The 10/29/2007 *Los Angeles Times* has an article “Doctor’s orders: Cross your legs and say ‘Om’;
Meditation, a part of Buddhist tradition, can be used by pain patients
as a stress reduction technique; Even just minutes a day can have
benefits, one instructor says.
Meditation may reduce the brain’s reaction to pain and increase pain
tolerance” by Andrea R. Vaucher.

Here’s the article:

The 30 or so clinicians and researchers sat cross-legged on cushions or
in chairs, their eyes closed, as their teacher led them through a guided

Telling them to relax their bodies and concentrate on their breathing,
author and meditation instructor Sharon Salzberg urged them to overcome
distractions such as sounds, thoughts and emotions by coming back to the
breath each time they found their minds wandering.

The goal, she said, was to still the mind. For the participants, all
from UCLA’s Mattel Children’s Hospital Pediatric Pain Program and many
unfamiliar with meditation, it was also an opportunity to observe, up
close and personal, a technique being prescribed at the hospital to ease
physical and emotional pain in their pediatric patients.

Salzberg, 55, was teaching the group Vipassana — or mindfulness —
meditation, a centuries-old Buddhist practice she was instrumental in
bringing to the U.S. after a four-year stay in India in the early 1970s.
A cofounder of the Insight Meditation Society in Barre, Mass., Salzberg
extols the benefits of a meditation practice, even if just for minutes a
day. “It’s a healing process,” she said later. “A move toward integration.”

It appears to work. In a new study, published in October in the journal
Pain, Natalia Morone, an assistant professor of medicine at the
University of Pittsburgh, tracked the effect of mindfulness meditation
on chronic lower back pain in adults 65 and older. The randomized,
controlled clinical trial found that the 37 people who participated in
an eight-week mindfulness meditation program had significantly greater
pain acceptance and physical function than a similar size control group.
Subsequently, the control group took the same eight-week program and had
similar results.

“When there is pain, the rest of the body tenses up,” Salzberg said.
“Then you have tension plus pain. Or there’s judgment: ‘I shouldn’t be
feeling this way.’ Mindfulness allows us to see what the add-ons are and
discover what the actual experience is right now.”

Increasingly, doctors across the country are recommending meditation to
treat pain, and some of the nation’s top hospitals, including Stanford,
Duke and NYU Medical Center, now offer meditation programs to pain patients.

Dr. Lonnie Zeltzer, the head of Children’s pediatric pain program,
didn’t need to be convinced of meditation’s benefits; she knew from her
own experience as a meditator. Zeltzer organized the recent training day
with Salzberg and Trudy Goodman, a psychotherapist and founder of the
InsightLA meditation community, paying them out of her own pocket and
hosting it at her Encino home so her staff would be introduced to a tool
she is passionate about.

“As a meditator, I learned the value of being present and how that
allows clarity in processing our daily lives,” Zeltzer said. “The
clinical team sees children with chronic pain who are very difficult to
treat and have been to many other specialists and feel discouraged by
the time they come to us. I felt that learning to meditate would help
the team feel a sense of balance and equanimity in the face of the
anxiety and distress brought to them by these patients and their families.”

Subject of study

SCIENTISTS have studied the effects of meditation on pain for nearly
three decades, ever since 1979, when MIT-trained microbiologist Jon
Kabat-Zinn, professor emeritus and founder of the Center for Mindfulness
at the University of Massachusetts Medical Center, used mindfulness
meditation in a 10-week program to teach chronic pain patients how to
cope. Kabat-Zinn’s 1990 bestseller, “Full Catastrophe Living,” described
the technique he used — mindfulness-based stress reduction, or MBSR.

Since then, research has suggested that meditation reduces the brain’s
reaction to pain and increases pain tolerance. It has an effect on
chronic back pain and can be an effective palliative for pain associated
with fibromyalgia and rheumatoid arthritis, studies have shown.

