My old headmaster would warn us not to fall into bear traps. By this he meant pay attention to what you are doing so that you do not make a simple mistake. He would set a few bear traps and see if we were concentrating or if we were on autopilot. It was also a way to note tomfoolery.
As clinicians we can also fall into bear traps by not attending to or challenging our own thinking and beliefs. This is especially true with pain, where we can so easily rely on our own beliefs about pain and what we should do in response to pain. We know for example, that GPs can give advice about back pain according to what they would do if they suffered back pain — rest or remain active.
Cultivating awareness of our understanding, beliefs and noticing the messages that we give to patients is a simple habit. It takes practice but allows us to ensure that we are giving the best possible advice and information, perhaps in the form of a metaphor. This includes the mode of delivery: body language, tone of voice, timing of the message and the environment in which the message is given.
Here are a few simple tips:
1. Before each patient, gently notice your breathing — in, and sense the chest rise and expand; out, and feel the body tension ease. This helps to create an awareness of what is happening now, including preconceptions and thoughts that could flavour the coming session.
2. Listen deeply — by continuing to breath, remaining present and listening to every word and noticing the patient’s body language, we can learn all that we need to intervene in the right way. The most potent way for that moment.
3. Speak with compassion — our brains are wired to thrive on kindness. We can create an effective session by both listening and communicating in a mindful way without the clarity being lost by intrusive thoughts that obstruct effective messages being passed.
The Specialist Pain Physio Clinics in London provide treatment and training programmes for pain and dystonia based upon the latest neuroscience of pain, brain and mind. The approach is comprehensive, addressing the problems and influences in a compassionate and encompassing way. If you are suffering with chronic pain, call us now to book your first appointment: 07932 689081