Skip to main content

Main menu

  • About Us
    • Leadership
    • Our Team
    • Vision, Mission and Values
    • Health and Economic Impact
    • Research Impact Video
    • Strategic Plan
  • Our Research
    • Research Focus
      • Brain Health
      • Cancer
      • Digital Health and Artificial Intelligence
      • Heart Health
      • Healthy Aging and Mobility
      • Immune System
      • Injury and Rehabilitation
      • Lung Health
      • Mental Health and Substance Use
    • Research Centres and Programs
      • BC Centre on Substance Use
      • Centre for Aging SMART
      • Centre for Cardiovascular Innovation
      • Centre for Clinical Epidemiology and Evaluation
      • Centre for Lung Health
      • Djavad Mowafaghian Centre for Brain Health
      • Immunity and Infection Research Centre
      • International Collaboration On Repair Discoveries
      • M. H. Mohseni Institute of Urologic Sciences
      • Ovarian Cancer Research Centre
      • Community Research Program
      • Emergency Medicine Research Program
      • Hematology Research Program
      • Skin Research Program
      • Other Research Focus Areas
    • News and Stories
    • Researcher Directory
    • Events and Workshops
  • Research Services
    • New to VCHRI
      • Working at VCHRI
      • Regulations and Training
      • Membership with VCHRI
      • Learning and Development
    • Starting Your Project
      • Research Facilitation
      • Awards and Funding
      • Grant Management
      • Operational Approval
      • CST Cerner
    • Developing Your Project
      • Clinical Trials Administration
      • Clinical Research Unit
      • Research Privacy
      • Financial Policies and Procedures
    • Additional Support
      • Indigenous Health Research Unit
      • VCH-VCHRI AI Hub
      • Communications and Media Relations
      • Study Recruitment Support
      • Innovation and Industry Partnership
    • Internal Awards
    • Clinical Research
    • Indigenous Research
  • Participate in Research
    • Reasons to Participate
    • Participant Stories
    • Find a Study
    • Recruitment Support

User menu

  • Log in

Breadcrumb

  1. Home
  2. Our Research
  3. News and Stories
  4. Ask an expert: Elite athletes seem to put their bodies through the wringer to prepare for competition. Do they have a higher pain tolerance?

Ask an expert: Elite athletes seem to put their bodies through the wringer to prepare for competition. Do they have a higher pain tolerance?

Stories Apr 8, 2021 3 minutes

New insights shared by our research expert could enhance athletic performance and the lives of people suffering from chronic pain.

When Olympic gold medalist Usain Bolt dashed to the finish line, his muscles went through a grueling amount of stress. Certain physiological and psychological characteristics enable elite athletes like Bolt to endure the aches and pains associated with high-level sport. And, as Vancouver Coastal Health Research Institute scientist Dr. John Kramer explains, researchers believe these characteristics could also help with chronic pain management. 

Q: What does it mean to be an elite athlete?
A:
Elite athletes are individuals who have an enhanced ability to modulate the pain associated with exercise, which may give them an advantage when competing. 

Q: Do elite athletes have a higher pain tolerance than the rest of us?
A:
Research has shown that exercise can increase pain tolerance. In studies where athletes and non-athletes put their hands into really cold water, athletes seemed to be less sensitive to the extreme cold. Some research also connects this ability to physiological and psychological factors. For example, elite athletes may be an ultra-motivated group of people who are more likely to see everything as a competition, including cold stimulus research studies, prompting them to ignore pain in order to beat out the competition. However, the findings of one of our recent studies point to a need for more evidence to conclusively explain this phenomenon.

Q: How could studying elite athletes help people cope with chronic pain?
A:
One theory about this relates to the body’s bi-directional pain response. Pain travels along your spine to your brain and then your brain sends signals back along the spine to turn it down or, in some cases, turn up the pain sensation to prevent further damage. Research has found that elite athletes seem better able to turn down their pain response either through willpower, distracting themselves and/or biological mechanisms, such as diffuse noxious inhibitory control—when the brain sends a command to reduce pain. 

On the other hand, people with chronic pain are often unable to turn down their pain response. A better understanding of the mechanisms that underpin these two opposite sides of the pain tolerance spectrum could lead to new therapeutic approaches for managing chronic pain. 

Q: What role could exercise conditioning play in managing chronic pain?
A:
We believe that training builds elite athletes’ conditioned pain modulation, allowing them to slow down or reduce the intensity of pain even as the exercise intensity ramps up. Put another way, while many people might be at a 10 out of 10 in terms of pain after running intensely for 30 minutes, an elite athlete may not reach a 10 even after two hours of intense running. Conversely, people with chronic pain seem to become more sensitized to pain with time. The trick here is to develop a system to improve the conditioned pain modulation of individuals with chronic pain.

We are looking for pain modulation biomarkers among healthy individuals that could be used to create personalized behavioural modification and exercise plans to treat specific types of chronic pain.

Q: Could future research help make elite athletes even more successful, or the average person more pain-tolerant? 
A:
That is very possible. We believe that even a slightly greater ability to turn down or modulate the pain response could result in better performance. Naturally, these approaches could also be used by members of the general population to up their ante. 

Dr. John Kramer is a principal investigator with ICORD and an assistant professor in the School of Kinesiology at the University of British Columbia. His research focuses on deepening the understanding of the relationship between neuropathic pain and spinal cord injuries to improve patients’ outcomes and quality of life.

 

Researchers

John Kramer

Related Articles

Granzyme research supercharges medical advancements for autoimmune and age-related chronic diseases

Ask an expert: My irritable bowel syndrome is affecting my quality of life. What are my options?

Ask an expert: How can I alleviate headaches and migraines?

Share:

  • Facebook
  • Linkedin
  • Twitter
  • Email

Related Research Centres/Programs

International Collaboration on Repair Discoveries

Get the latest research headlines in your inbox

Subscribe

Recent News and Stories

Type
Announcement

Celebrating the life and distinguished career of Dr. Marcel Dvorak

May 14, 2025
Type
Stories

More equitable representation needed in Parkinson’s research

May 9, 2025 parkinsons, patient engagement, women
Type
Stories

Gamified stroke recovery improves arm function

May 8, 2025 stroke, rehabilitation
See more news

Get updates!

Join our newsletter mailing list to stay up to date on features and releases.

Subscribe

Quick Links

  • News and Stories
  • Careers
  • Events
  • Media Enquiries

Follow Us

  • LinkedIn
  • X
  • YouTube

© 2025 VCHRI. All rights reserved.

  • Contact
  • Privacy Policy