Perceptions of Pain

We have a problem. A problem with pain. Well it isn’t the pain per se, but our perception of pain that is the problem.

We tend to try and:
1. Avoid pain
2. Push through pain
3. Seek quick fixes for pain
4. Blame our body for pain
5. Think we are broken when we have pain

Here are some things to know about nociceptive pain:

Your pain is real!

There are two types of pain: Acute and Chronic (lasts more than 3 months).

Tissue damage/Structural Changes and Pain don’t always correlate – I might have a herniated disc in my back, but no pain. You might have a back that looks perfect on an x-ray, yet you have pain.

The farther away (as measured in time) we get from the initial experience of pain, the weaker the link to any kind of injury.

Pain also isn’t well linked to alignment, posture or weight, despite what many doctors have told my clients .

Pain is an output from the brain – old thinking was pain was generated in the damaged tissue and the brain responded – this would make pain an input to the brain meaning it exists out there in he body and then we feel it. We have nociceptors, which are sensory neurons located around the body that send electrical signals of possible threats to our brains.

Pain is created by the brain to tell us to pay attention and take some form of protective action.

The brain makes the decision about whether we will experience pain in a split second. To make the decision it takes into account the following factors:

  1. Your stress level
  2. The circumstances surrounding you/the event
  3. What you believe about your body
  4. What else is going on in your body
  5. The things you typically say about your body
  6. The people in your life
  7. The places you typically go in your life

When pain persists it is because we have built a roadmap in the brain – we have wired ourselves to feel pain. The good news is our brains are easily re-built (neuroplasticity) so we can rewire your brain so you don’t feel pain.

We have two Physical Therapists, Lorimer Moseley and David Butler to thank for this framework of understanding pain. (their book The Explain Pain Handbook is a great one!).

We accomplish that rewiring by slowing down, moving mindfully, paying attention to the breath, changing the beliefs we hold about our body, the things we say about our body, the people we interact with about our body.

You don’t need to avoid pain.
You don’t need to push through pain.
If the quick fix stretch doesn’t get you out of pain and/or your pain is persistent, you just haven’t yet discovered the right inputs.
You aren’t broken if you experience pain.

Pain is just an invitation to slow down and pay attention.

If you are experiencing pain and would like to work together, please reach out and schedule a Singer Synergy Assessment.

Compensations and Coping

When your body can’t do a movement with integrity, it will find another way. The ability to compensate is part of what keeps us alive and moving. Compensations aren’t bad, but in the long run they aren’t likely to allow you to move your best and feel your best.

Compensations will eventually cease to help you and you’ll have two options. One is find another way to move that resolves the compensation pattern. Or, two, subconsciously build another pattern and move further into compensations. Number two can become a really hard cycle to break.

Earlier this week I had a 1-on-1 session with Susi Hately to work on my wonky hip (dysplasia, labral tear and CAM type impingement). Much of our work together is identifying the subtle ways I’ve compensated for my structural issue and finding new ways of moving. Some of those compensations are relatively recent, showing up in the past year when I first developed pain. Others have been there my whole life because I have a hip socket that never fully formed.

In our session I began to see that when attempting to do something as simple as a hip hinge, I was actually bringing my torso over, rather than my leg up. That was my compensation and it hit me…coping mechanisms are emotional compensations.

In this past week, #6 of our Stay At Home order, I hit a wall of sorts when it came to coping, and I watched myself turn to one of my yellow-light activities of eating chocolate chips.

Those handfuls of chips are a sure sign I’m not addressing my emotions (hello Coronavirus pandemic, I’m eyeing you!), or feeling as though I have an outlet for them.

There were a lot of years early in my parenting life where my fumbling through motherhood and raising small children, as one does, resulted in handfuls of chocolate chips consumed because I hadn’t developed the skills I needed, the tribe I needed, or the ability to recognize even what was setting me off.

In other words, for years I took my children’s entirely normal behaviors, made them personal, thought I was failing massively and drowned my frustrations and sorrow in a bag of semi-sweet morsels.

It took me TIME to recognize that turning to the chips was my version of wine-o’clock, or a tub of ice cream to numb out my feelings, or too much Netflix and chill. The chips got me through in the moment, the rush of feeling good from the sugar eased the emotional pain of struggle. BUT, they also left me crashed out after, craving more and no closer to better dealing with the reality of my life and the two children who looked on with adoration and probably wondered on some level why mom was a mess.

My coping mechanism was a massive emotional compensation. My way out of just coping was to get mindfully aware of my triggers, start to skill build a better way of dealing with my emotions and finally be able to step the hell away from the chocolate chips.

