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Essentials: Control Pain & Heal Faster With Your Brain

Jan 9, 2025 40m 36s 18 insights
In this Huberman Lab Essentials episode, I explain how to manage pain and accelerate injury recovery by leveraging protocols to modulate pain perception.  I discuss how pain interpretation is a complex experience, shaped by both internal factors like emotions and genetics, as well as external factors, such as context. I explain how practical strategies like acupuncture, breathing techniques, exercise and temperature modulation can influence the body’s pain response and accelerate recovery. I also discuss topics like phantom limb pain, recovering from traumatic brain injury and the crucial role inflammation plays in the healing process.  Huberman Lab Essentials are short episodes (approximately 30 minutes) focused on essential science and protocol takeaways from past Huberman Lab episodes. Essentials will be released every Thursday, and our full-length episodes will still be released every Monday. Read the full show notes for this episode at hubermanlab.com.
Actionable Insights

1. Prioritize Sleep for Injury Recovery

Ensure at least eight hours of sleep, or at least eight hours immobile, as a non-negotiable foundation for glymphatic and tissue clearance essential for injury recovery.

2. Optimize Sleep Position for Brain

To enhance the glymphatic system’s clearance of brain debris, especially after TBI or for brain longevity, sleep on your side rather than your back or stomach.

3. Engage in Zone 2 Cardio

Perform 30-45 minutes of Zone 2 cardio (e.g., fast walking, jogging, cycling) three times a week to improve glymphatic system function, aiding brain debris clearance and promoting brain longevity, provided it doesn’t aggravate injury or go against physician’s advice.

4. Apply Heat to Injuries

Apply heat to injured areas as it is beneficial for recovery, improving tissue viscosity, and enhancing the clearance and perfusion of fluids (blood, lymph) from the injury site.

5. Reconsider Ice for Injury

Be aware that while ice numbs pain, it may have negative effects like clotting and sludging of tissue and fluids, hindering the clearance of debris and repair process, suggesting it should be reconsidered or limited.

6. Use Love to Blunt Pain

When experiencing pain, focus on an internal representation or image of a loved one (especially a romantic partner) to significantly blunt the pain experience through top-down modulation.

7. Elevate Feet for Injury Recovery

Elevate your feet during rest or sleep to improve perfusion and fluid clearance, aiding in the recovery process after injury.

8. Incorporate Daily Gentle Walking

If possible and not exacerbating the injury, take a 10-minute walk per day to aid recovery, unless the pain is excruciating or movement is impossible.

9. Control Sleep Temperature for Quality

Program your mattress cover to be cool at the beginning, colder in the middle, and warm as you wake up to optimize slow wave and REM sleep.

10. Use NSAIDs Judiciously for Pain

Understand that NSAIDs reduce inflammation, which may not be ideal in the initial stages of injury when inflammation is needed for repair, but they can be important for limiting pain to allow functionality.

11. Reframe Inflammation Perception

Understand that acute inflammation is a necessary and beneficial tissue repair response, not inherently bad, but rather essential for healing.

12. Practice Wim Hof Breathing

Engage in Wim Hof-like breathing (hyperventilating, exhales, breath holds) to release adrenaline, which can counter infection and stress, but regulate the duration of the adrenaline response.

13. Consider Acupuncture for GI Issues

Explore acupuncture or electroacupuncture for gastrointestinal issues, as stimulating specific body locations can modulate gut motility (e.g., slow down diarrhea or accelerate for constipation).

14. Test Body Sensitivity

Use two pens to test the density of receptors in different body parts by varying the distance between touches, noting how close they can be before feeling like one point.

15. Use Mirror Box for Phantom Pain

For phantom limb pain, place your intact limb in a mirror box to create a visual illusion of the missing limb, moving it to achieve a comfortable orientation and reduce pain.

16. Supplement with AG1 Daily

Consider taking AG1 daily to cover dietary gaps and support energy, immune system, and gut microbiome, especially if it’s difficult to get enough micronutrients from food alone.

17. Use David Protein Bars

Consume David protein bars as a high-quality, low-calorie snack (28g protein, 150 calories, 0g sugar) to help meet daily protein goals, especially when in a rush or needing a quick supplement.

18. Exercise Caution with Stem Cells

Approach stem cell treatments with extreme caution due to concerns about stem cells becoming unintended tissues or tumor cells, as they are pluripotent and require molecular restriction.