Book recommendation: Listen to Your Pain

This blog post isn’t about anything especially far out. It’s actually pretty ordinary. It’s about injuries and pain and a book I came across in my studies that I like a lot. It’s very left-brained — and very practical.

Listen to Your Pain: The Active Person’s Guide to Understanding, Identifying, and Treating Pain and Injury is one of my textbooks in massage school. It’s not written for massage therapists, but I know I will find it useful.

I recommend this book for anyone who leads an active or adventurous life, who might occasionally experience falls, twists, or other accidents, who wants to know more about what’s going on.

I wish I had had this book in my library years ago. You might need to have a certain kind of information-freak mindset like me to appreciate this, but it could increase your understanding of your own body, save your medical dollars, and give you realistic information about what kind of time and attention it takes to heal from an injury.

Most of the injuries I’ve had have come from things like falls, bike wrecks, dance, yoga, running, pulling the lawnmower cord, a car wreck, and so on. Some like plantar fasciitis have crept up on me. It would have been helpful to me to be able to learn more about what was happening under my skin. One thing I’ve discovered in massage school is that most of us know very little about what’s going on inside our own bodies. 

Before massage school, I used books like The Anatomy of Movement and The Key Muscles of Yoga to help me understand my body better. In fact, referring to books like that probably helped draw me toward massage school and more study of anatomy. I love the drawings and the insight I get, and the language is a wonderful skill to acquire.

Here’s how Listen to Your Pain can be useful. Say you begin to experience knee pain. This could be obviously from something that happened, or it could be knee pain that gradually appears and worsens for no discernable reason, or maybe it comes and goes.

You can use this book to identify which structure in your knee is injured, how this injury usually occurs, ways to verify that you have this injury and not another, how long it could take to heal, what you can do yourself (ice, rest), what a massage therapist or doctor can do (deep frictioning, injections, surgery), and rehabilitative exercises.

The chapter on the knee is 54 pages long. It describes the anatomy of the knee joint and includes a drawing with arrows pointing to sites on the knee where injuries are felt to help you identify your injury. Fourteen specific knee injuries are described along with descriptions of several other knee injuries and conditions that are more difficult to pinpoint.

Each of the injuries includes a description of what it is, how and why this injury can occur, a drawing of the anatomy involved, ways to test whether you have this injury with drawings, and treatment choices.

The treatment choices section describes the self-treatments you can do — waiting it out, limiting activity, icing, and so on. The author gives some rough guidelines for healing time — for example, for Pain on the Outside of the Knee (Lateral Collateral Ligament Tear), which can happen to yogis who spend a lot of time in the lotus position, it may take three weeks to three months to heal, depending on how severely the ligament is torn. He also lists possible medical treatments and exercises to strengthen the injured tissues.

Note that the book does not include ultrasound or acupuncture as possible medical treatments because the author was not familiar enough with them to include them. The book is purely Western medicine in orientation. From my experience, those modalities can be very helpful for injuries, so don’t rule them out. Maybe the 3rd edition will include them!

The author of Listen to Your Pain is Ben E. Benjamin, a Ph.D. in sports medicine and education. He studied with Dr. James Cyriax, the father of orthopedic medicine. This book has been around for 25 years and is in its second edition.

Arjuna Ardagh: What Is the Spiritual Meaning Behind Occupy Wall Street? | Huffington Post

Arjuna Ardagh: What Is the Spiritual Meaning Behind Occupy Wall Street?.

This writer looks at the Occupy movement from a spiritual standpoint and finds separation and disconnection from one another and the planet at the heart of why it’s happening.

I agree.

Then he writes:

The way that the Occupy movement can be a revolutionary revolution instead of a run-of-the-mill ordinary revolution is if we start with ourselves. We can start by dropping our attention deeper than thoughts, rigid beliefs, reactive emotions and prejudice. We can start by discovering the dimension within each of us, not so far away, which is limitless and free, which needs nothing, but offers everything. Then you become a spiritual activist, an empowered mystic. You take a stand not against something or someone, but for something. You take a stand for life, for celebration, for generosity, for values that make everybody stronger.

Amen, brother.

Wouldn’t it be cool to have a revolutionary revolution, instead of an ordinary run-of-the-mill revolution where nothing really changes except who’s on top?

Save a life: free CPR app for smart phones

Yesterday I got certified in CPR and first aid as part of my training to become a massage therapist.

I’ve been certified several times in the past. It’s gotten simpler as doctors learned more about what really works and refined the curriculum. It’s pretty damn simple now.

These days, the real value of CPR is to keep someone’s heart going until you can use a defibrillator on them. About 70% of the time, an AED saves a life.

There’s a free smart phone app called “handsonlycpr” that you can install. Even if you’re not trained in CPR, if you see someone collapse, and they’re not responsive and not breathing, this little app will help you dial 911, and then it will show you where to push and tell you how often with a beep.

If you’re giving CPR and aren’t sure how fast to push, here’s all you need to keep the rhythm. May this song get stuck in your head at exactly the right time!

