Welcome to the comprehensive course on understanding and addressing chronic pain and associated conditions. This course spans seven modules, each designed to provide valuable insights and practical knowledge. From exploring the brain's role in pain perception to identifying the emotional and psychological factors at play, we delve deep into the mind-body connection. You'll learn to differentiate between structural and neural circuit-related pain, and discover emerging therapies like Pain Reprocessing Therapy (PRT) and Emotional Awareness and Expression Therapy (EAET). We also explore the application of this model to various conditions beyond pain. Along the way, you'll gain access to resources to further your understanding and help those dealing with chronic conditions. This course aims to empower you with knowledge and compassion, offering hope to individuals living with chronic pain and associated challenges.
Welcome to Module 1, "The Reign of Pain Lies Mainly in the Brain: Applying New Concepts in Neuroscience to Chronic Painful Conditions," presented by Howard Schubiner, MD. Throughout this course, our primary objectives are to expand your understanding of pain, particularly chronic pain, and its connection to the brain. Our exploration begins with "The Experience of Pain," where we delve into the profound aspects of pain, including its reality, intensity, and its relationship with injuries. We'll also examine historical data from the Beecher study to broaden our perspective. In "How the Brain Works: Predictive Processing," we'll uncover the brain's role in shaping our sensory experiences, from sight and sound to touch. We'll explore how the brain anticipates and reacts to our environment, sometimes sacrificing accuracy for efficiency. Lastly, in "What is Pain?" we'll delve into the necessity of pain as a protective mechanism, its brain-generated nature, and its role as an alarm system. We'll consider how the brain can produce a range of symptoms, even in response to non-physical threats.Throughout these modules, you'll engage in quizzes, reflective exercises, and readings, fostering a comprehensive understanding of the brain's influence on pain. So, let's embark on this enlightening journey into the intriguing world of pain and neuroscience. "The reign of pain lies mainly in the brain: Applying new concepts in neuroscience to chronic painful conditions." –Howard Schubiner, MD March, 2023.
How the brain works: Predictive processing•15 minutes
What is Pain?•11 minutes
3 readings•Total 30 minutes
Beecher study•10 minutes
Rotating Mask and other illusions•10 minutes
1) Rubber hand illusion, 2) Article on tik tok tics, 3) neuroscience research paper•10 minutes
3 assignments•Total 15 minutes
1.1 Summary Quiz•5 minutes
1.2 Summary Quiz•5 minutes
1.3 Summary Quiz•5 minutes
3 discussion prompts•Total 30 minutes
Bodily Injury Discussion•10 minutes
Reflection on experiences of errors in processing or predicting•10 minutes
Pain Unexpected Discussion•10 minutes
Stress and emotions can cause pain
Module 2•2 hours to complete
Module details
Welcome to Module 2, "Stress and Emotions Can Cause Pain," where we explore the intriguing interplay between stress, emotions, and pain perception. In this module, our objectives are to understand how the brain determines pain occurrence, recognize the role of stress and emotions as pain triggers, define neural circuits in pain perception, and describe how the brain activates and deactivates these circuits. Through the engaging video "Understanding Pain in Three Stories," we examine narratives ranging from painless injuries to emotional triggers, backed by studies like Kross and Eisenberger. In "How the Brain Learns Pain," we delve into neural circuits' role in learning and their potential for triggering and extinguishing pain. Join us in unraveling the complexities of pain in Module 2.
Derbyshire, Kross, and Eisenberger Studies •15 minutes
Dr. Hebb, echolocation, and a backwards bicycle•30 minutes
2 assignments•Total 10 minutes
2.1 Summary Quiz•5 minutes
2.2 Summary Quiz•5 minutes
2 discussion prompts•Total 20 minutes
Physical reaction stories•10 minutes
Reflect on learning•10 minutes
What causes chronic pain?
Module 3•2 hours to complete
Module details
Welcome to Module 3, "What Causes Chronic Pain?" In this module, we delve into the origins of chronic pain, exploring the critical role played by neural circuits, emotions, and our reactions in its development. Our objectives include recognizing how the brain learns and perpetuates pain, understanding the persistence of neural circuits in chronic pain, and identifying the influence of emotions and reactions. In "Part One: Reinforced Neural Circuits after an Injury," we analyze the story of Lorimer Moseley's snakebite and the factors contributing to the enduring pain, such as stress, fear, and the "six Fs." We emphasize that while injuries heal, neural circuit conditions can persist, lasting for extended periods. In "Part Two: Linkage of Emotions to Pain in Absence of an Injury," we explore how stress and emotions can give rise to pain, linking feelings to physical symptoms and highlighting the emotional triggers underlying pain. Join us in unraveling the complexities of chronic pain's origins in Module 3.
