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How To Heal Chronic Pain with Dr Howard Schubiner (re-release) #519

Feb 2, 2025 2h 7m 20 insights
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.   If you or someone close to you is one of them, you don’t need me to tell you it can be physically and emotionally draining. You probably feel like you’ve tried everything – so today’s podcast has the potential to be a life-changing listen for you. My guest is Dr Howard Schubiner, Director of the Mind Body Medicine Center in Michigan and author of Unlearn Your Pain: A 28-day Process to Reprogram Your Brain.   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. And as Howard explains, our emotions and stress activate the same pain centres in our brain as an injury. If you’ve ever had a broken heart and experienced chest pain? That’s what’s happening.   The same thing occurs with chronic pain. In the vast majority of cases, there is no structural problem – such as injury, infection or a tumour – although of course these must be ruled out. Instead, your brain has created a neural pathway which remembers the pain and keeps you trapped in a vicious cycle. You fear the pain, that causes you stress, and the stress makes the pain real.   And that is the absolute key here: it’s not ‘all in your head’, your pain is real. And there is something you can do about it. During this conversation, Howard reveals why the key is changing your narrative on pain. His revolutionary therapies – which you can easily access – have been proven to work not just with chronic pain but in other persistent conditions such as depression and anxiety, chronic fatigue and long Covid.   We discuss the role healthcare practitioners can play in these conditions, through listening and empathy. We also chat about the role of posture, cultural differences in pain experience and complementary therapies to his approach.   Chronic pain isn’t a subject we’ve covered in depth on this podcast before, so I’m very pleased I have the chance to bring this important conversation to you. Howard is one of the leading researchers in this field and his work represents a game-changing, paradigm shift in thinking about how we approach this epidemic. I hope what you’ll take from this episode is that the power of your brain is immense, and that knowledge is power. I hope you enjoy listening.   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.   Thanks to our
Actionable Insights

1. Understand Brain’s Role in Pain

Recognize that pain is created by your brain, not necessarily the body part where it’s felt, and that emotions and stress can activate the same pain centers as physical injury, which is the first step towards healing.

2. Reframe Pain as a Signal

Understand that pain is not the problem but a solution from your brain, acting as a signal or blessing in disguise to alert you to something that needs attention or care.

3. Avoid Fear-Pain Cycle

Recognize that fear, worry, focus, and frustration about pain create a vicious feedback loop in the brain’s neural circuits, making the pain worse over time.

4. Reframe Pain Narrative

Actively change your internal narrative and self-talk about pain by reassuring yourself that you are safe and not in danger, even smiling, to turn off the brain’s danger alarm mechanism that causes pain.

5. Use Reassurance and Smiling

Give your brain reassurances and smile when experiencing or anticipating pain, as this helps turn off the danger alarm mechanism in the brain that is causing the pain.

6. Practice Graded Exposure

Gradually expose yourself to movements or activities that trigger pain, starting with imagination, while simultaneously telling yourself you are safe and smiling, to retrain your brain’s neural circuits.

7. Control Inner Self-Talk

Be aware of and control your inner self-talk, as negative messages about your body or capabilities can worsen pain, while positive affirmations can improve performance and reduce symptoms.

8. Treat Brain with Compassion

Approach your brain’s pain signals with compassion, understanding that it’s acting out of fear, similar to reassuring a child afraid of a monster, rather than fighting or being angry at the pain.

9. Understand Pain is Not Enemy

Adopt the mindset that pain is not an enemy but a fearful signal from your brain, which allows you to approach it with reassurance and compassion, rather than anger or resistance.

10. Reframe Before Mindfulness

Before practicing mindfulness for chronic pain, first re-categorize the pain as a neural circuit problem (brain-generated thought) rather than a structural issue, then observe it without fighting or frustration.

11. Pair Movement with Joy

Engage in physical movement, like yoga, by pairing it with feelings of calm, joy, control, or peacefulness, to retrain your brain’s neural circuits and associate movement with safety rather than fear or pain.

12. Seek Root Cause of Pain

Believe that chronic pain can often be healed without medication by taking the time to understand what’s going on and getting to the root cause, which is often emotional or stress-related.

13. Use Journaling for Emotions

Employ journaling as part of emotional awareness and expression therapy to deal with unprocessed emotions, leading to inner healing and using symptoms as a guide to understand what’s important in your life.

14. Learn to Set Boundaries

Recognize that personality traits like people-pleasing or perfectionism, often developed in childhood, can put pressure on your system, so learning to say ’no’ and set boundaries is crucial for self-care.

15. Focus on Creating Health

If you have multiple diagnoses and labels, consider setting them aside to focus on creating overall health through addressing emotional well-being, sleep, stress, and movement, rather than solely focusing on what is ‘wrong’ with you.

16. Medication as Healing Bridge

If suffering, use pain medications temporarily to alleviate symptoms while actively engaging in pain reprocessing and emotional work, with the goal of reducing or eliminating medication over time as healing progresses.

17. Re-evaluate Conditions Openly

Approach chronic conditions by stripping away negative labels and the idea of incurability, and instead, carefully investigate your life and symptoms with an open mind to find new avenues for healing.

18. Explore Alternative Paths

Be open to exploring different paths to healing for chronic pain, especially if traditional methods haven’t worked, as there are often alternative approaches that can lead to significant improvement.

19. Validate Chronic Pain Patients

For healthcare professionals, listen to and understand patients with chronic pain, validating their experience that the pain is real and not imaginary, which provides a hopeful message for recovery.

20. Personalize Pain Management

Healthcare professionals should personalize their approach to pain management, meeting patients where they are at, and clearly communicate that medication is for temporary management while offering to help find the root cause.