Kabat-Zinn’s original study was done at the university’s Medical
Center’s Stress Reduction Clinic, which has since been folded into the
Center for Mindfulness. The 51 patients in the study, which was
published in General Hospital Psychiatry in 1982, suffered from lower
back, neck, shoulder, facial, coronary and GI pain, as well as
headaches. At the end of the study, about two-thirds of the patients
showed a pain reduction of at least 33% and half showed a reduction of
at least 50%. The number of medical symptoms also decreased.

“MBSR’s contribution has been to bring the heart of Buddhist meditation
without the Buddhism into the mainstream of Western medicine,” Kabat-
Zinn said. “A referral to the Stress Reduction Clinic would now be part
of the natural progression for anyone who sees patients with a long-
standing pain condition.”

Since 1979, more than 18,000 patients have come through the Stress
Reduction Clinic. There are now more than 250 MBSR programs in clinics
and hospitals around the world.

In Los Angeles, Zeltzer refers patients to Goodman, who taught MBSR with
Kabat-Zinn in the early days of the program, and who continues to teach
the technique through InsightLA. But meditation remained esoteric to
many on Zeltzer’s team until they could learn the basics and ask
Salzberg and Goodman questions about the practice.

“Previously, we had talked about meditation in the abstract,” Zeltzer
said. “And a lot of the team members wondered how it was going to work.”

Zeltzer got interested “in the relationship of mind and body and health”
during her fellowship in adolescent medicine at Los Angeles Children’s
Hospital in the 1970s. “What led to the differences in symptoms and
suffering in adolescents who had the same disease?” she wondered at the
time. “Why were some able to endure medical procedures without too much
problem, while others fell apart?”

Realizing that the mind has a powerful effect on the body, Zeltzer used
her first NIH grant in the early 1980s to study the benefit of
hypnotherapy prior to spinal tap operations. “Spending a period of time
each day just sitting and ‘doing nothing’ was one of the most important
lessons that I learned in my hypnotherapy work,” Zeltzer said. This
journey into silence led to an interest in meditation, which increased
exponentially when Zeltzer began studying the practice with Goodman in 2002.

Now Zeltzer wants to scientifically measure the effectiveness of
meditation on kids with pain.

Converts meet skepticism

PEOPLE who have been helped by meditation, whether physicians or
laypersons, have encouraged the use of meditation in pain management.

“It was life-changing for me,” said Phoebe Larmore, an L.A.-based
literary agent who represents authors Tom Robbins and Margaret Atwood.

For over two decades, Larmore was plagued with acute back pain and
consulted with top specialists at medical centers such as Stanford
University’s and the Mayo Clinic, to no avail. At her worst, she weighed
80 pounds and was on morphine.

Then a doctor at UCLA gave her a meditation tape.

“I used it over and over and was able to have a few moments in which I
was above the pain and could get my breath and hold onto hope,” she recalled.

Larmore learned how to pace herself, running her business from her home.
But recently, “the sandpaper of living with chronic pain” got to her,
and she enrolled in an InsightLA MBSR class taught by Goodman and German
physician Chris Wolf.

“The eight-week program was one of the most challenging commitments I
have ever made,” she said. “But I found a new key that enables me to
better accept, embrace and have an instrument with which to mindfully be
with my pain and walk with it with more lightness.”

Though anecdotal experiences about the benefits of meditation are easy
to find, clinical randomized trials on meditation’s effects are rare and
in the early stages. And skepticism lurks in the wings of every study.

“When I submit articles to be reviewed, it feels like they are picked
apart very carefully, and I have to work harder to prove my findings,”
said Dr. Natalia Morone, an assistant professor of medicine at the
University of Pittsburgh who has been studying the effect of mindfulness
meditation on pain in adults. “There’s more intensity to the review
comments than if they were about a conventional subject.”

But despite resistance, Kabat-Zinn is betting on meditation playing a
larger role in medicine in the future.

“We are headed toward development of a new kind of medicine that honors
the profound dilemma of the person who presents to a doctor with
suffering,” he stated with no uncertainty. “Since Buddhism has a history
of understanding suffering, and since nobody goes to a hospital without
some kind of suffering, what better place than a hospital to be grounded
in meditation?”