Where is your Happy Place? It is a place where you are resilient, have a strong core and low back, and you can slay stress like a champion.
This post is all about building a healthy “Pressure System.” The Pressure System is a a “3D Approach” to protect that “happy place.”
The science of stress is clear.
Stress is a bear. But while stress can be blamed for a plethora of disease processes and even premature death, there is a silver lining – stress doesn’t have to equal doomsday.
Stress can actually be GOOD for you, but here’s the catch. You have to believe stress will make you stronger and more resilient in order to reap its benefits.
But for those who perceive stress as negative or bad, research shows they have not only a higher chance of premature death and illness, they in fact do die earlier and with more disease than their positive, gritty counterparts. Just watch this TED talk from Dr. Kelly McGonigal on How to Make Stress Your Friend.
Change Your Stress Mindset to Protect Your Happy Place
So what can we do? We can change our perspective on stress. We can change the way we look at stress.
Stressing (Less) isn’t accomplished by avoiding struggle or difficulty or even pain. In fact, according to recent research, trying to avoid stress can backfire and create more stress and pain.
Stressing less is actually found in developing healthy coping mechanisms to adversity and stress. Some may say that includes facing those situations head on, and emerging the victor, or at least, having found a way to cope with the stress in a manner you can look back on with a sense of peace.
My life has brought me plenty of those opportunities (notice I didn’t say adversities), so I’d like to share a bit of what I’ve learned through my years of study and research.
The easy answer to stressing less is this: To beat stress you have to overcome pressure, both literal (physical) pressure and figurative (psychological) pressure.
The harder question to answer though is, how does pressure and stress affect you? Your health? Your sense of well-being? And yes, even your brain function and pain perception?
Pressure is Key
Science has targeted perceived stress as a risk factor for many health problems, including longevity, or how long you live. The most obvious diseases where stress is a causative factor are stomach ulcers, depression, heart attack risk, or cancer. Chronic stress is also a factor in causing your body to lose control over its ability to regulate inflammation in the body. But did you know there are many less obvious diseases and disabilities that stress can cause or worsen?
The pressure that perceived stress places on the American worker is increasing, with the Centers for Disease Control reporting job stress as the most frequently cited cause of stress for American adults. The situations that create stress are varied, and depend on person-environment interaction and fit. This means there is no easy answer for why job stress is cited as the worst stress type. In other words, stress and what is perceived as stressful is a highly personalized experience.
However, what CAN be agreed upon in the scientific literature is what creates non-optimal pressure inside our body. The literal pressure in the body impacts our perception of stress in a profound and measurable way.
Let’s talk about a different approach to managing both psychological and physical stress.
Instead of talking about psychological or social pressure, I want to talk about how mechanical alterations of pressure in our body can influence psychological or social perception of stress. This is a backdoor approach, if you will, to talking about stress management. It’s a physical way of managing a psycho-emotional-spiritual problem. It’s the nuts and bolts of yoga philosophy – of practicing mindfulness in all situations, not just tranquil ones where you are already relaxed.
The 3D Pressure System: A “Back Door Approach” to your happy place
We often think that managing stress can only be addressed with some kind of talk therapy or psychotherapy. But did you know that there are also “back door” means for managing stress? Ones well supported by the literature include meditation, mindfulness, and learning to change our self-talk habits. But there’s one more you may have not considered.
Enter the concept of the “Pressure System” or the 3D Approach, a 3 dimensional approach that addresses the body’s 3 main diaphragms, which have a profound impact on managing back pain, pelvic pain, and a slew of issues listed further down in this post.
The core of the 3D pressure system theory, no pun intended, is that there are multiple diaphragms in the body that, depending on their state of fitness, will dictate optimal functioning, or optimal arousal.
Optimal Arousal = Protect Your Happy Place
Optimal arousal is your happy place – allostasis, or the ability for the body to be in an ongoing but steady state of equilibrium, physiologically and psychologically. (See the figure right).