The good news is, I did just that and slowly, eating handfuls of chocolate chips became much less of a thing for me (much to the joy of my children who then had chocolate chips available for pancakes made by daddy on the weekends).

It was interesting to watch myself start to traverse down that same path this week. One day after many handfuls of chips I had my session with Susi and that connection between compensations and coping hit me.

That realization combined with the relationship that chocolate chips and I now have was enough for me to see the glaring yellow light they represent. It allowed me to step away from the bag and start to get mindfully aware of being triggered and think about how I can skill build in new ways to get through this time.

Just as my physical compensations get replaced with more efficient and effective movement patterns, I want to get back to work on replacing my emotional compensations too.

I don’t beat myself up for the handfuls I had. It’s over and done with. But, I’m choosing to move forward in a way that isn’t Groundhog Day over and over and over. I pulled out my journal and am writing each morning. I said yes to a mindset talk that was offered yesterday. I’m taking longer walks, and talking about my feelings with family and friends. I’ll choose to keep seeking out activities that fill my cup, rather than keeping me in the cycle of highs and lows brought on by the chips.

The Power of Presence

With the ever changing landscape of the larger world, our studios and our own personal health I wanted to take this month to focus on stress management and building our own resilience.

The very intimate nature of voice lessons means we often have singers coming to us in need of a safe space and we have to allow space for their emotions before we can be productive in singing. In many instances voice teachers provide that safe space because what is happening to the singer is not also happening to us. But, that is not always the case.

The human body is responsive and interactive with the environments it encounters. That means we are constantly in an exchange with the people and places around us. The body remembers through implicit and explicit memory. It also changes constantly and holds an immense amount of innate intelligence and wisdom.

When we encounter a singer in a lesson or coaching, we are meeting all of their memories and intelligence and they are responding and interacting with the environment of us and our studio and all of our memories and intelligence.

Every individual will have a response that is all their own. No two beings react the same to stimuli. Some folks will come to you in a low sensation state and they will need more input, others will come to you completely jacked up on adrenaline and they will need ways to lessen input.

Due to this, one of the top qualities a voice teacher can cultivate is the ability to be present. Presence allows us to observe what is happening with a singer AND what is happening in ourselves at the same time.  

Being present means we are connected to and aware of our own experiences. We are committed to noticing when those experiences might trigger changes in our being. And, we are committed to engaging in practices that can pull us back into our body when something pulls us out.

The quality of our presence makes an enormous difference to the people we work with. The singing body is more apt to respond positively when it knows we are a safe place. This doesn’t mean we are constantly perfectly attuned to ourself. It does mean we are able to honest, kind, and compassionate with ourself about where we are at on any given day.

Engaging in something as simple as a somatic snapshot before beginning our teaching day or in between sessions is a wonderful way to begin to cultivate our presence. You can try asking yourself three questions (and answer them honestly!) 1. How am I feeling today? 2. What are the sensations in my body right now and where are they located. 3. If my body could speak, what would it say to me right now?

If you haven’t already, it might be time to expand your skill set to improve your ability to stay present and keep your stress managed. If you are needing skills, don’t hesitate to reach out. We can work together, or you can find a great many resources within the Aligned and Aware Library.

3 ways singers can thrive while having their period

When it comes to women’s health all too often we are handed a big steaming plate of “this is just how it is.”

To that I would like to reply a resounding BULLSH*T!

Here’s the scenario: you get to the week before your period and you turn into a bloated, murderous-swinging-to-weepy, unable to connect to your breath support, singer who feels like she’s trying to drive a mac truck rather than a ferrari. Oh, and let’s not forget the killer cramps when you finally get your period. Sound familiar?

Good. Well, not good, but let’s unpack three things you can do to lessen all that yuck. Because it doesn’t have to be ‘just how it is.’ And, if the only solution you’ve been offered by your OB/GYN is to take the pill, you definitely need to read this.

Things can change. Here’s how:

  1. Eat
  2. Move
  3. Chill

Those PMS changes are driven by hormone swings. Ideally our estrogen and progesterone are in a happy, balanced relationship and vary a bit as we get close to our period. But, for many of us, we are stuck in an estrogen dominant state: we eat meat, use products that have estrogen mimicking ingredients (called xenoestrogens) like parabens, and drink alcohol.

We need progesterone to keep that estrogen in check, but if we’re consuming all those things, estrogen takes over and progesterone can’t keep up. Then we’re bloated, moody, struggle to lose the muffin top, get migraines, and have abnormal paps.

We also need to talk a bit about insulin (blood sugar) which is like the gatekeeper for other hormones. When it’s high, it contributes to estrogen dominance too. Then we’re hangry, crave foods, get shaky between meals, feel anxious and have high fasting blood sugar.

