Pain Free Performance — Egoscue Certified

Posture Alignment Therapists, Certified by Egoscue University

Pain relief

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.

THE RIGHT MOVES

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When we hear about healthy lifestyles from our healthcare professionals, three things are always stressed: eating healthy foods, getting adequate sleep and exercising regularly. As you know, we’re into healthy lifestyles at Pain Free and we talk a lot about total body alignment and movement.

Culturally, we are pretty sedentary with only bursts of movement or exercise adding up to maybe 1 or 2 hours a day. Research is now showing that doesn’t meet our body’s daily movement requirements. THERE IS A BIG DIFFERENCE BETWEEN MOVEMENT AND EXERCISE.

EXERCISE typically consists of repetitive motion in a specific area of the body for a specific amount of time. Think treadmill, for example. Our heart rate’s up, one foot in front of the other over and over. We drive to the gym, walk or run on the treadmill for an hour, then we drive back home or work. What are we doing the rest of the day?

MOVEMENT is leaving our car at home and walking to the store to buy our groceries. Our heart rate is up, we’re working our lower body and utilizing our upper body carrying groceries home. Now, that might not be feasible for all of us but it illustrates how our bodies are meant to function. Even if we can’t walk to the store, we just need to change things up a bit to add natural movement back into our lives.

HERE ARE OUR TOP FIVE TIPS TO OPTIMIZE THE WAY YOU MOVE EVERY DAY:

1.) START YOUR DAY MOVING
Begin the day with your Egoscue ecises , take a walk with your coffee, stretch while you read the paper, or step on the trampoline while you watch the news. The more you move, the more your brain will encourage movement throughout the day.

2.) PARK AS FAR AWAY AS POSSIBLE
We hear a lot about 10,000 steps. Instead of stressing over a number, seek any opportunity for movement – all types of movement. Park further away, walk to your destinations, take the stairs, work-in a zumba class – whatever you love to do. The movement will add up. Lasting results begin with subtle changes in the way you move through your life!

3.) CREATE A MORE DYNAMIC WORK STATION
People ask us if standing work desks are really healthier than sitting. Absolutely! Also think about working from the floor, at a coffee table, on a pillow or in any other way you can imagine. If you can’t do this at the office, try it at home. Stand awhile, sit awhile. The take away is, this encourages your body to respond and move in the way it was intended. Your joints will be more fluid, increase your functionality and keep you moving well for a long, long time!

4.) MOVE WHILE YOU WORK
Why not encourage natural movement while taking care of business? Take a walk down the hall or up and down the stairs while you return phone calls. Your heart rate will increase, your feet will be happy, and your mind will be clear and rejuvenated from this much needed movement break. Stand a stretch every hour or so. Keep moving.

5.) SIT ON THE FLOOR
Home after a hard day, maybe you’re planning to catch up on your favorite Netflix series. Instead of plopping on the couch, try the floor. Put your back up against the couch. Cross your legs, or put them straight out in front of you, or pull your knees up to your chest. Better yet, do all of these periodically! Floor sitting allows your hips and knees to bend at angles that are lost in our culture. Using the floor, instead of chairs or the couch, stimulates your muscles to be more flexible, stronger, and more efficient.

It’s not movement OR exercise. While it’s important to know the difference, fill your life with both. As Postural Alignment Therapists at Pain Free Performance, certified by Egoscue University, we teach total body alignment to create your very best function without pain. Incorporate movement in your life the same way. More movement, of all kinds. All of your functional muscles and the resulting properly aligned joints need to be used all day every day in as many ways as possible. Total alignment, total movement, for a totally enjoyable healthy life!

Back Pain

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Last week a wonderful woman came to see me who has been struggling with extreme lower back pain for years. She has stenosis in her spine and has endured several injuries throughout her life. The pain in her back had gotten so bad that she couldn’t even walk without the back pain intensifying.

After evaluating her back pain, in order to see the response of the prescribed Egoscue program in her body, I asked her to walk after completing each stretch or position (E-cises). Watching her gait allowed me to see exactly how her body was responding and as importantly allowed her to feel the changes in her body.  Within ten minutes she had completed four Egoscue E-cises that encouraged the spine, shoulders, and pelvis to be in a better position. As she began to walk, she was overwhelmed with emotion. She couldn’t believe that her lower back didn’t hurt anymore!  This was the first time in years she did not have back pain.

Analyzing her gait, I could see that her shoulders were not as forward, she had increased range of motion in her hips, and she appeared lighter on her feet. As an Egoscue therapist, it is so exciting to see instant changes! While it doesn’t always happen this dramatically, when the E-cises are introduced the body changes.  Back pain is relieved.

In order to keep progressing toward a pain free body, these E-cises must become a way of life. You have to challenge the body as it evolves with new stimuli. You have to be dedicated. Doing the E-cises daily, even for as little as ten minutes, will benefit your body! Your back pain can be relieved.

For some people, the relief of back pain, shoulder pain, hip pain or knee pain might not happen in the first ten minutes, but over time the changes do add up and the pain retreats. The time and energy you’ve invested while doing your Egoscue program will decrease your pain and allow your body to function in the way that you desire! Walking, running, hiking, standing and sleeping without pain are within your reach! This result is emotional for our clients and for us.  Finally being pain free is life changing.  It’s what we do at Pain Free – we are here to help you realize the possibility of life without pain once and for all.

 

EGOSCUE AS MEDITATION

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With all of the heartbreaking craziness that is happening in the world recently, it’s no wonder we are all feeling a little unnerved. We watch the accounts on the news in horror, we stop watching but the images remain with us.  We feel worried, immense sadness and compassion for people directly affected and their families, fearful for ourselves and our families. Without being conscious of it, we hold our stress in our bodies and it might come out as the worst headache ever, nagging neck pain, or shoulder pain.  We’re not sleeping well.  We feel awful. It’s painful on every level – physical, mental, spiritual.

