Six Ways to Use Your Brain to Heal Your Pain


Cindy Perlin, LCSW   

Your mind is the most powerful tool you have to reduce pain.  Every thought you have causes changes throughout your body.  When you have a fear or worry thought, your body begins to move towards the “fight or flight” response, which results in increases in muscle tension, heart rate and blood pressure, decreases in blood flow to extremities and suppression of your immune, digestive and healing systems.  Neutral, calming or happy thoughts have the opposite effect.  As a result, negative thoughts cause more pain and positive thoughts reduce pain.

Here are six ways to master the mind/body connection to eliminate pain and resolve other health issues:

  1. Relax. This is different than vegging out in front of the TV.  Relaxation is a state of deep rest where the mind is quiet and the body is physiologically calm.  Meditation, body scanning, repeating relaxing suggestions and slow, diaphragmatic breathing are techniques you can use to achieve relaxation.  Biofeedback, which uses sensitive electronic instruments to measure your physiology (muscle tension, heart rate, blood flow to extremities, brain activity, etc.), can help you learn to relax by providing information about how well your efforts are working.
  1. Stop worrying. As noted earlier, worry thoughts trigger the fight or flight response.  Learning to be more aware of your thoughts and to examine whether they are realistic assessments of danger, as well as learning how to replace fearful thoughts with more hopeful thoughts of positive outcomes, can help you decrease pain.  A psychotherapist who practices cognitive behavioral therapy can help you learn how to do this.
  1. Practice Healing Visualization. Images are a very powerful way to communicate with the part of your mind that controls healing.  Visualize your area of pain as it is now (i.e. tense, unhealthy) and imagine it gradually shifting to a healthier state.  You can also choose a color, sound, texture, shape and size that represents your pain and imagine it changing to a healthier color, sound, texture, shape and size.  You can also imagine yourself moving comfortably through your life, doing the things you would like to be doing when you are completely well.  These soothing images put your body in a healing state and focus your body’s attention and energy on healing the problem.  Pre-recorded guided visualizations for healing pain and reducing stress are available as apps and also on CDs and as mp3 files.
  1. Express your emotions. Emotions are energy in motion.  When you attempt to suppress them so that you don’t feel them it takes physical effort that can cause pain.  Numerous studies show the connection between repressed emotions and poor health.  Suppressing emotion also keeps you stuck, unable to move past what you are avoiding.  Talking to someone about how you feel, writing about your feelings or even just allowing yourself to sit quietly and experience your feelings can help you to feel better emotionally and physically.
  1. Laugh. When you laugh your body produces more endorphins, the body’s natural painkillers.  Even if your life contains nothing to laugh at, you can watch a funny movie or TV show, read a funny book, talk to a funny person, or read jokes on the internet.
  1. Process your trauma. Numerous studies have shown a connection between psychological trauma and chronic pain and illness.  Childhood trauma (including physical, sexual or emotional abuse, living with domestic violence or an alcoholic parent) is especially damaging.  In response to traumatic experiences, your brain becomes hypervigilant, always on the lookout and ready for danger.  This means your body is always in the fight or flight response.  Traditional talk therapy can help but it is not as effective for healing trauma as newer techniques, including EMDR, energy psychology therapies such as Thought Field Therapy and neurofeedback (brainwave biofeedback).  Find a psychotherapist who specializes in trauma and uses these techniques to help you move beyond your trauma.

Frequent side effects of a mind/body approach to pain

If you choose to use your brain to heal your pain, you will probably experience the following side effects: improved sleep, fewer infections, lower blood pressure, better digestion, less anxiety and enhanced feelings of happiness and wellbeing.

Try itYou have nothing to lose but your pain.


Allen, T. M. (2004). Efficacy of EMDR and chronic pain management. Chicago: Argosy University.

Anda, R. F., Felitti, V. J., Bremner, J. D., Walker, J. D., Whitfield, C., Perry, B. D., Dube, S. R., & Giles W. H. (2006). The enduring effects of abuse and related adverse experiences in childhood: A convergence of evidence from neurobiology and epidemiology. European Archives of Psychiatry and Clinical Neuroscience, 256, 174-86.

