El Podcast de Marco Antonio Regil - 354 - El dolor: La señal que tu cuerpo no quiere que ignores - Marco Antonio Regil, Alan Abruch y Sara Beneyto

Episode Date: December 16, 2024

¿Es normal vivir con dolor?En este episodio hablamos de algo que afecta a millones, pero que pocos se atreven a cuestionar: ¿por qué hemos normalizado el dolor crónico?Junto a Sara Beneyto, psicóloga clínica, y Alan Abruch, experto en neurociencias, exploramos: cómo este dolor impacta nuestras emociones y nuestra vida diaria, y descubrimos por qué no es nuestro enemigo, sino un mensajero con una lección importante.También compartimos herramientas prácticas para romper el ciclo del dolor y recuperar bienestar físico, emocional y social.Acompáñanos y descubre que sí hay una salida, ¡y está en tus manos!¿El dinero te estresa?La salud también tiene que ver con tu tranquilidad, y el estrés financiero puede ser uno de los mayores enemigos. Por eso, quiero invitarte a mi masterclass “Cómo generar más ingresos con menos estrés”, donde aprenderás a cambiar tu relación con el dinero para enfocarte en lo que realmente importa.Es completamente gratis. Regístrate aquí: https://almamatters.com/dinero-audio Mira el episodio en video en: https://youtu.be/-1Ty6MDipxUSigue a Alan Abruch: https://www.instagram.com/alan.abruch/ Sigue a Sara Beneyto: https://www.instagram.com/sarabeneyto_/ En mi canal de Telegram, accede a contenido e invitaciones solo para fans. Únete en: marcoantonioregil.com/telegramDescarga GRATIS nuestra revista digital y encuentra información inédita del episodio de la semana. Da click en https://marcoantonioregil.com/aprendamos *Importante: Nuestros invitados son expertos en sus temas y reflejan su conocimiento y su punto de vista, siendo conscientes de que cada una de las opiniones es totalmente personal. La información, datos, comentarios, estadísticas que se presenten en el Podcast de Marco Antonio Regil, son de exclusiva responsabilidad de quienes las emiten y no representan, necesariamente, el pensamiento de Marco Antonio Regil o de la producción del podcast.

It's normal to live with this is that is normalized and there are people that have been decades of their with a lot we've got used

to try to immediately to get from the dolor the pain the anxiety the stress the depression

it's horrible because then literally your life your life is in piccada and pickada every

a bit more a person that has been a good a degree of depression is much more prevalent

to feel the anxiety the same history is the The pain, the that govern your life and you

do you do the things that you'd do you're in doing the things you're doing what you're

that's the thing that's a stress mental, the pain in a muscle the pain. The dolor not is the

person, the problem, the same how we can't be more, just on the ira because at

final we feel like very frustrated. What do you think you as you ascentivis about this

aceration of that the mind you can't that just only a pro badita and the podcast will be goodest, because the

theme of the Dormonical is something that much people have normalized. Of course with the economist, listen to you this statistic, the dolor is an

epidemic silenciosa that it affects to the 25% of the population world. The dolor is to be living and live and live

with with with with with with the paradigm of how the problem the dolor chronic to to be able

to do it's what we're going to explore today in the podcast. Living with aches, living with

with dolor, no, it's not to be normal and there's a solution. And today we're going

to be how affect the life. Because from the most simple of oh, no, no, I

want to get to get to the house, I'm going to this dinner, or no

I want to do this visit, but there people, there's to get his

dreams, to have his funes, because live with a chache chronic,

with a problem how it and what are the solutions? We're many things with two

great experts that came in the program. Sarah Benito, psychologist, a clinic, creator of the platform digital of therapy in line

and careosamently will be in us also. And also Alan Abruch, master of neurosciences, specialized in

biomechanica and physiology of the movement. So, we're going to learn much we're doing. We're ready

and we're going to do. Episode 354. The podcast of Mark Antonio Regile is a production of RGL

and all his rights are reserved. Alan, welcome to the program. How are you? Much of you're not

to be here. Very happy, very happy to be here. That's good. That's good. That's good. It's normal

to live with a lot? So, this is it has normalized and there people that has done

with a time, I think, I have a deal that me says that the day that doesn't

do it doesn't know that's a matter? Is normal to live with a lot Alan?

No, no is normal. No, not normal and all these phrases simply are examples of how normalize

the living with with the world. Inclusive, we're going to a way to a time quasi-comical. The day that no me

do to nothing, I'm going to be dead. That's the type of phrases that only normalize the only

that we've been normal. Dichro of a manner very point- not-n- not-n- and I

differed with the economist in-in- that is a epidemic silenciosa.

Because not is nothing silencius. Of- actually and a very impactant

for the felicity of the people. The dollar is something supervalent every way there's more

and it's very important to understand to the problem multifactorial in where there multiple elements that can get

to conformar and they can get to maintain it and then to make it they're in they're

to be in a pandemic no, is it's it's a not a secret but nobody

about it doesn't not say no it's 25% of the population that has a lot of the news like the pandemic in your moment

but of the effect to affect it what's the person to all the people when all the people that's all the

people when the people live with the time with achaches all the time what is what you have you have noted

you that's you know well principally there's a series of emotions that they're in the

people who payces in the person that payces in to specify the DOLOR CRONICO versus the AgU-WO. The DOLOR AUO is

that type of DOLOR, that is more natural, because it's necessary for the supervivency. It's a problem that

is a case if me do in the head and it's a day or a moment-it- and,

then, in some way me is a message. It's useful and is adaptive So the

question that we'd have to do it, not is that me dole, but why me

dole the head. So I identify the because of the problem and I'm ati that need to

be a good, that I'm really my alimented in a way adequate and when

subsaned that cause the the dolor then it disappears. That type of the

pain that is more normal because it's mechanism of superbevency now the normal

the stom a thing but but living with a But the

DOLORC But the DOLORC-CORCORCLE, you know, normally the DOLORCORNICO BINEVRIENE or a

