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Breathing is the greatest pleasure in life" Giovanni Papini
Breathing before the pandemic?
It was an afterthought for the fortunate ones, simply an act of our autonomic nervous system doing it's job without our even having to think about it. For others with vulnerable lungs, a precious gift where life is breathed in with every thoughtful breath.
Breathing our way through a pandemic has refocused our attention on our beautiful often fragile lungs. From the thought of Covid-19 being spread into our lungs or to others, to the frontline workers finding breathing challenging in protective gear to our holding our collective breath globally bracing for the impact of this disease.
We are more conscious of our breath than ever before. And in my humble opinion, there is always some good that comes from this.
So let's dive in and show you how breathing is a powerful tool in your covid-19 toolbox with these five strategies.
1) Bringing the breath back to 'front and centre':
As I mentioned earlier, the breath is controlled by your autonomic nervous system. When you are at rest, your body knows to slow the breathing without even thinking about it. Just as it does when you start to exercise, your heart rate increases, so too does the rate of your breath to keep up with the increase in demand for oxygen. Our bodies respond the same while under acute stress. When stress is prolonged (such as the times we find ourselves in now) our breathing lingers in this fight or flight mode with shallow, short breaths.
Bringing the breath back to front and centre simply means thinking about our breath and actively challenging that mindful breath. It means breathing through your nose, slowing your breath, breathing deeply and visualizing four corner breath.
Paying attention to breathing through your nose engages the lungs' filtration system by activating the little hairs that line the inside of your nasal passages. These small warriors are our first line of defense against foreign invaders.
In this time of uncertainty that we find ourselves in, our breathing becomes more shallow. Shallow breaths only stimulates the upper portion of your lungs so instead, place your hands on the sides of your rib cage and consciously breathe deeply into your hands. Visualize your lungs like a balloon that you are slowing filling up from top to bottom and side to side. These slow, deep breaths stimulate the nerves at the base of the lungs, activating the relaxation response.
Four corner breathing is a simple technique that you can use to not only stimulate our 'rest and digest' mode but in the age of covid-19, can actively lengthen and strengthen our lungs.
Sitting or lying down comfortably, visualize the outline of a book or a picture frame.
As you follow your eyes along the top edge of the book take a slow, deep breath in and count. When your eyes turn the corner and follow the book's edge down, hold your breath and count. When your eyes turn the corner again to follow the bottom edge, breathe out slowly and completely. Hold you breath one last time while your eyes follow the outside of the book up to the start point.
As you expand your lungs and your breathing practice, increase the amount of time that you inhale and hold your breath for. Eventually, the goal is to exhale twice as long as you inhale and to extend the length of time holding your breath.
Another technique to try with healthy lungs is to inhale fully through the nose, hold on top briefly and then before exhaling, try to take in one more breath...filling up those lungs completely.
Breathing in, I calm my body. Breathing out, I smile. Dwelling in the present, I know this is a wonderful moment." Thich Nhat Hahn
2) Laughter:
Not only is laughter so therapeutic emotionally, it also serves the lungs beautifully. When you laugh, your lungs are rid of stale air and more oxygen can enter. This is because laughter helps to expand the alveoli in your lungs. ... Expanding these means that the area for oxygen exchange is bigger and more oxygen enters your lungs. In a time when we are trying to protect our lung output and functionality, laughter is a key component. This is why, now more then ever, we need to turn off the news and turn on a funny movie, to reconnect and laugh with friends (online), or get silly with the kids and grandkids.
3) Movement & Posture:
Body position can influence respiratory function. Changes in body position can alter the length of the respiratory muscles (the diaphragm and the muscles in between the ribs), thereby influencing its ability to generate tension.
Several studies have reported that a slumped posture or prolonged sitting significantly reduces lung capacity and expiratory flow, compared with a normal upright posture. We are living in a time where social isolation has seriously increased our cellphone and laptop use which ultimately increases our rounded forward posture even more.
So what's the moral of the story?
