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Pain Free Performance — Posture Alignment Therapy

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balance

Alignment: Treating the Body as a Whole to alleviate Pain

January 19, 2026 by Jess Powell

Healthcare today is focused on the parts. Our healthcare practitioners are specialized and focus on specific sites and no longer view the body as a whole. As a result, we are missing how each site impacts another directly.

With the Egoscue method, alignment matters. When the position of the head, shoulders, vertebrae, hips, knees, and ankles are in line the forces through the joints are distributed to allow movement with minimal effort. This is the ability to move freely and without pain.

When our body is not in alignment, our joints wear down and uneven load is placed on parts of our body that are not meant to bear the added weight. This dysfunction is often the root of pain.

Many clients find Egoscue after trying other modalities that are not addressing the compensation created by their tissues, muscles, and joints. When we see clients for the first time, their gait and the movement of their body tells the story of a system trying to fix its parts. In order to determine what is causing their neck pain, knee pain, or hip pain we must determine what body part positions are misaligned.

Our job is to release the muscular compensation and strengthen the correct muscles to bring the body into alignment. We do this through specific exercises targeted towards what is off in a client’s specific body. After each exercise, we use gait analysis and functional testing (like an arm circle or reaching to touch the toes) as tests to see how the body is changing. As things become in a better joint position, the body is noticeably moving more fluidly, straighter, and more balanced.

This is why we must consider the body holistically when pain is present. Often the site or location of pain is not the cause. Our goal is to identify the dysfunction and create an integrated muscular skeletal system where movement is freer and function is unlimited.

Filed Under: Aging and alignment, Alignment, Back Pain, Exercise, Function of movement, Joint Pain, Knee Pain, Leg Pain, Movement For Alignment, Muscle Memory, Neck Pain, On-line Appointments, Posture Alignment, Shoulder Pain Tagged With: alignment, alignment expert, ankle injury, arthritis pain, back pain, balance, Charlottesville Posture Alignment Therapy, Foot pain, Functional movement, hip pain, joint pain, knee pain, muscle imbalance, neck pain, nerve pain, pain management, Pain relief, pain treatment, plantar fasciitis, scoliosis, shoulder pain, treatment for pain

Vertigo

November 6, 2019 by Jess Powell

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

Filed Under: Posture Alignment Tagged With: balance, dizziness, Egoscue, Vertigo

Muscle Memory and Egoscue

April 22, 2019 by Jess Powell

What makes the Egoscue method work so well compared to other treatments? The Egoscue method is different because it utilizes the basic way our body learns and remembers movement. When you do your Egoscue exercises each morning, you activate muscles in the correct way to align your body.
Motor memory, or muscle memory, allows the cells within our bodies to coordinate our movements, muscles, and brain to create the desired activity. Each time you move, your body remembers it. When movements are done repetitively, your body keeps track and creates the “new normal”. Science shows that it takes 90 days of that new repetitive motion to have the memory remain without prompting. With Egoscue we are introducing proper stimulus to create equal and bilateral activity in the muscles. This retraining process is amazing because it means we have the ability to change and heal ourselves!
In comparison, when a person goes to the chiropractor, they align their bodies through an adjustment of the bones. Without the memory in the muscles, the skeletal alignment will not stay because muscles pull bones. This creates a need for frequent follow-up appointments. With the Egoscue method, our clients are able to retrain the musculature to hold their bones in the correct position. This is why the Egoscue method is a therapy that creates lasting change and is not just temporary symptom relief.
Utilizing Egoscue, our clients are able to create new alignment with noticeable improvement in pain reduction, movement, balance, and quality of life!

Filed Under: Egoscue, Muscle Memory Tagged With: alignment, balance, muscle imbalance

Getting Back to Exercise

August 8, 2018 by admin

Often when clients are feeling better, they want to get back to their exercise routine. In order to create a change in posture, we ask that people hold off on weight lifting or repetitive exercise in the beginning so as not to strengthen any unresolved dysfunction. We completely understand that when the body is becoming aligned and pain has decreased, you are eager to get back to a more physical and active lifestyle.

So the question is: how do you exercise and remain pain free?

If there is an activity you love and want to get back to, you should try it! Listen to your body while doing the activity. If you have concerns about what you feel, acknowledge it. Your body will give you a signal if it is resisting, like pain or restricted range of motion. Our rule of thumb is to complete your Egoscue menu first, in order to align your body the best you can prior to your workout. Always follow up your activity or workout with a few exercises that your therapist recommends for your body or even repeat your menu. This will allow you to the live the life you love and remain pain free.

Remember, the best exercise equipment is your own body. Just walking puts your body in dynamic motion and allows your 200 bones, 230 joints, and 600 muscles to become energized! Not only will walking increase your aerobic response and nourish your joints, but it will maintain something called the “cross crawl pattern” within the brain that’s necessary for maintaining balance.

