Nurse Rod Salaysay works with all kinds of instruments in the hospital: a thermometer, a stethoscope and sometimes his guitar and ukulele.
In the recovery unit of UC San Diego Health, Salaysay helps patients manage pain after surgery. Along with medications, he offers tunes on request and sometimes sings. His repertoire ranges from folk songs in English and Spanish to Minuet in G Major and movie favorites like “Somewhere Over the Rainbow.”
Patients often smile or nod along. Salaysay even sees changes in their vital signs like lower heart rate and blood pressure, and some may request fewer painkillers.
“There’s often a cycle of worry, pain, anxiety in a hospital,” he said, “but you can help break that cycle with music.”
Salaysay is a one-man band, but he’s not alone. Over the past two decades, live performances and recorded music have flowed into hospitals and doctors’ offices as research grows on how songs can help ease pain.
The healing power of song may sound intuitive given music’s deep roots in human culture. But the science of whether and how music dulls acute and chronic pain — technically called music-induced analgesia — is just catching up.
No one suggests that a catchy song can fully eliminate serious pain. But several recent studies, including in the journals Pain and Scientific Reports, have suggested that listening to music can either reduce the perception of pain or enhance a person’s ability to tolerate it.
What seems to matter most is that patients — or their families — choose the music selections themselves and listen intently, not just as background noise.
“Pain is a really complex experience,” said Adam Hanley, a psychologist at Florida State University. “It’s created by a physical sensation, and by our thoughts about that sensation and emotional reaction to it.”
Two people with the same condition or injury may feel vastly different levels of acute or chronic pain. Or the same person might experience pain differently from one day to the next.
Acute pain is felt when pain receptors in a specific part of the body — like a hand touching a hot stove — send signals to the brain, which processes the short-term pain. Chronic pain usually involves long-term structural or other changes to the brain, which heighten overall sensitivity to pain signals. Researchers are still investigating how this occurs.
“Pain is interpreted and translated by the brain," which may ratchet the signal up or down, said Dr. Gilbert Chandler, a specialist in chronic spinal pain at the Tallahassee Orthopedic Clinic.
Researchers know music can draw attention away from pain, lessening the sensation. But studies also suggest that listening to preferred music helps dull pain more than listening to podcasts.
“Music is a distractor. It draws your focus away from the pain. But it’s doing more than that," said Caroline Palmer, a psychologist at McGill University who studies music and pain.
Scientists are still tracing the various neural pathways at work, said Palmer.
“We know that almost all of the brain becomes active when we engage in music,” said Kate Richards Geller, a registered music therapist in Los Angeles. “That changes the perception and experience of pain — and the isolation and anxiety of pain.”
The idea of using recorded music to lessen pain associated with dental surgery began in the late 19th century before local anesthetics were available. Today researchers are studying what conditions make music most effective.
Researchers at Erasmus University Rotterdam in the Netherlands conducted a study on 548 participants to see how listening to five genres of music — classical, rock, pop, urban and electronic — extended their ability to withstand acute pain, as measured by exposure to very cold temperatures.
All music helped, but there was no single winning genre.
“The more people listened to a favorite genre, the more they could endure pain,” said co-author Dr. Emy van der Valk Bouman. “A lot of people thought that classical music would help them more. Actually, we are finding more evidence that what’s best is just the music you like."
The exact reasons are still unclear, but it may be because familiar songs activate more memories and emotions, she said.
The simple act of choosing is itself powerful, said Claire Howlin, director of the Music and Health Psychology Lab at Trinity College Dublin, who co-authored a study that suggested allowing patients to select songs improved their pain tolerance.
“It’s one thing that people can have control over if they have a chronic condition — it gives them agency,” she said.
Active, focused listening also seems to matter.
Hanley, the Florida State psychologist, co-authored a preliminary study suggesting daily attentive listening might reduce chronic pain.
“Music has a way of lighting up different parts of the brain,” he said, “so you’re giving people this positive emotional bump that takes their mind away from the pain.”
It’s a simple prescription with no side effects, some doctors now say.
Cecily Gardner, a jazz singer in Culver City, California, said she used music to help get through a serious illness and has sung to friends battling pain.
“Music reduces stress, fosters community,” she said, “and just transports you to a better place.”
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
Nurse Rod Salaysay plays guitar for patient Richard Hoang in the recovery unit of UC San Diego Health in San Diego, Calif., on Sept. 30, 2025. (AP Photo/Javier Arciga)
NUUK, Greenland (AP) — Troops from several European countries continued to arrive in Greenland on Thursday in a show of support for Denmark as talks between representatives of Denmark, Greenland and the U.S. highlighted “fundamental disagreement” over the future of the Arctic island.
Denmark announced it would increase its military presence in Greenland on Wednesday as foreign ministers from Denmark and Greenland were preparing to meet with White House representatives in Washington. Several European partners — including France, Germany, the U.K., Norway, Sweden and the Netherlands — started sending symbolic numbers of troops already on Wednesday or promised to do so in the following days.
The troop movements were intended to portray unity among Europeans and send a signal to President Donald Trump that an American takeover of Greenland is not necessary as NATO together can safeguard the security of the Arctic region amid rising Russian and Chinese interest.
“The first French military elements are already en route” and “others will follow,” French President Emmanuel Macron announced Wednesday, as French authorities said about 15 soldiers from the mountain infantry unit were already in Nuuk for a military exercise.
Germany will deploy a reconnaissance team of 13 personnel to Greenland on Thursday, the Defense Ministry said.
