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It’s not all in your head
Pain Dr. Rachel de Simone Pain Dr. Rachel de Simone

It’s not all in your head

Over the years I’ve seen a lot of people whose doctors dismissed them or made them feel like their pain was all in their head because they didn’t get better by treating their symptoms, and often the source of pain couldn’t be seen on an image. If you know my story, you know that this happened to me. I had excruciating pain and severe loss of function (I couldn’t make a fist with my right hand, so I couldn’t do basic things like hold a pen to write my name), and I had doctor after doctor tell me that I was fine because the MRIs didn’t show any signs of nerve compression.

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It’s Really Not A Mystery
Pain Dr. Rachel de Simone Pain Dr. Rachel de Simone

It’s Really Not A Mystery

I used the word mysterious because most of the people who come to see me don’t understand why they are in pain, and their doctors often don’t understand either, but I don’t think it is a mystery at all. Pain is not just the result of injury. Pain is an alert from the body warning of potential danger.

What part of the body is responsible for responding to danger? The sympathetic nervous system.

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Trust Your Gut
Pain Dr. Rachel de Simone Pain Dr. Rachel de Simone

Trust Your Gut

Did you know that your gut has its own nervous system, called the enteric nervous system, that is kind of like a second brain? The enteric nervous system has as many nerve cells as the spinal cord, and in collaboration with the gut microbiome, produces neurotransmitters that influence mood, immune function, hormone release, digestion, and pain. The enteric nervous system and the brain communicate with each other via the vagus nerve about things like nausea, hunger, fullness, emotion, discomfort, and danger. In other words, the gut and the brain are interconnected, which is why can get a stomachache when we are stressed, or get anxious when we are constipated. It is also why our digestion is affected when we are in pain, and why supporting a healthy gut is important in unraveling persistent pain.

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The power of being heard
Pain Dr. Rachel de Simone Pain Dr. Rachel de Simone

The power of being heard

We have a real problem with our medical system right now. Doctors rely on lab tests and imaging for diagnosis, but the diagnostic tests aren't sensitive enough to detect issues at the early stages. Patients are often told to just come back if it gets worse, and unfortunately, that is exactly what happens. The consequence is that it teaches us to ignore our pain and override our body's built-in protective mechanism.

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The Poetry of Belonging
Dr. Rachel de Simone Dr. Rachel de Simone

The Poetry of Belonging

Andrea Gibson, one of my favorite poets, said, "If you want to be happier, wholeheartedly welcome your grief." My dear friend Reuben Jackson passed away last week, and the waves of grief have been strong. They have brought rivers of tears and heartache, but in their own way, the waves of grief have also brought joy. It truly has been a beautiful thing to witness people from all over the world publicly share their love for Reuben, and to reconnect with old friends I have lost touch with over the years as we share our grief and our memories. I am doing my best to welcome this heartache, and to practice with it. Reuben was a deeply feeling person, and I think he would have agreed with Andrea Gibson that the only way to make it through this life is to open your heart to it all.

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Ojas Milk Recipe
Recipe Dr. Rachel de Simone Recipe Dr. Rachel de Simone

Ojas Milk Recipe

This recipe for ojas milk has lots of brmhana (building and nourishing) ingredients and is great for balancing out the depleting qualities of winter. Banyan Botanicals is a great source for ashwagandha and shatavari, and if you use the coupon code RACHEL15, you will get 15% off your order. Ashwagandha is an adaptogen that helps the body heal from stress. The etymology of the word is associated with the strength and vitality of the horse, and it imparts those same qualities. It is also sometimes called Indian Ginseng because it promotes mental focus and clarity. Shatavari is also an adaptogen whose name means "100 spouses." It is a replenishing herb that helps the organs and tissues of the body retain their juiciness. Both herbs are calming for the mind and nervous system as well.

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Yoga is more than exercise
Dr. Rachel de Simone Dr. Rachel de Simone

Yoga is more than exercise

Every part of our practice (studying philosophy, mantra, mudra, pranayama, meditation, asana, etc.) is yoga. But the true yoga is living your yoga. What is the purpose of our time on the mat if not to guide us into becoming more engaged, compassionate, and aware beings? Your personal practice informs your life, and your life informs your practice. And, this is a lifelong practice of cultivating peace in the world, starting with cultivating peace with ourselves.

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Understanding pain
Pain Dr. Rachel de Simone Pain Dr. Rachel de Simone

Understanding pain

Pain is your nervous system’s response to the perception of threat. The first step to reducing pain is understanding it. Explaining pain reduces the perception of threat, which reduces pain. As pain comes down, function improves. The next step is to figure out your triggers, and build up your toolbox to help you manage those triggers. As you balance your life, you will start to balance your pain.

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Food is Medicine: Part 1 - Digestive FIre
Ayurveda Dr. Rachel de Simone Ayurveda Dr. Rachel de Simone

Food is Medicine: Part 1 - Digestive FIre

All of Life is a Fire Ceremony

In ancient yogic texts, the first word of a text is the most important word. The first word of the Rig Veda, one of the oldest spiritual texts in the world, is agni, which means fire, and the first chapter is devoted to rituals to honor the god of fire. My teachers frequently say, “All of life is a fire ceremony,” and Ayurvedic practices center around tending to the digestive fire. This is because without fire, we would not be able to transform the food we eat into the energy we need to sustain our lives. Keeping the digestive fire strong is key to maintaining health and to recovering from illness and injury. In fact, almost every disorder or disease begins in the gastrointestinal tract and can be treated, in full or in part, by tending the digestive fire and using food as medicine.

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Come to Your Senses
Ayurveda Dr. Rachel de Simone Ayurveda Dr. Rachel de Simone

Come to Your Senses

The sensory organs are the gateway to the nervous system. They connect our outer and inner worlds by sending information about our interaction with our environment to our brain, which then perceives and interprets that information. When the sensory channels are clear, we can perceive things clearly, which helps us our nervous systems feel safe.

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Treating the Root Causes, Not the Symptoms
Dr. Rachel de Simone Dr. Rachel de Simone

Treating the Root Causes, Not the Symptoms

The most powerful medicine is often the simplest. Ayurveda looks at the context and asks, "What in the environment is creating the conditions for this imbalance to thrive?" For me, the answer is in the question. When I ask myself what sharks are in my waters, the answer is anything in my environment that disconnects me from my inner wisdom and from the wisdom of the natural world. When I think about solving every problem, it feels overwhelming. But when I think about connecting to the rhythm of my heart and the rhythm of nature, it seems quite simple.

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