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[post_content] => 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 both. If such a person already exists or existed in your life, you can use them for this exercise. Whomever it is, know that they completely love and accept you.
The environment is perfect for you – airy or cozy, with a fire or open windows, vases of flowers, your favorite music, and curtains blowing in the breeze. Maybe it’s a garden, or the top of a mountain, or at the fanciest bowling alley in the world.
Try feeling into this. You’re in this lovely space, about to meet someone who makes you feel both strong and at ease. Imagine you’re facing this person and walking toward them. As you do so, consider your posture. Sit up, lift your head, open your heart, carry yourself as if fully welcoming this fun and inspiring partnership. Take a moment to ride this visualization forward. Feel it in your body, let a smile spread across your face as you imagine coming together and hugging or laughing or dancing because you find each other delightful.
Now, come back to your posture. Feel that straight spine, that open chest, that “lifting” energy?
Our posture is an expression of how we’re carrying our lifeforce and meeting the world. How might life be different if you met each situation with the same posture that you’re meeting this beloved person?
Too often, we collapse, clench, or curl in on ourselves as an unconscious reflection of feeling burdened, apprehensive, untrusting, timid, or vulnerable. Consequently, we feel tired, weak, indecisive, and unconfident.
We also use posture to show dominance and submission, and to indicate prowess. But rather than “posturing” like a puffer fish in an arrogant or animalistic way, I’m suggesting we use posture as a conscious embodiment of who we choose to be and how we choose to relate to life.
In a happy moment, our posture often automatically improves, and it also works the other way around. When you carry yourself with a combination of strength and ease, your mood improves, you relate more positively to the world, and the world responds more willingly to you.
What are your values? What are your gifts? What’s your life purpose? If you have our Dreambook, revisit these sections to remind yourself of what’s most important to you and what you have to share with the world. Who do you want to be?
How do you want to relate to life? With kindness? Openness? Trust? As if it’s an incredible game? As an opportunity to experience a splendiferous palette of flavors, sights, and experiences?
Write a bit about who you choose to be and how to choose to relate to life. Now imagine embodying these intentions and surrender to how your body wishes to reconfigure itself in order to be a cleaner, more accurate and aligned vehicle for this spirit. Throughout the day, bring yourself back to this intention and take just a moment to again reconfigure your body to express this attitude toward life.
Notice how this reconfiguration process changes over time. Sometimes it may be a gross adjustment – your head lifts, your ears come in alignment with your shoulders, your shoulders drop and draw back, your chest opens, your belly relaxes, your jaw unclenches, your breathing deepens. Other times, you may experience it as a subtle unraveling of inner constraint, or as a ripple that emanates through you, bringing all your parts into harmony.
The hardest part is simply remembering to do it.
I’d love to hear what you notice about the positive in negative ways your posture affects you. Feel free to share in the comments section below.
Be well,
Peter
[post_title] => How You Hold Yourself Can Change Everything
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[post_content] => Of all the things one could do to be healthier and happier, I consider meditation to rank among the top practices on the list.
We spend most of our lives thinking . . . judging, worrying, processing, planning, pondering, analyzing, and rehashing. Most thinking isn’t bad, per se, but it’s an unconscious, incessant habit. We rarely recognize that there’s a difference between consciousness and thinking. Our minds are constantly trying to grab our attention and monopolize our awareness, and usually we give it away freely.
What’s the problem? Well, although we have some necessary functional thoughts – e.g., “I’m almost out of gas and need to refill the tank” or “I need medical attention for this severed limb” – most of our thinking is less intentional, and it tends to distance us from the here-and-now. When thinking becomes our default state, it’s no longer a choice. It’s like defaulting to being on your phone whenever possible.
The mind is constantly saying, “I have something important / tragic / interesting / worrisome / outrageous / unfair / juicy, etc. Give me your awareness!” Over decades of doing so, we forget who/what we really are; we most strongly identify with a collection of thoughts, beliefs, and memories. Further, in letting our thoughts define us, we impose tremendous limitations on ourselves.
In my opinion there are two fundamental points of meditation: (1) to take a break from the habit of thinking and doing (2) to experience awareness itself and remember what we are beyond our thoughts. This is the opposite of what most of us do all day.
Can we have awareness without thinking? Of course. As a short exercise, rest your gaze on something in the room or out the window. See it and experience it without talking about it to yourself (or talking to yourself about something unrelated). As soon as you feel your mind about to break through with a thought, pick up your attention and put it on something else. Do this for a minute or so, then come back here.
How was it? What did you notice? Could you feel the squirminess of your mind itching to get back in the spotlight? It’s almost like the feeling of being deprived of a drug. Why should it be so uncomfortable just to experience reality without thinking? That alone should tell us something is out of order.
