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Last year a disabled veteran came to see me for help with back pain. As we talked about his history, a familiar story arose. He got injured, experienced a lot of discomfort, was prescribed opioid painkillers, and became addicted to them. He described how his journey through his addiction treatment center and how, for several years, “I lost my personality and my life. I was barely a human.”
He lived in a numb haze, with no sense of humor or interest in anything, until a new doctor specializing in recovery treatment for all levels of addiction, finally recognized what was happening and began to wean him off these drugs. Much of the pain remained, but we were able to work on that. More importantly, he got his life back, and his friends and family got him back.
The familiar part of the story is the widespread long-term use of opioids and the unfortunate consequences. The uncommon part is that he got off of them. A 2017 study by the Centers for Disease Control called “Characteristics of Initial Prescription Episodes and Likelihood of Long-Term Opioid Use” looked at 1.3 million opioid users over 9 years.1 It found that the longer the initial prescription period, the higher the likelihood of long-term use. If someone used an opioid for 10 days, there was a 20% chance they’d still be using it a year later. At 35 days, the risk of yearlong use was about 45%. A 2014 study in the Clinical Journal of Pain came to a similar conclusion – the higher the initial dose and the longer the initial use of an opioid, the greater the chance of the patient developing a condition of abuse and dependence.2
It’s worth mentioning that both of these studies excluded patients with cancer pain (which is often expected to require ongoing medication, perhaps until death). That is, the great majority of those who were on opiates for several years were using it to manage back pain or joint pain (or to manage their dependency on opiates). Thus, we can assume that the prescribing doctors either didn’t know of an alternative method for pain relief or didn’t care. Do effective non-opioid alternatives exist? In the words of some ancient healer: Hell Yeah!
The first modality that comes to my mind, as you might guess from the story above, is acupuncture. Acupuncture is no longer a fringe therapy. Its effectiveness is well supported by clinical research (comparable to opioids in effectiveness3), it’s routinely offered by many hospitals in the U.S., recommended as a standard option for pain management by health systems around the world, and even adopted by the U.S. military (in a form called “battlefield acupuncture”) for severe pain.
If acupuncture has been unsuccessful at managing your pain, I advise that it isn’t always an instant miracle. Sometimes it takes several treatments to produce significant, lasting results. Also, practitioners vary in their specialties and level of skill. If you don’t experience any relief after a couple sessions, try someone else – and ask if they specialize in pain. Further, a licensed acupuncturist is almost always going to be more skilled and certainly has more training than a medical doctor or physical therapist who also does acupuncture.
While it’s great to receive acupuncture from a professional, it’s also useful to know how to utilize this system to manage pain on your own. Many acupuncture points can provide effective pain relief simply by pressing on them. Especially when traveling, or when needles weren’t available or practical, I’ve often utilized acupressure to successfully eliminate my own pain or that of friends and family. There are specific points for pain in different locations, though one of the most utilized for pain anywhere in the body is called Large Intestine 4, and it’s located in the muscular web between the thumb and index finger. If you press around in this area on the back of the hand, especially directing your pressure toward the hand bone that leads to the index finger (second metacarpal), you will find a tender spot. Pushing firmly on this spot while moving the painful area may alleviate your pain.
Mindfulness-based pain management techniques can also be very effective, and they have the added benefits of helping you live more in the present and experience more gratitude. These strategies were pioneered mainly by Jon Kabat-Zinn, and are based loosely on Buddhist meditation. There are numerous books and courses available in his Mindfulness Based Stress Reduction (MBSR) practice. The basis of these techniques is non-avoidance of discomfort – learning not to resist or mentally depart from the experience at hand, but to instead “turn toward” it and explore it willingly, whereupon it ceases to feel like suffering, and may even open us to a whole new dimension of experience.
Breathing is another vital practice for self-management of pain. How we breathe can profoundly affect both our mental state and the feelings in our body. I have witnessed people doing breathing exercises which, within a half hour, turned off pain that had persisted for decades. In a way, breathing through pain is similar to mindfulness techniques, in that we’re willingly bringing our attention to the experience. I feel that the power of the breath to reduce pain makes so much sense – it seems like an intelligent plan that we should all be equipped with the means to facilitate our own healing. In the most basic way, you can imagine that, with each inhale and exhale, you’re moving the breath – and energy along with it – through the painful area.
