Pain Free Performance — Egoscue Certified

Posture Alignment Therapists, Certified by Egoscue University

Egoscue Method

A Peek inside Postural Alignment Therapy Evaluation

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When clients are new to postural alignment therapy, they become awakened to a new awareness of viewing the body. What do we mean by this?

When someone is in chronic or acute pain, the pain becomes their focus. Pain requires individuals to use great effort in order to function throughout their day. Their attention is centered on how to avoid pain. Our bodies are skilled at compensating. To reduce overall pain, our bodies will change the way in which we move as a form of survival.  

So as Egoscue therapists where do we start?

First: We place the focus on the joint position. We identify the joint position though palpating or touching the joints. But what does the joint position tell us? 

When we look at the body, we are looking for what is different from the natural skeletal position. 

        Do the shoulders, hips, knees, and ankles align? 

        Is a shoulder elevated? 

        Or, do the knees and feet turn out instead of being straight. 

If any of these joints are off, the body is unable to work as a unit and pain results from misalignment. 

Second: We assess the way the body is loading. 

        We do this by having the client do a body analysis. The client closes their eyes and connects to the weight of their body. Oftentimes, clients are heavier on one foot and their 

weight distribution can be uneven in both feet. This allows us to know that their body’s are misaligned and that natural compensation patterns are occurring for the client to move. As therapists we

use this assessment to understand the way the client’s joints load the weight bear of their body. This information helps us establish a baseline of their imbalances. 

Third: Gait analysis

All joints and muscles have a function or movement that they perform. When a person is misaligned and their joints are different than the natural skeletal position, their body will compensate for

this misalignment. We, as therapists, look at the way a client walks and moves. We are looking for what part of the body is not working and what parts of the body are compensating for the work

of the inactive part of the body.  Compensation can be new or have developed over years.

Often times in gait or walking we notice:

       No arm swing or more arm swing on one side

       Rotation and twisting in the upper body

       Elevation of a hip

       Knees and feet being turned outward or inward

       Uneven heel strike and decreased movement in the feet

Any compensation pattern will lead to inflammation, arthritis, pain, and decreased quality of life. 

So what do we do with this information!?!

 

Our goal is to pull the body into alignment. We correct the muscle imbalances and improve the way the body moves. Without proper alignment and motion you will set your body up for pain. Correct the alignment and live pain free.

Virtual Posture Therapy Sessions

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Facetime and skype appointmentsWhat is Virtual Therapy?

Virtual Therapy is a postorual therapy session conducted via Skype, FaceTime or Zoom at your convenience by a therapist certified by Egoscue University. It can be done anywhere as long as you have a phone, tablet, or computer!  Many clients see us for their sessions via virtual therapy when they are traveling, living abroad, or reside in a different state.  Even for clients in town, if the weather is bad or you would rather connect in the comfort of your home or office, virtual therapy is a great alternative to keep you out of pain.  Egoscue techniques work best with consistency to provide new stimulus for our ever-changing bodies. Virtual Therapy allows you to be consistent and feel your best, no matter where you are.  Give us a call if you have any questions or would like to schedule a Virtual Therapy appointment.

Painful Hip Flexors

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It’s not uncommon for us to hear our clients mention waking up with tight, sore hip flexors. Hip tightness can occur for many reasons. Excessive sitting can cause the muscles to relax and deactivate becoming progressively weaker and shorter, creating pain.

Poor posture habits can create a structural imbalance which will cause an uneven pulling of muscles.  No matter the reason, tightness in the hip flexors will lead to decreased movement in the hip and change the way we walk, stand and sit. Our pelvic position will be out of line because the hip flexors are pulling the pelvis forward. This changes the load of our body and creates instability in our gait. Over time, the uneven load and misalignment leads to inflammation, arthritis and other degenerative changes causing pain.  What to do?

At Pain Free we will evaluate you individually to see what is going on with your body that’s creating the issue.  Part of the prescribed plan will retrain those hip flexors to let go, get back to their intended length and tension to eventually re-establish the entire body’s alignment restoring proper gait.  All of that equals being pain free!

Try this and see if you are able to notice a release:

Stand with your back against the wall. When your hips are touching the wall, your thighs and kneecaps will begin to release. If your thighs want to engage, stay in this position for 2-5 minutes until your thighs release and the backs of your legs begin to work.

Vertigo

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Recently, we have had several clients come to see us with stories of having vertigo.  Often times they share the information as an aside to why they’re really here.  I want to explain why posture plays a huge role in the onset of vertigo for some people.  We took the following from Pete Egoscue’s insights on vertigo published on the Sonima website.  Be sure to check out the Egoscue E-cises Pete recommends at the end of his article:

VERTIGO

Vertigo is not pleasant. Its primary symptom is dizziness, sometimes so severe that the patient experiences nausea and vomiting, and it can last anywhere from a couple of hours to months and even years. Other symptoms range from headaches and eye twitching to sweating and hearing a persistent ringing in the ear. While the exact number of people who experience vertigo is not known, it has been estimated that 40 percent of all Americans will visit the doctor at some point in their lives because of vertigo. If you have had it, there really is no mistaking the sensation.

What Causes Vertigo?

