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As we approach spring, it’s a good time to discuss seasonal junctions. Both Ayurvedic and Chinese systems of medicine see the changes of seasons as times when we are more susceptible to being thrown out of balance as our body is challenged to adapt to the shift. Ayurveda has a saying that “diseases are generated at the junctions of the seasons.”
Other junctions are also challenging, with the challenge generally proportional to the magnitude of change. Ayurvedic teacher Robert Svoboda writes, “Ovulation and menstruation are the ‘joints’ of the menstrual cycle, dawn and dusk are the joints of day and night, and adolescence and menopause are the junctions of life.” If you have kids, you know that the “joints” of the day are the times you’re likely to have trouble, and if you’re clever, you find ways to make these transitions easy, such as the ever-popular “five more minutes until we’re leaving.”
Depending on where you live and your personal constitution, different seasons and junctions will be challenging for different people. For example, because spring tends to be wet, moving into this season means taking on more of what Traditional Chinese Medicine (TCM) calls dampness, or in Ayurveda an increase in kapha (“kaap-ha”). This will be most difficult for those who already have constitutional kapha or an accumulation of dampness in their system. Some of the signs and symptoms include: being overweight, having loose, sticky, or incomplete stools, a wide or coated tongue, feeling heavy and tired, finding it hard to wake up in the morning, and a tendency to be phlegmy.
Ayurveda might prescribe some therapeutic vomiting for such a condition, but these days, especially in the West, we prefer more pleasant medicine, ideally in gummy form, and we engage in therapeutic vomiting only after an excess of margaritas. Luckily, there are gentler ways to restore balance, and when it comes to management of the seasonal junctions, the most natural is to be aware of vulnerability during seasonal transitions and treat yourself with extra care. For someone with a delicate constitution or pre-existing health problems, this may be prudent at every season change. For others, only certain season changes may be troublesome. In any case, it’s a good idea to get extra sleep and to eat with greater care during the transition month.
If you have a personal challenge with the transition to spring, here are some more specific recommendations for this time.
- Eat more warm, cooked foods. Soups and stews are great. An ideal one is kitchari, made from rice and mung beans (there are lots of recipes online). If you have some of the kapha / damp challenges described above, you can add plenty of warming spices, including ginger, turmeric, cumin, coriander, turmeric, cinnamon, fenugreek, caraway, nutmeg, and black pepper. As the world gets warmer, start incorporating more fresh local produce.
- Avoid heavy, cold, and sweetened foods. These all tend to be cloying. Also, stop eating before you’re full, and let yourself get hungry between meals (don’t snack).
- Do some movement every day. Kapha / dampness tends to congeal in us when we’re immobile, sometimes making us feel achy, heavy, phlegmy, or groggy in the morning, after we’ve been horizontal for several hours. Daily movement, ideally with enough vigor to break a sweat, will help.
- Try a dry sauna. If you have access to a dry sauna, it can help counteract the effects of a damp environment. It doesn’t need to be too hot. You shouldn’t be pouring sweat. More sustainable is to have longer sessions in which your skin is just glistening.
- If you tend to get spring allergies, this is the time to prepare by babying your digestive system (eat slowly, deliberately, and only easily-digested foods) and taking some things to stabilize your immune system. Some of my favorites are quercetin (500mg twice a day), nettles (pick and steam your own if you can), local bee pollen, and homeopathic preparations of the things you’re allergic to. As for this last item, it’s akin to the old-school method of desensitization. There are companies that make super-dilute tinctures common allergens, such as tree pollen, grass pollen, animal hair, mold, dust, etc. I’ve had good experiences with ones made by a company called BioAllers.
For everyone – including those who have no particular challenge with the transition to spring – it’s worthwhile to pay attention to what’s happening in nature. Be fascinated by the return of new life. Notice the boisterous energy in the flowers and birds. Admire the vigor in the shoots that push their way through the crusted soil. The rising energy and lengthening days make it the ideal time for: planning, visualizing, cleansing, and shedding.
