Hey everyone, Being that this is not very accessible to most people, I wanted to introduce you to something the scientific literature calls the Fear-Avoidance Model. The model itself has some age (2000), but has gained huge attention over the last 15 years, along with compounding evidence. It's a highly cited paper (more than 2600 citations, which is fairly immense) with some very interesting conclusions. The big idea is this: Acute pain becomes chronic pain through two things: fear of pain, and avoidance of activity. Fear of pain has a symbiotic role with pain catastrophizing (described as misinterpretation of the consequences of pain), both of which act together to direct attention towards, and amplify the pain. They have a sort of chicken & egg relationship. Fear of pain acts on behavior, creating a pattern of avoidance, which in turns increases sensitivity to pain. There are debates on whether anxious or depressive behaviors are stronger predictors of developing chronic pain. A follow-up study was also done, which I'll link here. The ideas behind TMS are far more mainstream than they seem at first, but I think they may not be as accessible to medical professionals as they should be. The original paper (Vlaeyen 2000): https://lirias.kuleuven.be/bitstream/123456789/206277/2/Vlaeyen,+Linton_2000.pdf Follow-up paper (Vlaeyen 2012): https://www.researchgate.net/profil...2_years_on/links/0fcfd50143ae6e7c4c000000.pdf Edit: Something worth mentionning; in their model, other things like hypervigilance and catastrophization also matter, but they are seen as originating from the first big two.