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Vagus Nerve Series- Part 4- Vagus Nerve "Exercises"

Updated: Aug 7

Ice Cubes- cold water can help activate the Vagus Nerve

There are many ways to stimulate your Vagus Nerve to help manage symptoms and improve overall wellness.


As mentioned in the previous three articles, the vagus nerve plays a crucial role in regulating many bodily functions, including heart rate, digestion, and relaxation responses. The activities below target the vagus nerve with the goal of stimulating and supporting its function and promoting overall well-being.


Vagus Nerve Stimulation Activities

Listed below is a brief overview of a variety of techniques that are believed to stimulate the vagus nerve. Please note that the effectiveness of vagus nerve exercises may vary among individuals and specific conditions.


It is recommended that you do further research on the specific techniques that interest you so that you gain a complete understanding of how they may impact your body.


1. Deep Breathing

Mechanism of Action: Deep, diaphragmatic breathing is one of the most effective ways to stimulate the vagus nerve and trigger the relaxation response. Practices such as belly breathing, alternate nostril breathing, or coherent breathing (breathing at a steady pace) can help activate the vagus nerve and promote relaxation. There are many different methods of deep breathing. Here are a few:


Instructions:

a. 3-6-9 Breathing  Breathe in for three seconds, hold for six seconds, then breath out for 9 seconds.


b. 3 sec in-- 8-30 seconds out.  This is a very quick inhalation for 2 seconds followed by a very slow exhalation of 8-30 seconds. The goal is to increase the length of the exhale as you practice.


c. Box Breathing:  Inhale x4 seconds-- hold x4 seconds-- exhale x4 seconds-- hold x4 seconds.


2. Eye Pressing

Mechanism: Eye pressing, or "ocular compression," is a technique that involves applying VERY gentle pressure to the front of your closed eyes. This can quickly promote relaxation, reduce heart rate, and lower blood pressure.


Instructions:

  • Press EXTREMELY gently with base of palms

  • Vision should be black, but not enough to activate optic nerve (colors)

  • Hold x3 breaths. Repeat x3

  • Reassess


3. Ear Rolling and Pinching

Mechanism: Acupressure is applied to general or specific points to stimulate the vagus nerve and regulate autonomic function.


Instructions:

Tragus Pull

Very gentle (5g of pull) pull away from your skull


Ear Rolling

Vigorously, but gently roll and unrolling the curled part of your ear lobe. Gently pull the ear lobe in different areas along its length.


Acupoints

Using your thumb or index finger, apply firm pressure (enough to feel a mild sensation, but not enough to cause discomfort) massage the acupoint with small circular motions.

Diagrams of the vagus nerve points are available online.


Ear Seeds

Ear seeds are tiny metal or ceramic balls embedded into a small sticker that is placed on specific points and can be left in place for long periods of time.


4. Voice

Mechanism: The health of the vagus nerve can often be detected in the quality of our voice, including pitch, steadiness, and power. Vocalizations such as chanting, singing, or humming can stimulate the muscles in the throat and activate the vagus nerve. When you vocalize, the vocal cords and muscles in your throat vibrate. This gently stimulates the branches of the branches of vagus nerve located in the back of the throat. Perform regularly for best results.


  • Humming/ Chanting

  • Hum softly, Or chant (“Om”, “Ah”) Feel the vibrations in your throat and chest.

  • Experiment with varying pitches, tones and scales (e.g., do-re-mi-fa-so-la-ti-do).

  • Try to hum as low of a tone as you can carry without your voice becoming shaky

  • Hum for several minutes, allowing the vibrations to resonate


Gargling

  • Gargling with water, especially when done vigorously, can stimulate the muscles in the back of the throat connected to the vagus nerve.

  • Bonus Tip- Use cold water.


5. Laughter

Laughter is believed to activate the vagus nerve and promote overall relaxation. It is of no surprise that engaging in activities that bring joy and laughter can have positive effects on overall well-being.