We also can’t leave out the importance of Cortisol, the stress hormone. A little bit is good for us, we need to be able to respond to stress. Buuuut, a lot of it can lead to too little of it and then you’re in a cycle of sucking down caffeine in the morning to rev up and red wine at night to unwind. Plus cortisol raises your blood sugar and cross talks with estrogen and progesterone. When cortisol is high we’re stressed, have insomnia, GERD, and overeat.

All of this, becomes even more of an issue as you get close to and past age 35. UUUGGGGHHHHH.

As singers who are so highly attuned to the body as our instrument, we need things to do that help us return to as close to an optimal state as possible. Exercise more and eat less is a bit too simplified for women to get the results they want, I think, but here are some ideas that can help you craft what works for you.

  1. Eat: Up your plant intake. One of the ways we get rid of excess estrogen is through poop. Yep, I said it. You need to start pooping more. I’m a fan of thinking about what we can add into our diets to improve our health rather than thinking about what to restrict. Eat a rainbow sounds silly, but it’s correct. Lots and lots of leafy green matter, red, yellow, orange, purple veggies are all good. Go slow with adding veggies because if you overwhelm yourself with too much fiber…well, that can be ugly and uncomfortable. Some ways of adding things in: throw some dark leafy greens into a morning smoothie, chop up some carrots to crunch on rather than chips.  If you do better with thinking about how to lower your intake of things here are the things you want to limit: caffeine, sugar, alcohol, processed foods. Also, drink enough water for your body, but you already knew that because singers are smart about water.
  2. Move: Movement is another way we can manage our hormones. Sweat helps flush estrogen out of the body. Movement helps manage cortisol levels and balances blood sugar. Do you need to kill it at the gym? No, but you need to start moving your body more and moving it better. Maybe that looks like a brisk walk 3 days a week to begin. Maybe it’s a spin class, or a yoga class, or a HIIT workout. Find something that makes you feel good and do it regularly. Many women have found connections between tension in the back of the legs and period cramps – stretch your calves regularly for a month and see if your cramps are better. Movement doesn’t just help your hormones, it helps your singing. Cardiovascular fitness, lung capacity and overall improved blood flow are all advantageous for your voice.
  3. Chill: No, this isn’t netflix and chill. Numbing out to technology (or food, or booze) isn’t what I’m talking about. I mean, get quiet with yourself. Schedule in downtime where you literally do nothing. Find a meditation practice that works for you. Take a hot bath nightly. Spend time off of social media, the land of comparison-itis. Women thrive in the company of other women, so plan a night with girlfriends. Engaging in mindful practices helps manage cortisol levels. We sleep better, we’re happier, and we sing better when we aren’t so freaking stressed all the time.

This list is far from exhaustive, but it’s a place to start. If you want to learn more, there are some great resources out there. Some of the most affordable and accessible are books by Sara Gottfried, an integrative MD and hormone expert. Her two books the Hormone Cure and The Hormone Reset Diet are must reads. Kelly Brogan MDs book A Mind Of Your Own is another great hormone/mental health read. A good functional nutritionist or hormone expert like Anna Garrett can help you test hormone levels and formulate a plan for yourself.

There are lots of apps out there for meditation like headspace and Calm. There’s a yoga studio on every corner and most have some kind of restorative class or meditation class if you like in person things.

If you want to talk about movement because you aren’t sure where to begin, reach out and let’s talk about what your body needs to begin to move more in a way that feels good.

You deserve to thrive as a singer all 4 weeks of every month and not feel so bogged down with the changes in your body that are driven by your hormones!

Can you help a singer out?

What is the worst thing you could do to a performer who is nervous about going on stage?

Try to talk them out of the nerves they are feeling, by saying things like “You’ll be fine….Don’t worry…Why are you so worried…Don’t feel that way you’ll be great.”

What we need to do to tackle nerves in the moment is this:

Normalize

Explain

Feel

Relate

Breathe

Be Present

 

Let me tell you a little story to illustrate what I’m talking about:

This week I took my daughter to the first musical theater class of the spring (this is her 3rd time doing the class). One of her friends had signed up to, but it was clear she was really nervous about the whole thing – she had hidden in the bathroom of the lobby and when she came out she was crying. These girls are 5 years old. Her well-meaning nanny, who is an absolutely lovely person said to her, “Don’t worry, you’ll be fine.” Except, she clearly wasn’t fine.

Yoga told me maybe I could help this little girl who was suffering. I smiled at her and beckoned her over with my finger and said, “Are you feeling nervous about the class?” She sniffed and nodded. I then normalized it for her and said, “You know, I get nervous before I do something new too, especially if it involves singing.”