We've got to keep moving! Even patients with Covid-19 are being told to move their limbs, practice their breathing to help elongate those respiratory muscles. Roll your shoulders, open up your ribcage, lift your arms above your head, be mindful of your posture...all these movements count and have massive impact.
4) Singing:
Singing in the car or in the shower is essentially a mindful way to breathe...without even having to think about it. The rhythmic breathing required in singing somewhat mimics the breath control practiced in mindfulness meditation. So let go of any inhibition and belt it out!
5) Getting outside for fresh air:
This is an obvious one but a simple walk outside can raise your immune system and your spirits. "Exercise leads to an increase in natural killer cells, neutrophils and monocytes, which ultimately increases immune function," Ather Ali, ND, MPH. If it is warm enough to do so where you live, take your shoes off and put your feet on the earth and reconnect.
As we metaphorically and physically hold our breath waiting for this pandemic to come to an end (and it will), take a deep breath and let that go. Soon enough our global community will exhale with a collective sigh of relief.
According to Psychology today there is much needed research looking at the link between listening to music and pain tolerance.
The research suggests that it is not only effective in relieving acute and chronic pain but can also help patients manage anxiety and depression.
According to one study from 2012, two daily sessions of music listening helped a sample of chronic pain patients relieve symptoms related to conditions such Fibromyalgia, inflammatory disease, or neurological conditions as well as the anxiety and depression linked to chronic pain.
So how music do this?
Since emotion and pain are strongly linked, music that resonates with positive emotions triggers positive memories can also affect mood and the ability to handle pain. Relaxing music not only calms the harm alarm by reducing heart rate and blood pressure it may also influence how we perceive the passing of time (pleasant memories make time fly faster than unpleasant memories). And, if we are fortunate enough to be moved so completely by a song, to feel a sense of awe in every note then we are shifting our brain into a healthier state of being.
All types of music serve to distract, inspire and motivate each in their own way.
So I went to the experts to find out what music they listen to when they are experiencing chronic pain.
When I say subject matter experts I am referring to those who live with chronic pain day in and day out.
Here is what they have to recommend. A little something for everyone (except for our Country lovers, I seem to be a little short on suggestions here- perhaps you have some).
My apologies for the naming of Genres…it was a little challenging and I am such a rookie! I hope you enjoy
Feel free to add to this growing list in the comments below.
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Artist |
Song Name |
Genre |
Kathy Trocolli |
He will make a way |
Faith based |
Rising Appalachia |
Resilient |
Indie |
Wicked |
Defying Gravity |
Broadway |
Shawn Mendes |
In my blood |
Pop |
SlipKnot |
Wait and Bleed |
Rock |
Casting Crowns |
Nobody |
Faith based |
The Script |
Superhero |
Pop |
Bullet for my valentine |
Tears don’t fall |
Rock |
Citizen King |
Better Days |
Rock |
Andra Day |
Rise Up |
Soul |
Mama Called |
Justin Stone |
New Age |
Midnight |
Justin Stone |
New Age |
Uncle Kräcker |
Drift Away |
Rock |
Miley Cyrus |
The Climb |
Pop |
Tears For Fears |
Shout |
80’s pop |
For King And Country |
It’s Not Over Yet |
Country |
Carrie Underwood/Vince Gill |
How Great Thou Art |
Faith based |
Survivor |
Eye of the tiger |
Pop |
Jason Mraz |
I’m a bit of a rough draft |
Pop |
Josh Baldwin |
Let the Redeemed |
Faith based |
Tauren Wells |
Hills and Valleys |
Faith based |
Shakira |
Try Everything |
Movie - Zootopia |
Lauren Daigle |
You Say |
Pop |
Bob Marley |
Every little thing is going to be all right |
Reggae |
Wild Nothing |
Rhea |
Indie |
Alex Clare |
Tight Rope |
Indie |
David Bowie |
Heros |
Alternative rock |
Rachel Platton |
Fight Song |
Pop |
Sara Bereilles |
Brave |
Pop |
Post Malone |
Rockstar |
Rap |
Arizona/Avicii |
Hold the Line |
Pop |
Hannah Kerr |
Warrior |
Faith Based |
Uncle Kräcker |
Good to be me |
Rock |
Journey |
Don’t stop believing |
Rock |
Holy Cole Trio |
I can see clearly |
Jazz |
Kate Bush |
This Woman’s work |
80's alternative |
Elsa ( aka Idina Menzel) |
Let It Go |
Movie - Frozen |
Create a list of things you need to get done for the holidays and then pick your top three items. As for the rest, delegate if at all possible or ask for help. It may also be worth it to ask yourself, how important is it for me to get this done?
