The Power of Breathwork

29th July 2023 | Dr Boon Lim

Harnessing the Power of Breathwork for Autonomic Dysfunction

Autonomic dysfunction, characterized by imbalances in the autonomic nervous system, can lead to a range of distressing symptoms. Breathwork, a practice that involves conscious control and manipulation of the breath, has shown promise in helping individuals manage autonomic dysfunction symptoms. This article explores the benefits of breathwork techniques, how they influence the autonomic nervous system, and how they can be utilized as a powerful tool for promoting balance and well-being.

Understanding Autonomic Dysfunction

The autonomic nervous system regulates vital bodily functions, such as heart rate, blood pressure, digestion, and stress response. Autonomic dysfunction can result in imbalances, leading to symptoms such as dizziness, rapid heartbeat, digestive issues, sweating, and anxiety. Breathwork offers a holistic approach to addressing these symptoms by harnessing the power of conscious breathing.

One of the most fascinating things about the breath, in relation to the autonomically system is that is the only facet within the autonomic nervous system which is subject to a dual-controlled mode. This means, that unlike other aspects of the autonomic nervous system, for example gut peristalsis, papillary dilatation, sweating, temperature regulation, heart rate control, blood pressure control, the breath when we are not concentrating, is completely under the thrall of the autonomic nervous system (just like all the other systems named above). However when we choose to be mindful about the breath, we bring this “autonomically-regulated” system into conscious control. By slowing the breath, regulating it with a rhythmic cadence with a fixed inflow and outflow rate of breath (for example 5 seconds in and 5 seconds out), and breathing to the diaphragm, and breathing through the nose, we can often bring balance and control to the autonomic nervous system.

A simple exercise of only 5 to 10 minutes before we sleep and when we wake up can often make all the difference to start and end the day in resetting autonomic balance

Six steps to achieving the "ideal" breath

The ideal breath should be Rhythmic,  Diaphragmatic (or belly focussed), through the nose, slower and deeper than you are used to, and mindful. Lets go through all 6 of these steps: 

1. Rhythmic – this is probably the most important step in setting up an ideal breath. The cadence or rhythm of the breath should be fairly regular between breaths, for example, if you are choosing to do an equal inhale and exhale, you could start with 5sec inhale and 5sec exhale. But you can also choose to make your exhales longer – for e.g. 4sec inhale and 6sec exhale. Whatever you choose, be sure to be able to  maintain this breathing rhythm consistently for the duration of your practice – say for 5-10 minutes twice a day. A second component of the rhythmic breath is to make the rate of flow of air through the breathing cycle the same at the beginning of the inhale and and of inhale (or exhale). This means that the rate of flow of air coming through your nostrils or lungs should be the same during the 1st second, 3rd second, or 5th second of the breath. The consistency of practice is more important that the specific timing of breathing in and out. In time, you will be able to prolong both the inhale and exhale (but ensure you are breathing with similar rate of air flow throughout the cycle).

2. Diaphgramatic or belly breathing. To understand this more clearly, stand sideways facing a mirror and place a hand on your belly and another hand on your chest. When you take a breath in, you should notice your belly expand outwards, and when you exhale, you should see your belly button moving towards your spine. The chest may make minimal movements during a true belly breath, or perhaps only move at the extremes of your breath (deepest inspiration for example). Warning ! You may not be able to do this easily if you have been “stuck” in a paradoxical breath pattern for a long time. Don’t worry, continue to practice daily and be mindful – and you will be able to train your diaphragm to start working well again.

3. Nasal breathing: This means taking the in-breath through the nose. This slows the airflow, and may increase nitric oxide production, a compound that helps dilated blood vessels, and improve oxygen delivery to the tissues. Breathing out can be either through the nose or mouth.

4.Slower breathing: Mindfully attempt to slow the breath down. Some tips here are to listen to a music track and count bars, to match your in and out breaths. Alternatively, count in your mind to start off with, or listen to a mindful breathing podcast to get into the flow of breathing more slowly. 

5. Deeper breathing: Mindfully attempt to deepen the breath. This may well come naturally when you are able to slow the breath down. 

