You Can Rewire Your Brain to Eliminate Chronic Back Pain
A groundbreaking new study shows the remarkable efficacy of a brain-based treatment for chronic back pain. It provides new hope for a debilitating problem.
One in five Americans suffers from chronic pain, most often without receiving many benefits from invasive and costly treatments.
The most common type of chronic pain is chronic back pain- in 85% of cases of which no physical cause can be identified.
Dr. Yoni Ashar is a clinical psychologist and neuroscientist who studies psychological treatments for chronic pain. He recently led a study at the University of Colorado Boulder to determine whether a psychological treatment can eliminate chronic back pain — something no other therapy has ever before been scientifically proven to do.
“Our society predominantly thinks about chronic pain through a biomechanical, medical perspective. The most common treatments are physical; they’re injections or physical therapy, something targeting the body. What we’re learning more and more is that in many cases of chronic pain the problem lies in the mind or the brain. And we now have decades of research, both in neuroscience medicine and psychology, showing that there are a lot of changes that happen in the brain during chronic pain. In many cases, these can cause the pain to persist after an injury has healed.”
An important distinction that should be made when discussing chronic pain is that between the two types — primary and secondary.
“With secondary chronic pain, the pain is secondary to some medical problem or disease. With primary pain the pain is the primary problem, it is not secondary to anything else. What really is driving it are neuroplastic changes in the brain, and fear and avoidance. Fear is at the heart of chronic pain, so pain is a danger signal. The fundamental function of pain is to guide a person or animal away from things that are dangerous and when we perceive things to be dangerous that can amplify or even create this pain in our brains.”
Dr. Ashar likens primary chronic pain to a false alarm stuck in the “on” position. A technique called Pain Reprocessing Therapy or PRT, developed by pain psychologist Alan Gordon who was involved in the study seeks to silence the alarm.
“At the heart of PRT is learning to think and feel differently about your pain. What I mean by that is one: thinking differently about it, so understanding that the causes of the pain are non-dangerous, reversible brain changes — the pain is sort of a false alarm.
While it’s totally real, it’s due to these brain pathways that are firing that are not accurately reflecting the state of the body. The second piece of PRT is learning to feel differently about the pain, which what I mean by that is learning not to fear the pain and this happens on a more emotional level as well, but learning to change some of these automatic clenchings and tightening around the pain, learning to relax into it, because you know that it’s safe.”Â
In the University of Colorado study, 151 participants suffering from chronic back pain underwent four weeks of treatment with PRT. The results were extraordinary.
“What we found was a really large drop in pain intensity. Two-thirds of people in the PRT condition were pain-free or nearly so, at post-treatment, as compared to less than 20% of controls. So existing psychological treatments like CBT (Cognitive Behavioral Therapy) or Acceptance and Commitment Therapy, generally aim to provide modest pain reductions and help people live more gracefully with their pain, they don’t really try to eliminate the pain. That’s one key thing that makes PRT different, is that PRT aims to eliminate the pain because it views the pain as being driven by reversible brain processes so it can be unlearned.”
Researchers were thrilled to find that the results held one year after treatment. Just what are the implications of these findings?
“What I believe we’ve been able to do in this study is take a similar treatment approach and show, in a well-conducted study, that it really works, that you really can resolve chronic pain with psychological treatment. The study shows that you can unlearn that pain and be pain-free, or nearly so.”
Thankfully, there are numerous therapists who are trained in PRT and can be readily found online. For researchers like Dr. Ashar, this study is a pivotal step towards changing the existing paradigm of how we approach pain and providing hard scientific evidence of the power of our minds to heal our bodies
380 Trillion Viruses Live In Us; How Do We Live Symbiotically With Them?
Interest in the microbiome has been steadily increasing over the past decade or so, and for good reason. The role of our internal ecosystem (gut flora) is one of the greatest scientific discoveries of our times, offering an insight into how we heal, fight off disease, and stay healthy — even in difficult times. In “Immunity and the Microbiome,” microbiologist Compton Rom presents a compelling argument for why we need to pay attention to the ecosystem of good bacteria in our digestive system.
Once we realize the great implications of how remarkable the microbiome within us can make or break our state of health, then we can boost our immunity over viruses, bacteria, and infections.
While the term “immune system” is relatively common in our daily vernacular, Rom does not limit it to the body alone. Rather, he has a holistic vision and ties the health of all life on this planet with the health of the Earth, including global warming, as well as the nature of disease-causing organisms. This holistic approach allows us to appreciate our unique role as conscious beings existing in various ecosystems that need to be recognized and respected.
Rom discusses historical evidence, showing that humans have evolved to live symbiotically with the life not just around us, but within us. This becomes particularly relevant when discussing the role of our virome, or the trillions of viruses and phages that live within our body and its cells. This he says is a major facet in maintaining proper health, by promoting symbiosis with viruses, so they don’t cause disease and illness.
We can optimize our virome and microbiome by introducing probiotic fermented and anti-inflammatory herbs, as well as a diverse diet of fruits and roots, to lower risks of infectious disease. In fact, the bacterial cells within our microbiome outnumber our human cells by tenfold.
Rom suggests our immunity from illness, as well as our relationship with the planet, begins at home. The best place to start our journey to optimum health and ideal immune function is by improving our diets, meditating, doing breathwork, exercising, and most importantly, proactively diversifying our gut microbiomes.
Compton’s philosophy is to take a non-chemical and non-pharmaceutical approach to healing, using natural herbs, and oils to eliminate pathogenic bacteria.
Our bodies, he notes, respond “best to natural compounds that have evolved alongside us for millennia. Synthetic compounds are singular in nature, while whole earth compounds carry numerous micronutrients and co-factors necessary for growth, many of which scientists have yet to discover.
This is why natural compounds are so much more effective. Modern medicine has yet to use them because they are impossible to patent; synthetics can be sold at a much higher profit than naturally derived and sustainably harvested herbs.”
