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The Gift of Knowing How to Manage Your Own Pain

For the holidays we gave our eight-year-old daughter a set of indoor monkey bars. That meant I spent a day with my arms above my head, screwing eye bolts into… Read More

How You Hold Yourself Can Change Everything

Imagine you’re brought to a beautiful place where you’ll be meeting a person with whom you’ll share an incredible, lifelong love – a romantic love or a powerful friendship, or… Read More

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Sure, you can make new habits anytime, but there aren’t always millions of other people doing it at the same time. That said, clearly the group trajectory isn’t enough to ensure your success. Plenty of people make and break resolutions every year, and while a few weeks (or days, as the case may be) of a healthy new habit is better than nothing, there’s also the toll of broken self-trust to consider. If you’re going to make an agreement with yourself, it’s best to choose terms that you can fulfill, because a lack of self-trust is a serious impediment. You may think, “It just means I changed my mind about exercise and cookies,” but it has broader consequences in the bigger picture of your ability to choose and create the life you desire. What I’m saying is, don’t do it unless you’re serious about it. And even if you are serious, I still recommend committing to just one thing. I know, I know, you can do lots of things. But I’m saying, just do one thing not only because it’s harder to keep multiple resolutions than it is to keep a single one, but also because it means that your focus and power won’t be divided (any more than they already are). Take on one thing and give all the “resolution energy” you’ve got to that one thing. Later you can add another thing. I don’t mean to sound like I’m lowering the bar for you. I think people are capable of greatness far beyond their imagined limitations. But imagined limitations become actual limitations when we believe in them. In subtle ways we tend to sabotage ourselves, and one of the most effective forms of self-sabotage is crappy focus. We often simply don’t hold our attention on something for long enough to see it through. Yes, there are some organic causes of impaired mental focus, but just because someone gets more done when they take an ADD drug (i.e., amphetamine), doesn’t prove that the cause was biological. In an age when we’re bombarded with a constant stream of data through multiple devices, an age with more options for distraction than ever before, we may be regularly making subconscious choices that reinforce a short attention span. Regardless of the cause, we can all improve our ability to focus simply by practicing it. Let’s try a little exercise. It will only take one minute. Choose something small and natural in your environment to gaze at, like a candle flame, a leaf, a piece of food, or one of the lines on your palm. You’re going to spend just 60 seconds looking at it without taking your eyes or mind off it, and without thinking and mentally “talking” to yourself about what you’re looking at or anything else. Try it now, then come back. How did it go? Were you able to do it for the whole minute? What did you notice? Was it squirmy? Was it relaxing? When I do this, I notice my breathing slows down significantly and I feel grounded. This shift may be partly due to looking at whatever I’m looking at, but I think the main reason it feels peaceful is because it’s a break from continuous mental chatter and shifting focus. Back to resolutions, I encourage you to choose a single thing to commit to. Write down what exactly it means so that you’re clear about how to stay in the spirit of this commitment. Choose a time frame for the commitment; don’t make it open-ended because that implies forever. If you have a hard time with follow-through, you might want to start with a very short time frame, like one day. You can always re-up your commitment at the end of the period you choose. Ensure that you don’t forget it by writing it down, setting reminder alarms for yourself, finding a partner to do this with, renting out billboard space along your commute . . . whatever it takes. Finally, as part of your commitment practice, set aside just 60 seconds every morning to sit and focus on the commitment, visualizing yourself embodying it. Let us know how it goes. Be well, Peter [post_title] => New Year Resolution [post_excerpt] => [post_status] => publish [comment_status] => open [ping_status] => open [post_password] => [post_name] => new-year-resolution [to_ping] => [pinged] => [post_modified] => 2022-12-22 22:06:29 [post_modified_gmt] => 2022-12-22 22:06:29 [post_content_filtered] => [post_parent] => 0 [guid] => https://thedragontree.com/?p=8901 [menu_order] => 0 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw [webinar_id] => 0 ) [1] => WP_Post Object ( [ID] => 8701 [post_author] => 3 [post_date] => 2022-07-14 19:48:32 [post_date_gmt] => 2022-07-14 19:48:32 [post_content] => Previously I wrote about how community is like medicine. Our circle of fellow humans goes through this amazing journey with us . . . encouraging us, witnessing us, screaming with us on the roller coasters, and holding our hand when we take our last breath. My orientation in that article was toward what community can do for us, but it’s at least as important to look at what we can do for our community. I was reading about a Native American grief ritual described by Black Elk, and while the ritual itself was interesting, what stuck with me was his assertion that long-held grief isn’t good for a person or the community to which that person belongs. That is, when someone is mired in suffering, this can have a negative impact on their community. You can probably think of plenty of examples where a glaring state of imbalance, such as rage or terror, could result in behaviors that are detrimental to others. But the effects of less dramatic, often chronic negative states are subtler. What happens – besides their own discomfort – when a person is trapped in depression, anxiety, or grief for years? One repercussion is that they have a diminished capacity to fully show up in their community. We might think, “Well, the community doesn’t really need me to be at my best,” but imagine going to a place where almost everyone was depressed, afraid, or angry. Such places do exist, of course, and you can feel it as a palpable mass degradation of the human spirit. These days we may feel that we don’t have any real obligation to our community, which is so different from how humans have operated for most of our history. Today community may be seen as an entirely optional part of life. We can live in near isolation while anonymous members of our community manage the utilities that provide us with power, water, and internet, take away our garbage, maintain our roads, even deliver our groceries. It feels like independence, but in truth we’re more dependent than ever on an infrastructure other humans maintain – we just don’t know who those humans are. We’ve lost our sense of responsibility to our community. It’s due in part to the feeling that our government is huge, remote, and corrupt. But if our response is to disengage, the situation can only get worse. If anything, the sense of disconnection from our elected representatives and neighbors should magnify the need to do what we can to make a positive difference. It’s not just an obligation, it’s also an opportunity. If we can recognize and accept that our quality of presence affects others, this may inspire us to be our best selves. And it’s not just a matter of what we do but also who we are and how we are. Becoming fundamentally well inside helps heal the community. Imagine how healthily a community of fundamentally well people manages challenges. If you’ve been struggling, I don’t mean to make you feel guilty as well; that won’t help you or your community. Rather than focusing on the negative impact your unwellness might have on your community, consider that getting well is good for you and it’s good for your community. Sometimes it’s easier to do it for others than for yourself. Years ago, I read A Course in Miracles with friends. If you’re unfamiliar with it, it’s a book on spiritual awakening with a section of scripture and a year-long workbook of daily lessons. It’s not for everyone, but I gained some valuable insights from going through it. One of those insights occurred when I encountered this passage: “Lesson 66: My happiness and my function are one.” Whereas I had tended to think of my happiness as a personal thing – sometimes even a selfish thing – this spiritual book was telling me that being happy (true, causeless happiness) is one of the greatest things I can do for the world. As I meditated on it, I saw clearly that the happy people I’ve known were like lights in every setting they entered. Without even intending it, they had a therapeutic effect on everyone they encountered. Not only did they tend to uplift those around them, in an unspoken way they communicated that this is a possibility for you, too. Happiness is a perspective, a choice. If I can choose it, you can choose it. Being happy makes us more peaceful, compassionate, and creative. It gives us the freedom to see a bigger picture, rather than focusing on what’s wrong or bad. Even just one happy person in a room full of scared people can change the whole atmosphere – and the choices that community makes. So I encourage you to consider this week:

