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Arthritis Victoria Koadlow Public Lecture 2015

By Timothy Cocks Science and the world 06 Aug 2015

David Butler was invited by Arthritis Victoria to give the 2015 Koadlow Public Lecture. The evening was a smashing success with the venue at capacity and all seats reserved weeks before the event.

David discussed the problem of pain and introduced the crowd to DIMs, SIMs and The Protectometer, the ‘on-alert zone’, the importance and therapeutic value of metaphor, and the classic “Drug Cabinet in the Brain” story.

Arthritis Victoria have made a full recording of the lecture available online and we are happy to present this below.


For more details about The Explain Pain Handbook: Protectometer check out, or purchase it online at

– Tim Cocks


  1. Dearest David,
    Listening to you is always a great joy and after having noted several “Golden Nuggets” in the first few moments of the the lecture confirms why we all, practitioners and patients alike owe NOI so much.
    Bless you my darling 😘
    Your most ardent groupie
    On Location🍷🍷🍷

  2. davidbutler0noi

    Hi David, That is very kind of you!!

    The older I get, the more I enjoy speaking to the public. I also realise that the changes we seek will happen faster if they are patient or public driven. The health professions can move very slowly sometimes.


  3. Thanks for the post, tremendously informative. I am a DPT student in the U.S. and recently have encountered a patient who had a TKA 5 months ago. Today she made the comment multiple times that she still doesnt refer to the new knee as “hers”, but rather “it”. During your lecture when you discussed the nervous system as an immune organ, and described that this system is designed to be somewhat of a buffer against environments that are perceived to “not be you”. I have been pondering the role of some sort of neurogenic inflammation in post-op ACL-R, as those with less fear seem to have significantly less swelling after surgery (those on their second repair, those who do not seem to view the surgery as a threat to their standard of living). Could the nervous system be the unifying factor for these scenarios? It seems plausible to me, but many of my instructors and the clinicians I have worked with would hypothesize a lack of strength and neuromuscular control to be causing repetitive microtrauma, leading to increased nociception.

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