Meditation for pain management

Wing42 · 03-16-2007, 09:47 PM

This was on NPR's Morning Edition. Scripps Clinic, here in San Diego offers the course mentioned at the bottom. I'll plan on signing up for one of the summer courses.

As a broad principle I learned from reading Dr. Andrew Weil ("Spontaneous Healing", Amazon link http://www.amazon.com/s/ref=nb_ss_b/...4&Go.y=7&Go=Go ), people with "incurable" chronic diseases who heal are willing to try different things to heal. Even if the meditation and "mindfulness" doesn't cure my PN, I figure it will serve me well for the rest of my life. Plus, the woman in the picture is really pretty. Maybe some of that would rub off on my ugly mug. Ohm.

Quote:

Your Health
Meditation a Hit for Pain Management

by Allison Aubrey

Mindfulness, a concept at the heart of Buddhist meditation, is the basis of an eight-week course that's showing some success at helping people manage pain.

Crash Course on the Body Scan

Trish Magyari, a Mindfulness-Based Stress Reduction course instructor, explains how to do the body scan meditation.

Morning Edition, March 1, 2007 · Back in 1979, a biologist at the University of Massachusetts named Jon Kabat-Zinn had an idea. He was trained in the Vipassana tradition of Buddhist meditation, and he had a hunch that if he pared-down the technique, it could help patients at the university's medical center.

"The idea was to actually... train these medical patients in Buddhist meditative practices, but without the Buddhism," says Kabat-Zinn.
The idea of mind-body health wasn't well explored at the time, so Kabat-Zinn approached physicians and pain specialists at the university. He asked them to refer their patients to his new clinic, which happened to be set up in a windowless, underground office in a medical building.

"I wasn't objecting," says Kabat-Zinn. "Even with no air and no light and my wife saying, 'How can you work in these conditions?'" it didn't deter patients from seeking out the mindfulness training, either."

Stripped-Down Mindfulness

"The heart of Buddhist meditation is actually called mindfulness, and our operational definition of it is really paying attention in the only moment we're ever alive — which is the present moment," Kabat-Zinn says.
This can be tough for people living with pain. After all, who wants to be "in the moment" when your joints are aching, your head's throbbing, or you're living with a scary diagnosis? No wonder our first impulse is to run away. Bill Mies tried that.

"I am a stressed-out guy," say Mies, "but I've been working on it for a long time."

Mies is a yacht broker from Annapolis, Md., with a full white beard. About a year ago, he started having shoulder and neck problems. He saw doctors who gave him injections and a physical therapist who prescribed some exercises, but he still wasn't completely better.

He eventually found his way to a mindfulness class in Baltimore, modeled on Kabat-Zinn's teachings. The course is now offered in dozens of hospitals and medical centers around the country, and studies suggest it does help people cope with the psychological distress of diseases, such as arthritis, psoriasis and cancer.

The Body Scan

During one recent class, Bill Mies and seven other students practiced a technique called the body scan. Lying on mats and pillows wearing socks and comfy clothes, instructor Trish Magyari walked them through a sort of mental tour of the body.

"We'll travel down through the body bringing our awareness into our left foot," says Magyari. When people learn to stay with the scan, it becomes a useful trick or tool to shift your focus — whenever you need to.

"The point of it is to train our mind where we want it to go," Magyari says, instead of letting the mind wander into worry or be held hostage by the panic of pain.

Bill Mies finds the body scan extremely helpful at times, but acknowledges that during his most recent class, he was struggling.

"I found my mind drifting," he says. He found himself thinking, "I should be doing something more productive instead of paying attention to the sensations in my left leg."

Quieting these thoughts is a challenge for people just starting out, says Magyari. But the question is: If you can stick with it, does mindfulness training really help?

"I think the concept of who does it work for... depends on what exactly we're measuring," Magyari says.

Take for example, a small research study with 63 rheumatoid arthritis patients. After two months of mindfulness training, the patients' physical symptoms did not disappear, but they reported feeling better. Scores of psychological distress dropped 30 percent.

"It's true that not everyone's arthritis status changed," says Magyari. "However, the (patients) feel like they're coping with their arthritis much better than they were before."

The power to "stay in the moment" is not a gift. As Bill Mies is learning, it takes a lot of practice to get the benefits.

A Crash Course in Body Scan Meditation

by Vikki Valentine

Practice a seated body scan meditation with Trish Magyari. Follow along as she guides a class through the process. (Audio approximately 8 minutes, and contains lengthy pauses.)