After years of teaching these and many other pain relief techniques to my patients, I decided to gather all my knowledge into an online course. In it, I teach a philosophy for understanding pain that will make sense and will illuminate your perspective of what’s happening. And I explain and demonstrate a huge array of methods for eliminating your own pain. As I was creating the course, in fact, the others who were involved in the project kept asking me, “How much more are you planning to include in this?!” But there are so many useful approaches, so many opportunities not just to overcome the pain, but to grow and evolve as a person, and that’s my real goal for participants in the course.
My greatest hope is to see fewer and fewer cases like that of my veteran friend – fewer cases of opioid dependence, fewer cases of pain relief at the expense of the joy of life. And more cases of people overcoming pain in ways that are empowering and even help them heal and awaken. If you’re in pain or know someone who is, check out the course. It’s called Live Pain Free. It’s affordable, and you’ll learn things you’ll use for the rest of your life.
Be well,
Peter
Let Me Teach You How to Erase Your Own Pain Without Drugs
Sources:
1: Shah A., Hayes C. J., Martin B.C. Characteristics of Initial Prescription Episodes and Likelihood of Long-Term Opioid Use — United States, 2006–2015. MMWR Morb Mortal Wkly Rep 2017;66:265–269. DOI: http://dx.doi.org/10.15585/mmwr.mm6610a1
2: Edlund, M. J., Martin, B. C., Russo, J. E., DeVries, A., Braden, J. B., & Sullivan, M. D. (2014). The role of opioid prescription in incident opioid abuse and dependence among individuals with chronic noncancer pain: the role of opioid prescription. The Clinical journal of pain, 30(7), 557-64.
3: Grissa, M. H., et al. Acupuncture vs intravenous morphine in the management of acute pain in the ED. The American Journal of Emergency Medicine, Volume 34 , Issue 11 , 2112 – 2116.
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Dear Community,
We’ve closed our spas in Portland and Boulder in order to help flatten the curve (slow the emergence of new cases of coronavirus to lessen the impact.) We hope to be back open and sharing our healing gifts with you soon. In the meantime, here are some of the other ways we’re continuing to help without breathing on you.
Community Support
We invite you to join us on our Facebook group, Dragontree Community and Conversations. Briana and Peter will be going live in the group for March:
Mondays with Briana and Peter at 9:00 AM Pacific Time
| Noon Eastern
Wednesday with Briana at 11:00 AM Pacific
| 2:00 Eastern
Fridays with Peter at 8:00 AM Pacific
| 11 AM Eastern
Their intention is to foster community, connection, and on-going wisdom including immune support and meditations.
Join the DragonTree Community
Tele-Sessions with Dr. Peter Borten
Herbal Consultation: Traditional Chinese Medicine has been instrumental in China’s response to COVID-19. 85% of patients are receiving herbs. In one study of 102 patients, those receiving both Chinese herbs and Western medicine had a 33% higher recovery rate than those only receiving Western treatments. Chinese hospitals have established herbal protocols for prevention and every stage of treatment of the virus, and I’m following and modifying these guidelines for my patients. I’ve developed a prevention formula based on the Wuhan formula, which should help boost immune function.
Besides treating and preventing coronavirus, I craft customized herbal formulas (in powder form) for all health issues, including digestive disorders, allergies, depression, and anxiety, insomnia, fatigue, autoimmune diseases, etc. I’ve been studying and practicing herbal medicine for over 25 years and it works! Click here for an Herbal Tele-Consultation.
Healing Session: In these sessions, I use a variety of approaches to help you achieve optimal wellness, including Five Element psychology, guided acupoint tapping (EFT), lifestyle and nutritional counseling, and when appropriate, herbal formulas and/or supplements. Click here for a Healing Session.
Dr. Peter’s Herbal Formulas
Cold and Flu Support. Includes the best of what Chinese and Western herbal medicine have to offer to address all facets of cold and flu symptoms, while also strengthening the immune system. Click here to get Cold and Flu Support
Vitality Tonic. This powerful tonic is a highly sophisticated blend of 23 herbs (including Cordyceps mushroom, Ginseng, Millettia, and Morinda) that support healthy immunity, energy, and circulation. Click here to Get Vitality Tonic.
