As I was working with two different people this week, I realized something that I hadn’t thought about before. Both of these people presented with very similar chronic pain patterns. This week their pain seemed to be much worse than it usually was.
What if I could help them lower the activity of their body's sympathetic nervous system (fight or flight response)? While we chatted about their pain the past few days, I noticed that it had no particular cause for triggering. Both people had not changed their daily activities, nor did they change up their exercise routines. Both people spoke extensively about their pain and all the ways they tried to find relief: medication, food, sleeping, distractions like TV, etc....Nothing was working!
Despite their efforts, all they could think about was their pain.
These people needed the guidance, reassurance and structure that I provided in our sessions. They needed to follow a controlled & purposeful breathing sequence and change their focus away from their bodily pain into their breath.
Was the pain getting worse? Did it feel like it is traveling further down their arms? What exercise techniques would help? Should they take more pain medication? Maybe some sort of supplement would make things better? Should they see a chiropractor or a naturopath? What could they do!?
I decided to ask these people to lie down on a surface they felt comfortable on. For one person it was directly on the floor and for the other person it was a yoga mat.
Getting to the ground was visibly uncomfortable for both people; they moved slowly and cautiously. They held their breaths as they transitioned onto their backs. One person wanted their legs to be bent and the other preferred their legs to be straight.
I asked them to close their eyes and to give me five minutes to try something we hadn’t before in any of our sessions. I guided them through a progressive relaxation technique where I spoke to them softly and asked them to gradually relax various areas of their body.
I had them focus intently on their breathing. Instructing them to breathe in deeply through their nose and gradually out through their mouth. I saw their faces relax as they sighed away some of their discomfort.
Next I asked these people to once again focus on different areas of the body where tension was often stored - their jaw, neck, shoulders & chest, and hips… and then I had them return their attention to their breathing.
I coached them to smooth their breathing patterns, so that the transition from their inhale to exhale was gentle. I invited them to imagine their breath following a shape, such as an ellipse or a wave.
I noticed that their breaths in and out were about even in length.
I had them lengthen their exhale by just a second or two before they began their inhale once again.
The final step was to instruct them to return their breathing to a smooth & even cadence.
As I worked with each person, I had them focus on relaxing each painful area for about two minutes. Have you ever concentrated on something for two minutes? It feels like a really long time! For these two people, it was likely the longest they were able to focus on one single task in quite some time.
This was certainly a unique experience for these people. Up to this point they had been trying NOT
to feel, and NOT
to experience what their bodies were trying to tell them for so long.
After just five minutes, I encouraged each person to slowly open their eyes. Their faces looked much different from what they were just five minutes prior. I asked them about their pain. Both looked surprised for a moment and then told me with a great sense of relief that they had no pain. None.
While I wish their pain could be removed and never return, I knew this was not realistic. However, to become aware of what our bodies are trying to tell us is often the first & most important step for pain relief.
Both of these people acknowledged that they were continually fighting against their own bodies, trying to do more and not less. When I explained that our nervous systems rather than musculoskeletal systems were often the source of our pain, they looked quite doubtful.
Why did they feel pain in all of these regions then? Throughout this muscle and that muscle? What these people weren't aware of is that muscles don’t actually have pain receptors - none at all. They are not able to provide signals for pain.
So why did they feel what they felt? When we calm our nervous systems, and there are many ways to do this, as you might expect - our pain levels will often decrease.
To tune into our bodies and to give our nervous system a break, may be just what we need to improve the powers of our immune system, lessen our anxiety and help us regain a sense of control over ourselves.
Once these people understood that they are in control of their bodies and could manage to modulate their pain levels on their own, then I would be able to show them movements that would help them feel better and become stronger, so their pain levels would be slowly reduced over time.
We often search for a complex solution to our problem, but sometimes all we need to do is simply learn how to breathe properly again.