6. Mindful breathing: Try your best to observe thoughts and chatter in the mind without judgement. Let these thoughts pass. As a bonus, once you have been able to “still” the mind, try to bring in a positive emotion to anchor down the breathwork practice with a positive emotion such as gratitude, compassion or love, and this combination of breathing and generating a positive emotion will shift your autonomic nervous state to a more vagally shifted state (i.e shifting away from sympathetic or fight or flight dominance)

How Breathwork Influences the Autonomic Nervous System

1. Stress Reduction: Breathwork techniques activate the relaxation response, leading to a decrease in stress hormones and promoting a sense of calm. This can help alleviate symptoms related to autonomic dysfunction that are triggered or worsened by stress, such as palpitations, anxiety, or gastrointestinal disturbances.

2. Heart Rate Regulation: Certain breathwork techniques, such as paced breathing, can assist in regulating heart rate variability and promoting a more stable and balanced heart rhythm. This can be beneficial for individuals experiencing rapid or irregular heartbeats associated with autonomic dysfunction.

3. Emotional Regulation: Breathwork can support emotional well-being by promoting self-awareness, mindfulness, and emotional regulation. By connecting with the breath, individuals can cultivate a greater sense of grounding, reducing emotional reactivity and promoting overall emotional balance.

4. Improved Oxygenation: Breathwork techniques that focus on deep and diaphragmatic breathing enhance oxygen uptake and delivery to the body’s tissues. This can support overall cellular function and energy production, potentially alleviating fatigue and enhancing overall well-being.

Incorporating Breathwork into Daily Life

1. Breath Awareness: Begin by simply observing the breath without judgment. Pay attention to the natural rhythm and depth of your breath throughout the day, gradually cultivating a deeper awareness of the breath’s influence on your state of being.

2. Diaphragmatic Breathing: Practice deep belly breathing, where the diaphragm is fully engaged. Inhale deeply, expanding the belly, and exhale slowly, allowing the belly to naturally contract. This technique promotes relaxation and enhances oxygenation.

3. Coherent Breathing: Establish a steady rhythm by inhaling for a specific count (e.g., four or six seconds) and exhaling for the same count. This technique promotes heart rate coherence, relaxation, and balance within the autonomic nervous system.

4. Guided Breathwork Practices: Explore guided breathwork sessions, such as pranayama in yoga or dedicated breathwork classes or apps. These resources offer structured practices to guide and deepen your breathwork experience.

A short video from James Nestor, author of Breath - a new science of a lost art

Our team at StopFainting.com believe strongly that one of the most powerful methods to gain control of your health and wellbeing is to be able to focus on improving your breathing. Our own advice is partially informed and mirrored in this short video from James Nestor, the author of Breath, which we would recommend as an insighful and important read to all our patients who have autonomic dysfunction and who are struggling with shortness of breath.

The techniques discussed in the video can be beneficial for individuals with dysfunctional breathing patterns, such as those seen in Postural Orthostatic Tachycardia Syndrome (POTS) or other forms of autonomic dysfunction, in several ways:

Nasal Breathing:

By promoting nasal breathing over mouth breathing, individuals can improve oxygen absorption and reduce the stress on the body. This is particularly important for those with POTS, as efficient oxygen delivery can help manage symptoms like fatigue and lightheadedness


Improved Lung Capacity:

Techniques that enhance lung capacity can help individuals with autonomic dysfunction maintain better respiratory function. This can lead to improved oxygenation and overall cardiovascular health, which is crucial for managing POTS symptoms


Calming the Nervous System:

Slow, deep breathing techniques can activate the parasympathetic nervous system, promoting relaxation and reducing the fight-or-flight response that often exacerbates symptoms in autonomic dysfunction. This can help mitigate symptoms like increased heart rate and anxiety.


Breath Control:

Learning to control breath patterns can help individuals manage their body’s response to stressors. Breath holding, when practiced safely, can increase tolerance to carbon dioxide, which may help in stabilizing autonomic responses


Reducing Hyperventilation:

Many individuals with POTS may experience hyperventilation due to anxiety or stress. The techniques encourage slower, more controlled breathing, which can help prevent hyperventilation and its associated symptoms


Implementing these breathing techniques can lead to a more balanced autonomic response, potentially alleviating some of the symptoms associated with POTS and other autonomic dysfunction syndromes

Conclusion

Breathwork provides a powerful and accessible tool for individuals with autonomic dysfunction to promote balance and well-being. By consciously engaging with the breath, individuals can activate the relaxation response, regulate heart rate, enhance oxygenation, and cultivate emotional regulation. Incorporating breathwork into daily life, alongside other management strategies, can empower individuals to manage autonomic dysfunction symptoms and improve their overall quality of life. 

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