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The Holidays can be stressful!

Fortunately, you can help the mind and body relax with these handy techniques.

Deep Breathing

Stress and chronic pain can lead to short and shallow breathing which adds tension to the diaphragm, abdomen, and pelvic floor. Encouraging the body to breathe deeply will unravel the tension inside the body, often held in between the ribs, in the low back, neck, shoulders, belly, and pelvic floor.

Studies such as this one by Ma, Yue, Gong, et al. (2017) show that diaphragmatic breathing can improve cognitive performance and reduce negative subjective and physiological consequences of stress in healthy adults. Other studies like Roditi and Robinson (2011), show that diaphragmatic breathing can help the body break the pain cycle, thereby reducing pain and chronic pain.

Deep breathing can be practiced anywhere, especially during the holidays: stuck in a traffic jam, waiting in line at the store, or at night before you go to bed. Below are instructions for breathing on your back.

Instructions:

diaphbreathing

  • Lay on your back. Knees can be bent with feet flat on the floor, or knees can be propped up on a pillow or bolster.
  • Place one hand over the heart and one over the belly button.
  • Inhale through the nose and feel both hands rise with the in-breath. Ribs are expanding, belly is also expanding, even the back of the body expands into the mat.
  • Exhale gently and slowly, either through pursed lips or the nose. The air is slowly escaping as if you poked a hole in a tire with a needle and the air slowly passes out. The goal is to elongate the exhale, so that it is longer than the inhale.
  • When the breath has been fully exhaled, pause for a second or two before beginning the breath cycle again, with another inhale. After you have exhaled wait a couple of seconds until you inhale again. Continue to breathing for 5-10 minutes.

Mindfulness

Mindfulness is a state of open awareness of the moment and being present in the body, internally and externally. Mindfulness has been shown can to reduce stress (Janssen, Heerkens, Kuijer, et al., 2018), improve relationship satisfaction (Kappen, Karremans, Burk, et al, 2018).

Marlynn Wei, M.D., J.D., offered some great tips on mindfulness during the holiday season on her blog at Psychology Today, including these favorites of mine:

  • Notice your emotions. It’s easy to check out during the holidays, whether it’s at a family dinner, or a holiday party. Notice when you are feeling overwhelmed, or if emotions like happiness, joy, sadness, grief, or loneliness are present and be ok with what is going on.
  • Balance holiday “should’s” with awareness of your own needs. Balance all the obligations you have on your plate with awareness of your own needs. Do you need a night to stay in instead of going to that holiday cocktail party? Could you ask guests to bring dessert instead of adding another thing to your own list? Consider taking care of your own needs to prevent feeling burnt out.
  • Expand how you communicate care. Though for many cultures and families, the holidays are synonymous with giving presents, there are many other ways of showing that you care. Are there additional ways to show that you care about someone, such as spending time with them, writing them a card, telling them in person that you love them, or doing something nice and supportive?
  • Practice self-care. Get regular sleep and exercise, and take time to do relaxing or fun activities in between all the holiday activities and travel. You may even find that when you take care of yourself, you are able to be nicer and more generous to others- helping you keep up with the holiday spirit.

Resources

Roditi, D., & Robinson, M. E. (2011). The role of psychological interventions in the management of patients with chronic pain. Psychology research and behavior management, 4, 41–49. doi:10.2147/PRBM.S15375

Ma, X., Yue, Z. Q., Gong, Z. Q., Zhang, H., Duan, N. Y., Shi, Y. T., … Li, Y. F. (2017). The Effect of Diaphragmatic Breathing on Attention, Negative Affect and Stress in Healthy Adults. Frontiers in psychology, 8, 874. doi:10.3389/fpsyg.2017.00874

Janssen, M., Heerkens, Y., Kuijer, W., van der Heijden, B., & Engels, J. (2018). Effects of Mindfulness-Based Stress Reduction on employees' mental health: A systematic review. PloS one, 13(1), e0191332. doi:10.1371/journal.pone.0191332

Kappen, G., Karremans, J. C., Burk, W. J., & Buyukcan-Tetik, A. (2018). On the Association Between Mindfulness and Romantic Relationship Satisfaction: the Role of Partner Acceptance. Mindfulness, 9(5), 1543–1556. doi:10.1007/s12671-018-0902-7

What Our Patients Have to Say

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Testimonial by S.S., age 54

Heather is the best! I saw her today for terrible hip/groin pain. I was so impressed with the safety measures in place and felt completely safe . Thanks for the healing hands.

S.S., age 54

Testimonial by R.D., age 38

"I had a severe tear during childbirth that was not stitched together correctly and therefore healed poorly. Even after having a surgery a year later to remove the scar tissue, I was still having pain, and no one could explain why -- there was no overt 'reason' to explain the pain. I had tried other 'specialists' and even saw another physical therapist who had me do hip / leg stretches -- what a joke! I was about to give up and just 'live with it' until thankfully I kept searching online and found Heather.

Read more: Testimonial by R.D., age 38

Testimonial by M.M.

A personal journey and testimonial from one of my patients:

My husband and I were married for 5 years before we were able to have intercourse due to my vaginismus. There was nothing traumatic in my past but for some reason, even though I wanted sex, I mentally avoided "that area" of my body and didn't even admit to myself that there was a problem for a long time, even though I was never able to put tampons in. Once I finally opened my eyes up to the fact that I had a problem, I had a surgery that was supposed to fix the issue.

Read more: Testimonial by M.M.

Testimonial by A.M.

Months after giving birth, it was difficult for me to go from a sitting or lying position up to a full standing position without feeling that I had to remain hunched over until a bit of time had passed to get fully upright. However, after taking Heather’s course, I learned exercises to get my body back to normal. She also showed me correct ways to lift and carry my son as well as put him in/take him out of the carseat and stroller. This class was really beneficial and Heather is a wonderful teacher who made me feel very comfortable.

-- A.M.

Testimonial by R.H.

No one could tell me why I was having pain during sex--sharp pain, not just uncomfortable, pain. I was referred to Heather Jeffcoat after researching several different options. I had seen a specialist who told me physical therapy would not help and my only option was surgery. I really didn't want to go that route, so when we got a referral, I decided to try it--it can't hurt, I thought. I am so glad I did. She diagnosed the problem right away, which was a relief in itself.

To know why I was having pain eased my mind immensely. And to hear that she could fix it without surgery was another relief. She said she could fix the problem in 6 weeks. I think it was actually 4 for me. She was very methodical, and treated me as an intelligent human being capable of participating in my own recovery. I would absolutely recommend her to anyone. She did not try to prolong my session numbers, she worked hard to accommodate my schedule (and the fact that I had to bring a baby to sessions), and she was completely honest the entire time. It is so hard to find someone with these characteristics, much less a professional who is so good at what she does. She has my highest respect.

-- R.H.

Testimonial by A.W., age 32

I wanted to let you know that my pelvic floor held strong and gave me no trouble whatsoever in my trail race this morning (12 miles)! In a way, I felt like I ran better than ever because my core feels so rock solid from all the exercises you have me doing. That was especially valuable on the technical downhill - I just flew down the trail because I had confidence in my balance and form. Thank you for helping me get back to doing what I love.

-- A.W., age 32
(completed Post-partum Renewal Program using the InTone biofeedback/stim unit)

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