Brattberg, G. (20008). Self-administered EFT (Emotional Freedom Techniques) in individuals with fibromyalgia: a randomized trial. Integrative Medicine: A Clinician’s Journal, 30-35.

Brox, J. I., Sorensen, R., Friis, A. et Al. (2003). Randomized clinical trial of lumbar instrumented fusion and cognitive intervention and exercises in patients with chronic low-back pain and disc degeneration. Spine, 28(17), 1913–1921.

Brox J. I., Reikeras, O., Nygaard, O., et al. (2006). Lumbar instrumented fusion compared with cognitive intervention and exercises in patients with chronic back pain after previous surgery for disc  herniation: a prospective randomized controlled study. Pain, 122(1–2), 145–155.

Burns, J. W. (2006). Arousal of Negative emotions and symptom specific reactivity in chronic low-back pain patients. Emotion, 6, 309-19.

Burns, J, W., Qurtana, P. J., Matsuura, J., Gilliam, W., Nappi, C., & Wolfe, B. (2012). Suppression of anger and subsequent pain intensity and behavior among chronic low-back pain patients: the role of symptom-specific physiological reactivity. Journal of Behavioral Medicine, 35(1), 103-14.

Carroll, D. (1998). Relaxation for the relief of chronic pain: a systematic review. Journal of Advanced Nursing, 27, 476-487.

Church, D. & Brooks, A. (2010). The Effect of a Brief EFT (Emotional Freedom Techniques) Self-Intervention on Anxiety, Depression, Pain and Cravings in Healthcare Workers. Integrative Medicine: A Clinician’s Journal, 40-44.

Corrado, P., Gottlieb, H., & Abdelhamid, M. H. (2003). The effect of biofeedback and relaxation training on anxiety and somatic complaints in chronic pain patients. American Journal of Pain Management, 13(4), 133-139.

de Roos, C., Veenst,ra A. C., de Jongh, A., et al. (2010). Treatment of chronic phantom limb pain using a trauma-focused psychological approach. Pain Res Manag, 15, 55-71, 65–71.

Dunbar, R., Baron, R., Frangou, A., Pearce, E., van Leeuwen, E., Stow, J., Partridge, G., MacDonald, I., Barra V and van Vugt, M.. (2012). Social laughter is correlated with an elevated pain threshold. Proceedings of the Royal Society of Biological Sciences, 279, 11161-1167.

Grant, M. (2012). Pain Control with EMDR: Treatment Manual. Mark Grant, 47.

Flor, H. & Birbaumer, N. (1993). Comparison of the efficacy of electromyographic biofeedback, cognitive-behavioral therapy and conservative medical interventions in the treatment of chronic musculoskeletal pain

Friedberg, F. (2004). Eye movement desensitization in fibromyalgia: A pilot study. Complementary Therapy in Nursing Midwifery, 10,  245–9.

Froholdt, A., Holm, I., Keller, A., Gunderson, R. B., Reikeraas, O., & Brox, J. I. (2011), No difference in long-term trunk muscle strength, cross-sectional area, and density in patients with chronic low-back pain 7 to 11 years after lumbar fusion versus cognitive intervention and exercises. The Spine Journal, 11(8), 718–725.

Geissr, M. E., Rptj, R. S., Bachman, J. E., & Exkert, T. A. (1996). The relationship between symptoms of post-traumatic stress disorder and pain, affective disturbance and disability among patients with accident and non-accident related pain. Pain, 66(2-3), 207-214,

Grant, M., Threlfo C. (2002). EMDR in the treatment of chronic pain. Journal of Clinical Psychology, 58, 1505–20.

Hargrove, J. B., Bennett, R. M., Simons, D. G., Smith, S. J., Naqpal, S., Deering, D. E. (2010). Quantitative electroencephalographic abnormalities in fibromyalgia patients. Clinical EEG and Neuroscience, 4(3), 132-9.

