The challenge of chronic pain
Pain is one of medicine’s oldest problems and remains one of its largest sources of disability and suffering.
Persistent pain can remain after an injury has healed or arise without one, yet it is still among the conditions
least well served by existing treatments. The difficulty is fundamentally mechanistic: persistent pain is not
simply a louder version of acute pain, and the changes in the nervous system that sustain it are still poorly
understood. Without knowing which mechanisms have changed, treatment will inevitably remain blunt. We aim to
identify those mechanisms and use them to define what, where, how and when the nervous system should be targeted.
Protective control
Pain is part of a broader problem in neuroscience: how the nervous system regulates behaviour to reduce the risk
of harm. Effective protection depends not simply on detecting danger, but on combining sensory information with
internal state, ongoing behaviour and competing priorities to select the right action for the circumstances. We
study the neural mechanisms that organise this protective control.