Santa Fe 2009 298Many of the people I work with in both taijiquan and counseling have chronic pain. According to the National Health Interview Survey done by the CDC , about 25 million Americans suffer daily pain and about 54 million Americans have chronic pain. In working with pain, I use a combination of movement and mindfulness. Taijiquan and qigong can work wonders for pain relief. Each is a gentle way to get moving again and a way to attain balance in all parts of life.

There are several books I suggest to folks. First are the works of Toni Bernhard. You can read more about her at http://tonibernhard.com/. She addresses pain management from a Buddhist perspective. She has written several books on the topic and about her own coping with chronic pain. Another book is “The Pain Antidote: The Proven Program to Help You Stop Suffering from Chronic Pain, Avoid Addiction to Painkillers and Reclaim Your Life”, by Mel Pohl, MD and Katherine Ketcham. You can find out more about it at http://www.thepainantidotebook.com/index.html. Pohl helps people get off opiates and develop alternate and more effective ways of coping with pain.

Taiji and qigong work with pain by changing your relationship with gravity, changing the way you breathe, and calming your mind and body. A principle of taiji is that you only expend the energy and engage the muscles for whatever it is you are doing at that moment. Everything else is relaxed but ready. Your joints are never locked. Your spine is upright and your head rests in balance on your shoulders. If you had a plumb bob attached to the center of the top of your head and it ran down the center of your body, that plumb bob would always touch the floor somewhere between your feet as you move. Standing at rest, it would be equidistant between your ankles. Your shoulders are relaxed – neither tucked forward nor pulled back. When you change your relationship with gravity and are balanced, there is less pain because you are not tilted forward or back putting a lot of work on your neck, shoulders, and back. You also carry your body differently according to mood. Being in balance and harmony with gravity can also balance your mood.

Breathing to your diaphragm also reduces stress which can reduce pain. There is an emotional component to pain. Calming the emotions can help reduce the pain. Abdominal breathing slows the heartbeat, reduces blood pressure and blood sugar, lowers stress hormones in the blood, changes the blood flow in the body, improves digestion, and even changes your vision. You are going from fight-flee-freeze-faint mode to rest and digest mode. This is a guide to finding balance in a standing meditation.

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You can read more about the principles of taijiquan and qigong here.

You can also change your relationship with pain by changing the emotional relationship with it. Rather than fighting it, have a conversation with it. What is it trying to tell you? How does it feel? Is it hot, cold, throbbing, a dull ache? Notice it, be with it. Change your self talk with pain to change that relationship, too. Pain is not a bad thing, it is there to tell us something is wrong. Sometimes the harder we try to make it go away, the harder it works to be heard. Changing self talk can help with that as well. You change your relationship with pain.

 

Another option is humor. In 1979, Norman Cousins wrote a book called, “Anatomy of an Illness As Perceived by the Patient – Reflections on Healing and Regeneration.” I came across it back when it was published in 1979. My dad was in an intensive care unit for most of two years during that time. Cousins found that a component of his healing was humor and included things like watching Candid Camera and Marx Brothers movies. Laughter changes the hormones in your body and can bring on pain relief. Even just a smile can begin to bring calm and start to lessen pain. When people have found that support groups sometimes unhelpfully come down to contests of who hurts the most, humor can erupt to help with coping, especially in the form of Monty Python. Just the thought of the Yorkshire men can bring on a smile.

 

 

 

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