Sometimes, vertigo is disease or illness-based, the result of a virus or a tumor, but doctors can quickly determine those cases. Most often vertigo is idiopathic, which is a medical term meaning no known cause or origin. In my experience, though, I’ve found most of those idiopathic versions of vertigo actually have a very specific cause—the position of the head. In other words, vertigo is usually about posture.

Humans are gravity machines; like the entire operating system of our universe, we rely on gravity to function, and because the body knows just how important our relation to gravity is, it offers redundant systems to make sure we have an accurate reading on our gravity field, i.e., the ground.
[Read more…] about Vertigo

The Eight Laws of Physical Health

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**This is a condensed version of The Eight Laws of Physical Health posted on the Egoscue University website.

THE EIGHT LAWS

I think we can all agree that the majority of laws are in place to protect us.  When it comes to the body, we have laws in place as well.  Eight of them, actually.  Pete Egoscue talks about them in his book, Pain Free.  Not only does he go in-depth about the Eight Laws, but gives you the Egoscue perspective on posture and pain.  Egoscue’s laws are a great way to understand how everything in the body works together.

  1. VERTICAL LOADING: Gravity is necessary for health. In order for gravity to exert a positive and dynamic influence on the body, the skeleton must be vertically aligned in its posture.

 

  1. DYNAMIC TENSION: A state of constant tension exists between the front of the body and the back.  The posterior portion is responsible for the erection of the body and the anterior is responsible for the flexion, or bending forward, of the body.  Neither activity can be performed correctly and healthily without this action.

[Read more…] about The Eight Laws of Physical Health

Continuing Egoscue After Injury

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People come to Pain Free Performance to confront their pain by resolving their body’s muscular imbalance.  When our clients begin noticing a significant reduction in their pain level, they are motivated to continue their Egoscue program creating improvement in their mobility and function.  So, what happens when our client experiences an acute injury from a fall, twist, sport or some heavy lifting?

Although the client’s pain may be tied to a particular event or movement, discontinuing their Egoscue program is not part of the best recovery. Acute pain after an injury is the perfect time to come in and see us Pain Free. Your therapist is trained to look at you and determine the best path to unravel this sudden shift in the body that resulted in your acute pain. At Pain Free, we analyze the body’s current function, identify restrictions in range of motion and then restore muscle imbalance and movement.

If your body becomes injured, give your therapist a call.  There is no need to suffer through the pain.  You can get back to the life you love and the ability to do what you enjoy and be pain free sooner than you think!

What’s Causing Your Back Pain??

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When it comes to back pain, there is no classic case. Clients come to us with different reasons for their back pain including: muscle spasms, fusions, herniated discs, impinged nerves, spondylolysis, or scoliosis. All of these medical diagnoses are a result of a muscular imbalance. Although everyone’s back pain does not look the same, many of these patients have a something in common: a misaligned pelvis.

When the body is misaligned, it is forced to adapt just to function. This means that parts of our body are doing jobs that they were never meant to do. When the pelvis is tilted (anterior, posterior, elevated or rotated) it changes the curve of our spine. This is important because the curves of our spine are designed to absorb shock and prevent us from feeling pain!

So how do we fix this? By providing the body with the exercise or stimulus it needs, the alignment of the pelvis will slowly be restored. This will allow your pelvis to be balanced again in a neutral and functional position which restores the curve of the spine.

Getting your pelvis in the correct position is not where we stop. We have to train the muscles around the pelvis to continue to hold the correct position. If your pelvis is misaligned, it’s likely that your gluteal muscles, (those big muscles in your behind) are not working the way they were designed. By retraining those muscles to work as they were intended, we can help restore the stability to your pelvis, realign the spine and get rid of the back pain.

The beauty in restoring alignment and function to the body utilizing the Egoscue Method, is that it is lasting and preventative. As Egoscue therapists, we know that we are providing our clients with the tools they need to not only get out of pain, but also to prevent future issues!

 

The Whole Picture of Being Pain Free

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As Egoscue certified therapists, when we look at the body, we do not isolate it into individual bones or parts. We hear our clients when they identify the quality and site of their pain whether it’s knee pain, back pain, hip pain, or foot pain. This information is used as a tool to provide appropriate care for our client, but we continue to treat the whole body. In order to eliminate pain long term, we must work to correct the imbalance of the body as a whole unit.

When our client’s come to Pain Free Performance, we encourage them to “listen to their bodies”. This means to acknowledge when they have pain, to not complete exercises that bring on pain, and identify changes within their body after completing a musculoskeletal exercise.

In an Egoscue therapy session, we might encourage our client to stand with their backs against the wall and have their heels, hips, shoulders, and head touching the wall for two minutes. For some clients, not all of their body parts will be able to touch the wall in the beginning. During these two minutes, a client could feel that their body is falling forward, that the muscles behind their knee could be stretching, or they could notice that their head is forward. After two minutes of holding this exercise, we watch the client walk and ask them to consider if anything in their gait is different which could include:

Are they lighter on their feet?

Are they standing straighter?

Has their knee pain decreased?

Do they feel equal weight bear in both feet?

As therapists, we are looking for a change in the function of their body. We are assessing whether the exercise restored the client’s ankle function or created a lighter load in the client’s steps. In the beginning pain level or quality might not change, but it is through restored function of the musculoskeletal system that our clients will not only have improved posture, but improved quality of life without limitations. Balance and restored function of the musculoskeletal system are the key to becoming pain free.