The Role of Controlled Breathing in Pain Management

Breathing is a fundamental physiological process essential for cellular respiration and energy production. Beyond its physiological necessity, controlled breathing techniques such as yogic breathing etc. pranayama, have been practiced for centuries due to their perceived spiritual and health benefi...

Full description

Saved in:
Bibliographic Details
Main Authors: Maria Wydro, Magdalena Grotowska, Martyna Łukasiewicz, Aleksandra Strawińska
Format: Article
Language:English
Published: Nicolaus Copernicus University in Toruń 2025-02-01
Series:Quality in Sport
Subjects:
Online Access:https://apcz.umk.pl/QS/article/view/57777
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832545079561027584
author Maria Wydro
Magdalena Grotowska
Martyna Łukasiewicz
Aleksandra Strawińska
author_facet Maria Wydro
Magdalena Grotowska
Martyna Łukasiewicz
Aleksandra Strawińska
author_sort Maria Wydro
collection DOAJ
description Breathing is a fundamental physiological process essential for cellular respiration and energy production. Beyond its physiological necessity, controlled breathing techniques such as yogic breathing etc. pranayama, have been practiced for centuries due to their perceived spiritual and health benefits, including stress reduction and pain management. Recent studies have explored the physiological effects of deep slow breathing (DSB), particularly its impact on the autonomic nervous system (ANS) and pain perception. Evidence suggests that breathing at a low frequency, such as 6 h per minute (bpm), enhances heart rate variability (HRV), promotes parasympathetic activity, and reduces stress and pain levels. This review examines the mechanisms underlying these effects, highlighting the role of the vagus nerve in regulating relaxation and reducing inflammation. Empirical studies demonstrate that DSB positively influences chronic pain conditions, including menstrual pain and visceral pain, 
by modulating pain perception and emotional regulation. Additionally, the combination of DSB and vagus nerve stimulation (VNS) has shown promise in managing chronic pain and improving musculoskeletal pain thresholds. Despite promising findings in menstrual pain, visceral pain, and chronic conditions, further research is needed to elucidate the mechanisms and optimize breathing techniques for pain relief. However, while DSB and VNS have demonstrated potential in reducing pain and anxiety, current research is limited in scope and methodology. Further investigations are needed to establish their long-term benefits and optimize their use in pain management strategies. This review underscores the need for a deeper understanding of the connection between controlled breathing, vagal tone, and pain relief to support their clinical application.
format Article
id doaj-art-1f47561d870c4baf812f75540463021e
institution Kabale University
issn 2450-3118
language English
publishDate 2025-02-01
publisher Nicolaus Copernicus University in Toruń
record_format Article
series Quality in Sport
spelling doaj-art-1f47561d870c4baf812f75540463021e2025-02-03T08:23:57ZengNicolaus Copernicus University in ToruńQuality in Sport2450-31182025-02-013710.12775/QS.2025.37.57777The Role of Controlled Breathing in Pain ManagementMaria Wydro0https://orcid.org/0009-0009-6397-0737Magdalena Grotowska1https://orcid.org/0009-0002-2812-7639Martyna Łukasiewicz 2https://orcid.org/0000-0002-8816-1030Aleksandra Strawińska 3https://orcid.org/0009-0009-6100-9766Szpital sw. Wincentego a Paulo ul. Wojta Radtkego 1, 83-348 Gdynia, PolandMikołaj Kopernik Hospital in Gdańsk, Nowe Ogrody 1-6, 80-803 Gdańsk, PolandUniversity Clinical Centre in Gdańsk, Smoluchowskiego 17, 80-214 Gdańsk, PolandMikołaj Kopernik Hospital in Gdańsk ul. Nowe Ogrody 1-6, 80 - 803 Gdańsk, Poland Breathing is a fundamental physiological process essential for cellular respiration and energy production. Beyond its physiological necessity, controlled breathing techniques such as yogic breathing etc. pranayama, have been practiced for centuries due to their perceived spiritual and health benefits, including stress reduction and pain management. Recent studies have explored the physiological effects of deep slow breathing (DSB), particularly its impact on the autonomic nervous system (ANS) and pain perception. Evidence suggests that breathing at a low frequency, such as 6 h per minute (bpm), enhances heart rate variability (HRV), promotes parasympathetic activity, and reduces stress and pain levels. This review examines the mechanisms underlying these effects, highlighting the role of the vagus nerve in regulating relaxation and reducing inflammation. Empirical studies demonstrate that DSB positively influences chronic pain conditions, including menstrual pain and visceral pain, 
by modulating pain perception and emotional regulation. Additionally, the combination of DSB and vagus nerve stimulation (VNS) has shown promise in managing chronic pain and improving musculoskeletal pain thresholds. Despite promising findings in menstrual pain, visceral pain, and chronic conditions, further research is needed to elucidate the mechanisms and optimize breathing techniques for pain relief. However, while DSB and VNS have demonstrated potential in reducing pain and anxiety, current research is limited in scope and methodology. Further investigations are needed to establish their long-term benefits and optimize their use in pain management strategies. This review underscores the need for a deeper understanding of the connection between controlled breathing, vagal tone, and pain relief to support their clinical application. https://apcz.umk.pl/QS/article/view/57777pain managementcontrolled breathingdeep slow breathing
spellingShingle Maria Wydro
Magdalena Grotowska
Martyna Łukasiewicz
Aleksandra Strawińska
The Role of Controlled Breathing in Pain Management
Quality in Sport
pain management
controlled breathing
deep slow breathing
title The Role of Controlled Breathing in Pain Management
title_full The Role of Controlled Breathing in Pain Management
title_fullStr The Role of Controlled Breathing in Pain Management
title_full_unstemmed The Role of Controlled Breathing in Pain Management
title_short The Role of Controlled Breathing in Pain Management
title_sort role of controlled breathing in pain management
topic pain management
controlled breathing
deep slow breathing
url https://apcz.umk.pl/QS/article/view/57777
work_keys_str_mv AT mariawydro theroleofcontrolledbreathinginpainmanagement
AT magdalenagrotowska theroleofcontrolledbreathinginpainmanagement
AT martynałukasiewicz theroleofcontrolledbreathinginpainmanagement
AT aleksandrastrawinska theroleofcontrolledbreathinginpainmanagement
AT mariawydro roleofcontrolledbreathinginpainmanagement
AT magdalenagrotowska roleofcontrolledbreathinginpainmanagement
AT martynałukasiewicz roleofcontrolledbreathinginpainmanagement
AT aleksandrastrawinska roleofcontrolledbreathinginpainmanagement