Simply put, the physical body can help the mental body or mind change how it perceives stress and pain, which is great news for those of you who have tried conventional medical or mental health therapies that have failed.
It’s also good news if you are a healthcare practitioner who has heard countless arguments between the pain science and biomechanics communities, each naysaying the other’s relevance.
I say both communities matter, and you didn’t fail as a patient, the healthcare system failed you. You can get better, and you can feel better. Pain science matters. Biomechanics matters. They both matter because each has an influence on how we feel and experience pain and stress. If I, as a doctor of physical therapy and athletic trainer, can lessen someone’s pain permanently, I have done my job well. And this approach I am about to share is one I have used for some time to do just that – ease people’s suffering and help them manage stress with success.
The Take Home Message: The 3D Pressure System
So how is the pressure system meaningful to you? If you have ever felt stressed, or perceived pain, and/or had an orthopaedic injury, then you will want to know about the “3D Pressure System.”
You cannot have ideal physical health without considering the vital tissues that make up the THREE DIAPHRAGMS. It is these three diaphragms that are the major driver for pressure system problems, listed below.
The Three Diaphragms
What are the three diaphragms? The KISS (keep it simple stupid) answer is the three diaphragms consist of the laryngeal (sometimes I refer to it as a thoracic diaphragm), respiratory, and pelvic diaphragms.
Each of the three diaphragms are comprised of the following:
- Laryngeal (thoracic) diaphragm – The vocal cords, also called, folds, which are influenced by muscles, tendons, and cartilage located near to, and outside of, the vocal folds. There are both intrinsic and extrinsic laryngeal muscles that have direct and indirect effects on this particular diaphragm & systems functioning (this means this diaphragm alone can affect whole-body health) through its innvervation by the vagus nerve.
- Respiratory diaphragm – This was formerly the “chief” diaphragm. It used to be thought of as the only diaphragm involved in respiration. However, overwhelmingly this is no longer accepted as true. The respiratory diaphragm is an important member of the 3D team that offers continuation of tissue and neurovascular structures that comprise the mid-way point of the three diaphragms. It is a contributor to intra-abdominal pressure regulation, and by anastomoses or union of the phrenic with the vagus along its wandering route through the foramen or opening of the diaphragm, the respiratory diaphragm also affects whole health.
- Pelvic diaphragm – This diaphragm secures the terminal end of the 3 diaphragms. The pelvic diaphragm is a complex network, chocked with bundles of richly supplied neurovascular structures that feed the pelvic floor & sexual organs. The pelvic floor is chiefly comprised of the levator ani group, the primary skeletal support of pelvic organ support. Through research done on females with complete spinal cord injury, it is understood that the vagus nerve influences sexual function and arousal in a unique way if the spinal cord should be severed. This discovery means that again, vagus nerve input wanders all the way to a kind of secret backdoor opening to charge and intimately dictate, sexual functioning and pleasure. To understand more about the female pelvic diaphragm, visit this Interactive female pelvis
The Connecting Point: Protect Your Happy Place with the Vagal Sentry
Now that you have an understanding of what the 3 diaphragms are, how are they connected and why is this important?
The three diaphragms are connected by fascia, connective tissue between the internal organs and muscles, and most importantly, a critical cranial nerve, the vagus nerve. In Latin vagus means “wandering”, which gives you a sneak peek at its vast realm of control. It has only been recently understood, and is still under heavy scrutiny, as to what the vagus nerve, the 10thcranial nerve, influences.
However, the take-home is that the vagus nerve can ultimately yield outright dictatorial control over your overall health. This finding makes the vital vagal connecting point of the three diaphragms a point of focus, especially since it can exact not only physiological control but determine psychoemotional outcomes and choices we make, like interpretation of pain or whether or not a situation is stressful. See the Three Diaphragms figure below.
The Pressure System
The Pressure System is the connecting point and integrity facilitator for the three diaphragms. It’s functioning determines optimal pressure in the cavities of the body and perception of (external) threat or pain (internal) in the mind.
