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Bodily, Psychological and Emotional Well being

The vagus nerve is concerned in almost each physiological motion within the human physique and harnessing its energy can have an instantaneous and dramatic affect in your well-being.

Metaphors abound for the vagus nerve: 

  •  The superhighway of your physique, transporting important data between your mind and the remainder of your inside organs; 
  •  A symphony conductor, directing how briskly or sluggish, loud or quiet your nervous system shall be at any given time; 
  • Air visitors management, monitoring a large number of transferring components to ensure all the physiological airplanes fly safely and effectively to their vacation spot. 

In a time once we all converse the common language of hyperbole, it will be straightforward to dismiss this vagus speak as simply one other passing pattern from a wellness tradition that promotes and discards the subsequent! large! factor! for sport. (Actually.) 

However, right here’s the deal. Physicians way back to the Roman Empire1 have been grappling with how the vagus nerve impacts bodily perform. We’ve now realized that easy motion and breath workout routines will be carried out at residence to manually stimulate the vagus nerve in occasions of stress to set off the physique’s pure rest response. And for sufferers with circumstances starting from epilepsy to rheumatoid arthritis to Crohn’s illness, digital vagus nerve stimulation is providing hope and displaying long-term outcomes. The ability of the vagus nerve lies in its capacity to affect bodily and emotional circumstances which have confirmed to be troublesome to deal with with conventional drug and medical interventions. When individuals run out of choices—for medical issues or stress administration— they discover their option to the vagus, and notice the ability this one a part of our anatomy has over the complete system.

The hype is now consensus; the way forward for drugs and self-care shall be interwoven with our understanding of the vagus nerve and the way it works. 

However First, What’s the Vagus Nerve?

The vagus is the tenth cranial nerve, originating within the mind stem and touring by means of the face, neck, lungs, coronary heart, diaphragm and stomach, together with the abdomen, spleen, intestines, colon, liver, and kidneys.2 Vagus is Latin for “wanderer,” an applicable identify for the longest cranial nerve within the physique. The vagus nerve is intricately linked to temper, immune response, digestion, and coronary heart price.3

The Vagus Nerve and its Branches

Why is everybody speaking concerning the vagus nerve proper now?

Possibly you already know a bit of bit concerning the vagus already, or maybe you’re studying about it for the primary time. Now that it’s in your radar, you’ll begin to discover it in every single place, from podcasts to Fb teams to mainstream information articles. Marriage and Household Therapist Justin Sunseri launched The Polyvagal Podcast, a present about all issues vagus nerve, in February of 2019 and shortly constructed an viewers of 1000’s every month alongside his co-host Mercedes Corona. “I felt a compulsion to do it,” says Sunseri. “I actually awakened one night time at 4 within the morning and the phrases Polyvagal Podcast have been pounding in my head. I knew the knowledge can be actually good, however I had no concept what the larger image can be.”

Lisa Elliott is an aerial acrobat in Seattle who found the vagus nerve after a near-death expertise from an aortic dissection. She began the Vagus Nerve Research Group in her lounge with six buddies in 2015, and it’s morphed right into a thriving Fb group with virtually 9 thousand members finding out the vagus collectively. “After I first began finding out it, I used to be within the vagus nerve as a discrete anatomical construction,” says Elliott. “What is that this factor that may make an enormous distinction in continual diseases? However over time, I got here to see it as an anatomical map that may lead us to a brand new mind-set about our our bodies and beings, our feelings, and our interplay with the atmosphere.”