Wishing you a harmonious junction and beyond,
Peter
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A couple weeks ago, I wrote about the differences between acupuncture and “dry needling” to alleviate pain, and in that article I explained a bit about the phenomenon of myofascial trigger points. After I said I believe these are the cause of most of the physical pain humans experience, a number of readers asked me to explain more. For the science lovers out there, I’m going to dive deeper this week.
Besides the most common forms of pain, like lower back and headaches, I’ve had patients with digestive problems, sinus congestion, chest pain, ear ringing, numb hands, painful intercourse, acid reflux, vision changes, and other health issues that were eventually discovered to be due to myofascial trigger points. I believe everyone should know about them and how they work – it could save us a lot of time and worry.
Basically, a trigger point is a small, irritable region in a muscle (or the surrounding connective tissue – “fascia”) that stays stuck in a contracted state, making the muscle fibers taut. This can cause reduced muscle strength and range of motion, pain, numbness, itching, and other forms of dysfunction. Sometimes a trigger point feels like a palpable nodule or “knot,” but to untrained fingers they’re often tricky to find.
A unique property of trigger points is that they’re able to produce symptoms in other parts of the body – from a few inches to a couple feet away. For instance, there’s a trigger point that can form in the soleus muscle of the calf that’s capable of producing pain in the lower back. For this reason, the work of Janet Travell, MD and her colleague David Simons, MD, was groundbreaking. For each muscle in the body, they mapped where trigger points tend to form and what kinds of symptoms they cause.
If you were experiencing pain along the outside of your leg, you might assume that something was wrong with that part of your leg, perhaps with the often-tight iliotibial band (IT band). But this diagram might be helpful. The X’s show where trigger points can occur in a muscle called gluteus minimus above the hip socket. The red shading shows the potential areas of pain that can result. You might not suspect this muscle because, as you can see, there’s no pain at the site of the problem!
There are a handful of mechanisms that can promote trigger point formation, such as irritation of nerves, chronic organ problems, nutritional deficiencies, and autoimmune disorders. Most often, though, the cause is trauma to our connective tissue. When a muscle is strained by being worked too hard, too fast, or beyond its natural range, there is frequently a sort of “recoil” that occurs as segments of the muscle fibers bunch up and remain that way.
This is especially common when someone works out without warming up; when someone does a very ambitious workout after not having exercised for a long time; when someone makes a sudden movement (like reaching out to catch something or trying to stop oneself from falling); and especially when someone does any of the above when in a state of diminished resilience (e.g, when stressed, upset, sleep deprived, eating poorly, etc.).
Even more commonly, the trauma is a form of “postural stress” that’s demanding on muscles in a way that’s difficult to perceive at the time – such as doing the same relatively motionless activity (like sitting at a desk or driving) for hours, days, months, or years. One possible mechanism is known as the “Cinderella hypothesis.” During static muscle exertion – holding a position for a long time, as dentists, musicians, typists, and others engaged in precision handwork do – the body tends to engage a certain group of small muscle fibers, called Cinderella fibers because they’re put to work first and are the last to be disengaged. Even though they’re not doing heavy lifting, these muscle fibers (often in the neck, shoulders, back, and forearms) are continually activated and overworked, which makes them susceptible to trigger point formation.
Whatever the cause, the result is that eventually the muscle never completely relaxes. Muscles are composed of numerous parallel fibers that work together to shorten (contraction of the muscle) and lengthen (the return of the muscle to its relaxed state). Within each of these fibers are many end-to-end contractile units called sarcomeres, and in the case of a trigger point, a group of sarcomeres gets “stuck” in a shortened state. This makes the affected fibers taut and often “stringy” feeling.
To make matters worse, the contracted region clamps down on tiny blood vessels causing local ischemia (inadequate blood supply), reducing in-flow of fresh, oxygenated blood and out-flow of toxins. This leads to a localized hypoxic state (not enough oxygen). The tissue pH changes, local metabolism is impaired, and fluid and waste products tend to build up in the area. This combination of factors ultimately activates pain receptors – it starts to hurt – and when this happens you use the affected muscle less.