Pace yourself. First establish a realistic amount of time per day that you believe is reasonable to get some work done. Knowing that you only have a set number of hours to get things done before the pain starts to take over, be sure to work within those time limits. Give yourself permission to be ‘selfish’ in those boundaries (and when I say selfish, I mean in the most respectful way possible).
Connect with people. Even if you feel like the pain is too great and you cannot get out of the house, make a call to a loved one or a close friend or a relative you haven’t connected with in a while. Technology is connecting us in ways that make it much easier without all the uncomfortable travel. Or if you think that getting out of the house would lift your spirits and lessen your pain then get out and enjoy!
Schedule time in your day for daily self care. Think of it as an opportunity to recharge your battery and help you prepare for what’s next. Find a quiet corner to breathe or to lie down, turn off the lights and tune out the tasks of the day and tune in to your thoughts, or just listen to some music. Again, be intentional and make this a non-negotiable!
Keep your appointments throughout the holidays. When things get busy it is all too easy to cancel an appointment when you ‘need’ to get things done. Keep your health and wellbeing a priority so that you can manage the holiday with as much control as possible.
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Take time to pat your animals. Just 5 minutes of petting an animal can send you a healthy dose of oxytocin to help mitigate the pain. Don’t have a pet but you know someone who does? Take some time with their pet and reap the rewards. Interesting note: your pet also benefits from a hit of oxytocin…it is a win win for both!
Serve your body well with good food. I know this one sounds extremely obvious but it can be really difficult over the holidays when we are surrounded by food. Remind yourself that whole foods actually help your body to fight underlying health issues and supports your mood as well. Feel free to enjoy small amounts of the comfort stuff (deserts of course). Then once you have savoured those special morsels, get back onto your health sustaining foods.
Have an Epsom salt bath infused with lavender to help calm the mind and the muscles after a day of battling pain. Be sure to drink water afterwards to help the body flush out the toxins that had accumulated in your body.
Get a good nights sleep. Now I know sleep can be extremely elusive and for many, can be very hard to find. Create a list of things that you know will help you to fall asleep such as warm bath before bed, no caffeine after 2:00 pm, warm blanket to calm the muscles, magnesium before bedtime, meditation apps, breathing apps, cut out electronics two hours before bedtime. Be creative and list as many things as possible that you know of that will help you to fall asleep. If you are having one of those nights where you are struggling to fall asleep then you can lean into any of the strategies that you know work.
Ask yourself at the end of the day, even if it has been a very hard day ‘what was one small win for me today’? You will be amazed with what you come up with. This may take some time to articulate, especially if it has been a tough day but if you think really hard you will likely think of something. Spend some time on that one win, say it out loud or write it down. And then get up the next morning with the idea that you will strive to have one more win today too.
There is nothing like a good slumber! Sleep is one of the non negotiable tools in your pain management toolbox, and for very good reason. It is one of the most fundamental support systems we have.
We are learning through recent research just how important sleep is when it comes to the maintenance of your overall health and in the recover of pain and injury. It's reach is broad and effects your ability to manage pain, to repair after injury or exercise, to manage autoimmune disorders, stress and emotional well-being, just to name a few!
It can be difficult getting a good nights sleep when you are living with chronic pain which then in turn restricts your healing and unfortunately also increases your pain perception.
So how does sleep help your body manage pain? Let's explore...