On Thursday, Danish Defense Minister Troels Lund Poulsen said the intention was “to establish a more permanent military presence with a larger Danish contribution,” according to Danish broadcaster DR. He said soldiers from several NATO countries will be in Greenland on a rotation system.
Danish Foreign Minister Lars Løkke Rasmussen, flanked by his Greenlandic counterpart Vivian Motzfeldt, said Wednesday that a “fundamental disagreement” over Greenland remains with Trump after they held highly anticipated talks at the White House with Vice President JD Vance and Secretary of State Marco Rubio.
Rasmussen added that it remains “clear that the president has this wish of conquering over Greenland” but that dialogue with the U.S. would continue at a high level over the following weeks.
Inhabitants of Greenland and Denmark reacted with anxiety but also some relief that negotiations with the U.S. would go on and European support was becoming visible.
Greenland's Prime Minister Jens-Frederik Nielsen welcomed the continuation of “dialogue and diplomacy.”
“Greenland is not for sale,” he said Thursday. “Greenland does not want to be owned by the United States. Greenland does not want to be governed from the United States. Greenland does not want to be part of the United States.”
In Greenland’s capital, Nuuk, local residents told The Associated Press they were glad the first meeting between Greenlandic, Danish and American officials had taken place but suggested it left more questions than answers.
Several people said they viewed Denmark’s decision to send more troops, and promises of support from other NATO allies, as protection against possible U.S. military action. But European military officials have not suggested the goal is to deter a U.S. move against the island.
Maya Martinsen, 21, said it was “comforting to know that the Nordic countries are sending reinforcements” because Greenland is a part of Denmark and NATO.
The dispute, she said, is not about “national security” but rather about “the oils and minerals that we have that are untouched.”
On Wednesday, Poulsen announced a stepped-up military presence in the Arctic “in close cooperation with our allies,” calling it a necessity in a security environment in which “no one can predict what will happen tomorrow.”
“This means that from today and in the coming time there will be an increased military presence in and around Greenland of aircraft, ships and soldiers, including from other NATO allies,” Poulsen said.
Asked whether the European troop movements were coordinated with NATO or what role the U.S.-led military alliance might play in the exercises, NATO referred all questions to the Danish authorities. However, NATO is currently studying ways to bolster security in the Arctic.
The Russian embassy in Brussels on Thursday lambasted what it called the West's “bellicose plans” in response to “phantom threats that they generate themselves”. It said the planned military actions were part of an “anti-Russian and anti-Chinese agenda” by NATO.
“Russia has consistently maintained that the Arctic should remain a territory of peace, dialogue and equal cooperation," the embassy said.
Rasmussen announced the creation of a working group with the Americans to discuss ways to work through differences.
“The group, in our view, should focus on how to address the American security concerns, while at the same time respecting the red lines of the Kingdom of Denmark,” he said.
Commenting on the outcome of the Washington meeting on Thursday, Poulsen said the working group was “better than no working group” and “a step in the right direction.” He added nevertheless that the dialogue with the U.S. did not mean “the danger has passed.”
Speaking on Thursday, Danish Prime Minister Mette Frederiksen said the American ambition to take over Greenland remains intact despite the Washington meeting, but she welcomed the creation of the working group.
The most important thing for Greenlanders is that they were directly represented at the meeting in the White House and that “the diplomatic dialogue has begun now,” Juno Berthelsen, a lawmaker for the pro-independence Naleraq opposition party, told AP.
A relationship with the U.S. is beneficial for Greenlanders and Americans and is “vital to the security and stability of the Arctic and the Western Alliance,” Berthelsen said. He suggested the U.S. could be involved in the creation of a coastguard for Greenland, providing funding and creating jobs for local people who can help to patrol the Arctic.
Line McGee, 38, from Copenhagen, told AP that she was glad to see some diplomatic progress. “I don’t think the threat has gone away,” she said. “But I feel slightly better than I did yesterday.”
Trump, in his Oval Office meeting with reporters, said: “We’ll see how it all works out. I think something will work out.”
Niemann reported from Copenhagen, Denmark, and Ciobanu from Warsaw, Poland.
Denmark's Foreign Minister Lars Løkke Rasmussen and Greenland's Foreign Minister Vivian Motzfeldt speak at a news conference at the Embassy of Denmark, Wednesday, Jan. 14, 2026, in Washington. (AP Photo/John McDonnell)
People walk on a street in Nuuk, Greenland, Wednesday, Jan. 14, 2026. (AP Photo/Evgeniy Maloletka)
From center to right, Greenland Foreign Minister Vivian Motzfeldt, Denmark's Ambassador Jesper Møller Sørensen, rear, and Danish Foreign Minister Lars Løkke Rasmussen, right, arrive on Capitol Hill to meet with senators from the Arctic Caucus, in Washington, Wednesday, Jan. 14, 2026. (AP Photo/J. Scott Applewhite)
An Airbus A400M transport aircraft of the German Air Force taxis over the grounds at Wunstorf Air Base in the Hanover region, Germany, Thursday, Jan. 15, 2026 as troops from NATO countries, including France and Germany, are arriving in Greenland to boost security. (Moritz Frankenberg/dpa via AP)
Fishermen load fishing lines into a boat in the harbor of Nuuk, Greenland, Wednesday, Jan. 14, 2026. (AP Photo/Evgeniy Maloletka)
Greenland Foreign Minister Vivian Motzfeldt, left, and Danish Foreign Minister Lars Løkke Rasmussen, arrive on Capitol Hill to meet with members of the Senate Arctic Caucus, in Washington, Wednesday, Jan. 14, 2026. (AP Photo/J. Scott Applewhite)
