How We Might Harness the Brain’s Pain-Control System for Drug-free Relief

Y our body has its own natural pain-relief system, and scientists may be one step closer to learning how to use it. In a new study, researchers identified a part of the brain that appears to be important in controlling this system. The researchers hope that one day, treatments that harness the power of this part of the brain could provide patients with a natural alternative to powerful pain drugs like opioids. The new results “build a picture of why and how the brain decides to turn off pain in certain circumstances,” lead study author Ben Seymour, a neuroscientist at the University of Cambridge in the United Kingdom, said in a statement. The study identifies a brain region called the pregenual cingulate cortex “as a critical ‘decision center’ controlling pain in the brain,” Seymour said. [5 Surprising Facts About Pain] No one likes to be in pain, but the sensation likely evolved to help us survive, the researchers said. For example, after an injury, constant pain forces us to rest, which allows the body to devote much of its energy toward healing. “Pain can actually help us recover by removing our drive to do unnecessary things — in a sense, this can be considered ‘healthy pain,’” Seymour said. But if this is true, why does the body have a natural painkilling system that turns down the pain signal in some cases, but not in others? Seymour and his colleagues hypothesized that even “healthy pain” could be a problem if a person could actively do something to help their injury, such as finding a way to cool a burn. So the brain might activate its pain-killing system in these situations, Seymour said. To test this hypothesis, the researchers carried out several experiments. First, they attached metal probes to the arms of about 20 healthy participants. The probes were heated to a level that was painful, but not enough to burn the participants. Next, th eh volun tee rslp lay edlda game that hi involvedld figuring out which button on a small keypad would cool down the probe. In some cases, it was easy to turn off the probe, but in other cases, it was more difficult. During the entire task, the volunteers periodically rated their pain level, and their brain activity was monitored with the use of a brain-imaging technique called functional magnetic resonance imaging (fRMI). The researchers found that the participants’ level of pain was related to how much information they needed to learn to complete the task. When participants needed to learn which button to press to relieve their pain, their pain ratings dropped. But when the subjects knew which button to press, their pain levels were not reduced. Using a computer model, the researchers were able to pinpoint this brain activity to the area of the brain called the pregenual cingulate cortex. Future research should focus on understanding how this brain area might be “turned on” as a treatment for chronic pain, the researchers said. It’s important to note that this study only found an association, and didn’t prove that this brain area alone is responsible for turning down participants’ pain. The study was published online today (Feb. 27) in the journal eLife. Original article on Live Science.