# Why Imaging Misses Chronic Pain: Structural vs Physiologic Thinking (Part 2)

Page: https://stenobird.com/podcast/the-modern-pain-podcast-1148376/why-imaging-misses-chronic-pain-structural-vs-physiologic-thinking-part-2
Text version: https://stenobird.com/podcast/the-modern-pain-podcast-1148376/why-imaging-misses-chronic-pain-structural-vs-physiologic-thinking-part-2.md
Podcast: [The Modern Pain Podcast](https://stenobird.com/podcast/the-modern-pain-podcast-1148376)
Published: 2026-01-11T15:00:00+00:00
Episode link: https://www.buzzsprout.com/2124284/episodes/18488029-why-imaging-misses-chronic-pain-structural-vs-physiologic-thinking-part-2.mp3
Audio file: https://www.buzzsprout.com/2124284/episodes/18488029-why-imaging-misses-chronic-pain-structural-vs-physiologic-thinking-part-2.mp3
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JSON: https://stenobird.com/v1/public/podcasts/the-modern-pain-podcast-1148376/episodes/why-imaging-misses-chronic-pain-structural-vs-physiologic-thinking-part-2
Duration seconds: 2142

## Resource

Part 2 goes from definitions to implications. Bottom-up pain does not mean “it’s in the tissues.” This episode is a recording of a live interview with pain researcher and clinician Asaf Weissman. If you haven’t watched Part 1, start there—we laid the foundation: why pain semantics matter, how mixed messages harm patients, and why “nothing is wrong with your body” is an overreach. In Part 2, we dig into: What “always bottom up” actually means (and what it doesn’t)Structural paradigm vs pathoph...

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## Transcript

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