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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 her bedroom ceiling. She can now get from the doorway to her bed without setting foot on the floor, which is useful because she tells me it’s made out of molten lava.
At bedtime I reached out to turn on a faucet and suddenly my mid-back locked up. It was incredibly painful and I felt unable to move without worsening it. I made the mistake of bending down to touch my toes, thinking it would help, but was then frozen in that position.
I’ve treated this same condition in countless patients. Often this type of back spasm is crippling for at least a few days – meaning missed work or travel – followed by a lingering stiffness and pain for a week or more. Frequently the locked area, even as it begins to release, is prone to getting retriggered if we move or sleep the wrong way.
Luckily, I knew what to do. I started locating and massaging effective acupuncture points on my hands and arms that began to release the locked up muscles. Meanwhile, I used certain visualizations and breathing techniques that facilitated the loosening of my back. Eventually I could move enough to lie on a small ball to put pressure on the muscle spasm while continuing with the breathing, visualization, and self-acupressure. I went to bed about an hour later than I intended, but with my back feeling 80% better. The next day I released the rest of the tension.
Several times throughout the process I thought, “This would be so much worse if I didn’t know how to do this.” I would have to find a practitioner and wait for an appointment. But what kind of practitioner, and which one? What if they weren’t available during the holidays? Would I have to be immobile during our holiday party? Would I be reliant on pharmaceutical painkillers? Would I be in a daze? Would I find it hard to get off them?
This conundrum is why I created an online course called Live Pain Free. It started with the advice I found myself giving hundreds of pain patients in my office over the years – and the realization that I didn’t have time to explain everything I wanted to teach them. Little by little, the course grew to include virtually all of the techniques and lifestyle modifications I have found useful for self-treatment of pain. It’s more comprehensive than anything else I’ve found.
Are there other things like it? Yes, of course. There are plenty of books and courses that teach pain relief techniques, some of them very useful. But most feature a single approach to pain, and I’ve never found a single method that works for all – or even most – pain. Even for a given individual, some things work one day and not the next. This is because there are many “ingredients” in pain, especially long-term pain – our history, psychology, lifestyle, body mechanics, etc. – so we need a blend of multiple approaches.
During the years I spent crafting this course, I discovered that beyond helping people to make their pain go away, much of what I wish to share deals with releasing ways of thinking that are restrictive and keep us trapped in discomfort. Although pain management is the issue that often leads people to look deeper, the ultimate resolution may be something so much more than mere physical relief: liberation from our resistance to life, the opportunity to accept and live in the present moment, the recognition of patterns that have held us back, and more.
The feeling of gratitude I had the other night – I want that for everyone. If you deal with frequent pain, if you would like to help a loved one with their pain, or you just like the idea of being prepared and knowing a wide range of strategies – some based in modern science others in Eastern medicine – check out Live Pain Free.
Be well,
Dr. Peter Borten
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In last week’s article, I introduced the Chinese Medicine concept that all forms of pain are caused by stagnation, and I explained that the standard of care for traumatic injuries – rest, ice, compression, and elevation – may actually inhibit the healing process. This week I’ll cover some interventions that do work to facilitate the resolution of pain – they’re things that everyone should know. All of them are ways of promoting movement to liberate stagnation.
1. Breathe. Our energy follows our breath. I discussed this in the context of stress and relaxation, where slowing the breath can calm agitation and crazy thinking. As it relates to pain, breathing fully and deeply encourages movement of life energy (Qi in Chinese medicine; prana in the yogic tradition) and blood. This helps to alleviate stagnation and ease pain.
Simply taking long, deep breaths, inhaling into the belly and making the exhale as long as you can, will calm your nervous system and reduce pain. You can usually get even better results by imagining the breath is moving through the painful area. If your elbow hurts, for instance, imagine you’re drawing air in through your elbow and then exhaling out your elbow, visualizing energy coursing through the region as you do so. If your pain is emotional, there will still be a part of the body where the emotion is most strongly felt, and this should be the focal point of your breathing. If you’re having a painful experience, keep breathing deeply and fully as you move through it.
