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cover of episode How to Alleviate Pain with Mindfulness | Simple Techniques for Chronic Pain Relief

How to Alleviate Pain with Mindfulness | Simple Techniques for Chronic Pain Relief

2024/11/20
logo of podcast Mindfulness Exercises

Mindfulness Exercises

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Sean Fargo
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Sean Fargo:正念并非忽视疼痛,而是以不评判的态度去体验它。这与许多慢性疼痛患者的直觉相反,他们通常认为关注疼痛只会加剧疼痛。然而,正念允许我们接纳整个体验,包括疼痛。 在练习中,我们可以探索疼痛的区域,如果疼痛过于剧烈,可以将注意力转移到疼痛周围的区域,例如膝盖疼痛时,可以探索腿部其他部位的感受。这需要以不评判、勇敢和自我同情的态度进行,如果疼痛过于强烈,可以将注意力转移到呼吸等其他身体感受上。 长期来看,这种练习能够建立应对疼痛的能力,即使注意力暂时离开疼痛本身,我们仍然与自身体验保持联系。随着疼痛减轻,我们可以将注意力重新带回疼痛区域。在课程中,我们并非一开始就关注疼痛,而是先培养对身体感受的觉察能力,再逐步探索不同程度的不适感。 最终,患者能够以一种慈悲的态度接纳疼痛,这并非鼓励他们欢迎更多的疼痛,而是承认疼痛的存在。忽视或压抑疼痛只会加剧疼痛,而正念练习鼓励患者积极面对并体验疼痛。 练习时间长短没有绝对标准,但建议每天至少10分钟,即使只有一分钟也比不练习好。练习的关键在于保持参与感和愉悦感,而非仅仅为了缓解疼痛。建议初学者坚持练习8周,每天10-15分钟,每周至少3-4次,才能看到效果。 正念练习并非适用于所有人,例如急性PTSD患者、精神分裂症患者等,需要谨慎使用。对于患有创伤后应激障碍(PTSD)的患者,正念练习也可能有效,但需要在治疗师的指导下进行。课程中会提供特别的正念练习,帮助他们循序渐进地进行练习。 大多数人只要有足够的专注力和勇气,都可以学习正念练习。

Deep Dive

Key Insights

Why is mindfulness counterintuitive for chronic pain patients?

Chronic pain patients often avoid focusing on their pain because they want to eliminate it. Mindfulness, however, encourages paying attention to the pain without judgment, which can feel counterintuitive but helps in managing and understanding the pain better.

How does mindfulness help in exploring pain?

Mindfulness allows individuals to explore pain by focusing on the sensations in the affected area, such as the knee, with a sense of non-judgment and self-compassion. If the pain becomes overwhelming, attention can be shifted to surrounding areas or breathing, gradually building the ability to stay engaged with the experience.

What is the recommended duration for daily mindfulness practice?

A minimum of 10 minutes daily is recommended for mindfulness practice. Even one minute is beneficial if that's all one can manage. Consistency over eight weeks, practicing three to four times a week, is suggested to see significant benefits.

What percentage of patients find benefits from mindfulness after eight weeks?

99% of patients who practice mindfulness for eight weeks find some benefit and continue with the practice. Additionally, 60% of those who try it for just one week express a desire to continue.

Are there conditions where mindfulness might not be appropriate?

Mindfulness may not be suitable for individuals with acute PTSD or schizophrenia, as bringing awareness to their actual experience can be challenging. However, with guidance from a therapist, even those with PTSD can benefit from tailored mindfulness practices.

How does mindfulness help in building resilience to pain?

Mindfulness builds resilience by teaching individuals to engage with their pain without judgment, gradually increasing their ability to tolerate discomfort. Over time, this practice helps in acknowledging the pain's presence and reduces the tendency to feel trapped by it, thereby lessening its impact.

Chapters
This chapter explores the counterintuitive concept of using mindfulness to alleviate pain. It explains that mindfulness isn't about ignoring pain but about engaging with it gently and without judgment, building resilience over time. The process involves exploring the sensations of pain, moving attention away if needed, and gradually embracing the experience with kindness.
  • Mindfulness isn't about ignoring pain, but engaging with it gently.
  • Explore pain regions, backing away if overwhelmed.
  • Engage with the experience without judgment, using kindness and self-compassion.
  • Ignoring pain worsens it; engaging with it helps alleviate it over time.

