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Reposted by Transitional Pain Service

The Journal of Law, Medicine and Ethics @jlme-journal.bsky.social · 28/04/2026

New open-access on FirstView: "Beyond the Benefit of Doubt: Biases and Credibility in the Adjudication of Chronic Pain" by Rodrigo Deamo Assis, Steven P Cohen, Hance Clarke of @tps-paintoronto.bsky.social , Nimish Mittal, and Mary-Ann Fitzcharles. #ChronicPain www.cambridge.org/core/journal...

Independent Articles
Beyond the Benefit of Doubt: Biases and Credibility in the
Adjudication of Chronic Pain
Rodrigo Deamo Assis1, Steven P Cohen2, Hance Clarke3, Nimish Mittal4, and Mary-Ann Fitzcharles5
1Centre Intégré de Santé et Services Sociaux de l’Abitibi-Témiscamingue, Rouyn-Noranda, Québec, Canada; 2Anesthesiology, Neurology, Physical Medicine and
Rehabilitation, Psychiatry, Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA; 3Transitional Pain Service, Toronto
General Hospital, University of Toronto, Toronto, Ontario, Canada; 4Temerty Faculty of Medicine, Division of Physical Medicine and Rehabilitation, University of Toronto,
Toronto, Ontario, Canada; and 5Department of Rheumatology, McGill University, Montreal, Quebec, Canada
Abstract
Patients living with nociplastic pain are at particular risk of being unfairly judged because their symptoms are subjective and occur without
measurable abnormalities. Nociplastic pain, now recognized as a third category of pain alongside nociceptive and neuropathic pain, arises in the
absence of tissue damage sufficient to explain the clinical presentation. This“
unseen
” pain affects at least ten percent of the population,
commonly involves the musculoskeletal or visceral systems, and leads to substantial suffering and functional impairment. Validation of these
chronic symptoms is often contentious because no objective biomarker or physical sign can reliably confirm their presence or severity. The
concept of illness without measurable parameters challenges clinicians and conflicts with legal systems that rely heavily on objective evidence in
adjudicating health-related questions. Most clinicians have limited training in medicolegal principles, standards of impartiality, or the ethical
distinctions between patient advocacy and objective reporting. These challenges are amplified in cases involving chronic nociplastic pain, where
the lack of observable findings complicates clini…

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Transitional Pain Service @tps-paintoronto.bsky.social · 29/09/2025

An excellent deep dive regarding chronic pain and its management: www.healthing.ca/pain/pain-ch...

healthing.ca

PAIN: Chronic suffering hiding in plain sight

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The Canadian Pain Society | La Société canadienne de la douleur @canadianpain.bsky.social · 05/09/2025

🎥 Now Available to Watch! Hear from distinguished speaker Dr. Rachel Bosma during #CanadianPain25. Watch now at canadianpainsociety.ca/asm

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Transitional Pain Service @tps-paintoronto.bsky.social · 19/06/2025

Read about our partnership with Grand Council Treaty 3 and Ganawishkadawe at Women's College Hospital to improve pain care and education in Indigenous communities. Check out this issue of #UofTMed magazine: uoftmedmagazine.utoronto.ca/2025-summer/...

uoftmedmagazine.utoronto.ca

The Pain Issue

UofTMed Magazine

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The Canadian Pain Society | La Société canadienne de la douleur @canadianpain.bsky.social · 09/06/2025

Join our speakers as they dive into pain management for surgical patients. 📍 National Pain Rounds June 20th at 1200h ET ⨠ Register for FREE at canadianpainsociety.ca/painrounds ⁠ #canadianpainrounds #CanadianPainSociety #canadianpain #paincanada #chronicpain #douleurchronique

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The Canadian Pain Society | La Société canadienne de la douleur @canadianpain.bsky.social · 10/06/2025

Submit by 15 December 2025 🔗 f.mtr.cool/teaogeaojv More details and access to your member discount at 🔗 canadianpainsociety.ca/canadianjournal

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Reposted by Transitional Pain Service

The Canadian Pain Society | La Société canadienne de la douleur @canadianpain.bsky.social · 18/06/2025

Join the movement to transform pain care nationwide with The Canadian Pain Society. Together, we are stronger. Together, we are louder. ⨠ canadianpainsociety.ca/membership

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Transitional Pain Service @tps-paintoronto.bsky.social · 13/06/2025

Dr. Clarke spoke to ‪@mattgalloway.bsky.social‬ today about the tools and resources needed to support optimal pain management. Check out the interview here: www.cbc.ca/listen/live-...

cbc.ca

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Reposted by Transitional Pain Service

The Canadian Pain Society | La Société canadienne de la douleur @canadianpain.bsky.social · 01/05/2025

Our President, Dr. Hance Clarke, joined Patty Handysides, Host of The Shift on am800cklw to discuss chronic pain impact and #CanadianPain25 with Windsor area listeners. 🎙️ Listen now:

iheart.com

The Shift with Patty Handysides - Sound Bites | iHeart

All the best audio from The Shift With Patty Handysides on AM800 CKLW!

