Group Integrative Breathwork for Chronic Pain

Eligibility Criteria

• 1. Men and women 18-70 years of age.
• 2. Chronic musculoskeletal pain lasting for at least 3 months as a symptom of axial pain (e.g., back, neck) or limb pain (e.g., shoulder, knee, hip, wrist).
• 3. Average pain intensity of ≥ 4/10 for the past month.
• 4. Access to internet with a valid email address
• 5. Able to lay down and stay relatively still for one hour.
• 1. Any suspicion of a medical (orthopedic, rheumatic or neurological) disease, that can fully explain the current level of severity of pain.
• 2. Chronic pain possibly due to specific conditions (e.g., cancer, infection).
• 3. Ongoing legal action or disability claim related to chronic pain.
• 4. Neurological disease (e.g. Parkinson's, multiple sclerosis, epilepsy, history of seizures) or moderate or severe symptoms from a previous brain injury, including stroke and traumatic brain injury.
• 5. Respiratory disorder (e.g., chronic obstructive pulmonary disease) or moderate to severe asthma within the past 12 months.
• 6. Activity limiting heart disease including cardiovascular or peripheral arterial disease.
• 7. Uncontrolled hypertension (i.e. SBP/DBP of \> 160/95) or orthostatic hypotension (e.g., issues with fainting).
• 8. Serious acute physical injuries or major surgery within the past 6 months.
• 9. Serious psychiatric disorder (e.g., schizophrenia, panic disorder) or mental health issues requiring hospitalization within the past 12 months or currently on antipsychotic medications.
• 10. History of hospitalization or treatment of substance use disorder within the past 12 months.
• 11. Currently undergoing curative or palliative chemotherapy or radiation.
• 12. Pregnant.
• 13. Glaucoma or detached retina.
• 14. Current participation or participation in the past 2 months of an interventional research study.
• 15. Cognitive impairment or factors that would preclude comprehension of material and/or full participation in the study.
• 16. Any significant comorbidities or other reasons that, in the opinion of the investigators, could interfere with the study or lead to deleterious effects for the participant.