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The Mindfulness Solution to Pain: Step-By-Step Techniques for Chronic Pain Management

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Your mood, thoughts, and emotions can affect your perception of pain and even your ability to heal. In fact, your past life experiences influence your current physical "your biography influences your biology." While treatments like medication and physical therapy can be enormously beneficial to the body, to maximize pain relief, it's necessary to take advantage of the mind's healing abilities. The Mindfulness Solution to Pain offers a revolutionary new treatment approach, mindfulness-based chronic pain management, that helps you harness your mind's power to quiet your pain and put you in control. Mindfulness practice, which includes stationary meditations, movement meditations, mindful art, and other strategies, will help

Understand how emotions and thoughts affect physical symptoms Reverse the debilitating effects of some chronic pain conditions Prevent pain from becoming chronic or long-term Lift the anxiety and depression that may accompany chronic pain

"Dr. Jackie's book provides a holistic approach to help people manage and cope with their daily pain. The Mindfulness Solution to Pain provides hope to anyone who is suffering and losing function as a result of their constant pain."
--Sol Stern, MD, chairman of Palliative Care at Halton Heathcare Services in Oakville, ON, Canada

226 pages, Kindle Edition

First published May 1, 2007

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251 people want to read

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Jackie Gardner-Nix

3 books4 followers

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Displaying 1 - 12 of 12 reviews
34 reviews
August 31, 2013
The writing style can be a little awkward at the beginning of the book, but if you suffer from chronic pain, this book is filled with lots of actionable tips, ah ha moments, and scientific studies to back up their viability. Acknowledging our mind-body systems are intimately connected when it comes to pain management is important and this book elegantly illustrates this point and teaches people how to get a handle on managing health at both levels. Read with an open mind and also see your doctor(s), take your meds, and get treatment for pain. Eliminate toxicity in your life. Just don't suffer. Life is too short.
Profile Image for Fusun Dulger charles.
172 reviews18 followers
March 28, 2014
I have two chronic disease and this book helped me like no other books I read on the subject.
A must for anyone I pain.
Profile Image for April.
641 reviews13 followers
July 7, 2020
This is a manageable introduction to Mindfulness-Based Stress Reduction (MBSR), as Jon Kabat-Zinn's Full Catastrophe Living is a monolith of a book! But if someone wants to really dive deep into the topic of MBSR for pain management, I'd suggest eventually tackling Full Catastrophe Living because there is so much good teaching within those pages. I found it very valuable for the pain I experienced.

Book coincidences: recommends reading The Highly Sensitive Person book and I recently read a couple of them.

"In MBSR, we emphasize that awareness and thinking are very different capacities. Both, of course, are extremely potent and valuable, but from the perspective of mindfulness, it is awareness that is healing, rather than mere thinking, however important and health-enhancing certain lines of thought and inquiry can be. Also, it is only awareness itself that can balance out all of our various inflammations of thought and the emotional agitations and distortions that accompany the frequent storms that blow through the mind, especially in the face of a chronic pain condition. Storms that along with the endless and often depressing stories we tell ourselves about our pain often wind up imprisoning us and severely limiting our options--even our hope because we become so attached to them as true when they may not be as true as we think they are." pg. vii [by Jon Kabat-Zinn]

"From the perspective of mindfulness, nothing needs fixing. Nothing needs to be forced to stop, or change, or go away. With practice, mindful awareness can hold whatever is arising, whatever you are experiencing, and you will discover that things are always changing in ways that can clarify the learning you are experiencing and inform the various choices that are yours to make to enhance the quality of your life. . .The capacity for mindful awareness is already your birthright, so you don't have to acquire it or do anything to achieve it. Rather, you need only become intimate with it through learning how to rest in awareness, even in the face of unpleasant sensations, thoughts, and emotions, even when they are very intense; in fact, especially when they are very intense. Sometimes we call this 'dwelling in the domain of being' rather than getting caught up in the domain of doing and accomplishing, which is so often the habitual mode in which we face everything." pg. vii-viii [by Jon Kabat-Zinn]

"The emotions likely affect how much inflammation and nerve irritation occur at the site of physical damage, so emotional stability contributes to a more manageable pain perception." pg. 12

"Your very thoughts and emotions are chemical reactions.
So changing your thoughts changes those chemical reactions, even triggering changes in your immune system, the system you use to fight infections, cancers, and repair your damaged tissues. Perhaps this information will start to open up for you the understanding that working to become more mindful, and training your mind to meditate, can truly influence the rest of your body. One influences the other: it is called 'the mind-body connection.' Doing this work may even influence your responses to your medication." pg. 13

"Check yourself out to see whether you are waiting for any excuse to find this 'does not apply to you.' As has been demonstrated in the illness of depression, when you're in a bad space emotionally, the human mind tends to support its ongoing sadness by evaluating just about everything that comes up in a negative light. That probably happens when suffering from chronic pain too, especially when the pain is at its worst and you're sleep-deprived, as so many people with pain problems are." pg. 14

