Author
Dr. Sanjog Mekewar
Can Managing Emotions Reduce Chronic Pain?
Managing your emotions can reduce chronic pain. As a pain specialist, I’ve seen this time and again. When someone is living with long-term pain like back pain, migraines, arthritis, or fibromyalgia it doesn’t just affect their body. It also takes a toll on their mind and mood. What many people don’t realize is that emotions like stress, anxiety, and frustration can actually amplify the pain.
It might sound surprising, but your brain and your body are deeply connected. The way you feel emotionally can change how your body feels physically. The good news? When you learn how to manage those emotions in healthier ways, pain often becomes easier to cope with.
At Jeevisha Pain Clinic in Pune, we’ve helped many people find relief by not only treating the physical side of pain, but also by supporting the emotional side. Medications and therapies are important—but so is understanding how your mind influences your pain.
Let’s look at how emotional regulation can help you feel more in control, reduce your symptoms, and improve your quality of life.

Understanding Chronic Pain and the Role of Emotions
Chronic pain is any pain that lasts for more than 3 months. Unlike acute pain, which is your body’s natural response to injury or illness, chronic pain often lingers even after the original cause has healed. It can be dull or sharp, constant or on-and-off—and it often affects your daily life, mood, and sleep.
Now, here’s what many people don’t realize: the brain doesn’t just process pain—it also shapes how we feel that pain. When you’re stressed, anxious, angry, or even feeling hopeless, your brain becomes more sensitive to pain signals.
This emotional stress can increase muscle tension, disrupt sleep, and raise inflammation—all of which can make the pain feel worse.
One of my patients with long-standing neck pain once told me, Every time I’m going through an emotional torture, my pain increases. That observation was not just valid—it’s backed by science.
The Science Behind Emotions and Pain
Your brain’s emotional centers and pain centers overlap. When you feel sad or afraid, certain chemicals like cortisol (the stress hormone) increase, while calming ones like GABA decrease. Over time, this imbalance can heighten your body’s sensitivity to pain.
This is why negative emotions like fear, guilt, and anger often make pain feel stronger. And it’s also why learning emotional regulation for chronic pain can make a real difference in how you feel day to day.
Researchers have found that people with better emotional regulation skills often report lower pain intensity, improved sleep, and better physical function—even if their medical condition hasn’t changed.
Emotional regulation means being aware of your feelings and learning how to respond to them in healthier ways, instead of reacting impulsively or suppressing them.
The Pain-Emotion Cycle
Many patients fall into what’s called the “pain-emotion cycle.” It goes like this:
- You feel pain → it causes stress or fear → this emotional stress makes your body tense → the pain gets worse → which creates even more stress.
Breaking this cycle doesn’t mean ignoring your pain. It means adding new tools to your toolkit that calm the emotional response to pain and lower the brain’s reactivity.
Diagnosing the Emotional Side of Pain
At Jeevisha Pain Clinic Pune, when we meet someone with chronic pain, we don’t just look at MRI scans or lab results. We also gently explore how emotions may be playing a role.
Some patients are surprised when we ask about things like:
-
- Whether they feel anxious or helpless about their pain
- If they avoid activities out of fear of flaring up
- How stress or sadness affects their sleep and energy
This kind of honest conversation helps us understand the whole picture and tailor the right approach—not just for pain relief, but for long-term well-being.
How Emotional Regulation Can Help with Pain Relief?
Let’s talk about some of the tools that help regulate emotions and reduce pain—these are strategies we often recommend as part of a comprehensive chronic pain management plan:
1. Cognitive Behavioral Therapy (CBT)
CBT helps you notice and change unhelpful thought patterns. For example, a thought like “This pain will ruin my life” can lead to hopelessness and inactivity. CBT teaches you how to reframe that thought, reduce emotional distress, and re-engage with life—leading to less perceived pain.
2. Mindfulness and Breathing Techniques
Mindfulness means being present without judgment. When practiced regularly, it helps calm the nervous system, reduce stress hormones, and ease the physical experience of pain. Techniques like deep breathing and body scans are simple but effective.
3. Movement Therapy (Yoga, Tai Chi)
Gentle movements practiced with attention can help both body and mind. These exercises release tension, improve flexibility, and encourage calm emotional states.
4. Emotion-Focused Therapy
This involves exploring and expressing emotions you may have been holding in—grief, anger, fear—and learning healthier ways to cope with them.
In a recent case, one of our patients with fibromyalgia joined an online emotional skills program alongside her physical therapy. Within two months, her pain levels dropped from 8/10 to 4/10. What changed? She felt more in control of her emotions, had fewer pain flare-ups, and was sleeping better.
Preventing Pain Flares Through Emotional Awareness
You may not be able to “cure” chronic pain overnight—but with emotional regulation skills, you can often prevent pain spikes and live with less fear. Here are a few steps I often recommend:
-
- Keep a journal to track emotions and pain patterns
- Practice daily mindfulness, even 10 minutes helps
- Build a support network—sharing how you feel makes a difference
Don’t wait for a flare-up to start managing your emotions. These are lifelong skills that can improve both physical and emotional health.
When to Seek Help?
If you’ve been living with pain for months and suspect emotions may be involved, you’re not alone—and you don’t have to figure this out by yourself.
A pain specialist in Pune can help assess both the physical and emotional dimensions of your pain.
At our clinic, we believe in treating the whole person, not just the symptom. That includes listening with empathy, building trust, and offering care that fits your needs—whether that’s therapy, medication, nerve blocks, or emotional coaching.
Final Thoughts
Pain is real. Your emotions are real. And both are deeply connected.
The good news is that learning to manage your emotions can make your pain more manageable. In many cases, it can help you reduce your dependence on medications, regain lost energy, and feel like yourself again.
Whether you’re just starting your journey or have been managing pain for years, remember: you have more control than you think. Emotional regulation is not a quick fix—but it’s one of the most powerful tools in the journey toward lasting pain relief.
If you’re looking for support, guidance, and a holistic treatment plan, we’re here for you—at Jeevisha Pain Clinic Pune, we’ve helped many people just like you rediscover life beyond pain.