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Joe Tatta

Interview: Heal Your Pain Now + the fear-pain connection

February 14, 2017 By Trudy Scott 5 Comments

If you struggle with chronic pain from an injury, autoimmune disease, fibromyalgia, joint pain, arthritis, anxiety, depression or have tried everything without success, Heal Your Pain Now provides natural solutions to eliminate pain and return you to a life worth living.

I recently had the pleasure of interviewing Dr. Joe Tatta, physical therapist and nutritionist, author of this wonderful new book and a dear friend!

You can watch the interview here:

 

And here is a summary from our great interview:

What is chronic pain – it’s about protection. Acute pain like an ankle sprain tells you to rest and heal; chronic pain – persists beyond 3 months and is less about protection and more about the brain being in a hyper-sensitive state.

The human body has innate ability to heal i.e. the body has a natural anti-inflammatory process and tissue will heal in 3 months. After those 3 months it becomes less about the actual tissue and more about what is going on centrally in the brain and nervous system.

Central sensitization or the hyper-sensitive brain: we have a neural signature specific to you and your pain experience.

It’s based on what you believe about pain, are told about pain, your memories, your emotions, input from body (such as tightness), your thoughts, touch and sound.

With central sensitization pathways light up in the brain causing pain and in some instances those pathways never quiet down. The more we can be educated about pain the faster we can release this central sensitization and the pain.

An example: You and I had backpain – my life: mom is a nurse, my backpain comes and goes, I can move a little, I go to work, do some chores and basic exercise; in your life your grandmother had really bad back pain, was in a wheelchair and said back pain is the worst pain you could ever have. This may make your pain persist. Fear causes pain to persist over a long period of time.

Fear and pain: it can be actual fear or perceived; fight or flight – muscles tense around the spinal column; blood is shunted away from the spinal muscles because you’re getting ready to run or fight; when it’s persistent there is no blood flow and no healthy nutrients going to the spinal muscles; cortisol levels become elevated – they are inflammatory and very powerful at laying down memory patterns (which can make pain persist).

When you lessen fear you promote relaxation and in general pain disappears very fast.

When you hear all this the brain repatterns – you’re doing a mini cognitive behavior session just listening to and watching the video of us interacting! (I love this!)

Myth: chronic pain has to be chronic – no! Replace the word chronic with persistent because language is really important for creating these pain memories.

Myth: imaging studies like xrays and MRIs are correlated with pain. Often we see intense pain with normal xrays, sometimes no pain with awful rays.

There is also the emotional aspect – when someone in a white coat holds up that xray and says you have this issue it can start that fear response and the pain can be worse.

This fear pain connection is fascinating and I asked if it common knowledge

  • The average physician only receives 4 hours of pain science education in 12 -16 years of education – most of what they learn focused on medications, injections and surgery. We currently have a biomedical model (xray and injection or surgery, injections or medications) but we are moving to a biopsychosocial model (movement, nutrition, mindset, the brain)
  • The book has 40 pages of evidence based research (if you’re a practitioner and would like access to the papers let me know in the comments and Dr. Joe can get them to you)
  • I suggest using the book to educate yourself and your doctor

Medications prescribed for pain: Opioids (oxycontin, codeine, morphine) #1 drug prescribed for pain. CDC and NIH: You should not prescribe opioids as first line of treatment for chronic pain. They are highly addictive – 3 million addicted to them; 2 million die each year; opioid-induced hyperalgesia – the more you take the more pain sensitivity you have and the more medication is needed.

Side effects: constipation caused by opioids and you’re prescribed medications for the constipation; called OIC (opioid induced constipation) – changes the microbiome, fecal matter is bound up, you get leaky gut, inflammation starts in gut and there are impacts on neurotransmitter production like GABA and serotonin (and then increased anxiety and depression).

Other medications used are SSRIs – depression looks very similar to pain in the brain – when you heal the gut you can balance serotonin

Gabapentin and NSAIDs and benzodiazepines are also prescribed.

