Pain Free Performance — Posture Alignment Therapy

Live Pain Free!

knee pain

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.

HOW POSTURE THERAPY WORKS

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HOW POSTURE THERAPY WORKS

I had a client the other day that came in with major pain and I thought I would share his story with you because this visit clearly illustrates how posture therapy works.

“Tom” came to us with left knee pain.  He had tried all kinds of things to help it – yoga, massage, stretching, chiropractic, physical therapy, even medication.  Nothing seemed to help and often his knee hurt as much if not more after these activities.

The focus of our posture work is looking at the body as a unit, as a complete system.  Most people think the problem is where the pain is, but that is hardly ever the case.  Tom’s pain tells us there is an issue with his left knee, but the cause of that knee pain is most likely somewhere else.  How do we find out where the root of the pain is?  Let me take you through our thought process as Posture Alignment Specialists certified by Egoscue University.   

As I said before, we look at the body as a unit, without focusing on the symptom (Tom’s knee pain).   I look at him to see if his ankles, knees, hips and shoulders line up in straight lines and at ninety degree angles.  I’m not thinking about what I can give him to make his knee feel better but I ask myself how is his body working as a unit?

Looking at Tom, the first thing that jumped out at me was that his right hip was an inch higher than the left.  Viewing from the front or back, his right hip was definitely elevated.  Just standing there, I could see that he did not really put equal weight on his right side.  With a hip that is elevated, it is so out of position that it is unable to do its job taking equal weight.

As a little test, I asked him to stand on one leg at a time, bending the other and bringing it up waist high.  Standing on his left side, the painful one, he could balance easily, but he could not balance standing on his right side.  So, I’m thinking that hip elevation is probably the major cause of his left knee pain, but I want to watch him walk first.  When he walks across the room and back I can see that he definitely shifts more onto his left side.  When I ask him if he can feel that he lands harder on his left side, his answer was “yeah, sort of” but when I have him watch himself walk in the mirror, he sees it clearly.

It’s a little strange that he shifts onto his painful side.  Most people shift away from the painful side.  Tom agrees that it doesn’t make any sense to him and has no idea why he would do that.  I explain that with his right hip so out of position, he simply is unable to load his weight equally from left to right.

So, Tom’s thought was “If my left knee hurts because my right hip is elevated, I’ll do some hip exercises to even them out and we’re good, right?”  “Hang on” I explained, “Let’s figure out why that hip is elevated.  Maybe that hip is the problem, but there could be something else going on.”

Often what we see in the clinic is that the client’s upper body position has a huge effect on the ability of the lower body to work properly.  When I look at Tom from his side views, I see his head way forward,  his shoulders hinged forward and his upper body rounded over.  He looks like a big “C”.  Tom’s spine should have three little curves in a gradual “S” shape, not a big “C”.  I put my hands on the top of each side of his pelvis to confirm that his right hip is higher and leaving my hands there I have Tom interlace his fingers together and put his hands behind his head and pull his elbows back as hard as he can.  He grimaces as if this is a bit difficult, then jokes about the only other time he did this, he was talking to a police officer!  But, guess what, with his hands up like that his hips become even.  I have him walk across the room again keeping his hands behind his head and elbows back and as he does that his hips stay level and load equally from left to right.  The hip disparity is gone and he can see it for himself as he walks toward the mirror.  He is amazed.

He laughs, “so all I have to do is walk around like this the rest of my life?”  I said “yeah, and in your neighborhood, they’d think nothing of it!!”  In all seriousness though, we have to get Tom’s upper body in that position without him having to put his hands up to get there.  I could see that Tom got it.

Putting his hands behind his head took his upper back that was stuck in flexion and shoulders that rounded forward and got them into a more extended position, closer to where the body was designed to be.  In this position the rest of his body changed and we could see his hips were level and his walking become equal left to right.

Bottom line:  Tom’s left knee hurts because every step he takes, he makes it work harder than it’s supposed to by putting more weight on it than it should normally get.  Along with that, as he keeps loading that left hip more and more, it gets tighter and tighter and over time stops rotating the way it should, so then the knee has to take up that job.  The knee was never designed to rotate – it’s a hinge.  So he’s not only putting more weight on that side with every step, he’s asking his left knee to do something it was never designed to do — rotate!  That knee is working like crazy taking more weight and twisting with every step – one hard step off a curb and the ACL tears – ouch!!!

Because the right hip is out of position he cannot load evenly left to right.  The right hip is out of position because his upper body is pulling it there.  In order to resolve the knee pain we have to get his upper body and shoulders in a more extended upright position.

All the other people trying to help him were only seeing his knee as the problem and so focused on the knee.  But the cause of his knee pain symptom was not the knee but the position of his upper body.  He could have done and did all kinds of things for his knee (the symptom) nothing changed because the cause of that symptom was not addressed.  We gave him a sequence of exercises to get the upper body more extended and some others to help the hip change position and stabilize so by the end of our session he felt better and walked better than he had in years.

This is not the end of the story.  In fact, it’s just a beginning.  Tom has to do his exercises every day to retrain his body so it will live in the better position.  It’s not a quick fix, but if he does the work, he will begin to stay in that better position and he won’t have knee pain. 

Where you are having pain (symptom) is rarely the actual cause of the problem.  The body works as a unit.  When we observe and treat the whole body as a unit the results can be amazing; some people have said miraculous.  It’s not so much a miracle, it’s just returning to the body’s original design of straight lines and 90 degree angles.  If you would like some help getting your body back to this basic design, give us a call or check out our website.

