“Education is the most powerful weapon which you can use to change the world.”
-Nelson Mandela

What’s New in Accurate Education



Accurate Clinic is open, post-hurricane Ida


This page provides links to those areas on the website that have recently been updated and when, along with a brief description of each updated section including a reference to who may specially benefit from reviewing the section.









Central Sensitization

Central sensitization  is an important mechanism contributing to the severity and persistence of chronic pain. Because the majority of chronic pain syndromes are susceptible to central sensitization, most chronic pain patients should understand the role of central sensitization and how to reduce its impact on the pain experience.



Acute Pain: Initial Post-Injury

Acute Pain: Avoiding Transition to Chronic Pain

Acute  Pain Management: The Transition of Acute Opioid Use to Chronic Opioid Use

These new education sections are directed to those with acute pain conditions less than 3 months duration. They review management options for treating acute pain with emphasis on reducing the risks for developing chronic pain and the chronic use of opioids.



Fibromyalgia – CAM Treatment

Many new journal articles published in 2019-2021 have been added, including many that evaluate the role of diet in fibromyalgia pain.



Oxidative  Stress, Pain and Disease

Multiple new recent articles evaluating the role of oxidative stress and pain. Oxidative stress is a condition underlying many disease processes including not only pain but vulnerability to the degenerative dieseases that impact ones health including diabetes, heart disease and cancer. Understanding oxidative stress can provide one with tools that may help one reduce the risk for these conditions and their severity.



Visceral Pain Syndromes

Visceral pain refers to pain arising from internal organs including the digestive tract, pancreas, gall bladder, urinary bladder, uterus and prostate gland. Some common conditions associated with chronic visceral pain include endometriosis, interstitial cystitis, chronic pancreatitis, chronic prostatitis, chronic pelvic pain, gastroparesis, irritable bowel syndrome and inflammatory bowel disease such as Crohn’s and Ulcerative Colitis. 

Who should read this section:

  1. Patients with conditions described above.




This section is directed not at how to avoid catching COVID-19 by using masks, social distancing etc., but at reviewing the measures one can take to reduce the risk of having a serious or life-threatening case of COVID-19 if one catches the illness.


This update explores new ideas about who may have an increased risk for severe illness and it identifies supplements that may offset these increased risks. It adds another level of prevention for those who become exposed to the illness or those who find themselves with new onset of symptoms likely to be COVID-19.


Who should read this section:

  1. Anyone interested in protecting themselves or their friends and family  against serious COVID-19 illness.
  2. Patients with conditions such as fibromyalgia, irritable bowel disease (IBS), interstitial cystitis or other conditions associated with multi-system symptoms not well diagnosed.
  3. Patients with conditions possibly related to mast cell activation (see below).



Mast Cell Activation Disease (MCAD)

This is a new section that explores conditions associated with activation and dysregulation of mast cells, conditions once thought to be rare but now proposed to affect as many as 1 in 6 people. The increased pain associated with cold weather is related to mast cell activation. Conditions that may be impacted by mast cell activity include COVID-19, migraine headaches, fibromyalgia, connective tissue disorders such as rheumatoid arthritis (RA) and Lupus, asthma and irritable bowel syndrome (IBS).  Mast cells have been linked to depression, anxiety and other mental health conditions. They may also be linked to Ehler Danlos Syndrome and interstitial cystitis (IC).


Who should read this section:

  1. Chronic pain patients who experience worsening pain with changes in weather, especially cold.
  2. Patients with conditions such as fibromyalgia, irritable bowel disease (IBS), interstitial cystitis or other conditions noted above.
  3. Patients with other conditions associated with multi-system symptoms not well diagnosed.



Definitions and Terms Related to Pain


Key to Links:

Grey text – handout

Red text – another page on this website

Blue text – Journal publication or outside website