modification in the circuits neural that what they're that the cells and the fibrousers are sensibilize

and a stimulus and a stimulus, like, for example, a carisia, I'm Cuerdo,

in some kind of a reason, cause a cause a cause a more. So,

when that's What does the time-on-day during a period major to three months

that's how it's a thing that the pain of the mind of the head of the

day, a day, no, but I don't, I'm recurrentently during

a month with a time, two months, so then we

do a diagnosis, we do not what emotions. there are associated

to a person that has a person who really, particularly, the

frustration, the disperation, the ira, because we're enojados with

with us, with the why, me dole, how I could look at this solution, this alternative. And this

generate a a tristesse profound that can give to that we have to we'll get we'll get

anxied, that also retro-alimented the because when it's been demonstrated that when I

feel anxiety or I have depression, my my, let's receptors of

the dolor can be the noniceice that is the perception of the pain, so I'm

a lot more more strong than what really we're saying that is and, again, we're also, we're doing my

system immune and it can make more propens to acquire to grab the diseases or to get those that's horrible.

It's horrible because then literally your life is in picada, in piccada, every bit has less, you start

to play more defensive. I mean it's what I want to do, do you do, Alan? You start to do things that you like. And there's where really

the realer problem of the when it's when it's to be accompanied by the limitations. The dolor, as well, you know, says, Sarah, really is a system a supermently

elegant, part of the system nervios and central that us permit to identify that something that's wrong. But, but we've been accustomed to try

to immediately to die of the dolor. The dolor is the enemy. The dolor is the messenger. And when we're

sending a message of that something we're going to make a message. It's like if I go in the

coach and I'm going to my family and it's a point to make a foeqito that says revise the motor.

Immediately I'm to review my coach me saying that something that something I'm to pause, I'm going to

pause, I'm to parar in the second mecanic and I go to go back

because the coach can make that's that may and that put in that you

put in the that I'm when I in a dolor and simply recurro to

talk to an anti-inflammatory or an analgesic I'm blocker the capacity of my body of my

body to get to the problem. We're talking about the difference between the

dog and the problem. And basically we're talking in a term of time, in

a spectrum, in a fact of the other we're not dysceptive, we have we're not

neuropatic What are those things for going to learn a associated

normally to a process desmelinisant is that the cap protective insulant of the nerves central is a

known as well as for the chasionados, the cells encargated of these are the oligodendrosites in the system

nervouso-central and in the system of the peripheral, the cells of the cells make this recubriment and in

many occasions different elements can lastimar this cap of milina what that generates a dolor neuropatic

dolor nosyseptive done by every cellula in our body, each tissue, has certain sensors

called mechanoreceptors. And the mechanoreceptors are specialized in communicate multiple stimulus. For example, stimulus of temperature, that's called thermoreceptors.

We're saying if I'm talking something or something or a baro receptors. We're saying how strong is the pressure that I'm seeing.

And noisceptors that are that's communicating if what is happening me has to or not me is doling.

But I think it's even more important, not just to talk of the time and the prevalence of

the pain, but I'm to do it like a problem or a or a dogmatic.

The dolor traumatic is and all the world know the one of the knee. Why me

do the knee? Because I because me came and me did a guamazzo in the

roadia. No, there other, no there's no there to be

to do it. In this case, that's that's the lesion, was a tendon, was a ligament,

was a a muscle, was a muscle, and to boarder a time of a simple and simple and to make sure

to get to the entire of the other type of and it's the most conductive to the

chronic, which is the dolor idiopathic, the word idiopathic means that there

no there a cause apparent. No me happened nothing, no me came,

no me I'm chocked, and, de I was up a dolorcille in the spalda. Normally we want to go,

but what you comment to Sarah is fundamental. More than to ask us, how to the problem, we have to

make the question, where is the problem? What are the factors that in first place,

can be precipitating the apparition of this and in this enormous prevalence of the dolor

chronic, exist as one of the point fundamental in terms of the lumbar. The dolor is spalda.

The most common that exists. It's the most common that is the most common that the energy estimate that approximately the 30% of the population Mexican in some moment of their life will suffer of a crisis aguda of lungar.

This is a grand epidemic and if could tell something very brief of my experience in the last 15 years, attending primarily to persons with a muscle skeletal dyskeletical

predominantly themes of column I didn't see a chaus not before not I'm not I'm

people of 20, 21, 22 today I'm doing to people people of 20, 21, 22, 25,

30 years with arnias of disc and this is something before. Why is happening

more more now? There are many factors for those we could

we we're we one of the factors most important is

we're we're we we're passing much time sent those the life sedentary is going to

control and the number of hours that we're going on the telephone also we're not going to we're going to all the

damages and the processes detrimental of our use excessive of cellular. I imagine that with your patients

has seen the incidence of anxiety and even depression and there's much much literature to respect

of the consumer of the social so that the time of the telephone to try

problems psychological and physical And so. And so much. One alimental the other. The pain chronic has many more friends. A person that has some grade of depression is much more prevalent to feel a pain. Anxieda?

Same story. A person that had a mal night of a dream, a person that has a mal hygiene of the suione, is more prevalent to feel a pain. A person who has an inflammation systemic is more prevalent to feel a person that's perhaps

is a situation for a situation emotional difficult is more prevalent to feel the blood.

Deshidatation and the pain stress and stress and the pain and it's

a circle vicious in where the the the is a factor and

maybe the damage histological is the damage to the the contractura

muscular or the discaster in the discaster or the lesion in a ligament

are a factor, but what is happening with the rest of the domain of the life of the person? How is your alimentation? How are their creencers? For suppose, that if I took a experience very strong with a dolor

very agudo in times pastos, my cerebrose will accordar. And the second time I see a lot similar, my cerebral is going to accorded and it's hyperinterpreted that signal of the dolor. That's just hypersensibility central.