Illustrations of Vagus Nerve contributors

Digital Vagus Nerve Stimulation (VNS)

On the medical entrance, Dr. Kevin Tracey is a neurosurgeon who has carried out groundbreaking work within the subject of bioelectrics, the place a small digital gadget is implanted underneath the pores and skin of a affected person’s chest to ship electrical impulses to the vagus. He printed a research in 20024 about mice with strokes, revealing that vagus nerve stimulation turned off the physique’s manufacturing of tumor necrosis issue (TNF), a molecule produced by the immune system throughout an inflammatory response that, when regulated, is nice for the physique, however in extra can harm organs, trigger blood strain to drop, and result in septic shock.5 This prompted a scientific trial utilizing VNS on rheumatoid arthritis sufferers6 with excessive ranges of TNF that triggered debilitating ache. On the finish of the forty-two day research, the TNF ranges of research contributors have been almost the identical as non-arthritic sufferers. Their ache was virtually gone, joint swelling was decreased, and mobility had returned. Dr. Tracey has additionally had success with Crohn’s illness sufferers, and sees a future when illnesses like Alzheimer’s, most cancers, diabetes, and hypertension will be handled with bioelectronics. VNS has been authorised by the FDA to deal with epilepsy since 1997, and despair since 2005, however the whole lot else proper now’s within the scientific trial levels. Along with Dr. Tracey’s work, there are research being carried out on the affect of VNS on diabetes, stroke restoration, glucose metabolism, and lots of others world wide.

Whereas researchers and the medical institution wade by means of prolonged scientific trials and FDA approval processes, the excellent news is that it doesn’t require a surgical implant to affect your vagus nerve. 

Handbook Stimulation of the Vagus Nerve

Bodily therapist and purposeful handbook therapist Gregg Johnson makes use of his palms to do handbook work on the vagus, and trains different practitioners to do the identical at his Institute of Bodily Artwork in Colorado. He’s been a bodily therapist for 50 years, however stumbled into an curiosity within the vagus nerve 5 years in the past when he had a pupil who had hypertension and an elevated coronary heart price, and was on the lookout for a option to keep away from happening long-term medicine. Johnson palpated (examined along with his palms) the neck, and will really feel that the vagus nerve was in pressure. “This was the primary time I had selectively, consciously palpated the vagus nerve,” says Johnson. “The entire sudden, as the whole lot began enhancing in mobility, his coronary heart price normalized and he began feeling like he hadn’t for months. And that night time when he examined his blood strain it had returned to regular.” Since then, Johnson has used handbook vagus nerve stimulation to assist sufferers with irritable bowel syndrome, kidney issues, and fertility points, simply to call a couple of.


Palpate: to look at part of the physique by contact for medical functions

This myofascial self therapeutic massage exhibits each handbook hand and soft-tool palpation.

There are a variety of issues you are able to do with breath and motion by yourself at residence to manually stimulate the vagus nerve. However to know how, first it helps to know a bit of bit extra concerning the anatomy and performance of the vagus nerve itself.

Zones of the Vagus Nerve

Vagus Nerve Perform

The vagus nerve is a part of the autonomic nervous system, the physique’s unconscious management system that helps regulate our inside organs to optimize well being, progress, and restoration, an idea generally known as homeostasis.7 The autonomic nervous system is split into two branches— the sympathetic department, which mobilizes you for motion (the “on” swap); and the parasympathetic department, also known as the rest-and-digest state (the “off” swap). The vagus nerve resides within the parasympathetic department of the autonomic nervous system. A lot of our understanding of how the vagus capabilities inside the parasympathetic department, and our capacity to affect it by means of breath and motion, will be traced to Dr. Stephen Porges and the introduction of his Polyvagal Concept in 1994. 


Autonomic Nervous System: the a part of the nervous system that unconsciously controls bodily perform, together with issues like coronary heart price, respiratory, and digestion. There are two branches of the Autonomic Nervous System:

  1. Sympathetic: your physique’s ON swap, supporting mobilization for motion
  2. Parasympathetic: your physique’s OFF swap, supporting rest


