How Pain Can Change Your Brain

  • Wednesday, 15 June 2011
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Chronic pain isn’t just a nag. It can make day-to-day life downright miserable.

It’s hard to focus on anything when you’re in pain. New research tells us why.

A recent study, published in the Journal of Neuroscience, sheds some light on exactly what goes on in the brain while folks are in constant pain [1]…

Can pain change the brain? If so, can the changes be reversed?

For this study, researchers recruited eighteen adult patients with chronic low back pain.

Before they were given treatment for their pain, each patient was subject to a functional MRI (fMRI).

A control group of sixteen healthy, pain-free participants was also given an fMRI.

Here’s what happened:

The first thing researchers noticed was that a prominent region in the frontal cortex – called the dorsolateral prefrontal cortex (DLPFC) – was thinner in the lower back pain group than that of the pain-free group.

Next, during the brain scan, participants were asked to perform a mental task. They had to pick out a visual target from other characters.

Both groups performed the task equally well. The major difference was that those in pain had several more brain regions that were activated, including the DLPFC.

Once the brain scan data was collected, the patients received treatment for their pain.

Six Months Later

Post-treatment, the majority of patients reported being pain free.

Researchers then gave each one a new fMRI to see what changes occurred in the brain, if any.

It turns out that the thickness of the DLPFC increased in EVERY patient who reported an improvement in his or her pain.

Then, when performing the same mental task from the first fMRI, these former pain patients showed a significant decrease in brain activation than they did while in ...

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