River Valley

Moving Out of the Pain Pattern

Mary Ruth Velicki MS, DPT


There is evidence that the structure of the nervous system can change, and this beautiful capability, which is called neuroplasticity, can help us heal. Starting in the early 1990s, evidence of neuroplasticity started to emerge that supported the notion that the nervous system could change and adapt with practice and experience.


When I was working with clients with neurological disorders, we often used the concept of neuroplasticity as support for our treatments. After an injury to the nervous system, many of my clients would often be able to move in only a few movement patterns. This pattern of neural and motor activation was habitual and compelling. If pictured like a flowing river, this movement pattern would be a fast current along steep banks, so it was the most likely response. During therapy, we would provide manual cues and support to help our patients with brain injury or stroke experience a different type of movement, and then we would set up practice activities that required them to use this new pattern. I saw many people with stroke or brain injury move in new ways during their treatment session, but it took lots of practice before this novelty became a habit. Using the river metaphor, we helped our patients create a tributary to the water’s flow, which at first was small but with more use could become wider and deeper.


These experiences gave me hope when I was dealing with chronic pain. I thought that if I could experience something different than pain and then repeated it over time, this way of being for the system might become stronger and eventually become my dominant way of being. I hoped that by activating different neural pathways that were calming and pain-free, the over-sensitive or prominent pain pathways would quiet down.


Over the years, my body-mind learned to adopt this relaxed state for more of the time, not only in therapy and quiet moments but also in daily life and stressful situations. Using the river metaphor, I experienced that it was possible to create a new stream and to expand it into the main route. Once a new pathway was developed, I could then choose how I wanted to travel. 

From: Healing with Awareness. Activating the Body-Mind-Spirit Connection to Restore Health and Well-Being

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