Who am I and what role do I play in my various communities?

How have I been affected by the genuinely happy people I’ve known?

What do I believe stands between me and being one of those happy people?

What happens when I make a conscious choice of how I’m going to show up in a given setting?

When I give, what do I receive?

How do I feel when I put myself in service to others?

Where could I dedicate myself to more actively resolve any unhealthy patterns of thought, communication, or behavior?

How will I be different as I heal, and how will I affect my community differently as I release my baggage?

When will I choose happiness?

Be well, Peter [post_title] => The Best Thing You Can Do For the World is to Be Genuinely Happy [post_excerpt] => [post_status] => publish [comment_status] => open [ping_status] => open [post_password] => [post_name] => the-best-thing-you-can-do-for-the-world-is-to-be-genuinely-happy [to_ping] => [pinged] => [post_modified] => 2022-07-14 20:31:48 [post_modified_gmt] => 2022-07-14 20:31:48 [post_content_filtered] => [post_parent] => 0 [guid] => https://thedragontree.com/?p=8701 [menu_order] => 0 [post_type] => post [post_mime_type] => [comment_count] => 2 [filter] => raw [webinar_id] => 0 ) [2] => WP_Post Object ( [ID] => 8675 [post_author] => 3 [post_date] => 2022-05-31 22:37:05 [post_date_gmt] => 2022-05-31 22:37:05 [post_content] => I am often asked, “What’s the difference between acupuncture and dry needling?” So, I thought I’d answer the question for everyone in our community who might be interested, and offer some history and science along the way. “Dry needling” is a term that has grown tremendously in usage over the past decade because it’s a newly adopted practice by many physical therapists. It essentially consists of inserting acupuncture needles into tight muscles. In many states, acupuncturists have fought physical therapists’ attempts to expand their scope of practice to include this procedure. However, physical therapists outnumber acupuncturists by about seven to one, which means stronger state organizations and greater legal power. Acupuncturists argue that physical therapists are essentially stealing their medicine and calling it something different. In some states physical therapists can practice dry needling with no training in it; in others they typically complete a 55-hour course. By comparison, a licensed acupuncturist generally receives about 500 hours of instruction in the acupuncture-specific portion of their training. For a few centuries in the West and a couple millennia in China, observers of the human body have known about nodules that occur in tight muscles and are associated with chronic, complex pain patterns. You might just call them “knots.” In the mid-1900s a doctor named Janet Travell coined the term myofascial trigger point to describe this phenomenon. About 90% of them are found at the locations of acupuncture points, which were mapped out on bronze statues at least 1,000 years B.C.E. Travell explained that myofascial trigger points are irritable regions in our connective tissue (muscle and fascia) that get stuck in a contracted state. They make muscle fibers taut, reducing muscle strength and range of motion, and causing pain, numbness, and other symptoms that often spread to areas far from where they originate. In many cases, what we perceive to be a visceral problem (heart attack, ulcer, migraine, irritable bowel, urinary tract infection, etc.) is actually the symptom of one or more trigger points. I believe trigger points are responsible for most of the physical pain humans experience. Travell and her colleague David Simons went on to chart the locations and symptoms of trigger points in every major muscle. Travell became John F. Kennedy’s doctor (the first female presidential physician) and his family credited her with saving Kennedy’s political career by curing his back pain through the release of myofascial trigger points. Travell (and researchers before her) discovered that it’s possible to release a trigger point through a simple procedure she called “ischemic compression.” It basically entails pressing firmly on the center of a trigger point for about half a minute until it softens. Travell’s maps and manual techniques for releasing trigger points were adopted by physical therapists over the following decades. (For what it’s worth, body workers have probably been doing ischemic compression for ages, without calling it ischemic compression.) Travell also found that she was able to release trigger points by injecting them with numbing agents or saline. However, it emerged that the most effective aspect of this practice wasn’t the injection of fluid, but the mechanical act of probing at the trigger point with a needle. That is, a release could be accomplished even with a “dry” needle, without injecting anything. Based on this new expression, one could say that all acupuncture is “dry needling.” This is precisely what acupuncturists have always done, although the insertion of needles into these local epicenters of pain is generally just one aspect of an effective acupuncture treatment. What makes an acupuncture treatment holistic (i.e., addressing the whole person) is that the treatment also addresses the underlying mechanisms that led to the surface issue (e.g., stress, diet, digestive problems, more global structural or energetic imbalances, etc.). In the 1980s, an osteopath and acupuncturist named Mark Seem, founder of Tri-State Acupuncture College in New York City, began integrating Travell’s trigger point maps into traditional acupuncture. He met with Travell and demonstrated his approach. Travell immediately recognized the value of using a much thinner, solid, and springy acupuncture needle (which has a cone-shaped tip), as compared to the hypodermic needles she had been using (which have a scalpel-like hollow beveled tip). Over the