Pain Free Performance — Egoscue Certified

Posture Alignment Therapists, Certified by Egoscue University

Egoscue method

A look into Knee Pain

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As Egoscue certified postural alignment specialists, our focus is on the position of the client’s load bearing joints. Our shoulders, hips, knees, and ankles bear the weight of our body when standing and moving upright. When we look at our client’s joint position, many of our client’s are surprised by their knee position. 

The load bearing joints of the shoulders, hips, knees, and ankles should align.

Try this:
Stand in front of the mirror
Look at the middle of your thigh bone that is named the femur. Then look at the middle of your knee cap.
Draw an imaginary line from the center of the thigh bone to the middle of the knee cap.
Does the knee turn to the outside of the body or does the knee roll toward the middle of the body?

If the center of your thigh and center of your knee cap are not in line, the rest of your load bearing joints are picking up the work for the uneven load. This uneven load leads to knee pain, arthritis in the knee joint, bursitis, and torn ligaments!

When knees turn out or roll toward the middle of the body, there is significant wear and tear on the knee joint. Imagine going up and down the stairs with the knee cap pointing outward. The friction and demand on the uneven knee joint will lead to knee pain. Over time to avoid the knee pain we begin to sell our house to live on one level or we take the escalator to avoid the movement that leads to pain. This avoidance of triggers will decrease the feeling of the knee pain, but does not address the cause of the knee pain.

Oftentimes the exercise we do to be healthy and support our heart, aggravates our knees and we begin to wonder why. If your knees turn outwards and you cycle or run for 30 minutes, that is 30 minutes that your knee joint is impacted and inflamed. Frequent wear and tear from a misaligned knee exercising on the elliptical, bike, or treadmill will lead to arthritis of the knee and the need for a knee replacement. The exercise is not the enemy, but the position of the knee cap in relation to the thigh bone and pelvis. 

How do we avoid knee replacements, ligament tears, and arthritis? We must consider the muscles that support the thigh bone (femur) and knee cap (patella). Through a postural alignment assessment, we will identify what is off in your body and which muscles need to be activated to bring your body into alignment. By correcting and supporting the position of the lower legs, you will continue to be able to tackle stairs and maintain your heart healthy cardio!

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.

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!

 

Getting Back to Exercise

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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!

What is Different About Egoscue?

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People ask us all the time “how is Egoscue different?” At Pain Free Performance, we want to get down to the root of your pain. Egoscue therapy looks at the entire body and determines what joints are out of alignment and therefore, are not mobilizing correctly. When this happens, other muscles will try to create the movement for the weaker muscles. This is what pulls the joint out of the right position.

Egoscue looks at each area of the body and determines which muscles are too tight or overworking. Through gait analysis and functional testing, Egoscue therapy can determine how your body is moving. Then the fun part begins. Our Egoscue University trained therapists will work with you to determine how to release the overworked muscles and how to wake up the muscles that are weaker and not supporting the joints. In other therapies, like traditional physical therapy, therapists work to strengthen the weakened joint, but overlook the compensations from different parts of the body. Egoscue therapists understand that your spine rotates because your right foot is turned out. Egoscue therapists at Pain Free Performance take it a step further and notice the over developed muscles on the right side of your spine. Their Egoscue training promotes further testing to release those muscles before they re-balance the rest of the body.

Want to get back to the life you had before pain? Live the life where you could move naturally and not in order to avoid the pain? Try Egoscue therapy at Pain Free Performance and let’s uncover the root of your pain.

Cartilage Regeneration

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The body has an innate ability to heal. What does that really mean? It means that our body produces over 500 billion new cells a day – without conscious direction from us. Cuts heal, broken bones mend, muscle tissue builds, and brain cells, cardiac muscle and, yes, cartilage regenerate!

The key to a healthy healing body is the environment we provide it. Consider your nutrition, how much you move, if you’re getting enough sleep, how you’re managing stress and how aligned your posture is.

If you consistently work on all of these aspects of good health, your body responds. In order for cell production to be optimum, each of these needs to be happening simultaneously. I want to focus on how all of this enables cartilage regeneration, from an alignment standpoint. Maybe you’ve been told your knee (or hip, ankle, wrist) is “bone on bone” and you think the only answer is a replacement. Not true!

Research shows that under the right conditions cartilage can regenerate like any other tissue in the body. The first question to ask if you are told that you are “bone on bone” is why is that joint wearing away? Where did the cartilage go that is supposed to be there? It’s all about the position of the joint and the uneven force going through it as you move. Once the joint position is corrected, the body will produce more tissue to repair itself. Take a look at these before and after x-rays:
Look at the narrow joint space (bone on bone) on your left
knee pain
One year later after a postural alignment regime. Notice the uniform joint spaces!
repaired knee without surgery
Here at Pain Free Performance we watch the way bodies move and stand. We determine if body weight is equal front to back, side to side. We evaluate the position of all major joints looking for proper loading (head over neck, over shoulder, hip, knee, and ankle.) If there is disparity, the body is not functioning properly. There are muscle imbalances causing an uneven force in the joints which creates friction. The friction wears down the cartilage. The joint becomes a victim of the imbalance and bone surfaces begin to wear away. Bone on bone.

What is the remedy? Posture alignment. And I’m not talking about your mom telling you to “pull those shoulders back”. I’m talking about retraining muscles to do the job they are intended to do. Why?…because muscles pull bones. The bones are out of alignment but they are innocent bystanders because the muscles are either doing too much or too little. At Pain Free we unravel what the muscles are currently doing and give you the tools to get them working together again. When the muscles that propel the joints are working correctly again this provides increased blood flow to the area, and allows more movement. And, yes, this gives the cartilage an opportunity to regenerate. It’s not magic but it’s amazing and possible for you too.

Alignment Matters Because Movement Matters

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We’re in pain, so we move less. We move less, so we’re in pain.
Which comes first…the chicken or the egg?

When we are in pain it can hurt to move, so most of us stop doing the movement that hurts. Although we avoid the painful movement, we still have to go about our daily tasks. The body will create a new movement pattern to get the task at hand done. The new movement patters ask some muscles to perform in ways they were not designed to, while others stop doing their job altogether. Eventually, the body will break down from the new uneven alignment. We’re in pain so we move less.

We live in a world where we move less and less. We have been marketed a host of gadgets to make our life easier. But, these gadgets make us move less. Think about it. We use remotes to turn on/off our TV’s and open our cars and garage doors; we use back-up cameras to pull out of our driveways. We drive instead of walk. We sit at computers instead of shopping at stores…the list goes on. All of the sedentary things that we do shorten and weaken our muscles. This lack of movement changes our muscle/skeletal alignment which leads to pain. We move less so we’re in pain.

If you’re having back pain, neck pain, knee pain, hip pain, elbow pain it’s probably the result of what we were just talking about. You’re out of alignment. Let us show you how to retrain your body by correcting the muscle imbalances to correct your alignment so that we can get you moving again – without pain. Movement is vital to health. Alignment matters because movement matters.