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Sleep can remain a little elusive and challenging at times but try these simple steps to help you get the rest you need to manage your chronic pain a little bit more strategically.
Create a set schedule for sleep. Be as intentional about when you are going to sleep as you are for eating your meals. Put it in your schedule so that it takes priority.
Eat dinner a little earlier as a full stomach can keep you up at night and make it harder to fall asleep, especially as we age.
Remove yourself from electronics well before bedtime and dim the lights. The blue light from electronics stimulates the part of the brain responsible for alertness and readiness.
Read a book or have some quiet time where you can listen to your breathing and calm your thoughts, especially after a busy or painful day.
Avoid caffeine (yes that includes chocolate) after 1:00 pm as it is a stimulant and will make it more difficult to fall into quality sleep. (perhaps that means we can eat chocolate for breakfast or is that just wishful thinking?)
Breathing is something that we often take for granted day in and day out. As a matter of fact, when I ran a Wellness centre for big Pharma, I would often joke with the employees that they should learn how to breathe. To which they quickly replied…I already know how to breathe. Ever wonder what’s actually going on in there when you take a deep breath? Simply put, it looks like this:
1) lung ventilation:
This is the initiation of external respiration through which inhaling and exhaling occur.
2) gas exchange:
O2 (oxygen) and CO2 (carbon dioxide) pass through the surface of the lungs.
3) gas transfer:
This is the transport of O2 from the lungs (through that inhale) and to the tissues, and of CO2 back to the lungs (for that deep exhale).
Go ahead. . . take another deep breath. Deep abdominal breathing encourages full oxygen exchange — that is, the beneficial trade of incoming oxygen for outgoing carbon dioxide. And this is where all good things begin!
Paying attention to our breathing serves many, many benefits. Breath increases energy, calms the nervous system by slowing down the fight or flight response, improves our respiratory system and all the muscles that support it (think Diaphragm, the intercostals between the ribs, into the shoulders and spine), improves our cardiovascular and digestive systems and can slow a busy mind. One of my favourite functions of deep breathing is in the management of pain. I could go on but this is a great start.
One of the simplest ways I can pass along to practice deep, rhythmic breathing is ‘four corner breathing’. Visualize if you will, the outline of a book. As you follow your eyes along the top edge of the book take a slow, deep breath in. When your eyes turn the corner and follow the book’s edge down, hold your breath. When your eyes turn the corner again to follow the bottom edge, breathe out slowly and completely. Hold you breath one last time while your eyes follow the outside of the book up to the start point. This is great for kids and grown ups alike!
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A review of the Global Burden of Disease study (2016), which tracks the prevalence of deaths and diseases worldwide, contains some good news: On average people are living about a decade longer than they were in 1980. Which probably doesn’t come as a surprise. But there’s a catch: Health hasn’t improved as fast as life expectancy overall, which means that for many, those long, final years are spent hobbled by illness and disability.
The study, published this week in The Lancet and conducted by the Institute for Health Metrics and Evaluation at the University of Washington, uses a metric called “Disability Adjusted Life Years.” DALYs, as they’re abbreviated, combine the number of years of life a person loses if they die prematurely with the amount of time they spend living with a disability.
In rich countries, the number one cause of these DALYs is not surprising: ischemic heart disease, which is associated with well-known Western issues like high cholesterol and obesity. But the number two condition is a little strange: plain, old-fashioned, ever-present, low back and neck pain:
Even when you include poor and middle-income countries, low back and neck pain went from ranking 12th as a cause of DALYs globally in 1990 to ranking fourth in 2015, the most recent year. In most countries, it was the leading cause of disability. DALYs from low back and neck pain increased by more than 17 percent from 2005.
So what to do about it? Prevention and regular maintenance! In it’s simplest form…move, eat well and establish who your maintenance team is. Get up and away from your desk regularly, see your Massage therapist, your Chiropractor, whomever you choose to be on your ‘team’ and support it all with good, solid nutrition to nourish the demands placed on your body.
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