“I keep expecting pain, but it doesn’t arrive, so I feel safe”.
This is what one of my clients said the other day in Newfoundland.
This brings up so many things to talk about but the bit I would like to focus on right now is that this sensation of safety in your treatments.
Safe spaces aren’t just laying around, existing of their own accord – I’m not a safe space for everyone, though I may try to be. They are developed through the use of inclusive and caring actions and words (in a way that’s far more complex than that sentence really captures). They are dynamic – and they are based on the needs of each individual.
So there are a lot of variables, and not everything will work for everyone.
There’s one element though, that has so far worked for every single person I’ve treated over the last 10 years.
That thing is going SLOW.
I know I talk about it a lot. But so many people don’t realize just how important it is in manual therapy. I’ll stop saying it when I stop seeing ridiculously aggressive and painful treatments being given out there.
Going slow definitely has grades, depending on the need – but especially when someone is in pain or has a chronic condition (like this person had, who said the words above), the approach becomes extra-slow.
Why?
Pain is deeply complex. Within that complexity and layers, a decent portion of the equation for chronic pain is sensitization and expectation of pain.
When we go slower than slow, we give the body and brain time to sense the pressure, read it, interpret it, think about it, and give feedback, BEFORE we add more pressure. This whole process is reassuring to the mind and to the nervous system directly.
It’s almost like a conversation with the nervous system. You start off with the greeting, which is usually short and light – you wait for the response and then little by little you go back and forth starting a conversation. You only learn about surface things for the first bit, but then gradually they let a little more of themselves be seen.
The same process is what should happen for manual therapy.
If you do this, even when pain is expected, you can avoid it and better yet you can help with the desensitization process, just like with my client the other day.
I promise you this is the best thing you can do for your treatments – to make them better. For the safety factor and for so many other reasons. Now, obviously it’s not the only factor in the safety equation, but for someone in pain, it’s a big factor – they want to really feel that you’re not going to hurt them. And you can say all you want “I won’t hurt you” or “this is a safe space”, but it doesn’t mean they FEEL that safety.
This is not something new – this has always been the way I’ve practiced, but interestingly I’ve gotten even slower and slower as time has gone on. Because I’ve seen the benefits of doing so, over and over.
If you’re not a practitioner yet, you should remedy that by coming to Costa Rica in December. But also, this message is for when you receive a massage too – ask for your practitioner to go slowly. Because unless you get treatments from only Navina practitioners, you will likely be getting fast bodywork.
It might take them some getting used-to, because when you’re not used to going slow, it can feel very weird to – but persist and insist, because it’s your treatment and you’re the one who will reap the benefits.
Drew & the Navina team.