The Polyvagal Concept

The Dorsal Complicated and Shutdown

Dr. Porges recognized two pathways of the vagus nerve. The primary pathway, the dorsal advanced, is left over from our pre-mammalian, historic vertebrate ancestors. It’s typically referred to as the sub-diaphragmatic department of the vagus, as a result of it originates within the mind stem and provides nerves to the visceral organs under the diaphragm, together with the abdomen, liver, spleen, kidneys, gallbladder, urinary bladder, small gut, pancreas, and ascending and transverse components of the colon.8 It’s unmyelinated, which suggests it lacks a myelin (fatty) sheath, and consequently transmits data slower than a nerve that’s myelinated. When people or different mammals sense they’re in grave hazard, a surge in dorsal exercise can lead to system shutdown, together with a drop in blood strain, with a possible for fainting or state of shock.9 The dorsal vagal response is referred to in shorthand as shutdown

The Ventral Complicated and Security

The second pathway of the vagus nerve is the ventral advanced. It shaped as we advanced from historic reptiles to mammals, and originates within the mind stem within the nucleus ambiguus, a gaggle of motor neurons linked to the muscle tissue integral to speech and swallowing, such because the taste bud, pharynx, and larynx.10 The ventral vagus is the first regulator of the center price, and muscle tissue within the face and head. This newer ventral vagal path is myelinated and transmits data a lot sooner than the dorsal vagal path. It’s what’s generally known as our secure and social state, and advanced to offer a social engagement system, which was obligatory to ensure that mammals to coexist, work in group, and reproduce. Individuals in a ventral vagal state are usually engaged on the earth, and open to connecting and cooperating with others. 

Between the event of the dorsal vagal path and ventral vagal path, the sympathetic department of the nervous system shaped, permitting for mobilization in occasions of stress. That is most also known as the fight-or-flight response. 


Dorsal Vagus: The oldest a part of the vagal advanced, left over from our pre-mammalian historic vertebrate ancestors. A dominant dorsal vagus ends in a shutdown state.
Ventral Vagus: The most recent a part of the vagal advanced, developed throughout our evolution from reptiles to mammals. A dominant ventral vagus presents as a sense of security and social engagement. 
Sympathetic: This a part of the nervous system developed between the Dorsal and Ventral vagal complexes; helps mobilization by growing blood circulation all through the physique.


Polyvagal Concept

Polyvagal Concept identifies how these three neural (of or regarding nerves or the nervous system) circuits— the dorsal vagal, sympathetic, and ventral vagal— are concerned in evaluating the environment and reacting to cues of security or menace. There are three organizing rules of the polyvagal concept11:

  1. Hierarchy

    The autonomic nervous system responds to cues within the atmosphere in a specified and predictable manner. Both so as from the oldest to latest neural circuits (dorsal, sympathetic, ventral), or the most recent to oldest (ventral, sympathetic, dorsal). 

  2. Neuroception

    This can be a idea coined by Dr. Porges, and describes how our autonomic nervous system subconsciously evaluates and responds to cues of security or hazard in the environment. “Detection with out consciousness,” Dr. Porges says. The vagus has greater than 100,000 nerve fibers, and communicates bidirectionally between the mind and the physique, with 80% of the fibers speaking from the physique to the mind, and the opposite 20% speaking from the mind to the physique.12  So, that “intestine feeling” you’ve felt earlier than— that’s neuroception. It’s your physique having what quantities to a “sixth sense” second, and speaking that data to your mind. 

    Vagus Nerve Information Superhighway

  3. Co-regulation

    That is the mutual regulation of physiological state between people.13 One instance Dr. Porges makes use of for co-regulation is the connection between a mom and her child. If a mom is calming her youngster and the kid responds by stress-free and vocalizing sounds of contentment, this has a reciprocal impact of calming the mom. If the toddler continues to be upset and doesn’t reply to the mom’s try to settle her, the mom can even get upset. Dr. Porges calls this our “organic want to attach.”

The Polyvagal Ladder

Deb Dana, creator of the e-book The Polyvagal Concept in Remedy, created the idea of the polyvagal ladder as a visible metaphor for a way we expertise physiological change as we transfer by means of the three neural circuits of the autonomic nervous system. 

Polyvagal Ladder via Deb Dana

Ventral Vagus 

On the prime of the ladder is the ventral vagus, the place the sentiments are more likely to be security, consolation, and engagement on the earth round you. You’re usually feeling content material, usually missing in acute fear about something. 


