Dr. Rachel Zoffness's Avatar

Dr. Rachel Zoffness

@drzoffness.bsky.social

Pain scientist. Asst Clinical prof @ UCSF, lecture @ Stanford. Psychologist. Disruptor. AuthorπŸ“š Tell Me Where It Hurts. Neuroscience nerd 🧠 #medsky #medtwitter #SciComm #neuroskyence www.zoffness.com

6,704 Followers  |  1,911 Following  |  332 Posts  |  Joined: 14.11.2024
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Posts by Dr. Rachel Zoffness (@drzoffness.bsky.social)

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"It’s a rare book that both expands an issue into a dizzyingly complex problem and offers to solve it. In Tell Me Where It Hurts, pain psychologist and scientist Rachel Zoffness pulls off both."

Thank you @sciencenews.bsky.social for this incredible book review πŸ™πŸΌπŸ™πŸΌ
#MedSky #Neurosky πŸ§ͺ

11.02.2026 15:25 β€” πŸ‘ 5    πŸ” 3    πŸ’¬ 0    πŸ“Œ 0
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Recording the audiobook for Tell Me Where It Hurts πŸŽ™οΈβ™₯️

How is already 6 weeks away?!?? So not ready πŸ˜…

www.amazon.com/Tell-Me-Wher...

05.02.2026 22:43 β€” πŸ‘ 3    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Join me at ASU for a conversation about the MYTHS of pain medicine - the lies & BS we've been sold, and the true science of healing πŸ”₯πŸ”₯πŸ”₯

Academics πŸ§ͺ, science nerds 🧠, and anyone who likes to read πŸ“šwelcome!!!! πŸ€“

MARCH 12 VIRTUALπŸ‘‡πŸΌπŸ‘‡πŸΌπŸ‘‡πŸΌ
#medsky #neurosky #sciencesky #OncSky #MedEd

28.01.2026 21:08 β€” πŸ‘ 4    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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Mapping somatosensory afferent circuitry to bone identifies neurotrophic signals required for fracture healing The pain associated with bone fracture is mediated by somatosensory neurons, which also appear to be required to initiate bone regeneration. To characterize neuroanatomical circuitry mediating skeleta...

#PedSky #MedSky #neuroskyence #neurosci #PainResearchπŸ›Ÿ πŸ«πŸ’ŠπŸ§ͺ
Sensory neurons promote bone fracture healing
www.science.org/doi/10.1126/...

15.01.2026 02:15 β€” πŸ‘ 22    πŸ” 6    πŸ’¬ 0    πŸ“Œ 0

I recommend completely avoiding this rabbit hole. They use confusing language that doesn't make sense because it doesn't make sense.

12.01.2026 21:58 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

And whether or not congenital limb aplasia triggers as much pain as phantom pain after limb loss is in no way evidence that pain requires nociception. Also, pain is an EXPERIENCE. Not just a sensation, not just a perception. Both & more. πŸ‘‹πŸΌπŸ˜

12.01.2026 15:50 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Their arguments are completely inane. The IASP definition plainly states that pain can arise from POTENTIAL -not just actual- damage. And it is well established that phantom limb pain arises in the brain. Stump pain (which is different) has anatomical origins.

12.01.2026 15:48 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

These dudes are ignoring 65 years of science. Pain is a BPS experience *by definition.* There are a zillion examples of pain w/o nociception. And a "sensation" can't be experienced without consciousness/ perception. Halp πŸ™„πŸ˜‘

12.01.2026 06:41 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Finally some good news πŸ§€

18.12.2025 06:16 β€” πŸ‘ 13    πŸ” 4    πŸ’¬ 0    πŸ“Œ 0

😢

04.01.2026 18:31 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

πŸ™‹πŸ»β€β™€οΈπŸ™‹πŸ»β€β™€οΈ Because only pain science employs the term "biopsychosocial," misunderstood by some to mean pain is "all in your head." Which isn't true and isn't what it means at all. (p.s. love this analogy!)

