#PainReprocessing

Chronic pain is a lifelong burden for millions. New research shows three non-drug therapies—cognitive behavioral therapy (CBT), acceptance and commitment therapy (ACT), and pain reprocessing therapy (PRT)—can meaningfully reduce pain and improve quality of life. Telehealth is helping bring these options to patients in rural and underserved areas.

Global estimates show chronic pain persisting for three months or more, affecting about 8% to 11% of people, with higher rates in developed countries. In Thai clinics, back pain, headaches, and muscle problems are among the most common complaints. Beyond physical discomfort, chronic pain often disrupts sleep, mood, and daily routines. Traditional approaches rely heavily on medications, but these treatments can lose effectiveness over time and carry risks of overuse and side effects.

Emerging research is reshaping the management of chronic pain, with promising evidence for psychological interventions such as cognitive behavioral therapy (CBT), acceptance and commitment therapy (ACT), and pain reprocessing therapy (PRT). In a recent article by the Washington Post, experts highlighted three non-pharmacological techniques shown to help people manage persistent pain—offering hope for millions of Thais living with chronic conditions that medications alone often fail to alleviate (Washington Post).

Chronic pain, defined as pain lasting three months or longer, affects between 8% to 11% of people globally, with higher rates in more industrialized countries. Thailand is no exception, where back pain, headaches, and muscle disorders are among the most common complaints seen in clinics nationwide (Wikipedia). Persistent pain drains not only physical vitality but also mental health, often leading to depression, sleep difficulties, and profound disruption of daily life. Traditionally, treatment emphasized medications—ranging from paracetamol to opioids—but these often fall short for patients with ongoing pain and pose risks such as overuse, dependence, and diminished effectiveness over time.