 Just under the ventral vagus on the ladder is the sympathetic state, the place you progress to for mobilization in the event you detect threat. This may very well be one thing comparatively small, like receiving a obscure e mail request for a gathering out of your boss that causes you to marvel in the event you’ve carried out one thing mistaken, or one thing as scary as listening to a window break in your own home in the midst of the night time and worrying that you’re about to change into a sufferer of a house invasion. In each circumstances, your coronary heart could begin beating sooner, your palms may sweat, and your thoughts could race as you are concerned about what might occur subsequent. 

Dorsal Vagus

On the backside of the ladder is the dorsal vagus, the place shutdown happens. Within the instance of the e-mail out of your boss, if it seems you have been referred to as into the workplace and fired, you’d seemingly transfer down the ladder from sympathetic to dorsal state, and shutdown may appear like excessive unhappiness or a bout of despair. Within the damaged window instance, if it grew to become clear shortly that you’re about to be a sufferer of a house invasion, shutdown might contain fainting or going into shock as a manner to your physique to guard you from a doubtlessly catastrophic bodily confrontation. 

In each situations, it’s potential to maneuver up the polyvagal ladder as a substitute of down, relying on the circumstance. Within the instance of the e-mail, in the event you went to the assembly along with your boss in a sympathetic state, coronary heart racing and palms sweating, and it seems it was a minor request a few challenge, you can shortly transfer again up the ladder into the secure and social ventral state, relieved that your fears about being fired have been misplaced. And the identical is true within the damaged window instance. In the event you uncover it wasn’t a damaged window in any case, however as a substitute a tv that was left on with the amount up very loud, you’d seemingly bounce shortly up the ladder to ventral vagus, relieved that you simply and your loved ones aren’t in peril in any case. 

Hybrid States of the Polyvagal Ladder

There are situations the place two of the three neural states are mixed. Stanley Rosenberg, creator of Accessing the Therapeutic Energy of the Vagus Nerve, calls these “hybrid states.”14 The fourth state combines the ventral vagal (secure and social) and sympathetic (mobilization) to create mobilization with out worry. Examples of this is likely to be going to a zumba class, enjoying tag along with your youngsters, or participating in a pleasant competitors on the basketball courtroom with buddies. The fifth state combines the ventral vagal (secure and social) with dorsal vagal (shutdown) to create immobilization with out worry. This creates a sense of calm and security, and examples might embody mendacity nonetheless with a trusted companion after intimacy, or cuddling along with your sleepy youngster earlier than bedtime. 

In the event you’re caught in a dorsal state and really feel such as you don’t have any get-up-and-go, breath will help.

How To Transfer Between States With Breath

Until you’re in a hybrid state just like the examples talked about above, which incorporates the secure and social emotions of the ventral vagus advanced, being caught in a sympathetic (fight-or-flight) or dorsal (shutdown) state will be draining to take care of— mentally, emotionally, and bodily. In the event you’re locked in a sympathetic state, you may really feel such as you’re continually burdened, all the time ready for an additional metaphorical shoe to drop. In the event you’re locked in a dorsal state, chances are you’ll end up in a perpetual malaise, unable to meaningfully interact with the individuals in your life the world round you. 

Fortunately, there’s a available option to transfer your self up the polyvagal ladder to incorporate the secure and social emotions of the ventral state, and it begins along with your breath. “The only vagal stimulation which you could recruit is with the ability to exhale slowly,” says Dr. Stephen Porges. Stimulating the vagus nerve with sluggish exhales slows down the center price and provides your physique cues of security. “Within the mind stem there’s truly form of like a swap,” continues Porges. “It’s like a sizzling water/chilly water possibility on the identical knob. If you exhale, the vagal influences to your coronary heart’s pacemaker get optimized. If you inhale, your coronary heart price goes up. And whenever you exhale, your coronary heart price goes down. In the event you spend extra of your time exhaling, you calm your physique down. In the event you shift rations in order that more often than not you’re inhaling, you’re hyperventilating. You’re huffing and puffing. If you see anxious individuals, they’re inhaling on just about each sentence or each phrase. They’re huffing and puffing.”

