Good Life Project

An End to Chronic Pain? Surprising Science is Getting Us Closer. | Dr. Rachel Zoffness

9 snips
Apr 9, 2026
Dr. Rachel Zoffness, pain scientist and UCSF clinical professor who wrote Tell Me Where It Hurts, reframes chronic pain through a biopsychosocial lens. She explores how the brain generates pain, the 65-year-old neuroscience behind it, the role of expectations and social connection, and practical pacing and real-time strategies to lower pain signals.
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INSIGHT

Pain Is Constructed By The Brain

  • Pain is not purely biomedical; it is constructed by the brain and involves biological, psychological, and social factors.
  • Phantom limb pain shows pain can exist without a body part, proving pain is ultimately made by the brain.
INSIGHT

Pain Education Is Missing In Medical Schools

  • Medical education largely ignores pain science: 96% of U.S. and Canadian medical schools have no compulsory pain education.
  • That training gap perpetuates a biomedical-only approach and leaves doctors without tools to treat chronic pain effectively.
INSIGHT

Pain Lives In A Biopsychosocial Venn

  • Use a biopsychosocial model: pain lives at the overlap of biological, psychological, and social domains.
  • Treating only the biological domain misses two thirds of the pain problem and ignores emotions, thoughts, sleep, and support.
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