Anxiety Support. Made from 18 powerfully effective herbs such as: Bupleurum, Magnolia bark, Zizyphus, Rehmannia, and Passionflower to treat a full range of anxiety patterns. Click here to get Anxiety Support.
Sleep Support. Nothing supports the immune system like a good night’s sleep. If we could all go to bed at the first inkling of sickness, much of the time we wouldn’t even get sick. Click here to get Sleep Support.
Digestive Support. Alleviates digestive upset from a variety of causes including: food that you ate, travel sickness, stomach virus, and stress. Click here to get Digestive Support.
Stay tuned for an herbal immune support formula based on the Wuhan preventive formula.
Coaching Sessions
If you’re feeling anxious about current events or just want guidance in getting organized, making plans, achieving goals, healing old wounds, releasing baggage, or clarifying your vision, our life coaches can help. These graduates of The Dragontree Life Coaching training program are skilled and compassionate, and they’ll facilitate tangible, measurable positive changes in your life! Click here for more information.
What's next?
Over the next several weeks, we'll be sharing more ideas for supporting your mind, body, and spirit through this difficult time both here in your email and in our Community Facebook group.
We appreciate you joining us in community.
Much Love,
Briana, Peter, and everyone at The Dragontree
P.S
Catch a Re-play of Briana's Live, how to embrace the unknown and find your footing when there is no ground.
[post_title] => We’re Helping You Without Stepping Into Your 6-Foot Bubble
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Last week I wrote about the theory of homeopathy. Homeopathy is the practice of prescribing specially prepared homeopathic remedies made from extremely dilute natural substances. In many cases, a remedy is used to treat the symptoms that a larger dose of the same substance would cause. For instance, chopping onions may cause redness, burning and tearing of the eyes, and a runny nose. A homeopathic preparation of onion (Allium cepa) is used to treat these conditions, such as when they occur due to a cold or allergies.
Today I want to clarify some points and explore homeopathy’s conundrum. First, since people sometimes confuse the terms, homeopathic is different than holistic, which refers to any treatment that aims to consider and support the whole individual. Acupuncture and naturopathic medicine are examples of holistic systems, though most acupuncturists don’t practice homeopathy, and homeopathy is usually a relatively small fraction of what most naturopathic physicians do.
Second, most of the scientific community believes homeopathy is pseudoscience and no more effective than a placebo. Indeed, there are numerous studies that invalidate homeopathy. Advocates of homeopathy point out that the unfavorable studies involve giving subjects a homeopathic remedy matched to a particular symptom or medical condition without utilizing the specificity that’s essential in effective homeopathic diagnosis. Homeopaths contend that when a remedy is matched not only to the dominant symptoms, but the whole picture of the individual, the rate of success is much higher.
As I said in the last article, I’ve witnessed many cases in which homeopathy did nothing useful – though at least it was entirely harmless and without side effects – and I have also witnessed cases in which it was remarkably effective. Could it have been a placebo effect? Sure. But if it was “merely” a placebo effect, it was a profound placebo effect: a perfect medicine that was entirely beneficial, painless to administer, palatable, with zero downside. One should be asking, “How can we reproduce this?”
Homeopathy is vastly popular around the world. Its use is especially prevalent in France, Italy, India, Switzerland, Mexico, Germany, England, and the U.S. 29% of the EU population uses homeopathy on a daily basis. About half of Germans have used homeopathic medicines and about 70% say they are satisfied with its effects.1 History shows us that sheer number of adherents doesn’t make something correct or morally right, but we’re smarter than ever and have more options.
So, what’s going on here? Why do so many people use it if it’s a sham? Well, there are two possibilities. 1) The thousands of practitioners and roughly 200 million people who use homeopathy on a regular basis are fooling themselves. They think homeopathy is useful but it’s just a placebo and/or wishful thinking. Or 2) There is actual benefit to homeopathy which can’t be substantiated by current science and is not accurately reflected by the research.
Trust me, as a scientist, it’s hard to understand its validity, but I also know what I’ve seen. Are there other systems of medicine with higher rates of success? Probably. To be frank, it is not my go-to modality except for a small number of conditions for which I consistently get good results with homeopathic remedies. However, I’m a mediocre homeopath and I have more training and skill in other forms of medicine.
