I came away from my first visit with the physical therapist (Dawn) with a clearer understanding of what was going on with my back, and most importantly, what to do about it than I’d ever had. I’d picked up bits and pieces of information here and there in the past and understood quite a lot about the spine, nerves, muscles, etc. I knew about the benefits of stretching, and stretching had made a big difference for me. But the session with Dawn made everything fall into place.

I’d had various evaluations before, but Dawn’s seemed more comprehensive. She seemed to hone it on exactly what was happening with my back. She evaluated areas of weakness, muscles that needed stretching and others that needed strengthening. Above all, she communicated what she found in such clear terms and gave me stretches and exercises that are very specific to my back and spine (which has a mild scoliosis). 

Even though I’ve had an understanding of proper body mechanics and posture in the past, Dawn was able to help me experience it in my own body. She helped me to feel in no uncertain terms what “neutral” is for my spine (with the lumbar area neither too concave or too flexed). She watched me do every stretch and exercise making sure I was doing it properly.

I walked out of the session feeling that I was given what I needed in terms of understanding the situation with my back and a clear plan of action to follow. Because Dawn explained everything so clearly and her instructions made such perfect sense as remedies for my problem, I’ve been highly motivated to follow them.

Finally, what made the session with Dawn so valuable is that is was completely geared to my own self-care. Although physical therapists do provide treatments through manipulation and other means, Dawn’s focus was to show me what I needed to do to get stronger. I’ve long ago become disillusioned with repeated trips to practitioners like chiropractors who would make an adjustment which would then go out and required re-adjustment a short time later. The most valuable thing a practitioner can give us is knowledge of how to take care of ourselves. 

Of course, only time will tell what impact this will have for me. The most important ingredient in achieving a healthier back will be my follow through, and this is true of any healing program. It’s our own self-care that brings success. 

When I’ve had a kind of “breakthrough” session like this, I always have to ask the question as to whether it happened because the practitioner had the right training and skills or whether I was simply ready to more forward. Certainly the many experiences of the past and what I’d learned from them, as well as various ways in which I’ve grown, created a readiness to take a leap forward. Perhaps some other kind of practitioner could have done it for me. But given the experience of my friends with PTs and my experience with Dawn, I’d encourage anyone with back (or knee or neck) problems to give physical therapy a try.

If I look at my own life, I see plenty of examples where thinking did not make it so. Years ago I when I got pregnant I held the idea firmly in my mind that I was going to have a model pregnancy. Everything about the pregnancy and birth was going to be perfect. I simply wouldn’t allow any thoughts to the contrary to take root. What happened couldn’t have been further from my imaginings. I ended up with a very rare disease of pregnancy and almost lost my life. I contrast that with the fact that I tend to be a bit of a hypochondriac and have imagined myself with all sorts of diseases that I’ve never gotten. If thoughts came true, I wouldn’t be here writing this newsletter! One final example concerns my mother. She had a long held belief that she would not live to an old age. She was unwavering in this conviction, and yet she lived to be 93.

Take a look at your own life and see if there’s any evidence that you thought yourself into illnesses you’ve had. Chances are there are times when your thoughts corresponded with what happened and other times when they didn’t. I’ve seen people become fearful when a “negative” thought appears and quickly replace it with a positive affirmation. This seems like such a struggle to me and I don’t think that changing the content of our thoughts makes a difference to our health.

I do feel, however, that emotions affect our health. Chemical correlates to emotional states such as fear have been clearly demonstrated. All we have to do is tune into our own bodies to be aware of the powerful impact of emotions. My sense is that the emotions that accompany our thoughts are what can affect us, and it is our emotional states that we need to address. To simply try to replace negative with positive thoughts is too superficial an approach.

What do you think? What has your experience been?

In some ways it’s easier to stand in only one camp, since the two approaches actually represent completely different worldviews. It can be challenging to integrate the two, both for individual consumers and for healthcare professionals who want to offer the “best of both worlds”.

Over the years I’ve come to use holistic approaches as a first resort, and conventional medicine as a last resort, quite the opposite of many people. That doesn’t mean I recommend my choice to others. It’s a very individual decision and one that might change over time. There’s no perfect system or practitioner or formula that we can rely on for everything all of the time, but unless we choose one system exclusively, we are in the position of finding a “middle way”, a way to integrate the two.

It’s been tempting at times to throw out conventional medicine completely, particularly since I find interacting with my physician around my choices difficult. I continue to use both systems, however, because they clearly both have something to offer.

To be able to use both approaches has taken a lot of study and the willingness to be my own authority and take responsibility for my choices. I’ve had to unlearn the old kneejerk response to accept the “doctor’s orders” and be willing to refuse certain recommendations and state my choices. Of course, to do this, I’ve needed to find a physician who is able to accept that stance at least enough to keep working with me. (In medical parlance, I am often a “noncompliant patient”.)

Our medical doctors can’t be expected to be knowledgeable about holistic systems and modalities which take years of study to master. (It takes an enormous amount of time to keep up with allopathic medical knowledge.) We also can’t rely on them to make our choices for us. I don’t think we can even rely on them to be straightforward with us if they do agree with some of our unconventional choices because they need to adhere to accepted medical protocol to protect themselves legally. I know a physician personally in a popular HMO who definitely has a holistic orientation but is constrained by the policies of the HMO with regard to what he can recommend and do.

No system can guarantee a cure of everything all of the time. The idea that our western medical system is “scientific” and therefore accurate is a misnomer. It represents a way of approaching life and seeing things which constitutes a philosophy or worldview. It’s research and methods are very much influenced by economic and political forces. Yet it is the system which is supported by our government and legal system. In some ways, freeing oneself from the sense that it is the authority for our healthcare decisions is similar to freeing oneself from deeply ingrained religious beliefs that no longer serve us.

Holistic healing approaches require more of our time and participation in our own self-care. They generally take time to work and are not quick fixes, but they can not only solve problems but do so in a way which promotes greater strength and health, rather than treating a symptom with a drug or surgery that can weaken overall health. I’ve found it to be well worth the time to investigate and use alternative methods of healing and promoting health.

If you are just beginning to look into alternatives, the number of choices can seem overwhelming. It can be challenging to find the right approach for your particular problem, and to know which approaches are safe and worth pursuing. A search on the web will bring up any number of offers of help and cures! One thing to be wary of is anything that offers a quick, simple fix, and certainly be careful in pursuing anything that is very expensive. For chronic, non-life threatening problems, there are a whole host of things you can do that don’t cost a lot of money.

While the “middle way” is probably the best way for most of us, there certainly is no “easy way” to put together a good healthcare program for oneself. Hopefully in the future we will have a healthcare system that has fully embraced the best of holistic medicine. Since that is probably a long way off, my sense is that those of us who want the best of both worlds will need to find a middle way for ourselves.

http://avanoo.wordpress.com/2007/01/22/us-citizens-would-be-healthier-and-live-longer-lives-if/