Opioids, Chronic Pain and Floatation Therapy

Pain. It can be consuming, frustrating, debilitating, distracting, yet always subjective to the individual experiencing it.  Chronic pain is of epidemic proportions and is a major cause of disability.  Until recently, pain was treated like a fifth vital sign. Blood pressure, pulse, respiration, temperature, and…pain?  

Problems arise in treating pain when there is no objective measure measurement. There is no thermometer to gauge how you are personally sensing that disc herniation, rib fracture, headache or inflammatory bowel disease.  Therein lies the undercurrent of how and why medical methods of treating chronic pain have both changed over the years and led to an opioid crisis.  

This is only complicated by the pharmaceutical industry who keeps pushing opioids and simultaneously disguising the addictive nature of them. For example, in February 2018, the associated press cited that Purdue Pharmaceutical will stop “actively marketing” Oxycontin to physicians. In March 2018, The Washington Post noted that the city of Alexandria, Virginia is suing sellers of prescription painkillers stating that “drug addiction has killed scores of residents and overwhelmed city services”. 

The opioid crisis has forced pain management professionals to consider alternative methods to manage or co-manage serial mind and body implications of chronic pain.   The McShin Foundation in Richmond, Virginia is one shining example of organizations seeking to find collaborative and effective ways to manage pain and recovery from opioid addiction.  Their programs view addiction, recovery and non-narcotic pain treatment with an equation involving a multitude of mind and body therapies.  

Floatation therapy is emerging as a valid, effective and adjunctive means for managing chronic pain in lieu of medication.  Due to the profound effects that floatation therapy has on decreasing inflammation, stress and anxiety, while increasing quality of sleep and musculoskeletal recovery, it is positively enabling for those suffering the mind and body effects of chronic pain.

As a result of positive outcomes in a series of recent studies at The Float Zone in Richmond, VA, a case study was conducted with a recovering opioid user as to the effects of floatation therapy and chronic pain.  The objective of this case study was to provide a concrete example of the positive effects of floatation therapy upon specific physical and emotional aspects related to an individual recovering from opiate addiction and who has been in recovery for 18 months.    

Click to read the Case Study or contact the author, Dr. David Berv, for more information on floating and chronic pain.

To learn more about other pain case studies, visit our Case Study results page.  

This article originally appeared on myfloatzone.com and was written by Dave Berv.

How Sensory Deprivation Float Tanks Deepen Your Meditation

I was first drawn to float tanks by stories I’d heard that sounded like mind-altering drug trips except the people telling them were completely sober. They were, quite simply, just floating on water. I had to try it and figure out for myself what made it a life-changing experience for so many.

Why were float tanks invented?

The flotation tanks, which are also called isolation or sensory deprivation tanks, were created in the 1950s by Dr. John C. Lilly. He was a neuroscientist and psychoanalyst with interests in philosophy and invention. He was deeply passionate about exploring human consciousness, particularly regarding what we could access within ourselves when we completely tune out outside stimuli.

He wanted to know who we are when we are completely free of the noise, sensations, and impositions of the outside world. Who are we when all we are aware of is our inner self?

This might sound like something you could answer through meditation, and I am a big proponent of meditation. However, as someone who meditates daily, I believe the isolation tank takes us on a journey far different from any meditation.

What is sensory deprivation, exactly?

It is a form of meditation but in a way more akin to yoga in that it is as much physical as it is mental. Float tanks interact directly with your body, and some even feel as if they become one with the water, which can create a feeling of being infinite. The water is warmed to 98 degrees, which is the same as body temperature. Each tank has around 1,000 pounds of salt in it, which ensures all people, of all shapes and sizes, will float on this buoyant water.

I feel completely held and taken care of. This mental release is a large part of what makes the isolation tank so powerful.

Floating on a cushion of saltwater for an hour counteracts the pressure of gravity. Your joints, tissues, and muscles will feel as if you’ve just received a superb massage, your spine will thank you, and the Epsom salt will do wonders for your skin and circulation.

The physical sensation of floating connects us right into the mental feelings of surrender and release. It’s one of the most comforting sensations I’ve ever felt. It’s as if I am being held in my own little cushion of support, and whatever it is that bothers me can safely be let go. I feel completely held and taken care of. This mental release is a large part of what makes the isolation tank so powerful.

Here's what happened when I developed a regular sensory deprivation practice.

Once you are comfortable with the sensation of floating (you may not reach this on your first time), you will gently ease into deeper and deeper levels of surrender and letting go. At some point, you will naturally lose track of time. You will slowly forget where you are, maybe even who you are. You will fall into your subconscious, but you will still be awake, allowing you to forge a connection with all of the power that resides there. The more times you go to the tank, the more you build and strengthen that bridge between your subconscious and conscious.

As a result, you may suddenly start being able to recall your dreams. You may have bursts of insight while in the tank. You may find your creativity at work heightens to new levels. You might also find yourself becoming more aware of how you react to life, what triggers you, and feel yourself taking greater control over what used to feel like out-of-control emotions.