While there are innumerable meditation techniques, I think it’s always worth coming back to the basics. We’re taking this time to experience awareness without thinking. We’re not trying to manipulate ourselves into a spiritual state or make something mystical happen. We’re just giving the mind a rest and basking in the space that opens. Even the psyche can eventually experience it as a great relief.
This form of meditation is a bit like putting a child to bed. You’re sitting next to their bed and they sit up and say, “I forgot my water bottle on the playground!”
You lovingly rest your hand on their chest and say, “It’s ok. You can rest now.”
A few seconds later they sit up again. “Guess what happened at lunch?”
You lovingly rest your hand on their chest and say, “You can tell me later. For now, you can just rest.”
A few seconds later they sit up again. “What if Mason tries to take my money again?”
You lovingly rest your hand on their chest and say, “Later we’ll make a plan. But right now, you can rest.”
This is what you’ll do every time your mind brings up a thought. Gently and firmly say, “No, thanks,” or “You can rest now,” or “Take a break,” or “There’s nothing to attend to” or, more simply choose not to give it your attention. Even when the thought is something like, “I haven’t had a thought in like two minutes!” Every thought stream starts with you latching onto it. Unlatch.
Over time, you may notice that giving your attention to a thought takes you out of a state of peaceful stillness. Or it’s like profoundly shrinking your focal point from a vast openness to a tiny idea. With practice and repeated recognition, you’ll start to loosen the habit of thought-dominated-awareness. Your perspective will broaden – even when you’re not meditating. Thoughts will arise and instead of instantly running away with you, you’ll witness them in a context of inner space where there’s more choice about how to respond.
Please give it a try, even if it’s just for one minute. And feel free to share your experience in the comments section below.
Be well,
Peter
[post_title] => Meditation: Keep it Simple
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[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
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[post_content] => 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 both. If such a person already exists or existed in your life, you can use them for this exercise. Whomever it is, know that they completely love and accept you.
The environment is perfect for you – airy or cozy, with a fire or open windows, vases of flowers, your favorite music, and curtains blowing in the breeze. Maybe it’s a garden, or the top of a mountain, or at the fanciest bowling alley in the world.
Try feeling into this. You’re in this lovely space, about to meet someone who makes you feel both strong and at ease. Imagine you’re facing this person and walking toward them. As you do so, consider your posture. Sit up, lift your head, open your heart, carry yourself as if fully welcoming this fun and inspiring partnership. Take a moment to ride this visualization forward. Feel it in your body, let a smile spread across your face as you imagine coming together and hugging or laughing or dancing because you find each other delightful.
Now, come back to your posture. Feel that straight spine, that open chest, that “lifting” energy?
Our posture is an expression of how we’re carrying our lifeforce and meeting the world. How might life be different if you met each situation with the same posture that you’re meeting this beloved person?
Too often, we collapse, clench, or curl in on ourselves as an unconscious reflection of feeling burdened, apprehensive, untrusting, timid, or vulnerable. Consequently, we feel tired, weak, indecisive, and unconfident.
We also use posture to show dominance and submission, and to indicate prowess. But rather than “posturing” like a puffer fish in an arrogant or animalistic way, I’m suggesting we use posture as a conscious embodiment of who we choose to be and how we choose to relate to life.
In a happy moment, our posture often automatically improves, and it also works the other way around. When you carry yourself with a combination of strength and ease, your mood improves, you relate more positively to the world, and the world responds more willingly to you.
What are your values? What are your gifts? What’s your life purpose? If you have our Dreambook, revisit these sections to remind yourself of what’s most important to you and what you have to share with the world. Who do you want to be?
How do you want to relate to life? With kindness? Openness? Trust? As if it’s an incredible game? As an opportunity to experience a splendiferous palette of flavors, sights, and experiences?
Write a bit about who you choose to be and how to choose to relate to life. Now imagine embodying these intentions and surrender to how your body wishes to reconfigure itself in order to be a cleaner, more accurate and aligned vehicle for this spirit. Throughout the day, bring yourself back to this intention and take just a moment to again reconfigure your body to express this attitude toward life.
Notice how this reconfiguration process changes over time. Sometimes it may be a gross adjustment – your head lifts, your ears come in alignment with your shoulders, your shoulders drop and draw back, your chest opens, your belly relaxes, your jaw unclenches, your breathing deepens. Other times, you may experience it as a subtle unraveling of inner constraint, or as a ripple that emanates through you, bringing all your parts into harmony.
The hardest part is simply remembering to do it.
I’d love to hear what you notice about the positive in negative ways your posture affects you. Feel free to share in the comments section below.
Be well,
Peter
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