Pelvic Health Blog

Self-compassion and pain management

9/9/2020

By Karen Bruno, PT

Can self-compassion really help when you are in pain?
Let’s explore this. First, what is self-compassion? Self-compassion is giving yourself kindness, forgiveness and understanding when confronted with personal failures or discomfort. Basically, it means giving yourself the care and gentleness that you would give to a beloved friend or a child who is in need of support. In the words of Dr. Kristen Neff, a self -compassion expert and teacher, "Instead of mercilessly judging yourself for various inadequacies or shortcomings, self-compassion means you are kind and understanding when confronted with personal failings – after all, who ever said you were supposed to be perfect?" (1) It is an acceptance of your humanness even when things don’t go your way.

So, what does self- compassion have to do with chronic pain? Recent research suggests that self-compassion is associated with better outcomes, such as lower levels of depression, pain-anxiety, physical and psychosocial disability, and higher levels of pain acceptance. Higher levels of self-compassion supports engagement in meaningful activities and use of pain coping strategies. (2)

What does that mean for you?

Lower levels of depression, sadness and anxiety.
Less physical and psychological stress.
Higher levels of pain acceptance and engagement.
Improved ability to perform meaningful activities and use pain coping skills.
Better overall outcomes, function and quality of life.

Self-compassion has been found to be beneficial in situations related to the ineffective way we respond to things, how we talk to ourselves and the behaviors we engage in. So, when you notice yourself worrying, thinking or talking negatively, isolating yourself, or beating yourself up, choose to use a better approach of treating yourself with care, gentleness and kindness. (3)

What can you do?

Meditate. Practices such as mindfulness, breath meditation or any other physiological quieting methods help us to reduce tension and train us to tune into our needs to better take care of ourselves. Here is a link to some guided meditations: https://self-compassion.org/category/exercises/
Consider treating yourself the way you would treat a close friend or a small child. How might you respond to them with kindness and gentleness?
Remind yourself that you are worthy of kindness and compassion.
Take a self-compassion break. What do you need to hear? What do you need to give yourself? How can you encourage yourself and be patient, kind and forgiving to yourself?
Explore self-compassion through writing. Start by writing about your concerns. Next, write yourself a letter from the perspective of a loving friend. The last step is to let yourself receive those kind words, allowing love and compassion to soothe and comfort you.
Practice supportive touch.
1. Putting your hands on your body and taking some conscious breaths can be relaxing.
2. Place your hands over your heart and breathe comfortably. Notice the rise and fall of your chest as you breathe. Do this for as long as needed to calm your nervous system.
3. If it is convenient, put your hands over the area of pain and breathe love and nourishing oxygen into the region.
4. Place one hand over your heart and one hand over the abdomen. Breathe gently and consciously- 4 seconds in and 4 seconds out. This is a great way to relax as you drift off to sleep.

This PDF download summarizes the relationship between self-compassion and pain.

Self-care is also an integral component of self-compassion.
We have heard it before from the airlines, "“put your own mask on first, then help someone else." Remember that you are your own best advocate and as you care for yourself, you model for others how to care for themselves, you teach others how you want to be treated, and you harness the resources to be of service to others. Just do it! You are worth it.

"Life is full of disappointments, failures and setbacks. None of those things can permanently stop you. You have the power within you to overcome anything that life throws at you. There is nothing more powerful than a made up mind. Surround yourself with people who remind you that you matter, and support you in ways that matter most to you. No person, situation or circumstance can define who you are. Don't give up, cave in or stop believing that it's possible. It's not over until you win."
-Unknown

Notes

Website: selfcompassion.org
Paper: The relation of self-compassion to functioning among adults with chronic pain. Eur J Pain. 2019 Sep;23(8):1538-1547. doi: 10.1002/ejp.1429. Epub 2019 Jun 11.
Audio: Integrative Pain Science Institute podcast

Connect PT's exercise hack for the obturator

3/20/2020

By Marzena Bard, PTA

If you have a tight obturator internus, here are two go-to exercises for a release of that sneaky muscle.

Fan Pose
Keep your feet wide apart, turning your toes inward. Exhaling gently, hinge in the hips forward. Place both hands on a yoga block in front of you. Take a breath and exhaling again, lift up one arm up towards the ceiling. Stay there for a few deep breaths. Repeat on the other side.

Frog pose
Position yourself on the floor with knees wide apart and feet to the sides. Be gentle and don’t feel you have to achieve the angles that are presented in the picture. Place your hands flat on the floor, about shoulder-width apart. You may add a slow, unwinding, rocking movement back and forth, coordinating it with your breath. Inhale rock back, exhale rock forward.

Patient cheat sheet of our most common exercises

1/7/2019

Our dedicated team of therapists are constantly creating ways for patients to stay compliant with their home program. Many people are confident in their exercise form at the office, but sometimes the knowledge seeps out after they walk out the door…

Check out our refresher videos on our patient's section (scroll down to the bottom). Marzena Bard, PTA, CYT, demonstrates your favorite exercises like “cat-cow” and “thread the needle”--you won’t forget them again!