The book covers ALL pain – any chronic (or persistent) pain that has been around for 3 months or longer

Nutrition: diet is the #1 way to reduce inflammation – food is medicine approach; 100% whole food (if it comes in a box or a can or is made by man it has no place in your diet especially if you have chronic pain); farm-raised beef, wild fish, fruit and vegetables, healthy fats i.e. a modified Mediterranean diet.

Then use a gut-healing protocol for removing inflammation and addressing autoimmunity – remove gluten, dairy and sugar. In 3-7 days people see their pain decrease from 8/10 to 2/10.

“I don’t think I have arthritis and I don’t think I need this Aleve – I think it was the gluten I was eating”

If you slip a little and have some gluten then you realize you can’t even have any and you’re educating yourself that food is medicine. It’s very powerful

With gut healing, if you have autoimmunity take out eggs and GMOs (soy and corn) too; there is more clinical evidence around nightshades – if you can heal the gut you can often tolerate small amounts.

The ketogenic diet is last phase: 65% – 75% fat, 5% carbs (from fibrous vegetables) and the rest is protein. It’s awesome to regulate blood sugar, helps central sensitization (we know because those with seizures do really well on a ketogenic diet). With seizures glutamate is high and GABA low and the ketogenic diet helps balance out these in your brain and calms the nervous system and decreases pain; upregulates ATP (energy molecule) which helps with pain. Brain fogs goes away.

The ketogenic diet is not for someone with type 1 diabetes, who is pregnant or in acute adrenal fatigue

Do a trial of 3-4 weeks and cycle into ketosis every 4-6 months.

Intermittent fasting tricks body into thinking body is starving.

A big plane flies over at the 41 minute mark! Enjoy the laugh with us!

With intermittent fasting do a 14-16 hour fast overnight, say 6pm to 9am the next day

Mini-fasts: protein shake in the morning or evening – the meal is smaller; or use bone broth – healing for gut and collagen for your joints!

Supplements: omega-3s (2000 to 4000mg); curcumin (in oil – really important to help absorption); vitamin D 5000-10,000 IU; some kind of proteolytic enzymes; GABA for pain and anxiety and central sensitization.

If this feels overwhelming and you feel you need more support (in addition to reading the book) Dr. Joe does have a group program

It’s called Heal your Pain Heal your Life  – 6 week process, a Facebook group group, Q and A calls, and social support (which is huge if you have pain and can’t get out of house, or if others can’t relate to your pain, plus for the community support)

Movement, sedentary syndrome, sit rise test: movement is medicine and has to be in your life in some form. Even 5 minutes twice a day can help. It sends signal to your brain “I can move a bit and I’m safe”, you build confidence and fear decreases, releases endorphins, quiets down the nervous system

Sit rise test – cross your legs and lower yourself down to the floor without your hands and then stand back up. It indicates a long life-expectancy; they are not sure why – cardio effects? Balance? It tests strength and vitality; if you can’t do it – practice each day. Third world cultures sit on the floor to communicate – when you move joints in full range it lubricates them.

I’m a climber, skier, mountain biker, windsurfer and have had many injuries and worked with wonderful physical therapist and yet I have learned so much from Dr. Joe and this book! I will use it for prevention of injuries and pain and for the next time I am injured and in pain.

Dr. Joe ended by saying

Keep moving forward, we’re going to change the pain paradigm and give people their lives back!

This is the book summary:

In Heal Your Pain Now, Dr. Joe Tatta teaches you how to regain control of your life by breaking the cycle of persistent pain. Following Dr. Tatta’s program, you learn the role of the brain in pain–and how to use your brain to STOP your pain; how nutrition can eliminate the inflammation in your body, which is exacerbating your pain; and how to overcome Sedentary Syndrome and choose the best movement strategy. Dr. Tatta provides quizzes, self-assessments, meal plans, shopping lists, recipes, and exercises to support you throughout the program.

As I mentioned in the interview I really appreciate the very unique perspective Dr. Joe brings to healing from pain. His expertise from the physical therapy and movement world is so beautifully meshed with the power of nutrition! He covers the foundational information for eating an anti-inflammatory diet, an excellent gut healing protocol, healing supplements and with much fascinating reading on intermittent fasting and the ketogenic diet.