What types of problems can arise from a lack of optimal pressure between the diaphragms? First, it is important to understand the three types of pressure:
- Subglottal pressure (SGP) – This type of pressure dictates whether or not you can swallow, speak, or sing. It affects sneezing, vomiting, and coughing through the graded closure of the glottis (the opening of the vocal folds). The glottis and its friend the epiglottis closes to prevent air escape from the thorax and gastric contents from entering the mouth, and vice-versa. Subglottal pressure also dictates what happens during childbirth via its influence on the pelvic diaphragm, because both must remain relaxed to give birth. What’s more important is threat perceived in speaking, swallowing, or any stress felt or perceived in the brain or from the lower 2 diaphragms can affect SGP, which in turns affects performance and long-term integrity of the vocal folds.
- Intra-thoracic pressure (ITP) – This type of pressure dictates not only airflow, but influences blood flow as well. Since the 1960’s it has been understood and accepted that circulation and respiration are intimately connected. There is an hydraulic effect that occurs in the chest. When intra-thoracic pressure decreases, blood flow returning to the heart increases, so it is important that the respiratory diaphragm action is coordinated with the other two diaphragms, in order to properly inflate the lungs.
- Intra-abdominal pressure (IAP) – This type of pressure influences stiffness of the vertebral column, as well as what happens with pelvic organ alignment and continence, including whether or not a women experiences prolapse or a man or woman can engage in sexual activity without pain.
This is a short list of issues I have seen from impaired pressure problems:
- Pelvic floor dysfunction
- Pelvic organ prolapse
- Stress urinary incontinence
- Gastroesophageal reflux
- Vocal dystonia or voice problems and vocal/throat pain
- Laryngitis or chronic vocal problems
- Neck pain
- Mid-back pain
- Low back pain
- Poor sleep and/or sleep apnea issues associated with open mouthed breathing
- Postural control issues
- Developmental delays
- Allostatic load (immune problems)
- Poor digestion
- Swallowing disorders
- Vocal fatigue
- Poor vagal tone
- Cardiovascular issues
- Persistent or chronic pain
- Vagal dysregulation and poor stress response
This isn’t an exhaustive list, but it’s some of the issues I have seen and/or that are documented in the literature. Solutions to regulate this pressure are complex, but the easy answer is to improve pressurization between the three diaphragms, or rather, optimize it. One of the ways I teach folks to do this is through something I call THE NAP MEDITATION.
Meditation, exercise, mindfulness, and other yoga or contemplative-based integrative medicine techniques have great support in improving stress response and resilience. In part 2 of this post, I’ll introduce a simple way to regulate the 3D Pressure System, called The NAP Meditation.
Get started now with this free practice below
Practice for Improving Resilience, Core Strength, & Stress Management
- Bordoni B, Marelli F, Bordoni G. A review of analgesic and emotive breathing: a multidisciplinary approach. Journal of Multidisciplinary Healthcare. 2016;9:97-102. doi:10.2147/JMDH.S101208. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4778783/
- Bordoni B, Marelli F, Morabito B, Sacconi B. Manual evaluation of the diaphragm muscle. International Journal of Chronic Obstructive Pulmonary Disease. 2016;11:1949-1956. doi:10.2147/COPD.S111634.
- Garner, G. Medical Therapeutic Yoga: Biopsychosocial Rehabilitation & Wellness Care. Handspring Pub. Ltd., Scotlant, UK. 2016.
- Saunders K. Recent advances in understanding pelvic-floor tissue of women with and without pelvic organ prolapse: considerations for physical therapists. Phys. Ther. 2017; 97:1-9.
- Komisaruk BR, Whipple B, Crawford A, et al. Brain activation during vaginocervical self-stimulation and orgasm in women with complete spinal cord injury: FMRI evidence of mediation by the vagus nerves.Brain Res. 2004;1024(1–2):77-88. doi: https://doi.org/10.1016/j.brainres.2004.07.029.