04.01.2026 18:29 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

An interesting point! Empathic pain does indeed seem to be brain-generated, not a nociceptive phenomenon.

04.01.2026 00:20 β€” πŸ‘ 3    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

What's really idiotic about it is that this "debate" is being had by 1 PT in 1 tiny corner of SoMe. Meanwhile, science has zero Qs about this, because this debate has been put to bed with 60 years of neuroscience. A stress-related stomachache is pain without damage. There are a zillion examples.πŸ‘πŸΌ

03.01.2026 18:23 β€” πŸ‘ 4    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

100% πŸ’―πŸ’―πŸ’―πŸ’―πŸ’―πŸ’―πŸ’―

03.01.2026 18:14 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Phantom limb pain is the perfect example of brain-made pain without nociception. I had a patient who lost his arm + hand in an accident. Injury had long healed. He had excruciating phantom hand pain that only remitted with mirror therapy (brain-based). This neuroscience has been known for decades πŸ˜‘

03.01.2026 18:13 β€” πŸ‘ 3    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Rad. πŸ”₯

29.12.2025 14:08 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Challenge: one random act of kindness every day for the rest of 2025. Can be anything. Hold the door, help someone cross the street, give up your seat on the bus, compliment a stranger, donate to your fave charity, give an extra big tip. Because KINDNESS RULES. πŸ”₯πŸ”₯πŸ”₯

Welcome to 2026, my friends 🫢🏼β™₯️✨

29.12.2025 07:50 β€” πŸ‘ 20    πŸ” 8    πŸ’¬ 1    πŸ“Œ 0

Random acts of kindness, my friend. 🌟

29.12.2025 07:47 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

This all day. πŸ‘πŸΌπŸ‘πŸΌπŸ‘πŸΌ

21.12.2025 20:04 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

I love this account so much, thank you for existing 🫢🏼

21.12.2025 17:02 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Finally and thank the lord πŸ‘πŸΌπŸ‘πŸΌ

19.12.2025 04:44 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Digital Well-Being Training With Health Care Professionals This randomized clinical trial examines whether a 13- week digital well-being training could improve well-being and reduce stress among health care professionals in Mexico.

Burnout in health care providers is a big issue. It reduces wellbeing and the ability to be effective. (Be kind to your provider!) Encouraging news: In a study of >2,000 providers, the Healthy Minds Program app reduced distress and improved wellbeing 9 mos later. jamanetwork.com/journals/jam...

16.09.2025 20:06 β€” πŸ‘ 8    πŸ” 2    πŸ’¬ 0    πŸ“Œ 1

I hear you and it's an important point. I humbly submit that it's both. The way we practice medicine is heavily influenced by our culture πŸ˜‘

17.12.2025 18:06 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Absolutely. Strange that this connection continues to get ignored and dismissed by medicine...

17.12.2025 17:11 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Sigh. πŸ™„πŸ€¬

17.12.2025 17:04 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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πŸ‘ŽπŸΌ It's easy to believe that pain lives just in our aching back or bad knee.

🧠 But neuroscience says pain is constructed by the BRAIN-

πŸ’₯ including the limbic system, key to constructing EMOTIONS πŸ’₯

‼️ Pain is both physical AND emotional 100% of the time πŸ‘πŸΌπŸ‘πŸΌ

(Pass it on πŸ“£) #medsky πŸ§ͺ

17.12.2025 16:52 β€” πŸ‘ 18    πŸ” 4    πŸ’¬ 1    πŸ“Œ 0

Thanks πŸ™πŸΌπŸ€“

06.12.2025 13:41 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Hi so I have imposter syndrome & just found out my little book on the science of Pain is being translated into *TWENTY FOUR* languages (including US & UK)?!! Here is the cover in Greek 🀯🀯πŸ₯Ή

Totally tweaking out & so insanely full of gratitude. Happy weekend Bsky 🫢
www.amazon.com/Tell-Me-Wher...

06.12.2025 04:55 β€” πŸ‘ 21    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

This is just delightful πŸ₯—

08.11.2025 10:33 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Omg 😍

30.10.2025 03:52 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0