Category: Chronic Pain

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The Most Misunderstood Molecule, and How to Harness Its Power

Deeper, quieter, regular, slower.

Those are the general guidelines for focusing our attention on the breath. This awareness makes us feel calmer, more relaxed, and releases tension from our bodies.

But How? Why does changing our breath change our mood, and many other factors?

Research has shown that slower, deeper breathing reduces heart rate and risk for cardiovascular disease, as well as improves athletic performance. (yes, all you athletes out there, breathe slower to go faster).

The reason all these magnificent changes occur within us when we deepen our breath, especially our exhales, is because of a very special molecule that usually gets a bad rap.

I’m talking about good old carbon dioxide, CO2.

I know what you’re thinking…is she talking about the very same carbon dioxide that we are trying to reduce in our atmosphere to slow global warming? The same carbon dioxide that is considered a waste product of our bodies- something useless to to be rid of as soon as possible?

Well, yes, I am.

But what if I told you that this special little molecule was not only a useful component in improving your health, but an essential one for you to be able to thrive?

You see, for our bodies to get oxygen from our lungs to our tissues, we need carbon dioxide. To get a proper inhale, our receptors in our neck need to sense a certain amount of carbon dioxide in our bodies.

Not to mention, carbon dioxide is stored as bicarbonate in your blood stream, which is essential for maintaining the pH balance of your whole body.

Did I mention that carbon dioxide is critical in weight loss? Most of your body mass lost is due to breathing out carbon dioxide. In fact, more than 80% of weight loss is due to breathing out CO2, and only 15% or so is lost via sweat and urine.

So, if you’ve been dieting, exercising, doing all the right things and still not losing weight… you may want to look at how you’re breathing.

Let’s explore some of these in a little detail…

Firstly, how the heck does carbon dioxide help your body get more oxygen?

Think of carbon dioxide as the Fedex guy, and oxygen as your packages. When outside air hits your lungs, it makes it’s way down to alveoli, the tiny air sacs that interface with the blood stream. The oxygen molecules (packages) get loaded from the alveoli onto the red blood cell, which in this analogy is the Fedex truck.

The truck travels all over the body, delivering oxygen to all the cells as they all need oxygen to survive and flourish. When exercising, certain muscles need even more oxygen more quickly.

This is where our good buddy carbon dioxide comes in.

Oxygen cannot get off the truck unless there is a carbon dioxide molecule there to unload it.

When the oxygen gets to its destination, the carbon dioxide triggers the packages (oxygen) to be unloaded off the Fedex Truck (red blood cell), and be delivered to the cells (your mailbox).

The more carbon dioxide present, the more efficiently the oxygen can be offloaded to cells.

So, when you’re exercising and you really need to get oxygen to those tissues, perhaps try breathing slower instead of faster.

Why does the amount of CO2 in your body determine how you inhale?

I’m constantly telling my patients, don’t worry about the inhale! If you get a good exhale, the inhale will just come.

This is for two reasons, the first of which is purely mechanical.

When you exhale completely, the lungs become essentially “empty” of air, which creates a vacuum. New air has to flow in. It must follow the laws of nature! It must flow from the higher pressure (outside your body) to the lower pressure (inside your lungs). You don’t have to use your accessory muscles (aka your neck) to pull air in, it just goes in! Easy.

The second reason is neurological.

Deep in the reptilian brain, the most primal part of our brain that was present when the first creature crawled out of the primordial goo and decided to walk on land, there is a simple neural network that says, “breathe.”

This network senses levels of oxygen and CO2 in your body to decide when to inhale or exhale. Basically, when your body senses a certain level of oxygen in your body, that circuit makes you exhale. Similarly, when a certain level of CO2 is sensed, the circuit makes your body inhale.

Unfortunately, for many of us, this circuit gets messed up.

We breathe shallowly because we are less active, or stressed, or both, and we do this so much that we end up overriding the part of the circuit that senses CO2 and tells you to inhale.

We get stuck in this cycle of inhaling without ever getting to the bottom of our breath; we lose that primal trigger to inhale, so our inhales get all wonky, a.k.a. you end up pulling your ribcage up with your neck.

In addition to all these important factors, carbon dioxide is the main reason that you feel relaxed with deeper breathing.

Carbon dioxide makes you chill out.

Think about it. What do they tell you to do when you’re having a panic attack? Breathe into a paper bag. You’re breathing back in the CO2 you exhaled. Get that CO2 flowin’ baby!

Carbon dioxide relaxes you by causing your blood vessels to relax, which allows blood to deliver oxygen to all your tissues more easily.

Also, as mentioned above, CO2 lets your body unload oxygen from red blood cells to tissues.

These two factors together mean that your brain gets more oxygen and blood flow. This tells your body that you are safe, and you feel calmer and, well, more chill!

So how to insure that you get more CO2, but not too much?

The answer is simple, and I think you know what I’m going to say.

Breathe deeper, quieter, regular, slower.

5-6 seconds for each inhale and exhale, resulting in about 5-6 breaths per minute, is the ideal for balancing the CO2 and O2 in your body.

