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Poly Vagal Informed Therapy
Revolutionizing the World of Pain Relief
The Poly Vagal approach is a new take on "fight or flight" vs. "Rest and Digest".
What is the Vagus Nerve? How does Fascia react when you are stressed out? Why does "Mindfulness" help decrease pain perception? At Muscle IQ Physical Therapy we take a holistic approach to our care. We follow the Poly Vagal informed therapy approach.
Chronic pain can cause decreased Vagus Nerve activity, which increases tension in the fascia, and increases pain. We provide treatments specific to your problem and also help you reduce your stress, so you can return to "Safe" mode and get back to a pain-free life. We restore active life intelligently.
What You As a Patient Need to Know -
What is the Vagus Nerve?
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The Vagus Nerve and Its Crucial Role with Your Fascia
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Think of the vagus nerve as your body’s "cool, calm and collected" superhighway. It’s the longest of the 12 cranial nerves (number 10), stretching from your brainstem through your neck, chest, and belly to organs like your heart, lungs, and intestines. It’s a key part of your parasympathetic nervous system, which helps you relax after stress. But what’s really fascinating is how this nerve works closely with your fascia—the web-like connective tissue that wraps around your muscles, organs, and nerves, holding everything together like a supportive scaffold.
Why the Vagus Nerve Matters for Your Fascia
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Your fascia isn’t just a passive wrapper; it’s dynamic, responding to stress, movement, and even emotions. The vagus nerve plays a big role in keeping your fascia healthy and flexible by regulating your body’s stress response and promoting balance. Here’s how it impacts your fascia in ways you can understand:
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Relaxes Fascia Through Stress Relief: The vagus nerve helps calm your body by slowing your heart rate and easing tension. When you’re stressed, your fascia can tighten, becoming stiff or painful (like that "knotted" feeling in your shoulders). A healthy vagus nerve signals your body to relax, which helps your fascia stay soft and pliable, preventing discomfort or restricted movement.
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Supports Smooth Digestion: The vagus nerve tells your stomach and intestines to move food along, which involves fascia around your digestive organs. Healthy vagal activity keeps these tissues flexible, aiding digestion and preventing issues like bloating or sluggish gut movement that can strain fascia.
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Reduces Inflammation in Fascia: The vagus nerve helps control inflammation throughout your body. Since fascia can get inflamed from injury, overuse, or chronic stress, the vagus nerve’s ability to dampen inflammation helps keep your fascia healthy, reducing pain or stiffness.
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Improves Body Awareness: Fascia is packed with sensory nerves that help you feel how your body moves. The vagus nerve supports this by fine-tuning your nervous system, enhancing how your brain communicates with your fascia. This can improve posture, coordination, and even how you sense tension or relaxation.
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Boosts Overall Body Harmony: By regulating heart rate, breathing, and digestion, the vagus nerve ensures your organs work smoothly, which supports the fascia surrounding them. Healthy fascia means better movement, less pain, and a body that feels more connected and balanced.
Why This Matters to You
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If your vagus nerve isn’t functioning well (due to stress, illness, or injury), your fascia might become tight, inflamed, or less responsive, leading to pain, stiffness, or even digestive or breathing issues. At Muscle IQ we provide hands on treatments and one-on-one instruction to help you activate the vagus nerve. Practices like deep breathing, gentle stretching, and other things can stimulate your vagus nerve, helping keep your fascia flexible and your body relaxed. If you’re noticing chronic pain, tightness, or stress-related symptoms, talk to us — we will implement ways to support your vagus nerve to benefit both your fascia and overall health!
How to Measure Vagus Nerve Activity Level​
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Are you in "Fight or Flight" mode, or are you in "Safe" mode? Weakness is one way we can measure the level of activity of your vagus nerve. We test for weakness and then do certain things to stimulate your vagus nerve to turn muscles back on and restore muscle strength. There are a few "hot spots" where branches of the vagus nerve can become compromised and touching these areas can tell us what is the state of your vagus nerve.
Another one of the simplest way to measure this is to measure your Heart Rate Variability, or HRV. Your heart rate variability (HRV) can show you how your nervous system is working. Pain can put your body into a “fight or flight” mode, which tightens your muscles and tissues, making pain worse. By checking your HRV, we can understand how your nervous system is doing and decide when to focus on treatments to calm it down. This can help relax your body and reduce pain. People with ongoing pain often have lower HRV than those without pain.
