Pain Free Performance — Egoscue Certified

Posture Alignment Therapists, Certified by Egoscue University

hip pain

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!

SUPINE GROIN PROGRESSIVE

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If I told you there was something you could do for one hour that would help your back pain, your shoulder pain, hip pain and leg pain and all you have to do is lie on the floor, would you do it?  Well there is such a position – it’s called Supine Groin Progressive.  It’s sort of an exercise, but not really because you don’t do anything except lower your leg down through different levels every few minutes while lying there relaxing.  The benefits are amazing…let me explain.

This is the tower.  If you’ve been to Pain Free Performance, you’ve probably seen one.  If not, it looks a little weird, but it’s an amazing postural tool.  You see in the photo that one foot is in the upper level of the tower, the other is over a block.  What do you do?  You just lie there for 5 minutes each level and then do the same thing to the other leg.

What is it doing?

Several things are happening in several different muscles.  Because the floor acts as a template, this puts your head, shoulders, back, hips, legs and feet on an even plane. For most of us, this is not the norm when we are standing.   When you first lie down, you most likely will notice that there is space between your low back and the floor.    Your body will eventually conform and sink into the floor. 

Specifically, the ilio-psoas muscle at the base of the spine will relax and let your low back and pelvis settle back to the floor.  The ilio-psoas starts at the low spine, crosses over the pelvis and attaches to the inside of the upper thigh.  Because a lot of us sit so much, this muscle gets tight and since it is right in the middle of the body, it affects the whole body…especially the mid back and hips. 

How does it work? 

The body remembers this release of muscle tightness and the misalignment that comes with it.   Doing this Egoscue exercise has a cumulative effect on the body and is a great antidote for all those hours of sitting.  Over time, this muscle memory becomes the norm for your body’s posture when standing, running, sitting, or playing! 

If you have questions, call us at Pain Free Performance and schedule a posture evaluation.  The tower is just one exercise that would be a part of a postural exercise prescription.  Each person is given an individualized program based on their postural issues.  We can show you how improving your posture gives you pain relief, restores function and makes a world of difference in how your body feels and how you feel about almost everything.  This is why we do what we do!!!   

               

 

MY FEET ARE KILLING ME!

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At our clinic we hear this at least once a day.

And, some folks have the hardest time believing that foot pain is a posture problem.  Maybe it’s just that our feet are so far from our heads or that we’ve been trained to think of the body in separate parts and symptoms.  However, most likely your foot pain IS a posture problem.

Think of it this way, your feet are the first point of contact with the ground, so there is a lot of pressure from your body weight being pulled by gravity as each foot hits the ground.  The body is an integrated system and when it works properly your feet have a lot of support from your legs, hips and even your back.  They all work together as a team to support your feet, mitigating that gravitational pressure.  When your body is not working properly – meaning your posture is out of whack – then your feet are on their own, without support.

Take a quick look in the mirror.  Is your head bent over forward?  Are your shoulders and upper back rounded forward?  Is one shoulder higher than the other?  What about your hips…is one higher than the other?  These misalignments are created by a myriad of every day occurrences such as being hunched over a desk, operating table, sewing machine or computer; maybe you broke your arm and your shoulder position changed while you were casted or that sprained ankle created a change in your gait to avoid pain, so much so that you ended up with hip pain, leg pain, knee pain and eventually foot pain.

Again, your feet have no support.  They are rolling in, rolling out, slapping flat on the ground without the normal heel, ball, toe push off creating pain as they try to compensate for all the misalignments going on higher up in the body.  So, next time your feet are hurting, check your posture.  Getting the picture? Everything in our bodies is connected and rarely does the point of pain you are experiencing originate there.  Once you correct the misalignment, your foot pain will disappear also.

We know how to get to the root of your foot pain.  We understand the connections and what to do to untangle the postural issues life has created in your body so that you can be pain free.  Call us at Pain Free Performance…we are here to help.

Golf Exercises

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Spring is finally here!  Really!  I see more and more people out at the driving range and on the golf course, and that is great!  What I also see though, is a little alarming…the golfers bodies, especially shoulders, upper back, neck and hips are still frozen and stuck from winter.  Getting that golf ball off the tee and into the air is not a pretty sight and often results in some fairly substantial pain from the musculo-skeletal compensation used to get the job done.  That’s a mouthful, but it means there is a lot of pain in the low back, knees, elbows and shoulders for these golfers because of this. 

Here is a quick sequence of e-cises you can do both before and after golf that will unlock the upper back, hips and shoulders so the body can work as a inter-connected unit rather than disparate parts.  Our Egoscue enthusiasts will recognize these e-cises.  If you are not yet familiar with Egoscue e-cises, and would like to know more about these, give us a call and we’ll give you some pointers.

ARM CIRCLES to strengthen the upper back muscles involved in the ball and socket work while reconnecting the back and pelvis.

ELBOW CURLS to remind the shoulders that they have a hinge function while getting the upper back out of its rounded stooped place.

STANDING OVERHEAD EXTENSION getting all the load-bearing joints to line up in the vertical line and extending the upper back through the neck.

UPPER SPINAL FLOOR TWIST uses rotation of the spine to continue opening and lengthening the mid and upper back while strengthening the hips in the same plane, twists the upper body against the lower body (important for that swing!).

CATS AND DOGS work hips, spine, shoulders and neck in coordinated flexion-extension and asks all the muscles of hips, back shoulders to work bilaterally – both right and left shoulders together at the same time.  This is so important as more and more we use just one side of our bodies predominantly.

Try these both before and after you have played your round of golf.  I can guarantee you’ll feel the difference.  Contact us at Pain Free Performance with any questions.  Enjoy the course!

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! 

ARTHRITIS

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Perhaps you’ve visited your physician lately because of joint pain, and she tells you that you have arthritis.  Maybe she mentioned “degenerative joint disease” – which sounds even worse!  Well, these two things are basically the same thing – inflammation of the joint.  Many people think that the arthritis diagnosis is inevitable especially as we get older, not realizing that there is something to do to correct it, not just mask the symptoms with pain relievers. 

There are several different kinds of arthritis but we are talking about Osteoarthritis (OA).  This is the most common form of arthritis.  It is often called “wear and tear” arthritis and happens when cartilage in the joint breaks down creating the painful symptoms and joint swelling.

Sometimes OA presents on just one side of the body and not the other.  You might wonder why since both sides of the body are the same age! It all has to do with joint position.  When we are out of alignment (perhaps due to an injury) then we “load” one side of the body differently than the other, favoring the injured side.  When this happens, then that side will “wear” differently and faster which begins the arthritic process.  Sometimes people with osteoarthritis experience pain in all of their joints.  When joints are not lined up, the surfaces of the joints wear unevenly creating friction.  This friction causes inflammation, pain, and stiffness ….arthritis

One of my clients has arthritis in her hands…stiff sore inflamed joints-ouch!  But it’s not really about her hands at all.  Her shoulders are rounded forward, causing her elbow and wrist to be out of alignment.  All the joints are not moving well together and there is friction in every text and email she sends.  So, we’ve got to get her shoulders back into proper alignment, which will get her elbows in place and on down to her wrists and fingers. 

At Pain Free, we teach people how to get their bodies back to the original design – joints back in an equal bilateral position and the rest of the body aligned in strait lines, at 90 degree angles to the line of gravity.   So, don’t despair if you are experiencing arthritis pain – the healing power of your body is amazing!  You just need to know what to do and we’re here to help.