Below is a short video on how to do just that and harness the power of this special molecule.

Are you ready to breathe better to move better, to improve the health and resiliency of your lungs without any medication or procedures? Click the button below to find out if will benefit from working with Dr. Derya.

Book a FREE WellBody Screening Session

References

Aakash K. Patel; Andrew Benner; Jeffrey S. Cooper. Physiology, Bohr Effect.
https://www.ncbi.nlm.nih.gov/books/NBK526028/

Anders Olsson Blog https://www.consciousbreathing.com/anders-olsson/carbon-dioxide-training-extremely-harmonious/

Nestor, James. Breath: The New Science of a Lost Art. May 14, 2020 http://www.pathwaymedicine.org/control-of-respiration

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“Be Balanced” FREE Summer Challenge: 3 Weeks to a Calmer, Happier You

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Summer is fast approaching and what a whirlwind of a year 2020 has been already. There has been so much going on, viruses, economic downturns, political uprisings, and to top it all off…murder hornets!

No matter who you are, I am sure you have been affected in some way. And it is healthy to feel the icky feelings, because they encourage us to take action and make changes.

With so much going on, it is also helpful to have some strategies to find some balance emotionally, mentally and physically, especially when so many impactful events occur in close succession.

That’s why I decided to challenge myself to be more balanced this summer. Will you join me?

Each week for three weeks, I am going to put some energy and awareness into being just a little more present and a bit more in my body.

But the key to making it work, for me anyway, is that it has to be super simple! Because if it’s an elaborate 20 minute process each day, I’m probably not going to do it.

What I need are some things that I can quickly do throughout my day. And, in my experience, the little things we do all day are much more impactful than doing a big chunk of something now and then.

It’s like learning a language…

Usually, when learning a new language, you spend a few hours several times a week in focused study. But you quickly forget what you learned in that hour chunk of time and have to keep coming back and reviewing. This way, you will learn the language, but it will be slow and hard to apply.

But what if you were suddenly living in a country where they only spoke the language you were trying to learn? Over three weeks, you would learn the language much faster and in a much more practical way than you would if you were studying a book or taking a class a few times a week.

You are immersed in it, so you get it better and faster.

That is what I hope to do with this challenge! Each technique, one per week, will be simple, quick, and applicable throughout your day. You’ll be doing little bits all the time – it’s a DIY balanced lifestyle immersion.

It’s never a bad idea to learn how to be more in your body, and more at peace with your world. Especially now, the world could use a few more people who are acting from a place of calm and groundedness.

So, will you join me?

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I’ll see you on the other side!

With love,

Derya

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What you Need to Know About Creating a Vibrant Life: How to Contract and Expand

Last year I was dealing with some health issues, and I felt that working long days was contributing to my symptoms. After much deliberation, I reduced my hours in hopes of finding some relief and more time for rest. At first it was great. I had more time to nap, rest, and do other things that felt restorative to me.

But it wasn’t long before I started filling that free time with more “stuff.”

Before I knew it, I had eaten up all that time with classes, volunteer work, and self-imposed deadlines and projects. I was just as busy (if not more so!) than before I reduced my hours!

Bewildered, I asked myself, “how did this happen?”

It was as if part of me could not STAND having time to be quiet and relax. There was an inherent guilt to resting, to having time that wasn’t “productive.”

All over again, I ended up giving away all of myself, to the point where it wasn’t sustainable.

It wasn’t my job that was draining me, it was my own inability to save a little of my power for ME.

You could even say that I was opening my heart TOO MUCH.

My life was missing a natural oscillation that is present in all of nature, that play of intensity and calm, of effort and ease.

It was seeming to me that my whole life, and the messages I was getting from the society around me, was all about effort and opening; doing as much as you possibly can…

without the bit about quieting, softening, and going inward.

Peter Levine, an industry leader in studying and treating trauma, describes this process as “pendulation.”

He believes that rediscovering expansion and contraction is the key to living a full and abundant life, with the ultimate goal of living a more expanded life.

Too much contraction is undesirable, this is established. Thinking too much, worry, fear, over planning, narrow focus (staring at a computer)… this creates a contracted state.

You can feel that contraction in your body- your neck, shoulders, face and maybe lower back become tense.

On the other hand, expansion is always desirable, and always the goal. This happens when you consciously relax your body, get a wider view (look out a window for 30 seconds and notice how your body changes), and settling into the present moment by noticing your breath and bodily sensations.

However, there is a trap that I call “FAKE expansion,” which is also undesirable and can even be harmful.

So what is “fake expansion?”

Over filling your life with STUFF and convincing yourself that it’s REALLY important (cringe, yup, that’s me!) at the expense of your own wellbeing.

Fake expansion is “opening your heart” in a situation where you feel exhausted and unbalanced.

It’s saying yes to so many things that you don’t leave any room to take care of yourself. It’s giving more than you have to give.

We do this ALL THE TIME. Sorry ladies, but women do this more than men, but the guys definitely do their fair share.

And maybe instead of asking how you can open your heart more, you should be asking “can you make space inside your heart for YOU before opening it up to everyone else?”