Tune Up Health founder Jill Miller designed a complete immersion program, Breath & Bliss, across the polyvagal concept, utilizing breath work, place, motion, group, and a tender, air-filled sponge ball to manually stimulate the vagus nerve, and provides college students instruments to maneuver out of a fight-or-flight or shutdown state. “I would like individuals to really feel like they’ve as many choices as potential to have the ability to modulate their very own state,” says Miller. “And to know the ‘why’ actually helps with the expertise of it. My bias is that I imagine as soon as you already know which you could shift your physiology and also you practice your self to witness your physiological shifts, it turns into a richer expertise and also you don’t really feel so victimized by your moods or response to issues. I would like empowered restoration to be in everybody’s toolkit.”

Breath & Bliss is  a motion and breath-based method that leans into Porges’s concept of how we reply to the environment, and makes use of that information for steerage on getting ourselves to a state the place we will really feel secure with ourselves and within the firm of others. “One attribute of being a human being is that our physique reacts to menace,” says Porges. “Nevertheless it doesn’t simply react to menace, it transforms how we work together with different individuals. So we now have to know that our physique is shifting states to attempt to take excellent care of us, however in doing that, it distorts how we see the world. We all know that our our bodies change states and promote sure attributes to guard us. The problem is, can we create the construction and context for our our bodies to really feel welcoming sufficient to convey different individuals into our world? Can we quit our continual must be defensive, to take an opportunity to be accessible and dwell with our personal vulnerability?” 

Senior Tune Up Health® Teacher Lisa Hebert leads the Breath & Bliss Immersion internationally and has seen it rework college students as they discover ways to transfer between states. “I believe the great thing about the polyvagal concept is that it brings us again to fundamentals,” says Hebert. “Social interplay, human contact, human connection, a caring voice. All of these items we all know so innately when we now have a child in our arms, however we develop up and push all that away so we will get powerful and do the whole lot ourselves. So we could lose it quickly, however it’s this innate information that we now have in our intestine someplace.” 

Hebert has additionally carried out Breath & Bliss work with first responders and former army members with PTSD. Jason Burd was a firefighter in Canada who virtually died when a roof collapsed in throughout a rescue operation in 2006. After the accident he went again to work, however suffered a again damage in 2010, adopted by a lung damage in 2011. He ended his profession as a firefighter due to bodily ache, PTSD, and suicidal ideas. He did Breath & Bliss with Hebert, the place he realized respiratory workout routines and rolling methods to stimulate the vagus nerve with the Coregeous ball. “There have been so many lightbulb moments,” says Hurd. “I spotted that my restoration is in my palms. After I got here residence after the primary day of the course I advised my spouse that I felt like the within of my neck was larger. My capacity to breathe felt utterly completely different. Now I exploit the Coregeous ball a minimal of as soon as a day, normally twice.”

Hurd’s expertise is an instance of how tuning in to breath, and manually stimulating your individual vagus nerve, can lead to a strong shift from continual ache and fight-or-flight anxiousness, to empowered restoration.

“That’s what I name embodiment,” says Miller. “It’s when somebody feels their manner by means of their physique, participating in a aware dialogue of their senses, emotions, urges, and wishes. Be keen to reply and guardian your self with curiosity and help.”

In keeping with Dr. Porges, understanding polyvagal concept will help us negotiate with our our bodies to optimize our experiences. “Amazingly, whenever you change into extra conscious of what your physique’s making an attempt to do, the physique tries to work with you. We’ve handled our physique as if it was one thing that we needed to include or management. However the message is that we dwell in our physique. Deal with your physique with honor and respect, and your physique will serve you nicely.” 