But when it works, it works. And I have seen cases where several medicines were tried but only the homeopathic one succeeded, including numerous instances in which the patient was highly skeptical of homeopathy. If it were a placebo effect, why would the other medicines not have produced a benefit equal to that of homeopathy? Why would a skeptical patient have a placebo effect when the basis for a placebo response is an expectation of benefit? Should science have the ability to invalidate someone’s subjective experience of benefit?
I don’t have the answers to these questions. I know some incredibly intelligent doctors who practice homeopathy, and I have seen it and them derided by the medical mainstream. Skeptics’ concern, they say, is that people might not get effective medical help because they’re using homeopathics instead. I agree that if someone isn’t getting a benefit from a chosen medical modality, it might be useful to consider other options. I also believe it’s everyone’s right to manage their health in whatever way they wish – even if it hastens their demise. For perspective, it’s important to note that, according to a recent Johns Hopkins study, 250,000 Americans die each year due to medical errors, making mainstream medicine the third leading cause of death after heart disease and cancer. I have seen people killed by mainstream medical treatments. A modality’s safety is no small thing.
While there are plenty of people who are averse to biomedicine, we tend to treat the mainstream with a greater degree of respect than is extended to alternative fields. For instance, when we hear that a particular drug or procedure doesn’t work, most people conclude that this particular intervention wasn’t effective. We don’t say, “Well, biomedicine doesn’t work.” In contrast, when an alternative medicine fails to benefit a certain condition, a common conclusion is that the entire modality is worthless. I can’t tell you how many times I’ve seen an author cite a single failed acupuncture study as proof that acupuncture is bunk. It’s an unfortunate reflection of the tendency for the mainstream to squash its rivals, even when they don’t truly threaten it.
It's important, therefore, that we all keep our eyes wide open and practice critical thinking (and not just when it comes to medicine). Be your own advocate, trust your intuition, listen to your body, and don’t assume that just because someone has a degree they know what’s right for you.
Be well,
Dr. Peter Borten
- https://www.hri-research.org/resources/essentialevidence/use-of-homeopathy-across-the-world/ ; https://en.wikipedia.org/wiki/Regulation_and_prevalence_of_homeopathy ; https://homeopathyeurope.org/
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Last year a disabled veteran came to see me for help with back pain. As we talked about his history, a familiar story arose. He got injured, experienced a lot of discomfort, was prescribed opioid painkillers, and became addicted to them. He described how his journey through his addiction treatment center and how, for several years, “I lost my personality and my life. I was barely a human.”
He lived in a numb haze, with no sense of humor or interest in anything, until a new doctor specializing in recovery treatment for all levels of addiction, finally recognized what was happening and began to wean him off these drugs. Much of the pain remained, but we were able to work on that. More importantly, he got his life back, and his friends and family got him back.
The familiar part of the story is the widespread long-term use of opioids and the unfortunate consequences. The uncommon part is that he got off of them. A 2017 study by the Centers for Disease Control called “Characteristics of Initial Prescription Episodes and Likelihood of Long-Term Opioid Use” looked at 1.3 million opioid users over 9 years.1 It found that the longer the initial prescription period, the higher the likelihood of long-term use. If someone used an opioid for 10 days, there was a 20% chance they’d still be using it a year later. At 35 days, the risk of yearlong use was about 45%. A 2014 study in the Clinical Journal of Pain came to a similar conclusion – the higher the initial dose and the longer the initial use of an opioid, the greater the chance of the patient developing a condition of abuse and dependence.2
It’s worth mentioning that both of these studies excluded patients with cancer pain (which is often expected to require ongoing medication, perhaps until death). That is, the great majority of those who were on opiates for several years were using it to manage back pain or joint pain (or to manage their dependency on opiates). Thus, we can assume that the prescribing doctors either didn’t know of an alternative method for pain relief or didn’t care. Do effective non-opioid alternatives exist? In the words of some ancient healer: Hell Yeah!
The first modality that comes to my mind, as you might guess from the story above, is acupuncture. Acupuncture is no longer a fringe therapy. Its effectiveness is well supported by clinical research (comparable to opioids in effectiveness3), it’s routinely offered by many hospitals in the U.S., recommended as a standard option for pain management by health systems around the world, and even adopted by the U.S. military (in a form called “battlefield acupuncture”) for severe pain.