A.k.a. how do you keep some of that loving care and attention for yourself, so that when you give to and care for others, you can do it from a place of love and joy instead of burnout and martyrdom?

One way you can make space for your own heart is by physically changing the shape of your body to encourage more space in the BACK of the heart area.

Interestingly, as we open the back of our hearts physically, our decisions tend to reflect this and become more in support of self nurturing instead of over reaching.

Breathe into your Back

Our bodies are so fascinating. The sympathetic nerve ganglia, which is a fancy way of describing the nerves that make you feel anxious, stressed, worried, angry…generally amped up…live between the vertebrae in your upper back spine. So, if you are always “opening your heart” by pushing your chest up and trying to stand or sit up really straight and never going the other way (rounding your back) you’re going to have a heck of a time getting your brain and body to relax.

Not to worry! You can do a simple exercise to expand the back of your heart. Here’s how to open your upper back:

Re-Establish Physical Boundaries:

Another way to encourage healthy expansion is by re-discovering the boundaries of your physical body, which reminds the mind to keep a little of that loving energy for yourself.

By re-establishing the boundaries of our bodies, we learn to expand. Here are some ways to develop and be aware of the boundaries in your body. This embodiment of where you end and the rest of the world begins teaches your nervous system how to create healthy boundaries in your life.

Here’s how to establish the boundaries of your body:

Are you are needing to create a little (or a lot) more space in your heart for you, so that you can give from a whole and rested place? Or do you need to remind your nervous system what it means to have meaningful boundaries? Or perhaps you’re like me, and you really needed both.

Whatever the case, the fact is that our society drives us to do more, push harder, be better, all the time. And that doesn’t honor the law of nature, it doesn’t honor pendulation.

Try introducing a little more space for you into your life, and see if that allows you to expand a little more. We not only deserve some space for ourselves, we need it to be sustainable.

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Improve Your Breath to Improve Your Life

I used to hate hiking and running. I was always the slowest one, gasping for air, my neck and shoulders for some reason aching and killing me. I could really relate to the term “sucking wind.”

It just felt like I couldn’t get enough air.

Even when I would diligently hike and run more often, I never got a sense that I could breathe better. I was getting better conditioned, but it always felt very hard. I didn’t understand why, even though I trained regularly, friends of mine who hardly ran or hiked at all would zoom past me up the trail.

I thought, “there must be something wrong with me.”

After I had a pretty severe bike accident, my symptoms became much worse. Instead of just feeling out of breath, when I got left behind in the group my lungs would literally close up. I couldn’t breathe. I thought I might die. “Is this asthma?” I thought.

These days, I am the one zooming up the trail.

I surprise myself at how sometimes, even after I haven’t been training at all, I can easily hike or run without getting out of breath. I never get that feeling of my lungs closing up. Now it’s way more enjoyable to run and hike, and I look forward to it! I feel that I am getting fitter and can go further each week.

So what was going on with me?

Two things. The first was poor lung compliance and perfusion, a.k.a. my ribcage and therefore my lungs weren’t moving well, which didn’t allow me to exchange enough oxygen into my blood stream.

So, even though I was constantly exercising, my tissues weren’t getting the oxygen they needed. No wonder I always felt out of breath!

Turns out the reason my neck and shoulders hurt while hiking and running was because I was trying to pull air in with my neck! My ribcage, lungs and diaphragm weren’t working well together to pump air efficiently in and out, so my neck and shoulders decided to take over.

The second thing holding me back was trauma.

Since my bike accident, if I exerted myself too much, especially with other people around, my body would go into a state of “freeze.” I would check out mentally, close off socially, my lungs would seize up and I would have to sit on the floor and gasp until I could get up again. I think some people might call this a panic attack.

I know now that my ribcage mobility and my trauma were related.

Because I didn’t breathe well in the first place, it was harder for me to breathe and sense the fluctuating rhythms in my body.

Through a lot of trial and error, I eventually found that PRI techniques, in addition to working with a skilled somatic therapist, I was able to overcome both of these obstacles. And because of the huge impact it has had on my life, I now I help others do the same.

The way our bodies work is NOT like a mechanical machine.

We can’t pretend that a breathing issue only affects our lungs. We are constantly affected by what’s going on inside of us and around us, both physically and mentally. We need to be able to shift side to side in our lungs, our bodies, our minds, and our spirits. Stuck ribcages prevent lungs shifting. Stuck mindsets prevent bodies shifting. Stuck beliefs and trauma prevent our spirits from shifting.

The reason overcoming stuck patterns in the body and mind is difficult is because it’s about softening and letting go.

This means allowing air in and out instead of forcing our bodies to breathe a certain way. Releasing tension instead of holding on.

So many of my patients struggle with softening and letting go (myself included).

If I tell someone to tense a muscle, they can almost always do that. But if I ask them to soften and relax a muscle, it is much harder.

Similar to how our muscles become rigid, our minds can do the same thing. Here’s an example:

Someone asks you about an issue that you are strongly against. Very likely, you get worked up and talk fervently about all the reasons you think it is wrong. But if you are asked to see where the other person is coming from, and why they might feel the way they do, it will probably be much harder for you to give an answer.

