Group Integrative Breathwork for Chronic Pain

Inclusion 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. Exclusion Criteria: 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.