In the community: therapeutic yoga comes to the East Windsor Senior Center

5/24/2018

In May, Marzena Bard, PTA, CYT presented “Yoga in Physical Therapy for Women’s and Men’s Health” at the East Windsor Senior Center and led participants through gentle yoga poses that can be used in rehabilitation.

Yoga During and After Pregnancy

11/8/2017

Written by Michelle Dela Rosa, PT

Anxiety and depression in women can be common before or after giving birth, with rates around 10% and 20% respectively. These disorders can make it hard to care for yourself or your new baby.

Medications, while sometimes effective, have the risk of side effects for you and/or developing baby. Why not try an alternative treatment, like yoga, which has been shown in the general population to help mental health and well-being?

A 2015 systematic literature review showed that yoga was not only effective in decreasing depression and anxiety in perinatal women, but also improved: pain, anger, stress, gestational age at birth, birth weight, maternal-infant attachment, optimism, and well-being. If you are pregnant or just had a baby and are unsure how to progress with exercise, our therapists who are also certified yoga instructors can help you make the leap into fitness.

Sheffield KM, Woods-Giscombé CL. Efficacy, Feasibility, and Acceptability of Perinatal Yoga on Women's Mental Health and Well-Being: A Systematic Literature Review. Journal of Holistic Nursing 2015:34(1)64-79.

The Deep Squat Stretch

11/2/2017

Written by Marzena Bard, PTA

The deep squat is one of our favorites for pelvic floor tightness. If you have pelvic floor tightness or spasms, this is one of the few positions that makes it difficult for the pelvic floor to tighten.

Squat with your feet about two feet apart. (Keep your heels on the floor if you can; otherwise, support them on a folded mat). You can use the wall to support your back.
Separate your thighs slightly wider than your torso. Exhaling, lean your torso forward and fit it snugly between your thighs.
Press your elbows against your inner knees, bringing your palms together, and resist the knees into the elbows. This will help lengthen your front torso.
Breathe deeply and slowly, allowing the pelvic muscles to let go.

Yoga Tip: Downward-facing Dog

8/30/2017

Written by Marzena Bard, PTA

Start your day with this energizing pose in sun salutations, or use it in the evening as a calming, gentle pose.

Pelvic benefits include: decompresses and neutralizes spine, reduces heavy sensation associated with menopause, relaxes pelvic floor, helps with organ prolapse management.

Start on hands and knees.
Make sure your hands are positioned in a straight line, fingers slightly spreading.
Feel your mat mostly under your index fingers and thumbs.
Take a deep breath and while exhaling, lift your hips up, then shift your body weight back.
You can move your feet farther back, and/or further apart, but keep the hands in place.
Relax your head and neck completely, letting them hang down freely. Your body should be like an inverted letter "V."
Breathe slow, and breathe deeply.

Did you know: yoga during pregnancy

12/8/2016

Connect PT therapists incorporate yoga into physical therapy for expectant mothers. Yoga is a well-known practice that provides exercise and mindfulness. A systematic review by Curtis et al (2012) suggests that yoga during pregnancy can lead to better outcomes for pregnancy, labor, and birth. The study reports that it may improve a mother’s “stress levels, quality of life, aspects of interpersonal relating, autonomic nervous system functioning, and labor parameters such as comfort, pain, and duration.”

Kathryn Curtis, Aliza Weinrib, and Joel Katz, “Systematic Review of Yoga for Pregnant Women: Current Status and Future Directions,” Evidence-Based Complementary and Alternative Medicine, vol. 2012, Article ID 715942, 13 pages, 2012. doi:10.1155/2012/715942.

What's New: Gentle Yoga Class

6/10/2016

Gentle Yoga Class - Tibetan singing bowl

Connect PT is excited to offer our new Gentle Yoga class, accompanied by guided meditation and relaxation to the sound of Tibetan singing bowls. The bowls create sounds to restore normal vibratory frequencies in the body. The harmonic vibrations of the Tibetan singing bowls engage the relaxation reflex, slow down the respiratory and heart rates, and disrupt the pain reflex to promote a positive sense of well-being.

The Gentle Yoga class with meditation is taught by Marzena Bard, PTA the first Thursday of each month.

What the research says: yoga for low back pain

9/7/2015

Yoga can offer safe and effective treatment for the rehabilitation of low back pain. Cramer et al (2013) showed “… strong evidence for short-term effectiveness and moderate evidence for long-term effectiveness …” in a systematic review and meta-analysis of yoga and low back pain in 10 randomized controlled trials. There were no reports of serious adverse effects.

Cramer H, Lauche R, Haller H, Dobos G. A systematic review and meta-analysis of yoga for low back pain. Clinical Journal of Pain. 2013 May:29(5):450-60.

Spring 2014 event recap: children's yoga

4/2/2014

Connect PT hosted Yoga for Kids with Special Needs on March 22 and May 31. Marzena Bard, PTA, enjoyed teaching kids and parents fun and exciting ways to exercise with yoga.

For children with special needs, yoga has been shown to: improve attention through breathing and relaxation, facilitate sensory integration, reduce anxiety, and enhance self-esteem.

BLOG