Binaural beats and chronic pain: a double-blind trial (Gkolias 2020)
In this small trial, pain ratings fell from 5.6 to 3.4 after 30 minutes of binaural beats (p < .001) versus 5.2 to 4.8 with sham (p = .78). Analgesic use over the following week was also significantly lower with binaural beats.
The question: Do 5 Hz binaural beats reduce chronic pain more than a sham recording?
| Type of study | Randomized trial |
|---|---|
| Who took part | 17 adults with chronic pain |
| What was done | A 5 Hz theta binaural beat (400 Hz and 405 Hz) over soft relaxation music for 30 minutes under EEG, then on-demand home use for one week. The sham was identical music with 400 Hz in both channels. |
| How much weight it carries | Strong design |
What it found
- Pain (numeric rating) fell from 5.6 to 3.4 with binaural beats (p < .001) versus 5.2 to 4.8 with sham (p = .78) in the 30-minute phase.
- Pain remained lower at the end of the week (3.9 vs 5.5, p < .001).
- EEG theta power at 5 Hz rose significantly only during binaural beats.
- Stress dropped acutely in both arms but stayed reduced at the end of the week only in the binaural beats arm.
- Analgesic consumption was significantly lower with binaural beats (3.9 ± 3.7 vs 4.6 ± 4.1 defined daily doses, p < .05).
Limits
- Small sample (n = 17), though adequately powered for a large effect.
- Single centre with a short, one-week follow-up.
- The beats were delivered with relaxation music, so the comparison is beats plus music versus music alone, not beats in isolation.
- Medication use was self-reported; the findings need replication in larger, longer trials.
Where this sits
More in the library on pain.
This is our plain-language reading of the paper. It is not medical advice, and one study rarely settles a question.
Sources
- Gkolias, V., Amaniti, A., Triantafyllou, A., Papakonstantinou, P., Kartsidis, P., Paraskevopoulos, E., Bamidis, P.D., Hadjileontiadis, L., & Kouvelas, D. (2020). Reduced pain and analgesic use after acoustic binaural beats therapy in chronic pain — a double blind randomized control cross-over trial. European Journal of Pain. (ClinicalTrials.gov NCT03160300.) doi.org/10.1002/ejp.1615