Neural circuits can be reinforced after an injury•14 minutes
Linkage of emotions to pain (in the absence of an injury)•18 minutes
2 readings•Total 35 minutes
Two videos on pain•20 minutes
Pain and emotions studies •15 minutes
2 assignments•Total 10 minutes
3.1 Summary Quiz•5 minutes
3.2 Summary Quiz•5 minutes
6 discussion prompts•Total 60 minutes
Reflect on triggers•10 minutes
Reflect on activated neural circuits•10 minutes
Reflect on reactions•10 minutes
Reflect on emotions•10 minutes
Reflect on dealing with emotions•10 minutes
Reflect on Lumley & Yarns and Craig articles•10 minutes
Conditions that can be nociplastic
Module 4•2 hours to complete
Module details
Welcome to Module 4, "Conditions That Can Be Nociplastic," where we delve into the concept of symptoms with symbolic origins and explore the mechanisms for understanding pain's location. Our objectives include recognizing the symbolic nature of specific symptoms, identifying common nociplastic syndromes, and understanding that imaging studies can reveal conditions like arthritis without accompanying pain. In Video One, we examine illustrative stories of chronic pain, highlighting the role of emotions and past experiences. The quiz challenges assumptions, and an exercise prompts reflection on trauma and chronic pain in individuals. In Video Two, we explore various pain syndromes, distinguishing primary from secondary causes. The quiz tests knowledge of pain syndromes, and an exercise encourages reflection on someone's diagnosis. Join us in demystifying nociplastic conditions in Module 4.
Examples of chronic pain: illustrative stories•19 minutes
Dan Ratner•15 minutes
What kinds of syndromes are more or less likely to be due to neural circuit disorders?•23 minutes
Lynn Crothers Interview•17 minutes
1 reading•Total 20 minutes
PTSD studies on IBS, FM, and in veterans•20 minutes
2 assignments•Total 10 minutes
4.1 Summary Quiz•5 minutes
4.2 Summary Quiz•5 minutes
2 discussion prompts•Total 20 minutes
Reflect on traumatic events•10 minutes
Reflect on someone you know•10 minutes
How does a doctor assess for neural circuit disorders?
Module 5•3 hours to complete
Module details
Welcome to Module 5, "How Does a Doctor Assess for Neural Circuit Disorders?" In this module, our objectives include recognizing how doctors can rule out structural conditions, as well as identifying ways to rule in a nociplastic condition using both circumstantial and confirmatory evidence. In Video One, "Ruling Out a Structural Problem," we emphasize the importance of thorough medical history, physical examinations, and testing to detect significant structural disorders while avoiding overdiagnosis based on common abnormalities in normal individuals. In Video Two, "Ruling In a NC Disorder—Circumstantial Evidence," we explore additional data beyond traditional medical assessments, such as body maps, associated conditions, and links to stressful life situations. Video Three, "Ruling In a NC Disorder—Confirmatory Evidence," introduces the FIT criteria (Functional, Inconsistent, Triggered) as confirmatory "tests" for identifying neural circuit or mind-body conditions. Quizzes and exercises provide opportunities for reflection, and readings offer further insights into this diagnostic approach. Join us in understanding the assessment of neural circuit disorders in Module 5.
Ruling in a NC disorder—circumstantial evidence•14 minutes
Rachel Hollander•19 minutes
Ruling in a NC disorder—confirmatory evidence•29 minutes
Rob Ensor•21 minutes
3 readings•Total 35 minutes
Articles on MRIs •20 minutes
ACES Study by Drs. Felitti and Anda•5 minutes
FIT diagnosis document•10 minutes
3 assignments•Total 40 minutes
5.1 Summary Quiz•5 minutes
5.2 Summary Quiz•5 minutes
5.3 Summary Quiz•30 minutes
3 discussion prompts•Total 30 minutes
Reflect on the investigation•10 minutes
Reflect on this set of data•10 minutes
Reflect further on the data•10 minutes
Treatment of chronic painful conditions
Module 6•3 hours to complete
Module details
Welcome to Module 6, "Treatment of Chronic Painful Conditions." In this module, we'll explore current methods of coping with chronic pain and why they have limitations. We'll also delve into emerging models of treatment that offer more effective approaches. Our objectives include identifying common current treatments, such as opioids, injections, surgery, and psychological therapies, and discussing their effectiveness and limitations. We'll then introduce two promising therapies: Pain Reprocessing Therapy (PRT) and Emotional Awareness and Expression Therapy (EAET). PRT involves careful assessment, education about pain, and exercises to calm the brain's danger signal, while EAET focuses on understanding the role of emotions in pain, identifying and expressing suppressed emotions, and promoting self-compassion. Through quizzes, exercises, and readings, we'll reflect on the various treatment options and their potential impact on chronic pain management. Join us in Module 6 to explore these innovative approaches to chronic pain treatment.
