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Rethink Pain: It's All in Your Head
4 Apr
Summary
- The brain controls all pain experiences, even creating phantom sensations.
- Chronic pain may improve with pleasant mental imagery and mindfulness.
- New RICE alternative MEAT encourages movement over inflammation reduction.

Neurosurgeon and journalist Dr. Sanjay Gupta is set to release his 2025 book, "It Doesn't Have to Hurt: Your Smart Guide to a Pain-Free Life." The book delves into the latest pain science, emphasizing the brain's pivotal role in experiencing and even generating pain signals.
Gupta illustrates this with patient examples, noting how individual stress levels and environmental factors can drastically alter pain outcomes. He explains that chronic pain, lasting over three months, often has complex causes that are still not fully understood.
Mindfulness-oriented therapies, such as the MORE protocol, are presented as effective for chronic pain management. This approach encourages patients to focus on pleasant mental imagery to counteract pain.
Furthermore, new research suggests shifting away from the traditional RICE (Rest, Ice, Compress, Elevate) method for injuries like ankle sprains. Instead, the MEAT acronym (Movement, Exercise, Analgesia, Treatment) is proposed, prioritizing early mobilization and exercise over solely reducing inflammation.