I went on to explain, “It’s funny how our brains get a little nutty if they think we are in danger.” She looked at me pretty interested at this point. “Our brains are super strong, ” I continued. “But sometimes they get confused and think there might be crazy snakes on the stage!” That got a little smile out of her and a look like, are you pulling my leg, lady? By this point the tears had stopped.

Then I helped her feel. “When I get a little anxious I feel it in my tummy.” I said. “Do you know where you feel it today?” She scrunched up her shoulders and pulled her arms in tight. “It just feels like this,” she said. (What a wonderful illustration of tension in her body, one of the physical manifestation of anxiety.)

“You know, ” I said, “I think everyone gets a little scared before something new. I know my daughter does and I do too. I bet everyone in this room does too.” And we looked around as we related to all the other parents and children in the room. “What if we took a big breath together?” I suggested. So, I held her hand and we both took a big breath in and blew it out. We talked a little more about what the room looked like and what things she would do in the class. I was present to her fears and her feelings which helped her to feel more at ease.

The doors opened to the theater and the teacher started to call students in. She was able to walk through the doors and not only made it through the class, but told me after it was fun.

 

There is work we can all do to understand the origins of our performance nerves and meditate on them to transform our relationship with anxiety.  But, in the moment, when they are there, this is a powerful way to work with them. This conversation was fairly simple because of the girl’s age, but it doesn’t have to be complicated even if its an adult you’re talking to – you need to let the person know you know how they are feeling because you have felt that way too, ask them where they feel it in their body and talk a little about how everyone feels the same way, even though sometimes we don’t want to admit it.

Be present to your students and fellow singers. The next time you see them backstage suffering, be there with them in the moment. I guarantee you will make a profound difference in their performance experience!

Extending the Exhale

If you tried the explorations in the breathing awareness post and discovered that your inhale is longer than your exhale, or it is equal and you’d like to extend your exhale, here are a few tips on how to do that.

As a reminder, an extended exhale helps to trigger the relaxation response – think about the need to fall asleep after you get home from a performance that ended at 11pm because you need to be up early to get to work the next day.  We often also need to be able to extend our exhale to sing longer phrases in some pieces of music*.

Nota Bene: If you are an asthmatic, please don’t try to attempt to extend your exhale when you are symptomatic, you are likely to trigger an asthma attack. Please wait until your breathing feels calm to try this. You may do even better to begin by thinking about shortening your inhale rather than stressing your system with extending your exhale.

We want to move gently through these explorations and not seek to force the body into a place it isn’t ready to go.

Before you begin, I recommend you move your body a bit – it could be as simple as setting a time for 2 minutes and shaking your body gently. Often we do well to burn off a little extra energy before settling in to focus on the breath. This is especially important if you are someone who finds focusing on your breath makes you agitated or anxious.

Get a Baseline- for all of these explorations you can either sit in a chair or lie in constructive rest.

  1. Bring your attention to the tip of your nose and feel the coolness of the air coming in through your nostrils.
  2. For a few cycles of breathing count the length your inhalation and exhalation – it doesn’t matter how fast or slow you count, just be consistent in your pace. Let’s say your ratio is 6 inhale, 3 exhale. Our first goal would be to extend your exhale by one count to 6 inhale, 4 exhale. Our second goal is to work to equal inhale and exhale 6:6. Then you can begin to extend the exhale 1 count at  a time to be longer than your inhale 6:7, 6:8, etc.

Strategies – try each for a minimum of 5 cycles of breath. Don’t try all of these at once, just do one at a time over a series of days to see which works best for you.

  1. Try first just thinking about slowing down your exhale to see if awareness is enough to bring about change.
  2. Use pursed lip exhalation: Inhale normally, and then purse your lips and exhale. Changing the shape of your aperture (opening) changes the rate at which you exhale, slowing it down.
  3. Straw breathing: inhale normally through the nose and then breathe out through a straw.
  4. Bee Breathing: inhale through the nose and then exhale on a gentle hum. There should be little effort in your hum and the jaw should be soft. You can experiment with having the tongue resting between your lower teeth and having the tip on the alveolar ridge (bumpy ridge behind the upper teeth and the rest of the tongue resting on the hard palate. Humming helps to extend your exhale, aides in air oscillating, increasing the exchanges of air between sinuses and the nose. It also helps boost the amount of NO, Nitric Oxide (not to be confused with N20, Nitrous Oxide, which is laughing gas!). Nitric Oxide is the third gas of breathing and it helps us find calm, fight on viruses and makes breathing easier.

As always, explore these options with a curious mind and share in the comments what you find!

  • Being able to sing through long phrases is also impacted by how your ribcage is positioned in the body – when we have ribs that habitually press forward we don’t get optimal movement especially in the back body when we breathe and sing.