This is just one way we become rigid- with our beliefs. It’s much harder to change the way we think about something than it is to keep thinking what we always have.

Can changing the way our lungs move help us overcome trauma?

Trauma is a state of being disconnected from our bodies. It’s a survival mode where there’s no room for feeling, because before our feelings were so terrifying and painful that we don’t want to risk going there again.

Trauma lives in our bodies, not in our thoughts.

We can’t think our way out of trauma. But we most certainly can feel our way out.

Sensing the breath is one way to sense our bodies again, which is the first step to overcoming trauma. We must learn to sense the ever-changing flow that is always occurring in our bodies. And at the center of our bodies lie our lungs, whose function is to manage flow. Flow of air in and out, flow of oxygen to our tissues, flow of byproducts back out into the world.

*Please note that sensing the breath is not appropriate for everyone who is working with trauma. So, if you find that noticing your breath feels uncomfortable for any reason, take a break for now and consult with a provider to help guide you in this process.

Our lungs remind us of how connected we are to everyone and everything around us.

We use our lungs to create air for our voice so that we can communicate with others. The carbon dioxide that we don’t need is expelled by the lungs to provide nourishment to trees and plants. And those very plants provide oxygen back to the bronchial trees within us.

As Pocahontas said,

“…we are all connected to each other
In a circle, in a hoop that never ends”

(Sorry, couldn’t resist the Disney reference!)

Do You Find Yourself Holding Your Breath?

When we don’t breathe, we don’t shift. When we don’t let go, we become rigid. Letting air out is an excellent way to start bringing flow back into your body via the breath.

Most people think of the inhale as the main part of the breath. But an inhale is only as good as the exhale before it.

Think of it this way. If you didn’t get all your air out, your next inhale will not bring in much fresh oxygen! There’s just not enough room with the lungs partially full of old air.

Furthermore, if you don’t exhale all the way, your lungs and ribcage don’t get to move through their full range of motion. Now you are working towards rigidity in a pattern of half full lungs, and you are reducing the amount of flow in your body.

The less your ribs move, the less your diaphragm moves, the less massaged your gut organs get by the movement of your diaphragm, and you become more rigid in your digestion.

The less air you get out, the more your body shifts into a state of fear and tension.

Think of your lungs as a balloon. If you never exhale completely, that balloon keeps getting more and more filled with air, and you feel like you’re floating away from the ground. We need a sense of the ground to feel stable, supported, and, well, grounded!

One way to start creating more flow and learning to let go is by letting air out.

Notice that I didn’t say FORCING air out (which is what most of us tend to do). It’s about allowing the lower front ribs to soften down instead of cramming them down.

Here is a short video on how to find an exhale breath that will get your ribs and lungs moving again.

Think of this breath as a sigh. Like you’re getting into a hot bath, or arriving home after a long day and sinking into a nice soft couch. “ahhhhhhh.” After that first delicious sip of an ice cold drink on a hot summer day, “ahhhhhh.”

If you like, take note of how you feel before and after doing this breath for about 5 rounds of 5 breaths. Has the quality of your breath changed? How about the quality of your mind? Your mood? You may be surprised by the results.

To take this a step further and work on sensing your body in addition to sensing your breath, practice also feeling the places where your body touches the chair, and/or where your feet touch the floor. Notice if you’re tensing your shoulders or your face, and see if you can soften there.

More and more throughout your day, be aware of what’s happening in your breath and your body.

Just noticing your breath, and not even trying to change it at all, is an incredibly powerful technique. You can watch your body find it’s rhythm again.

*Again, If doing this makes you feel anxious or uncomfortable, consult with a provider who can help you work through the process of getting back in touch with your body.

So if you’re like me, and you’ve been trying really hard to get better but things still don’t feel right, breathing and sensing might be the missing link.

Don’t underestimate the power of finding the flow in your lungs, your mind, your spirit. Trust me, I’ve been there, and I’ve made it to the other side. And I know that if I can do it, so can you!

If you want to work with me on this or just have questions on next steps, feel free to send me an email or leave a comment below. Derya@MyEssentalPT.com.

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Reduce Pain by Changing Your Outlook

If you know me, you know I love to look at research studies. Sure, they have their limitations, but it’s really cool to see things we intuitively know are good for us proven under the scrutiny of the scientific method!

Take, for example, a recent review of the literature that studies the role of a positive outlook on pain. This study is from the Clinical Psychological Society in the Netherlands.

They found that a positive outlook significantly reduces pain, and reduces sensitivity to painful events.

For people with chronic pain or other painful conditions, they found that positivity can also optimize the effectiveness of other treatments.

Wow! That is pretty amazing. But if you’re anything like me, you’re thinking,

“Well, it’s pretty hard to be happy-go-lucky when you’re in pain! How am I supposed to do that?”

This is especially true if you have chronic pain that you’ve been dealing with for a long time. It’s hard to not let that get you down, and understandably so.

So how can we use this research to make change in our pain and our lives?

My prescription for you is this:

decide, right now, that you are your own first priority.