Are there any downsides to float tanks?

Now that I’ve described a few of the possible benefits, you might be wondering why everyone isn't running out to try it. I suspect it's because all of this is done in an enclosed tank, in complete darkness. Simply envisioning closing the lid of a pod and sealing yourself in can trigger claustrophobia for some.

In my experience, after I’ve suggested someone go, they find that the anticipation was far bigger than the actual experience. Once inside it’s easier to understand how safe and serene it is. Each tank is in its own room, giving each person space to take things at their own speed. Most float spas have a shower in the room, so that you can shower before and after in privacy. The whole experience is designed to induce relaxation.

What can I expect on my first time?

Professional float spas have speakers built into the tank, and they will play soothing music for the first 10 minutes. They also have a light inside, and you can keep it on as long as you like—even the whole time. You don’t even have to close the door—it’s your experience and all up to you. If you keep the light on and the door open, you will not go as deep into that space of letting go. But that’s OK because this type of therapy is still new, and the fact that you are brave enough to be one of its first explorers is worth celebrating.

Most people say that once they close the door and the light goes off the feeling of the pod goes away. They no longer feel closed in but instead feel as if everything has opened up wider than ever before. Some even feel as if they then expand and connect with the whole Universe.

After dozens of trips to the float spa, I have found I can surrender and let go of things that used to hold me in an iron grip. I have gotten clarity on problems I was so deeply entangled in I couldn’t see any possible solution. And on one particularly wild trip, I had an out-of-body experience and a vision like I’ve never had before.

If this intrigues you, I hope you consider trying it out yourself. Float spas are opening with more frequency now, and it’s possible there’s one near you, waiting to take you on an adventure to your deepest resources of love, healing, and cosmic connection.

This article originally appeared on mindbodygreen.com and was written by Melissa Field,

Float Therapy For Fibromyalgia Can Help Relieve Pain And Stress

Fibromyalgia is a pain condition that affects between 2 and 10% of the population in the U.S. It generally affects more women than men at a ratio of 9:1. One way to treat not only the fibromyalgia pain, but also the stress and anxiety that may accompany it is trying float tanks for fibromyalgia.

How do float tanks for fibromyalgia work?

Flotation REST (reduced environmental stimuli therapy) was developed in the 1950s by John C. Lilly, M.D. It uses a water-filled tank that is approximately the size of a bed and heated to skin temperature. The water is saturated with Epsom salts so that the patient can float without any effort.

Patients remove their clothes, enter the tank, turn off the lights, and relax. The idea is that this sensation of zero stimuli will help a person focus inward, eliminating distractions and calming the mind and body.

The Fibromyalgia Floatation Project (FFP) believes that spending an hour in a float tank will help sufferers reduce pain significantly. The project selected fibromyalgia as the condition for their case studies because the symptoms of fibromyalgia match the potential benefits of REST.

Benefits of float tanks for fibromyalgia

The benefits of float tanks for fibromyalgia have been studied for several decades. They have been shown to include the following.

Relief of stress

Thomas H. Fine, an associate professor in the department of psychiatry of the Medical College of Ohio and Roderick A. Borrie, a clinical psychologist at South Oaks Hospital in Amityville, New York, co-authored a seminal article examining the clinical effects of REST on the stress response.

They identified blood pressure, cortisol production, and muscle activity as key indicators of stress in the body. Their findings indicated that cortisol production decreased during floatation REST sessions and that:

“[There exists] the possibility of a resetting of the regulatory mechanism of cortisol across sessions.  Furthermore, cortisol, which has received more attention than the other hormones [in its role as an indicator of stress], and blood pressure, have been shown to maintain the REST effect after cessation of repeated REST sessions (Turner & Fine, 1983). This phenomenon suggests that the REST effect may be more than a simple, immediately reversible response.”

Alleviation of depression and anxiety

Float tanks for fibromyalgia have been shown to alleviate depression and anxiety with the mood elevation effects of deep relaxation. Fine and Borrie found that the effects were most pronounced when flotation REST was utilized in conjunction with other forms of counseling.

They caution, however, that severely depressed patients may need close monitoring due to the sometimes obsessive nature of thinking that can occur in the flotation tank.

Promotion of better, more restful sleep

Relaxation alone equals better, more restful sleep, and the deep relaxation of float tanks for fibromyalgia can help. Many fibromyalgia patients also suffer from restless leg syndrome, so getting a good night’s sleep can be difficult.

Since fatigue can exacerbate symptoms of fibromyalgia, the sleep-promoting deep relaxation can be a vital benefit of flotation REST.

Pain relief

Perhaps one of the most important benefits of float tanks for fibromyalgia is relief from pain. Fine and Borrie noted that:

“Flotation REST can have an important role at several stages of the pain management process. By reducing both muscle tension and pain in a relatively short time and without effort on the part of the patient, flotation provides a dramatic demonstration of the benefits of relaxation. Relief is immediate and, although temporary, offers promise of further relief from REST and other relaxation-based strategies.”