"Mindfulness is the awareness that arises when we pay attention to what is happening in the present moment, nonjudgmentally; right in the here and now. Whether an experience is pleasant or unpleasant in any given moment, whether it is mundane or exotic, whether it involves our own thoughts and feelings or what is going on outside of ourselves, in the environment around us, mindfulness is being aware of what is unfolding inwardly and outwardly moment by moment. It is awareness itself, capable of holding and discerning any sensation, thought or emotion, as it is, without adornment or coloration, and especially without judging it as good or bad, desirable or undesirable. Mindfulness accords equal attention and value to what is happening in each moment of your life, whether it is an experience which you would normally have judged to be good, bad or neutral. Learning how to inhabit your own capacity for awareness can be profoundly transformative and liberating." pg. 23-24

"Being mindful is not just paying attention to positive experiences, but also to the neutral and the negative ones. As a society, we tend to avoid paying attention to negative experiences and emotions and even run from them, depending on their intensity and our own tolerance for distress. However, avoidance of feeling the more difficult emotions can prolong their power over you and your health. Conversely, attending to these experiences and feeling the emotional pain they cause, even if you can only allow yourself to feel that intensity of suffering for a few brief moments, can shorten recovery from that pain and lower the impact of your bodily systems.
Learning to live from moment to moment is actually reassuring. The intensity of the sadness or grief you allow yourself to experience in mindfulness practice is always tempered by the knowledge that 'this too shall pass.' When you make a point of noting your emotions from time to time during your day, you may be amazed by how much your feelings can change." pg. 25-26

"Noting when your mind wanders, which inevitably happens every few breaths, and being nonjudgmental while bringing your mind back to focusing--without feeling frustration or impatience--over and over again, is therapeutic in itself. It allows you to observe when you're being hard on yourself and to practice, over and and over again, being less judgmental of yourself. Moverover, it is actually quite an alert state to be in." pg. 32

"Acceptance that this is the way it is in this moment doesn't mean that this is the way it will be forever. Paradoxically, once you arrive at that point of acceptance, research has shown that you may be more likely to improve . . . and acceptance is particularly useful for increasing your physical abilities beyond what you thought you could accomplish. Perhaps it is ironic that the energy spent on your negative emotions when you encounter a task that you could do so easily before your disabling event, and can't do so easily now, can be better spent on healing, strengthening, and adapting. Frustration, anger, and denial are part of the bereavement process for the way you were before your illness, accident or injury. So go ahead, you may need to feel bereaved, but just don't do it for too long." pg. 44

"It's important to understand that when you hurt, whether it's due to a psychological stress, such as an argument or to increased activity, it really is happening physically: there is a physical change at the site where your pain originates. It may be that due to stress hormones circulating throughout your immune system, some inflammation has started up again at the site of your damaged part.
Muscles may be tensing and pushing against neighboring blood vessels, reducing blood flow to the damaged nerves at the site of your pain, causing them to become irritable and to send pain messages to your brain. Perhaps the best example of this process is a migraine headache. After a stressful event, the blood vessels in the head narrow and then expand, and blood flow through them increases and pulses against neighboring structures causing excruciating pain." pg. 45

"In the past, perhaps you put off the taski thinking that you had other more important things to do. But, in fact, all you have is now. All you ever have is now. Life is one long continuous now and there is no now that brings with it a greater sense of importance or meaning that another now: all nows are important." pg. 47

"The purpose of meditation is to 'show up' in your own life, and not necessarily to feel good. We live in a culture that has a phobia about suffering. Advertisements everywhere tell us how to be happy. By and large, suffering is seen as something we must try to escape. We're not particular fans of suffering ourselves but we do know that by paying attention to our suffering we can learn many beneficial lessons. If during meditation practice, you find the suffering too great to bear, note it, and move on. Return to it again later, when you feel stronger. But don't avoid it altogether; suffering has much to teach us." pg. 53

"It would be pleasing to think that humans are less chained to their social rankings than monkeys, but studies repeatedly show that the risk for many diseases increases with every step down the socioeconomic scale, even when factors like smoking, diet, and access to health care have been taken into account." pg. 64

"When you respond to stressors frequently and intensely, remember that your immune system, gut, and the restorative phases of your sleep decrease their activities in the presence of stress hormones, so it's harder to recover from injuries or illness, especially as you age. Not healing from an injury or painful illness is stressful. Being disabled and unable to work is stressful. Worry interferes with sleep which also interferes with recovery. Even some pain and sleep drugs interfere with restorative sleep. Pain interferes with movement and, with restricted movement, muscles get weak; the damaged part of the body has less support from the surrounding muscles and so becomes more painful. Not getting out of the house, not bringing in the same income, not being able to be active, all contribute to becoming depressed. Everything then becomes overwhelming and pain suffering increases." pg. 69

"Explicit memory is the kind of conscious memory that enables us to tell a story that makes sense of what happened. It reaches maturity at around three years of age. Implicit memory, which is available from birth or even earlier, is unconscious and is encoded in emotional, sensory, and visceral recall. In other words, what we don't remember with our minds, we remember with our bodies, with our hearts and our 'guts,' with lasting implications for our thinking, feeling, and behavior." pg. 71

