Pain Free Performance — Posture Alignment Therapy

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Posture Alignment

HOW POSTURE THERAPY WORKS

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HOW POSTURE THERAPY WORKS

I had a client the other day that came in with major pain and I thought I would share his story with you because this visit clearly illustrates how posture therapy works.

“Tom” came to us with left knee pain.  He had tried all kinds of things to help it – yoga, massage, stretching, chiropractic, physical therapy, even medication.  Nothing seemed to help and often his knee hurt as much if not more after these activities.

The focus of our posture work is looking at the body as a unit, as a complete system.  Most people think the problem is where the pain is, but that is hardly ever the case.  Tom’s pain tells us there is an issue with his left knee, but the cause of that knee pain is most likely somewhere else.  How do we find out where the root of the pain is?  Let me take you through our thought process as Posture Alignment Specialists certified by Egoscue University.   

As I said before, we look at the body as a unit, without focusing on the symptom (Tom’s knee pain).   I look at him to see if his ankles, knees, hips and shoulders line up in straight lines and at ninety degree angles.  I’m not thinking about what I can give him to make his knee feel better but I ask myself how is his body working as a unit?

Looking at Tom, the first thing that jumped out at me was that his right hip was an inch higher than the left.  Viewing from the front or back, his right hip was definitely elevated.  Just standing there, I could see that he did not really put equal weight on his right side.  With a hip that is elevated, it is so out of position that it is unable to do its job taking equal weight.

As a little test, I asked him to stand on one leg at a time, bending the other and bringing it up waist high.  Standing on his left side, the painful one, he could balance easily, but he could not balance standing on his right side.  So, I’m thinking that hip elevation is probably the major cause of his left knee pain, but I want to watch him walk first.  When he walks across the room and back I can see that he definitely shifts more onto his left side.  When I ask him if he can feel that he lands harder on his left side, his answer was “yeah, sort of” but when I have him watch himself walk in the mirror, he sees it clearly.

It’s a little strange that he shifts onto his painful side.  Most people shift away from the painful side.  Tom agrees that it doesn’t make any sense to him and has no idea why he would do that.  I explain that with his right hip so out of position, he simply is unable to load his weight equally from left to right.

So, Tom’s thought was “If my left knee hurts because my right hip is elevated, I’ll do some hip exercises to even them out and we’re good, right?”  “Hang on” I explained, “Let’s figure out why that hip is elevated.  Maybe that hip is the problem, but there could be something else going on.”

Often what we see in the clinic is that the client’s upper body position has a huge effect on the ability of the lower body to work properly.  When I look at Tom from his side views, I see his head way forward,  his shoulders hinged forward and his upper body rounded over.  He looks like a big “C”.  Tom’s spine should have three little curves in a gradual “S” shape, not a big “C”.  I put my hands on the top of each side of his pelvis to confirm that his right hip is higher and leaving my hands there I have Tom interlace his fingers together and put his hands behind his head and pull his elbows back as hard as he can.  He grimaces as if this is a bit difficult, then jokes about the only other time he did this, he was talking to a police officer!  But, guess what, with his hands up like that his hips become even.  I have him walk across the room again keeping his hands behind his head and elbows back and as he does that his hips stay level and load equally from left to right.  The hip disparity is gone and he can see it for himself as he walks toward the mirror.  He is amazed.

He laughs, “so all I have to do is walk around like this the rest of my life?”  I said “yeah, and in your neighborhood, they’d think nothing of it!!”  In all seriousness though, we have to get Tom’s upper body in that position without him having to put his hands up to get there.  I could see that Tom got it.

Putting his hands behind his head took his upper back that was stuck in flexion and shoulders that rounded forward and got them into a more extended position, closer to where the body was designed to be.  In this position the rest of his body changed and we could see his hips were level and his walking become equal left to right.

