EPISODE · Jan 31, 2026 · 1H 4M
The Missing Two-Thirds Of Pain Treatment + Find Your Pain Recipe | Dr. Rachel Zoffness (PhD)
from Pain Coach · host Lachlan Townend
Dr. Rachel Zoffness (PhD) is a pain psychologist and author who has devoted her career to understanding why we suffer with pain and what we can actually do about it.We discuss: The childhood experience with chronic pain that sparked her obsession with understanding suffering. The "biopsychosocial" truth about pain that medicine has known for 65 years but never tells patients. Why the healthcare system only treats one-third of the pain problem. The "pain dial" in your nervous system and the three factors that turn it up or down. How she learned to warm her hands to 90 degrees using only her thoughts. The difference between a "high pain recipe" and a "low pain recipe" – and how to craft yours. If there is an off switch for pain and whether you would want one. And much more...Rachel's new book Tell Me Where It Hurts is out March 24th and is available for pre-order on Amazon. RESOURCES Pain Coach: Find Lifestyle Targets for Treating Pain Tell Me Where It Hurts Rachel's Website Book an appointment to see LachlanKEY TOPICS00:00 The lie medicine has sold you about pain01:24 Why Rachel devoted her life to studying pain03:02 Chronic pain as a child & what she wishes she'd known05:28 What is pain? The biopsychosocial model explained08:05 The three domains: Bio, Psych & Social09:05 The missing two-thirds of pain treatment11:32 Why pills and procedures aren't working12:13 Central sensitization: How pain becomes chronic15:01 The piano analogy: Your brain practices pain17:50 Is there hope? Can the pain pathway shrink?25:52 The Pain Dial: How to turn your volume up and down26:15 Factor 1: Stress and anxiety26:40 Factor 2: Mood and emotions27:25 Factor 3: Attention and focus28:16 The good news: The opposite is also true30:18 Is there an on/off switch for pain?32:04 Why opioids work (and it's not just physical)33:39 Can chronic pain ever fully disappear?35:32 The Pain Recipe: High pain vs low pain ingredients38:35 Crafting your low pain recipe41:51 Habit change & lasting pain relief45:08 Biofeedback: How Rachel learned to warm her hands to 90 degrees51:42 Your thoughts literally change your biology53:16 Biofeedback is as effective as migraine drugs54:16 This isn't "manifesting" – it's science55:55 How to reduce fear during a pain flare58:24 What surprised Rachel while writing the book01:00:26 About "Tell Me Where It Hurts"01:02:10 Rachel's parting advice: Write your pain recipe
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The Missing Two-Thirds Of Pain Treatment + Find Your Pain Recipe | Dr. Rachel Zoffness (PhD)
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