Hot buttons, EFT, and self-compassion

Ever get a whiff of your own craziness, the things you do or say that are less than kind? I did today. I caught it myself — I see myself writing that like I caught some kind of fish. Yeah, a stinky fish.

In an attempt to be thoughtful, I actually was thoughtless. When I perceived that, I felt so remorseful my heart ached.

Then I found this quote from Tricycle Daily Dharma in my inbox. I’d saved it for several weeks, not knowing why.

We all have personal sensitivities—“hot buttons”—that are evoked in close relationships. Mindfulness practice helps us to identify them and disengage from our habitual reactions, so that we can reconnect with our partners. We can mindfully address recurring problems with a simple four-step technique: (1) Feel the emotional pain of disconnection, (2) Accept that the pain is a natural and healthy sign of disconnection, and the need to make a change, (3) Compassionately explore the personal issues or beliefs being evoked within yourself, (4) Trust that a skillful response will arise at the right moment. – Christopher Germer, “Getting Along”

I want to add step 2.5 to the above. If you are feeling the pain, and you know there’s a need to make a change but the feeling is so sticky, you can’t detach enough to explore your issues, you can do the Emotional Freedom Technique (several times if needed) to reduce the pain enough to get to step 3. It helps us feeling types move on.

In step 3, I discovered that I projected something onto another that was really about me. I’m looking at a big owie in my life head on.

I’m not to step 4 yet but it feels good to just know it’s there waiting, whatever the outcome. All I can do is trust.

Dalai Lama quote: “Kindness is society”

Just encountered this quote by Jeffrey Hopkins, professor of Tibetan Studies at the University of Virginia and interpreter for the Dalai Lama for 10 years:

During a lecture while I was interpreting for the Dalai Lama, he said in what seemed to me to be broken English, “Kindness is society.” I wasn’t smart enough to think he was saying kindness is society. I thought he meant kindness is important to society; kindness is vital to society; but he was saying that kindness is so important that we cannot have society without it. Society is impossible without it. Thus, kindness IS society; society IS kindness. Without concern for other people it’s impossible to have society.

Do something kind for another person today.

The Biology of Meditation. | elephant journal

The Biology of Meditation. | elephant journal.

Lisa Wimberger provides a Cliff’s Notes version of the book Power Up Your Brain: The Neuroscience of Enlightenment, by David Perlmutter and Alberto Villoldo.

Excerpt:

Stress, trauma and the health perils associated with those states all begin and get perpetuated in the limbic brain, which is comprised of the hippocampus, hypothalamus and amygdala. These are responsible for making our emotional connections outside of logic, taking snapshots of life, creating our dream state experiences, turning on our fight-or-flight response, and storing and delivering emotional information independent of time. The limbic system cannot discern past, present, or future — each “picture” it accesses is experienced by the body as though it’s current.

Fasting and/or a low-calorie diet, antioxidants, voluntary exercise, and meditation are key ways to turn down the limbic brain.

About meditation, she says…

…it is found that those who meditate or enter states of trance have increased blood flow to their pre-frontal cortex (PFC). This area of the brain is the executive decision maker, but is not quite the same as the neo-cortex “logic” mind. The PFC is activated on EKGs during states of compassion, inspiration, motivation and love. It has the ability to project and envision a future reward. It is the part of the brain responsible for motivating us to attain our goals and dreams. Blood flow to the PFC decreases when blood flow to the limbic brain increases.

10 things I love about massage

  1. Almost everyone loves massage and bodywork. It feels good and is nourishing to the body, mind, heart, and spirit.
  2. Caring touch, the basis of massage therapy, is probably the most ancient method of promoting well-being that human beings have used on each other.
  3. It’s the front line of health care. Massage therapists spend more time with their clients than most other health care providers.
  4. Your massage therapist gets to know you well. He or she may help you with alignment, posture, pain, emotional, breathing, self-worth, self-knowledge, and many more issues.
  5. If 90 percent of doctor visits are stress-related, why not just skip the doctor and get a massage? It is one of the healthiest ways to reduce stress that exists.
  6. There is no end to the methods of massage: Swedish, sports, deep, shiatsu, and more. Then there are branches: Rolfing, Trager, cranio-sacral, and more. A massage therapist can focus on mastering one method or practice several. Adventurous recipients can have a field day trying them all!
  7. Massage marries art and skill. Massage therapists have learned skills using specific methods and can also artfully mix and match techniques to meet your body’s needs.
  8. Studying massage includes studies in geeky subject matter, like anatomy, physiology, kinesiology, pathology. Massage therapists use both their right and left brains when learning and giving massage.
  9. It’s one of the top 50 careers of 2011, according to US News and World Report. It’s expected to keep growing over the next decade.
  10. Massage by itself is great, and it partners well with changework. Say you’ve been struggling with an issue and have a breakthrough of some sort. You feel it in your body, right? Massage helps you integrate it more deeply, literally embodying the change.