following decades, physical therapists gradually discovered that “dry needling” with acupuncture needles is often a faster and more effective trigger point release method as compared to the various forms of pressure, friction, stretching, exercise, and structural education that have been part of the physical therapists’ palette for their hundred-ish year history. In court cases between acupuncturists and physical therapists, PTs often argue that the insertion of needles into trigger points is a simply an extension of these “manual therapies” described in their scope of practice, and the decision comes down to whether or not the judge agrees. The other common argument by PTs is that there are many differences between dry needling and acupuncture. In my opinion, having observed PTs doing dry needling and having studied many styles of acupuncture, there’s clear evidence that acupuncturists have been doing everything encompassed in dry needling for a very long time. PTs have insisted that because they know nothing of the acupuncture meridians (energy circuits along which acupuncture points are located), dry needling therefore isn’t acupuncture. But this is like saying that because you haven’t studied anatomy, when you cut into someone with a scalpel you’re not actually doing surgery. Further, there are many systems of acupuncture, several of which don’t utilize meridians. Enough about the arguments. My purpose isn’t to determine whether or not it’s right for physical therapists to do dry needling, but to clarify the differences in the consumer’s experience. While acupuncture is great for pain, not all acupuncturists are pain specialists, and most acupuncturists don’t specifically target the trigger points mapped by Travell. If that’s what you’re looking for, it may be worth seeking out an acupuncturist who specializes in pain. Or you might be happy with a skilled physical therapist who does dry needling. Both acupuncturists and physical therapists run the spectrum from mediocre to brilliantly talented. I have no doubt that there are some masterful PTs out there who get great results doing acupuncture (dry needling) – perhaps better for structural issues than an average-level acupuncturist. I have had patients ask me to “fix” them after a painful dry needling session from a PT that worsened their condition, and I’ve had other patients report good results from dry needling. If you are skittish about needles, you may not enjoy dry needling from a physical therapist, since it tends to be more intense than the average acupuncture treatment. That said, any form of acupuncture that specifically focuses on releasing trigger points is unlikely to be painless. Regardless of the style of acupuncture I’m performing, I always tell my patients I’m not the person to see if they don’t want to feel anything; I believe a certain degree of sensation is productive. If you’re someone who cares about how much training your practitioner has received, perhaps it’s meaningful to you that an acupuncturist typically spends ten times as many hours learning their craft than a physical therapist spends learning dry needling. (And virtually all of the acupuncturist’s continuing education will be in acupuncture as well.) If your primary concern is having your treatments covered by insurance, you’re more likely to get this from a physical therapist. There are some acupuncturists who bill insurance, but more often it will be up to you to submit your receipts and hope for reimbursement. If it’s important to you that your treatment gets to the root and addresses the whole you, including non-structural issues, you’ll probably be more satisfied with treatment from an acupuncturist. The common experience of “going to acu-land” as some of my patients call it – i.e., becoming deeply relaxed or even having a transcendent experience – isn’t part of the dry needling session. Some would consider the peaceful effect of acupuncture merely a pleasant bonus, but I believe it’s often much more instrumental in the overall outcome than people realize. How often do we stop, rest, and drop all of our concerns? It can be akin to the benefit of a session of deep meditation. The alleviation of stress and a nervous system “reset” is no small thing, especially when stress is the root cause of so much pain. That said, I find that many patients honestly aren’t concerned with a holistic treatment, and that’s fine. They want a practitioner who will get right into the painful area and work the hell out of it. It might be intense and they might feel beat up afterwards, but there’s a time and place for this kind of work if it’s effective. Personally, I don’t mind receiving aggressive treatments. Occasionally they’ve been miraculous (other times they’ve left me temporarily crippled with no relief). And of course, if the pain itself is one’s primary stressor, one could argue that getting rid of the pain should be a higher priority than alleviating stress (though we don’t have to choose one or the other). In my experience it’s a slight minority of acupuncturists who work this way, while it’s quite common for a physical therapist. Whew! That was a long-winded exploration of this topic. I thought about removing parts of this article to shorten it, but having had this conversation so many times, I’ve found that many people are curious about all the facets of this subject. I hope I offered some clarity. Be well, Dr. Peter Borten [post_title] => What's the Difference Between Dry Needling and Acupuncture? [post_excerpt] => [post_status] => publish [comment_status] => open [ping_status] => open [post_password] => [post_name] => whats-the-difference-between-dry-needling-and-acupuncture [to_ping] => [pinged] => [post_modified] => 2022-05-31 22:37:05 [post_modified_gmt] => 2022-05-31 22:37:05 [post_content_filtered] => [post_parent] => 0 [guid] => https://thedragontree.com/?p=8675 [menu_order] => 