If you can understand these simple concepts, you don’t have to live with or be afraid of pain.  Pain is just a message that something is wrong and your body is asking for help.  Instead of ignoring it, let’s listen and then respond to it with grace and intelligence.  Believe in your body and honor it by giving it the motion it needs and the results can be truly amazing.

 MACKIE BOBLETTE

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.

 

 

EMBRACING THE TOWER! (Supine Groin Progressive in the Tower)

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Egoscue Tower ExerciseThe TOWER, as we affectionately call it, is truly an amazing piece of equipment.  It may look menacing but it should not be feared!  The tower helps to re-establish the functional chain reaction of muscles that we need in order to maintain good posture and be pain free.  It’s great because you just lie there and better posture happens just by lowering the leg through different positions!    Yes, it takes time to do it.   Because most of us don’t think anything is happening unless we’re DO-ing something, one might be skeptical that anything could be changing.  Just because you aren’t actively doing something doesn’t mean that the body is inactive. In the tower the body is actually very active while you just lay there!  Really.  For the musculoskeletal system, it’s like going on a long walk with everything working right — without any of your habitual compensations allowed to come into play.

At each level of the tower your hip flexor engages then releases, which then lets the pelvis drop back which then extends the back.  The shoulders open and the head and neck lengthen.  As the pelvis settles to the floor, there is a rotational component at the hip joint between the pelvis and thigh bone, the knee is extended straight which asks all the muscles of posterior leg to lengthen and equalize their pulls as they cross behind the knee.  The ankle stays in a close-packed position the whole time.  All of this happens at each level as you proceed down the tower, as the one leg gets lower in the tower the difference between the two halves of the pelvis gets greater.  This is what happens with each step we take, so in the tower you are spending an hour taking one perfect step.

This one simple exercise is great for all of us considering how much time we spend sitting.  It can lessen the effects of being at a desk at work or school all day or being in the car or on the couch for several hours. It has a cumulative effect – we’re all playing catch-up but soon you’ll be making deposits in your posture account.  It is an important exercise to help alleviate neck pain, back pain, hip pain and knee pain.  I’ve been doing Supine Groin Progressive for 20 years – since before the tower even existed.  I continue to include it in my menu several times a week and each time I finish in the evening, I feel so amazing the next morning I have to ask myself why I don’t do it every day!   So, if your Egoscue therapist suggests the exercise Supine Groin Progressive, I encourage you to consider investing in the time, the tower and yourself.

 

Go Barefoot!!

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The Egoscue Method is based on the idea that health is motion.  The more we move, the healthier we are, the healthier we stay.  In the poorer regions of our world, people move more.  They may walk to get from one place to another, perhaps they grow their own food and actually harvest the fields to put it on the table – they’re moving because they have to.  They often keep moving longer than we do in our wealthier, more sedentary culture.  We could learn a lot from their lifestyle.

In these cultures, often we see folks going barefoot – while they work, run, play and walk!  People ask me at Pain Free all the time about what kind of shoes they should be wearing.  The answer is in another lesson we could learn from these other cultures– no shoes are the best for your feet!  In May of 2010, Harvard Medical School released a study that found that the more support, more cushioning and more expensive the shoe, the more likely for injury.  The reason?  Most shoes do not allow your foot to go through its natural motion.  The support of a shoe can actually weaken the muscles of the foot and the muscles of the leg and hip that work as a team with the foot.  The muscles of the feet are no different than any other muscles of the body – they need movement and lots of it! If you don’t use them, they become weak and atrophy.

 I am not suggesting that you throw away your orthotics and expensive shoes.  If you need them to walk without pain, then use them.  What I am suggesting is that if your body alignment is good and you can go barefoot, by all means do it. Your feet will thank you for it!

Do You Have Knee Pain?

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Do You Have Knee Pain?

Do you have knee pain?  One of them is stiff and aches in the morning. Or you get knee pain going up stairs or walking downhill. You don’t cross your legs anymore because that knee hurts.

So, you ask your doctor about it and she says that extra ten pounds puts that much more pressure on the knee. Or maybe, she says it just goes with getting older. My question is this:  how come that extra weight or age only affects one knee??? The answer is: because your knee pain is not the problem—your knee pain is the symptom but the problem is your alignment!

If you stand in front of a full length mirror, look at how your hips, knees and feet line up. Are your hips level?  Do your knees point straight ahead? How about your feet? Do they splay out or point straight ahead?  Probably one foot points out more than the other. If your feet and knees point in any other direction than straight ahead, then at some point you will get knee pain.

It is really very simple; the knee is a hinge joint so if the feet and or knees point off to the side, you’re putting a torque or twist at that joint. With every step you take, you’re asking that hinge joint to take on a twist under a load that it is not designed to handle. A couple of years of that twisting and you’ve got knee pain.

So, they’ll tell you to lose some weight and next they’ll want to replace the knee. I just saw an ad on TV about a new knee replacement—to sell you on a knee replacement! Of course, sometimes it’s necessary, but for most of us that original is just fine—the design has been around for a few thousand years! Either way, new knee or the ones you were born with – the advice is the same: fix your posture and your alignment and you won’t have knee pain!

Are you ready to have a life free of knee pain?  Do you want to get back to doing the things you love to do without pain?  If you answered “yes” to either of those questions, let’s find out what Egoscue can do to help. You can reach us by phone at 434-296-0600 or via email at painfree@painfreeperformance.org. If you aren’t in the Charlottesville area, no problem!  We work with folks from all over the country via Skype. We can get you the help you need without you ever having to leave your house! To free yourself from knee pain, you have to get your body balanced. When you do, you can get back to doing all the things you love to do, PAIN FREE!
QUESTION: What activity have you stopped doing because of your knee pain?