Dr. Joe explains these concepts brilliantly: the brain in pain, central sensitization, myths around pain and the biospychosocial model of pain. With the work that I do with anxious women like you (and men too), the pain connection to fear is very relevant; and the fact that stress, anxiety, post-traumatic stress disorder (PTSD), or depression are danger signals that can actually make the pain worse depending on how “sensitive” your nervous system has become.

Also, since many of the same pain medications are also often prescribed for anxiety, this book is a wonderful resource for someone with both pain and anxiety. But best of all, this book offers real solutions for everyone suffering from any kind of pain, and a solid understanding of the mechanisms.

I’m sure you’d like access to what we talked about during the interview:

  • Joe’s Pain Quiz
  • His 6 week group program Heal your Pain heal your Life
  • You can order the book Heal Your Pain Now from Amazon and get access to some bonus gifts here
  • I forgot to mention that Dr. Joe has live Q and A webinar coming up on February 22, 2017 at 7pm EST and you can register for that here so that you know exactly how to heal without medication, injections or surgery. There is new science to end – or dramatically reduce your pain.

 

Please let us know which parts of this really resonated with you and what you’re looking forward to implementing for your pain.

 

Filed Under: Books, Pain Tagged With: anxiety, Anxiety and Depression association, book, depression, fear, heal your pain now, Joe Tatta

Vagus nerve rehab with GABA, breathing, humming, gargling and key nutrients

March 25, 2016 By Trudy Scott 202 Comments

vagus-nerve

I’ve got an issue going on with my vagus nerve at the moment and the throat spasms have been affecting my voice and ability to speak for any length of time. It’s also causing this persistent dry cough, despite not feeling sick or having any respiratory symptoms. It’s much worse later in the day and gets particularly bad after about 30 minutes of talking.

I’ve been working with the very talented PT/nutritionist Joe Tatta for the last week and I am seeing much improvement already. I’m also learning so much on vagus nerve rehab.

Joe is a Musculoskeletal Pain Expert and you may recall our wonderful interview on the last Anxiety Summit on pain and anxiety.

Let me give you some of the back story. Just over a week ago I posted this message in a private facebook group of integrative practitioners/colleagues:

I’d love some help for me please. I have this ongoing spasmodic dry cough that starts as soon as I talk and gets worse later in the day. As you can imagine it’s affecting my day to day meetings, seeing clients and doing interviews, not to mention being highly irritating!

I don’t feel sick at all and have no congestion. It started after my NYC trip and a really frightening flight over the Colorado mountains!

We had the most awful turbulence and it felt like wings on the plane were going to break. People were screaming and the parents behind us were reassuring their kids saying it’s ok, it’s just like a roller coaster ride. I was sitting next to a 6’4’’ young man who had just completed training in the Coast Guard. He was also terrified and said they had taught him how to survive a boat going down but not how to survive a plane going down.

I believe my immune system got suppressed big time! The day after I got home I got the flu for the first time in 30+ years and I felt pretty grim for a day and then recovered nicely over the next 4-5 days. The flu was over 10 days ago but this stupid cough continues!

One night I could not sleep due to the coughing and decided to try and relax my airways with GABA. I know how effective GABA is for stiff and tense muscles so why not try it for the throat spasms I was having? I am now able to have a reasonable conversation for say 15-30 mins if I take 500mg GABA opened on to my tongue. Viola! a new use for GABA – pretty cool!

I must be low in GABA because I’m able to take upwards of 5 (and sometime more) doses of 500mg a day and not feel too wiped out. That’s a lot of GABA for me – 125mg to 250mg used to be enough for the anxiety I once experienced! I did have a bit of my old early morning waking with anxiety (that I used to have in my late 30s) that week of the flu but that’s now gone.

I’m also using a homeopathic called Boiron Drosera. I’ve never had asthma and don’t have much experience with it but from what I’m reading it sounds like the“cough-variant” of asthma!?

I’m asking here because I’m intrigued by this whole scary flight/depressed immunity/GABA for the spasms thing and wonder if anyone here has any insights?

