Great strides have been made in recognizing that the use of pharmaceuticals in the treatment of pain, especially chronic pain, has been a failure. The state of Oregon now requires all health care professionals to complete continuing education in pain management in order to renew their practitioner licenses. The training includes information about behavioral practices such as dietary changes and appropriate exercise, and alternatives to prescription drugs including massage and acupuncture. Unfortunately, an effective alternative was omitted from the training - biofeedback including neurofeedback.