Yup, that’s right. Before you start thinking of reasons to put yourself second (or third, or fourth…or last), consider this:

When you get on a plane, don’t they tell you to put your own oxygen mask on before helping other people? That’s because you’re not much good to anyone if you’re passed out in the aisle!

Taking care of yourself is like putting your oxygen mask on. You need to be okay before you can be there for other people in a meaningful way. Otherwise, you will end up resentful to those you intended to help, and/or you will burn out. If you REALLY want to be there for the people you love and the causes you care about, you MUST take care of yourself first.

There are so many simple, quick and effective ways to reduce your levels of daily stress, and thereby improve your mood and your outlook.

Some of the things you can do to boost your mood are quick reminders that you can include easily in your day on the fly, and others you have to plan for. Let’s take a look at both.

On the Fly Mood Boosters

I’m gonna give you some daily, stress-busting reminders to try.

Your job is to pick one or two that you can really do over the next week.

Write the one you pick on a post-it and stick it on a mirror, the refrigerator, your desk, or anywhere else you know you’ll see it a lot. You can even post reminders in more than just one place!

After a week, take a moment to notice if anything has shifted in you since you started this practice.

You might keep up with it as it is, change your reminder, or just modify yours a little. It’s your daily ritual, make it how you like it!

List of Reminders For Your Post-It:

  • “Breathe” (long slow inhales, longer slower exhales)
  • Be willing to not have all the answers.
  • When you’re feeling stressed, ask yourself, “what is the most important thing right now?”
  • Pick a different energy- whimsy, joy, playfulness, or one of your own choosing- and call it into your mind and heart.
  • Remove extra minor stressors when you find them (e.g. driving just a little too fast…it’s weirdly stressful!).
  • Be willing to ask for help when you need it.
  • If you’re pushing yourself to complete a self-imposed task, ask yourself, “will this matter in a year?”
  • Take several slow, deep breaths before each meal.
  • Remind yourself to “slow down” more often.
  • Pretend that you’re at your “vacation job” or your “vacation home,” or in your “vacation car.” How would you act differently if this was exactly what you wanted to be doing, where you wanted to be? If you CHOSE this?

Plan Your Relaxation Time

While it’s good to have little reminders in the day, nothing can match the power of actually scheduling time in your day to do something to take care of you. And, for most of us, if you don’t schedule it in your calendar, it won’t get done.

So grab your favorite pen, your planner, and block out some time for yummy self care!

Here are some ideas you can choose from, or you can come up with your own self soothing experience 🙂

Planned Ways to Reduce Stress

  • Practice this Active Rest Pose for 5 minutes, a few days a week.
  • Practice self empathy for a few minutes, especially if you are feeling down.
  • Take a nap!
  • Go for a walk outside. If possible, try not to look at your phone (or not bring it if you can!).
  • Buy yourself some flowers.
  • Leave early for an appointment and enjoy the journey getting there.
  • Go for a walk with your dog or child, and let them lead the way. Stop where they stop, notice if you feel impatient, and let them teach you how to slow down and savor the moment.
  • Use all your paid time off!
  • Read a book (that’s not related to work or self-improvement!)
  • Eat your lunch outside, and JUST eat. (try not to look at your phone, read, or listen to something).
  • Plan a “frump day” where you stay home all day in your comfy, frumpy clothes and do whatever you feel like. Watch movies, do some stretching, bake some cookies, take a bath.
  • Write a handwritten letter to someone you care for and haven’t seen in a while. Use special stationary that you like.
  • Lie on the couch for a few minutes. Not to listen to a podcast, sleep, or text. Just be there.
  • Take a 5 minute stretch break at work- make sure you’re breathing!

Not all of these may appeal to you, but I’m sure some of them do! Incorporating some spontaneous and some planned relaxation into your day can make a huge difference in your outlook, your pain, and your overall experience of life.

After all, what’s the point of all this if you’re not enjoying some of it along the way, right?

Keep taking care of yourself, and the world will reward you.

May you find ease in your body! I’ll be there rooting for you the whole way.

– Dr. Derya

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5 Day Restorative Yoga Challenge!

It’s a Rejuvenation Revolution!

Happy Spring! I have had much more time to contemplate and reflect during quarantine life, and am making the most of time at home with my hubby and doggie. I hope you are able to find some light in this uncertain situation, too.

I’m feeling inspired by the new season, the birds are singing, the flowers are blooming! I’m excited for everything this season has in store for me and for you as well. In fact, I’ve gotten so inspired that I made an awesome challenge to rejuvenate your body and spirit in under 15 minutes a day (more on that below)!

Whether you know me from the clinic, or have been following along here on the blog, you’ll know that I am all about taking realistic small steps to finding peace and ease in your body rather than looking for a miracle cure.

I’m a firm believer that little bits of self care lead to lasting change. Why? Because it works.

Real change—in our lifestyle, our mindset, our breath, our lives—doesn’t happen all at once. If you’re anything like me, you love the intoxicating hope and energy that comes with creating big, amazing goals. But at some point, we have to take the first step!

Now that it’s spring, a time of rebuilding and growth, it’s especially important to go step by step!