Joe Tatta responded in about 30 minutes with this message:

Sounds like you have a vagus nerve problem. Potentially loss of parasympathetics. You can read some in this article but there is much more…

Here is the article he shared: Arnold’s nerve cough reflex: evidence for chronic cough as a sensory vagal neuropathy

Arnold’s nerve ear-cough reflex is recognised to occur uncommonly in patients with chronic cough. In these patients, mechanical stimulation of the external auditory meatus can activate the auricular branch of the vagus nerve (Arnold’s nerve) and evoke reflex cough. This is an example of hypersensitivity of vagal afferent nerves, and there is now an increasing recognition that many cases of refractory or idiopathic cough may be due to a sensory neuropathy of the vagus nerve.

The paper presents two cases where the cough was successfully treated with gabapentin. Gabapentin (also known as Neurontin) affects GABA levels and this why I get such great results with GABA.

Gabapentin is drug that is primarily used to treat seizures and neuropathic pain. It is also used for restless leg syndrome and hot flashes, and off-label for anxiety, insomnia, fibromyalgia and bipolar disorder. I’d love to see GABA being studied and used for these conditions especially because gabapentin can cause withdrawal syndrome: Withdrawal symptoms after gabapentin discontinuation and an increased risk of suicidal thoughts.

Joe offered to meet with me via skype and I learned that the neuro-rehab is key. I’ve been doing breathing exercises and humming every hour on the hour for the last week i.e. about 10 times a day. When I hum it’s the “happy birthday” song and I have to think of a specific birthday. I hum and smile and think about my baby sister’s 7th birthday party 37 years ago. I had just come back from Australia and I have such great memories of it! We chatted about it at the weekend and had a good laugh.

I continue to use the GABA as needed, and am also taking GPC (GlyceroPhosphoCholine) and Acetyl-L-carnitine, both of which are acetylcholine precursors for nerve rehabilitation.

Because I’ve had so many questions about what is going on with me and what I’m doing, I have decided to start this blog post and I’ll continue to add to it. I’ve been documenting what has been happening as I go through this rehab because I’m finding it so fascinating.

Stay tuned for all the details:

  • More on the vagus nerve and why it’s so important
  • Why the very scary plane ride triggered this issue I’m having
  • How GABA works to stop the spasms in 5-10 seconds (I have a video to share)
  • Exactly what exercises I’m doing for the rehab and why you need to build up and not do gargling exercises on day one
  • More details about the nutrients: GPC and acetyl-l-carnitine
  • And an interview with Joe Tatta to share his expertise (I’m the patient/client here and am in learning mode)

I wouldn’t suggest trying any of this yourself until I share more because from what I’ve learned so far, you need to slowly built up to certain of the exercises.

Updates 4/1/16:

Here is the first video (taken 3/16/16) where I share the story of the scary plane ride and my flu and the start of the throat spasms.  You can hear how my voice sounds and how quickly 500mg GABA relaxes the spasms in my throat/neck.  I share what I learned from Joe Tatta about it being connected the vagus nerve. 

 

Here is the second video (also taken 3/16/16) where I demonstrate the 3-6-6 second breathing exercise and the happy birthday song humming exercise. I have to think of an actual birthday. I hum and think of my baby sister’s birthday (you can see those photos above).  Be warned, I am what I call “musically challenged!”

Here is the third video (taken late evening 3/16/16) where you can hear how bad my voice and throat gets later in the day.

 

Here is the video taken at Heavenly ski resort on 3/27/16.  You can see me doing my humming exercises in between skiing on this beautiful mountain and how I needed GABA after a strenuous ski run.  And I summarize what has been working for me so far.  I hope you enjoy the stunning scenery too!  I feel so fortunate that we can hop in the car and visit such an amazing place like this on the weekend! It’s about 90 minutes up the hill from where we live.  

 

And here is the final video in this series (taken yesterday 3/31/16). I demonstrate the exercises I am currently doing: 3-6-6 second breathing, humming (which has improved), the yawning and the tongue massage of the roof of my mouth.  I also talk about GPC and acetyl-l-carnitine. 