Instead, you overload “synergists” – nearby helper muscles. The body makes the surrounding musculature tense as a protective mechanism. Meanwhile, there’s a disruption of the balance between the affected muscles and their “antagonists” – those muscles that lengthen when the primary muscles shorten and vice-versa (for example, the triceps is an antagonist of the biceps). Altogether, this restricts natural movement of the original muscle, which just perpetuates the imbalance. Finally, with longstanding trigger points, the body may deposit gooey lubricant compounds called glycosaminoglycans (GAGs) between these triggered muscle fibers, resulting in a gummy lump called a “myogelosis.”
The good news is that there are now books, charts, online tools, and practitioners that can help track down likely trigger points that may be implicated in your discomfort. I have such a tool in my online pain relief course, Live Pain Free, and I teach many approaches for deactivating trigger points.
The most basic methods involve simple mechanical disruption of this holding pattern. First, drink some water if you’re not well hydrated. Second, you or a friend can methodically feel around (ideally guided by a trigger point chart) for points that are sore, and ideally that reproduce the very sensation you’ve been experiencing. Third, maintain firm pressure on the epicenter of the point (with a finger, elbow, ball, or other tool) for about half a minute, consciously breathing into the area and intending to let it go, until there’s a palpable release. Then move on to all the other nearby points that are tight and tender and do the same.
This approach is called ischemic compression. By compressing the tissue enough to block blood flow, the body responds with reflex vasodilation, meaning it opens these vessels and flushes the tissue with a dramatic increase of blood. This will usually produce a significant improvement in the pain or dysfunction, though it will typically return sooner or later. These points tend to go from being active trigger points to “latent” trigger points, which have a certain “memory” (not the good kind of muscle memory) and are capable of getting reactivated. For this reason, persistence is important. The best results come from working on a trigger point consistently – usually from one to several short sessions per day (or less frequent if the sessions are intense) – and continuing for a while even after everything seems better.
As I said, this is a most basic approach, and while it’s often effective, sometimes a more nuanced intervention is required. There are many techniques that build on compression. We can replace fixed pressure with slow, deep strokes in the direction of the muscle fiber, as if re-lengthening this segment. We can work the trigger point back and forth across the direction of the muscle fibers. We can combine pressure on the trigger point with engagement of the affected muscle or antagonistic muscles. We can combine manual work on trigger points with topical herbs and/or internal herbs and nutrients that improve circulation and reduce inflammation. We can utilize release points on the same acupuncture meridian as where the trigger point occurs - or complementary points on other parts of the body. And more.
If all of this sounds interesting and relevant to you, I encourage you to do a little research. It might well be the end of a problem you thought had no solution. And if you need more guidance, check out my online course, Live Pain Free, where I go deeper into trigger points and much, much more to help people get out of pain of all kinds.
While I said I believe trigger points are the cause of most of our physical pain, I think it’s worth mentioning there are usually even deeper causes, such as stress and withheld emotions, poor body mechanics, dehydration, and an inflammatory diet. Holistically addressing these issues will lead to a more complete resolution of the condition. Always look at the big picture.
Be well,
Dr. Peter Borten
[post_title] => The Science Behind Our Pain: Inquiring Minds Want to Know
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I recently came across this statement on the U.S. Department of Agriculture website: “About 90% of Americans do not get enough dairy.”1 A review of dairy consumption by country shows that the United States ranks 17th in the world with an average intake of 560 pounds per person per year.2 In comparison, the average Japanese person consumes about 158 pounds annually, ranking Japan 109th on this list. Meanwhile, Japan ranks first in the world for life expectancy. The United States is 54th.3 If a country that consumes 28% as much dairy as we do outlives us by an average of eight years, is it accurate to say, “90% of Americans don’t get enough dairy”? Who defines “enough”?
It's questions like these that inspired me to create a new kind of course in nutrition – one that teaches people how to think critically, listen to their bodies, and develop a healthy relationship with food. In How to Eat, I explain how to achieve your optimal weight without counting calories or eating in a totally unnatural way. I lead students to a way of eating that promotes abundant energy and a clear mind without having to wade through all the contradictory information out there. Through a combination of modern science, psychology, and a strong foundation in traditional Eastern systems of medicine, I’ll teach you that it’s not just what you eat, but how you eat that matters.
For today I want to offer you just one simple piece of nutrition advice: stay conscious while eating.
