Hypnosis and Pain: Hypnoanalgesia, Chronic Pain

Let us start with the rule that governs this whole guide: pain is a signal, and a signal is examined by a doctor first. Hypnosis never works on undiagnosed pain, and it replaces no treatment.

That said, pain management is the area where hypnosis has the strongest medical recognition: used in many hospitals to support painful care and some anaesthesia, studied with brain imaging, it helps people living with chronic pain regain comfort and freedom, alongside their medical follow-up.

This page explains how, for which pains, and within what limits.

Article illustration: hypnosis as support for living with pain

Pain: a signal to respect before modulating it

Acute pain is an ally

It signals that something is happening: an injury, an inflammation, a problem to be treated.
That is why the first step is always medical: masking pain without knowing its cause is unplugging the fire alarm because it is making noise.
A serious hypnosis practitioner will systematically ask where you are in your medical journey before any hypnotic work.

Chronic pain has changed in nature

Settled in for months or years, often despite treatment, it has lost its function as a useful signal.
The pain system has in a sense gone out of tune: it rings without announcing anything new.
That is the ground where hypnosis brings the most: when the cause is known, medically followed, and the question becomes living better with or despite the pain.

Pain is not a simple mechanical transmission

It is a construction of the brain, which integrates the physical signal but also the attention you pay it, the emotion that comes with it (fear, discouragement, anger) and the meaning you give it.
Two people with the same injury can experience very different pain.
And the same person hurts more on an anxious evening than on a holiday afternoon.
This is not "in your head" in the sense that the pain would be imaginary: it is in the brain in the sense that this is where it is made, and therefore where it can be modulated.

How Hypnosis can modulate the perception of pain

What the studies say

Woman pressing her temples with her fingertips, face tense

Brain imaging work has shown it: under hypnosis, suitable suggestions change the activity of the areas that process the intensity and the unpleasantness of pain (work by P. Rainville et al.).

In practice, hypnotic work acts on three levers

  • Attention: pain shrinks when it stops occupying the whole mental screen, through distancing, displacement, transforming the sensations…
  • Emotion: fear and discouragement physiologically amplify pain. Settling them reduces the overall suffering, sometimes spectacularly.
  • Tension: pain makes you tense up, and tensing up feeds the pain. Deep relaxation helps break that circle.

Hypnoanalgesia in hospitals: an established medical use

This is the most telling fact in the field: hypnosis is used today in many health facilities to support painful care (dressings, punctures), dental care, and even for some surgical procedures carried out under hypnosedation, combining hypnosis with lightened local anaesthesia.

Care teams train in hypnoanalgesia, and specialist pain clinics include it in their approaches.
That recognition does not make hypnosis a miracle treatment; it simply establishes that hypnotic modulation of pain is a real phenomenon, documented and used by medicine itself.
Our hypnosis practice works in the same spirit, at its own level. We do not perform medical procedures; we teach people who are under medical follow-up the tools that improve their day-to-day comfort.

The pain-stress-tension circle: the main ground to work on

Chronic pain almost always installs the same gearing:

  • Pain generates stress and apprehension ("when is it going to start again?").
  • Stress contracts the muscles and puts the nervous system on alert.
  • Tension and hypervigilance amplify the perception of pain.
  • Amplified pain generates more stress…

Degraded sleep often gets added to this, lowering the tolerance threshold, along with a morale that wears down, which amplifies the experience of pain further.

Video available in French

Hypnose et douleur chronique : apprendre à mieux vivre avec la douleur
Video transcript

Hello. My name is Christian Rocher. I'm a neuro-linguistic programming coach and a hypnotherapist. Today I'm going to talk to you about pain. What is pain? Well, pain, simply put, and it's a paradox to say so, is a signal that travels from the body to the brain to inform us of a problem situation that it wants us to act on. What does that mean? If I put my hand in the fire, I'm informed that it burns, and I pull my hand away: I've taken action.

And that allows me to ensure my survival and my well-being. Of course, pain has several sources: it may be an illness, an injury, or something somatic. So what does somatic mean? It means I'm facing a difficult problem situation that I'm not able to resolve, voluntarily or involuntarily, for all sorts of good reasons, and my signal will go off to tell me: "Do something and solve this problem."

And since I don't listen to it, the signal increases, the pain starts to appear, and the less I listen to it, the more the signal increases and the stronger the pain becomes. So you'll find plenty of people who tell you they don't know why their back hurts, why their shoulder or their leg hurts… Then they go on holiday and they no longer hurt… interesting! Or all sorts of situations like that.

