#91

The Neuroscience of Chronic Pain: How Our Brain Predicts And Creates A Biology of Pain

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Episode 91
“All pain is real and generated by the brain, but 90% of people with chronic pain do not have a physical injury to explain their symptoms.”
Dr. Howard Schubiner
- Dr. Howard Schubiner

The Neuroscience of Chronic Pain: How Our Brain Predicts And Creates A Biology of Pain

In this episode, we are joined by Dr. Howard Schubiner, board certified in pediatrics, adolescent medicine, internal medicine and a leading voice in the mind body medicine field. 

What 2 neuroscience features will reinforce chronic pain and make it habitual?

We’ll be discussing how the brain regulates and generates a wide range of chronic symptoms, from pain to fatigue to anxiety and how to understand when these symptoms are mind-body related. 

 

During his research, Dr. Schubiner he noticed that sometimes people’s pain went away, but they became more anxious, or they became more depressed, or they became more fatigued, or they started having trouble sleeping, and all of a sudden it just became so obvious to him that all of these things were interconnected – one symptom would turn on and another would turn off.

 

His research and clinical experience led him to develop therapies that help to effectively “unlearn” these chronic symptoms by addressing the underlying neural circuits and emotional factors driving these psychophysiological conditions.

SHOW NOTES:

[03:00] Understanding the phenomenon of Predictive Processing 

[09:25] The 3 Rules for identifying the real reason for chronic pain

[15:20] 3 mechanisms on how pain can become habitual and reinforced by fear 

[20:00] How to understand when the root of pain and fatigue are mind-body related

[25:18] The essential aspect of curiosity and compassion with symptoms

[29:24] 6 things that reinforce danger mechanisms and make symptoms linger

[31:40] Understanding parts of us to work with fear and anger towards pain

Helpful Links Related To This Episode

Related YouTube Videos: 

Applying Internal Family Systems To A Chronic Illness with Dick Schwartz

The Trauma Response Behind Fatigue Symptoms (Excerpt of Dr. Aimie’s Biology of Trauma™ Masterclass)

Masterclass with Gabor Mate: Lessons Learned From Trauma-Disease Connection


Trauma Healing Accelerated Resources:

Steps To Identify And Heal Trauma – My free 23-page roadmap with how to identify if your body is storing trauma and if so, your clear path forward based on the science.

Foundational Journey – a guided 6 week journey into your inner world with a structured sequence of somatic and parts interventions with live online classes. One of the things that happens in just the first 21 days of the Foundational Journey is that people experience a 26% decrease in daily physical pain, speaking to what Dr Schubiner was just talking about, these neural secret pains, can turn off and on, and it’s not actually necessarily due to the the injury the body itself. It is a neural circuit and we’re managing the pain just by working with the nervous system, looking at the habitual component of it and continuing with essential parts work.

Top 3 Nutrients For Tackling Brain Inflammation – to further support how trauma creates changes in our biology, we want to calm the brain inflammation that is so often a part of trauma biology that keeps us stuck

Cellular Energy Power – chronic pain is a feature of the body stuck in freeze and trauma response. There are 3 things it needs to come out of this chronic state, and one of those is energy. This is an easy way to give your cells the energy they need to come out of a chronic state of overwhelm. 

 

Resources:

A study showing that the vast majority of people with chronic neck and back pain do not have actual structural abnormalities causing the pain, published in the Journal of Pain, 2024  

 

Connect with Dr. Howard Schubiner:

Website

YouTube

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By listening to this podcast, you agree not to use this podcast as medical advice to treat any medical condition in either yourself or others. Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast. Under no circumstances shall Trauma Healing Accelerated, any guests or contributors to The Biology of Trauma podcast, or any employees, associates, or affiliates of Trauma Healing Accelerated be responsible for damages arising from the use of the podcast.

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