Exercise, News & Research, Treatment

Tai Chi and Yoga for Pain Management in Neurology Now

Tai chi is one of the therapies that I’m definitely going to try. Neurology Now’s article describing how tai chi and yoga invokes the mind-body connection to relieve pain cemented my decision. Physical benefits aside, releasing tension and teaching mindfulness are the most powerful effects of tai chi and yoga, according to the article.

Mindfulness is nothing more than paying calm, moment-by-moment attention to what you are thinking and feeling. Ideal for cultivating greater awareness of the connection between mind and body, mindfulness has been shown to positively effect a range of autonomic physiological processes, such as lowering blood pressure and reducing overall arousal and emotional reactivity.

Yoga and tai chi combine the stress-reducing effects of mindfulness with low-impact movement, which is especially helpful for people who have chronic pain or physical limitations that make them relatively sedentary.

I’m captivated by the stillness of tai chi and am looking forward to trying something new. Seattle studio Embrace the Moon, which began as a program in a medical setting of tai chi for pain reduction, starts a new schedule next week. I’ll be there.

Embrace the Moon’s overview and description of tai chi styles is (relatively) concise and easy to understand. I’m finally understanding more about this discipline, which totally confuses me.

Neurology Now is an excellent free patient education magazine published by the American Academy of Neurology. You’ve probably seen it in your neurologist’s office. You can sign up for a free subscription to the magazine or read it online. I love getting it in the mail — I actually remember to read it.

Exercise, Treatment

Trying New Treatments: A Long, Long List

Physical therapy, craniosacral therapy, cognitive behavioral therapy, biofeedback, hypnotherapy, tai chi, pilates, meditation, chiropractic. While my migraines were too bad to keep appointments this fall, I kept a running list of the new treatments and therapies I’d like to try.

I have fantasies of doing nothing else than jumping in and trying all these therapies at once. They’d have to add up to more than 40 hours a week. Reality quickly usurps the fantasy: No blog, no decent meals, no organizing and downsizing. You know, all the other activities of my life.

Prioritizing treatments is more challenging than it seems.

  • My massage therapist’s physical therapist has aborted her migraines and his techniques are different than I’ve had in the past. No question I’m seeing him as soon as possible..
  • I tried a bit of craniosacral last year and the results were promising, so that’s in.
  • Cognitive behavioral therapy, biofeedback and hypnotherapy have common threads. With my depression, cognitive behavioral therapy is the natural starting point. I expect that biofeedback and hypnotherapy will flow from that.
  • Tai chi, pilates and meditation also have similarities. I want to exercise more and learn to be mentally quiet. Pilates is more about relieving pain in my lower back, but tai chi is the perfect fit.
  • Chiropractic is last on my list. Last year’s attempt was a
    bust
    , but I’m planning to see a different chiropractor, whose approach
    is quite different than the one I saw last spring. Still, having not
    been effective in the past, I’m in no rush to try it.

Choosing one from each group leaves me with physical therapy, craniosacral, cognitive behavioral therapy and tai chi. Is that still too much? Combined with myofascial release and a yoga home practice, which are having good results, I’m afraid I’m overdoing it.

In fact, I know I am. This “narrowed” list would require appointments four days a week plus three tai chi classes. Ha! Like that’s possible. But they all seem absolutely necessary.

I’m stuck. What do you recommend?

Exercise, Treatment

Less Neck & Shoulder Pain Equals a Happier Head: The Joys of Massage, Menthol Muscle Rub & Yoga

My neck and shoulders are finally loose enough to reduce my migraines and headaches. (Knock on wood.) After years of trying to treat them with no success, I assumed my neck and shoulders were destined to be tight.

After four months of intense, frequent massage and myofascial release, I feel like a new woman. The benefits have become so evident in the last week because I’m finally doing some regular yoga practices and am smearing my back with menthol muscle rub nightly.

No dibs and dabs for me — this is a heavy-duty layer of sticky, smelly menthol balm. I fight the chills for the first 30 minutes I’m in bed and the smell is migrating from our bedroom to the hall. No matter, I really do feel better.

I had some success with Woodlock Oil a year ago, but backed off when I learned that artificial menthol is made with turpentine. Since then I’ve searched in vain for a product with naturally occurring menthol — not that there’s any way to really tell. Clearly, I’ve given in. (I just realized that I could contact companies directly. I may not learn much, but it will be more than I know now.)

I try to do some chest, neck and shoulder focused yoga stretches each morning and before I go to bed. The stretches are so helpful that fitting them in my day is no longer a chore. The best part? The effects are immediate.