A changework and bodywork session

One evening this past week, I received a special honor. I got to do changework and bodywork with someone who has done changework and bodywork with me. I’m not going to provide any identifying information out of respect for her privacy. Think of this as a case study: it really happened, but you will never be able to tell whose experience it was, and in any case, it doesn’t really matter.

I’m writing this session up to illustrate what I am offering in my private practice: changework combined with bodywork.

Most everyone is at least familiar with what bodywork and massage are. Changework is less known. You can think of it as a kind of coaching, with applications for managing stress, becoming more relaxed, changing your stories, shelving beliefs that no longer apply, clarifying, removing obstacles, getting unstuck, achieving goals, knowing yourself, expanding, transforming emotions, and more.

I have some training and experience I can draw on, but mostly I listen to understand and offer support for a client to explore and find movement toward resolution. Sometimes just being really listened to makes a huge difference. Sometimes a client just needs another point of view. Sometimes a question or two can open up a whole new direction. Sometimes a technique can help.

When a positive shift has occurred, we move into the bodywork part of a session — to literally embody the change.

My client had overdone it with some physical activity and then made a ducking, twisting movement — and her back started spasming. After several days, the spasms were entirely gone and she went back to work…and they returned. She understood then that the spasms were probably tied to something else.

She had already done significant work on this before we met. She examined what had been happening emotionally before the injury occurred — especially in regard to work, because the spasms resumed when she went back to work.

She had been feeling irritated about some of her clients not taking care of themselves despite all she had put into their sessions. (This experience is pretty universal among health care providers.) She was just being with this awareness, not knowing what she was going to do about it, when she overdid it and started having back spasms. She put resolving this issue on hold.

Once she identified the unresolved issue, bringing it into the light, she made some changes in her work, and a deeper level of healing began.

She was still feeling like more exploration was needed when she came to me.

I asked how I could help, and she said maybe we could do a little tapping — EFT, the Emotional Freedom Technique. I shared with her a version I like, and she tapped away as we talked.

With EFT, you identify what you are feeling. Behind the irritability, she recognized that she felt sad about not being able to help.

I asked if she could really know that she wasn’t helping these clients, and she said no.

Sometimes people have to step in the hole again (or a thousand times; see Groundhog Day, one of my favorite movies) before they walk around it.

When someone finally makes a decision (or the decision makes itself) to walk around the hole, changing has become more attractive than not changing. Her clients’ experiences of her own healthy vibrancy, her work, and her commitment to well-being are of course part of the force-field that makes changing to healthier habits more attractive. It just might take them awhile to really be ready, though.

On her own, she came up with an inspiring course to take — if some of her clients are choosing the shadow over the light, and she’s resisting them doing that, then maybe now is a great time for her to examine her own shadow side.

Brilliant. Perfect for the season, too, as the nights get longer.

Then she got on the table, and I gave her a deep massage, which she had not previously experienced. She loved 9 points (TLC people, if you’re reading this, you’ll know what I mean). I reached some back muscle tenderness and melted into it.

She blissed out on the table, and I finished working on her, and we talked a little more, and she slipped away into the night — until we meet again.

10 Things Science Says Will Make You Happy | YES! Magazine

10 Things Science Says Will Make You Happy by Jen Angel — YES! Magazine.

Even though the title says “things,” these keys to happiness are not things. They all involve choices:

  • savoring the moment
  • training your mind in habits that bring more happiness
  • getting your priorities straight
  • knowing what is meaningful to you
  • being empowered to act
  • relating well to others
  • developing a positive outlook
  • cultivating an attitude of gratitude
  • moving your body
  • giving to others

What Kind of Buddhist was Steve Jobs, Really? | NeuroTribes

What Kind of Buddhist was Steve Jobs, Really? | NeuroTribes.

Great article by Steve Silberman (I have subscribed to his blog and follow him on Twitter — great find). I like reading about Steve Jobs, but even better is this simple, clear description of why we meditate:

Why would a former phone phreak who perseverated over the design of motherboards be interested in doing that? Using the mind to watch the mind, and ultimately to change how the mind works, is known in cognitive psychology as metacognition. Beneath the poetic cultural trappings of Buddhism, what intensive meditation offers to long-term practitioners is a kind of metacognitive hack of the human operating system (a metaphor that probably crossed Jobs’ mind at some point.) Sitting zazen offered Jobs a practical technique for upgrading the motherboard in his head.

The classic Buddhist image of this hack is that thoughts are like clouds passing through a spacious blue sky. All your life, you’ve been convinced that this succession of clouds comprises a stable, enduring identity — a “self.” But Buddhists believe this self this is an illusion that causes unnecessary suffering as you inevitably face change, loss, disease, old age, and death. One aim of practice is to reveal the gaps or discontinuities — the glimpses of blue sky —between the thoughts, so you’re not so taken in by the illusion, but instead learn to identify with the panoramic awareness in which the clouds arise and disappear.