Jill Miller Vagus Nerve Quote
Of all the excellent news science is telling us concerning the vagus, maybe a very powerful is that we now have the flexibility to befriend this wandering nerve proper this very minute. Whereas researchers all around the world proceed to discover methods trendy drugs can use the vagus nerve to heal continual illness, you can begin respiratory now. You can begin listening to the cues your physique is providing you with now. You’ll be able to start taking your restoration into your individual palms now

At-A-Look: Stimulate Your Vagus Nerve to Flip ON Your OFF Change

To assist your physique “activate” the vagus to enhance its perform, there are a number of social, physiological and bodily “methods” that your physique can make use of.

    • The simplest option to stimulate the vagus nerve is thru sluggish, deep, diaphragmatic respiratory that emphasizes elongation of exhales.



    • Singing, buzzing, or enjoying a wind instrument additionally excite this downregulation nerve. (As demonstrated under.)



  • Massaging areas of the physique that are innervated by the vagus alters vagal tone and supplies a rest response. These embody tolerable strain to:
    • Muscle mass of face, aspect and entrance of neck and head
    • Ribcage
    • Stomach



  • Positioning the physique in ways in which compress and decompress areas the place the vagus nerve innervates:
    • Rocking, which gently oscillates the top
    • Neck stretches
    • Belly and torso rotations that compress and decompress the viscera
    • Gently flexing and increasing the backbone to have an effect on strain and/or stretch within the visceral space


  • Chewing meals, sucking on meals/objects and gargling
  • Safely rubbing the within of your ear (the bowl formed bits, not your ear canal)
  • Constructive social interactions
  • “Feeling secure within the arms of one other” or “Feeling secure within the arms of one other applicable mammal, like a canine,” Dr. Stephen Porges
  • Meditation and Yoga


Learn to Flip ON Your OFF Change!

Obtain our helpful information The 5 P’s of the Parasympathetic Nervous System.
The 5 P's of Activating Your Parasympathetic Response


  1. Stanley Rosenberg, Accessing the Therapeutic Energy of the Vagus Nerve, (California: North Atlantic Books, 2017), 37.
  2. Vince, Gaia. “Hacking the Nervous System to Heal the Physique.” Uncover Journal, Could 2015
  3. Breit, Sigrid, et al. ‘Vagus Nerve as Modulator of the Mind-Intestine Axis in Psychiatric and Inflammatory Problems’, Frontiers in Psychiatry, 13 March 2018.
  4. Tracey, Kevin J., “The Inflammatory Reflex,” Nature, 19 December 2002.
  5. “How Electrical energy Might Exchange Your Drugs.” YouTube, uploaded by TEDMED, 26 Could 2016.
  6. Koopman, Frieda A., et al. ‘Vagus Nerve Stimulates Cytokine Manufacturing and Attenuates Illness Severity in Rheumatoid Arthritis’, Proceedings of the Nationwide Academy of Sciences of the USA of America, 19 July 2016.
  7. Porges, Stephen, “The Pocket Information to the Polyvagal Concept,” (New York: W. W. Norton & Firm, Inc., 2017), 15.
  8. Stanley Rosenberg, Accessing the Therapeutic Energy of the Vagus Nerve, (California: North Atlantic Books, 2017), 19.
  9. Stanley Rosenberg, Accessing the Therapeutic Energy of the Vagus Nerve, (California: North Atlantic Books, 2017), 32.
  10. IMAIOS e-Anatomy on-line, 
  11. Dana, Deb, “The Polyvagal Concept in Remedy,” (New York: W.W. Norton & Firm, Inc., 2018), 4.
  12. Scudallari, Megan, “Scientists Uncover How Vagus Nerve Stimulation Treats Rheumatoid Arthritis,” IEEE Spectrum, 18 July 2016.
  13. Porges, Stephen, “The Pocket Information to the Polyvagal Concept,” (New York: W. W. Norton & Firm, Inc., 2017), 9.
  14. Stanley Rosenberg, Accessing the Therapeutic Energy of the Vagus Nerve, (California: North Atlantic Books, 2017), 33.

Searching for extra data on self-care?  Study extra about Tune Up Health right here:

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