What psychological and mind-body therapies are used for pain after SCI?

Author: SCIRE Community Team | Reviewer: Patricia Mills | Published: 12 April 2017 | Updated: 18 October 2017, 10 October 2024

Psychological and mind-body therapies are used to address the many non-physical contributors to pain. These can range from treatment from a psychologist or physician to a number of complementary therapies. These treatments have an important and often underused role in pain management. Most of the psychological and mind-body therapies have not been studied extensively for pain after SCI and need further study before we know how effective they are.

Cognitive behavioural therapy (CBT) is a psychological therapy that is usually done with a therapist or other health provider. Cognitive behavioural therapy aims to change personal beliefs and coping skills through practices involving thoughts, emotions, and behaviours.

Biofeedback provides information about your body’s responses.¹³

Biofeedback involves electrically monitoring bodily functions so the individual can learn to regain voluntary control of this function. Electroencephalography (EEG), a non-invasive technology measuring electrical brain activity, has been used to provide feedback on brain states related to chronic pain.

Visual imagery techniques guide individuals through a series of images to change perceptions and behaviours related to pain.

Hypnosis is an alternative treatment for chronic pain.

Other psychological and behavioural treatments for chronic pain after SCI, such as meditation, mindfulness, and relaxation techniques, have not yet been studied. Treatments for substance abuse, depression, anxiety, and post-traumatic stress disorder may also have an important role in pain management.