By embedding the latest pain science into stories, metaphors and examples, neuroscience becomes approachable and easy to absorb. Every clinician has the capacity to teach PNE, and with practice, you can master the subtleties that make it most effective. Teaching PNE is the integration of three crucial elements: the teaching sessions, taking advantage of teachable moments, and continuing the education process with homework.

Choose a teaching element to explore videos and resources.


Hone your skills with sample sessions, along with advice on story personalization, overcoming barriers, and more.


Learn how to create teachable moments using the information you gather during exams and conversation.


Cognitive homework allows patients to be part of the solution. Download homework sheets and discover other resources.


Introduction to Sessions

The education session is the core element of PNE. Use the videos and resources below to hone your skills, so you can make an even greater impact on patient outcomes.

Who needs pne?

Chronic pain, central sensitization and more: here's the list of patients we know do really well with PNE. We also know that clinicians who allow PNE to enhance the language they use in the clinic can positively affect any type of patient.

Teaching PNE Sessions with Adriaan Louw

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How to Teach a PNE Session (Card System)

Watch how Adriaan Louw conducts an initial PNE session using the cards included in the Why You Hurt Pain Neuroscience Education System.

How to Teach a PNE Session (Tablet)

See how Adriaan Louw presents a follow-up session using a tablet and the PDF version of the Why You Hurt Pain Neuroscience Education System.

How to Teach a Telehealth PNE Session (Card System)

Adriaan Louw conducts a PNE session via telehealth, using the Why You Hurt Pain Neuroscience Education System.

Bridging the Gap Between Education and Exercise

Learn how to continue the PNE education process after you've transitioned to movement-based treatment.

Bridging the Gap Between Education and Manual Therapy

Discover how Adriaan Louw connects the hands-off PNE session to a hands-on modality, like manual therapy.

Clinical Pearls for PNE

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How to Adapt a Story During a Session

You're in the middle of a session, and your patient says "this doesn't apply to me." Here's how to turn it into a positive opportunity.

Personalizing a Story for Your Patient

The basic stories won't resonate with all patients. Here's how to customize the story to make it more impactful.

The Four Key Elements of a PNE Session

Do your PNE sessions include these four key elements? It can mean the difference between success and frustration.

What Tools are Needed to Teach PNE?

Learn how to start teaching PNE and how to evolve your program.

Proper Dosing of PNE

PNE is meant to accentuate other modalities, not take up valuable time. Learn how to dose the sessions.

How to Overcome Patient Resistance

Some patients are not ready for PNE right away, and that's ok. Here is how you can reach them in a way that's respectful and effective.


Every clinician teaching PNE will get this question from a patient, and how you respond will directly affect how well your patient does with PNE.

Why You Hurt Pain Neuroscience Education System

Everything you need to conduct PNE sessions in your clinic (or via telehealth) is available in the Why You Hurt Pain Neuroscience Education System.

The sample, below, is one of 14 in-depth, research-backed PNE sessions included in the system.

Each card features full-color illustrations on the front and clinician cueing on the back.


Sensitive Nerves: 2A


Sensitive Nerves: 2B


Sensitive Nerves: 2C


Sensitive Nerves: 2D


Sensitive Nerves: 2E


Sensitive Nerves: 2F


Sensitive Nerves: 2G


Sensitive Nerves: 2H


Sensitive Nerves: 2I
Sample Session from Pain Neuroscience Education Textbook

This clinical guide not only delivers the evidence base for PNE, but it provides the basic tools needed to begin conducting sessions within your clinic. Within the text, you'll find 30+ session examples with variations to help tailor your messaging.


Patients are sometimes surprised when their clinician starts teaching them about pain. They should be. Many people still connect their pain to damaged tissues, and we in the medical community have not done a good job educating patients about their pain.

This video explains the "what" and "why" of PNE to your patients.

Watch the video in our Patient Portal. Share that link with your patients or have them watch in the clinic.


Some of the most impactful moments happen outside of the PNE session. By taking cues from your patient, you can provide impactful information at the precise moment your patient is ready to hear it. The resources below will help you create and capitalize on teachable moments.

Clinical Pearls for PNE (Moments)
How to create teachable moments and improve buy-in

How you conduct your evaluation, how you respond during treatment, or even how you set up your clinic can help create teachable moments.

3 things patients say that can lead to a PNE conversation

Connecting the information your patient gives you with a relevant PNE story is one of the most impactful skills you can develop.

Connecting Patient Info to PNE Stories

Use the PNE New Patient Checklist to connect common things patients say during the initial evaluation or treatment to relevant PNE stories.


Continuing the education process beyond the clinic is essential to your patients' success. These resources will help you provide effective cognitive homework.

"How To" Videos for PNE Homework
How to use patient books to continue the learning process

Why Do I Hurt? and the Why Do I Hurt? Workbook were designed to build upon what you teach in the clinic. Here's how.

How to use the homework cards and downloadable sheets

These homework cards/sheets are carefully designed to stimulate critical thinking and bring your patient back with questions.

Download Homework Sheets

Set your patients up for success and accelerate their treatment. The questions on these carefully designed homework sheets have patients reflect on their pain journey, deepen their knowledge of pain, and come back to the clinic armed with questions.

Each set of homework sheets corresponds to a session from the Why You Hurt Pain Neuroscience Education System. Homework is presented in PDF format to be easily printed or sent to patients.

Patient Books

For most patients with persistent pain, the Why Do I Hurt? patient book and Why Do I Hurt? Workbook are the ideal tools to have them read at home and share with loved ones.

Patient books are also available that focus on specific conditions, like fibromyalgia, CRPS, or back pain.

Patients undergoing surgery will benefit from the selection of preoperative booklets.

Why Do I Hurt?®

Patients don’t have to live in pain. Studies show patients who have been educated about the neuroscience of pain are able to function better, exercise more and experience less pain.

Why Do I Hurt?® Workbook

Help your patients learn about their chronic pain with this interactive workbook designed to help them treat their condition.

Everyone Has Back Pain

Adriaan Louw’s neuroscience education book will help you understand why your back hurts and teach you strategies for controlling and lessening your pain.

Why Pelvic Pain Hurts

Weave through the stigma and complexities of chronic pelvic pain to discover what's causing your pain and start your journey to recovery.

Why Are My Nerves So Sensitive?

Adriaan Louw’s handbook for patients with CRPS or RSD teaches the neuroscience of pain and guides the patient through graded motor imagery to desensitize their tissues.

Your Headache Isn't All In Your Head

Learn how headache pain really works, how the brain and nervous system contribute to headaches, and how to alleviate and prevent future headaches.

Your Fibromyalgia Workbook

Turn down the pain associated with fibromyalgia with Adriaan Louw’s interactive patient book “Your Fibromyalgia Workbook.”

Your Nerves Are Having a Knee Replacement

Learn how to calm sensitive nerves before and after a knee replacement in this book from physical therapist Adriaan Louw.

Your Nerves Are Having Hip Surgery

Prepare for hip surgery and learn key strategies for recovery in this neuroscience booklet from Adriaan Louw.

Whiplash: An Alarming Message From Your Nerves

Adriaan Louw provides perspectives on the occurrence of whiplash, including the neurological basis of pain and treatment expectations.

Your Nerves Are Having Back Surgery

Adriaan Louw sheds light on the neuroscience behind back surgery to provide future patients with the information necessary to make informed treatment decisions.

Your Nerves Are Having Shoulder Surgery

Prepare for shoulder surgery and learn key strategies for recovery in this neuroscience booklet from Adriaan Louw.