If you have any questions about getting back to your active lifestyle and remaining pain free, our Egoscue Certified Posture Alignment Specialists at Pain Free Performance will keep you on the right path!

Filed Under: Movement For Alignment, Posture Alignment Tagged With: alignment, balance, Charlottesville Posture Alignment Therapy, Egoscue, exercise, Functional movement, Pain relief, Posture Alignment, wellness

You get injured, what do you do about your Egoscue program?

April 17, 2018 by Jess Powell

It’s a beautiful day and you’re enjoying the outdoors. Then, bam! You slip over an acorn on the sidewalk and you’re down. And, you’re hurt. You have a knee injury, bruised elbows, a jammed wrist, you have swelling and ankle pain, not to mention you hit your head and the neck pain is killing you. Even if nothing is broken, there is so much pain!

When something like this happens and you’re injured, the advice used to be to put your feet up and rest. And, the last thing you want to do is “exercise”. But, we know better now. Your body will start compromising the minute you get up off the sidewalk. You’ll be guarding, limping and twisting to try to avoid the pain and that will throw everything off in your body. We don’t want you to get “stuck” there, so don’t stop moving but knowing the type of movement to do based on your injuries is key.

Your alignment will affect the outcome and recovery of the new injury. Even if there is a fracture, we’ll provide a revised program based upon your injury and how it affects your ability to do your Egoscue menu. For example, if you can’t handle full weight because of your foot pain or knee pain, we alter the position to take pressure off your injury. If you have a shoulder injury and you have arm pain, we can work around that. We align the rest of the body focusing on straightening your spine and your shoulder becomes less forward making you more functional. This will keep you on your path toward becoming properly aligned, assist in healing your injury properly and get you back to being pain free.

So if you’re injured, after getting the necessary diagnostics, call us and we’ll provide you with an updated program to get you through this unexpected setback. If you have an upcoming appointment with us, don’t cancel it, call us and come in. Your new menu will address the changes that occurred from the fall, while correcting the previous imbalances without compromising your recovery. This will speed up your body’s innate ability to heal by giving it the proper stimulus! We’ll keep you moving forward toward your pain free alignment goal while you’re healing.

Filed Under: Egoscue, Injury and exercise Tagged With: alignment, ankle injury, balance, Egoscue, joint pain, knee injury, knee pain, neck injury, Pain relief, Posture Alignment Exercises, shoulder injury, treatment for pain, wrist injury

THE RIGHT MOVES

July 27, 2017 by Jess Powell

When we hear about healthy lifestyles from our healthcare professionals, three things are always stressed: eating healthy foods, getting adequate sleep and exercising regularly. As you know, we’re into healthy lifestyles at Pain Free and we talk a lot about total body alignment and movement.

Culturally, we are pretty sedentary with only bursts of movement or exercise adding up to maybe 1 or 2 hours a day. Research is now showing that doesn’t meet our body’s daily movement requirements. THERE IS A BIG DIFFERENCE BETWEEN MOVEMENT AND EXERCISE.

EXERCISE typically consists of repetitive motion in a specific area of the body for a specific amount of time. Think treadmill, for example. Our heart rate’s up, one foot in front of the other over and over. We drive to the gym, walk or run on the treadmill for an hour, then we drive back home or work. What are we doing the rest of the day?

MOVEMENT is leaving our car at home and walking to the store to buy our groceries. Our heart rate is up, we’re working our lower body and utilizing our upper body carrying groceries home. Now, that might not be feasible for all of us but it illustrates how our bodies are meant to function. Even if we can’t walk to the store, we just need to change things up a bit to add natural movement back into our lives.

HERE ARE OUR TOP FIVE TIPS TO OPTIMIZE THE WAY YOU MOVE EVERY DAY:

1.) START YOUR DAY MOVING
Begin the day with your Egoscue ecises , take a walk with your coffee, stretch while you read the paper, or step on the trampoline while you watch the news. The more you move, the more your brain will encourage movement throughout the day.

2.) PARK AS FAR AWAY AS POSSIBLE
We hear a lot about 10,000 steps. Instead of stressing over a number, seek any opportunity for movement – all types of movement. Park further away, walk to your destinations, take the stairs, work-in a zumba class – whatever you love to do. The movement will add up. Lasting results begin with subtle changes in the way you move through your life!

3.) CREATE A MORE DYNAMIC WORK STATION
People ask us if standing work desks are really healthier than sitting. Absolutely! Also think about working from the floor, at a coffee table, on a pillow or in any other way you can imagine. If you can’t do this at the office, try it at home. Stand awhile, sit awhile. The take away is, this encourages your body to respond and move in the way it was intended. Your joints will be more fluid, increase your functionality and keep you moving well for a long, long time!

