Klachten van gewrichten en pezen: gezien vanuit de Chinese Geneeskunde
Als je veel last van hebt van je pezen of gewrichten, baal je. Je bent beperkt je in je beweging, het is pijnlijk en niet altijd even makkelijk te behandelen. Waar komt het door? Komt het door vochtige kou? Verkeerde voeding? Is het genetisch? Stress? Welke andere factoren spelen mee? En wat kan je er zelf aan doen? In dit artikel zie je wat gewrichtsklachten met je ziel en je levenspad te maken kunnen hebben en wat je er op een dieper niveau aan kan doen.
Energie blokkade
Ooit deze uitdrukking wel eens gehoord: “Ik zit in een keurslijf”? In het Engels zeggen ze “To fit the mold” oftewel: in een hokje moeten passen. En weet je hoe dat voelt? Ken je dat gevoel dat je vast zit, dat je van alles moet wat helemaal niet bij je past? Niet fijn, zal je zeggen. Het is frustrerend, pijnlijk, het maakt je boos en opstandig. En als dat er dan ook niet mag zijn, of wanneer ‘je uiten’ alles alleen maar erger maakt, dan houd je het binnen. En dan? Wat gebeurt er dan met die energie, denk je?
Juist ja: die blokkeert, die gaat vast zitten. Ze stagneert en verzuurt je lichaam en je leven. Je energie (jij) kan niet vrij stromen. Dat is pijnlijk. Diep pijnlijk en frustrerend eigenlijk, want het leven WIL stromen. En wel precies zo zoals het voor jou bedoeld is.
Verzuring en stagnatie
Boosheid, frustratie en stagnatie hebben de neiging om het hout element te belasten. Het hout element is in de Chinese geneeskunde geassocieerd met het seizoen de lente. Dat is het seizoen waarin het leven zich wil ontvouwen zoals het bedoeld is te zijn. Als dat niet gaat – om wat voor reden dan ook – dan zal de stagnatie primair het hout element verstoren. En dat betekent o.a.: verstoring van de de organen lever en galblaas en de spieren en gewrichten. Die horen namelijk bij het hout element.
En dan zeggen we wel eens : ‘je (het) vergalt mijn leven’ of: het verzuurt mijn leven, het verziekt mijn leven en zo zijn er nog wel wat varianten, naast dat keurslijf dat ik al genoemd heb. Zo zie je ook in de spreektaal de verbanden tussen gewrichtsklachten en stagnatie van de flow in je leven. Verzuring en stagnatie zijn in de natuurgeneeskunde ook bekende oorzaken van gewrichtsklachten. Dat ligt dus niet alleen aan wat je eet. Op een fundamentelere laag, betreft het dus ook wat je emotioneel ‘binnen krijgt’ en te verteren hebt.
Karakteristieke symptomen die horen bij een verstoord hout element
- Je energie is wisselend. Het ene moment barst je van de energie en dan weer ben je zo moe dat het bijna depressief voelt.
- Pijn. Ook met pijnen is het wisselend: dan is het heel erg en precies als je dan bij de dokter zit, is het weg. Dan zit het hier en dan daar. Krampen, stijfheid en gewrichtspijnen zijn vooral met het hout element geassocieerd.
- Emoties. je kan zo maar ineens ontploffen, boos zijn, of je houdt juist alle gevoelens ‘eronder’ waardoor je depressief bent. Het kan ook zijn dat je gevoelens een manisch karakter hebben: een periode waarin je alles positief en helder ziet; je hebt er zin in en gaat er voor en dan weer een periode waarin alles zwart en somber is.
- Uitingen: Boeren en zuchten worden in de Chinese geneeskunde gezien als ontladingen vanuit het hout element. Irritatie en boosheid. Kort lontje.
Als je naast je gewrichtsklachten ook nog een aantal van de bovengenoemde andere symptomen van het hout-element zijn bij jezelf herkent, dan is het tijd om eens goed te gaan kijken naar hoe je je leven anders kan gaan inrichten.
Wat kan je doen om in elk geval af en toe even helemaal los te gaan, plezier te hebben, je passie vorm te geven? Hoe kan je jezelf weer wat speelruimte geven? Waar is het ondeugende kind in jou dat vrijelijk dingen uitprobeert, lol heeft en op die manier leert?
Qua voeding kan je denken aan ontgiftende, ontzurende voeding en voeding die de lever ondersteunt en ontlast. Ontlasten betekent: geen alcohol, geen vette gefrituurde spijzen, matig met koffie en suikers. Ondersteunen: bittere smaken, knolgewassen, artisjok e.a.
Een gezond hout-element
Als het hout-element gezond is, dan is er flexibiliteit en veerkracht in je zenuwstelsel en je bewegingen. Er is speelsheid, helderheid in denken, voelen en groeien. Iemand met een gezonde lever-galblaas energie is bescheiden, vriendelijk en vergevingsgezind, opgeruimd en lichtvoetig. De goede manager, politicus of jurist heeft een gezonde lever-galblaas energie; een harmonieus hout-element. Vaak zijn dit prettige mensen om mee om te gaan. Ze hebben veel daadkracht, kunnen snel beslissen en goed samenwerken. Er is een natuurlijke helderheid van geest en intelligentie.