Harte, J. L., Eifert, G. H., & Smith, R. (1995). The effects of running and meditation on beta-endorphin, corticotrophin-releasing hormone and cortisol in plasma, and on mood. Biological Psychology, 40(3), 251-65.

Hassard, A. (1995). Investigation of eye movement desensitization in pain clinic patients. Behav Cogn Psychother, 23, 177–85.

Humphreys, P. A., & Gevirtz, R. (2000). Treatment of recurrent abdominal pain: Components analysis of four treatment protocols. Journal of Pediatric Gastroenterological Nutrition, 31(1), 47-51.

Jensen, M. P., Sherlin, L. H., Gertz, K. J., Braden, A. L., Kupper, A. E., Gianas, A., Howe, J. D., & Hakimian, S. (2013) Brain EEG activity correlates of chronic pain in persons with spinal cord injury: clinical implications. Spinal Cord, 51(1), 55-8.

Jensen, M. P., Gertz, K. J., Kupper, A. E., Braden, A. L., Howe, J. D., Kakimian, S., & Sherlin, L. H. (2013). Steps toward developing an EEG biofeedback treatment for chronic pain. Applied Psychophysiology and Biofeedback, 38(2), 101-8.

Kavakcı, O., Semiz, M., Kaptanoglu, E., & Ozer, Z. (2012). EMDR treatment in fibromyalgia, a study of seven cases. Anatolian Journal of Psychiatry, 13, 75–81.

Kayiram, S., Dursun, E., Dursun. N, Ermutlu, N, Karamursel S. (2010). Neurofeedback intervention in fibromyalgia syndrome; a randomized controlled rater blind clinical trial. Applied Psychophysiology and Biofeedback, 35(4), 293-302.

Keller, A., Brox, J. I., Gunderson, R., Holm, I., Friis, A., & Reikeras, O. (2004). Trunk muscle strength, cross-sectional area, and density in patients with chronic low-back pain randomized to lumbar fusion or cognitive intervention and exercises. Spine, 29(1):3–8.

Klossika, I., Flor, H., Kamping, S., et al.(2006). Emotional modulation of pain: A clinical perspective. Pain, Konuk, E., Epözdemir, H., Atçeken, S.¸ Aydin YE., & Yurtsever, A. (2011). EMDR treatment of migraine. Journal of EMDR Practice Research, 5, 166–76124, 264-268.

Lane, J. (2009). The neurochemistry of counterconditioning: acupressure desensitization in psychotherapy. Energy Psychology: Theory, Research and Treatment, 1, 31-44.

Levine, P. & Phillips, P. (2012). Freedom from Pain: Discover Your Body’s Power to Overcome Physical Pain. Sounds True.

Marcus, S. V. (2008). Phase 1 of integrated EMDR: An abortive treatment for migraine headaches. Journal of EMDR Practice Research, 2, 15–25.

Mazzola, A., Calcagno, M. L., Goicochea, M. T., et al. (2009). EMDR in the treatment of chronic pain. Journal of EMDR Practice Research, 3, 66–79.

NIH Technology Assessment Panel of Integration of Behavioral and Relaxation Approaches into the Treatment of Chronic Pain and Insomnia, Integration of behavioral and relaxation approaches into the treatment of chronic pain and insomnia. (1996). JAMA, 276(4), 313-8

Ortner, N. (2015). The Tapping Solution for Pain Relief: A Step-by-Step Guide to Reducing and Eliminating Chronic Pain. New York: Hay House.

Pennebaker, J. (1997). Opening Up: the Healing Power of Expressing Emotions. New York: The Guilford Press, 9-10.

Pert, C. (1999). Molecules of Emotion. New York: Simon and Schuster.

Peyron, R., Laurent, M., & Garcie-Larria, L. (2000). Functional imaging of brain responses to pain: a review and meta-analysis. Clinical Neurophysiology, 30, 263-288.

Prichep, L .S., John, E. R., Howard, B., Merkin, H, & Hiesiger, E. M. (2001). Evaluation of the pain matrix using EEG source localization: a feasibility study. Pain Medicine, 12(8), 1241-8.