Now I’m looking for a good muscle balm. What do you recommend? I’ve tried:

  • Biofreeze: My favorite so far
  • Sombra: My massage therapist used this yesterday; not greasy or too stinky.
  • Jason Mineral Gel: Doesn’t smell to bad, but smeared like crazy
  • Safeway Generic: Smeared on the side of my face and irritated my eyes all night

Cinnamon muscle balm is a great option if you don’t want to smell like menthol. Just know that I may scream and run the other way if I smell you.

I only have a week of relief under my belt. Who knows if it will continue. Even if my migraines eventually thwart the benefits, my muscles no longer being bound up is at least a blessing to my back.

Many thanks to Linz who recommended myofascial release, my lovely yoga teacher Kelly, and the fabulous acupuncturist and massage therapist I’ve seen. If you’re in the Seattle area and interested in seeing any of my healthcare providers, send me an e-mail for contact information.

Coping, Mental Health, Treatment

Living From the Heart

Since yoga class yesterday, I have been in a terrific mood, even when my pain was bad. I’m loving the warmth of the shining sun, listening to music so loud that I can’t hear myself sing, admiring the pure happiness of the neighborhood kids.

My yoga teacher talks about living from the heart rather than always being led by your mind. We are guided to surrender our thoughts to the “heart center” (essentially your spirit or soul). While I agree with this idea in theory, believing in it is different than feeling it.

I spend too much time in my head. I’m a thinker who obsesses easily and am extraordinarily self-critical. The life changes of having a chronic illness have intensified and increased the frequency of all these thoughts.

Being in my head is not only in my mind, but in my brain. It literally directs one of the most prominent aspects of my life—chronic daily headaches and migraines. Living from the heart means thinking and obsessing less, but also keeping my illness from controlling my life. [insert raucous laughter here]

When I’m guided to send kind, supportive messages to myself, I give demands couched as encouragement: “Be nice to yourself,” “Worry less about if you’re a good person,” “Approach everyone with love.” Yesterday I unwittingly replaced these judgments with “Honey, honey, come and dance with me.”*

I got it. My heart invited my mind to celebrate with it. Love widely, be compassionate to yourself and others, care for others without neglecting yourself, accept who you are. It was an incredible feeling. The message was so clear that I haven’t thought about it much; I have simply lived from the heart.

*Maybe I should be concerned that lyrics from a Dave Matthews Band
song popped to mind while meditating. The song, Everyday, was originally written about the 1993 assassination of Chris Hani, the leader of the South African Communist Party who fought against the apartheid government. It’s all about love. I’m good with that.

Books & Products, Exercise, Treatment

Gentle Yoga for Migraine (and Headache) Relief

Gentle yoga postures and breathing techniques may ease the intensity and frequency of migraines, according to a study in this month’s issue of the journal Headache. I didn’t need a study to tell me this, but supporting evidence is always good. While the study didn’t look at tension type headaches, I have no doubt that yoga is still beneficial.

Gentle is the operative word. Classes focused on working out, which I refer to as yogacise, will likely worsen a headache. For this reason, I avoid Ashtanga, Bikram, Vinyasa and power yoga, as well as anything offered at a gym. Finding a good yoga teacher is paramount.

Restorative yoga is a godsend during a severe headache. It’s easy and relaxing yet invigorating. “Active relaxation” is how Judith Lasater, a leader in the field, describes it. Her book Relax and Renew is a fantastic introduction to restorative yoga. Many yoga studios offer classes — ask around or Google restorative yoga in your area.

Breathing techniques were an important part of the study. Unfortunately, the abstract doesn’t say which techniques were used, but I imagine relaxation was the focus. You can learn a lot about breathwork online, but it’s more complicated than it may seem. Again, a lot of studios offer breathwork classes, which is often refereed to as pranayama.

If the cost of continuing classes is overwhelming, consider taking a
few private classes. An hour-long session runs about $60 (in Seattle),
but it won’t take many to learn how to practice at home. Nearly every teacher offers one-on-one sessions.

There are some crucial things to know if you decide to try yoga:

If you have a migraine or headache at the time of your practice, never do an inversion, which is any posture that raises your heart above your head. Blood (and energy, if you’re into that) rushing to your head during a headache or migraine will make it worse. For some people, doing inversions at all can trigger a headache. For others, inversions can help prevent future headaches.

Always tell your teacher if you have a headache. Your practice must be modified to avoid inversions or any other posture that may exacerbate your headache. Teachers are used to such requests and will be able to give you alternate poses. If not, I suggest finding another teacher.

It’s strange that the study’s lead author is in a Zoology department, but I agree with the results, so I don’t much care. How’s that for blatant disregard of my advice to evaluate medical studies carefully?

Kelly Pretlow, my dear friend and yoga teacher, kindly demonstrates a twist in this photo. Maple Leaf Community Yoga is her north Seattle studio.