I fought RSI for several years, where wrist pain got so bad that I was afraid I would have to stop using keyboards altogether. Went to doctors, did lots of tests, even got various treatments.
I eventually found out that the problems were psychosomatic. The key observation was that when I started reading John Sarno's "The Mindbody Prescription", my symptoms suddenly started shifting from wrists to ankles. "Hey wait a minute…" was my thought — and it turned out that my mind was the cause. I don't buy all of Sarno's stuff, but even thinking about this and considering it carefully caused major effects for me.
Fast forward many years, and taking care of my mind helped my overall health tremendously. Many problems I had are simply gone. And I have a finely tuned radar now whenever something new appears — if it isn't easily diagnosable and attributable to a medical problem, it's likely psychosomatic.
For those unaware: psychosomatic issues are not "hallucinated" nor are they hypochondria. These are real issues, just caused by your mind, for example causing muscle tension or restricted blood flow.
Looking around me, I can see many people whose issues are likely psychosomatic. Unfortunately, it's very difficult to help them, because "no one can be told what the Matrix is, you have to see it for yourself" — you have to be ready to accept this explanation and deal with the mental problems.
Obviously not all RSI problems are psychosomatic, but at least some are, so it's worth looking at.
I had intermittent, debilitating back issues for years after a grappling injury in my 20s - spasms that would come in an instant or appear overnight and take me off my feet for weeks. Brutal. Multiple people recommended Sarno’s “Healing Back Pain’, and I resisted it as woo for years until yet another recommendation got the best of me. I needed to read only the first chapter to recognize that while some of Sarno’s conjecture about the actual mechanism of action may be wrong, his thesis about much (not all) back pain applied perfectly to my situation, and since then - years ago now - I’m effectively cured of my issue.
Passed the book to my dad, who had similar issues, and he’s had only a few such incidents in the intervening years - a huge improvement.
Sarno’s book saved one of my friends’ life. Her pain was so debilitating she was suicidal, but the book unlocked her ability to work through the mental connection to her pain and start to heal it.
Funnily enough, I'm facing an issue at the moment, which I assume is related, but I haven't quite figured out how to resolve.
Basically my body gets really hot when I try to fall asleep and it really sucks, but I get the sense it's related. Like I can't let it go, so it becomes this whole thing, except I'm not quite sure how to approach it in this context.
You probably already know this because it's absolutely the top cause of what you describe, but eating raises your core body temperature, and people who eat within an hour or so of going to bed frequently experience this symptom.
I think if he multitasks during said hot shower he might have an easy solution to try tonight. Also keep the thermostat/ambient temp like way down at night. If its freezing around him the body heat is actually an adaptive thing potentially
1. Have you tried a weighted blanket? I bought one this summer as I don't have a/c but find it hard to fall asleep without the feeling of a big blanket covering me. I found this one[0] from Bearaby which is wonderful. It's weaved together so doesn't provide much/any warmth. Just a lot of soothing weight.
I have similar issues with sleeping hot. I bought a similar open-knit weighted blanket from yaasa this year and really like it.
Having a small fan blowing air over me also helps quite a bit (the Vornado 5303DC has a remote and can adjust in 1% increments which is very nice for adjusting temp a bit during the night).
He should fiddle with the thermostat first (low low low) but I agree with the fan thing, although its more of a white noise thing to me as opposed to the sensation of wind blowing (over) you
Sorry, is this an insomnia discussion or like a "I'm hot before bed" independant of how the sleep goes kinda deal?
I would advise against cold showers/baths/immersion as the will shock you into wakefullness and vigilance. Can't see how there's any evidence for that actually working. Its like saying "Ya, I turned my phone as bright and blue as it goes up to and I STILL couldn't sleep" :/
As a counterpoint, some years ago I developed a severe case of elbow pain (classic golfer's elbow, not that I play golf) in my right elbow. I stopped bouldering, got a vertical mouse, started carrying my kid only on the left arm. Nothing helped.
Then I did a little research and found a YouTube video that recommended muscle exercise instead of rest, using torsion bars. I bought those and did the exercises for a few weeks. Pain went away and hasn't returned.
Sarno doesn’t claim that soft tissue injuries are never real. Stuff like golfers/tennis elbow usually manifests with a clear overuse cause from strain in exercise. But this sort of thing where people experience debilitating pain from… typing, or their back seizes up when they pick up a bag of groceries. A lot of those cases can have a big psychosomatic component. There were two things in particular that I found interesting and that made my back pain shift around and leave when I read his book (paraphrases):
Chronic pain is culturally dependent, some countries have a lot of RSI, some don’t. Chronic neck pain from whiplash is a bigger deal in some places or in some decades than others.
If you give an X-ray to some one with chronic back pain a certain percentage of them will show bulging disks. If you give X-rays to a random group of people of the same demographics a similar percentage of them will show bulging disks, with no correlation to back pain.
The Tyler method you used for golfers elbow is a different example of a a rethink in treating other types of pain. It does have a plausible mechanism that runs counter to the traditional treatment, and it probably works as explained, encouraging healing and tissue remodelling through increased exercise-induced inflammation from eccentric reps. But… it’s also plausible that the quality of the paper describing it and the thrill of counter-knowledge helps make it work even better.
Both the right exercise and not obsessing about a change or pain in your body is a good way to get rid of join pains, trapped nerves, stiff muscles, etc.
Obviously people should watch out for the signs of common chronic diseases, but in my experience I get far more aches and pains when being less active. Going to the gym once or twice a week and doing some compound exercises will help vastly, even after just a few weeks of regular exercise.
Oh, and get a good chair if you are sitting a lot, it's definitely worth it.
I eventually found out that the problems were psychosomatic. The key observation was that when I started reading John Sarno's "The Mindbody Prescription", my symptoms suddenly started shifting from wrists to ankles. "Hey wait a minute…" was my thought — and it turned out that my mind was the cause. I don't buy all of Sarno's stuff, but even thinking about this and considering it carefully caused major effects for me.
Fast forward many years, and taking care of my mind helped my overall health tremendously. Many problems I had are simply gone. And I have a finely tuned radar now whenever something new appears — if it isn't easily diagnosable and attributable to a medical problem, it's likely psychosomatic.
For those unaware: psychosomatic issues are not "hallucinated" nor are they hypochondria. These are real issues, just caused by your mind, for example causing muscle tension or restricted blood flow.
Looking around me, I can see many people whose issues are likely psychosomatic. Unfortunately, it's very difficult to help them, because "no one can be told what the Matrix is, you have to see it for yourself" — you have to be ready to accept this explanation and deal with the mental problems.
Obviously not all RSI problems are psychosomatic, but at least some are, so it's worth looking at.