What this means is that, depending on the source of the problem, there are several ways to approach the solution. Think about it for a moment: some hospitals now use hypnosis alongside anaesthesia for certain surgeries, sometimes with less medication, and some dentists here already work with hypnosis. It's a good sign that hypnosis and self-hypnosis have a real place in pain management.

So when people come to my office, because I practise hypno-analgesia, that is, hypnosis for pain, to learn to manage their pain better, there are two situations. 1. You have an illness, an injury, a medical condition that is, I would say, known and monitored, and it's clear to you, because your doctor or your specialist has told you, and you've discussed it, that apart from taking pain medication there is nothing else you can do at this stage.

So that is known and under control. In that case, you come into my office with that, and I teach you pain management techniques. I also teach you to be responsible for your pain. What does being responsible for your pain mean? It means you can't just manage the pain and reduce the strength of the pain signal. You also have to pay attention to what is going on.

For example, if you have a stomach ache and you ignore that pain by using the techniques I teach you too readily, you could go from appendicitis to peritonitis without realising it, because you ignored the signal. So not only will you learn techniques, you will also learn to be responsible for your pain. Because if it isn't going to go away, you're better off being responsible for it and making sure everything is all right.

And going back to see your doctor if needed, if the situation gets worse, so as not to end up in a worse situation. 2. Now, if you come to me and you don't know why you're in pain. And your doctor doesn't know either. Because if you haven't checked with your doctor, it's probably normal that you don't know. If they don't know, then we're in a different situation. It may be what is called somatisation.

What that means, once again, is that you are facing a situation you are finding hard to manage, consciously or unconsciously, and your system is sending you this message to say: "Take action, solve the problem." In that case, we take a different path. We sit down together, look at your issues and your goals, and together define a strategy to help you reach those goals.

Whatever they may be. And if they aren't realistic as they stand, we find a way to set realistic goals, because once you reach that goal and resolve the issue that was preventing you from reaching it, the pain may ease on its own, since you will have taken action and dealt with the situation. So it's very important to understand the distinction between the two: in one case it really is a known medical situation, with an identified source of information; in the other case, we don't know what is going on, no examination and no test tells us what is happening.

The doctor or the specialist cannot tell you what is going on, and then it can be very worthwhile to look into what is happening in your life and what your issues are. To see how you might move beyond them and go on to another stage, which at the same time may help you clear up that pain, since the signal will have less reason to exist. So I hope that has shed some light.

If you have any questions, just let us know. If you are interested in learning to manage pain yourself, alongside what your doctor prescribes: remember, if I don't have my bottle of pills with me, I'm stuck, whereas self-hypnosis, cardiac coherence and all those tools I can do anywhere, anytime, without needing anything. So it's natural, it's always available to you, and it has the advantage of helping you manage pain flare-ups and ease pain over periods of time, so you can live better and have a better quality of life.

So don't hesitate to contact us, and above all, if you contact a specialist, check that the person has expertise in pain management. I, for example, have training in hypno-analgesia in addition to my hypnosis training, and the reason is simple: pain management has to be understood, it has to be approached the right way, and people have to be made responsible, once again, that's very important, and above all it must not be used indiscriminately.

So I hope this has given you some useful information. If you search the internet, you'll also find an organisation that talks about chronic pain, with resources on cardiac coherence, meditation and more, which could be a starting point if you're interested. I invite you to have a look. With that, I wish you a good day. Take care of yourself.

Hypnotherapy is a complementary form of support and does not replace medical advice, diagnosis, or treatment. If you have any concerns about your health, please consult a physician first.

What Hypnosis offers in Pain Management

The situations we support most often

Hypnotic support works on every link: deep relaxation that can be anchored, defusing the apprehension of flare-ups, restoring sleep (see our page Sleep), and supporting morale.
Without touching the medical cause, which remains your doctor's business, the whole experience of the pain often changes.

  • Migraine and headaches. Alongside medical follow-up, hypnosis helps with managing attacks (with self-hypnosis tools from the first warning signs), working on stress-related triggers and reducing the apprehension between attacks, which is sometimes as exhausting as the attacks themselves.
  • Fibromyalgia and widespread pain. Real pain, often misunderstood for a long time: acknowledging the experience is part of the support. The work is on the pain-tension-exhaustion circle, on sleep, and on gradually winning back activities.
  • Back pain and chronic musculoskeletal pain. After assessment and alongside care (physiotherapy, treatment), hypnosis helps with deep muscular relaxation and with defusing the fear of movement that freezes the body and often keeps the pain going.
  • Irritable bowel and functional digestive pain. An area where the brain-gut axis makes hypnosis particularly relevant, alongside gastroenterological follow-up.
  • Endometriosis and gynaecological pain. Alongside the medical journey, hypnosis support can help with flare-ups, with the emotional experience of a condition long dismissed, and with the fatigue of cyclical pain.
  • Living with illness and its treatments. Hypnosis and self-hypnosis help you get through dreaded tests, difficult care and some side effects, and manage the stress of the diagnosis and the limitations. So that the energy you have goes where it counts.
  • Fear of medical care. The dentist, blood tests, examinations: when fear delays care, it becomes a health problem in itself (see our page Fears & Phobias).
Panique avant une opération des yeux : comment l’hypnose a aidé Laurence (témoignage)
Video transcript