NPR.org, February 28, 2007 · Trish Magyari teaches an eight-week-long Mindfulness-Based Stress Reduction course, where students learn a range of meditations. At the end, participants decide which meditation, or combination of them, motivates and relaxes them the most.

Although rushing goes against the rules of meditation, Magyari gives us a pass with this crash course on the body scan, one of the meditations taught in the course.

The purpose of the body scan, she says, is "to bring awareness to each part of our body sequentially, to see how it is today — not to check in to change or judge the body, which we're apt to do, but just to experience it and see what's there."

"Most people find it extremely relaxing," Magyari says.

Get Ready

Block out at least 30 minutes of time and turn off your cell phone. Lie down in a comfortable place, such as your bed or a cushy mat on the floor.

Get Grounded

Before you start the scan, notice the parts of the body in contact with the mat.

"People often notice what is pressing is their heads or hips, so before the formal scan, we imagine softening around those areas," Magyari says.
This is a chance to tune into and relax parts of the body that are holding tension – such as the jaws, neck and shoulders, or even gripping in the calves.

Set Your Intention

Agree to let go of the past and future. Don't listen to the sounds around you. Let everything fade into the background but the body. Agree to meet what you find in the body with friendliness.

"Usually, when people find something in their body they don't like, they meet it with judgment; the body that's in pain is your enemy," Magyari says. "It's a very radical concept to meet the body with friendliness."

Begin the Scan

Imagine you're taking a tour of your body — looking to see what's there just today. Don't visualize or move your body parts; simply notice and experience them, one by one. Magyari says start with the left foot. Feel how the heel makes contact with the mat. Can you tell if your toes are colder than the rest of your foot? If you have a blanket over you or a sock on, notice the weight and texture of the fabric.

Once you scan over a body part, allow that part to fade from awareness. Let it go and then move up to the next body part: the ankle, the calf, the knee, the thigh. Then cross over the lower torso, travel down the right leg and start again at the right foot, and repeat, traveling up the body, part by part, until you reach the head.

Connect It All Together

After you scan the head, you want to connect the entire body together, says Magyari.

"Instructors give cues to help you feel the entire body," she says.
For example: Feel the head connected to the neck, the neck connected to the torso, the torso connected to the arms, and so on.

The final step is to feel the skin around the whole body, Magyari says. Notice the sensations on your skin — temperature, texture.

"At the very end, we're lying with the awareness of our wholeness in that moment. We're not thinking about what's right or wrong with us, our state of health, but just that sense of physical wholeness," Magyari says.

People suffering from chronic pain often find some relief with the body scan, she says. Magyari recalls one patient who had been living with chronic pain for 20 years.

"Previously, her sense was, 'I just hurt everywhere,'" says Magyari. After two weeks of body scan training, the patient realized there were parts of her body that weren't in pain. That may not sound like much to some people, but for patients who see their bodies ruled by pain, Magyari says it's a refreshing discovery.

For more on the body scan and the Mindfulness-Based Stress Reduction courses, refer to the University of Massachusetts Center for Mindfulness and to the book Full Catastrophe Living, by Jon Kabat-Zinn.

Lupin · 03-17-2007, 10:53 AM

I find it very hard to do the mindfulness work, all that seems to happen is that I notice my pain more!. I know that for a lot of people this mindfulness” body scan works well and that you have to keep on trying and practising this. I have read a book by Jon Kabat - Zinn and called "Full Catasrophe Living How to Cope With Stress, Pain and illness Using Mindfulness Meditation". Which is full of good information. My trouble is that I am still so hyper about the implications of suddenly acquiring PN that I am finding it difficult to do the mindfulness exercises in the book!! However I will persevere!

rfinney · 03-21-2007, 12:17 AM

I have posted about meditation before . . . I have practiced it off and on for much of my adult life. I have been practicing Mindfulness since getting PN. I really agree with David's assessment - it may or may not help with the pain, but it sure as heck is extremely useful for all aspects of my life, including how I cope with the pain.

It is kind of a funny thing - if you meditate with the conscious intention of reducing pain, you are most likely to either feel more pain or at best no benefit. I am often able to reduce my pain level through my practice, but I am would still like to find a way to have the effect carry over for a longer period of time.

Lupin: I do think you can learn Mindfulness by reading. However, I think if at all possible it is best to study in one of the weekly groups or attend extended weekend meditative sessions. I would really encourage you to see if you can find something like that to attend. As a final recommendation - my original Mindfulness instructor has made a couple of CD's with the basic techniques. He has an absolutely wonderful, hypnotic-like voice and is first-rate in terms of his ability to teach and model what he teaches in his own life. If you are interested, I can pass on info on how to get the CD's.

rafi

Yorkiemom · 03-21-2007, 12:39 AM

Any possibility that you will be able to sit in this girl's position? I would LOVE to be able to sit flat like that, but they would have to break my legs off at the hip joints...

