Tools to Reduce & Manage Pain | Dr. Sean Mackey

In this episode, my guest is Dr. Sean Mackey, M.D., Ph.D., Chief of
the Division of Pain Medicine and Professor of Anesthesiology,
Perioperative and Pain Medicine and Neurology at Stanford
University School of Medicine. His clinical and research efforts
focus on using advanced neurosciences, patient outcomes, biomarkers
and informatics to treat pain. We discuss what pain is at the level
of the body and mind, pain thresholds, and the various causes of
pain. We also discuss effective protocols for controlling and
reducing pain, including the use of heat and cold, acupuncture,
chiropractic, physical therapy, nutrition, and supplementation. We
also discuss how pain is influenced by our emotions, stress and
memories, and practical tools to control one’s psychological
perception of pain. And we discuss pain medications, including the
controversial use of opioids and the opioid crisis. This episode
will help people understand, manage, and control their pain as well
as the pain of others. For show notes, including referenced
articles and additional resources, please visit hubermanlab.com.
Use Ask Huberman Lab, our new AI-powered platform, for a summary,
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https://livemomentous.com/huberman Timestamps (00:00:00) Dr. Sean
Mackey (00:02:28) Sponsors: LMNT & Waking Up (00:06:13) Pain,
Unique Experiences, Chronic Pain (00:13:05) Pain & the Brain
(00:16:15) Treating Pain, Medications: NSAIDs & Analgesics
(00:22:46) Inflammation, Pain & Recovery; Ibuprofen, Naprosyn
& Aspirin (00:27:51) Sponsor: AG1 (00:30:19) Caffeine, NSAIDs,
Tylenol (00:32:34) Pain & Touch, Gate Control Theory (00:38:56)
Pain Threshold, Gender (00:44:53) Pain in Children, Pain Modulation
(Pain Inhibits Pain) (00:53:20) Tool: Heat, Cold & Pain;
Changing Pain Threshold (01:00:54) Tools: Psychology,
Mindfulness-Based Stress Reduction, Catastrophizing (01:08:29)
Tool: Hurt vs. Harmed?, Chronic Pain (01:12:38) Emotional Pain,
Anger, Medication (01:20:43) Tool: Nutrition & Pain; Food
Sensitization & Elimination Diets (01:28:45) Visceral Pain;
Back, Chest & Abdominal Pain (01:34:02) Referenced Pain,
Neuropathic Pain; Stress, Memory & Psychological Pain
(01:40:23) Romantic Love & Pain, Addiction (01:48:57)
Endogenous & Exogenous Opioids, Morphine (01:53:17) Opioid
Crisis, Prescribing Physicians (02:02:21) Opioids & Fentanyl;
Morphine, Oxycontin, Methadone (02:07:44) Kratom, Cannabis, CBD
& Pain; Drug Schedules (02:18:12) Pain Management Therapies,
Acupuncture (02:22:19) Finding Reliable Physicians, Acupuncturist
(02:26:36) Chiropractic & Pain Treatment; Chronic Pain &
Activity (02:31:35) Physical Therapy & Chronic Pain; Tool:
Pacing (02:36:35) Supplements: Acetyl-L-Carnitine, Alpha Lipoic
Acid, Vitamin C, Creatine (02:42:25) Pain Management, Cognitive
Behavioral Therapy (CBT), Biofeedback (02:48:32) National Pain
Strategy, National Pain Care Act (02:54:05) Zero-Cost Support,
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