Dr. Howard Schubiner

Our goal is to manage it, and that's the goal of the psychological therapies of cognitive behavioral therapy and acceptance and commitment therapy and mindfulness-based therapies, the three major, major psychological therapies for chronic pain.

And the research on those methods for treating chronic pain, chronic back pain, chronic fibromyalgia pain, chronic headache pain, et cetera, shows that their treatment is only marginally effective. It's effective to a small degree, on average, one point lowering on a 10-point pain scale, which is admittedly not that great. So it turns out there's another model, the third model. Are you with me?

And the research on those methods for treating chronic pain, chronic back pain, chronic fibromyalgia pain, chronic headache pain, et cetera, shows that their treatment is only marginally effective. It's effective to a small degree, on average, one point lowering on a 10-point pain scale, which is admittedly not that great. So it turns out there's another model, the third model. Are you with me?

And the research on those methods for treating chronic pain, chronic back pain, chronic fibromyalgia pain, chronic headache pain, et cetera, shows that their treatment is only marginally effective. It's effective to a small degree, on average, one point lowering on a 10-point pain scale, which is admittedly not that great. So it turns out there's another model, the third model. Are you with me?

I'm sorry, I'm going on a little long.

I'm sorry, I'm going on a little long.

I'm sorry, I'm going on a little long.

This is really important. There's a third model, and I'm calling that and I didn't coin this phrase, but I'm using this phrase from some great researchers called the symptom perception model. And this model is the idea that the brain is generating the pain.

This is really important. There's a third model, and I'm calling that and I didn't coin this phrase, but I'm using this phrase from some great researchers called the symptom perception model. And this model is the idea that the brain is generating the pain.

This is really important. There's a third model, and I'm calling that and I didn't coin this phrase, but I'm using this phrase from some great researchers called the symptom perception model. And this model is the idea that the brain is generating the pain.

When that's true and I've got data and we can talk more about this, but I'll just say for the moment that the vast majority of people with chronic pain do not have an ongoing physical injury in their body to be causing that pain. And what I just said, again, is a mind blowing and revolutionary statement that many doctors, maybe most doctors would not agree with.

When that's true and I've got data and we can talk more about this, but I'll just say for the moment that the vast majority of people with chronic pain do not have an ongoing physical injury in their body to be causing that pain. And what I just said, again, is a mind blowing and revolutionary statement that many doctors, maybe most doctors would not agree with.

When that's true and I've got data and we can talk more about this, but I'll just say for the moment that the vast majority of people with chronic pain do not have an ongoing physical injury in their body to be causing that pain. And what I just said, again, is a mind blowing and revolutionary statement that many doctors, maybe most doctors would not agree with.

Most people in the other two camps would tend not to agree with, but we can talk more about the specific instances of why I think that's true. And we have some research data that just came out about why I think that's true. But for the moment, if you take the view that at least some of the people, I say it's a vast majority, but at least some people have real and severe pain,

Most people in the other two camps would tend not to agree with, but we can talk more about the specific instances of why I think that's true. And we have some research data that just came out about why I think that's true. But for the moment, if you take the view that at least some of the people, I say it's a vast majority, but at least some people have real and severe pain,

Most people in the other two camps would tend not to agree with, but we can talk more about the specific instances of why I think that's true. And we have some research data that just came out about why I think that's true. But for the moment, if you take the view that at least some of the people, I say it's a vast majority, but at least some people have real and severe pain,

in the absence of injury in their body. And for these people, the symptom perception model is gonna be more applicable and more accurate and more effective because what we've shown by the emerging treatments that we are using, which we can talk about as well, when you use these treatments for the right person in the right disorder in this model,

in the absence of injury in their body. And for these people, the symptom perception model is gonna be more applicable and more accurate and more effective because what we've shown by the emerging treatments that we are using, which we can talk about as well, when you use these treatments for the right person in the right disorder in this model,

in the absence of injury in their body. And for these people, the symptom perception model is gonna be more applicable and more accurate and more effective because what we've shown by the emerging treatments that we are using, which we can talk about as well, when you use these treatments for the right person in the right disorder in this model,

The results are not just a small decrease in pain, but literally elimination of pain, reversal of pain, or at least dramatic improvement in pain. And no one can claim that 100% of their patients are cured. Nobody. That's not true for anybody. I wouldn't claim that. But the data that we have is really much more robust and powerful than the other data on pain management. So that's how I see it.