Shownotes Transcript

Translations:
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It's very counterintuitive to pay attention to your pain. Many chronic pain patients say that that's the last thing they want to do is why would I want to pay more attention to my pain? I'm trying to get rid of it. And that's the paradox of mindfulness. Mindfulness allows us to be with our whole experience.

without judgment. So let's say there's a patient with some knee pain. It might be very acute, might be a dull pain. Let's say there's pain in the knee. With mindfulness, you can explore the regions of pain in the knee. If it's too much, you can back away and explore regions around the pain in the leg and explore the sensations around the knee.

with a sense of non-judgment or with a sense of courage, kindness, self-compassion. So you're exploring the areas without judgment, without judging it as good or bad, right or wrong, and really just sensing into it a little bit. If it's too overwhelming, we back out a little bit with a sense of courage to stay with our experience,

If it's too overwhelming, we can explore the other areas of the leg or breathing. What is it like to be breathing right now? So in a sense, you might be moving your attention away from the pain itself but still staying engaged with your experience in your body, which is really helpful over the long term. You're building this muscle to be able to stay engaged with your experience

When the pain has lessened, you can bring your experience back, your awareness back towards the pain and over time to the pain itself. So in the beginning of what we teach in our classes is we're not going straight to the pain right away. We need to build the muscles first to bring our awareness into our bodies, know what it's like to

bring awareness to our bodies without judgment and slowly start to explore the areas that are slightly uncomfortable, a little bit more uncomfortable, very uncomfortable. And over time, patients are able to actually almost embrace their pain with a sense of kindness. They're not welcoming more of it and they're not necessarily even accepting it completely, but they're acknowledging that it's there because it's there.

The more that they ignore it or pretend like it isn't there or the more that they feel trapped by it, the worse the pain gets over time. So we're engaging them into their real life experience to be able to sense into areas of discomfort more and more over time.

This episode is brought to you by the Mindfulness Teacher Certification Program. To become a certified mindfulness teacher, visit mindfulnessexercises.com/certify. So a lot of patients ask how long they should practice mindfulness for each day. There is no right or wrong, but we recommend about 10 minutes minimum. If you can only do one minute, then that's great.

but do it for as long as you can while staying engaged. The act of curiosity and enjoyment is an important part of it. The practice of mindfulness is not to necessarily make things feel better, but the more you can stay engaged with the practice with a sense of lightness or ease or relaxation, the better. And so if you can

practice for 10 minutes, 15 minutes a day, that will be enough to strengthen the muscles of mindfulness over time. We recommend that patients who are starting out practice for eight weeks before they decide whether or not to continue. This is like going to the gym. You may not see results right away if it doesn't work overnight.

We invite skepticism and we invite patients to try it for eight weeks at least three or four times a week, 10 minutes each time before they judge whether or not it's right for them. But I think 99% of all patients who go through this program over eight weeks find some benefit from the practice

and will continue to practice it. We found that 60% of patients who try it for one week want to do more of it. And so I think the findings of our beta testers are very encouraging for the long run of how much people are interested in trying this. There are a few examples of when mindfulness may not be appropriate. Those struggling with

acute PTSD, I would recommend trying bite-sized chunks of it along with guidance from a therapist. Those living with schizophrenia can be very challenging to bring your awareness to your actual experience. There may be a few other mental conditions that are sensitive around mindfulness practice.

But for the most part, those living with certain kinds of trauma, it's totally fine and very healing to practice mindfulness. In our program, we pay attention to those living with PTSD, especially by giving specific mindfulness practices for those living with PTSD.

so that if they either self-identify as having PTSD or if a doctor notes that the patient has PTSD, then they'll be prescribed certain exercises that help them to bridge where they are and where they need to be to start a fruitful mindfulness practice. And so we pay attention to that.

But by and large, mindfulness can be learned by just about anybody who has the courage to bring awareness to their actual experience. All you need is a little bit of focus, a little bit of courage to be with your experience, and that's it. So it's very quite simple.