mind & bodyopinionWellcome Collection

Words can soothe or hurt: how a physiotherapist learned that pain is shaped by the brain

the gist

Pain is not a fixed signal from an injury. It depends on how dangerous the brain judges a situation to be, plus a person's medical and life history, so two people with the same injury can feel very different pain. The brain can prime the body for pain when it gets a warning, and it can amplify sensation when caught off guard. Researchers at Emory University scanned people listening to everyday phrases in a neutral tone. Metaphors with physical texture, such as having leathery hands, activated brain areas linked to touch. Language that describes injury in violent terms can therefore add to how it feels.

so what

Clinicians now pay attention to how they explain treatment, since the wording of a sentence can change the experience of pain. The idea supports the wider view that pain is a brain-based experience, not only tissue damage.

Wellcome Collection · CC BY 4.0

Illustrative photo · Injurymap, CC BY 4.0, via Wikimedia Commons