An Apple Watch can measure HRV using something called SDNN, which looks at the changes in time between your heartbeats. This tells us how balanced your nervous system is. There are ways to boost your “rest and relax” system (called the vagus nerve) to help you feel better.
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Understanding HRV: Your Body's Window into Stress Modes
What is Heart Rate Variability (HRV) —it's a powerful tool we can use to check how your body's stress system is doing. Think of your nervous system like a car's accelerator and brake: the "fight-or-flight" mode (sympathetic system) speeds things up when you're stressed or in danger, while "safe mode" or "rest-and-digest" (parasympathetic system) applies the brakes to help you relax and recover. HRV measures the tiny natural ups and downs in time between your heartbeats, giving us a peek into which mode your body is mostly in.
Why HRV Matters for Detecting Your Stress Mode
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HRV isn't about your average heart rate—it's about the flexibility in those beats. Your heart doesn't tick like a perfect clock; it varies slightly based on what your nervous system is telling it to do. Here's how it helps spot if you're stuck in fight-or-flight or chilling in safe mode:
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Low HRV: A Sign of Fight-or-Flight Overdrive When stress, anxiety, poor sleep, or even chronic pain keeps your body revved up, the sympathetic (fight-or-flight) side dominates. This makes your heartbeats more regular and less variable—like a steady drumbeat during a sprint. Low HRV tells us your "brakes" (parasympathetic system, often via the vagus nerve) aren't kicking in enough, which can lead to feeling wired, tired, or unwell over time. It's a red flag that your body needs more recovery to avoid burnout.
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High HRV: You're in Safe, Rest-and-Digest Mode On the flip side, when you're relaxed, sleeping well, or handling stress smoothly, the parasympathetic system takes charge. This creates more wiggle room between heartbeats—like a gentle, rolling wave. High HRV shows your body is adaptable and resilient, bouncing back quickly after challenges. It's a green light that you're in "safe mode," where digestion, mood, and healing happen best.
In short, HRV acts like a dashboard light: Low values suggest too much time in high-alert mode (which can strain your heart, gut, or even mood), while higher values mean your system is balanced and ready to thrive.
How We Track HRV and What You Can Do
We can measure HRV easily with your apple watch. Other wearables like fitness trackers, chest straps, or even apps during a quick check-up—it's noninvasive and gives real-time insights. Tracking it over days or weeks helps us see patterns: Is your HRV dipping during work stress? Bouncing back after exercise?
To boost your HRV and shift toward safe mode:
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Breathe Deeply: Slow breaths (like 4-7-8 breathing) stimulate your vagus nerve to ramp up parasympathetic activity.
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Move Gently: Yoga, walking, or even laughing can increase variability.
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Prioritize Rest: Good sleep and downtime are HRV superchargers.
If your HRV is consistently low, it might link to things like anxiety or fatigue—let's chat about it so we can tailor a plan. You're in control, and HRV is just one more way to listen to your body. Questions? I'm here!
What Providers Need to Know -
What is Heart Rate Variability?
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Heart Rate Variability (HRV) is a measurement of the state of sympathetic nervous system activity. Pain can trigger the “fight or flight” state. This can trigger increased tone in the body’s fascia, which can increase pain in body parts that are already painful. Knowing the state of your patient can help tell you when to add some treatment focus to the patient’s Nervous System. This will decrease fascia tone globally, helping reduce tightness and pain. Studies show people with chronic pain have a lower HRV than those without pain. (See links in comments below). The Apple Watch measures HRV using the SDNN. SDNN stands for Standard Deviation of Normal-to-Normal Intervals. It’s a time-domain measure of heart rate variability (HRV) that reflects the overall variability in the time intervals between consecutive heartbeats, indicating autonomic nervous system balance, the balance between your sympathetic and parasympathetic systems. There are specific things we can do to improve Vagus nerve (parasympathetic) activity.
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No universally accepted standard scale for HRV from normal to abnormal exists due to variability in measurement protocols, populations, and devices. However, general guidelines based on professional consensus include:
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Normal HRV (healthy adults, 5-min supine recordings):
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RMSSD: 27–72 ms
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SDNN: 35–70 ms
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LF/HF ratio: 1.5–4.0 (Derived from large cohort studies, e.g., ).
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Abnormal HRV:
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SDNN <30 ms or RMSSD <20 ms often indicates autonomic dysfunction, linked to cardiovascular disease, diabetes, or high stress ().
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Extremely low HRV (e.g., SDNN <20 ms) is a strong predictor of mortality post-myocardial infarction ().
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