Are there people who would definitely NOT benefit from pain neuroscience education?
In this episode of the Rehab & Performance Lab Podcast, I had the chance to sit down with Dr. Adriaan Louw – one of the leading experts in pain neuroscience education. We talked about something that can drastically impact our patient outcomes, yet is often overlooked: the words we use in the clinic.
When we say things like “torn,” “ruptured,” or “bone-on-bone,” we may be unintentionally reinforcing fear and limiting recovery. But language isn’t just about avoiding negatives – it’s also about using words that support hope and resilience.
Are You Using the Right Words in Rehab?
One of the biggest takeaways from my conversation with Adriaan was how even words like “sprain” or “strain” – which we sometimes avoid – can actually help our patients. They suggest recovery is possible. In this video, I share one simple change that can shift the entire tone of your care.
Practical Language Swaps
This episode includes specific examples of phrases to avoid and what to say instead. We also talk about how to reframe imaging results and how metaphors can build understanding instead of fear.
We can identify which patients do well with pain neuroscience education. Who are those who would benefit most?
Use PNE for:
Central Sensitization: Patients with widespread, unpredictable pain.
High Fear: Those avoiding movement because they’re afraid of "breaking" something.
Catastrophizers: The folks who can only see the worst-case scenario.
Chronic Cases: Anyone stuck in a pain cycle for more than six months.
The bottom line is that PNE isn't about "all-talk"—it’s about resetting the system so we can get back to the movement that matters.
Want Better Outcomes? Start with Better Communication.
If we want to reduce fear, improve outcomes, and truly empower our patients, we have to be intentional with our words. The language we use isn’t just part of care—it is care.
This episode is packed with practical tips and real-life clinical applications. I hope you’ll listen, reflect, and challenge yourself to grow in this area.
You can find the full episode here
And if you want to keep leveling up your communication, clinical reasoning, and patient connection – come join us in the Coaches Club.
