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Symptoms > Pain > All About Pain > Your Brain Confirms Your Pain
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Your Brain Confirms Your Pain

Brain imaging confirms your pain is as bad as you say it is

By Joe Mullich

“How bad is your pain today?” You’ve answered that question dozens of times by rating yourself on a pain scale from one to 10. But did you ever wonder what your answer tells your doctor? Does he know what an “eight” feels like? To understand how you are really feeling, doctors need simply ask about your pain. Brain imaging studies have demonstrated that self-reports of pain, the validity of which experts have questioned, are accurate.

In a study published in the Proceedings of the National Academy of Sciences, brain imaging confirms that people process pain sensations in their brain differently, and some people truly are more sensitive to pain than others. In the study, 17 healthy men and women had a computer-controlled heat stimulator placed on their leg. The device heated a small patch of skin to 120 degrees Fahrenheit, and the participants were asked to gauge their pain from one to 10.

The reactions varied widely – from one to nine. Meanwhile researchers watched the participants’ brain activity using magnetic resonance imaging (MRI). When the heat was applied, all 17 participants had about the same amount of activity in the thalamus – the portion of the brain that transmits pain signals from the spinal cord to other brain regions. The people who reported greater pain had more activity in the regions of the brain that interpret unpleasant feelings and perceive the location of the pain.

Brain imaging results give doctors confidence in their patients’ pain reports, and researchers hope the findings will lead to better pain management and encourage more people to try new techniques to head off painful episodes.

“Until now there was no objective evidence confirming that individual differences in pain sensitivity were in fact real,” says Roger Coghill, PhD, professor of neurobiology and anatomy at Wake Forest University School of Medicine and North Carolina Baptist Hospital in Winston-Salem, North Carolina. Coghill believes that everyone’s spinal cord sends information to the brain in the same way, but the brain itself may process the pain messages differently based on a person’s emotional state, his expectations about pain and his past experiences with pain.

According to Coghill, many people might not consider going to a psychologist for a physical problem like pain, so they keep trying medication. “But now that people can see there is a neurochemical component to pain, they may be more willing to investigate other treatments,” says Coghill.

Factoid

Natural Fact: Redheads are more sensitive to pain than are blonds or brunettes.

(Source: Proceedings of the National Academy of Sciences; Vol. 100, No. 8)

Erin
18 Oct 2011, 11:59
I have taken Mobic for OA since 2000...Now I'm wondering if I have Fibroimyalgia...Lossing 106lbs so far helped but I get so sore...I think I'll talk to dr to see if thats what I have too! I have soreness both side, sleep problems, headaches, & have been checked for TMJ...So I bet I do! But Moving really help IF you can...Mentally& Physically too!
Amanda
24 Sep 2011, 01:09
I have RA 4 years, Fibromyalgia 4 yrs...chronic Anemia...Severe pain.. I find that when I exercise I hurt so bad Im in bed for several days. Ive tried to monitor the amount and take it easy. All reports show exercise helps, so why isnt it helping?
lizzie
19 Sep 2011, 14:36
Is there such a thing as arthritis of the head?
I have been getting strange feelings in my head a sort of numbness,it can last from minutes up to hours.
I have fibromyalgia & osteo,just wanted to know if it's possible?
evelyn cicat
17 Jun 2011, 03:35
my husband named jerry was suffered from OA. He always feel pain of his knee which caused of work absent. It is very hard to control of this kind of illness, taking of medicines and applying of other kind of treatments does not response good to him. My question is how can this pain relieve to make him comfort and can do freely?
Debby
19 Apr 2011, 19:40
I have osteoarthritis and have found that the more exercise I get the better I feel.
I swim at the "Y" in an aquatics class three times a week and walk a good bit. I hope that anyone who reads this text will benefit from what I have said.
debra
19 Jan 2011, 20:44
to Helen barber I know I have had alot of neck pain and the chiropractor has helped me alot there are joints in the head as well as the neck and back I would look into it also acupunturist
helen barber
11 Jan 2011, 16:10
I have been treated for arthritis for in the neck pain - both sides - almost for a year - have had series of injections on both sides of neck - would help for a short time - then start over with the pain - then it started to sharp pain (just for a second) in the left side of my head. Just horrible - have been told nothing can be done. What does anyone suggest. I cannot live the rest of my life with this . Thank you. Helen
Terri
13 Nov 2010, 14:13
I have lupas which has caused several problems, one of which is RA. I was diagnosed approx. 15 years ago. I didn't have what I considered extreme pain until the last year and 1/2 or two. Is this normal, or do I need to see about changing treatments? I literally try every thing new I hear of to control it/therapy gloves, socks, diet, pain meds (only help somewhat), hypnotism, etc. Lately I have decided that I must just be extrememly depressed (I am already on an antidepressant). Would appreciate hearing from anyone who can steet me in the right direction. I have a wonderful ruehmetoidologist who has also been there for the last 15 years, but I'm not sure realizes how much pain I deal with.
Thanks!
Terri
Linda Blue
18 May 2010, 21:57
I was dinages with FM in 1999. But the out of control pain, I have had all my 50+ years.At times meds don't do any good. I am limit to what I can do. The pain have no one place to be at. It is destorying my joints. Now I begenning to have total joints replacements.
Sharian
16 Mar 2010, 11:01
I have generalized dystonia and today my pain is terrible. I also have the flu sot that exacerbateds my symptoms.
I live with my mom and dad because I am disabled and my mom does not understand that when I get sick the pain gets worse.
She forces me to do thinks I can't and then I get worse
I wish she would try to be more understanding.
Does anybody else have that problem.
The sun will feel good to day and a good laugh makes me feel better.
Dorothy
02 Mar 2010, 18:05
Sheri..... thank you so much or sharing your comments because I too suffer from ra and fiber and sometimes it sure does feel like there is no light at the end of the tunnel cause I hurt so bad. I lost my home and job in Fl and had to move in with my sister, who is 9 yrs older than me and can run circles around me. It used to never be like that but I love her and she supports me but she just doesn't understand my pain and does not understand why I spend alot of time in bed. My dr explained that it is very common to suffer from fibro if you have severe ra, which I did not know. Thanks for listening. God Bless everyone........
greg chick
23 Jan 2010, 21:23
It is all relative, I have 50db head noise, I get used to it. I have total deafness in one ear, I get used to it, I am blind in one eye with eye pain, I get used to it, I have RA it hurts, I cant get used to it, I guess everyone has their limits. My point is I will get used to this, my limit is dynamic as is yours.
OK so I had a glass of wine, fearing nausea I limit it to one. Misery loves company, thanks....
Sheri Roche*
21 Jan 2010, 17:07
I have never liked the pain scale. How can anyone compare the pain of a hand being burned by a fire, a kidney stone passing, have a root canal done to a migraine. To me pain is pain. My only saving grace is knowing if it will be over soon. With having RA and Fibro I don't always see the light at the end of the tunnel. I feel like I am holding my breath until the pain goes away. Sometimes I can only hold the pain so long. Then I'm so far behind on getting it under control that I'm too far behind.
Nina Aguilar
01 Sep 2009, 17:24
I am a redhead and can confirm what is written above. My SO and I had the exact same thumb surgery. His nerve block lasted 24 hours. Mine was wearing off in 6 hours!! I could move my arm!!

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