection with these things that is not well understood.
I would also suggest this website for solid information: https://www.painscience.com/
chronicpain54 · 2017-09-21
I've tried a number of things, including physical therapy, but nothing has really helped substantially yet. Chronic pain is very difficult to treat. I haven't given up and I am still trying things out. I'm hoping I can qualify for benefits so that I can focus more on recovery.
For anybody else with similar issues, the best resource I've found is this: https://www.painscience.com/
0xDEAFBEAD · 2024-11-18
Sorry to hear about your neck and wrist. I like this site:
https://www.painscience.com/
This article was especially helpful:
https://www.painscience.com/tutorials/trigger-points.php
I suspect the damage you're concerned about is reversible, if you're sufficiently persistent with research and experimentation. That's been my experience with chronic pain.
antisocial · 2020-11-10
I do not want to minimize your experience either, as somebody suffering from chronic pain for the past two years myself.
Chronic pain sensitizes you further, having this awareness helps you deal with your condition better. I highly recommend reading the following article.
https://www.painscience.com/articles/pain-is-weird.php
And as Dave Chappelle says -
Got to find a way to find joy in your existence in spite of that feeling.
neilk · 2020-03-30
It's an extremely personal choice. Bodies are different.
The following are somewhat pricey options.
In my opinion the Knoll Regeneration is pretty good.
Hermann Miller chairs are also good, but the Aeron is probably the least ergonomic thing they sell now – and definitely not "minimal". The Setu might fit your criteria.
Just remember, the ideal chair for six hours of sitting doesn't exist; your goal should be to keep changing your body position as much as is feasible.
https://www.painscience.com/articles/chair-trouble.php
astrofinch · 2019-08-13
I had some really nasty RSI a few years back. This website saved my career:
https://www.painscience.com
joe_the_user · 2018-03-27
Wow,
It sound not like a new organ was discovered but that it been discovered that the fascia[1] have these tubes and that the fascia really is an organ.
In studying message, a lot of approaches already treat the fascia as an active, responsive organ rather than as a passive collection of fibrous tissue. The science behind this has been considered murky at best. Now there, at least, is an explanation.
The topic is debated here:
https://www.painscience.com/articles/does-fascia-matter.php
[1]https://en.wikipedia.org/wiki/Fascia
adamzerner · 2016-09-05
https://www.painscience.com/
Well written, thorough, and most of all... actually evidence based!
jostylr · 2014-12-28
A scientifically minded approach to pain can be found at https://www.painscience.com/ No magic bullets, but perhaps something that can help.
As for my two cents, I like trigger points. I have used that technique effectively for years to eliminate angry pain. While the science is apparently still questionable, it is a simple method (find some painfully acute spots somewhere around sources of pain and massage it for 20 seconds or so, several times a day). It is talked about at the site above in addition to a variety of other pain management notions, mainly with a scientifically disappointing dose of reality mixed into it all.
peterbozso · 2021-11-27
For my fellow chronic lower back painers out there: over the course of many years I tried many things (always staying in the confines of modern medicine). There's certainly no magic bullet, but finally this book (which I have no financial incentives to promote) brought me a long lasting solution:
https://www.painscience.com/tutorials/low-back-pain.php
The whole thing certainly worths a read, since the goal of the book is to make you understand your condition and give you relief partly through that. But for me, the single most important thought of the book is "the issue is (almost) always with the tissue". If you have chronic (lower) back pain and you feel like you have tried everything, I recommend learning and applying self-massage regularly. Combined with other important, conservative treatments (physiotherapy, yoga, swimming, workout, etc.), it did wonders for me and I hope it will for others with similar problems.
wanion · 2015-02-13
Science Based Medicine is a movement to improve Evidence Based Medicine with a stronger focus on scientifically rigorous evidence. It's not in opposition to EBM.
To quote the SBM blog's about page:
"Good science is the best and only way to determine which treatments and products are truly safe and effective. That idea is already formalized in a movement known as evidence-based medicine (EBM). EBM is a vital and positive influence on the practice of medicine, but it has limitations and problems in practice: it often overemphasizes the value of evidence from clinical trials alone, with some unintended consequences, such as taxpayer dollars spent on “more research” of questionable value. The idea of SBM is not to compete with EBM, but a call to enhance it with a broader view: to answer the question “what works?” we must give more importance to our cumulative scientific knowledge from all relevant disciplines."
