11/20/2020
with
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This year we have all faced some extraordinary challenges & now as we enter the holidays, which can be an exciting & stressful time, we are starting to see the effects of burnout & stress in our patients.
I want to highlight the effects that stress can have on the pain & healing response & provide a couple of resources for stress management through breathing & mindfulness that that can help calm the nervous system & provide a better prospective to your physical recovery.
The Stress Response will trigger a Physiological Response that leads to muscle weakness, fatigue, slower healing times & reduced immunity. It will also trigger a Psychological Response that can lead to increased anticipation of pain, prolonged Fight or Flight state, maladaptive response to pain experiences & false avoidance of activities.
This Stress Cycle can lead to slower injury recovery, more frequent flares up in pain, & resting pain without a mechanical stressor.
Reference for Flowchart
K. Soloweig, V. Mason, D. Upton. Review of the Relationship between Stress and Wound Healing pt. 1. The Journal of Wound Care. Vol 18. No 9, September 2009.
Box Breathing: Paced Diaphragmatic Breathing to stimulate a parasympathetic state for relaxation, pain & stress management.
If possible, create a calm environment- relaxing music, lights off & electronic devices turned off
Perform sitting or lying down
Place one hand on your chest & one hand on your belly
Perform:
4 second inhale
4 second hold
4 second exhale
4 second hold
Repeat for 2 - 3 minutes
My go to 3 apps that I use on the daily are:
HEADSPACE
is free for LA residents until the end of the year!
https://www.headspace.com/lacounty
-this app provides free guided meditations, 1-3-minute guided breathing, sleep podcasts & much, much more!!!
MORNING! A 5-MINUTE JOURNAL
5-minute gratitude journal with a new inspirational quote each day
DAYLIO
Mood & activity tracker with room to journal about your day, which syncs to a calendar so that you can monitor & track mood enhancing activities & stress triggers
How I use these 3 apps:
Headspace guided meditation every morning
Morning! after meditation
Daylio