Effectiveness of mindfulness meditation on pain and quality of life of patients with chronic low back pain

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Today I just wanted to point out this study on pubmed: https://pmc.ncbi.nlm.nih.gov/articles/PMC4479890/

I have personally benefitted significantly from meditative practices, and I’d be happy to help anyone who’d like to learn more about these practices. I deeply believe movement is medicine, yet part of that medicine is shifting our nervous system orientation towards sensations in our bodies.

From the article’s introduction: “Prior to the current accepted biopsychosocial model, the biomedical model dominated all illness conceptualizations for almost 300 years and still dominates in the popular imagination. First proposed by Engel (1977) the biopsychosocial model acknowledges biological processes but also highlights the importance of experiential and psychological factors in pain. The famous gate control theory of pain[3] also proposed that the brain plays a dynamic role in pain perception as opposed to being a passive recipient of pain signals. They suggested psychological factors can inhibit or enhance sensory flow of pain signals and thus influence the way brain ultimately responds to painful stimulation.[4] If mind processes can change the way the brain processes pain then this holds tremendous potential for psychological intervention to produce reduced pain signals from the brain.

Kabat-Zinn’s et al. (1986) described the process of pain reduction in his paper on mindfulness and meditation. The process of pain reduction occurred by “an attitude of detached observation toward a sensation when it becomes prominent in the field of awareness and to observe with similar detachment the accompanying but independent cognitive processes which lead to evaluation and labeling of the sensation as painful, as hurt.” Thus, by “uncoupling” the physical sensation, from the emotional and cognitive experience of pain, the patient is able to reduce the pain.[5] The patients’ descriptions of distraction from pain, identifying maladaptive coping strategies toward pain and heightened awareness of pain sensation leading to behavioral changes are examples of how pain is unassociated with emotion, cognition, and sensation [Figure 1]. Therefore recently these theories attracted several researchers who are working on pain.

The article goes on to share how studies have shown reductions in both pain and depression via meditation.

This particular study has participants involved in a program of 8 weeks with 90 minutes each session.

This is a good start, but the kinds of mental shifts we’re looking for from meditation can take a real commitment that is a deeply individual choice.

Again feel free to check out the study and ask me anything about my 22 years running practicing meditation. I’d love to help you get started. Thanks.

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Published by Dr. Michael Dunbar, ND, LAc

Michael Dunbar is a Naturopathic Doctor and Licensed Acupuncturist. Born and raised in Raleigh, NC before going to UNC-CH and graduating with a Bachelor of Science in Public Health – Nutrition. Michael then moved to Oregon to pursue a dual degree of a Naturopathic Doctorate and Masters of Acupuncture. During his time at the National University of Natural Medicine in Portland, OR, he also received his Oregon massage license specific to Shiatsu (acupressure) massage. His path began with a desire to find treatments that did not just mask symptoms but instead help cure disease or avoid becoming sick all together. This search is what led to the significant study and personal testing of a number of dietary regimen. He’s settled on a whole food based approach which can be customized to the needs of each individual. At NUNM, Michael’s education led him to understand that certain lifestyle factors including nutrition, sleep, exercise, and stress management are the keys to health and by focusing on these basics many of the health issues people experience can be avoided or reversed. Another basic principle Michael has incorporated into his healing practice is the healing power of mindfulness. Michael has cultivated mindfulness through meditation, chi gong and Tai Chi, and uses this moment to moment awareness to inform his massage and acupuncture treatments. This mindfulness is how he “gets out of the way” to create a healing space for his patients. In his personal life, Michael enjoys Contra and Blues dancing, weight lifting, and travel. He looks for a balance to maximize health and happiness in each day.

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