Bottom line:  Tom’s left knee hurts because every step he takes, he makes it work harder than it’s supposed to by putting more weight on it than it should normally get.  Along with that, as he keeps loading that left hip more and more, it gets tighter and tighter and over time stops rotating the way it should, so then the knee has to take up that job.  The knee was never designed to rotate – it’s a hinge.  So he’s not only putting more weight on that side with every step, he’s asking his left knee to do something it was never designed to do — rotate!  That knee is working like crazy taking more weight and twisting with every step – one hard step off a curb and the ACL tears – ouch!!!

Because the right hip is out of position he cannot load evenly left to right.  The right hip is out of position because his upper body is pulling it there.  In order to resolve the knee pain we have to get his upper body and shoulders in a more extended upright position.

All the other people trying to help him were only seeing his knee as the problem and so focused on the knee.  But the cause of his knee pain symptom was not the knee but the position of his upper body.  He could have done and did all kinds of things for his knee (the symptom) nothing changed because the cause of that symptom was not addressed.  We gave him a sequence of exercises to get the upper body more extended and some others to help the hip change position and stabilize so by the end of our session he felt better and walked better than he had in years.

This is not the end of the story.  In fact, it’s just a beginning.  Tom has to do his exercises every day to retrain his body so it will live in the better position.  It’s not a quick fix, but if he does the work, he will begin to stay in that better position and he won’t have knee pain. 

Where you are having pain (symptom) is rarely the actual cause of the problem.  The body works as a unit.  When we observe and treat the whole body as a unit the results can be amazing; some people have said miraculous.  It’s not so much a miracle, it’s just returning to the body’s original design of straight lines and 90 degree angles.  If you would like some help getting your body back to this basic design, give us a call or check out our website.

If you can understand these simple concepts, you don’t have to live with or be afraid of pain.  Pain is just a message that something is wrong and your body is asking for help.  Instead of ignoring it, let’s listen and then respond to it with grace and intelligence.  Believe in your body and honor it by giving it the motion it needs and the results can be truly amazing.

 MACKIE BOBLETTE

AWARENESS = HEALTH

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AWARENESS = HEALTH

The human body is a miraculous system.  It has an innate ability to heal itself if we just pay attention to the messages it sends us.  Some messages are easier than others …when we are hot, we sweat; when we are cold, we shiver but when we feel pain, it might be hard to figure out why.

What is the best way to pay attention to the messages that our body is sending us?  Be aware.  It may take a little practice because we are busy, we are overworked and overstressed, we are stoic and we brush aside feelings, experiences, pain, as well as the good stuff because we have things to do.  Well, until we can’t do them anymore.  Because we didn’t heed the signs of things to come, we didn’t experience the pleasures or the pain…we were unaware.   

Pay attention to your pain.  Is it sharp or dull? Is it constant or brought on by certain movements?  What time of day is it?  Be aware. At Pain Free we are posture people.  We understand that joint pain is the body’s message that muscles are out of balance and are pulling the skeletal system out of alignment.  When we are out of alignment, then some muscles get too tight and painful, some atrophy and joints no longer line up properly causing them to wear down compressing the nerves.  Ouch!

If we automatically take pain medication, then we lose important information that our body is sending us.  We are no longer aware of movements that change or decrease the pain which makes it impossible to correct the underlying cause. The Egoscue method provides awareness techniques that enable you determine what is going on in your body and help us create a program to get you back to optimal alignment and out of pain. These are techniques you will keep for the rest of your life!

Practice awareness in all aspects of your life.   Focus on some simple things – as you are walking outdoors, feel the wind in your face, feel your leg muscles tighten, feel the rhythm of your arms swinging; when you are getting ready for your day, really feel the hot shower water hit your body, take a deep breath and let your muscles relax in the steam;  at the end of your day relish each bite of food at dinner and if you are sharing dinner with someone, listen, engage in conversation, enjoy the company.

Instead of rushing through everything to get to the next thing, slow down and experience, enjoy, listen, and feel this amazing life – including the pain.  Awareness is the first step to becoming pain free, reclaiming health and living your life to the fullest.

 

OH MY ACHING FEET! PLANTAR FACIITIS

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Lately, we have been having more and more people come in with plantar fasciitis pain.   It’s a burning pain in the feet that worsens with every step.  Sometimes the pain is so intense it can even feel like the foot is landing on a nail. 