2. Get a massage. Massage, at its most basic level, is the practice of mechanically breaking up stagnation and restoring proper flow. Regardless of the nature of your pain, massage will probably help. Plus, it feels good – how many medical interventions can you say that about?
While massage is an integral part of the healing practices of so many cultures, it is greatly undervalued in the United States. Maybe we have a hard time separating the idea of therapeutic touch from sexual touch. Maybe we just think things that feel good are indulgent and bad for us. But the reality is that the great majority of pain benefits from massage, which is a more impressive claim than can be made of nearly any conventional pain therapy. And human touch is a basic human need.
Although I believe there is no substitute for having someone else give you a massage, even self-massage can often be enormously beneficial. I have saved myself from severe pain countless times by rolling on a small, firm ball (a lacrosse ball is my favorite).
3. Drink water. It’s cheap and it’s easy. Dehydration makes almost any kind of pain worse, and some pain is entirely due to being dried out. So, first thing, make sure you’re drinking at least half the number of pounds you weigh as ounces of room temperature water each day. (That is, if you weigh 120 pounds, you should drink 60 ounces of water, a little at a time over the course of the day.)
Water is essential to the elasticity of our connective tissue and the fluidity of our joints. When I’m dehydrated, my neck and shoulders get tight and my head starts to hurt. I know that means I’ve forgotten about water.
Don’t undervalue the simple just because it’s simple. Just drink more water, get some massage, and breathe more deeply. Next week I’ll have more strategies for you.
Meanwhile, be well,
Dr. Peter Borten
[post_title] => Unlocking Pain, Part Two – Keep it Simple
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Years ago, a woman in her 70s came to see me with a long list of health problems. It seemed there was something wrong with almost every area of her life. As I listened to sound of defeat in her voice as she described the misery she was experiencing, I noticed myself think, “What a mess.” And I realized I was feeling her misery in myself, in my own body.
I also realized I was helping to perpetuate her situation. I know we’re crossing into woo-woo territory here, but hear me out. Built into virtually any longstanding pain or health problem is a secondary factor – one’s resistance to the experience. The resistance can both magnify the issue and cause it to become more firmly anchored in us. And even though she probably wasn’t conscious of it, I was validating that resistance by sending a subtle negative communication: “I resist your problems, too. I’m uncomfortable just imagining what your life is like. And just as you don’t accept this facet of your experience, neither do I.”
At the time I was studying a form of healing called Sat Nam Rasayan which entails the healer entering a meditative state wherein any sense of separation or resistance disappears. As one welcomes all perception, internal and external – thoughts, smells, sounds, feelings, tastes, images, etc. – an experience of equalization occurs. The “quiet” perceptions – a hidden thought, the air moving across one’s skin, a distant scent – come up in volume. And the “loud” perceptions – a prominent thought, a fire engine passing by, a sharp pain, a strongly scented detergent – come down in volume. All things meet in the middle, in an experience of deeply peaceful, neutral oneness, and there, healing happens.
So, when I noticed my resistance to this woman’s story, I relaxed. I accepted all of her and I accepted the feelings that arose in me as she spoke, and all the others in the room, from the sun streaming through the skylight to the ticking of the clock to the feeling of my clothes on my body, plus numerous other smells, thoughts, tastes, and feelings. I allowed it all to equalize into a sort of perceptual flatline, and I experienced a sense of expansion of the space within and around us.
And then she changed.
She stopped talking for a moment, blinked, and took a deep breath. Then her voice had a different, stronger quality to it as she said, “You know, I’m going to get healthy again. Tell me what to do.”
Usually I restrain myself from prescribing a total life overhaul because it’s simply too much for most people to implement at once. And if they dive in and then fail, it may hurt their ability to trust themselves and undermine future efforts toward healthy change. But in this case, I felt daring. I laid out all the things I thought she should change, from diet to sleep to her relationship with her adult children.
Months passed and she didn’t return. I wondered if my treatment didn’t work, or if I pushed her too hard, or if she had died. Hey, sometimes that’s just where your mind goes. Anyway, eventually, I saw her name in the appointment book and I was eager to hear what happened.
It was one of the most dramatic transformations I’ve ever seen in a patient. She was a new woman. Her eyes were clear and sharp, her voice was strong, she sat up straight and looked confident and youthful. I asked her, “Were you able to make any of the changes I recommended?”