Review of current methods—coping models and why they are limited; research studies•16 minutes
Elisabeth de las Casas•12 minutes
Review of emerging methods—curing models and why they are more effective; research studies•26 minutes
Lee Canter•20 minutes
2 readings•Total 50 minutes
Studies on CBT, MBSR, ACT, etc.•30 minutes
PRT and EAET papers•20 minutes
2 assignments•Total 10 minutes
Summary Quiz•5 minutes
Summary Quiz•5 minutes
2 discussion prompts•Total 20 minutes
Reflect on the treatments•10 minutes
Reflect on the onset of pain or other symptoms•10 minutes
Conclusions: Associated conditions and resources
Module 7•2 hours to complete
Module details
Welcome to Module 7, "Conclusions: Associated Conditions and Resources." In this final module, we'll expand our understanding of this model's applicability to various other conditions beyond chronic pain, including fatigue, insomnia, POTS, tinnitus, anxiety, depression, and more. Our objectives include recognizing the broad range of conditions this model can apply to and identifying valuable resources for individuals dealing with chronic pain and associated conditions. We'll emphasize the importance of cautious assessment to rule out structural conditions and explore resources like PPDA, TMS wiki, and books for both patients and professionals. As we conclude this course, we'll reflect on the knowledge gained, its practical implications, and the hope it can provide for those facing chronic pain and related challenges.
What's included
4 videos1 assignment2 discussion prompts
Show info about module content
4 videos•Total 109 minutes
Application of this model to other conditions•50 minutes
Amy Engkjer•16 minutes
Epilogue•23 minutes
Cynthia Austin•20 minutes
1 assignment•Total 5 minutes
Summary Quiz•5 minutes
2 discussion prompts•Total 20 minutes
Reflect on any associations or connections•10 minutes
Reflect on this course•10 minutes
Instructor
Instructor ratings
Instructor ratings
We asked all learners to give feedback on our instructors based on the quality of their teaching style.
Michigan State University has been advancing the common good with uncommon will for more than 150 years.
One of the top research universities in the world, MSU pushes the boundaries of discovery and forges enduring partnerships to solve the most pressing global challenges while providing life-changing opportunities to a diverse and inclusive academic community through more than 200 programs of study in 17 degree-granting colleges.
"To be able to take courses at my own pace and rhythm has been an amazing experience. I can learn whenever it fits my schedule and mood."
Jennifer J.
Learner since 2020
"I directly applied the concepts and skills I learned from my courses to an exciting new project at work."
Larry W.
Learner since 2021
"When I need courses on topics that my university doesn't offer, Coursera is one of the best places to go."
Chaitanya A.
"Learning isn't just about being better at your job: it's so much more than that. Coursera allows me to learn without limits."
Learner reviews
4.9
39 reviews
5 stars
97.50%
4 stars
0%
3 stars
2.50%
2 stars
0%
1 star
0%
Showing 3 of 39
D
DD
5·
Reviewed on Dec 28, 2023
Excellent course. Includes current research and success stories. Explained in a simple and straight-forward way with compassion.
M
MN
5·
Reviewed on May 14, 2024
Fantastic course - I learned so much. Powerful and empowering perspective in chronic pain
L
LB
5·
Reviewed on Nov 22, 2023
Wonderful program Dr Schubiner. This course makes understanding the cause of chronic pain, and chronic symptoms, plus how to resolve them clear and simple.
When will I have access to the lectures and assignments?
To access the course materials, assignments and to earn a Certificate, you will need to purchase the Certificate experience when you enroll in a course. You can try a Free Trial instead, or apply for Financial Aid. The course may offer 'Full Course, No Certificate' instead. This option lets you see all course materials, submit required assessments, and get a final grade. This also means that you will not be able to purchase a Certificate experience.
What will I get if I purchase the Certificate?
When you purchase a Certificate you get access to all course materials, including graded assignments. Upon completing the course, your electronic Certificate will be added to your Accomplishments page - from there, you can print your Certificate or add it to your LinkedIn profile.
Is financial aid available?
Yes. In select learning programs, you can apply for financial aid or a scholarship if you can’t afford the enrollment fee. If fin aid or scholarship is available for your learning program selection, you’ll find a link to apply on the description page.