The plantar fascia is the tough sheath of connective tissue that runs from the heel to the toes like a fan on the underside of the feet.  When you have this foot pain it is because there is inflammation in the fascia.  The question to ask is why is the fascia inflamed?  The answer is because there is improper loading at foot strike.  Plantar fasciitis is not a foot problem, it is a posture problem.  Because you are not appropriately using your big leg muscles and hip muscles, you have left your feet to fend for themselves.  The foot is smacking down on the ground with each step bearing the brunt of the entire weight of the body without the support of your legs, hips and back working as a team.  All of these muscles and joints must work together to keep you out of pain.

If you stand sideways in a full length mirror, imagine a plumb line that starts at your ankles and goes straight up.  Do your ankles, knees, hips, shoulders and head line up on the plumb line?  If they don’t, that’s why you have foot pain (and hip pain, shoulder pain, knee pain and who knows what else)!  Now, turn and face that mirror.  Are the shoulders, hips, knees and ankles in parallel horizontal lines and do your feet point straight ahead?  If not, then you cannot use the muscles of your legs, hips and back to help your feet, leaving them at risk for this intense pain called plantar fasciitis. 

You can do something about your foot pain and it’s easy!  You need to get your body’s weight-bearing joints to line up in straight lines and at 90 degree angles which is the intended design of the body.   We are the original all-terrain vehicle!  How do you do it?  The answer is one simple word, one amazing method of pain relief – EGOSCUE.  Call me at Pain Free Performance and I’ll get you started.

 

WHAT A PAIN IN THE NECK!!

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Maybe it was the fear generated around the recent storm or the stress of the upcoming holidays and shopping, but we have had an increase in the number of folks coming in with neck pain.  They are always surprised when we don’t do anything to their neck or give them anything to do to their neck.  It’s simple:  the neck is not the problem.  Your neck is the symptom but the problem is more likely a rounded upper back, or the shoulders hinged forward and one shoulder is higher than the other.  Either of those scenarios means that your pelvis is out of balance and out of position.

If you stand sideways in the mirror, there should be a straight vertical line from your ankles to knees to pelvis to shoulder to head.  When you don’t “load vertically” then you are unconsciously asking different muscles to do a job they weren’t designed to do. In the case of your neck, if your head is forward of that vertical line then you have been asking those neck muscles to hold up around 15 pounds!  You don’t ask your arm or shoulder to hold up a  bowling ball for more than a few seconds but that’s what your head sitting on your neck is like and you hold your head like that for hours!  Any wonder your neck hurts??

So, if your neck is hurting, it’s not your neck – it’s your posture.  Call us at Pain Performance and let us help you get your posture back in alignment.  You’ll be surprised at how many other aches and pains will disappear as well!

Dr. Greg Gelburd Discovers Egoscue at Pain Free Performance!

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DR. GELBURD DISCOVERS PAIN FREE PERFORMANCE!

It’s an early morning in Haiti and I’m doing an airbench before clinic. My eyes are closed and I’m concentrating on Cindy Meyers’ words: “push down on your heels and push your lower back into the wall and hold for two minutes”.  I look like a man sitting in a chair without the chair under me. This is a small pause before my very busy medical clinic begins.

How did I come to airbenches in Haiti, doing these and other  postures described in “Pain Free” by Pete Egoscue to help resolve issues in my foot, my lower back and my shoulder? I’ve written this little story to describe to you how postural therapy has rescued me and why I believe many others in Charlottesville would benefit from some time spent with the people at Pain Free Performance where they treat pain with postural alignment.