So, then there are much factors that generate that the the problem that's

that's the problem and it's very important desmenusar these factors. And when

one has a lot chronic, I was my and I'm my co-and- and the

cause of and I go and I went and I've been the and I'm because

I'm a good, it's because I'm to do you and when you know, you know,

I think of the part of the truthus and the depression is is that is that this is that

this is this is that I'm going to have to live with this and I'm going to be a racketa or you

know I'm going to be a little and the and the brain is for the and then

that's a part of the disorder and one I don't think you this is what you

say what was the one of the guy the the the

problem is in a another measure in some for the condition for the

problem or was the way so like said Alan, a momentitist,

is just a circle of vicious. We don't know if it was first the problem that decadener, that's state

of a presentent that derived in depression or vice versa, because if even the people with

people can have more factors of vulnerability, to have depression and that's the restes,

and the people who have had anxiety and depression, have more factors of vulnerability

to be a lot, and for example, here, talking also, about the

the syndrome of indefension aprendida, that is just when it's the the pain that you know does the things that you

would be doing, but you know, we're doing, you know, does the things that you can't have, to be,

to be able to do that a lot of things. Evito to get the family, evito,

I'm to get to get to do it, I'm trying to take a job where I

have to move, but just the problem is that not me I'm moving. And there

is where, really in the majority of the case, even in my experience, radica, the principal problematica. The body is a machine. It's a machine very complex. The body needs a maintenance. And the body will be to functionar

adequately, ever when we give us that maintenance. That maintenance radica in the pillars basic and fundamental of the health. Necessitamos water, a quantity adequate of water. 35 millilitros for kilogram of

Pesh of the recommendation that's a recommendation that's not a little bit of two litre

for all of a person of 85 kilos and a person of 60 kilos they need have requirements need a

hygiene of the food and we need to a food and and various fruits and fooders quantity adequate of

intake proteic we need to a adequate a stress and we need to a body A body more

a less a little than a little bit more particularly in the context of the problem

chronic, because about the problem chronic physical, dehating for a

moment, the pain from a point of view of emotional or derivated of a

trauma maybe, a muscle skeletal and physical for all the

people that have the pain, migraias, dolor of spal, ernias

of disc, derisis discasts articulation, broncs of rodilla, and it's

a cause, but it's a little to and the point, it's

present all the time, or there's there's people who say, yeah,

one of the time, I'm to take a time to make a or a time,

or every time I have crisis. The problematica in that we're

we're we're in we're not we're exercise, the muscles start more

deible, and the muscles have a function very punctual. The

muscles us move and we're not at the other other side the

the way the question and the problem of the pattern of lineation very

specific top the the body, the line rects

function as the process of the and in the center

we we're to the column the the column it's

a a column a power the capacity of the

function of the muscles not detain them adequately. But if the muscles are so they're down to detain't they're going to detainees. They're going to be dysfunctions mechanics and posturales and ultimately

this will precipitate to that our system of carg, our system oce, is it's not positioned and us carry in mal. This ultimately will generate processes of compression. What signify a process of compression? Something in some part will be more apachurrado

than what it should be able to be. And this normally is generally in column. The curbatura lumbar of the column is convex. The curvature of the spada-alda-alta is concava. The objective of that a curve convex cargare to a curve

concava, an S, is that when there is a cargaretical function like a resort. And this resort is designed to amortiguer the pesoer and distribute these cargars, all the disc intervertebral, which are these sponges that we have to be vertebrae. What maraville

of design, no? When it begins to see to be the design is perfect. The design is perfect and really would be that if we're entering, we're almost, almost at levels, including cellular, we're going to to find things that are things that are in science fiction. And at

levels macro, at level of stability, also we have a design very fantastic. But for that these curvatures and this stability can't, the muscles have to be strong. What is the

problem with the muscles? It's very easy to have muscles Firmary Firtes when we have 15 years and 25 years. But it gets a moment in where we're a muscle muscular. And this is something natural and it's about for processes biologics, simple and simple and simple. A part of the 30-8thos, in the case of the

women, in the case of the women, also the case of the women's in the tap perimenopausica and menopausica, but it's acelera a period of mass muscular. And it's estima that the 40 years, we'll

a 1% of muscle per year. This is the only a point of the 50 in the 20 in

the 20% is increment a 1.5 to 2% annual and at the 65, we can't

we'll we'll have to a 4% of a 4% of muscle if

if you do you do do you do do you if we let's

I'm going to disappear no but if does this exercise If this exercise, we can maintain or disminute

the ratio of the period. We can't say that that process natural of the per die of muscle be a little more less less lent or, even during many years

we have a ventana anabolic what means. We have the capacity of the capacity of muscle. But for to grow mass muscular,

the muscles need to be exposed to a thing that's called tension mechanical. Carg,

effort. One person is more resilient when it's expuesta to adversity. The same applies in the

muscles. In the psychology. If we're sitting all the day and we're sent us in the day, and we're

on the transport, sent us in a officeine working on a computer because I'm designator,

abogado, communicator, periodista, architecto, marketer, secretary, we're we're sitting.

We're sitting all day and then we're going to house, we're to sit us, we're going to sit to see me

the TV. I'm sorry. Or to get to be in cellar. And summally things toxic,

it's rummying, don't know pausita. This conversation to continue. It's putting a

interesting. I'm to conclude to your point. And obviously I'd be to understand from

the point of view of the psychology and of the neurroscience. I mean, I'm, I want to

tell you that's what you're talking, obviously, but also that now, I'm let me

about what when it's at the reverse, when I have many times, tants problems in my mind, I remember that when me to go to get a lot of

back, I don't know I could even move, because it was a relation incompatible, that well, for her and for me, that we, that we don't we

because, but why the problem psychological, is a manifest in the body? What is,

what is in the brain, what's going, but I, but we're, we're going to the other

other side, a pause, and we're on the podcast. You have done that that's done

that's getting more more stress and agotamient? Travahs and you work and

you're working that's sufficient and your life personal is suffering even your person who

is already that you think that you you're a visitant occasional imagine to get more

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my plants and I don't for abandon I'm I'm also

