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BITESIZE | How To Heal Chronic Pain | Dr Howard Schubiner #447

Apr 25, 2024 21m 3s 9 insights
CAUTION: This podcast episode contains swearing. Headaches, migraine, back, neck or joint pain, irritable bowel syndrome (IBS), fibromyalgia – they’re just some of the common causes of chronic pain, which is estimated to affect between a third to half of all UK adults, or just under 28 million of us. Feel Better Live More Bitesize is my weekly podcast for your mind, body, and heart. Each week I’ll be featuring inspirational stories and practical tips from some of my former guests. Today’s clip is from episode 310 of the podcast with Director of the Mind Body Medicine Center in Michigan and author of Unlearn Your Pain, Dr Howard Schubiner. Emerging neuroscience tells us our brains actually create what we experience in our bodies, through a process called predictive processing. Pain doesn’t come from the body part where it’s felt, it’s created by our brain, signalling that something needs attention. Howard believes that in many cases of chronic pain your brain has created a neural pathway which remembers the pain and keeps you trapped in a vicious cycle.  In this clip he explains why it’s not ‘all in your head’, your pain is real. And there is something you can do about it.  Thanks to our sponsor https://www.drinkag1.com/livemore Support the podcast and enjoy Ad-Free episodes. Try FREE for 7 days on Apple Podcasts https://apple.co/feelbetterlivemore. For other podcast platforms go to https://fblm.supercast.com. Show notes and the full podcast are available at drchatterjee.com/310
Actionable Insights

1. Thorough Medical Evaluation

Ensure a physician has carefully evaluated your pain history and ruled out any structural problems, infections, inflammatory conditions, or tumors before concluding your pain is due to neural circuits.

2. Understand Brain-Generated Pain

Recognize that most chronic pain is not due to structural damage but is a real sensation created by the brain’s neural circuits, often in response to stress or emotions, as a protective mechanism. This understanding is the first step to turning off the brain’s danger signal.

3. Reframe Pain as Signal

Shift your perspective to see chronic pain not as a problem, but as a ‘blessing in disguise’ or a solution from your brain alerting you to something amiss in your life that needs attention or care.

4. Observe Pain Inconsistencies

Investigate your pain patterns by noting when it turns on or off, goes away on vacation, or is triggered by stress or weather, as these inconsistencies are strong clues that your pain is a neural circuit problem.

5. Interrupt Pain-Worsening Responses

Actively work to reduce fear, worry, excessive focus, fighting, frustration, and constant attempts to ‘figure out’ or ‘fix’ your pain, as these responses send danger signals to the brain and intensify the pain.

6. Practice Pain Reprocessing

For non-structural pain, gradually reintroduce movements or activities that typically cause pain while simultaneously affirming to your brain that you are safe and not in danger, allowing neural circuits to change.

7. Mindfulness with Reframing

Practice mindfulness by first reframing pain as a brain-generated sensation or ’thought,’ then observe it without judgment or fighting, allowing you to step back and change your relationship to the symptom.

8. Engage Emotional Journaling

Use journaling as part of emotional awareness and expression therapy to process unprocessed emotions, which can be a significant underlying cause of chronic pain and contribute to inner healing.

9. Read Unlearn Your Pain

Consult Dr. Howard Schubiner’s book, ‘Unlearn Your Pain,’ for practical exercises and research-backed insights to guide you through the process of understanding and resolving chronic pain.