Alternative Therapies for Pain Conditions: Difference between revisions
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Mindfulness is said to involve moment - moment attention to stimuli, whether this is external or internal, such as thoughts and feelings. It is acknowledgement of these stimuli with a non-judgemental view. This is a skill, which needs to be practiced.<ref>Cassidy EL, Atherton RJ,Robertson N, Walsh DA, Gillett R. Mindfulness, functioning and catastrophizing after multidisciplinary pain management for chronic low back pain. Pain. 2012; 153: 644-650</ref> Studies of Budhists and Monks have been shown to display changes in the brain which is thought to be related to their Mindful Meditation, but as stated this is a skill in which they develop and practice for months and years, so how can this be effective with our persistent pain population? <ref>Esmer G, Blum G, Rulf J, Pier J.Mindfulness-Based Stress Reduction for Failed Back Surgery Syndrome:fckLRA Randomized Controlled Trial. The Journal of the America Osteopathic Association. 2011; 111(1):646-652</ref> | Mindfulness is said to involve moment - moment attention to stimuli, whether this is external or internal, such as thoughts and feelings. It is acknowledgement of these stimuli with a non-judgemental view. This is a skill, which needs to be practiced.<ref>Cassidy EL, Atherton RJ,Robertson N, Walsh DA, Gillett R. Mindfulness, functioning and catastrophizing after multidisciplinary pain management for chronic low back pain. Pain. 2012; 153: 644-650</ref> Studies of Budhists and Monks have been shown to display changes in the brain which is thought to be related to their Mindful Meditation, but as stated this is a skill in which they develop and practice for months and years, so how can this be effective with our persistent pain population? <ref>Esmer G, Blum G, Rulf J, Pier J.Mindfulness-Based Stress Reduction for Failed Back Surgery Syndrome:fckLRA Randomized Controlled Trial. The Journal of the America Osteopathic Association. 2011; 111(1):646-652</ref> | ||
There are many different types of meditation which can argue different techniques but it can be suggested that the Phases of Mindful Meditation are: | There are many different types of meditation which can argue different techniques but it can be suggested that the Phases of Mindful Meditation are:<ref>Cassidy EL, Atherton RJ,Robertson N, Walsh DA, Gillett R. Mindfulness, functioning and catastrophizing after multidisciplinary pain management for chronic low back pain. Pain. 2012; 153: 644-650</ref> | ||
Inital Phase: | Inital Phase: | ||
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Intermediate Phase: | Intermediate Phase: | ||
Acknowledging the wandering mind and distractions, making note of them and bringing the mind back to focus. At this stage this is an effortful practice | Acknowledging the wandering mind and distractions, making note of them and bringing the mind back to focus. At this stage this is an effortful practice <ref>Tang, YY, Rothbart MK, Posner MI. Neural correlates of establishing, maintaining and switching brain states. Trends in Cognitive Sciences. 2012;16: 330–7</ref> | ||
Advanced Phase: | Advanced Phase: | ||
This phase is a continuum of the intermediate phase, where this process become less effortful. | This phase is a continuum of the intermediate phase, where this process become less effortful. <ref>Tang, YY, Rothbart MK, Posner MI. Neural correlates of establishing, maintaining and switching brain states. Trends in Cognitive Sciences. 2012;16: 330–7</ref> | ||
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Revision as of 15:15, 5 May 2016
Traditionally Physical / Physiotherapists are taught to be 'hands on' therapists and use traditional methods such as manipulations and soft tissue mobilisations, wether your in the camp of McKenzie or Maitland can be influenced upon your training. There is a lot of eveidence to sugesst that our traditional methods of treatment aren't effective at managing persitent pain long term, so is it time to look outside the box at alternative methods? [1]
Mindful Meditation[edit | edit source]
Pain is not just a pathophysiological process which was once though, it is an experience that is individual and unique to everyone. Pain is linked to experiences and memory, emotions and perceptions and social expereicnece, therefore when treating persistent pain that is as complex as this, are 10-15 minuites of 'hands on' treatment going to be effective?
Studies have shown a positive effect when looking at the effect of Mindful Meditation and persistent pain. Mindfulness / Mindful Meditation is defined as influencing the styles of thinking and emotional coping strategies, which aims to change unhelpful beliefs and catastrophising thoughts. [2]
Mindfulness is said to involve moment - moment attention to stimuli, whether this is external or internal, such as thoughts and feelings. It is acknowledgement of these stimuli with a non-judgemental view. This is a skill, which needs to be practiced.[3] Studies of Budhists and Monks have been shown to display changes in the brain which is thought to be related to their Mindful Meditation, but as stated this is a skill in which they develop and practice for months and years, so how can this be effective with our persistent pain population? [4]
There are many different types of meditation which can argue different techniques but it can be suggested that the Phases of Mindful Meditation are:[5]
Inital Phase:
This is concerned with the focused attention which can have effect of the selective and executive attention. This phase can involve focusing on the breath and the sensation of the air entering and exiting the body. [6]
Intermediate Phase:
Acknowledging the wandering mind and distractions, making note of them and bringing the mind back to focus. At this stage this is an effortful practice [7]
Advanced Phase:
This phase is a continuum of the intermediate phase, where this process become less effortful. [8]
Yoga / Tai Chi[edit | edit source]
Virtual Reality[edit | edit source]
References[edit | edit source]
- ↑ Griensven HV, Strong J, Unruh AM. Pain: A Textbook for Health Professionals. 2nd ed. Churchill Livingstone, Elsevier. London; 2014.
- ↑ Cassidy EL, Atherton RJ,Robertson N, Walsh DA, Gillett R. Mindfulness, functioning and catastrophizing after multidisciplinary pain management for chronic low back pain. Pain. 2012; 153: 644-650
- ↑ Cassidy EL, Atherton RJ,Robertson N, Walsh DA, Gillett R. Mindfulness, functioning and catastrophizing after multidisciplinary pain management for chronic low back pain. Pain. 2012; 153: 644-650
- ↑ Esmer G, Blum G, Rulf J, Pier J.Mindfulness-Based Stress Reduction for Failed Back Surgery Syndrome:fckLRA Randomized Controlled Trial. The Journal of the America Osteopathic Association. 2011; 111(1):646-652
- ↑ Cassidy EL, Atherton RJ,Robertson N, Walsh DA, Gillett R. Mindfulness, functioning and catastrophizing after multidisciplinary pain management for chronic low back pain. Pain. 2012; 153: 644-650
- ↑ Chiesa A, Malinowski P. Mindfulness-based approaches: are they all the same? Journal of Clinical Psychology. 2011; 67: 404–24
- ↑ Tang, YY, Rothbart MK, Posner MI. Neural correlates of establishing, maintaining and switching brain states. Trends in Cognitive Sciences. 2012;16: 330–7
- ↑ Tang, YY, Rothbart MK, Posner MI. Neural correlates of establishing, maintaining and switching brain states. Trends in Cognitive Sciences. 2012;16: 330–7