As we emerge from our winter cocoon into a more active lifestyle, it’s important to do this with grace and gentleness so that we can be present for our loved ones, and for ourselves. It’s easy to go full force and then find yourself burnt out before you even really got started. Trust me, I’ve been there! When that happens, those exciting goals might lose a bit of their allure. Luckily, that’s where the small changes I keep mentioning come into play!

Every change you manifest in life (big and bold, slow and steady—it all counts) starts with a decision. You decide you want to go after or create something, then you start walking that path. The key is to start where you are and just begin.

There’s something magical in those first small steps, no matter how baby they are. I think it’s time to honor those small steps.

So, as spring sets in, I’ve got an idea for you: Instead of going full speed ahead, let’s reserve some of that time for self care, so that you can keep moving forward in a calm and centered way!

I’m calling it the Rejuvenation Revolution!

I’m not saying you shouldn’t go after all those amazing and fun things you have planned for this spring and summer (you absolutely should!), but it is time for those plans to share your brainspace with your wellbeing, today.

Not your wellbeing next month or next year—your wellbeing now.

I’m talking about finding simple ways to nourish and care for yourself today. About taking simple, doable actions that bolster you up rather than wear you down. You might be surprised what’s possible when you put the next 6 months aside and focus on caring for yourself in this very moment!

Not sure where to start?

Join me for my 5 Day Restorative Yoga Challenge! If you haven’t experienced the power of restorative yoga before, you’re in for a treat! It’s the perfect opportunity to choose one small thing you can do for yourself now.

Instead of huge lifestyle changes, we’ll simply be adding one simple, relaxing restorative yoga posture to our day for 5 days. No prior experience necessary! I talk you through each exercise with enough detail for complete beginners (but don’t worry, I don’t gab the whole time)! It’s a fabulous way to kick-start this more active season with a steady, consistent energy with a focus on taking care of YOU.

Because no matter what your big goals for this spring and summer may be, adding just one restorative yoga pose a day to your routine will set you up for success in mind, body and soul. It’s a small step you can take today towards creating a healthy habits that will sustain you all year long.

When you join the challenge, you’ll get 5 restorative yoga postures to help you regain energy, be more calm and focused, relax your body and feed your soul! Just because we’re taking small steps doesn’t mean we can’t go after big, lovely results, right?!

When you join, you’ll get:

  • Each day for 5 days you’ll receive one restorative yoga posture with a guided video in your email.
  • You’ll also get tips on how to make the most of each posture and modifications if you need ’em. 
  • Oh, and did I mention that all the videos all take less than 15 minutes to complete?

Say “YES” to Rejuvenation! Join the 5-Day Restorative Yoga Challenge!

It always helps to have accountability buddies on board, it’s one of the keys to success! So share this challenge far and wide!

This is your chance to give yourself some soothing, well-deserved care. Trust me, your body and mind will thank you.

Join me on this challenge today! I’ll be there to rest, restore, and replenish with you every step of the way.

With love,

Dr. Derya

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Listening to Your Body: Why It’s So Hard!

I wasn’t always an active person. In fact, growing up I was a total bookworm. I hated sports, I was the slowest person in gym class, and I spent most afternoons curled up with a book or watching TV.

In high school I started working out and watching my diet, and it felt really good! I was also getting more attention from classmates, the cool girls and guys who had never noticed me before were striking up conversations and inviting me to hang out. I even joined some sports teams.

Naturally, I became very attached to my great liberator, exercise. How could I not? It made me feel great, bolstered my social life, gave me energy, and all the other merits that we constantly hear about exercise.

But, there was also a dark side to this life changing health decision.

Exercise and Attachment

This last month I have been sick. Not terribly ill, but definitely not able to run and workout like I want to. And I think I have prolonged my illness to some degree by still pushing myself more than I should have. For me, I am so attached to the boost I get from exercise, that when I don’t have that in my life I start to get really down on myself. I have a good base in meditation and mindfulness practice, but I am still human and I still have my attachments. It takes quite a bit of work for me to “take it easy” and “listen to my body.” And how do you even “listen to your body” anyway?

woman feeling exhausted at work
Do I need a break, or should I keep pushing? (hint: you probably need a break!)

I hear it all the time, “listen to your body, if you need to rest, rest.” But then I also hear the opposite, “push yourself, when you are feeling tired, that’s the time to push even harder!” And, to be honest, I mostly end up just following the advice that suits my mood in the moment, but that’s not always the healthiest choice.

For example, in this recent bout of illness, my body was telling me to slow down, nap, drink tea and CHILL. But I hate the feeling of being unproductive, and when I don’t workout I feel that inner child bookworm creeping up. Or rather, I could say that I am attached to the feeling of being productive, and instead of asking how I could console this inner child that is struggling, I am pushing her away.

It doesn’t sound so good when I put it that way. But that’s the reality of it. To really understand how to actually listen to our bodies, we have to first talk about wanting vs attachment.