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plantas will be to grow click in the league or link of this publication

or well in the button that's also you know that's you

get to get us we're to learn together and to get our

potential without we don't get we know and

Sarah Benito are with us Alan not is saying

I'm I'm so I know I see more that

listening, looking the podcast is to put nervous because Alan is narrating this story of the

immobility of the life modern and how it's about basically the body and

then the chachques start to start super fastimely I think that

you that you're going to you're a way simple, if we sit down,

we're we're we're just we're doing we're not, the the person,

the when the muscles don't do they're they're doing the they're

they're to to carry and to detener and move to the way to this ultimately

generate that these curbs that's curbat this curbatura lumbar, this curbatura dorsal start or

eliminated. This is known as a rectification of the loridosis lumbar and also

there's this phenomenon in the cooctification of the lordosis cervical when the person

says, I've been the question these rectifications impact in a very pointual

the capacity of the column vertebral. This generates, obviously,

a process of compression, and this is what ultimately desgast the discos abombados, discos

desidratated, discos, protruid, ernees of disc, are different types of processes of

degeneration of the discal. And ultimately, this, not is a energy of the disc

is a place, for the place to a raise nervous, and this raise

nervous, so we contact, we, we can't, we, we're a

Famosysmasea, or depending the level and the contact forminal, where the nerve, and depending on what nerve you can get to get a

contacter. The most common is the sciatica. We can't to inventable all the medicamins to the acyatica. The most

common is one that's one that's a pre-gabalina, and there's another that's basically make a a function of neurosuppression.

Disminueen the perception of the but not are a origin. The origin. Me

me? I'm but if there solution. All this that's describing obviously

it's chas chas, chas all rata a rato, at a rato, to dole because it's a dollar,

more other more other dolor, then a rathito yeah me dole all, I'm

to get me, come down. But obviously there's a solution. There's a solution but the solution implic a problem.

And we need to understand that the pain chronic, well, then are

not they're not being no with a car with an emergency that I'm

an emergency that supervision medical, but the work physical has to get there. Well,

the job psychological. So, this is important because, Alan, what is

what you're doing. I'm really, I'm just the part of the exercise physical is

fundamental also to segregar serotonina, which is the hormone related with the

health that also that also does also that you also, also,

also to work the part social, the relationar us with other

people of a way presential, the manner real, no connections a

through the services because there we're going we're going more is the creation of

dopamine, that is a hormone related to the pleasure and that has benefits

much but also a short-plas what we're that's a long process

that would the serotonina that we could do with the part of

the exercise physical so so it has many many

benefits a level postural as as about the

the pain, with rehabilitation, with the part physical, but also with the part psychological. And here is important because before, once you mentioned, taking the example of the auto, of the coach, the coach has four four rods that we need to advance. And from the point of view, in

the that I manage, like, all the part of the body, is the part physical, that is the that's mentioning, Alan, that congeal postural, that congeal rehabilitation, force. Well, all this part. This is the part psychological,

that, for the course, is super important, how we learn to get to all those

emotions with the pain. The pain the anxiety, the stress, the

depression, how we can feel we're also, gestioning the ira, because at final we

feel very frustrated. Apart of that, apart of the therapy psychological, with an infoke

cognitive conductual that us help restructural pensions, limitant, and interpretate a way

different in the reality in that we've also. It's super important the part social, as I mentioned,

and the pharmacos. We're talking just of the pharmacos. When I have a good, I can

take a a bit of a little the pain, but what what happens with a problem

that's a lot of the car, so that the coach advance, that is the part

pharmacological. So, not only is psychotrapia, not only is part physical, but also is part of physical, but also is parted, and pharmacos.

All right, in a dosis idonia for the disease, and working with these four things, there should have a great more or alivio

in the dolor. Now, there is something to take to the mess that I've seen in patients young,

as you know, you see, that you've many many people with fashions of disc, with siatica, that could checkarse,

even, I mean, it's quite to say, it's quite to be in the world of the time,

well, well, how is possible that the young is being auto-medicating, so they're medicated

with any any kind of opioid to disminuiting the dolor chronic. So, first,

that's very, that a person young, has done a dolor chronic, but when that's

so that's that, just for a lesion, for an accident, a new, a relationship, related to diabetes, cancer, fibromyalgia,

or so, how we're going to give us as a first option an opioid? The opioid is, well, morphina, metadona, or, I mean, there's many and they're using of them because really if there's much more efficacia

in the perception of the pain, but the addiction and the sequela psychologics, that segregate, So, that's that's different, all the

effects secondary of the consumption of opiaceos is incredible. And apart, how is

possible that we're in situations of those with people very young.

I'm the use in patients that are in in in a

way, in the care of but in these moments of

really surprise the person that that's that's that way

in instead with the four Rued, of what I've to comment to

the four Pilares fundamentally. It's for the way rapid, definitively. But this is super important.

I mean, to be contemplar the part psychological, the part physical, the part pharmacological with... With supervision

medical? Exactly. With the supervision medical and the part social. Of actually,

there are groups of people, groups of support, that, well, for start

a person that has done a therapy, I feel an incredible alivio at the

power. It's like a way of a caris and to liberate that pressure that's a time, to not

about the people who the time, because at the final, also the people who are around

of that person are, well, can't, and, and, so, and so,

that can show, they can't make a time, but at the time, I'm not

I'm trying, I'm a little is a little bit a to be able to explain that I can't do for this reason. But when they're in groups

of persons that are in pain chronic, it's incredible, how they're just to talk of the pain. Simply they can't talk of other things because no have the necessity to be going to start explaining one and other

again, what is what they're seeing. So, that me is very much morebulous. Also, we've seen in psychotapia, muchisimed benefits in the art therapy, any type of expression artistic,

it helps much to gestioning the and there are pages in internet that exist

where they can be art, either in form of painting, or yeah in form

of sculpture of persons with pain chronic. There is a pain

exhibit, which is a page just where recogent works of persons with

pain chronic that they make catarsis to express their emotions

and to be a way, to work to be a way focalized and to

a way the perception of the problem. Because it's like a kind of mindfulness

that we're in the moment present and that makes the focus to the attention to

be concentrated all the time in the time. Now, I know,

I'm saying some because a time has been another time. I don't

see now or more has a more you have to get to the conversation.

