So, how does an understanding of this PNIE system influence how we might go about helping you with your health and your healing journey?
When we begin to see that parts of the body are not separate and that there is an interrelationship made up of multiple parts and systems, all of which are communicating with one another, it changes things. I have an expression, which goes bigger and deeper than just the singular organism: it extends to humanity. How deep do you want to look at this concept is up to you. Is the water molecule separate from the ocean? Well, yes … but also no! A water molecule can exist singularly, in and of itself, yet it is part of the ocean and the ocean doesn’t exist without all of those parts.
So, there is this wonderful holistic sense to how parts make up a system. If we try to treat a singular part, for example, “your hormone levels are sitting low or sitting high,” and we put some biochemistry in such as pills or pharmaceuticals very often what we are doing is just propping things up. Unfortunately, it can actually be adding more stress to the system if we are not addressing anything else. Perhaps some professionals tend to focus on one thing. They will focus on, just the nervous system or just the psychological system and I think it is really important that we work together as teams. We might say, “Look, we need to consider a review with an endocrinologist”, but we might also need somebody who is trauma-informed, psychologically informed and who understands the nervous system.
I certainly think that using anti-inflammatory agents to try to suppress chronic inflammatory pathology is a bad idea. It has a place, but with all of these autoimmune problems, why is the body attacking itself? It doesn’t make sense. Why would a body choose to attack itself? It is the “stuck-on” states – let’s put it simply like that – which maintains the stress physiology in the system. Messages from the nervous system or the emotional system might then lead to downward chronic activation through the hormone system, down to the adrenal glands and the chronic production of cortisol. That then communicates with the immunological system causing over production of immune chemical activity and then self-attacking. So, Crohn’s disease, pericarditis, irritable bowel, respiratory conditions, asthma, skin conditions and so on – are conditions where the body seems to be inflaming itself.
I really think that rather than just putting some topical steroid cream on – which can sometimes be very useful – getting to the roots and the foundations of the problem is a much more sensible and lasting form of intervention.
Rodger Duckworth is a physiotherapist specialising in trauma-informed care for complex chronic pain, autoimmune, and mind-body health conditions, treating the whole person — nervous system, immune system, and psychology together — rather than isolated symptoms.