Hello, my name is Laurence, from Quebec City. Basically, I had a problem with my eye. I had a micro-lesion on the retina and I needed a procedure to fix it. But when I went in for the laser procedure, I was in a state of panic. It was because of the complications I'd had in the past after a laser procedure I'd had to correct my vision, my short-sightedness. I didn't think it had done so much damage, but I had a certain apprehension about having my eyes worked on again. So having to have another laser procedure made me really very uncomfortable, and I panicked, so I couldn't go through with it. After that reaction, which was out of proportion for the procedure I had to have, I thought of hypnosis, because I know hypnosis can change the perceptions we have of uncomfortable situations, or situations where we panic.

So I went online and found Ms Guillemette Moreau, whom I met twice. The first time, I was quite emotional, because through the hypnotherapy session I was reliving the emotions I'd felt during the complications after my laser surgery. So I was very emotional, and maybe I had a bit more trouble controlling my breathing. But by the end of the first session, I already felt more in control, and I had exercises I could do at home afterwards. Then I made a point of having a second session, to make sure I was giving myself every chance of keeping my control and my breathing, and by the second session I could really see the progress I'd made.

I was much calmer, I was really in control of my breathing throughout the procedure, and Ms Moreau also made recordings for me that I could listen to again afterwards, to strengthen my anchor, and I was able to listen to that recording in the waiting room, and during the procedure too. So I really saw the progress I'd made: I managed to have the procedure. Of course we took breaks because I had light sensitivity, but I really stayed calm, and I was in control, including of my breathing, throughout the procedure.

So I was really proud of myself when I managed it. It isn't a very long procedure, but you still have to be able to get through it. So now I feel I really have, I think, all the resources to have this kind of procedure again if it happens in the future. The recordings, so you listened to them in the waiting room, and there was a different one during the procedure, were you able to switch?

Yes, basically, even the evening of the procedure and before going to bed I listened to both recordings again, and also while I was in the waiting room, because there were quite a few long minutes of waiting between some of the steps before getting to the procedure itself. I was there for about an hour, so I listened to the recordings, and sometimes I switched to calm music as we had discussed, and I told the doctor I wanted to keep my earphones on during the session.

He didn't ask any questions. I said I needed to listen to something, so I knew I had Ms Guillemette's voice to keep me calm, and it really makes all the difference, because I was focusing on that and on my breathing, so I didn't have to focus on anything else. Thank you for this testimonial, because it can be useful to a lot of people. I have people who are afraid of medical examinations, of surgical procedures, of injections too, and working with visualisation and on breathing really helps you stay calm, relaxed and, in fact, detached from what is happening.

So yes, hypnosis can be a wonderful tool.

Hypnotherapy is a complementary form of support and does not replace medical advice, diagnosis, or treatment. If you have any concerns about your health, please consult a physician first.

Self-hypnosis: your daily tool

With chronic pain, most of it happens between sessions.
That is why learning self-hypnosis is at the heart of the support. You leave with concrete tools: quick relaxation, a technique for distancing or transforming the sensation, managing peaks… To use at home, at work, during a procedure.
The aim is a transfer of skill: that you become, day to day, your own practitioner. It is also what separates serious support from a dependency on endless sessions.

Painkillers and treatments: the absolute rule

Never change your painkillers or any other treatment on your own initiative, even if you feel better.
If hypnotic support improves your comfort to the point of considering a reduction, that is excellent news… to be discussed with your doctor, who alone decides and organises the adjustment.
That collaboration works very well: many doctors welcome a patient who equips themselves, as long as everyone stays in their own lane.

What our clients say

Balanced stone cairn at the edge of a calm lake

Find Hypnosis for Pain Management near you

Frequently asked questions about Hypnosis for Pain Management

Book Now

Hypnotherapy is complementary support: it replaces neither a diagnosis, nor a treatment, nor medical follow-up. Always see a doctor for any pain, and never change a treatment without their advice.

Christian Rocher

Page written by Christian Rocher
hypnotherapist and NLP coach
partner at Solutions Hypnose.
English version reviewed by David Veilleux
Updated .

Book Now