We all tend to think about things other than the act we’re currently engaged in, and this is an especially bad habit while eating. We daydream, we work, we read, we watch TV, we talk, we drive, we play on our phone. This causes us to miss out on many of the benefits of eating, and it also makes us more likely to eat in ways that aren’t healthy.
There are three good things that happen when we stay conscious (i.e., mindful):
- The eating process tends to work better. We're relaxed, we consume at a healthier pace, the body assimilates it better, and I believe we probably derive more nutritional value from the food.
- We notice and can respond to the subtle (or not-so-subtle) messages our body is giving us, such as, “I’m not hungry anymore” or “This food is not compatible with me” or “Slow down.” You can learn virtually everything you need to know about how to best feed yourself – both the specific foods and the ideal time and manner to eat them – just by giving all of your attention to the act of eating.
- We have an amazing opportunity. Truly. I believe that most people may never experience just how profound the act of eating is. This profundity is only available when we give it our full attention. Then we start to get an inkling of it . . .
. . . the complexity of colors, textures, flavors, and nutrients in the food
. . . the incredible sophistication and intelligence of the human body; its ability to extract what it needs from the food and turn it into energy, blood, muscle, bone, and the capacity to remain conscious and sharp
. . . the whole ecology we’re part of – the sun and the almost magical ability of plant cells to turn its light into biological energy; the constructive roles of soil and water; the human labor and the care that was taken to cultivate this food; and the lineage of thousands of generations of plants and animals that were intentionally chosen for the purpose of nourishing us.
When we have an experience of just how special this is, eating is no longer just about making the hungry feeling go away or getting a good taste in your mouth. It can be calming and centering. It can be a beautiful spiritual practice. It unites us with our environment.
If you’re ready for a new way of relating to food and how you feed yourself, check out my course, How to Eat. It’s on sale for 60% off right now.
Be well,
Peter
1. https://www.myplate.gov/eat-healthy/dairy
2. https://en.wikipedia.org/wiki/List_of_countries_by_milk_consumption_per_capita
3. https://en.wikipedia.org/wiki/List_of_countries_by_life_expectancy
[post_title] => How to Eat: Discover a New Way of Eating
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As we approach spring, it’s a good time to discuss seasonal junctions. Both Ayurvedic and Chinese systems of medicine see the changes of seasons as times when we are more susceptible to being thrown out of balance as our body is challenged to adapt to the shift. Ayurveda has a saying that “diseases are generated at the junctions of the seasons.”
Other junctions are also challenging, with the challenge generally proportional to the magnitude of change. Ayurvedic teacher Robert Svoboda writes, “Ovulation and menstruation are the ‘joints’ of the menstrual cycle, dawn and dusk are the joints of day and night, and adolescence and menopause are the junctions of life.” If you have kids, you know that the “joints” of the day are the times you’re likely to have trouble, and if you’re clever, you find ways to make these transitions easy, such as the ever-popular “five more minutes until we’re leaving.”
Depending on where you live and your personal constitution, different seasons and junctions will be challenging for different people. For example, because spring tends to be wet, moving into this season means taking on more of what Traditional Chinese Medicine (TCM) calls dampness, or in Ayurveda an increase in kapha (“kaap-ha”). This will be most difficult for those who already have constitutional kapha or an accumulation of dampness in their system. Some of the signs and symptoms include: being overweight, having loose, sticky, or incomplete stools, a wide or coated tongue, feeling heavy and tired, finding it hard to wake up in the morning, and a tendency to be phlegmy.
Ayurveda might prescribe some therapeutic vomiting for such a condition, but these days, especially in the West, we prefer more pleasant medicine, ideally in gummy form, and we engage in therapeutic vomiting only after an excess of margaritas. Luckily, there are gentler ways to restore balance, and when it comes to management of the seasonal junctions, the most natural is to be aware of vulnerability during seasonal transitions and treat yourself with extra care. For someone with a delicate constitution or pre-existing health problems, this may be prudent at every season change. For others, only certain season changes may be troublesome. In any case, it’s a good idea to get extra sleep and to eat with greater care during the transition month.
If you have a personal challenge with the transition to spring, here are some more specific recommendations for this time.