Seven months ago, I was faced with several muscular skeletal problems that were not going away, the result of one bike collision with a car, 45 years of running with the wrong stride and a slowly aging 60 year old body. My pain was so severe a year ago I hiked down a Glacier National Park mountain backwards for two miles because I couldn’t come down on my right heel, it felt like a knife jabbing my foot! The bears thought I was just wacky but at least they stayed away.  I sought out help from Cindy Meyers, Mackie Boblette, and Kat Draego at Pain Free Performance. In February I saw Cindy for an evaluation and she photographed my body from several angles against a grid background. She showed me where my shoulders and hip bones were off balance, and then how my head was too far forward on my neck and how my gut was not so much full of extra hamburgers as I thought, but it protruded a little because of the lack of curvature in my middle back. She watched me walk and perform some stretches and positions so she could evaluate the way my body moves and from that she gave me a specific regimen to begin to re-balance my body.

Cindy, Mackie and Kat are Postural Alignment Specialists certified by Egoscue University.  Developed over forty years ago by anatomical functionalist Pete Egoscue,  this postural alignment therapy focuses on realigning the entire body. So even though my heels were giving me fits, the fact that my head, shoulders and hips were off kilter is what was causing the overall dysfunction and pain in my feet.

Every two weeks I have spent an hour with Cindy and Mackie for re-evaluation and a new program prescription as my body changes. I spend about 15-20 minutes each day performing these simple but deeply effective isometric postures, strengthening and balancing my skeleton and muscles. The results are amazing! Who knew? Even a vegan diet couldn’t get rid of my gut, but not only is that disappearing but my heel pain is pretty much gone! I’m back to running after a two year hiatus and my foot strike is now mid foot not heel. I’ve even gained an extra half inch back in my height with my spine better supported!

Now my family, office staff and Haitian friends are accustomed to my  airbenches, cat-dog postures and standing shoulder shrugs. I am continuing to make these postures a part of my routine before my work day, before running and other workouts. This is an incredible team of caring and gifted health workers. Their skills and their motivation will keep you going in the right direction until you are as healed as you want to be.

Dr. Greg Gelburd

 

 

 

HERNIATED DISC

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HERNIATED DISC

 Just the other day, one of my favorite clients called me to cancel her appointment.  She told me she bent over to pick up her purse, got a little twinge of pain in her back and then could not stand back up!  All she could do was lay flat on her back.  Her husband took her to the emergency room where she was diagnosed with a herniated disc.  She was sent home with muscle relaxers and after seeing her physician the next day she was advised to rest with no exercise.  Sounds scary, doesn’t it?

 What is a herniated disk anyway?  Our spine is designed so that each vertebra is stacked one on top of the other.  There is a fibrous disc that acts much like a washer in between each vertebra that helps cushion the space between the bones as we move, bend, twist and stretch.  If the spine is pulled out of alignment, then the pressure will cause the disc to squish out to one side pressing on the nerve – the herniated disc.

 My client is fit, has been exercising all her life with few exceptions and had never had this happen before – what could have caused it?  After we talked awhile, she explained that she had been in the car for two days prior coming home from a fabulous vacation.  She hadn’t been doing her e-cises on vacation and was feeling the effects – a little sore and tight everywhere!  The fact that she had not been keeping her body in alignment with her menu of e-cises and had been stuck in that misalignment for two days in the car, caused her muscles to really tighten up.  When she bent over to pick up her purse, the tight muscles pulled her vertebra to one side, causing the disc to protrude and press on her nerve.  Ouch!

 The doctor’s prescription for a muscle relaxer really helped my client out of her initial spasm.  We certainly understand the “rest and no exercise” advice too, however, Egoscue e-cises are not the same typical back stretches or strengthening done other places.  That’s what is so great about Egoscue!  There are many resting positions in the e-cise repertoire that can help facilitate getting the spine back into optimal alignment without stress or strain involved with normal “exercise”.  These e-cises dovetail well the doctor’s advice and can actually speed up the process of getting back to normal.  My client came on in for her appointment and we gave her some very simple resting positions including the following that I want to share with all of you.

Click below on the Static Back link to watch the video.  It’s  a simple resting position that uses gravity to gently encourage the spine to re-align by easing the muscles out of spasm!

Static Back

 

 

Do You Have Knee Pain?

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Do You Have Knee Pain?

Do you have knee pain?  One of them is stiff and aches in the morning. Or you get knee pain going up stairs or walking downhill. You don’t cross your legs anymore because that knee hurts.