 

You can probably see and hear that I am much improved and have not needed much GABA for the last two days now.  In the last week I have interviewed Dr. Josh Axe for his “Eat Dirt” book and Dr. Kelly Brogan for her “A Mind of Your Own” book.  And Dr. David Brady has interviewed me for his June Fibrofix Summit and Dr. Eric Zielinski interviewed me for his August Essential Oils 2 Summit.  For each interview I did my exercises right beforehand and took 500mg GABA half way through the interview.  

GABA for vagus nerve
I had 2 x 500mg GABA on hand for my interviews – opened and ready to use!

Update: 4/8/16

I continue to improve and have not needed GABA for 4 days and only have a very mild hint of the throat feeling late evening.  

Two days ago I added an essential oil called Parasympathetic. It contains clove and lemon and I’ll share more in a future post.  Right now I can share that I used too much the first day and had the very dry mouth I experienced with too much GPC and acetyl-l-carnitine.

Update: 4/22/16

A quick update to let you know that my dry spasmodic cough has completely gone.  I  have not had any symptoms for a week and I have stopped the vagus nerve rehab exercises, GPC,  acetyl-l-carnitine, the essential oil called Parasympathetic and GABA.  

I so appreciate all the caring and concerned comments, feedback and ideas for me!  And boy, am I grateful for Joe and his expertise!

I will still be interviewing Joe so he can share the theory and address questions so please post questions you may have. 

If any of this resonates with you or if you have any other questions I’d love to hear back from you.

Please post them in the comments section below.

 

Filed Under: GABA Tagged With: anxious, breathing, GABA, gabapentin, humming, Joe Tatta, scary, spasms, vagus nerve, voice

Balance Neurotransmitters for Pain and Anxiety: The Healing Pain Summit

September 11, 2015 By Trudy Scott 20 Comments

healing-pain-summit

Joe Tatta is a Doctor of Physical Therapy and he is putting on The Healing Pain Summit which is focused on healing pain of all kinds using an integrated approach. Having practiced Physical Therapy for 20 years, Joe knows first-hand that pain is THE thing that will stop you in your tracks … completely.  To help people with pain of all kinds Joe has brought together experts on:

  • Healing joint pain and muscle pain
  • How the foods you eat can cause you physical and emotional pain
  • Healing spiritual pain
  • Healing sexual pain

Here are just a few of the summit topics that may interest you:

  • Natural Ways To Heal Fibromyalgia
  • Your Adrenals and Pain: What is the Connection?
  • Solutions for Cancer Patients and Cancer Survivors

My interview will be: How Balancing Neurotransmitters Can Help Pain and Anxiety. I’ll be sharing new information on pain and the amino acids – something I don’t often talk about but can be a very powerful addition to a pain management program. I’ll cover how GABA, DPA/Endorphigen and tryptophan/5-HTP can help with various types of pain (and anxiety). I’ll also discuss some of the many mood and anxiety side-effects we can see with pain medications.

Here are some reasons for concern when it comes to pain medications:

  1. Glucocorticoid medications like cortisone and prednisone can actually contribute to mood and cognitive issues. A 2014 paper titled Adverse consequences of glucocorticoid medication: psychological, cognitive, and behavioral effects reports that

Severe neuropsychiatric consequences (including suicide, suicide attempt, psychosis, mania, depression, panic disorder, and delirium, confusion, or disorientation) have been reported to occur in 15.7 per 100 person-years at risk for all glucocorticoid courses, and 22.2 per 100 person-years at risk for first courses

  1. NSAIDs (nonsteroidal anti-inflammatory drugs) such as ibuprofen are well known for causing injury and bleeding throughout the GI tract, but there now new evidence of an increased risk of a brain bleed when someone is also taking an SSRI. According to a Medscape article

The combination of antidepressants and nonsteroidal anti-inflammatory drugs (NSAIDS) is linked to an early increased risk for intracranial hemorrhage, regardless of the type of NSAID or antidepressant, new research shows.

Most worryingly, conditions requiring NSAIDs and antidepressants commonly coexist; 65% of adults with major depression also have chronic pain, with both morbidities sharing common psychological risk factors and neurobiological processes.

The good news is that amino acids can be a very powerful addition to a pain management program. One example is 5-HTP, an amino acid that raises serotonin levels.  Anxiety, depression and increased pain can all be caused by low serotonin.