Fysiek gezien zullen spieren en gewrichten soepel en veerkrachtig zijn. Je kunt snel in actie komen en daarna weer ontspannen. Giftige gevoelens en giftige stoffen zullen effectief worden uitgescheiden waardoor het lichaam gezond kan blijven.
Boekentip: De Tao van gezondheid
In haar boek de ‘Tao van Gezondheid’ gaat Conny Coppen dieper en vollediger in op o.a. voeding, meridiaan massage, oorzaken en zo voorts waardoor je inzicht krijgt in het hout element en alle andere elementen. Je leert het lichaam lezen en begrijpen. Het is het instrument van je Ziel. Je Ziel tot expressie wil komen zo, zoals ze bedoeld is: als de unieke mens die jij bent, met jouw unieke kwaliteiten. Wees er zuinig op. Er is er maar één zoals jij dus ondersteun haar en zorg dat ze kan stromen. Veel geluk!
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TEN PRINCIPLES OF NEUROPLASTICITY
Kleim and Jones* outlined ten principles of neuroplasticity that can be helpful to keep in mind in the treatment environment:
- “Use It or Lose It” “Neural circuits not actively engaged in task performance for an extended period of time begin to degrade.” An example of this might be seen in the treatment of a patient who requires g-tube feeding due to an inability to be fed orally. Over time, the circuits responsible for the swallowing mechanism may actually begin to degrade due to lack of use. Subsequently, when that patient is able to begin to swallow again, they may require additional time and trials to re-establish this process as these circuits may be a bit “rusty.”
- “Use It and Improve It” “Training that drives a specific brain function can lead to enhancement of that function.” An example of this can be highlighted from the previous discussion of a stroke patient who may have lost use of a particular side of their body and may be neglecting that side or not using it because it is simply too difficult. In the treatment setting, a technique known as constraint-induced movement therapy (CIMT) can be used to restrain the arm on the non-affected side so that the patient is compelled to use their affected limb as much as possible and improve its function.
- “Specificity” “The nature of the training experience dictates the nature of the plasticity.” From a treatment standpoint, specificity highlights the importance of tailoring an activity or exercise to produce a result in specific circuitry. For example, as discussed earlier, physical exercise can be utilized to promote vascular growth, if that is your aim. By the same token, exercises and modalities geared toward enhancing swallowing might also be related to the circuitry involved in producing speech, but may not necessarily generalize to actually producing speech.
- “Repetition Matters” “Induction of plasticity requires sufficient repetition.” One of the challenges for therapists in the rehabilitation environment can often revolve around being able to quantify how much time or how many sessions of specific therapy a patient needs to recover certain skills. Stakeholders, especially insurance representatives and the patients themselves, want to know, “How long is it going to take to get better?” The truth is, we don’t know these actual numbers, but we do know from research and study, that thousands and tens of thousands of repetitions of certain activities are needed to generate these changes. Because of this, it may take utilizing techniques such as combining therapies to provide patients the opportunities for sufficient repetition of skills. For example, to get those “thousands of steps” that a patient may need to learn to walk again, a physical therapist may have the patient walking in and between their other therapies during the day or making sure they are getting up and out of their wheelchair when they are not in their PT session. By the same token, a physical therapist could help out the speech therapist by having the patient work on memory or path-finding activities during their PT session.
- “Intensity Matters” “Induction of plasticity requires sufficient intensity.” The question of proper therapy intensity follows this concept of repetition as well: ” What is the proper dosage of therapy necessary? “How many sessions?” How long should these sessions be?’ Research has also shown us that the more intensive the therapy program, the more likely a person is to achieve results and the more likely these changes are to be maintained over time.
- “Time Matters” “Different forms of plasticity occur at different times during recovery.” This principle is based on the idea that after an injury, the brain really wants to recover, so it makes sense that the earlier you provide the opportunity for recovery through these neuroplastic changes, the better. This “early vs. late” approach is especially important to support the beginning treatment before maladaptive behaviors have a chance to spring up.
- “Salience Matters” “The training experience must be sufficiently salient to induce plasticity.” What the person takes away from the training experience and what it means to them can affect their recovery. It is important for the therapist to know what is important to the patient, as emotions can modulate the strength of training or, for example, something like memory consolidation. If the therapist can make the training or information salient and important to the patient, they can more easily remember skills or pieces of information that are important to them, as their brains are often already overwhelmed with input.
- “Age Matters” “Training-induce plasticity occurs more readily in younger brains.” As discussed earlier, younger brains are already more plastic and adaptable to change than older brains, which is important to keep in mind when working with older versus younger patients.
- “Transference or Generalization” “Plasticity in response to one training experience can enhance acquisition of similar behaviors.” In the training process, the therapist needs to have an eye toward how a particular skill or activity can be generalized or transferred to real world activities, such as increased independence in the home environment.
- “Interference” “Plasticity in response to one training experience can impede acquisition of similar behaviors.” When patients are actually able to come in for neurological treatment and that treatment is delayed, they often come in with compensatory behaviors for skill deficits, having already learned a different way of compensating, but which may not be the best way. With this, some of the challenge to learning the best way to regain a skill may involve “unlearning” some of these previously acquired behaviors.
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