Pain Free Performance — Posture Alignment Therapy

Posture Alignment Therapists, Graduates of Egoscue University

alternative to surgery

Egoscue should be your first stop….

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I was working with a client who happens to be a physician and at the end of his session he said something very powerful about his patients – “This should be their first stop, not their last!”.   So often, people come to us in incredible pain after months or years of trying everything else under the sun, finally experiencing relief with Egoscue.  Why?  Instead of focusing on the symptom, we get to the root of the pain.  We diagnose the underlying cause and provide the specific tools to gently move the body back into the intended alignment, alleviating the pain.  This is not a temporary fix, it’s for life.

It’s what we do.  So, don’t make us the last stop in your search for a pain free life, make Pain Free Performance your first stop.

 

The Best of Both Worlds

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We humans are social creatures, so we love doing things in groups.  We learn better in groups so any kind of class is a wonderful idea to most of us!  That is especially true for exercise classes. Having people around is stimulating, encouraging and helps us go beyond what we think our limitations are.  This is also true for our classes using the Egoscue Method for postural alignment.

Some of you know about Egoscue from coming to Pain Free Performance because you were in pain and could not find a way out.  Back pain, neck pain, ankle pain, shoulder pain, knee pain – we’ve seen it all!  That is the essence of Egoscue – total body alignment that restores function and relieves pain! 

Egoscue class is a great way to connect with other folks who are enjoying the benefits of a pain free aligned body.  Keep in mind class cannot be specific to each participant’s particular issues.  Most classes meet a couple of times a week and your body needs more training to re-adapt to proper muscular balance for posture.  You guys that have your Egoscue exercise menus know that a body needs the daily reminder of what those muscles are designed to do!

For those of you who haven’t visited us, this postural alignment work is individualized and specific to you, your body, your pain and dysfunction.  Exercises are prescribed (called menus) that have a sequence of muscular activation and/or deactivation best suited to your body.  There are no two bodies alike and there are rarely identical menus.  Class should not be viewed as a “one size fits all” approach to body alignment and pain relief – it should be another fun activity that you participate in because you’re feeling great after doing your menu!

Doing your individual menu gives you a wonderful opportunity to tune into your own body and inner self.  Listening to your body while performing your Egoscue menu is a perfect meditation time or just simply quiet alone time.   If you’re going to class but you don’t have a menu…let me encourage you to get one.  It will change your life and it will make all of the other stuff possible.  

Going to class is great!!!!  Keep at it!  Class, hiking, biking, running, swimming, tennis – move and enjoy what you love to do — your body will like the extra movement and extra attention.  And, do your menu also.  You can have the best of both worlds!  

 

PAIN FREE — IT’S YOUR BIRTHRIGHT!

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Pain Free Performance – It’s the name of our posture clinic in Charlottesville, Virginia and it is also every person’s birthright.  We should be able to do whatever we want free of any kind of chronic musculo-skeletal pain.  For most of us, that is not the case.  We live with pain every day, but the good news is, we don’t have to!

In its truest form, pain is the body’s alarm system.  It is telling us that something is wrong and urging us to do something about it.  When we listen to that alarm, a whole new world awakens!  First, we need to determine what our body is trying to tell us and then take responsibility and be pro-active to regain our health.  That’s where our expertise at Pain Free Performance comes in!

In listening to your pain, is there a position that helps it feel better or decrease?  Is that position associated with an activity?  What happens when you do that activity with perhaps more mindfulness?  Does the pain/symptom increase, decrease or not change? 

The body thrives on movement and it must move to maintain health.  Load bearing joints need to line up in vertical and horizontal lines to allow the body to move without limitation or pain.  So, if you’re in pain, you need some help with alignment to get your body back to its original perfect design.   After all, for thousands of years we have walked, run, danced, crawled, dug, thrown, climbed, swung, jumped and played.  By doing these things, we thrived! There’s no reason we shouldn’t be doing these things all of our lives.  Our technology-oriented society has taken us away from our life of movement and well-being  (hunched over desks in front of computers rather than moving) but we can reclaim our active lifestyles!

So, I ask you, is your back pain, shoulder pain, hip pain, neck pain or knee pain keeping you from doing something that brings you joy or makes you feel good about life?  Are you willing to take some action to change that?  People may be suggesting medication, injections, even surgery but there is another way.  You have to do it, but we’re here to show you how.  It’s your move and your body! 