But I do I'm want to a stress mental

the having a mal relation or to have problems in the work or pressures, how, what happens in the brain that's, that the stress mental is transformed in a in a muscle, in the

back, or in a place in the way, in the way you're in the kwe, you're going to have a massack and you're a, how,

how, how, how, how suede this? There are many factors, but a explanation a little technical, I'd try to do it to do the most

technical possible. the the cerebral has multiple regions totally specialized in a

function and they're in a function. No, there's a nuclear specific on

the brain. The problem is the result of multiple structures

of the brain in conjuncting to that perception. The

dolor is a perception. Because I'm even I have a body

or the shoulder or the the color is integrate in the Cerebron. And there are many structures, for example, the cortecese singular anterior,

the talamo, that functioned like a species of antenna that transmitting to different parts of the cerebrose, prefrontal, jugs, the hippocampo a piece, the amygdala a piece of a paper,

the insula, jose, all these structures are going to permit me experimented this and they're to use, what is my

experience past in relation to this dolor. When I experimented much stress, When I experimented stress and stress chronic, stress-sustenied and not have the mechanisms

to gesturing the stress, commences to be a proliferation in the Cerebrose of some factors that are glucocorticoids. The glucocorticoides ultimately are to develop subsequently the proliferation of three factors. A factor is interferonas,

other factor is interleuquinas, and other factors It's a sound very feo, but it's a tumor necrosis factor alpha. No, it's to be able to tumors.

Simply, simply as if they're called. These factors stimulate doing a feedback negative. So, the

cerebrose, hyperreactive, hyper-vigilant ante the pain. What me is the point, and

we're going to get to Sarah. Imagine that I'll say, I'm going to come

back, in your trajectory of your car or where they were to where were to

where we're in this moment. How many how many cars vied? No, I don't tell them.

Because they were putting attention. But if I said to say his house, I said, I said, the way to

go to do you do you know, I'm going to make much attention and counten how many can't make sure,

I've said a response, me would have been said a number specific. So, what's if you want to

you want to buy a carmionette never to get to make. Yeah, and not

a mark of a car to buy. I want to want to get to to start. This is a phenomenon

very interesting and it's a one of the attention there's a and where I'm I'm referring with the conscience

no I'm refer to a way more more I'm not I'm refer to your integration of your integration of

what you put your attention there you you're derived to that you're to manifest to

manifestar a and there there's a study very interesting made made by some

people who were the Simon and Shabli are the the of the question

if it was 1999 or 1999 but in the publicion scientific is very important

to give the references and the cites and the letter of this article for that you put in the

comments and if if anyone wants and it can't learn. It's an experiment that is a

very famous and it's a group of people of people and they're sitting and

they put a front of them and the page there's a

video and there there and there are three people besties of black. The three

of black are going to pass and a ballon of basketball and the three of the black and the three of them to be

going to be a ballon of basketball. During a minute, I want to put in attention and counten how many

passes are not to do the people. Then they're on the video and the people are

putting much attention, they're counting to the passes but they're moving erratically

in a salon. Termine the video and they're how many how's how's past

you one And you, 22. And you, 21. Ah, the 22 is very good. And you, 22, perfect. And you, 21.

Mal. And at final, they're saying, O'gan, and you, did you know, and they said, what gorilla?

And they're a guy. And they're a big gorilla. There was a big gorilla. There was a person,

and a botarge of a lot of that's like, it's a mid-of-the-tom, in a half-tom, does so, in the video, he

he gets with his puns in the peach, like a guy, and he's, and he's, and a-of-court, some solid,

seven, eight seconds. If you don't have been having been the passes, you'd

have seen think it, and the people, they're not they're not, because, because they're

they're not being they're not this is a metaphor, this is a way power to be

to our attention, and where there flue the conscience. And if we're thinking

obsessively in a problem, we're going to be practically much more receptive to him.

Me explained? Here is where there's many of the things

derivated of the psychology cognitive conductual to to get these

things recurrentes in quite to the problem. If not we

we're an approach integrative to really to to start the

of the way correct, complete, and over all the people start to

move to make to make a thing that we're not the point that we're talking after a time.

And it's a concept that's called kinaceophobia, the the fear to the movement.

And this is something and in many occasions it has to be to

a point of a view that way that way to the therapy of the

biomechanica more than the we're we're to to create a

more to have the tools, to have the way and to put it a little to and in a

way specific a way dosified, to a way progressive can't increase the resiliency,

musculoskelete in the because this all the way, this is they're going, me explain.

Now, again, on the crisis of opioids that you know, I don't know so if I passed

like with the gorilla that if did you answer and no I did the

answer? What is what? Why my my cerebral of stress is a nude in my

back or it's a pain in my shoulders? So, because somatized? What is what is

what you do you know to understand? To understand it better? So, what's the proliferation of

glucocorticoidus proliferation of these factors activation of system immune and

gestion or mode of stress, mode of alert. Me the person, the

person, the an alarm. The is an alarm. Mark Antonio, this that you're living not is a

sustainable. It's an alarm in the head, the nudo in the spalda? The problem, the

dolor, the dolor, the thing is the word, the word, but you don't move, but if you

don't you do you know, if you know you do you do you, if you're and at final of the

day, no we can get to to put a word, this dolor deriv a X or the

or the Z, is a a pain that's created for multiple factors.

For that the stress plays a important importantism. For that there's

a process of somatization. For the same you can't have a contractura muscular and

you can't have a urnia of disc. But, but for the other side a

important. For the other other side something, it's there's a person

to get a a clinic and us and it has a resoncia

magnetic and you you And you say, wow, this person is super-mal, no, we're able to not able to

and come in front and he says, you know, you know, and you're doing this, you know, a little bit of the morning, but then whatever, okay.

