We are surely in it

A sense of connection.

The opportunity to be seen, heard, acknowledged. Understood.

Having some agency, a sense of control over what is happening in your life.

The ability to move around in the world. To get up and down, tend to daily tasks at hand.

Do what brings you joy, pleasure.

Nourishes you.

Touch.

To experience community.

Reliability.

Freedom.

Independence.

I can imagine that many of these bring up some kind of sensation in your body as you read through the list. So many we take for granted.

I have a sense you may be missing a few, maybe a lot of these. Feeling loss or grief.

I know I am.

It’s not gone unnoticed by me that many of these are already experienced by the people I see, those I help to support through my work. It is not uncommon for people who have lived with chronic pain, often for years, to feel this sense of isolation, the loss of freedoms, work, connection with others. Well, there is a lot.

This came up up front and center when the hardest hit in our communities were those living in senior or extended care centers. They were already living in such a manner. Already in it.

Many others living with health concerns, disability, low socioeconomic status, new immigrants to our country have this as a part of their ‘normal life’. Not COVID life.

I don’t have the answers but my hope is that we bring some awareness to these issues, some path forward for the long term. Not just now.

Everyone waiting for things to get back to normal. Talk today of vaccines and yes, one can hardly wait. There is so much on hold at the moment. Much fear, uncertainty. I can feel that. Sense that.

But might we also learn from and change in some way, what is often normal for many.

Think back to when this first began and the heightened state of everyone around you. I can surely remember what it felt like walking through the grocery store as everyone was scrambling for Lysol wipes and toilet tissuse. Nervous systems all on high alert, seeking some sense of security and groundedness.

Perhaps we can begin to imagine what that feels like for so many when these big life events or ‘transitions’ happen. Injury, illness, aging, loss, grief. Can we learn ways to help with that, to sit with that, bring some care and ease to the person in need.

We’re all going to be there at some point.

Something will happen. If not before, we will grow old. We will struggle. Lose independence. Freedom. Ability to do things.

Might we provide for, care for, those who are already ‘in it’.

It might feel good to move it!

Anxiety. Worry. Stress. Fear.

These are uncertain times and so many are feeling vulnerable, whether it’s about health, financial security or so many other concerns.

And yes, there are times when it’s helpful to quiet the mind, tame the thoughts, seek some silence, stillness and perhaps peace in all the chaos.

However, that isn’t always helpful. Doesn’t always work.

I know myself when I am stressed what helps me most is to move. Yes, I start cleaning my house when wound up, upset, feeling anxious, or stressed. There is something about burning off energy that might help to bring some space for quiet, relaxation, peace when you’re done. It might help you sleep. Maybe calm your nervous system. After all, when we are in crisis or feel threatened the nervous system is all about getting your attention, mobilization, preparing for action that might be required.

What might be helpful for you? Below are a few ideas, you might like to try:

  • Put on some loud, upbeat music and move in some way.
  • Dance.
  • Clean. Get at those windows and at the same time get some fresh air when you’re opening them or stepping outside.
  • Practice yoga, tai chi, whatever floats your boat.
  • Lift some weights.
  • Get on that ‘dust collector’ piece of exercise equipment sitting in your house and expend some of that nervous energy.
  • If you’ve got a few extra pantry items that you seemingly stocked up with, bake.
  • Cook.

Let me know how it goes. I know after working at my desk today, I am feeling the need to get up and move it!

Take good care of yourself (and others).

**If you’re feeling distressed, please be sure to reach out to a local resource. For those in Ottawa, call the Ottawa Distress Line

613-238-3311

What do you do, in yoga classes for people living with chronic pain?

one thingThe second question people often ask me about Pain Care Yoga classes, after “who is it that comes to these classes” described here, is “what do you do in them”?

Pain is never just about one thing. You want to know what’s wrong. How you’re going to fix it. And how long it’s going to take. And rightly so, as having long-term pain often changes everything for you and how you live your life.

When it comes to pain, however, it is usually not that simple which is why searching for ‘the thing‘ usually doesn’t work in the long-term. Particularly if you’ve had pain for a long time. Which doesn’t mean to say that it can’t change. It can. We know what can help to bring about change, the best practices research points to.

Two key aspects, education … and movement, are important. So that’s what we do in these classes.

EDUCATION

Some kind of education piece, usually at the start of the class, is provided. I only spend a few minutes on this, but it’s important to do so. One of the most common things I see with people in pain is the fear of moving. If I can help you to understand why it might be safe to move and why it’s important to do so, that’s a good place to begin.

“Current evidence supports the use of pain neuroscience education (PNE) for chronic musculoskeletal (MSK) disorders in reducing pain and improving patient knowledge of pain, improving function and lowering disability, reducing psychosocial factors, enhancing movement, and minimizing healthcare utilization.” [1]

PRACTICE

Then, you practice. You get to experience how you might move, with guidance and guidelines, to learn what’s right for you. Which often won’t be the same as others in the room.