A paper published in 1998 and called 5-Hydroxytryptophan: a clinically-effective serotonin precursor  reports that 5-HTP

easily crosses the blood-brain barrier and effectively increases central nervous system (CNS) synthesis of serotonin. In the CNS, serotonin levels have been implicated in the regulation of sleep, depression, anxiety, aggression, appetite, temperature, sexual behaviour, and pain sensation. Therapeutic administration of 5-HTP has been shown to be effective in treating a wide variety of conditions, including depression, fibromyalgia, binge eating associated with obesity, chronic headaches, and insomnia.

You can register here https://gc182.isrefer.com/go/hpsreg/trudyscottcn/

 

Filed Under: Antianxiety, Events Tagged With: 5-HTP, anxiety, DPA, Healing Pain Summit, Joe Tatta, pain, side-effects, tryptophan

The Anxiety Summit – Nutritional Influences on Anxiety and Musculoskeletal Pain

May 11, 2015 By Trudy Scott 20 Comments

 

Joe Tatta DPT, CCN, Musculoskeletal Pain Expert, was interviewed by host of the Anxiety Summit, Trudy Scott, Food Mood Expert and Nutritionist, author of The Antianxiety Food Solution.

Nutritional Influences on Anxiety and Musculoskeletal Pain

  • Link between anxiety and chronic musculoskeletal problems
  • Fear avoidance behaviors and pain
  • Headaches, back pain, joint pain and nutritional influences
  • An exercise prescription for anxiety

Here are some snippets from our interview:

People used to think depression was more linked to chronic pain but we are learning its more anxiety driven

The chronic anxiety that people have on a daily basis kicks off the pain process

Negative thoughts, worry, doom-and-gloom about the future all come in to play, with fear being the most common emotion leading to pain

Here is the very recent 2015 paper that discusses this – Psychological functioning of people living with chronic pain: A meta-analytic review.

Joe tied fear and anxiety to adrenalin release and the effects on the muscles, specifically how the smaller muscles around the spine and in the neck are turned off. You then have less blood flow, less oxygen and less nutrients going to those muscles and that’s when the pain starts.

Joe shared the staggering number of people who suffer from chronic pain:

more than those who suffer from heart disease, diabetes and cancer combined!

We also discussed migraines and magnesium, and this paper: Why all migraine patients should be treated with magnesium

Magnesium, the second most abundant intracellular cation, is essential in many intracellular processes and appears to play an important role in migraine pathogenesis. Routine blood tests do not reflect true body magnesium stores since <2% is in the measurable, extracellular space, 67% is in the bone and 31% is located intracellularly. Lack of magnesium may promote cortical spreading depression, hyperaggregation of platelets, affect serotonin receptor function, and influence synthesis and release of a variety of neurotransmitters.

There is strong evidence that magnesium deficiency is much more prevalent in migraine sufferers than in healthy controls.

Considering these features of magnesium, the fact that magnesium deficiency may be present in up to half of migraine patients, and that routine blood tests are not indicative of magnesium status, empiric treatment with at least oral magnesium is warranted in all migraine sufferers.

He also shared great tips for when you’re sitting at your desk. Watch this excellent video on how to: Sit Less & Heal Your Back

 

Free Gift – Opt in to receive Joe Tatta’s free training video series on back pain: “The Backpain Breakthrough”

Once you’ve signed up you’ll receive information about his actual “Backpain Breakthrough” program.

If you are not already registered for the Anxiety Summit you can get live access to the speakers of the day here: www.theAnxietySummit.com

Missed this interview or can’t listen live? Or want this and the other great interviews for your learning library? Purchase the MP3s or MP3s + transcripts and listen when it suits you.

You can find your purchasing options here: Anxiety Summit Season 1, Anxiety Summit Season 2, and Anxiety Summit Season 3.

Filed Under: Antianxiety, Anxiety and panic, Depression, Pain, The Anxiety Summit 3 Tagged With: anxiety, butterbur, chronic pain, cortisol, fear, Joe Tatta, magnesium, migraine, pain, the anxiety summit, Trudy Scott

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