And for the other other side, and you send to a person and you send a music before, and you say, ah, well, you see, ah,

well, it's, oh, there's no, no, there's a lot of, the structure are in form, and not really

a process of of generation in Coluna, it's very well, and get a person arrastran

of a when you're in in both cases, in the person who the damage in not report a

problem so much what are then those other factors, and is what we have the psychology? The part psychological.

What is the creency of the And just what you comment is Alan me suen the case

famous of Joe dispensate he took an accident and well, obviously the

doctors they said here you're not at here you want to be a lot of put it I'm doing

a super resum but he said it's it's hour to put in practice all what

I've just showing to to my students so he's to work with the

mind with the visualization and so he's to imagine how

was coming of the hospital, but not only only with the visualization, but also, even cremending that was really, the power of the

mind in the creency of that I'm able to do that has a possibility restructural every one of these cells. So if I'm

imagine that each one of the vertebrates start, well evidently with certain knowledge about how functioned

the vertebra, to recompone, there's a great possibility, of course, to obtain, alivio, or mechore

in the the of the syndrome of the Miamro Fantasma but there

people who have been amputation of some member of the person, a man,

a arm, a piece, a different circumstances, and the 95% of

the people that have had been some kind of amputation of

some of a person, manifest on to have a in that

Membr that now so how is possible if we if we identify

the dolor as a the body and not is that part of how is possible that me is doing or how I'm doing that

so that's what we're talking of the centers of the heart that are multiple centers that are in the Cerebro

principally and that obviously there is that's the part psychological fundamental for those

that are that only you're that only other type of therapy is super important

that we'll make an effort for understand how intimately that is related to

the problem with the brain psychological with the emotions and how we can

do, if not Joe dispenser if something something something very very

very good a little pause when we let's we're we're going to talk

three things in the last segment because are extensive

one one if if scientifics about this asseveration that the

mind you can't be you know I'm not scientific and millions and millions and millions of

people who don't we don't seem to who you think we're because what you're saying what you

dispenser just something is a question. What is the truth? So what is the question?

So I'd say this asseveration of there things that I can cure with my mind

that not means I'm going to go to take my medications, that no means, I'm going to

suspend the treatment the treatment, because I'm to cure it and not going to take chemotherapy.

No, I'm saying that's, because that's, it's a, something, something, but what do

you think, you know, then the thing of the opioids, that you was to say about the

and then that's we're going to be, that's the relation to be, or if

is that there's that there there's between the longevity. The people that the person that's the pain

chronic, live in the and when you're going to get to get to the origin with the four Rueas

the car of the auto that you mentioned it, it could be that I'm back back. We'll be

a pause. Again, you know is a lukho. Your body is your home. Alcans

your maximum potential. Lugues to Viernes to the morning, the central of

Mexico in the channel of YouTube of Group Forma. A see we're

a way welcome. The mind the mind curate. Be your first because I

go very very strong with this response. I know where you go to you know

and I think you want to do that interesting. I want to I'm I think.

I think definitely that nobody has the no idea absolutely. There

there there are different in basis to the formation of the person

and to the experience of the people so the people

can be puram are to understand the life from what

can be to what we can medire empirically and what can be with the five

things but what I'm going to express to do you want to all that is purely

my opinion and why this is important because why we we're we're

we're going to we're the diversity of opinions and if if well this is what I firmly

think in based to all the evidence that we have today is important

that respect us all the type of opinions. So, not it's like one has the reason,

and the other not, definitive but in based to their experiences and and creencers

are, then they're putting over the message that I think that is valid and super

valiant. And not I'm talking about that I think I know that I know,

we're saying we're doing that's about the studies in based students, we're

So the power of the mind is demonstrated scientifically, there's much, muchissima, muchissue, I reiterate the much literature

to respect, and I'm sure, and if it definitely the power to sanar. So what you says Joe Dispense has a

certain 100, yeah. I want to put my a shunner I mean. I know

I'm a second to make a little bit. I'm sorry, I'm sorry, I'm I'm sorry, I said,

I was perfectly that you was to about about the part of 100% scientific, but just I want to

just want to just I'm going to play a because I think that I'm going to see that

not all the we can't see what we're not all the five senses is what exists. I mean I

know I can't see the aleteo of a most a no not sure

that's a camera and so there are many many things that I'm putting

not I'm understand at level medical and many responses that not

we have a day of today And there are many people who are very that are in that

what we call us spirituality, tomorrow we'll we'll call us like it

a year, we thought we thought we're and, well, we know, so we're so we're

the psychology has been a few years to be accepted as a concept, the

mindfulness has a little time, and that is where I don't think I'm

very ignorant of the science because I know I studied and not I'm

scientific, me I feel very confused because there things that before there are science, to the same

medicals, they were, they were bruchos and those were, they were to get a women,

they were they were to get them, they got to get them to get them and they're doing the

evidence that we've been over years, like to go to to go, to get us,

to medit to, I'm saying that we're doing, we're we're doing, we're

we're doing, we we're doing we we're doing to every person because also also

also there's there's a science behind of the effect placebo. So we can identify that

a more many of these things, if they want to call effect placebo, it's well, it's

good. So, also it's important that we go back for what we've

been scientifically, but also for what has brought very good results and that

maybe some certain institutions not decide in, then

to be to pay for study more and documenter more

there has been money for to make a study. Exactly. And no I'm going to get to

another thing. But I'm going to not going to get those pharmacos evidently because it's a grand

industry, not, to give a thing more holistic that we call us and that

can't bring very good results. You said, you say, you

have to use cameras, cameras and cameras and whatever, and we're being,

that's curate with the mind and not you know, you do you know,

because we've that's the great pillar. That's the point. So, are we

don't we don't we're we're going to be that. We're partes. First,

the things most important of any scientific, any medical, or for your effect practical of

any person in general, one of the great attributes is to be to understand that we

know we know we know we can't learn more and be to be to be

I'm not I'm disposed to in a future to give me to make sure I'm sure

of it's more I'm sure to say that's a scientific of actually because you're looking

looking, always we're always we're always we're always we're thinking a one of the books most

important that I've read is a one of a person that a author that called Victor E. Frankl

Seymanns Man's Search for Meaning The The man looks of the The father of the logotherapy.

