Pain Free Performance — Egoscue Certified

Posture Alignment Therapists, Certified by Egoscue University

Pain relief

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!

 

The Whole Picture of Being Pain Free

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As Egoscue certified therapists, when we look at the body, we do not isolate it into individual bones or parts. We hear our clients when they identify the quality and site of their pain whether it’s knee pain, back pain, hip pain, or foot pain. This information is used as a tool to provide appropriate care for our client, but we continue to treat the whole body. In order to eliminate pain long term, we must work to correct the imbalance of the body as a whole unit.

When our client’s come to Pain Free Performance, we encourage them to “listen to their bodies”. This means to acknowledge when they have pain, to not complete exercises that bring on pain, and identify changes within their body after completing a musculoskeletal exercise.

In an Egoscue therapy session, we might encourage our client to stand with their backs against the wall and have their heels, hips, shoulders, and head touching the wall for two minutes. For some clients, not all of their body parts will be able to touch the wall in the beginning. During these two minutes, a client could feel that their body is falling forward, that the muscles behind their knee could be stretching, or they could notice that their head is forward. After two minutes of holding this exercise, we watch the client walk and ask them to consider if anything in their gait is different which could include:

Are they lighter on their feet?

Are they standing straighter?

Has their knee pain decreased?

Do they feel equal weight bear in both feet?

As therapists, we are looking for a change in the function of their body. We are assessing whether the exercise restored the client’s ankle function or created a lighter load in the client’s steps. In the beginning pain level or quality might not change, but it is through restored function of the musculoskeletal system that our clients will not only have improved posture, but improved quality of life without limitations. Balance and restored function of the musculoskeletal system are the key to becoming pain free.

 

Moving Toward Being Pain Free

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We often work with clients experiencing significant changes in their quality of life due to pain. Many are having pain for the first time and don’t understand why. They progressively and reluctantly remove the activities they love that seem to increase pain. Ironically this leads to no longer being able to sit, stand or move without discomfort. The catch is, even in pain, our bodies are meant to move. Ultimately, the body moves the way you move it or, doesn’t move because you don’t move it.

If you have been a cardio-queen, spending an hour doing the elliptical every morning and then go off to work sitting for eight hours, that’s a problem. Perhaps you’re a jogger and pound the pavement on the weekends but lay low during the week. Both of these scenarios can cause pain over time. Parts of your body and muscles are deprived of oxygen for all that time you are sitting or sedentary. Most people are out of alignment and can unwittingly create more dysfunction with activity. It creeps up on you and then one day, as our clients describe above, you are in pain for the first time. You have back pain, hip pain, foot pain, neck pain or shoulder pain and you don’t know what to do! You hurt, so you stop the morning exercise, the running, the elliptical. Inactivity is not the answer, but the right activity to correct your alignment is key to healing your pain.

At Pain Free, our job is to evaluate each client’s body, to diagnose what is truly causing the pain and reintroduce appropriate movement. This prescribed movement restores alignment, naturally removing pain which reunites people with the activities they enjoy! Let us join you on this journey back to moving well and doing the things you love to do.

Arthritis and Aging

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Many of us assume that as we age, there will be a certain amount of pain to endure. We think arthritis is a sure thing.  Or, is it?  And if so, is age really the only culprit?

First of all, what is arthritis?     It means “Inflammation, etiology unknown”.  Where does the inflammation come from?  There is the implied theory that we’ve just worn out our joints because we’ve lived so long!  If that were true, then everyone over a certain age would have arthritis or worn joints.  We know that knee pain, shoulder pain, hip pain, back pain comes from wear and tear.

Well, most often patients present with one side or the other hurting –I hear it all the time “thank goodness my other knee feels great!” This phenomenon alone debunks the theory that time on earth is dictating joint wear and pain.  While joint compression from age can be a factor would we really only have knee pain, shoulder pain, hip pain, and back pain on one side if pain was caused just by longevity?  No, both sides would have arthritis pain.

As Posture Alignment Specialists certified by Egoscue University, we evaluate bodies in pain all day every day– young and old, all sizes, shapes, injuries, surgeries, abilities and disabilities and condition levels. Most people come to us because they want pain relief – with knee pain, shoulder pain, hip pain, back pain, and ankle pain.  The simple and amazing thing is that they all have the same problem – their bodies are not properly aligned.  What your body needs is not youth but alignment… the way it was intended.  The earlier one understands the importance of alignment, the less arthritis has a chance!

joint alignment

Notice the alignment showing the ankles, knees, hips, and shoulders vertically and horizontally aligned, the pelvis is neutral, the spine has an s-curve, and the knees and feet point straight ahead. When this isn’t what is happening in our bodies – for whatever reason (accident, surgery, work posture) – some muscles begin doing too much and some not enough.  That is when bones are pulled out of alignment because of the compensation and then joints begin to wear unevenly.  This is true no matter what your age, however, the more years it goes uncorrected the more work one must do to unravel the compensations.

We need alignment so that our joints are properly “loaded” while we participate in as much weight bearing movement as we can handle, keep our range of motion in all joints full and active!  It’s not age, its alignment.  No matter what your age, we can help you retrain your body to be straighter and more functional without all the pain!

 

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.

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

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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.

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.