Movement

This is not a typical yoga class with sun salutations, downward dogs, lunges, forward folds, backbends. It is not even what I would call a ‘gentle yoga class’. Yes, we use slow, gentle movements. Yet, sometimes you might begin by just imagining the movement if you don’t yet feel safe to do it. Or you might practice it in your mind, plan out how you might go about it and if it feels right for you. It is always your choice to do or not do anything presented in class. You always get to decide how to move, how far to move, by using a slow, mindful exploration along with guidelines and principles utilized.

Most movements are fairly simple and modifications are always available. You’ll experience a lot of repetition, and rhythmic movements. Movements that cross the midline of the body. Movements that challenge your brain as well as challenging your body.  You, anyone, can really begin wherever you’re at. With what’s right for you.

Breath

There will always be some kind of breathwork or a breath awareness piece in the practice. Again, it’s not so much about controlling the breath, rather what you might notice about your breath. How breath can be an indicator of your physical and emotional state at any given time. Also, learning how breath can help to bring about change to your nervous system, physiology, which can then change your experience of pain.

Awareness

Like breath, awareness is key. So often when you are in pain the last thing you want to do is pay more attention to your body. But in fact, this paying attention is your guide to changing pain. It is in this noticing that you can begin to explore what the signals (or sensations) you feel might be indicating, what might be your unique contributors to pain, what might be the reasons for flare-ups. This practice is not only about noticing your body in class but then also paying attention to your whole self in your environment, in the larger world you live in.

Relaxation

There are many reasons, purposes and benefits to practice relaxation techniques. In most yoga classes this is done at the end of class. Though we’ll also do some kind of formal relaxation practice at the end, relaxation or creating a state of calm is facilitated right from the start.

It is when you are in a place of safety, when you are calm and relaxed, that change is likely to occur. It is this place of calm (a parasympathetic state) when you might first experience a change in your pain. Without this, it’s no different than trying to stretch, exercise, push through and strengthen your pain away, which seems not to work out so well.

If you’re interested in learning more, have any questions or would like to sign up for the next series of classes starting at the end of February, please get in touch here. I’d love for you to experience, how you might learn to change your pain.  Or, if you prefer a one-to-one session, information can be found here.

[1] Adriaan Louw, Kory Zimney, Emilio J. Puentedura & Ina Diener (2016) The efficacy of pain neuroscience education on musculoskeletal pain: A systematic review of the literature, Physiotherapy Theory and Practice, 32:5, 332-355, DOI: 10.1080/09593985.2016.1194646

 

The Evolution of a Practice

SimplifyWhen I used to write about yoga for a local magazine, the numbers of Americans practicing yoga was about 20 million. Today, about 6 years later, that number has nearly doubled, edging up towards to 40 million. Globally, the estimate is about 300 million and the number of over 50s practicing yoga has tripled over the last four years.

People often wonder what this thing called yoga actually is. Difficult to answer in just a sentence but to me YOGA is the exploration, awareness, and response that informs how I (might best) relate to the world inside myself and to the larger world around me.

A large part of this doesn’t involve the physical yoga postures or asana practice, but that’s usually where people begin. It is a good way into the wider exploration. Most, practice on a mat and typically in a group class. Certainly, it’s where I began.

Not knowing anything about yoga when starting out, I first practiced Ashtanga yoga and then when I began teaching it was a somewhat modified Vinyasa practice. Both involve strong, physical, almost gymnastic-like movements linked with the breath. Ashtanga, in particular, is meant to be practiced for 1.5hrs each day, 6 days of the week.

My practice today no longer resembles this in the least. Today, my physical yoga practice is interweaved throughout the day, with broader concepts in the background.

  • Most often it does not take place on my mat.
  • Most often it is less than 30 minutes at a time.
  • Most often it’s a response to whatever I feel might best serve me, at any given time.
  • No special place, clothing, or time.

Which I think might be a helpful way to practice for many who don’t have the time, money, or perhaps ability to get to a studio or gym.

What does this practice look like?

Join me over the next few months and we’ll look at little snippets of yoga, movement, breath practices that can be done in a couple of minutes or combined to make your own personal practice. On your own time, in your own space, that fits into whatever your life demands of you.

Most important to me is to teach people what they can do for themselves. Provide agency. The ability for you to have the tools and the freedom to make choices that enhance your wellbeing and your life.

  • In October we’ll focus on the feet.
  • November will be all about the shoulder joint.
  • In December, we’ll get into the hip joint.

I’ve chosen these particular areas to focus on as they tend to be where problems, pains, issues show up for most people I talk and work with.

You can find me talking about this on Facebook, and Instagram, if you want to follow along.