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What to Say When Patients with Pain Ask 'What's Wrong With Me?' In this session, renowned pain educator Dr Ben Davies tackles one of the most challenging moments in clinical practice: answering the question "What's wrong with me?" when patients present with complex, persistent pain and normal investigations. Ben, an Advanced Practice Physiotherapist with over 15 years of teaching experience, explores how to validate patient experience, avoid the "nothing's wrong" trap, and build frameworks that open possibilities for recovery rather than closing them down. Whether you're frustrated by patients who feel dismissed by normal scans or seeking language patterns that build trust and hope, this session provides essential communication strategies rooted in modern pain science and narrative medicine. What You'll Learn: What patients are really asking when they say "What's wrong with me?" Why "there's nothing wrong" invalidates experience (and what to say instead) The difference between causation and contribution in complex pain How to translate medical reports and scan results for patients Using narrative medicine: "Tell me your story" Frameworks that validate without catastrophising When manual therapy helps vs when it creates dependency How to assess what THIS person needs to hear The role of psychological factors without saying "it's all in your head" ⏰ Timestamps: 00:00 - Welcome & Ben's Background at Royal United Hospital Bath 03:00 - Today's Focus: What's Wrong With Me? 05:15 - Simple vs Complex Pain Presentations 07:19 - Your Job is Translation: Making Sense of Medical Reports 10:09 - Question: Balancing Contributions vs Single Causes 11:00 - Handling Normal Scans: What MRIs Show (and Don't Show) 14:37 - Question: Manual Therapy and Patient Dependency 16:41 - The "All in Your Head" Trap (and How to Address the Brain) 21:31 - Acknowledging Trauma and Life Stressors Within Your Scope 24:25 - Question: Using Narrative Medicine vs Structured Approaches 27:46 - Matt Low's Vector Model: Dispositions Towards and Away From Pain 28:31 - Question: Nociceptive Pain in Sensitised Systems 30:12 - How Communication Fits Throughout the Explain Pain Course 32:10 - Ben's Key Takeaway: Pain is Complex - Unpick the Contributors 📚 Educational Resources: Noigroup website: www.noigroup.com NOI Clinical Discussion YouTube Channel: / @noiclinicaldiscussions NOI Clinical Discussion Facebook Group: / 243578159913567 Dr Ben Davies' Explain Pain Course: Two-Day Online: March 19th-20th, 2026 https://courses.noigroup.com/explain-... Additional Resources Mentioned: John Launer - Narrative Medicine (GP trainer, UK) Matt Low - Vector Model / Dispositions concept (Consultant Physio, Bournemouth) Twin Peaks Model David Butler's research on teaching and education skills 🛒 Books & Materials: NOI UK Book Shop: https://www.noiukshop.com/ NOI NL Book Shop: https://www.noigroupshop.nl/ #ExplainPain #ChronicPain #BenDavies #NOIGroup #PainScience #PersistentPain #PatientCommunication #NarrativeMedicine #PainEducation #ClinicalSkills #HealthcareProfessionals #ProfessionalDevelopment #Rheumatology #EvidenceBasedPractice #TherapeuticRelationship #PainNeuroscience #ClinicalReasoning #PatientCenteredCare #ValidationInPain #ComplexPain #ContinuingEducation #CPD