- Eat more warm, cooked foods. Soups and stews are great. An ideal one is kitchari, made from rice and mung beans (there are lots of recipes online). If you have some of the kapha / damp challenges described above, you can add plenty of warming spices, including ginger, turmeric, cumin, coriander, turmeric, cinnamon, fenugreek, caraway, nutmeg, and black pepper. As the world gets warmer, start incorporating more fresh local produce.
- Avoid heavy, cold, and sweetened foods. These all tend to be cloying. Also, stop eating before you’re full, and let yourself get hungry between meals (don’t snack).
- Do some movement every day. Kapha / dampness tends to congeal in us when we’re immobile, sometimes making us feel achy, heavy, phlegmy, or groggy in the morning, after we’ve been horizontal for several hours. Daily movement, ideally with enough vigor to break a sweat, will help.
- Try a dry sauna. If you have access to a dry sauna, it can help counteract the effects of a damp environment. It doesn’t need to be too hot. You shouldn’t be pouring sweat. More sustainable is to have longer sessions in which your skin is just glistening.
- If you tend to get spring allergies, this is the time to prepare by babying your digestive system (eat slowly, deliberately, and only easily-digested foods) and taking some things to stabilize your immune system. Some of my favorites are quercetin (500mg twice a day), nettles (pick and steam your own if you can), local bee pollen, and homeopathic preparations of the things you’re allergic to. As for this last item, it’s akin to the old-school method of desensitization. There are companies that make super-dilute tinctures common allergens, such as tree pollen, grass pollen, animal hair, mold, dust, etc. I’ve had good experiences with ones made by a company called BioAllers.
For everyone – including those who have no particular challenge with the transition to spring – it’s worthwhile to pay attention to what’s happening in nature. Be fascinated by the return of new life. Notice the boisterous energy in the flowers and birds. Admire the vigor in the shoots that push their way through the crusted soil. The rising energy and lengthening days make it the ideal time for: planning, visualizing, cleansing, and shedding.
Wishing you a harmonious junction and beyond,
Peter
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thank you this is awesome!
Beautifully said!!
Thank you!!
Beautiful…I truly believe I wouldnt be where I am today without my challenges.
I am currently going through an extremely difficult time with recent diagnosis of my Mother’s stage 4 cancer. This will not resolve itself until she goes through it and will eventually end in her passing. I am working to stay present through this and I know there will be times when this will be my greatest life challenge. Yet somewhere in me I also know it will be my greatest life lesson, and although she doesn’t realize it, her greatest gift to me. I don’t even think I know how difficult this will actually be. I can only hold space for her, my family and myself. I do have a certain curiosity as to how this will all unfold. Right now I am keeping faith and trust that even this is for the highest good. Now to see if I can maintain that.
Karen, May blessings of the world hold & carry you and yours immediately and through this most difficult time. There is honor in your presence…thank you for such.
Karen, I feel for you as, I myself had a Mother that had a Diagnosis with Stage 4 Ovarian & Bladder Cancer. The sad thing is I lost her on November 19, 2017. She was a Rock for me, one of my bestest friends and I could count on her to always be there for me and my family( she was a gift for me). So, I had a hard time, but with signs from a higher power and faith… I have healed! See, My daughter, her granddaughter was pregnant with my Grandson. He was due to be born when she passed. But, because I know in my heart and she told me, she wouldn’t be to first to hold him, that he wasn’t born until Dec 19th one month. She held in Heaven, and kissed him! As, when he was born placed on his for head was a beautiful birthmark. He is now one of my most precious gifts and I will always have a reminder that she loved us very much and is watching over us because of he kiss.
Karen, your love and care formyour mother is wonderful. I am a cancer survivor, and have always felt the process was far more difficult for my daughters than for me. Let the specialists take care of her body while you take care and enjoy her spirit. Blessings to you.
I discovered when being open and sharing a certain struggle with others and thus admitting my vulnerability, they felt free to share their vulnerability. For some, they shared something that they had not shared with anyone else. We are in this together!
I love you MORE each time you teach, Briana!
I know my heart and I drink, with gratitude, every opportunity I am able from Dragontree.