Many patients who have dealt with fibromyalgia for a long period of time give up hope for new treatments. When they realize that float tanks can help manage pain, their mental outlook may change and they may be more confident in their treatment plan.

Relief of muscle tightness

The stiffness and muscle tightness of fibromyalgia can be addressed by float tanks. A small 2012 study found that pain due to tightness of muscles was decreased significantly after just three sessions in the float tanks.

The pain-relieving effects lasted for a significant period after the treatment, which also helped to alleviate mood and make the study participants more hopeful. This increased optimism translates into better opportunities for successful treatment all around.

Corrects magnesium deficiency

Magnesium is essential to over 300 functions in the body, but people in the U.S. are chronically lacking in this important mineral. Transdermal supplementation of magnesium is the most effective delivery system. Fibromyalgia sufferers may have a magnesium deficiency that actually causes or contributes to their pain.

The magnesium solution in fibromyalgia float tanks can be absorbed through the skin. This helps to alleviate that deficiency without taking additional supplements. This can be a benefit to patients who have difficulty taking pills or who simply don’t want to take anything else.

Performance improvements

While not directly related to fibromyalgia, float tanks can also have some performance benefits.

Researchers Oshin Vartanian of the University of Toronto and Peter Suedfeld of the University of British Columbia found that musicians who floated in the tank for one hour per week for four weeks showed better technical ability at the end of the research. The researchers compared two-minute recordings before and after from the study participants and the control group. They found “a significant difference between the treatment and comparison groups on technical ability, but not on any other dimension.”

When float tanks are combined with positive imagery, athletic performance also improved without any other adjustments to amount or duration of practice. Simply floating in the tank and allowing the body and mind to fully relax seems to be what athletes need to recharge and regroup.

Float tank testimonials from fibromyalgia patients

The Fibromyalgia Flotation Project was designed for patients and interested medical professionals to test the efficacy of flotation REST treatments for fibromyalgia specifically. Two patients in particular are highlighted on their website.

Tina suffered from pain and bruising as a lasting reminder of a car accident in 1998 but couldn’t figure out why she was still in so much pain. Doctors attempted to control her pain with prescription opioids and non-steroidal anti-inflammatory drugs (NSAIDs), with disastrous results. After nearly overdosing, she finally tried flotation REST while visiting friends.

Tina describes her first experience in the tank like this:

“[It was] like stepping into a warmth that was hard to describe. I felt held, secure, safe, enveloped and surrounded by this wonderful water that was so good to feel against my painful body. I had immediate pain relief and no breakthrough pain for 17 hours after my first float.”

After seven floats, Tina puts her pain level at just 10% of what it used to be.

Float tanks improve overall quality of life

Brigitta’s fibromyalgia was not traced to any one particular incident, but the pain and dizziness made it difficult for her to really function effectively. She was unable to take pain medications because of their side effects, so she utilized acupuncture, warm baths, and exercise.

She was recruited by the Fibromyalgia Flotation Project at 70 years old and had this to say about the results:

“Flotation has made my life considerably better. I feel that it’s easier for me to take each day as it comes, which means that life gets easier. I feel much more positive and happy, and many of my friends confirm that.”

Frequently asked questions about float tanks

For first-time floaters, float tanks may be intimidating. The space is enclosed, and the act of floating is a foreign one. Some frequently asked questions about float tanks for fibromyalgia include the following.

What should I expect during my session?

People who utilize float tanks are often referred to as “floaters.” Floaters shower before entering the tank, either floating unclothed or in a bathing suit. Float sessions can last anywhere from 30 to 90 minutes.

First-time floaters may need some time to adjust to the environment of the tank, so a session of at least one hour is recommended.

Are fibromyalgia float tanks hygienic?

The water in the float tanks is saturated with magnesium sulfate nearly to the point of crystallization, just like the Dead Sea. And, just like the Dead Sea, this is not an environment in which bacteria can live.

In addition, float tanks come with a filter system that automatically filters the water after each session. Finally, floaters are asked to shower before they enter the tank, further minimizing the amount of bacteria or dirt they introduce to the tank.

Is there anyone who shouldn’t float?

Because a float tank is small and enclosed, floating may be difficult for people with claustrophobia. There are float tanks that have small windows that may help with this, but for some that might not be enough room. Those who suffer from anxiety may also find the initial sessions difficult.

How many sessions are required?

There is no perfect number of sessions, but for first-time floaters it is best to schedule a series. The sensations experienced in the tank (e.g., deep relaxation, minimal sensory input, weightlessness) may be strange and take some getting used to.
 

Reset Wellness recommends starting with a series of three, offering a reduced price for first-time floaters. Ultimately it is up to the floater to decide what works best for them.


This article originally appeared on paindoctor.com