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Ankylosing Spondylitis Research

This site summarizes the latest research in AS

This site is
sponsored by :


NASS
(National Ankylosing
Spondylitis Society)
 
 
 
 

Pain Management techniques

Learning to Relax :

Learning to relax is something that everyone can benefit from. The feeling of being relaxed and calm can benefit many aspects of life including; sleep, concentrating on complex tasks and reducing tension and stress to name but a few. For the person with pain, relaxation is even more important.

Pain can often result in a lot of muscle tension. The more tense you are the more likely you will feel the pain getting worse.

Learning to relax can help reduce tension and help stop pain getting worse.

Pain can often make you feel upset, anxious and helpless and consequently make it harder to manage the pain 

 


Learning to relax will help you feel more calm and in control regardless of the pain.

Pain can affect your ability to sleep.

Learning to relax can help you get to sleep and make it easier to get back to sleep if your pain wakes you up

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How to Relax

Relaxed Breathing

Breathing correctly is a vital part of relaxation. The aim of breathing correctly is to fill your lungs with air as effectively as possible. As you breathe in a muscle called the diaphragm should push your tummy out allowing your lungs to expand and collect all the air.

Exercise: Put one hand on your chest and one hand on your tummy. As you take a deep breath try and keep the hand on the top part of your chest still, while pushing the hand on your tummy out. If you are using your diaphragm to breathe, you should not need to use your shoulders or chest, and this can help to relieve tension around your neck and shoulders. 

Muscle relaxation

First of all find yourself a comfortable lying or sitting position and close your eyes if you wish.

Stage 1

  • First of all take a deep breath, hold it for a moment and then let it out slowly
  • As you breathe out let your body go as loose and floppy as you can
  • Take another deep breath and again breath out slowly
  • Now return to normal breathing. Try not to take too many deep breaths in a row as you can become dizzy.

Stage 2

  • When you feel ready try and let go of the tension in the muscles of your face, neck, shoulders, arms, hand and legs. Go through each body part one by one.
  • As you let yourself relax try and let go of your tension each time you breathe out
  • Try and imagine that every time you breathe out the tension is just flowing away.

Stage 3

  • Whilst your are relaxing your muscles try to repeat the words relax or calm to yourself.
  • Try picturing a relaxing, peaceful or happy scene such as a holiday you have been on.
  • If you find it hard to imagine a scene then focus on a particular part of the room and stare at it in a calm way.

Remember

Learning to relax is a skill and like any other skill it requires some practice to get it right. So be patient with yourself. Try practicing these techniques every day and you will soon notice that you are getting better and better. Eventually you should be able to do these techniques anywhere that you need to; on a bus, in the office or when you are walking.

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Pain Distraction Techniques

Distraction techniques can be a useful way to help you cope with your pain. They don’t take away the pain completely but can help take the edge off it. At the very least distraction techniques can help you take your mind off the pain. The more senses you use to whilst practicing these techniques the easier you will find it to block out the pain signals.

Taking your mind away from the pain

  • Close your eyes and think of a pleasant, happy or relaxing scene. Maybe you are in your garden on a warm sunny day or on a beach on a tropical island. Now imagine that you are really there and focus on;

    What can you see?

    Are you alone?

    Who is there with you?

    What can you smell? 

    What can you hear?

    Do you feel warm?

    How do you feel?

  • If you are looking forward to an event such as a holiday or a dinner party with friends try planning what you will do. Go into every detail and focus on all the pleasant aspects of the event.
  • Concentrate on the visual aspects of the environment you are in. Now try to describe to yourself things that you see e.g. the wallpaper, carpet pattern, what people are wearing etc.
  • Play word or number games in your head; such as counting backwards in 3’s or creating anagrams from the names of people you know.
  • Read a book or listen to music and try hard to focus on words and the story they tell.

Focusing on the pain

Imagine that you can see your pain from a great distance away. Do not think about how much it hurts but just focus on describing it to yourself. What are the sensations, where are they coming from. It is almost as if you are observing the pain from someone else’s body. Try not to get upset about the pain. Instead try and describe it as if it does not belong to you. This technique can be helpful whilst practicing your relaxation.

Try imagining your pain as a shape with colour, texture and sound. Focus hard on this shape and try and make it smaller, lighter, softer and quieter until it floats away

Some people find it easier to ‘re-label’ their pain by imagining it as something other than pain or distress. For example if the pain is warm and throbbing it may feel similar to how you feel when the hot sun is on you.

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