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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 Fritzette H.

I went to Heather after the birth of my third child. It was lucky, really, that I was referred to her, because my doctor had referred me to a surgeon for a possible hysterectomy or pelvic wall rebuild. Thankfully, I went to Heather before undergoing either surgery, she was able to fix the problem. She has studied extensively in women's health--even written a book about it--and was able to diagnose my problem, suggest a course of treatment (6 weeks), and then follow through with said treatment. By the end, as she said, I was as good as gold. Boy, was it worth it! Though uncomfortable to talk about, much less write about, it is worth getting the word out there. If you have painful intercourse, especially after birth or other trauma, the treatment may be as simple as Physical Therapy (with Heather, of course). I highly recommend her.

-- Fritzette H., 3/24/16 via Yelp!

Testimonial by S.B.

As someone who suffered the debilitating physical and emotional effects of vaginismus (as well as a complicated history of back injuries) for more than 15 years, I thought a "normal" life was just a fantasy. Then I found Heather.

Read more: Testimonial by S.B.

Testimonial by M.N., age 28

A personal journey and testimonial from one of my patients:

I was diagnosed with vaginismus 4 years ago. I never heard of such medical condition until after I got married. At first my husband and I didn't know what to do, we didn't know what the issues were or how to overcome it. Being born and raised in Armenia and being Christian I wasn't that open about talking to sex with others and so it wasn't easy to seek help. But eventually I went to an Ob-Gyn and luckily she knew about the medical condition (not many doctors know). She referred me to a physical therapist and I couldn't believe it and thought it's something I can handle myself. I ordered a kit from vaginismus.com and started practicing with dilators. There was some small progress but wasn't much helpful.

Read more: Testimonial by M.N., age 28

Testimonial by Y.L. (mom of 2)

After having my second baby via C-section I searched for months to try to find help for my lower back pain and separated abdominal muscles. I finally came across Heather Jeffcoat via a mommy blog. I reached out to her via email and set my first appointment. My first appointment went amazing … she listened to what my symptoms, check my separation and explained to me in detail what the next steps would be. Not only did my abdominal separation go from 3 to about 1 -1/2 but my back has pain has significantly reduced. I’m personally recommending all my mommy friends to Heather!

Y.L. (mom of 2)

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 Amanda W.

Heather's unique physical therapy program literally changed my life! After years of struggling with vaginismus, a condition that made it impossible for me to have intercourse and very difficult to use tampons without pain, a gynecologist referred me to Heather. I was nervous for my first appointment, but Heather's professional and friendly demeanor put me at ease. She did a great job explaining each technique she was using to help my muscles relax. Heather uses a combination of internal and external stretches and exercises to relax the pelvic floor and build muscle strength. Her specially developed home program helped me quickly recover from an issue that seemed insurmountable before meeting Heather. She was optimistic about my progress and incredibly encouraging. Less than 6 months after my first session, I was able to have pain-free sex for the first time in my life! If you are suffering from vaginismus or any other pelvic floor issues, I highly recommend making an appointment with Heather and reading her book!

-- Amanda W., 2/15/16 via Yelp!

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