116: Pain Language with Shelly Prosko (Part 1)
When people turn to yoga in search of healing, they often carry with them a lot of pain. As yoga teachers, it can be challenging and frustrating to know which words to choose when communicating with our students and giving cues, particularly for those who are dealing with persistent (chronic) pain. In part one of this two-part interview, Shelly Prosko joins Shannon to talk about this topic in a way that makes it playful and fun.
Shelly is a physiotherapist, yoga therapist, author, international speaker and educator with over 20 years of experience in the field. She is also a Pain Care Yoga Trainer, and works to expand knowledge and education on topics surrounding persistent (chronic) pain, pelvic health, compassion and professional burnout. She is currently co-authoring the textbook, Yoga and Science in Pain Care: Treating the Person in Pain.
Shannon and Shelly discuss the concepts of pain and some of the science behind pain (hint: it’s not a ‘thing’, it’s a phenomenon and an experience!). When guiding a yoga class, some words we use innocently may either be empowering or triggering – Shelly shares more about some words to avoid, and her suggestions for alternatives.
This episode is full of Shelly’s tips and strategies for being more aware of language when guiding a yoga class. Whether you’re teaching a trauma-informed yoga class or just want to be more conscious of how your language can trigger and alleviate pain responses, you’re sure to learn something you can apply to your own classes right away.
Key Takeaways:
[4:43] Shannon introduces her guest for this episode – Shelly Prosko.
[5:36] What got Shelly interested in the topic of pain language?
[9:58] Shelly explains the connotations of ‘chronic’ pain vs ‘persistent’ pain.
[13:09] It’s important to have self compassion and not get too caught up or stressed about always choosing the right words.
“We have to also respect the lived experience of pain, meaning what are people in pain saying?” -Shelly Prosko
[15:39] What do the terms ‘neuroplasticity’ and ‘bioplasticity’ mean?
[19:03] When people get overwhelmed with language, they shut down – that’s why it’s important to keep conversations about language playful and exploratory.
“Our whole being potentially has the capacity for change.” -Shelly Prosko
[21:16] How can language turn someone around from their negative pain story into sometime more empowering? Shelly shares an example.
[25:23] How does Shelly approach changing the language used around pain – through explanations, or a gradual shift in language?
“Pain is the output of the human.” -Shelly Prosko
[29:27] What are some of Shelly’s cue considerations around pain language?
[34:31] Shelly shares some alternatives that she prefers to use in giving cues.
[43:23] What are some other “dos-and-don’ts” when it comes to communicating in your yoga class?
[48:51] What is your main takeaway from this interview? Share your thoughts!
Links:
- Shelly Prosko
- The Connected Yoga Teacher Podcast Episode 009: Kegels, Mula Bandha and Pelvic Health with Shelly Prosko
- The Connected Yoga Teacher Podcast Episode 114: Compassion Fatigue with Diane Liska
- The Connected Yoga Teacher Podcast Episode 115: The Polyvagal Theory and Yoga with Dr. Ginger Garner
- Neil Pearson on LinkedIn
- Explain Pain, by Dr. David S. Butler, Prof. G. Lorimer Moseley
- Explain Pain Supercharged, by Dr. David S. Butler, Prof. G. Lorimer Moseley
- The Connected Yoga Teacher Podcast Episode 092: Accessible Yoga Begins with Language with Kesse Hodge, Chantel Ehler and Katie Juelson
- The Connected Yoga Teacher Podcast Episode 067: Yoga for Every Body with Amber Karnes
Gratitude to our Sponsor Schedulicity
Wow Shelly your wisdom and compassion towards caring for the patient was refreshing. As a person with personal knowledge of chronic and acute pain I really appreciate your fun upbeat approach to healing. The biggest challenge you have is the patient has been taught by society if it’s not chronic it is not affecting their quality of life enough to be recognized. I love the term persistent it identifies more with hope and treatable. I am currently on my own personal journey to defeat neurological disorder and symptoms through self love mindful meditation and awareness and I could not be more grateful and blessed with what I have accomplished during this transformational period. Sending love and light. Don
Hi Don, Thank you for listening and for taking the time to share your thoughts, insights and a bit of your own journey with us on here. I’m grateful for your kind words. Congratulations on all you’ve accomplished thus far. I believe it takes tremendous courage to practice self-love/self-compassion – (I know I, and many others, struggle with it) and I do think it’s a key ingredient to transformation.
I agree with you, one of the barriers to recovery and healing can be the lack of support/understanding and the unhelpful messages and views that our society, and unfortunately sometimes even our healthcare community, hold. It’s not intentional, but misinformed – which is why myself and many other people are dedicated to this path of improving pain literacy and advocating for and empowering people in pain.
Don, you may really enjoy and appreciate this blog by Joletta Belton: http://www.mycuppajo.com/ She is also a person in pain and a pain advocate who is doing some incredible things to help spread these important messages and improve pain care. Her blog resonates with so many of us. She is a beacon of light and source of exceptional quality information and hope for people in pain and those of us who serve people in pain.
Best to you during your transformational journey and beyond 🙂
Shelly