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Total Health

Relaxation Exercises

Reviewed By:
David Slotnick, M.D.

Summary

Though some people seem naturally able to relax, everyone can benefit from learning strategies to relax. Relaxation exercises involve the flexing and releasing of major muscle groups. People are often unaware of how much muscle tension they have built up in their bodies until they begin to practice relaxation exercises.

Stress can affect many aspects of life, including health. Relaxation exercises can benefit heart patients in particular, as well as people hoping to avoid heart conditions. 

The National Heart, Lung and Blood Institute recommends relaxation exercises to help treat conditions ranging from obesity to high blood pressure. Reducing stress by practicing relaxation exercises can help reduce the risk of heart attack and stroke, strengthen the heart, control blood pressure and weight and improve mood. Relaxation can be increased by:

  • Spending 15 to 20 minutes daily on quiet reflection, deep breathing and peaceful visualization

  • Increasing physical activity

  • Avoiding upsetting situations, such as rush-hour traffic

  • Limiting consumption of alcohol

  • Adopting a positive outlook

Practicing relaxation can be particularly helpful while driving, before eating a meal or before going to sleep. A physician should be consulted before starting an exercise program, including relaxation exercises. 

In the car

Despite heavy traffic, episodes of “road rage” and other stresses related to being in a car, driving can offer a time of solitude and privacy if people choose to take advantage of it. Anyone can use travel time to relax by using relaxation exercises such as the following:

  1. Squeeze the steering wheel as tightly as possible for a few seconds, and then let go. Pay attention to how different it feels when not squeezing the steering wheel.

  2. Tense up the arms hard (without pulling on the steering wheel). Hold this for a few seconds and then let go. Pay attention to how different it feels when relaxed.

  3. Shrug the shoulders up high for a few seconds and then let go. Pay attention to how different it feels when relaxed.

  4. Push the shoulders forward as much as possible for a few seconds and then let go. Pay attention to how different it feels when relaxed.

  5. Open the eyes as wide as possible (blink as necessary) for a few seconds, and then let go. Pay attention to how different it feels when relaxed.

  6. Frown as strongly as possible, clenching the teeth, so that someone who saw you might think that you were angry. Hold this for a few seconds, and then let go. Pay attention to how different it feels when relaxed.

  7. Push the head as far back into the head rest as possible for a few seconds, and then let go. Pay attention to how different it feels when relaxed.

When people do these exercises, they may notice that they had been clenching muscles or holding in muscle tension without being aware of it. The exercise helps them to let go.

Before a meal

The stress response takes energy from systems such as the digestive system and uses it to prepare the body for "fight or flight." That means that people under stress tend to eat their food too fast, swallowing it without enjoying the flavor or chewing it adequately. An hour later, they often find it difficult to digest their rapidly eaten, often unhealthy food, which can lead to heartburn and/or gastric reflux. A variety of digestive disorders are believed to be stress–related, including irritable bowel syndrome. Relaxation exercises such as the following may be helpful:

  1. Find a private place.

  2. Tense as many muscles as possible, squeezing the toes, thighs, buttocks, shoulders, arms and so forth. The hands should be balled into fists, the jaw clenched and the eyes should be squeezed as tightly closed as possible. Hold this position for several seconds.

  3. When ready, relax all the muscles at once. Take a deep breath and feel the difference when fully relaxed throughout the entire body.

  4. Enjoy the meal. Spend time to notice the flavor and texture of the food. It may help to chew the food for longer than usual, to allow the flavor to be fully released around the mouth.

Before sleep

Thinking about stressful situations before going to sleep can trigger the stress response, which is the opposite of what the body requires in order to wind down and go to sleep. A relaxation exercise can help people to get their attention from their racing thoughts to their body’s need for sleep. The following relaxation exercise may be done with soft music, nature sounds (e.g., ocean waves) or a relaxation tape playing in the background. It may also be done in conjunction with a meditation exercise or breathing exercise.

Each step of this exercise can be done while lying in bed. The steps are as follows:

  1. Close the eyes and take three deep, cleansing breaths. Focus on inhaling clean air and exhaling stale air.

  2. Continuing to breathe deeply, spend a few moments focusing your attention on the toes. Attention is fully focused on this part of the body when the position of each toe can be mentally visualized. This in itself can be quite relaxing as attention shifts from the mind to the body.

  3. When fully focused on the toes, flex them as tightly as possible for a few seconds and then let go. Notice how much more relaxed they feel after letting go.

  4. Next, flex the calf muscles by pointing the toes as far back toward the head as possible while keeping the legs out straight. (Do not try this if prone to muscle cramps in the calves). Hold for a few seconds and then release, noticing the difference. Continue this alternate flexing and releasing through the thighs, buttocks, stomach, shoulders, neck and jaw muscles.

  5. Lastly, open the eyes as widely as possible with eyebrows up high for a few seconds, and then release. Once released, close the eyes and feel the relaxation throughout the body.

Questions for your doctor

Preparing questions in advance can help patients have more meaningful discussions with their physicians regarding their conditions. Patients may wish to ask their doctor the following questions about relaxation exercises:

  1. Am I exhibiting any of the symptoms of stress?

  2. Can relaxation exercises assist in treating heart conditions?

  3. Are there any medical reasons not to try relaxation exercises?

  4. Do you recommend any particular relaxation exercises?

  5. How frequently should I perform relaxation exercises?

  6. Should I still perform relaxation exercises if I already feel relaxed or at ease?

  7. Would adding physical exercise or making other lifestyle changes help to reduce the amount of stress in my life?

  8. Is it still safe to perform relaxation exercises if I am pregnant?
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