Missy’s Story

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CINDY MEYERS WRITES: A few weeks ago my client Missy stopped in with exciting news!  She had not been into Pain Free since February and she wanted to let us know that she was able to run for the first time in five and a half years!  Considering her physical condition at our first session, this was quite amazing news.  Missy had knee re-construction surgery in her twenties that left her with a very unstable knee.  She had back pain that radiated down her left leg and also suffered from right elbow tendonitis.  Analyzing Missy’s posture revealed that her left leg was bowed, her right leg turned in, her head forward with rounded shoulders and her pelvis uneven.  In her sessions, we worked to correct the underlying muscle imbalances that created the misalignment of her bones and her poor posture!  Here is what Missy has to say about getting her body back into balance:

Missy’s Story

Four years ago, at the age of 45 I was not able to tour Montpelier without my back aching during the one hour tour.  I could not stand still without bending and sitting during the lectures.  Two and a half years ago I could not walk my dog for thirty minutes on a trail in the woods without causing a backache that would last for days.  I had knee reconstruction twenty seven years ago and reinjured the knee several times over the years.  This caused knee instability, a bowed left leg, and backaches.  I was advised by an orthopedist to walk only for necessity, no hiking, touring, dog walks. He stated the arthritis in my knee was too far along.   I was also suffering from reoccurring carpal tunnel symptoms three years after having the “release” surgery, and tendonitis in my elbow from knitting.  I was only 45, in very good health otherwise, slim, active, medicine free. 

In preparation for a family trip to Bali, I started physical training with Pain Free.  I was concerned about the twenty four hour plane ride, because four hour car rides to Raleigh, NC caused me back pain.  I also wanted to participate in a seven hour volcano hike while in Bali.  I worked for several sessions with Cindy before my trip to Bali, and completed my menus daily at home.  The trip was a success. I did not need any pain medication to get through the two plane trips or volcano hike!!!  The carpal tunnel was also gone as well as the tendonitis. 

Eighteen months went by without my continuing the exercises.  I woke up one day and my reconstructed knee was completely out of alignment.  I could not walk.  I had to hop.  After a few exercises with Mackie, my knee was realigned and I could walk out of Pain Free.  Another family trip was on the horizon, this time seven days of waking around Rome.  Again I was unable to even walk the dog.  I started with Mackie this time and spent seven sessions working on strengthening my posture so that my knee would not fall out of alignment while asleep in Rome.    Rome was a success-no backaches, no knee pain, no pain meds, and no swollen knee. This time I have continued daily with my various exercise menus and have had no reoccurrence of the problems. 

I ran for the first time in five and a half years this fall.  Before that, I was not able to take a running step without my knee collapsing.  However, without thinking one day, I ran to catch up with a group of friends.  My family and I are amazed!!! It is all the good professional work of the folks at Pain Free.  My family and I are 100% convinced that without Pain Free, these trips would not have been possible for me.  My knee is so misshapen now that, while only 50, I am a candidate for knee replacement surgery.  But, with the daily practice of my Egoscue exercises and professional help of the folks at Pain Free, I have been able to resume an active life with my family without knee surgery. 

Thank you thank you thank you!

Missy D.

HEALTH CARE CAN BE CONFUSING!

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I have spent the last eight years of my life devoted to postural alignment after a career in physical therapy and fitness.  I understand the body, injury, rehab and alignment.  As a Postural Alignment Specialist certified through Egoscue University, I know the amazing benefits of this work and the direct correlation to pain elimination, prevention and optimal health on every level.  I live it every day as a pain management clinic owner helping clients get out of pain.  I know with certainty that medical intervention, including medication and surgery can often be avoided or postponed.  However, this summer I am struggling with how to proceed with my own son’s shoulder injury and rehabilitation. 

My son is in high school.  Last fall while playing football, he was hit and his right shoulder dislocated.  For those of you who may never have witnessed this, it’s not pretty and the pain is excruciating until the shoulder is “popped” back in.  He went to the Emergency Room where they gave him pain medication and put the shoulder back in place then sent him back to school in a sling.  He worked with the Athletic Trainer at school and was back playing football.  Yay, right?  During the first week of summer vacation, he jumped in the pool and dislocated the same shoulder again.  We were back in the Emergency Room, same story.

I believe that the reason his shoulder is prone to dislocation is because of his poor posture.  He has a forward head, shoulders that are rounded forward, an upper back that is also rounded and the only curve in his spine is in his neck because of his forward head.  His pelvis tucks under, which flattens that needed lower back curve and also hinges his shoulders forward.  Any kind of stress on his arm or shoulder causes the shoulder to dislocate because it’s the only place it can go!

