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The Use of Virtual Reality in Managing Chronic Pain

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Chronic pain is managed by virtual reality (VR) through diversion, rehabilitation, and relaxation.

Written by

Dr. Pallavi. C

Medically reviewed by

Dr. Abhishek Juneja

Published At August 24, 2023
Reviewed AtAugust 24, 2023

Introduction

Millions of individuals worldwide suffer from the prevalent and painful condition of chronic pain. Physical therapy or pharmaceutical interventions are frequent components of traditional pain management strategies. Virtual reality (VR) is one good example of an emerging technology that can be used to treat chronic pain. Virtual reality immerses users in computer-generated settings, offering a multimodal experience that can divert attention and activate the brain, ultimately changing how painful stimuli are perceived and having therapeutic effects.

What Is Virtual Reality?

A computer-generated simulation or recreation of a three-dimensional, immersive environment that people can explore and interact with is referred to as virtual reality (VR). Input devices like controllers or gloves and specialist hardware like VR headsets or goggles are frequently used. Virtual reality (VR) technology aims to give users a sense of presence and immersion, giving them the impression that they are physically present in the virtual environment.

Virtual reality aims to deliver a simulated experience resembling real-world or made-up environments. VR provides a multimodal experience that uses cutting-edge visuals, sound, and sensory input to stimulate the user's visual, audio, and sometimes haptic (touch) senses.

VR for Chronic Pain

Virtual reality (VR) is not meant to excite individuals; it is meant to calm them. The virtual environments are tranquil natural scenes, such as a grassy meadow with a clear sky and a bubbling brook nearby. One might hear the chirping of birds and the soft gurgling of water over rocks. Additionally, the environments are not necessarily created by computers. Video of actual locations is used.

A narrator's voice can encourage the wearer to take in the virtual environment, perform breathing exercises, redirect negative ideas about pain, or learn about pain responses, among other features, in VR systems for chronic pain treatment.

What Is the Mechanism of Action?

Virtual reality is beneficial for managing chronic pain through a variety of processes.

  • Distraction: Distraction and immersion are important factors since people's attention is drawn to VR worlds, diverting them from painful experiences.

  • Preventing Pain Signals to the Brain: VR can block pain signals and lessen their severity by involving several senses, including vision and sound. This result is consistent with the pain gate control theory, which holds that sensory information that is not uncomfortable can prevent the brain from receiving pain signals.

  • Release of Endorphins: VR can also promote the release of the body's natural painkillers, endorphins. Virtual reality (VR) experiences can activate the brain's reward and pleasure regions, causing endorphins to be released and aiding in pain treatment.

  • Relaxation: Additionally, VR therapies can provide a relaxed state, lowering the stress and tension related to chronic pain. The sense of pain and general well-being may benefit from this relaxation reaction.

What Are the Applications of Virtual Reality in Chronic Pain?

Virtual reality has effectively treated chronic pain in various populations and illnesses.

Here are a few noteworthy examples:

  • Rehabilitation and Physical Therapy: VR can be used in these disciplines' treatment plans to control pain better. VR enhances therapeutic activities with motivation, engagement, and a sense of accomplishment by incorporating virtual settings and interactive tasks. This encourages better treatment plan adherence and subsequently enhances functional outcomes.

  • Distraction During Medical Procedures: People who experience chronic pain may experience agony and anxiety during medical procedures like venipunctures or changing wound dressings. VR therapies can operate as a potent diversion, drawing focus away from the process and lowering levels of discomfort and anxiety.

  • Cognitive-behavioral therapy (CBT): CBT approaches and virtual reality can be utilized to address the psychological components of chronic pain. It provides a safe and encouraging setting for people to face and overcome anxieties, phobias, and pain-related concerns. Individuals can be gradually exposed to pain triggers and help desensitize their reactions through VR exposure treatment.

  • Phantom Limb Pain: Phantom limb pain is when people feel pain in an amputated limb. By simulating the presence and movement of the missing limb, virtual reality has shown promise in reducing phantom limb pain. This sensory replacement can help with pain management and functional improvement.

  • Education and Empowerment: People with chronic pain can utilize virtual reality (VR) as a learning tool to better understand the causes of pain and the significance of self-management techniques. VR can enable people to take an active role in their pain management and make educated decisions about their treatment by offering immersive and engaging educational experiences.

It is crucial to remember that while VR has demonstrated promise in treating chronic pain, it is often used with other well-established pain management techniques and should not be used in place of them. The way that each person responds to VR interventions may differ. Thus, it is important to employ VR in a way appropriate to the requirements and preferences of the person experiencing chronic pain.

Research and development in VR technology will likely further hone and broaden its uses in treating chronic pain as it develops. Virtual reality has enormous promise to improve pain management, functional outcomes, and general well-being in chronic pain patients.

What Does the Future Hold for VR Pain Relief?

Virtual reality is useful in alleviating chronic pain in numerous trials. A systematic evaluation of 27 randomized controlled trials published in 2020 indicated that VR therapies significantly enhanced overall pain management across various chronic pain disorders and decreased pain severity. Further study is still required to improve VR therapies, identify the best treatment methods, and investigate their long-term advantages.

Creating more interactive and immersive experiences suited to specific user requirements is one of the prospects for VR-based pain management. The sensory feedback offered by VR systems can be improved by haptic technology, making the experience more realistic and interesting. Furthermore, tailored VR interventions based on a patient's pain profile and preferences can improve therapy outcomes.

Conclusion

A new and promising method of treating chronic pain is virtual reality. VR can alter pain perception and improve pain management by offering immersive and distraction-based activities. Its uses in psychological treatments, rehabilitation, and phantom limb pain demonstrate how adaptable and valuable this technology is. According to ongoing research, the key to realizing the full potential of virtual reality in the treatment of chronic pain is the optimization of VR interventions and the incorporation of individualized techniques.

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Dr. Abhishek Juneja
Dr. Abhishek Juneja

Neurology

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