Let us know how this works for you.

Cathie

Wing42 · 03-21-2007, 11:08 AM

Quote:

Originally Posted by rfinney

...
... As a final recommendation - my original Mindfulness instructor has made a couple of CD's with the basic techniques. He has an absolutely wonderful, hypnotic-like voice and is first-rate in terms of his ability to teach and model what he teaches in his own life. If you are interested, I can pass on info on how to get the CD's.

rafi

Would you please? Thanks.

Lupin · 03-21-2007, 12:07 PM

rafi
I would really like to get hold of the CD's, I agree it is better to learn this in a group, and I am going to see if there is a group in my area.
Lupin

rfinney · 03-22-2007, 12:13 AM

Call the Stanford Integrative Medicine Clinic at (650) 369-9227. Tell them you want the CD's by Dr. Mark Abramson. The cost is $25 for a set of two. A real bargain - although I primarily use a silent technique at this point, I regularly go back to these CD's to keep strengthening my connection to the basic meditations.

It's too bad neither of you are close to Stanford. The Integrative Medicine Clinic does some great things - and Mark has been teaching Mindfulness there for a number of years. At the end of each 8-week course, there is an all-day meditation that welcomes anyone who has taken the course.

Anyway . . . there are now many trained in the process who teach - either in a class or one-on-one. Hope you can find some way to get some instruction.

rafi

Wing42 · 03-22-2007, 12:22 AM

The Center for Integrative Medicine at Scripps Clinic here in San Diego also has a six week mindfulness program. We have prior commitments for May, but I'll sign up for the next program after.

BEGLET · 03-22-2007, 09:54 AM

David - will be interested to hear about how that program is... also, the book you mentioned by Andrew Weil is great - my GP gave it to me years ago and I need to dig it out and read again...

I know I need to take time to "chill" and get centered every day - and dont - and plan to be more vigilant - what really works to relax and resfresh me more then anything is music - no, not the "new wave" stuff - but my hard corse 70's - 80"s rock n roll thats I've got on my mp3 player... I'll put that on sometimes and feel so much better after about an hour.... it's also helped me thru some long tough tests (MRI', etc) - takes my mind to anothe place- and I find myself smiling and singing (poor neighbors)!

And Melody - try it at the dentist - works wonders! (something you can get lost in - I hate the dentist myself - two trips to ER from the dentist by ambulance due to reations to ephy (novaine) have not helped it either).... but now my dentist is using headphones for many of his nervours patients.....

rock n roll!

Wing42 · 03-23-2007, 12:40 AM

Quote:

Originally Posted by kmeb

David - will be interested to hear about how that program is... also, the book you mentioned by Andrew Weil is great - my GP gave it to me years ago and I need to dig it out and read again...

rock n roll!

This is from the website at http://www.scripps.org/services.asp?ID=306. As I said, we'll be out of the state in May, so I'll have to wait for the next one

Quote:

Mindfulness-Based Stress Reduction

Daytime Course
Wednesdays, May 9 – June 27, 1:30 – 4 p.m.
Retreat date: Saturday, June 9, 9 a.m. – 4 p.m.

Evening Course
Wednesdays, May 9 – June 27, 6:30 – 9 p.m.
Retreat date: Saturday, June 9, 9 a.m. – 4 p.m.

What is mindfulness? It is living moment-to-moment, with a conscious awareness of all that is taking place in your life and responding to it intentionally and purposefully rather than mechanically. If you often feel stressed or anxious, experience chronic pain or illness or have problems sleeping, this program may be benefit you. Similarly, it can be highly effective in relieving physical symptoms, such as headaches, gastrointestinal problems or high blood pressure.

In our mindfulness-based stress reduction program, you’ll learn to cope with stress, pain and illness by drawing upon your inner resources. Closely modeled after the world-renowned stress reduction program developed by Jon Kabat-Zinn, Ph.D., our approach combines breath work, meditation, yoga and other mind-body techniques to help you achieve serenity, health and well-being in your everyday life.

Program Benefits

According to published research, people who have completed this type of program report:

Long-term relief from physical and psychological symptoms
Less pain and improved pain management
Improved energy levels
Improved attitude and mood
More effective responses to stress

The eight-week course meets once a week with an additional Saturday retreat. Daytime and evening classes are available. For more information, or to register, call 1-800-SCRIPPS.

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