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Virginia McIntyre @virginiamci.bsky.social · 30/04/2025

Dr Hance Clarke shares the top 3 facts that are misunderstood #chronicPain Nearly 8 million Canadians live with #chronicPain. Don’t miss out on joining us on May 2nd, the largest gathering ever of #pain experts, policymakers & advocates will be here podcasts.apple.com/ca/podcast/t...

podcasts.apple.com

Chronic Pain

Podcast Episode · Toronto This Weekend · 2025-04-26 · 9m

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Reposted by Transitional Pain Service

University Health Network @uhn.ca · 14/04/2025

Congratulations to Dr. @andreafurlan.bsky.social, Sr. Scientist at UHN's Toronto Rehabilitation Institute, on her @theglobeandmail.com feature! In this Q&A she shares insights in chronic pain treatment and the use of journaling to reframe self-talk, recognize stressors and examine daily habits.

theglobeandmail.com

Suffering from chronic pain? UofT researcher has some ideas to help you cope

Dr. Andrea Furlan promotes practical options for pain management on her massive social media platforms and now in a new book, too

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University Health Network @uhn.ca · 07/04/2025

Today we launched Canada Leads! Alongside @uhnfoundation, @thePMCF, and our industry and government partners, we've taken first steps to recruit 100 scientists to Canada. 🇨🇦💯 Thank you Premier Doug Ford, Ministers Sylvia Jones & Nolan Quinn for your support! 🔗: www.uhn.ca/corporate/Ab...

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Krembil Brain Institute 🧠 @kbi-uhn.bsky.social · 19/03/2025

🎉Krembil’s Canada Research Chair (CRC) Funding Success!🌟 🧠Dr. Jaideep Bains, Tier 1 CRC in Stress Neurobiology and Plasticity 🤕Dr. Hance Clarke, Tier 2 CRC in Chronic Pain, Mental Health and Substance Use 🧲Dr. Kamil Uludag, Tier 1 CRC in High Field Magnetic Resonance Imaging 🔗: linktr.ee/krembil

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Research at UHN @uhnresearch.ca · 19/03/2025

👏 Congratulations to 7 UHN researchers on their Canada Research Chair funding that will advance research on #immunotherapy, #AI for drug response and MRI analyses, smart textiles, post-surgery #pain, protein function, and brain responses to #stress. 🔗 www.uhnresearch.ca/news/canadas... #CRC

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International Association for the Study of Pain (IASP) @iasp.bsky.social · 12/03/2025

The Canadian Pain Society Annual Scientific Meeting #CanadianPain25 will take place 1 – 4 May at the University of Toronto campus. The 2025 Meeting is set to be the largest pain-centered gathering in Canada! Registration is now open at canadianpainsociety....

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Transitional Pain Service @tps-paintoronto.bsky.social · 12/03/2025

Are you a pain clinician in Ontario? Help us identify key clinical priorities for addressing comorbid chronic pain & mental health. Share your thoughts in our survey and get a chance to win a $50 gift card. redcap.link/painprovider...

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Transitional Pain Service @tps-paintoronto.bsky.social · 12/03/2025

Learn more about the TPS model at the next USASP meeting. Great speaker lineup featuring our lead psychologist, Dr. Max Slepian. @usasp.bsky.social

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Transitional Pain Service @tps-paintoronto.bsky.social · 06/03/2025

Join us on April 25th for the second annual Chronic Pain & Mental Health Conference. events.myconferencesuite.com/chronicpaina...

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International Association for the Study of Pain (IASP) @iasp.bsky.social · 21/02/2025

In a new editorial from Editor-in-Chief of PAIN @karenddavis.bsky.social reaffirms the journal’s commitment to considering #diversity, #DEI, and #GenderIdentity in pain research and management. bit.ly/3D5WgJO

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Transitional Pain Service @tps-paintoronto.bsky.social · 10/02/2025

Hello! 👋 We're new to Bluesky. Excited to reconnect with our pain and anesthesia network!

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