Controlled movement restores and repairs Patients undergoing surgery face anesthesia, sedatives, prolonged immobility, and pain medication that may compromise respiratory
function. Muscle relaxants are particularly significant for patients with weakened respiratory musculature. Movement is essential
to human health and life, but surgical patients experiencing pre- or postoperative pain frequently restrict movement and breathing.
Tissue trauma from surgical procedures takes many forms. When muscle fibers and connective tissue bonds are severed by incisions,
retractors, or physical pressure applied during the operative phase, it is no surprise that the postoperative period can be
one of intense pain. Initial painful sensations reinforce the patient's desire to remain immobile. However, by timing the administration of pain-relieving
medications to coincide with breathing and stretching, the cycle reverses. Movement relieves stiffness and tightness by stimulating
the motor and sensory nerves to produce natural pain-blocking impulses. The repair phase of healing is characterized by the laying down of new tissue fibers and collagen bonds. The longer that movement
is limited during this period, the more extensive the development of adhesions and scar tissue will be. But conscious abdominal breathing, combined with gentle, specific stretching on inhalation and exhalation, increases blood
flow to the traumatized areas, maximizes oxygenation, decreases tissue hypoxia, and promotes the flow of energy throughout
the body. Joint and muscle elasticity are restored, allowing pain-free movement. Helping the body heal itself When the patient applies the fundamental concept of conscious deep breathing during ambulation and the postoperative recovery
phase, the body relaxes, the mind calms, and the spirit strengthens. Circulation increases, inflammation recedes, and tissue
healing occurs. Our patients deserve access to all the tools available to ensure optimal health and healing. By incorporating the practices
of Zen Yoga, they can learn to access the natural energy of the universe and be centered in the place where the art and science
of healing become one.
CARLA BOTTALLA, RN, BSN, retired from clinical practice after 18 years in the medical/surgical and teaching arenas. Currently
a resident of Marco Island, FL, she is chief instructor for Zen Yoga within her local community. Bottalla is a graduate of
Loyola University of Chicago and a certified personal trainer with the American Council on Exercise.
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