Psychologist, Tara Brach approaches therapy using mindfulness as the foundation to healing; she does this through a blend of westernized therapy and eastern buddhist practices. Her website www.tarabrach.com, has hundreds of free recorded talks, videos, and articles where she investigates different facets of the human experience; pain being one of them. In the video The Dance with Pain that I attached below, Dr. Brach explores the relationship between emotional and physical sensations when dealing with acute and/or chronic pain and discomfort. Dr. Brach reminds us when humans feel pain - they tend to contract against the pain, they judge the pain, and blame themselves, others, and/or the pain. However, this fight and resistance tends to create more physical and emotional pain/discomfort. Dr. Brach then goes on to clearly teach us ways in which we can mindfully inhabit our bodies and learn how to listen and respond to the pain with awareness and compassion.
"We are living in an age when sleep is more comfortable than ever, and yet more elusive.”
-David K. Randall
We all know the difference a good nights sleep has on our mind and body; we are eager to start the day, our senses are awake, and things that usually stress us out seem to be less problematic. Even though someone who is asleep appears to be seemingly lazy, a shut-eyed-organism is surprisingly filled with trillions of cells working to restore, rejuvenate, detox, and heal the body. Simultaneously, sleep also aids the mind in storing and processing memories, consolidating newly learned information, and helping with focus, creativity and decision making skills when awake. It’s no wonder then that humans, and every single other animal, needs restful sleep.
In his book Dreamland, David K. Randall informs us of how our quantity and quality of sleep underlies all of the decisions we make throughout the day, sleep also significantly impacts our emotional intelligence. Randall emphasizes that if we don’t get enough sleep, our body will keep score of the debt, and feel emotionally and physically fatigued until we get proper rest we need. “Humans need roughly one hour of sleep for every two hours they are awake, and the body innately knows when this ratio becomes out of whack. Each hour of missed sleep one night will result in deeper sleep the next, until the body’s sleep debt is wiped clean.”
Sleep is mandatory for our well being, especially when we are suffering from chronic pain — unfortunately, pain is also one of the leading causes of insomnia. Studies have shown that two-thirds of the people who suffer from back pain have insomnia; studies have additionally shown that disrupted sleep also worsened back pain. Insomnia and pain clearly influence each other, when one is impacted it seems that the other is as well. Another finding from the NSF 1996 survey, showed that people who experience pain AND sleep problems scored significantly lower in general mood, physical health, ability to handle stress, ability to get up and go, and their ability to concentrate compared to people who didn’t experience pain and sleep problems. The good news is that we have some control over our sleep habits, but first we need to learn which habits promote sleep and which ones obstruct it.
Here is a list of bad habits that you may need to get rid in order to get a better nights rest:
- Do not consume any caffeine in the late afternoon or evening. Caffeine is found in coffee, certain teas, soft drinks, chocolate and cocoa. Furthermore, here is some medicine that may also include caffeine:
- allergy, anxiety, depression, epilepsy, nausea, thyroid medicine
- cold, cough and decongestants
- Do not consume any tobacco products which contain nicotine not only stimulate the body and promote wakefulness, but they are also bad for your health.
- Do not drink Alcohol before going to sleep because it interferes with feeling rest due to blocking your REM sleep.
- Do not eat before going to sleep, it can cause indigestion, acid reflux and overall decrease the quality of your rest because your digestive system will be hard at work.
- Do not exercise during the 3-4 hours before going to bed. Try exercising in the morning, afternoon or during the early evening.
Creating an optimal sleep environment will also help you fall asleep and stay asleep. Here are some tips for doing so:
- The temperature of your bedroom should be on cooler side, not cold and not hot.
- Your bedroom should be quiet. If you have noisy pets or a partner who snores, try using earplugs, downloading a noise app (I like using a free app called Rain, Rain), or getting a white-noise machine to help mask other sounds.
- Your bedroom should also be dark, try covering your bedroom windows with dark curtains. You could also try wearing a sleeping mask.
- One of the most important things to consider is the comfort of your mattress. If you
are experiencing pain, it is really important to buy a mattress that suits your needs.
Create soothing bedtime rituals to ease your mind and body at the end of every day. Here are some rituals and activities you can experiment with before you go to sleep:
- Try to meditate, journal, or read something that helps you unwind.
- Listen to soothing music or a podcast.
- Do not watch TV, eat, pay your bills, send emails etc. in your bed. Create an intention to use your bed as a sleep sanctuary. (Having sex in bed is also ok).
- Try to go to sleep at the same time every single night, make sure your schedule is consistently the same 7 days a week!
- Try using an essential oil diffuser, a few oils that are known to promote calming and soothing effects on the mind and body are lavender, cedar wood, chamomile and bergamot.
- Drink teas that promote sleepiness, such as chamomile, lemon balm, lavender or Sleepy-Time tea blends.
- Take a hot shower or a nice bath before going to bed. Add episome bath salts to help relax any muscle soreness.
Whatever you decide to do for your last bedtime activity, try to keep in mind that it should promote calmness. Invest your time in figuring out what activities your body responds well too— and stick to those habits, your body will thank you!
The following article is from Shreveport Times and is a great overview of the problems with treating pain in this country. The opiate epidemic has clearly shown that throwing medications at pain patients is short-sighted and ineffective. It's time to mainstream Functional Restoration programs like Restore Fx and make them the gold-standard for patients with persistent pain problems.
If opioids aren’t the answer for treating chronic pain, what is?
Krista Jordan, Ph.D., ABPP