If acupuncture has been unsuccessful at managing your pain, I advise that it isn’t always an instant miracle. Sometimes it takes several treatments to produce significant, lasting results. Also, practitioners vary in their specialties and level of skill. If you don’t experience any relief after a couple sessions, try someone else – and ask if they specialize in pain. Further, a licensed acupuncturist is almost always going to be more skilled and certainly has more training than a medical doctor or physical therapist who also does acupuncture.
While it’s great to receive acupuncture from a professional, it’s also useful to know how to utilize this system to manage pain on your own. Many acupuncture points can provide effective pain relief simply by pressing on them. Especially when traveling, or when needles weren’t available or practical, I’ve often utilized acupressure to successfully eliminate my own pain or that of friends and family. There are specific points for pain in different locations, though one of the most utilized for pain anywhere in the body is called Large Intestine 4, and it’s located in the muscular web between the thumb and index finger. If you press around in this area on the back of the hand, especially directing your pressure toward the hand bone that leads to the index finger (second metacarpal), you will find a tender spot. Pushing firmly on this spot while moving the painful area may alleviate your pain.
Mindfulness-based pain management techniques can also be very effective, and they have the added benefits of helping you live more in the present and experience more gratitude. These strategies were pioneered mainly by Jon Kabat-Zinn, and are based loosely on Buddhist meditation. There are numerous books and courses available in his Mindfulness Based Stress Reduction (MBSR) practice. The basis of these techniques is non-avoidance of discomfort – learning not to resist or mentally depart from the experience at hand, but to instead “turn toward” it and explore it willingly, whereupon it ceases to feel like suffering, and may even open us to a whole new dimension of experience.
Breathing is another vital practice for self-management of pain. How we breathe can profoundly affect both our mental state and the feelings in our body. I have witnessed people doing breathing exercises which, within a half hour, turned off pain that had persisted for decades. In a way, breathing through pain is similar to mindfulness techniques, in that we’re willingly bringing our attention to the experience. I feel that the power of the breath to reduce pain makes so much sense – it seems like an intelligent plan that we should all be equipped with the means to facilitate our own healing. In the most basic way, you can imagine that, with each inhale and exhale, you’re moving the breath – and energy along with it – through the painful area.
After years of teaching these and many other pain relief techniques to my patients, I decided to gather all my knowledge into an online course. In it, I teach a philosophy for understanding pain that will make sense and will illuminate your perspective of what’s happening. And I explain and demonstrate a huge array of methods for eliminating your own pain. As I was creating the course, in fact, the others who were involved in the project kept asking me, “How much more are you planning to include in this?!” But there are so many useful approaches, so many opportunities not just to overcome the pain, but to grow and evolve as a person, and that’s my real goal for participants in the course.
My greatest hope is to see fewer and fewer cases like that of my veteran friend – fewer cases of opioid dependence, fewer cases of pain relief at the expense of the joy of life. And more cases of people overcoming pain in ways that are empowering and even help them heal and awaken. If you’re in pain or know someone who is, check out the course. It’s called Live Pain Free. It’s affordable, and you’ll learn things you’ll use for the rest of your life.
Be well,
Peter
Let Me Teach You How to Erase Your Own Pain Without Drugs
Sources:
1: Shah A., Hayes C. J., Martin B.C. Characteristics of Initial Prescription Episodes and Likelihood of Long-Term Opioid Use — United States, 2006–2015. MMWR Morb Mortal Wkly Rep 2017;66:265–269. DOI: http://dx.doi.org/10.15585/mmwr.mm6610a1
2: Edlund, M. J., Martin, B. C., Russo, J. E., DeVries, A., Braden, J. B., & Sullivan, M. D. (2014). The role of opioid prescription in incident opioid abuse and dependence among individuals with chronic noncancer pain: the role of opioid prescription. The Clinical journal of pain, 30(7), 557-64.
3: Grissa, M. H., et al. Acupuncture vs intravenous morphine in the management of acute pain in the ED. The American Journal of Emergency Medicine, Volume 34 , Issue 11 , 2112 – 2116.
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