Ideally, postural alignment therapy is the answer to my son’s malady.  After his injury, I had him in to see my colleague Mackie.  Mackie, who is also Egoscue University certified and worked alongside Pete Egoscue for a number of years, gave him a sequence of exercises that repositioned his pelvis and changed his shoulder position to make sure that all of the muscles that interconnect the pelvis and shoulder are working.  My son felt much better and looked much better.  It’s not a quick fix because he’s been stooped over a computer doing homework and playing computer games for most of his life, which created the posture.  He needs to commit to the prescribed postural alignment program for the long term.  Sounds like a good plan?

The trick is, I’m dealing with a teenager!  He’s young, strong, he’s a great athlete, he’s busy and he’s not in pain.  He feels “fixed”.  Have you ever tried to get your teenager to stay consistent with a therapeutic exercise program when they have no pain?  It will take time to reposition his skeletal system…probably not enough time before football season begins again.

Research shows that some 85% of people who dislocate their shoulders playing sports at a young age will continue to dislocate them.  Usually the labrum (soft tissue) and the ligaments which keep the shoulder stable get torn or over-stretched causing an unstable shoulder.  All of my best shoulder resources are telling me that he needs to have surgery to avoid further dislocations.  Having the surgery, which will tighten the ligaments and hold the shoulder in place, will certainly fix the problem for now but it will not be without risks.  The surgery may leave him with a shoulder that is “frozen” in place without full range of motion, muscles could start compensating creating back issues and someday he may even need a shoulder replacement.  I have seen this in my practice and it is not something I want for my son.

We still have not decided exactly what course of action to take.  My son is a young athlete who wants desperately to finish his senior year playing with his high school football team.  We could schedule surgery and he might not be able to play at all, we can wait and see and risk another dislocation, we can encourage daily alignment exercises and also risk another dislocation if he is not compliant or does not respond in time.

Ultimately this is a group decision between my husband, my son and I.  No matter what we decide, eventually there may come a time where my son will understand how important it is to keep the body in alignment.  The human body functions as a unit and surgery will stabilize my son’s shoulder but it will not correct the disparity in his pelvis.  Untreated, that disparity will continue to affect every part of his body, even his shoulder.  Eventually, poor posture catches up with all of us.  I only wish I could get him to understand the implications now!

Cindy Meyers, PTA, PAS

 

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.

 

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!

What About Pain?

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WHAT ABOUT PAIN?

Most of us have a perverse relationship with pain – any kind of pain – back pain, shoulder pain, knee pain, or neck pain.  If we have it, we don’t want it and we do any number of things to get it to go away – prescription or non-prescription drugs, lifts, braces, wraps, and even surgery – all because we don’t understand pain.

If we can look at pain for what it is – the body’s message system – then we can listen to what message the body is sending us. So what is the quality of the pain you feel?  Is it the sharp, knifelike, electric white-hot kind? Oh yeah, you have to stop whatever your doing and find a new position and placement. That kind of pain is the fire alarm so to speak.  But if it’s not that sharp electric kind of pain, if we can look it in the eye, we can learn a great deal about our bodies.  Is it there all the time or can you adjust your position and see it increase or decrease? Does it come in the morning upon waking or later when you’re tired? Does it occur while moving and doing things or when you’re more static? What brings this pain on and can you get it to decrease?

A common mistake we make around pain is to use it as the only measure that we’re doing better when it is only one way of measuring how we’re doing. Typically, pain is the last thing to change so it’s not the best measure, just the one we want to see the most!  The pain will go away when the body is able to maintain a more equal, bilateral, symmetrical position. That means you have to start developing your “kinesthetic awareness” – sensing, feeling our bodies from the inside out – which is not something we are encouraged to do in our culture!

As a posture exercise therapist, if I can get you to think about something other than your pain, we’ve made a giant step forward toward getting you better.  To practice kinesthetic awareness, ask yourself these questions:  Where do you feel the weight in your feet? Is the weight equal left to right or different?  Is it more in the heels or balls of the feet? Is it more toward the arch or little toes? If you stand with your toes together and heels apart with your legs really straight does that change anything or can you feel what changed? If you do several exercises and walk around again can you feel what has changed? Can you feel the position of your shoulders in relation to the rest of you?  Is your head in line with your shoulders and spine or is it more forward? Can you feel your body with your body (hence, the kinesthetic part) or do you have to look in a mirror to tell (more visual)? The imbalances you discover and feel in your body can be corrected.  The pain you feel from the imbalance can be alleviated. It’s what we do at Pain Free Performance.

So, while pain is an important sensation and a clue to misalignment it should not frighten us, but put us on the path to understanding the message. Acknowledging the pain and correcting the muscle imbalances will stop the pain. Listening to our pain rather than automatically stopping it with medication or procedures will help us make the necessary changes to live pain free.  At Pain Free Performance we will give you the tools to do just that.