You can find the original Science Based Medicine announcement on their blog http://www.sciencebasedmedicine.org/hello-world/ and there's a decent bit of background on Pain Science https://www.painscience.com/articles/ebm-vs-sbm.php as well.
codethief · 2023-04-22
> Are any forms of tinnitus treatable?
Yes, at least some are. From personal experience I know that stiffness of the neck & back and, e.g., trigger points[0] can cause tinnitus, too. Fixing those has cured me of tinnitus various times. Though I should add that that neck issues and those trigger points will have a habit of coming back if you don't also fix your overall posture and balance spending hours in front of a screen with plenty of (back & neck) exercise.
[0]: https://www.painscience.com/tutorials/trigger-points.php
Swizec · 2023-01-21
A lot of things are religions if you squint hard enough. We humans believe all sorts of stuff without much explicit evidence that it is in fact true.
For example: New-ish research is showing that some surgeries are no better than placebo. https://www.painscience.com/biblio/four-orthopedic-surgeries-no-better…
Another fun example is that allergy drugs, which clinical trials have shown are effective in double-blind studies, are less effective if you watch an ad saying that drug is bad right before taking it. Nocebo effect. If you have a strong belief the drug works, it will work better. Placebo effect is strong even in drugs we know are not placebo. https://freakonomics.com/podcast/is-the-placebo-effect-for-real/
And then you have the whole field of management and business books. Very close to a sort of federated decentralized religion.
muh_gradle · 2022-06-22
A very recent one for me is that a lack of electrolytes is not a likely cause for cramps. The current science is still up in the air and the conclusion at the moment is "we still don't really know"
https://www.painscience.com/articles/cramps-spasms-twitches-tremors.ph…
eszaq · 2022-05-27
This book did a tremendous amount to help me with my chronic pain issues: https://www.painscience.com/tutorials/trigger-points.php
spider-mario · 2021-04-04
> Just like the placebo effect causes real, very significant healing effects
No, not really. https://www.painscience.com/articles/placebo-power-hype.php
Edit: gee, apparently I hit a sensitive topic. I did not realize that Hacker News was so attached to a belief in such a strong placebo effect.
DeathArrow · 2020-03-30
Here are mentioned some studies that say LBP is not linked to sitting. https://www.painscience.com/articles/chair-trouble.php
DanBC · 2019-08-04
You place a lot of trust in doctors.
Knee arthroscopy is a good example where doctors knew for a fact that they were helping patients until we ran trials using sham surgery and we found out it doesn't help some patients at all.
https://www.painscience.com/biblio/fascinating-landmark-study-of-place…
https://doctorskeptic.blogspot.com/2012/08/placebo-surgery-4-knee-arth…
PBMs are probably bad, but we need some organisation to look at the evidence and say whether something works or not.
scott_s · 2019-06-12
This is why David Gorski and Steven Novella advocate for Science Based Medicine: https://www.painscience.com/articles/ebm-vs-sbm.php Basically, it advocates incorporating scientific principles into reasoning about medical practices.
macawfish · 2019-04-10
Slight tangent: a few years ago it clicked for me how critical breath is in regulating the pH of the blood. The way you breath directly moderates the balance of oxygen vs. carbon dioxide in your blood, which on a basic level effects its pH.
When you hear people talk about drinking alkaline water or eating alkalizing foods... the most direct thing you can do to effect your blood's pH is by learning different ways of breathing and how they make you feel.
If you're brave and would like to experience just how powerful your breath is for yourself, try the technique "bioenergetic breathing": https://www.painscience.com/articles/breathing.php
AuthorizedCust · 2018-10-03
Stretching is probably mostly hype. E.g., https://www.painscience.com/articles/stretching.php
n72 · 2016-04-02
Before you get too far into stretching, I'd consider how much you actually should stretch. There's been a lot of misinformation around stretching for a few decades now:
https://www.painscience.com/articles/stretching.php
maxmcd · 2015-12-15
Related or not, this is certainly against the "rules": https://www.painscience.com/donate-by-linking.php
paulingraham · 2015-12-15
Opinions differ on that! It was thoroughly hashed out and tested. “SaveYourself” had over-promising and vague religious connotations that made many people uncomfortable (me included). PainScience.com was more appealing to the right audience. More about the rationale here: https://www.painscience.com/about-moving-to-painscience.php