This last spring we began a meditation class here in our studio at Pain Free Performance in Charlottesville. We feel it’s an excellent compliment to the Egoscue work we do.  Our clients and friends had been talking more and more about wanting to join a group meditation so we found an inspired teacher and  began weekly meditations –it’s been great!

One of the first things we noticed is that some of the people in our group were claiming their place in the meditation circle with a mat and an Egoscue block. They participated in the guided class in static back!  The rest of us had powered through trying to perfect the more traditional meditation pose of sitting cross-legged with our hands in our laps.  While we were squirming and twisting to keep from cramping up, our friends were deep in pain free meditation.  We switched over pronto!  What we learned is that being in such a restorative physical position (static back) enabled us to be in a more receptive restful mental /spiritual position for meditation.  The results on every level were amazing.

So it got me thinking as I look for some peace and centeredness in these overwhelmingly turbulent times, that not only meditation might be in order but Egoscue as Meditation makes perfect sense.  In the Egoscue world, we teach our clients that their point of pain is not our focus but the alignment of the entire body is our focus.   Every part of the body is connected and interrelated just as is every part of our being – our bodies, our minds, our hearts.  We know how our physical pain can affect our mental status.  We know how our broken spirits can make us stumble physically.

So let me encourage you to use your Egoscue program time to take a few extra breaths;  breathe in strength, health, peace; breathe out fear, pain, worry.  We say it all the time in Egoscue – listen to your body.  Let’s add listen to your heart. Take another moment or two in static back to count your blessings and be grateful.  Not only can we heal our bodies but we can heal our spirits and minds.

In order to be the best advocate for peace for our families, community, country and our world, we have to start with ourselves and decompress, breathe, have faith, be kind, be well. Egoscue as Meditation?  Absolutely.

BACK PAIN

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If you suffer from back pain – the kind of back pain that can go from 0 to 100 in a flash – you innocently reach for something and your back goes into spasm – or you have chronic never-ending back pain that eats away at your work, your play, your sleep, your relationships and every aspect of your life. At best, your back pain is exhausting and debilitating.

I know, you have a diagnosis, your back pain has a name – you have a bulging disk, a herniated disk, scoliosis, spondylolisthesis, maybe even a spinal fusion. I get it that you feel that you just have to suffer with the back pain that you were dealt.  Maybe you take some meds or get an injection or even contemplate surgery if you really want relief from your back pain.  Not so fast.

What we really need to do is stop the back pain before it begins. How do we do that?  First, we have to ask the question, what is the cause of your bulging disk, herniated disk, scoliosis, or spondylolisthesis?  With rare congenital exception, these are maladies that occur second-hand from misalignment elsewhere in the body.

That’s where we come in. To treat your back pain, we actually need to focus on your muscles, not just the bones in your spine.  The spine consists of 33 individual vertebrae that stack one on top of the other encasing the spinal cord. The muscles surrounding the spine – healthy and functional – are the real work horses helping to maintain the balance and erectness of the body.  It’s amazing.  However, if the muscles become inactive, weak or atrophied, other muscles begin compensating – the integrity of the spine becomes compromised – alignment is lost – your excruciating back pain is just one of the possible results.

As a Postural Alignment Specialist certified by Egoscue University, we can unravel the dysfunctions in your body that are causing your back pain and safely return you to a pain free lifestyle. Check out this video on back pain by Pete Egoscue to show you how we would begin that process. https://www.youtube.com/watch?v=a6pTC4JvMjc

The human body is amazing and has a miraculous natural ability to heal. Yes, even your back pain. Let us show you how at Pain Free Performance.

 

 

MY NECK HURTS!

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I bet I hear this from 9 out of 10 of my friends almost every day. When they ask me why, my response is “have you seen your head position?”  Look at your side view in a mirror.  Is your head over your shoulders and shoulders over hips, hips over knees and knees over ankles?  The body is totally inter-connected and needs to be vertically aligned.  If that line of gravity is not vertical, then you are asking a lot of muscles to do jobs they were not designed to do, especially in your neck.  Kind of like a bowling ball on the end of a fishing pole.  Your head weighs roughly 20 pounds and it’s on the small end of your spine.  With your head forward, you are asking all the small muscles of your neck to hold up 20 pounds for hours with very little help from the larger muscles in your mid and lower back and hips.

It is important to know that your neck pain is not the problem but it is a sign that the rest of your body is not working as it should to support your head. So let’s fix the real cause of your neck pain by looking at your overall posture.

Let’s start with simple standing. Looking in a mirror, are your shoulders level?  How about hips, are they level?  Do your feet and knees point out or straight?  Do your knees point in the same direction as your feet whether they are out or straight?  From the side view, do your ankles, knees, hips, shoulder and ear line up along an imaginary plumb line?  Any deviation, vertical or horizontal, will create some form of neck or back pain at some point.

Our body is a stimulus-response system. What kind of stimulus have you been giving your body over your lifetime?  How many hours a day do you sit on average?  Add up the drive to work, sitting at work, drive home, computer time, TV, mealtime.  It’s probably more than you think.  Now, think of your sitting position.  I’ll bet your shoulders and head are not in a vertical line with your greater trochanter (that bone you feel on the outside of your upper thigh).  That means your hips are not involved in your sitting position and they should be the base of support while seated.  Your spine is in a C-curve with your head at the end of it with no base of support.  No surprise that our neck hurts and our mid back is really tight and sore.

Does this sound like you? We can help!  Put your neck pain behind you and let us show you what you can do to keep your head and neck in alignment and pain free.

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!