“All of them,” she replied.
And that was pretty much that. I saw her a few more times for minor things, but she just didn’t need me. Of course, we can assume that her own actions were instrumental in her healing, but I tell you, everything shifted when I chose to hold her differently.
Since then, I try to avoid mirroring people’s resistance back to them. I feel the angst of their struggle with unwanted experiences and I work to accept the whole individual, allowing their state to equalize into the broader field of my awareness. I can’t say I always succeed at this or that the result is always miraculous when I do. In fact, I’ve found it’s best not to do it for the result. I just do it because there’s no point in resisting. And because I’d rather see people as I believe they really are – not victims of their circumstances, but powerful and perfect, and temporarily confused about who and what they really are.
So, let’s try some more equalization this week. Notice your resistance. Notice others’ resistance. As you perceive it, broaden your perception to include more and more of your total mental and multisensory experience, allowing the field to equalize. Allowing the subtle to come up and the noisy to settle down, everything evening into a still neutrality. Then share your experience here, if you feel like it.
Be well,
Dr. Peter Borten
P.S. If you missed my first article on equalization last week, you can click here to read it.
P.P.S. If you’re interested in learning more about this and other approaches for resolving pain of all kinds, check out my new online course, Live Pain Free.
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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 her bedroom ceiling. She can now get from the doorway to her bed without setting foot on the floor, which is useful because she tells me it’s made out of molten lava.
At bedtime I reached out to turn on a faucet and suddenly my mid-back locked up. It was incredibly painful and I felt unable to move without worsening it. I made the mistake of bending down to touch my toes, thinking it would help, but was then frozen in that position.
I’ve treated this same condition in countless patients. Often this type of back spasm is crippling for at least a few days – meaning missed work or travel – followed by a lingering stiffness and pain for a week or more. Frequently the locked area, even as it begins to release, is prone to getting retriggered if we move or sleep the wrong way.
Luckily, I knew what to do. I started locating and massaging effective acupuncture points on my hands and arms that began to release the locked up muscles. Meanwhile, I used certain visualizations and breathing techniques that facilitated the loosening of my back. Eventually I could move enough to lie on a small ball to put pressure on the muscle spasm while continuing with the breathing, visualization, and self-acupressure. I went to bed about an hour later than I intended, but with my back feeling 80% better. The next day I released the rest of the tension.
Several times throughout the process I thought, “This would be so much worse if I didn’t know how to do this.” I would have to find a practitioner and wait for an appointment. But what kind of practitioner, and which one? What if they weren’t available during the holidays? Would I have to be immobile during our holiday party? Would I be reliant on pharmaceutical painkillers? Would I be in a daze? Would I find it hard to get off them?
This conundrum is why I created an online course called Live Pain Free. It started with the advice I found myself giving hundreds of pain patients in my office over the years – and the realization that I didn’t have time to explain everything I wanted to teach them. Little by little, the course grew to include virtually all of the techniques and lifestyle modifications I have found useful for self-treatment of pain. It’s more comprehensive than anything else I’ve found.
Are there other things like it? Yes, of course. There are plenty of books and courses that teach pain relief techniques, some of them very useful. But most feature a single approach to pain, and I’ve never found a single method that works for all – or even most – pain. Even for a given individual, some things work one day and not the next. This is because there are many “ingredients” in pain, especially long-term pain – our history, psychology, lifestyle, body mechanics, etc. – so we need a blend of multiple approaches.
During the years I spent crafting this course, I discovered that beyond helping people to make their pain go away, much of what I wish to share deals with releasing ways of thinking that are restrictive and keep us trapped in discomfort. Although pain management is the issue that often leads people to look deeper, the ultimate resolution may be something so much more than mere physical relief: liberation from our resistance to life, the opportunity to accept and live in the present moment, the recognition of patterns that have held us back, and more.
The feeling of gratitude I had the other night – I want that for everyone. If you deal with frequent pain, if you would like to help a loved one with their pain, or you just like the idea of being prepared and knowing a wide range of strategies – some based in modern science others in Eastern medicine – check out Live Pain Free.
Be well,
Dr. Peter Borten
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