We’ve done several interviews with our friend Keith Meldrum who deals with persistent pain. One of the things he says really helps is just simply breathing.
Some patients are very sensitized, in severe pain, unable to move and/or have extremely high anxiety. These are not people who generally respond to repeated motions, mobilization/manipulation or other go to treatments.
Diaphragmatic breathing is a great strategy to tune down the nervous system and desensitize it. However, fear avoidance often prevents people from taking a good deep exhale. In this video, I go over the importance of teaching exhalation.