"Your old refrain, 'I used to be able to do this with no problem and now I can't,' is less likely to be given the same amount of emotional, energy-sapping room in your mind than before. Now it's just a fact that you can't do what you used to do--and that fact doesn't carry an emotional charge. It's just a fact. Taking a break, recharging, and doing a bit more later works better. Little by little, you're taking on a bit more of the 'A' word: acceptance. Paradoxically, it's likely you'll find that pacing yourself without resentment or frustration actually increases your capabilities over time. Your energy isn't being depleted by negativity and that energy can be put to better use. . . .
Furthermore, if you were getting resentful, you also may have extended that emotion to the part of parts of your body which have let you down and 'caused this mess.' So acknowledging every part of your mind and body in the body scan and mindful movement meditations is important for taking back ownership of your damaged or poorly functioning parts of yourself, and maximizing what you can do while accepting what you can't." pg. 78

"Don't be dismayed if you find it hard to focus on the parts of the body that give you pain. This is a common reaction when first becoming acquainted with the body scan. Up until now you may have mentally shunned those parts that you feel have let you down. Sometimes focusing your mind on a painful body part might intensify your pain, but in fact, it is the stress reaction of your mind responding to the pain with a negative emotion. This is a great illustration of how psychological processes can intensify pain. Remember, if we anticipate something bad will happen, it likely will.
This is a splendid meditation for bringing awareness to what your mind does, noticing your adverse emotions, and for practicing being nonjudgmental about the part of your body that has become less able. Acknowledging that focusing on your painful areas brings up difficult emotions is important in the transition to improve your pain management skills. But after practicing for a while, you may be astonished to find that when you bring your awareness to your painful body parts during the body scan, your pain has decreased." pg. 84

"You can mentally see yourself as able to do a movement, even if right now you can't physically do it. You can prepare your limb or body part to do the movement by visualizing yourself doing it. Imagining that you can move that body part, bend it, and flex it paves the way for you to prepare the neural pathways in your brain for that action. . . .Eventually, the movement may happen on its own: your brain may have to see it as possible before your body can comply." pg. 89

"It is a fact that if you're emotionally stressed, it's harder to heal and cope with pain. In fact, a pain exacerbation can be connected to an emotionally difficult interaction with others just as much as it can be to a physical activity." pg. 121

"The cold pressor test, also known as the Hines-Brown test, is an experimental procedure widely used to examine questions about pain. . . .In general, men last longer than women at this.
It is thought that this is so because the male of our species exhibits greater self-efficacy, which means that before a man puts his hand into the icy water, he feels more confident that he can manage the challenge than a woman feels. However, when men are asked to focus not only on the pain sensation the ice-cold water causes, but also on the emotion it evokes, they withdraw their hands sooner than when they focus only on the sensation. Perhaps it can be said that, in general, women always focus on a pain sensation with more emotion than men." pg. 124

"Women have difficulty tolerating 'flat' facial expressions. They strive to create favorable facial expressions in others. So when women pick difficult male partners, you can almost hear them think, 'If I just try harder....'A stressful pattern may be repeated over many years, which may lead to a mind-body breakdown, and is much more likely to occur in those who are highly sensitive. . . . Such a break can take place wherever the genetic predisposition is at its weakest. The first onset of such a break usually occurs after the more resilient youthful body has transitioned into the less resilient thirty-five and over age group." pg. 125

Book: borrowed from NEMS via Mom.
This entire review has been hidden because of spoilers.
Profile Image for Yycdaisy.
414 reviews
April 7, 2019
These authors really have tried to cover everything that could help a person deal with chronic pain. The doctor explains why pain meds don't work for long, so digging deeper to find out if there are underlying emotional reasons for it may help some people. Seems that people who meditate, reduce stress, exercise, and sleep well, are able to mitigate their pain levels. There is information here on using journalling and art to help to reduce pain, which may be of use to some.
Profile Image for Lisa Gray.
Author 2 books19 followers
July 29, 2020
I read this book for a class I’m taking at the University of Toronto. Like all self help books, you have to actually DO the work, but this is a fantastic book if you’re dealing with pain.
Profile Image for Kimberlie.
247 reviews4 followers
October 2, 2013
Well, it was fine, but it wasn't really anything that new to me. I suppose I have been living "mindfully" for a while now, but I just called it " being realistic about my headaches/chronic illness and the limitations that puts on my life". So, I suppose I now have a better phrase, "living mindfully" and that's easier to say. But, there are some good ideas in here, and I did find it helpful to review them.
Profile Image for Niqi.
92 reviews6 followers
February 17, 2014
This book started out a bit slow and tedious - I fell asleep trying to read it a few times, but once the suggested activities and meditations started it was quite helpful.
3 reviews
May 27, 2020
A very useful guide on meditation and visualization to help with chronic pain.
Profile Image for Brittany.
68 reviews
May 5, 2013
2 stars. It's not like it helped my headache. Actually, one star.
Displaying 1 - 12 of 12 reviews

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