4.) MOVE WHILE YOU WORK
Why not encourage natural movement while taking care of business? Take a walk down the hall or up and down the stairs while you return phone calls. Your heart rate will increase, your feet will be happy, and your mind will be clear and rejuvenated from this much needed movement break. Stand a stretch every hour or so. Keep moving.

5.) SIT ON THE FLOOR
Home after a hard day, maybe you’re planning to catch up on your favorite Netflix series. Instead of plopping on the couch, try the floor. Put your back up against the couch. Cross your legs, or put them straight out in front of you, or pull your knees up to your chest. Better yet, do all of these periodically! Floor sitting allows your hips and knees to bend at angles that are lost in our culture. Using the floor, instead of chairs or the couch, stimulates your muscles to be more flexible, stronger, and more efficient.

It’s not movement OR exercise. While it’s important to know the difference, fill your life with both. As Postural Alignment Therapists at Pain Free Performance, certified by Egoscue University, we teach total body alignment to create your very best function without pain. Incorporate movement in your life the same way. More movement, of all kinds. All of your functional muscles and the resulting properly aligned joints need to be used all day every day in as many ways as possible. Total alignment, total movement, for a totally enjoyable healthy life!

Filed Under: Aging and alignment, Exercise Tagged With: alignment, alignment expert, balance, Egoscue, exercise, Functional movement, muscle imbalance, pain management, Pain relief, Posture Alignment, Posture Alignment Therapist, strengthening exercise, treatment for pain, wellness

SCOLIOSIS

June 1, 2017 by Jess Powell

At our clinic, we see several clients a week with scoliosis – a curvature of the spine.  Some people are born with scoliosis and for most it develops in puberty when the muscles can’t keep up with the bones during this intense period of growth.  This muscle imbalance is what pulls the spine into an unnatural curve.  Scoliosis can be very painful and without intervention can worsen.  Our clients with scoliosis have often  tried  everything including bracing, rounds of physical therapy  and even spinal surgery placing Harrington rods in the back in an attempt to correct the curve of their spine.  Despite these methods, they continue to have pain in their body caused by this muscular imbalance.

When Egoscue was developed, the idea was simple: activate muscles to pull the bones into an aligned position. When the body is given the correct stimulus, the muscles will pull the bones into a straight position. When the bones are aligned, the friction on our joints when we move will be decreased. Your spine is subject to the same rules!  By rebalancing the muscles of your back, your spine will load correctly and decrease the curve of scoliosis.

During the initial evaluation, your Egoscue therapist will analyze the curve of the spine by taking photos, palpating the joint position, and completing functional tests to see how the body obtains a specific movement. This will allow your Egoscue therapist to not only feel and see the curve, but also to determine which muscles are overworking and which are not doing enough to align your body and your spine correctly.  Your Egoscue e-cise menu will have a series of exercises designed to activate the specific muscle groups in your body that are needed to decrease the curve of your spine. When your body – including your spine – is aligned and symmetrical it will move with ease and without pain!

Filed Under: Back Pain, Posture Alignment Tagged With: alignment, alternative to surgery, back pain, balance, Egoscue, Functional movement, muscle imbalance, pain management, Posture Alignment Therapist, scoliosis, treatment for scoliosis

BALANCE….

February 13, 2017 by Jess Powell

At Pain Free, a frequent topic of conversation is balance. Finding the right balance between work and home, healthy lifestyle and indulgence, and with needed relaxation and activity. It’s challenging to have one aspect of our lives come to the forefront decreasing the energy and care we are able to devote to other vital areas. Our bodies do the same thing! When one area of our body is not functioning correctly, it calls on its neighbor muscle groups to achieve an action. When the neighboring muscle groups continue to help, our body becomes imbalanced.

Do you have shoulder pain? Back pain? Knee pain? This is likely stemming from an imbalance somewhere else in the body. One shoulder or hip could be higher. One foot might turn out, while the other is straight. In order to make the body stable, the left and right side should be a reflection of the other.

So how do we restore balance to our muscles? To the muscles that haven’t functioned correctly in months or years? Restoring alignment to the body involves bilateral movements. Our bodies should be completing movements with both right and left sides of our bodies working in unison. The shoulders, hips, knees and ankles should line up vertically. It is the complex underlying muscle network that pulls the bones and makes proper alignment possible. We want to wake up the inactive muscles and remind them that they have a job to do. We want to quiet the muscles that are doing too much.

That’s what we do here at Pain Free Performance. We assist you in bringing your body back to its original design. Through Egoscue, allow us to bring your body and your life back into balance.

Filed Under: Posture Alignment Tagged With: alignment, back pain, balance, knee pain, muscle imbalance, Posture Alignment, Posture Alignment Exercises, Posture Alignment Therapist, shoulder pain

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