0 [post_type] => post [post_mime_type] => [comment_count] => 1 [filter] => raw [webinar_id] => 0 ) ) [post_count] => 3 [current_post] => -1 [before_loop] => 1 [in_the_loop] => [post] => WP_Post Object ( [ID] => 8901 [post_author] => 3 [post_date] => 2022-12-22 22:06:29 [post_date_gmt] => 2022-12-22 22:06:29 [post_content] => January first may be a somewhat arbitrary date to divide the chapters of our lives, but there’s something to be said for joining the momentum of the mass consciousness focused on bettering ourselves. Sure, you can make new habits anytime, but there aren’t always millions of other people doing it at the same time. That said, clearly the group trajectory isn’t enough to ensure your success. Plenty of people make and break resolutions every year, and while a few weeks (or days, as the case may be) of a healthy new habit is better than nothing, there’s also the toll of broken self-trust to consider. If you’re going to make an agreement with yourself, it’s best to choose terms that you can fulfill, because a lack of self-trust is a serious impediment. You may think, “It just means I changed my mind about exercise and cookies,” but it has broader consequences in the bigger picture of your ability to choose and create the life you desire. What I’m saying is, don’t do it unless you’re serious about it. And even if you are serious, I still recommend committing to just one thing. I know, I know, you can do lots of things. But I’m saying, just do one thing not only because it’s harder to keep multiple resolutions than it is to keep a single one, but also because it means that your focus and power won’t be divided (any more than they already are). Take on one thing and give all the “resolution energy” you’ve got to that one thing. Later you can add another thing. I don’t mean to sound like I’m lowering the bar for you. I think people are capable of greatness far beyond their imagined limitations. But imagined limitations become actual limitations when we believe in them. In subtle ways we tend to sabotage ourselves, and one of the most effective forms of self-sabotage is crappy focus. We often simply don’t hold our attention on something for long enough to see it through. Yes, there are some organic causes of impaired mental focus, but just because someone gets more done when they take an ADD drug (i.e., amphetamine), doesn’t prove that the cause was biological. In an age when we’re bombarded with a constant stream of data through multiple devices, an age with more options for distraction than ever before, we may be regularly making subconscious choices that reinforce a short attention span. Regardless of the cause, we can all improve our ability to focus simply by practicing it. Let’s try a little exercise. It will only take one minute. Choose something small and natural in your environment to gaze at, like a candle flame, a leaf, a piece of food, or one of the lines on your palm. You’re going to spend just 60 seconds looking at it without taking your eyes or mind off it, and without thinking and mentally “talking” to yourself about what you’re looking at or anything else. Try it now, then come back. How did it go? Were you able to do it for the whole minute? What did you notice? Was it squirmy? Was it relaxing? When I do this, I notice my breathing slows down significantly and I feel grounded. This shift may be partly due to looking at whatever I’m looking at, but I think the main reason it feels peaceful is because it’s a break from continuous mental chatter and shifting focus. Back to resolutions, I encourage you to choose a single thing to commit to. Write down what exactly it means so that you’re clear about how to stay in the spirit of this commitment. Choose a time frame for the commitment; don’t make it open-ended because that implies forever. If you have a hard time with follow-through, you might want to start with a very short time frame, like one day. You can always re-up your commitment at the end of the period you choose. Ensure that you don’t forget it by writing it down, setting reminder alarms for yourself, finding a partner to do this with, renting out billboard space along your commute . . . whatever it takes. Finally, as part of your commitment practice, set aside just 60 seconds every morning to sit and focus on the commitment, visualizing yourself embodying it. Let us know how it goes. Be well, Peter [post_title] => New Year Resolution [post_excerpt] => [post_status] => publish [comment_status] => open [ping_status] => open [post_password] => [post_name] => new-year-resolution [to_ping] => [pinged] => [post_modified] => 2022-12-22 22:06:29 [post_modified_gmt] => 2022-12-22 22:06:29 [post_content_filtered] => [post_parent] => 0 [guid] => https://thedragontree.com/?p=8901 [menu_order] => 0 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw [webinar_id] => 0 ) [comment_count] => 0 [current_comment] => -1 [found_posts] => 271 [max_num_pages] => 6 [max_num_comment_pages] => 0 [is_single] => [is_preview] => [is_page] => [is_archive] => 1 [is_date] => [is_year] => [is_month] => [is_day] => [is_time] => [is_author] => [is_category] => 1 [is_tag] => [is_tax] => [is_search] => [is_feed] => [is_comment_feed] => [is_trackback] => [is_home] => [is_privacy_policy] => [is_404] => [is_embed] => [is_paged] => [is_admin] => [is_attachment] => [is_singular] => [is_robots] => [is_favicon] => [is_posts_page] => [is_post_type_archive] => [query_vars_hash:WP_Query:private] => a775e0819e1d12b57148cc37ab883572 [query_vars_changed:WP_Query:private] => [thumbnails_cached] => [allow_query_attachment_by_filename:protected] => [stopwords:WP_Query:private] => [compat_fields:WP_Query:private] => Array ( [0] => query_vars_hash [1] => query_vars_changed ) [compat_methods:WP_Query:private] => Array ( [0] => init_query_flags [1] => parse_tax_query ) )

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