This a.m., I see with more clarity! Women are key “vessels” to feeding and watering the next generation’s, roots. My heart is vested in the next generation. Having ample “watering from a mother’s vessel” allows the world’s children exponential ability to create a “more peaceful world”. I newly see the more vessels I can teach to “hold water”, the more feeding of those, next, generation roots can be done. This “came” to my mind watching you just now; I learned deeply, with profound emotion and am grateful.
I will stop skirting my soul lessons! No wonder the “silver lining” process you discussed was not working and actually causing “stagnation” for me! I am going to dig in and explore the beautiful (ok…awful, under appreciated) MUD!!
Might I share a personal “mud” analogy?
Last week, I purchased a very wicked looking shovel with five, yes, FIVE very sharp points. Though time was short and I was to be headed to a workshop I immediately drove home. Upon arrival I was really “wanting” to feel if this tool was going to work the way I hoped; so I immediately left my car, new purchase in hand, and dug roughly five holes. Becoming enthused about the shovel’s abilities proved to be my wisest choice. I couldn’t wait to get back to using this tool.
The next opportunity to explore the shovel capabilities was a day later, in the drizzling rain. Yes, residing in Beaverton, Oregon…one doesn’t wait for sunshine in April. I “joyfully dug” (normally an oxymoron) in one of my gardens for over two hours. The shovel penetrated deeply, with ease, pulling fourteen inch roots from the ground. I was learning that a very difficult task (digging) could become a true joy…clearly seeing and experiencing the mud. The blue color of garden shoes was covered with INCHES of mud. My pants and raincoat smeared brown.
The area I worked was now ready to nurture a garden; I saw wormy, healthy, mud. My huge, 60 gallon, yard debris garbage can over half-filled with ROOTED young, prickly, thistle. I’d set aside a huge pile of dandelion-&-roots to enjoy exploring via making cookies and teas.
As a result, when you taught “mud” my soul was prepared to hear and WANTING to go to work IN and not skirt around that difficult, challenging patch of land which I had fought so hard to “skirt” believing, too many years, that I did not have the ABILITY to conquer.
I had paid others to weed and feed this garden area for many years, clearing the land and always adding good soil. Working the mud myself I see they didn’t have a vested interest in digging the roots. The ground appeared clear yet the voracious weed roots grew more tenacious.
I understood, from DT teachings, “stagnation/disease ” but I didn’t understand the requirement to face “digging in the mud”.
Always been most grateful for the ability to use my rose-colored-glasses that seem to self-paint, stagnant, silver linings…
Yet the sharply needled, painful, thistle were underground gaining size and deeply rooted strength, expanding and sucking all the water from the soil, resulting in ever worsening environment.
Your glowing spirit beautifully emanated the light today that I needed to understand. So grateful to you, Peter and the ACTION you take to implement Dragontree’s world vision.
Some of my mud may be turned to clay…hard as concrete not being disturbed for decades. I want to learn the lessons not merely suffer the “silver skirted” falsely beautiful walk around a garden appearing to be planted with the best organic vegetables but rooted with thistles.
The answer is entering and working IN-the-mud!! Bless you, Beautiful Woman and MOTHER (gentle, loving, teacher to the world).
Thank you for your comment! I have been in a very dark time for several months now since the betrayal and following breakup of what I thought was a lifelong relationship. I find myself now alone at age 65 with no job or home. Always before in my life I too worked superficially in my garden. But during these months, with much help from great teachers such as Brianna, I have been digging out the thistle and uncovering all the hidden obstacles of my past. I am now seeing this change in my life as a beautiful opportunity and am looking forward to the beautiful garden the remainder of my life will become.
There are times to reflect about the dark and tough times. Most important to remember is there is something there to learn. Only you know that on what it is to learn and absolutely one needs to be honest with themselves when doing this. Doing this can be very profound in one’s life and make it possible to become closer to you and who you are or who you strive to be.
This was a good video. “Being in the challenge” and that it is okay is not something I believe we are allowed to do all the time. We’re taught and/or encouraged to “suck it up,” “deal,” and “get over it.” I think that plays into what you mentioned about ways people cope – food, alcohol, and work.