Getting Past the “Shoulds”

When I am really listening to my body, most of the time I still want to work out. I love the way it makes me feel, the health benefits I get, and the joy of moving my body in the great outdoors. The difference is that I am not attached to working out, because I can tune in and listen to my sensations and trust my intuition. So, if I get signals from my body that I need to rest, nap, take more time to relax, I can listen to that instead of shaming myself out of it. This is the goal, but that takes practice.

The most common way we disregard what our bodies are trying to tell is by shaming ourselves. My favorite guilt trip is, “Wow, you are being so lazy. You had so much you were going to get done today, and you’re just going to nap? How dare you! When everyone else in the world is out there working!”

Pretty mean, huh? If I talked that way to my friends, I probably wouldn’t have any. But it is not uncommon for us to talk to ourselves in this way. How can we allow for that? It stems from attachment, to the way we think we should act, should look, should engage with our world.

In order to be able to connect with our intuition, a.k.a. be able to “listen to my body,” we have to learn how to let go. To let go of the “shoulds” and get back to our sensations in the present moment.

Learning to Let Go: Two Versions of the Self

Letting go is hard. It’s hard because we feel like we are going to fall apart without the things that hold us together. For me, working out on a regular routine is one of those things. Part of me feels that if I skip a week or two of working out, I’m going to be horribly out of shape, feel awful, and be a hypocrite (because a lot of my job as a physical therapist is teaching people about exercise!). This is the part of me I call the Fear Self. But there’s another part of me that knows I’m going to be okay. This second part is what I call the Rational Self. She looks at the big picture, and knows that I will get back to working out when I am better, that by taking a real break I will heal faster and get back to my routine faster. The rational self is rooted in truth and fact instead of fear and worry.

At first, the fear self is always louder. She comes up with all sorts of reasons to be concerned, sad, and frustrated. She is small minded and short term focused.

The rational self is quieter, she’s always there but needs to be called upon to speak up. By seeing the long term results and the reality of the situation, she can make good decisions without being influenced by self imposed “shoulds.”

How To Quiet the Fear Self

To connect with your rational self means to listen to your body, in a real and non-superficial way. In order to do this, we need to first identify our fear self. By naming our fears and worries, we can clearly see how irrational and unhelpful they are. The next time you find yourself criticizing yourself, acknowledge that this is the Fear Self. Tell her that you see her, and you appreciate her concern for you, but you’ve got this one under control.

Here’s an example:

Fear self: “You are not even sick, you are just being lazy. You have all this time to be working on projects and getting fit and you’re not using it! You’ll never get this opportunity again!” (hint: all-or-nothing words like “never” are a clear sign that the fear self is talking).

Me: “Okay, I see you, Fear Self. Thank you for looking out for me, but I am doing what is best for me right now.”

It doesn’t help to get mad at or blame your Fear Self. That will just have the opposite effect. Instead, think of your Fear Self as a scared child, who needs comforting and consolation, not to be yelled at or scolded.

*Remember: listening to your body starts with being kind to yourself.

Of course, you won’t be able to catch every critical comment, but whenever you are able to go through the process of calling out the Fear Self, you are developing new neural connections that make it easier to do the next time. It is a skill to cultivate and hone.

Once you’ve identified the fear self, she loses her power. Just by naming it, you begin to see the fears and worries for what they are: intangible ways of keeping us stagnant in our old patterns. To move forward, to grow and expand as a human being, we need to connect with the rational self.

How to Connect with the Rational Self

Once the fear self is quiet, the rational self can emerge. Let’s stick with the example above.

Fear self: “You are not even sick, you are just being lazy. You have all this time to be working on projects and getting fit and you’re not using it! You’ll never get this opportunity again!” (hint, all-or-nothing words like “never” are a clear sign that the fear self is talking.

Me: “Okay, I see you, Fear Self. Thank you for looking out for me, but I am doing what is best for me right now.”

Connecting with your rational self and listening to your body

From this point, I can ask the Rational Self, “what do I really need to do right now? Am I being lazy, or am I actually sick?” Then I focus on the area of my belly or chest, and wait until I get an answer. This also takes some practice, but really it doesn’t work if you over think it. Just ask, focus on the center of your chest, and see what comes up. For me, the answer way, “Girl, you are actually sick! Rest up!” And when I heard that my thought was, “Duh! How have I been ignoring this obvious advice?”

The harder part is actually listening to that advice. And I promise you, if you continue to not listen, your body will make you listen. In the past, I’ve pushed myself to the point where I HAD to lay in bed for a while. That is my old pattern, to keep pushing and ignore those signals to slow down. I’m not perfect, that’s for sure, and it takes effort for me to change this pattern. Of course, doing the things the way we’ve always done them is easier. It’s an inertia, you’ll keep going the way you were always going unless some effort is applied in another direction.

So, as for me, I’m still working on taking it easy, and listening to those signals from my body. Sometimes I don’t want to listen, and I give in to the Fear Self. But I keep trying, and I’m getting better.

With all the latest diets, pain “cures” and workouts at our finger tips, it can be really hard to decide what works for you and what doesn’t. But the more you can connect with your Rational Self, your True Self, the easier you will be able to navigate decisions about what is best for you.