So, you ask your doctor about it and she says that extra ten pounds puts that much more pressure on the knee. Or maybe, she says it just goes with getting older. My question is this:  how come that extra weight or age only affects one knee??? The answer is: because your knee pain is not the problem—your knee pain is the symptom but the problem is your alignment!

If you stand in front of a full length mirror, look at how your hips, knees and feet line up. Are your hips level?  Do your knees point straight ahead? How about your feet? Do they splay out or point straight ahead?  Probably one foot points out more than the other. If your feet and knees point in any other direction than straight ahead, then at some point you will get knee pain.

It is really very simple; the knee is a hinge joint so if the feet and or knees point off to the side, you’re putting a torque or twist at that joint. With every step you take, you’re asking that hinge joint to take on a twist under a load that it is not designed to handle. A couple of years of that twisting and you’ve got knee pain.

So, they’ll tell you to lose some weight and next they’ll want to replace the knee. I just saw an ad on TV about a new knee replacement—to sell you on a knee replacement! Of course, sometimes it’s necessary, but for most of us that original is just fine—the design has been around for a few thousand years! Either way, new knee or the ones you were born with – the advice is the same: fix your posture and your alignment and you won’t have knee pain!

Are you ready to have a life free of knee pain?  Do you want to get back to doing the things you love to do without pain?  If you answered “yes” to either of those questions, let’s find out what Egoscue can do to help. You can reach us by phone at 434-296-0600 or via email at painfree@painfreeperformance.org. If you aren’t in the Charlottesville area, no problem!  We work with folks from all over the country via Skype. We can get you the help you need without you ever having to leave your house! To free yourself from knee pain, you have to get your body balanced. When you do, you can get back to doing all the things you love to do, PAIN FREE!
QUESTION: What activity have you stopped doing because of your knee pain?

Stop Holding Your Stomach In!

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Stop Holding Your Stomach In!

I know most of you women (and a lot of you men) will think this is sacrilege when I say this, but for the good of your health and your posture…..

LET YOUR STOMACH RELAX!!!!

So, STOP HOLDING IT IN – LET IT GO – BREATHE!  Feel your belly expand as you take a breath.  Forget all that stuff you’ve been told (over and over and over) about zipping up the abdominals and strengthening your “core”. Your core is a lot more than your stomach! In fact, there are about 70 different muscles that make up your core and if you hold the stomach in, most of those other muscles cannot do their job of stabilizing your spine and pelvis. You are asking the 4 stomach muscles to do the work of 70 muscles and they cannot do it.

Secondly, if you hold any muscle in a constant contraction, it gets shortened and weak.  Muscles need movement – contraction and release – to gain and maintain strength. Think about what happens to your bicep when you keep your arm bent at 90 degrees (as happens with a broken arm). It gets weak and immobile. The stomach muscles will do the same – become weak and unable to move.

It also prevents your pelvis from moving as you walk.  Each half of your pelvis should go through a few degrees of flexion with each step (heel strike to extension as you push off of your toes). Holding your stomach in keeps that from happening, then you compensate in some way, for example twisting or elevating your hips, which leads to even more trouble!

And last, but not least, holding your stomach in effects your breathing!  As you inhale, the diaphragm should drop down to pull air into the lungs.  As it drops down, the stomach and low back need to expand to accommodate that movement.  If you are holding your stomach in, the diaphragm shuts down and you use only the accessory breathing muscles (the small muscles between the ribs and around your shoulder blades). Your breathing becomes very shallow and your oxygen intake is lessened by one-third!  In a normal day, we breathe up to 25,000 times so that’s a lot of oxygen lost.  Furthermore, the small muscles trying to do all the work without the diaphragm tire fairly quickly. They need help from the shoulders and neck to do the work, creating strain, pain, or tightness.  The muscles are exhausted and we are exhausted!!

So please, please let your stomach relax and take a nice deep belly breath!!! You’ll feel less stressed, you’ll feel less pain, you’ll give every cell in your body what it needs!