The paradigm shift and core emphasis of this book is to transfer responsibility for your well-being from external factors (doctors, surgeries, medications, testing, therapy) to an internal factor (you). Of course, there are many situations where external remedies and advice is needed but the way you think and things you do have a significant bearing on your health. You will find that many of the recommendations in this book are also helpful for other pain related disorders including work and sports injuries. 10 big ideas in this book:1. The mechanism of acute pain is not same as the mechanism of chronic pain.2. Tissue damage typically heals in a particular time-frame. Give it time.3. Pain is inevitable, suffering is optional.4. Pain really is in the mind, but not in the way you think.5. Pain does not depend on what is happening in the tissues. Pain depends on what the brain thinks is happening in the tissues.6. Patients with musculoskeletal pain and people without musculoskeletal pain often have similar findings on MRI.7. If you hurt your back and get an early MRI, you've reduced your chances of getting better.8. If you think that you will get better, you are halfway to recovery.9. Taking responsibility of your personal health and happiness is not just your duty, but it's your obligation.10. Focus on getting healthy and being happy (flourishing), not the pain.I hope that you find this guide useful in your path to help.