Have you ever had a bad back? I’m guessing that, as you are human, have a spine and do all the things that 21st-century humans do (sitting too much, being overly stressed, being hunched over a computer screen all day) the answer is yes. And if you are a fellow bad-back sufferer, you will know that when your back pain flares up, it’s not much fun.

As I write this, I am a few days into a flare-up. Despite doing everything possible to manage it – first ice, then heat; help from a brilliant osteopath; frequent yoga, stretching and mobilisation; anti-inflammatory gel, and so on – I’m in a fair amount of pain.

And when you are suffering from pain, your natural reaction might be to get frustrated and impatient. ‘Why me?’ you ask, stooped over and clutching your lower back. ‘It’s so unfair!’ Or, ‘I hate being in pain so much!’ Or, ‘I’m sick to death of this – I just cannot stand it.’

Trust me, these thoughts – accompanied by various expletives – have passed through my mind and out of my mouth in the last few days. Chronic pain is a real struggle. It just grinds you down and makes it hard to be positive, upbeat or optimistic that the episode will ever end.

Why negative thinking makes pain worse

But I am lucky enough to work in a profession that has helped me understand a great deal about pain, both physical and emotional, and how best to deal with it. When my back was really bad, a couple of years ago, I read a life-changing book by Vidyamala Burch and Danny Penman: Mindfulness for Health: A Practical Guide to Relieving Pain, Reducing Stress and Restoring Wellbeing. The authors explain that there are two types of physical pain: primary and secondary. Primary pain comprises the signals from your nerves at the site of the injury or illness in your body – like a broken leg or gash on your knee.

This information travels up the nerves until it reaches your brain. At which point, your brain interprets the information from your nervous system, as well as the thoughts you are having about the pain, to decide whether it’s serious/threatening or not. If your brain thinks it’s serious – that broken leg, for example – it then turns up the ‘pain volume’, making the pain worse.

This is secondary pain, which is often far worse and more distressing for us than the primary version. It’s important to stress that both forms of pain are real – it’s not ‘all in your mind’. We are talking about actual, physical pain and discomfort here.

But the fascinating – and revolutionary, for me – discovery here is that we can control the level of our pain by adjusting our response to it. And the key to reducing your pain, whether it’s physical or emotional, is responding with self-compassion.

The miracle of self-compassion

Let’s circle back to those (totally understandable) responses to being in pain. In Buddhism, these are known as ‘second darts’ – the first dart is the pain itself. But the second dart is the anger, frustration, stress and upset we feel when we respond to that pain with negative, blaming, hostile thoughts and words. Instead, the Buddha taught us to respond with acceptance, kindness and compassion, however alien or difficult that might seem at moments of discomfort and distress.

What helps me respond to my pain, and tight back muscles, with compassion is that I know from experience that this will both reduce my pain and accelerate the healing process. I do my level best to say/think things like, ‘Oh man, this is hard. But I know it won’t last forever and I will get better soon.’ Or, ‘Poor back. I know you’re really suffering right now. But it’s OK, nothing is wrong, you can just relax.’ Or, ‘Dan, I know you’re in a lot of pain right now and that is hard to bear. But remember that you’re not alone. I’m here for you, I care about you, and we will get through this together.’

If I keep responding in this way, my pain is significantly less. My back gets better much more quickly, as I’m not bracing and tensing up, which keeps the muscles tight and in spasm. And I spare myself a great deal of unhappiness, because accepting that I’m going through a tough time helps reduce the frustration, irritation and upset that those negative responses cause.

Of course, everything you’re reading here applies just as much to psychological and emotional pain, as it does physical, somatic pain. And that’s why my next Heal Your Trauma webinar – The Healing Power of Self-Compassion – will teach you all about being kind and compassionate, rather than unkind or harsh with yourself.

I will teach you some simple, powerful self-compassion practices that you can use right away. And the webinar will feature a 15-minute Q&A, allowing you to ask me anything you want about how to manage your pain, mental health and wellbeing.

This 90-minute Zoom webinar takes place at 3pm on Saturday 28th May 2022 – and costs just £39, including exclusive access to a recording of the event.

I look forward to seeing you there – find out more about this event by watching the video and book your place now using the button below.

And sending you love and healing thoughts, whatever you might be struggling with right now.

Warm wishes,

Dan

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