Quartana, P. J. & Burns, J. W. (2007). Painful consequences of anger suppression. Emotion, 7, 400-14

Rokicki, L. A., Holroyd, K. A., Brance, C. R., Lipchik, G.L., France, J. L., & Kvaal, S. A. (1997). Change mechanisms associated with combined relaxation/EMG biofeedback training for chronic tension headache. Applied Psychophysiology and Biofeedback, 22(1), 21-41.

Sarno, J. (2010). Healing Back Pain. New York: Grand Central Life & Style.

Sarno J. (2001). The Mind/Body Prescription Grand Central Publishing.

Schneider, J., Hofmann, A., Rost, C., & Shapiro, F. (2008). EMDR in the treatment of chronic phantom limb pain. Pain Medicine, 9, 76–82.

Schnurr, P. & Green, B. (2003). Physical Health Consequences of Extreme Stress, American Psychological Association, Washington, 3-10.

Shapiro, F. (1989) Eye Movement Desensitization: A new treatment for posttraumatic stress disorder. Journal of Behavior Therapy & Experimental Psychiatry, 20(3), 211-217.

Shubiner, H. (2012) Unlearn Your Pain: A 28-Day Process to Reprogram Your Brain. Pleasant Ridge, MI: Mind*Body Publishing.4.

Silberstein, S. D. (2000). Practice parameter: Evidence-based guidelines for migraine headaches (an evidence-based review): Report of the quality standards subcommittee of the American Academy of Neurology. Neurology, 55, 754-762.

Sprouse-Blum, A., Smith, G., Sugai, D., & Parsa D. (2010). Understanding endorphins and their importance in pain management. Hawaii Medical Journal, 69, 70-71.

Stern, J., Jeanmonod, D., & Sarnthein, J. (2006). Persistent EEG overactivation in the cortical pain matrix of neurogenic pain patients. Neuroimage, 31(2), 721-31.

Sveinsdotir, V., Eriksen, H.R., & Reme, S.E. (2012) Assessing the role of cognitive behavioral therapy in the management of chronic nonspecific back pain. Journal of Pain Research, 5, 371-80.

Tesarz, J., Gerhardt, A., Leisner, S., Janke, S., Hartmann, M., Seidler, G., & Eich, W. (2013). Effects of eye movement desensitization and reprocessing (EMDR) o. CAM and energy psychology techniques remediate PTSD symptoms in veterans and spouses n non-specific chronic back pain: a randomized controlled trial with additional exploration of the underlying mechanisms. BMC Musculoskeletal Disorders, 14, 256.

Tesarz, J., Leisner, S., Gerhardt, A., Janke, S., Seidler, G. H., Eich, W., & Hartmann, M. (2014). Effects of eye movement desensitization and reprocessing (EMDR) treatment in chronic pain patients: a systematic review. Pain Medicine, 15(2), 247-63.

Van Rood, Y. & de Roos, C. (2009). EMDR in the treatment of medically unexplained symptoms: a systematic review. Journal of EMDR Practice and Research, 3(4), 248-63.

Vasudeva, S., Claggett, A. L., Tietjen, G. E., & McGrady, A. V. (2003). Biofeedback-assisted relaxation in migraine headache: Relationships to cerebral blood flow velocity in the middle cerebral artery. Headache, 43(3), 245-50.

Walker, J. (2011). QEEG-guided neurofeedback for recurrent migraine headaches. Clinical EEG and Neuroscience, 42(1), 59-61.

Wilensky, M. (2006). Eye movement desensitization and reprocessing (EMDR) as a treatment for phantom limb pain. J Brief Ther, 5, 31–44.

Yucha, C. & Montgomery, C. (2008). Evidence-Based Practice in Biofeedback, Association for Applied Psychophysiology and Biofeedback.

Cindy Perlin
Cindy Perlin is a Licensed Clinical Social Worker, certified biofeedback provider, chronic pain survivor and the author of The Truth About Chronic Pain Treatments: The Best and Worst Strategies for Becoming Pain Free. She lives and works in the Albany, NY area where she has been helping her clients improve their health and emotional well-being for 25 years. Find out more about her at