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How Meditation Releases and Relieves Pain

Meditation can help you face pain—without fixating on it.
At some point in their treatment, most chronic pain sufferers are told they will have to learn to "live with their pain," and meditation gives them the skills to do just that. A relaxation technique that involves focusing on your breath or a mantra to calm your body and your mind, meditation can help someone who suffers from pain to control and lessen it.

Meditation cultivates an "awareness that develops when you're paying attention, on purpose, in the present moment, without judgment," says Jon Kabat-Zinn, PhD, former executive director of the Center for Mindfulness in Medicine, Health Care, and Society at the University of Massachusetts Medical School, in Worcester, Mass. The idea is if you can calm and focus your mind and your body you may be able to control your pain and the degree to which you feel it.

Facing the pain and releasing it
It's important to face your pain and the muscle tension, sweating, and irritability that goes along with it, explains Robert Bonakdar, MD, director of pain management at the Scripps Center for Integrative Medicine in San Diego. The idea is to relax your body and to become aware of your pain without judging it or fixating on it. "Pain patients want to run away from it, but mindfulness allows patients to go back into this dark hole, coming to terms with the pain, and addressing and controlling it," explains Dr. Bonakdar.

Taking the focus away from pain
"You cannot experience pain unless you focus on it," says Gabriel Tan, PhD, a pain psychologist at the Michael E. DeBakey Veterans Affairs Medical Center, in Houston. "Let's say you're focusing on your pain and then the next moment a person comes into the room with a gun and threatens to kill you; you won't feel pain because you'll be focusing on the man with the gun. Meditation helps you shift your focus in somewhat the same way," explains Tan.

Mindfulness-based stress reduction is one way of teaching meditation for chronic pain. "The first thing we do is get you lying down on the floor, because for patients in pain sitting can make things worse," explains Kabat-Zinn. "For the next 45 minutes, people do what's called a body scan focusing on their breathing and how their body feels in the present moment from the bottom of the foot up the leg, through the trunk, and up to the head," says Kabat-Zinn. A 2007 study at the University of Basel Hospital, in Switzerland, found that mindfulness-based stress reduction helped fibromyalgia patients in several ways, including coping with pain, anxiety, and depression. A three-year follow-up found that patients who continued to use some form of mindfulness meditation kept seeing the benefits.

A Practical Guide to Meditation
Meditation is the practice of focusing your attention to help you feel calm and give you a clear awareness about your life. Eastern philosophies have recognized the health benefits of meditation for thousands of years. Meditation is now widely practiced in the West, with the belief that it has positive effects on health.

Two meditation techniques are most commonly used: concentrative and mindful.
Concentrative meditation, such as transcendental meditation (TM), focuses on a single image, sound, or mantra (words spoken or sung in a pattern), or on your own breathing.

Mindful meditation, such as mindfulness-based stress reduction (MBSR), does not focus on a single purpose; rather, you are aware of all thoughts, feelings, sounds, or images that pass through your mind.

Meditation usually involves slow, regular breathing and sitting quietly for at least 15 to 20 minutes.

What is meditation used for?

People use meditation to help treat a wide range of physical and mental problems, including:

  • Addictive behaviors, such as drug, nicotine, and alcohol use
    Anxiety, stress, and depression High blood pressure. A report from the National Institutes of Health (NIH) recommends transcendental meditation (TM) as one of the first treatments for high blood pressure.
  • Pain
  • Managing hot flashes, which are sensations of intense body heat that affect women around the time of menopause.

    Most of these conditions may also require conventional treatment for best results.
    People also use meditation to relieve anxieties from long-term (chronic) conditions such as HIV and cancer.

Is meditation safe?
Since meditation usually involves sitting quietly for a period of time and breathing deeply, anyone who cannot sit comfortably or who has respiratory problems may have difficulty practicing meditation. Some people with mental health problems, such as attention deficit hyperactivity disorder or schizophrenia, may not be able to use meditation therapy effectively.

Meditation is not thought to have any negative side effects or complications alone or when combined with conventional medical treatment, but it is not considered appropriate or safe for acute, life-threatening situations.

Always tell your doctor if you are using an alternative therapy or if you are thinking about combining an alternative therapy with your conventional medical treatment. It may not be safe to forgo your conventional medical treatment and rely only on an alternative therapy.