I imagine that is one of the those books fundamentales of any people that's that you know,

he narrs his experiences in the camps of concentration during the occupation Nazi in the Second

War World and consistently one of the conclusions to the people who came to the people

that had the people that had to have indices of superviensia much major to the

people that were that were the person And this concept of the experience is something

subjective. It's something that is very difficult to study. Because for you the experience

can be different that for me is a concept very difficult to measure. It's something that's

something that has explored of multiple forms and with multiple studies. So, from that

optica, we could say that the power of the mind is incontestable. Existive.

Also, also, there multiple studies in the literature about and studying at

different levels, the effect placebo. Also, the effect placebo is something derived

of the great power of the mind. When I think that something I'm

confiding a benefit, exists the possibility that from a point of view that's

different changes. Having said that, the express phrases like,

what says Joe Dispense is certain? A bit, Joe Dispensa I said many things, me speak? And Joe dispense is a person. I don't quitted the value to that Joe Dispensa

maybe has been an accident with a lesion medullar in where one or other or three medics, they said that this is something that can generate a paraplegia or quadraplegia depending on which has been the lesion or the level of his lesion and that

that's a measure, but that in the evidence, is it's a study of case. So, in the evidence scientific, there multiple levels and hierarchies. An study of case is a experience particular of a human? No, that's more well a question, that is a narrative of a person.

When we, we're going to investigators and we're saying, hey, this person experimented something very interesting. We're going to try to medir what is what was the intervention that took and what was the result and we're going to report. That's a level of evidence because it's something

that was observed, studied, reported. But it had to repeat. But that's a person. There are multiple levels of evidence. And we can't pass from studies and narratives of case to studies with a little more of rigor scientific, to the standard dorado, that are

the studies randomized with a group of control. But even as, even as if, this is only a study, made for a pair of investigators, at the most of a rigor scientific, but what really mark the guias clinical and the procedures that, at

level global. We've opted for saying that, well, because if we've been the experiences of life of 100 years for a time, we're living more, we're living more and we're living more. And we're living multibals. After above of the level of evidence, we know what's known as Resettingas and Meta-analysis, which are all the studies that

about a topic, with criteria of inclusion and and extrusion very rigid to get to a conclusion that guide policies of the

public. When a person is a person who put in front a microphone,

has a very responsibility to understand that their words can get to the

millions of people. I'm I'm a favor of that the science says the

fact, and there multiple institutions, multiple investigators, decades of studio

to get to the conclusions that we know that at scale global help to the people to maintain and conserve their health and any person that

give a good, I respect the opinions of each of everyone. The other day I was talking with a patient that me said that was much better to their, they asked them in the studios clinicalized

has been much better than three months and me said that he's been very content because has been taking a jug of a onion. And that as the The jukego of

is the subpoena gluclisade, he's been basically the measure of your glucose in the same to the long of a period of time. He's, is thinking of having the sugaring insulin, because the juice of the onion, the juice of the beapeutic. The impact glucose in blood. No, I mean, I mean,

that's what she's the thing that's working. But not can't be doing the simultaneously the

person is doing a protocol of fortreasingment structural, is a time running 30 minutes all day.

He's doing many things, good changes in your style of my life. But the danger.

The HACA, the attributing a benefit to a factor correlation, no is causality.

Me so, then so, then there is where I said, sir, for favor,

go with your medical and expungal this case, the experience and the knowledge not so it's not much

about the neurosciences, and me limit to talk to talk to talk about to be for the

fact that I don't for the question, that I don't me does, it doesn't

do the things of all the different to the questions, we're we're

we're we're similar, as specialists that we've studied years

to do a good of a question, but when these questions and these opinions are the planteen

as a alternative for that the people modulate my is that we have to

make a case to the millions and millions and millions and millions and millions of

hours of efforts to get to these publications with different of

evidence not with a study a so, me I'm

and then I'm the power of the power of the the people that

have a lot and can loger resignificinging your and understand that I don't

I'm not I'm not my arne of disco, I'm not my depression I'm not my depression.

I'm sorry for this moment of a quadro depressive I'm sorry for this moment suffering of the

shoulder only just that the treatment medical I'm

not the treatment I'm I'm not not not it's a other

the The DOLOR chronic is an element, is a concept multifactorial. It's a requirement a boardage multifactorial that involve us the four yantas, that involucrements, that involve us a group of specialists that not they'll see and in five minutes try to have a diagnostic, about your desgaste of cadera or your tinnitus or your dolor of your tumor in column, and that

entienting that that rodilla, lastimada, or that head with rasges, depressive, exasperative, stress, stressors of anxiety is attached to

a whole a context of a life of a person. And that is inseparable of what

what does to the person. To understand the person, we can understand

their story. So, and getting to the question to,

the thing of, the thing of long there, there many

many interesting, longitudinalal, is that's sosenidensed to the long of the time,

with multiple institutions very rigorous, involved, that are about the longevity and they're about those

factors that promote the longevity. And we've encountered, for example, that one of those factors

is the VOTU max, the capacity volumetric pulmonar, the capacity of the capacity of

oxygen. Another factor, the mass muscular. Mass muscular in members inferior,

a person of 65 years that is a year of the time, his chances to die

during the years of the years of a lot of not necessarily because the cause the cause you know,

because the carida implic a fracture, a surgery, a period of reposos in two

months when you move you, it's a muscle muscle, you're much more susceptible to

things of things, I'm vulnerable. You're a person much more vulnerable. And psychologically

also I'm because you don't to move to to see to see

your to get to your friends, to get to live this level of integration social. I mean, it's where we're doing it, it's this longevity, this quality of life is the integration social. The dolor willor backer, this You know, you're going to implement your mass muscular because you don't do you can't do that exercise because you're going to be able to

really relationarty amplially in your entomern social because you're and the fourth factor, the dream. The dream is the element restorator for excellence of the biology.

