Diaphragmatic Breathing for Acute Pain

Also known as Pursed-Lip Belly Breathing, Pain Relief Breathing

EasyWell-SupportedWestern Clinical Practice
4Inhale
0Hold
6Exhale
0Hold
10 min

Pursed-lip exhale with active abdominal engagement for acute pain

Practice this technique

Benefits

  • Reduces acute pain perception
  • Activates parasympathetic nervous system
  • Improves oxygen exchange during pain episodes
  • Provides distraction from pain
  • Reduces cortisol levels
  • Creates back pressure in airways

Position

  • Lying Down - Knees Folded

    Lying Down - Knees Folded

    On back with knees bent up

    Recommended
  • Seated - Back Rested

    Seated - Back Rested

    Supported back, comfortable but attentive

Lying down preferred for pain relief, sitting also works

How to practice

  1. 1Find a comfortable position:
  2. 2- If lying down: Lie on your back on a flat surface or in bed, with your knees bent and your head supported. You can use a pillow under your knees to support your legs
  3. 3- If seated: Sit comfortably, with your knees bent and your shoulders, head and neck relaxed
  4. 4Place one hand on your chest and the other on your belly below the rib cage
  5. 5Breathe in slowly through your nose for 3 seconds, allowing your belly to push your hand out
  6. 6EXHALE WITH PURSED LIPS AND ABDOMINAL ENGAGEMENT:
  7. 7Purse your lips: Create a small opening between them, as if blowing through a straw or gently cooling a hot spoonful of soup
  8. 8Begin the exhale: Start breathing out slowly through your pursed lips for 6 seconds
  9. 9Allow your belly to fall naturally inward: As you exhale, your belly gently moves inward toward your spine. Don't force the movement; it should feel smooth and natural
  10. 10Feel the hand lower: The hand resting on your stomach will provide feedback, sinking inward as your belly naturally relaxes and your diaphragm releases
  11. 11Visualize the action (choose what works for you): The deflating balloon - Think of a balloon in your stomach slowly deflating, OR The natural release - Consider how your belly naturally softens and settles
  12. 12Focus on the sensation: The chest should remain relatively still throughout. Focus on the gentle, steady inward motion of the abdomen over the full 6-second exhale
  13. 13Keep the exhale gentle and controlled - never forced
  14. 14Repeat this pattern continuously for 5-10 minutes, working up to 10 minutes per session
  15. 15Practice 3 times per day for at least 2 weeks for optimal pain reduction benefits

Good for

Acute pain episodesPost-surgical painInjury pain managementBreathlessness with pain

Research

Evidence level: Well-Supported

  • Busch V, Magerl W, Kern U, Haas J, Hajak G, Eichhammer P. The effect of deep and slow breathing on pain perception, autonomic activity, and mood processing--an experimental study. Pain Med. 2012 Feb;13(2):215-28.

    Cited for Breathe for Your Body · Acute Pain

Safety & cautions

  • Usually safe for most people; those with acute respiratory distress or severe cardiac issues should practise under medical supervision
  • Keep the exhale gentle and steady through pursed lips. Stop if lightheaded. The brief hold should feel comfortable, not strained.