6. Massage the Front of the Neck

Mechanism: When gently applied to the carotid sinuses on the sides of your neck, massage can stimulate the vagus nerve through a reflex mechanism. The carotid sinuses contain baroreceptors that detect stretching of the arterial wall due to changes in blood pressure. When gently massaged, the stimulation of these baroreceptors sends a reflex response message to decrease heart rate, vasodilate and activate the parasympathetic nervous system response. This can result in decreased blood pressure and overall relaxation.

graphic image of the vagus nerve running through the neck

Instructions:

Massage in GENTLE circles at the point of your carotid pulse for about 5 minutes. Stop if you feel dizzy.

* This should be done under the guidance of a medical professional!

    


7. Tapping

Mechanism: This involves gently tapping or stimulating specific acupressure points on the face, upper body, and hands while repeating phrases of positive affirmation. It is theorized that this helps stimulate the vagus nerve and reduces “fight-or-flight’ response, thereby, allowing the parasympathetic nervous system, including the vagus nerve, to function more effectively.


The combination of physical stimulation (tapping on acupressure points) and cognitive re-framing (focusing on emotions or issues) is thought to help rewire neural pathways and potentially influence the vagus nerve's activity through the brain-body connection. Here are two simplified methods of tapping:


Instructions:

1. Tap the center of your chest for 20 seconds

2. While touching the back of the ear with 2 fingers, tap the following areas separately x5 each:

1. Right of belly button

2. Belly button

3. Left of belly button


8. Cold Exposure (This is my favorite!)

Purpose: Brief exposure to cold temperatures, such as taking cold showers or splashing cold water on the face, are known to stimulate the vagus nerve's response to acute stress. This can promote resilience to stress and enhance vagal tone over time. It can take some time to build up a tolerance, but the results are often worth the effort.


Instructions: Start with splashing face and work up to ending shower with 60 seconds of cold water. Cold exposure can also be helpful when experiencing acute symptoms such as low blood pressure or anxiety. You can also try placing a cold cloth on your face and neck, or going outside for a few minutes during the winter.

 


9. Kinesiotaping Along the Vagus Nerve

Mechanism: This technique uses the gentle pressure of kinesiotape along the neck or chest to enhance vagus nerve activity that can lead to a cascade of positive physiological responses.


Instructions: It is advised that this technique be performed under the guidance of a trained professional, but there are several videos that can provide further information. Link Here


10. Mindfulness and Meditation- Body Scan

Mechanism: Meditation practices that focus on present-moment awareness, such as mindfulness meditation or body scan meditation, can help regulate the ANS, including the vagus nerve, by promoting and reducing stress. There are many different approaches to mindfulness and meditation.


Summary of Body Scan Instructions:

  • While sitting comfortably tense and relax each body part one by one ( ex: toes, ankle, calf, thigh, hip, etc.)

  • Start at one end of the body and end at the other

  • Incorporate breathing and visualization

  • Pay attention to how this feels in each areas

  • Videos of various versions are available on YouTube


Other Interventions that are often recommended include: Yoga, tai chi, probiotics to improve gut health and mind/body communication, socialization, exercise, and fasting.


Summary of Vagus Nerve Exercises

These activities are geared to improve and support healthy vagal tone, decrease symptoms of vagal dysregulation, and promote overall well-being. Integrating these practices into your daily routine may help reduce stress, improve relaxation, and support overall health.


It's important to recognizing that what works for one person may not work the same way for another. If you have specific health concerns or medical conditions it is advised that you consult a healthcare professional before trying these activities, especially those that involve changes to breathing patterns or cold exposure.


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References:

  • Hayden, Wendy. The Vagus Nerve Gut Brain Connection: Heal your Vagus Nerve and Improve Gut Health. 2021.

  • Park, Yumi. Unleash Your Vagus Nerve. Stimulate Your Vagal Tone and Activate Its Healing Power with Daily Exercises to overcome Anxiety, Depression, Inflammation, Autoimmunity, Brain Fog, and Gut Sensitivities. 2022.

  • Rosenberg, S; Shield; B, Porges, S. Accessing the Healing Power of the Vagus Nerve: Self-Help Exercises for Anxiety, Depression, Trauma, and Autism. North Atlantic Books, 2017.

  • Weller, Melanie. The Vitality Code: Vagus Nerve Activation. 2018, 2020. Professional continuing education course. https://www.melanieweller.com/

  • Weller, Melanie. The Vagus Nerve Decompression Course. September 2022. Professional continuing education course. https://www.melanieweller.com/


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McKinney Physical Therapy

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