Pain Free Performance — Egoscue Certified

Posture Alignment Therapists, Certified by Egoscue University

Functional movement

GARDENING SEASON AGAIN!

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Ah yes! It’s time for gardening and yard work.  Finally!  But after just a couple of hours of gardening, my back hurts.  We hear this at Pain Free in the spring, especially as people start getting more active.  They get back pain from what seems to be the simplest most innocuous movements.

We forget that the body is a stimulus-response system (everything we do and eve think has a muscular response in the body). If you’ve been sitting around all winter that inactivity created some less mobile areas in the body.  You may have been active all winter, going to the gym, lifting weights, hours of aerobics, skiing – active!  But moving into the garden we still hear “my back hurts!”.  Those winter activities are great and, even better, fun! However, they don’t get our bodies more functional. What I mean by that is joints lined up vertically and horizontally.  Moving that bag of topsoil requires different movement strength than your weight machine, stair machine, or elliptical. You need to be functional before you are active to stay pain free.

Take weeding for example, Most of us will sit on the ground and start pulling weeds. That sitting position already puts your back in a rounded, flexed position and once you start pulling weeds you force the back muscles to work in that disadvantaged position with no help from the hips and legs (because you’re sitting on them;). Ouch!

WHAT TO DO?!!

BEFORE: Think of your gardening and yardwork as a strength work-out and prepare for it like that.  Do a little warm-up before you go out to get your body functional, lined up vertically and equal right to left.  Try these e-cises:

AIRBENCH

CATS AND DOGS

ARM CIRCLES

ELBOW CURLS

DURING: It’s good to change positions.  Instead of sitting the whole time, kneel or work from your hands and knees, get up and walk around.  Try standing and bend from your hips for a bit.  Change positions every 10-20 minutes.  Your body likes a variety of movement and positions!

AFTER: When you’re done and feeling all proud of yourself, instead of plopping down on the couch, take that much deserved break in static back – everyone’s favorite exercise and so restorative.  If your back pain continues give us a call.  At Pain Free Performance, we are Posture Alignment Specialists certified by Egoscue University — we can help you eliminate that back pain and enjoy your garden!

 

SCIATICA

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Over the holidays, we’ve had a number of clients come in to the clinic with sciatic pain. This symptom can present in very different ways.  For some, it’s a painful sacro-iliac joint that stays in that one hip area and perhaps into the gluteal muscle.  Others will feel a twinge of pain in the hip and then a pain in the calf of the same leg.  The classic sciatic symptom is pain in the hip and all the way down the back of the leg.  At times, this pain can feel debilitating – if you have had that pain, you know what I mean.   Take a deep breath, there is hope without taking pain relievers or having back surgery.

The sciatic nerve is the main nerve that feeds all the other nerves through your legs. Think of it as the main electrical feed that comes out of your spine at the top of the sacrum goes through the pelvis and down the back of both your legs.  Where that nerve comes out of the spine (on either side) and crosses through the pelvis (either side) there is not a lot of clearance.  This makes it imperative that your pelvis is bilateral and symmetrical and your spine is equally bilateral and centered on top of the pelvis.

Sounds simple, right? Well it is and it isn’t.  The pelvis is 3 bones and they can be off in any of the 3 planes of movement and the spine sitting on top that can be off in those same 3 planes.  What holds all this in the proper position?  Muscles.   Lots of them.  And, they all need to work equally as a team.  In order to work as that team, they need a wide variety of movement.  More and more in our culture and environment, we are getting less movement and less variety of movement.

We think driving to the gym and doing a cross-training work out every day is enough. That is good, but nothing compared to what our bodies really need – we need to run, jump, twist, throw, climb, push and pull.  Ideally, we need to do these things for hours every day.  We are not meant to sit still.

Stand normally in front of a full length mirror and look to see where your feet and knees point. Your feet and knee position will tell you a lot about your hips.  If your knees and feet point straight ahead equally, then your pelvis is in a good position; if one or both of either your feet or knees point in different directions, possibly both halves of your pelvis is out of position.  You can change that with a bit of work and the right exercises to get the muscles working appropriately again.

That is what the Egoscue method is all about. It is what we do at Pain Free Performance.  Call us or come and see us and we can enable you to alleviate your sciatic pain.

The Psoas

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The psoas muscle!  Ever hear of it? Most of the people I see in our clinic have never heard of it and yet it is the most important muscle in the body.  Also known as the hip flexor muscle, it joins with the iliacus muscle to form the iliopsoas.

This muscle is the only muscle that attaches/connects the upper, middle and lower body.  For a quick anatomy lesson, it starts at the lumbar vertebrae, goes down on top of and attaches to the inner bowl of the pelvis, then crosses over the top of the thigh bone (femur) and attaches to the inner thigh.

It often does two jobs, one on each side of the body, as it helps stabilize the standing leg while also initiates the swing of the opposite leg while walking.  It is the lead domino and as the lead domino goes, so go the other dominoes.

Many of us have become so sedentary that our hip flexors lose function and shut down.  The hip flexor can and will get too tight, too lose, too weak, too strong or some combination of these traits.  It becomes short and weak as we sit for long periods of time.  Then, when we try to make up for lost time and get in a little movement or exercise –our back flares up, neck starts hurting or we get knee pain.  Maybe we get a case of hip bursitis or plantar fasciitis.  It doesn’t matter what the symptom is or what the diagnosis is, the culprit is our lack of hip flexor function.