Have you ever struggled with the Fear Self, or had trouble listening to your body? I’d love to hear your story. Share your story by leaving a comments below.

May you find ease in your body.

Derya

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Whiplash, Pain, and the Brain.

Earlier this week it snowed a lot. Then it melted, and froze overnight. And when I took my dog out for her morning walk, well, you can probably guess what happened. I didn’t make it 20 feet from my door before my feet slid out from under me on a patch of ice and I landed hard on my butt, with my head being painfully snapped back. I was, of course, a little stunned and went back to my house to survey the damage. No broken bones, just some bruises. Over the next few days I monitored myself for signs of concussion, which , thankfully, there were none, but what I did have was a painful stiffness and ache in my neck when I tried to move my head. “Oh great,” I thought. Whiplash.

An Icy Morning.

When I first walked into my house after slipping on the ice, these were the thoughts in my head, “oh no, you have a delicate neck. This is going to be so bad. You are going to be dealing with this for months. What if you have another concussion? That’s going to really mess you up…” and on and on.

Luckily, I had the knowledge and training to know that these thoughts would be the most significant factor in my speed and completeness of my recovery. Even though it was hard, I started to change my self talk. I said to myself, “this is not that bad. You’ll get over it soon with a couple days for your strained muscles to heal. You didn’t hit your head, and there are no signs that anything is seriously wrong. You’re going to be ok.”

At first, I didn’t believe these words I told myself, but I kept up with it. And, over the course of the day, I started believing a little bit of it. But more importantly, my body felt less tense and guarded. Now, three days later, my neck pain is almost completely gone. I didn’t have to go to a chiropractor or have needles stuck in my neck. I didn’t have to do any special exercises except some breathing to calm my nervous system. I didn’t even have to change my daily activities and still did what I would usually do, including exercise.

Of course, it’s not always that easy, and it has not always been the case for me to get over neck pain that quickly. I have had many neck injuries of varying severity, and the pain of them has plagued me for many years of my life. I tried everything, acupuncture, chiropractic, and of course several physical therapists. Those all helped, but my neck pain never really went away until I changed the way I thought about my pain. I know, I know, it sounds like I’m saying, “it’s all in your head.” Which is just not true. But, it is true that a lot of it is in how your head and your body talk to each other.

Pain and the Brain

You see, the brain determines levels of threat, and sends signals to our body on what to do accordingly. When your brain perceives high threat, it starts emitting neurotransmitters that tell your body to tense, to breathe more shallowly, and halt healing processes.

This is actually really good. For example, let’s say you’re a wild human and you get attacked by a tiger. You find yourself bleeding and injured, and your brain knows that it needs to get your muscles tensed and ready to go so that you can hoof it back to your village before you die in the middle of the prairie. (Do tiger’s even live on prairies? Anyway, you get the idea). Your brain, in that moment, is not worried about healing. Healing occurs when you get back to the village and your wounds can be tended, you are safe.

But what if you never get to the village? What if the stress of getting attacked by a tiger is replaced with the stress and worry that’s associated with chronic neck pain, the fear that you will never get better, the threat of having to deal with a stiff neck on top of all the other things you are having to deal with in your life right now?

In this scenario, your body never gets a signal to relax, to soften your tensed muscles, to release a cascade of neurochemical transmitters that promote healing. You become caught in a troublesome feedback loop: your muscles get’s tense, which causes your brain to percieve threat. As a result of that percieved threat, your body get’s more tense. And on and on, until you find yourself dealing with months to years of pain with no one able to explain to you why it won’t go away.

Getting out of the Cycle of Pain

I have been there, in that loop. I have a tendency to go back there, maybe it’s just how I’m wired. I have to actively, consciously, change the way I think about my body and pain in order to subvert that loop. And it works. I also use relaxation techniques and mindfulness meditation practices to assist me in this process. But what has been so fascinating to me is that this is the missing link in healing from chronic pain, and, perhaps more importantly, preventing it in the first place.

This is not news to the medical community; there have been plenty of studies linking a patient’s outlook on recovery to how well they actually recover. This mind body connection is starting to become more popular in pain management, but in most cases it is not emphasized or even acknowledged in our healthcare system. Certainly, there are appropriate times to seek invasive modalities or even surgery, but shouldn’t we start with an intervention that is very low risk and potentially very high reward in regards to resolution of symptoms?

I have created some resources to help you manage your pain and to prevent yourself from developing chronic pain syndromes. It starts with being able to sense and feel your body, in a non-threatening way. This will allow your brain and body to get out of the cycle of threat and pain and back into fluid, alternating, reciprocating motion.

Getting Back in Your Body

A great place to start getting back in your body is with this simple 5 minute Guided Body Awareness Technique. (You should try it, it’s really relaxing!)

Five Minute Body Awareness Exercise.

Remember, pain is not just in your body, and it’s not just in your brain. Whoever says that mind and body are two separate things is just wrong. You can’t treat one and not the other and expect to change the patterns that we live in. If you find yourself in chronic pain, be kind and gentle with yourself. Reconnecting with the sensations in your body is the first step to letting go of these stuck patterns.

May you find ease in your body.

– Dr. Derya

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