If you have the most possible is that your dream also your own. So the dolor is going to get in these four dominions and

when we're we're making profound in those the dominions that can get us to get us

to be a longhebidate there's where it the problem. The problem is me do the

back. The problem is me do the back and I'm doing to do the back. And the

mind plays a role fundamental. The help the the help the

role and he's an person to make the specialists that can

give the things that can take their their health in

his hands. A through a treatment multidisciplinary that's the psychology,

the attitude mental, the pharmacos, pagos, after the public, so I'm know, I

have told, and I've told, and, a couple mother, has died of cancer, vegan,

superjugos, exercitab and all, and no he's treated the cancer. No, he's treated

because he said, with the natural, me to cure. And at final,

desperated, then he went to the hospital and he's he said, and he's no,

there's no nothing to have been with us. I've been about it and he said, and then

he said, Marko, he's been about this about it's about that's that's in this

problem, and I can't say it's with a responsibility. As the Dr. Gerardo

Castorna said in the podcast, Kareh, you know, meditation, Flores of Vach,

mentality positive, and everything, the treatment of the cancer. Adelante, for a while.

They're called therapies complementary to the four yantas of the coach that we have been

we're saying, repetimus, therapy physical, rehabilitation, therapy of hygiene postural, therapy psychological, principally,

primarily, therapy cognitive conductual, based in evidence, scientific, because is what we

we have, we have also the part social that's super important for the serotonina

and for other many things. And also the pharmacos. Now, this, this fifth

pillar is the therapy complementary, that has been seeing all these methodologies that we

know we know the power that we can get to get to make us that are

many the different that are that exist but that we can have been

put in some form to do not we don't

don't take at because really there much literature

that about the result of not to do you know that we're in not to

keep up but we're not to do you think we're what we're doing this question.

I think the those extreme are those are the question, not use the

because the mind to cure or the say me I'm going to get to get

it's important how it's important I'm there I'm there I'm

there I'm not I'm not I'm not I'm I'm explice. There are studies, and I don't

record right the name and no me would like to be wrong because it's a work fantastic. But there are studies that evaluate a through electroencephalograms the activity electric in different regions of the cerebrough when

a person is being, for example, patrons reds and of naturalness, when it's exposed to a body of water great, even when has plants in their house. There is a

disminution of electricity we're we're not we're not really that the neurons there's

a diminution of activity in regions cerebrals associated to anxiety to stress and there

an increment of activity in regions associated to calm me so I'm so

so so at the to say it pointually or filosam of

quitate the so take the a caminat in the naturalness because that will help to do you

to help to help you to help to help to get to to get to for some sometimes

from an sort of clinically really I'm I'm in a environment

so much I've learned to interpret both of the money me explained

there there there there claim that is in

immersed in the And that's what you help. To be able to be able. Now it's in the place in a place in a

medical. The thing is when the council of the point of the point of this, do you know, is that question

of style. Also. Also, also, also, also the way of the way of communicator,

well, is the interpretation not is that is a person that is very important to understand

that when I amit a message, the, the perception of that can be very important.

It's very very important. You can have to in how you communicate, for that you get to the other like my

my dear primita, that in peace and more the pain of the pain in the family, your mother

Monica, my other prima who I'm a man, my other prima, my aunt, to her, is that

not had been there. So, that if had been attended a time, otherwise

to medit , and more of the things, the other, the we could

have to we could be with us and that part is very

delicate. And to have responsibility We have the time, but conclusions finales.

Conclusions finales. No, there are to accept a life with a lot. There are

many things that can do that way. There is to make an red of help. As a point

fundamental, a body more more more than a person, more than a person

more than it's a perfection in all the interventions of style of life and the

health, we need perfectly well and do you do things and do and eat

and eat perfectly very much we need we need we need to and we need adaptate or

more well adapt to the different processes of training and of the and of the food and

according to the state emotional and the possibilities of each and go to go and get

reallyarily majorias and with this health. In where we can see you, in where we find your clinic, Alan,

for much people are going to get to go to get to get to get into many of the people,

but to attenders scientifically for a favor. The clinics are Suts are SUT are SOUD Mexico

in the Instagram arroba SudMex S-O-O-T-H a titual a title personal I'm

I'm I'm I'm content regularly about these different things in my account personal

that is arra-alan point abruch abr-U-S-H Alan with a solo L and you only fans

no I'm only fans still still but you I'm thinking that would be a good I'm considering

I'm considering an only fans but still no no no li-fans and if the kids the kids

say oh I don't have put a mask definitely but there's but there will be A latico,

Dish. Rehabilitam. Sarah, Benito, conclusions final, my name. Well,

after this out of the science, we have to read us a little. Yes, well,

complementing, well, what you have you to comment Alan, for those people who

have done a chronic say, that the the pain, that are much more

than that that are the force with that they can every

morning, with the determination with that they abhorred in the day to day and the the credence of that there's really there's possibilities more there's more than what they're

experimenting and that if they're making to share their car, they're to give us to find that there ways to help and to gestionar that

a dollar. Thank you. And where we can't find? Well, we can find in

Ciddosamente. Or in Instagram Arroba Cuitadoza Gioin Bajo Mente. We're a platform of psychotherapy

in line and bring us to support psychoemotional with basis scientific for those people that require accompaniment

and a title personal me can find in Instagram also with arroba Sara Beneito

very very much thank you thank you thank you all the social and this podcast

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No, you get to have a podcast, biario, and in vivo. Thanks, of all, our Croson. We're our

people. Thanks, thanks to the hotel, grand Fiesta American, Chaculte

in the New York that's to be in our time. Thank you for us to be

we're doing together to get to our maximum potential. Thanks. Thanks. Until the

the next.