So, it’s not your back or knee or foot or neck.  Those are just symptoms. We have to get to the cause to alleviate the symptoms and more often than not the cause is that your iliopsoas has shut down.  Because it attaches to the lumbar vertebrae, the spine and upper body are affected.  It attaches to the pelvis so the hip joint can be affected.  It attaches to the top of the thigh bone so the lower body can be affected.   The psoas is really the most important muscle of the body.  Remember the domino analogy.

The body is an inter-related system so the site of the pain is rarely the source or cause of the pain.  If you are experiencing back pain or neck pain or any other symptom, come let us take a look at you and help you regain your function…and get those hip flexors working!

Hurray! It’s Summertime!

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Living is easy and best of all its vacation time! Most of us drive when we go on vacation, sometimes for hours at a time.  So, by the time we get to that wonderful vacation spot we are in pain and pretty miserable!

That’s because the car is the perfect unilateral instrument; meaning we use only one side of our bodies to operate it.  We use the right foot for the gas and brake pedals and most of us steer with our right hand.  The body, however, is a bilateral system and it needs more stimuli using both sides of the body.  That’s even true for most aspects of our lives – mainly one-sided, the car is just a perfect example.

Take a moment to look down at your feet next time you are standing. Do they point straight ahead?  If not then you are out of balance.  For most of us the feet splay out, one more than the other, which is a clue that the body is not symmetrical or equal one side to the other.

The great thing is even if you are out of balance the body will quickly re-learn how to balance because it is an intelligent system and wants to be balanced.  You can do a few exercises and feel much better!  The exercises below will provide a new stimulus that asks the body to work equally.  You can even do them while you’re at the gas station or at the rest-stop.

STANDING QUAD CONTRACTIONS

Stand with your feet straight ahead

Tighten then relax your thigh muscles (like pushing your knees back, then relax)

Do 3 sets of 15

STANDING ELBOW CURLS

Stand with your feet straight ahead

Place your right hand on your right shoulder; left hand on left shoulder

Touch your elbows together then take them as wide as they’ll go

Do 2 sets of 10

ARM CIRCLES

Stand with your feet straight ahead

Extend your arms out to the side, a little lower than the shoulders

Squeeze your shoulder blades together – lock out your elbows – make a loose fist

Fingers toward the floor, circle the whole arm forward 30 times

Keeping the elbows straight, turn the hands up, fingers toward the sky and circle backward 30 times

COUNTER STRETCH

Place your hands on the roof of your car about a foot apart (SUV owners, use the window sill)

Step back from car about 3-4 feet, get your feet straight ahead then bend from your hips to get your back flat and then put an arch in your low back.

Tighten your thighs and hold that for 30-60 seconds

 

When you have done these 4 exercises, notice how you feel.  You should feel more balanced left to right, a little taller and breathing a little easier!  Do these whenever you can on your trip.  When you get home, look us up and let us help you get straighter, stronger, more balanced and pain free!  Happy trails!

GO OUTSIDE AND PLAY!

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Alright!  The snow is melting!  The crocuses are poking through the ground.  The temperature is rising and there are some beautiful sunny days.  IT’S SPRING!  At the risk of sounding like my mother…. GO OUTSIDE AND PLAY!!

Perhaps you’ve been inside at the gym this winter.  Let me encourage you to leave the aerobic machine, get out of the gym and go do the real thing!  I know, you love that machine…you’ve grown very close.  Here’s the thing – it’s not near as good as letting your body take you through the motions, rather than the machine.  For example, the treadmill:  the motorized conveyor belt you’re standing and walking on actually does the work for you.  The muscles of the hip are not moving you, they are being moved.  If you hold onto the hand rail, there is even less work through the hips, the back is in an odd position and there is zero trunk rotation to counter the hip movement.  Normally, the hips and trunk twist slightly in opposite directions when we walk or run with opposite arm and leg movement and this is important for balance.

The elliptical machine has its own challenges.  The momentum of the machine is doing all the work and your hips never really extend appropriately for proper gait.  (Hip extension is the leg going behind you and creates the drive that propels us forward in walking and running!)  I often hear “I prefer the elliptical because it’s not as jarring on my back”.  While it seems as though that’s a good thing, your body is being led along and not in the best position.  You are effectively creating some dysfunction – especially if you have alignment issues.

Then, there’s the stair climber.  Most people on the climber are hunched over, leaning way forward at the waist with all their weight, grasping the rail.  Do people really climb stairs that way?  I don’t think so.   Again you are training yourself in a dysfunctional way that will eventually cause injury and pain.  The best thing is to actually go up and down flights of stairs!  Skip the elevator when you can.  If you use the stair climber – keep your hands off the rails and let your arms swing.  This helps with balance and is a better more efficient workout!

The real answer is to get the body functional: a body that has proper strength, stability, mobility, endurance and flexibility in movement.  When we’re functional, we can easily bend, twist, reach, pull, push, squat, duck, jump, climb over and crawl under.  We need all that variety of movement, it is our birthright and where we come from!  Remember how you played as a child?  When we move like that, we decrease pain, feel better, increase metabolic rate, lose weight, tone muscles and improve our mood – Just in time for spring!

Give us a call and let us evaluate your posture and so you may begin your journey to a functional, pain free and active life.  Your playground is waiting!