Pain Free Performance — Posture Alignment Therapy

Live Pain Free!

treatment for pain

SPRING IS HERE!

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Spring in Charlottesville is here and it’s gorgeous out there!  Our clients are enjoying these beautiful days outside in their gardens, resuming their outdoor walking and running regime, or spending their weekends on long bike rides.  Inevitably, they ask us, “I don’t want to tweak my back pain, shoulder pain, neck pain with my activities so are there e-cises that I should do before I….?

The answer is always: YES!

Your Egoscue menu is designed to make your body more functional, and there are specific exercises that should be done before and after you complete an activity.  These exercises will work on correcting and aligning your joints while preventing pain symptoms often associated with that activity.  This will keep the back pain, knee pain, and shoulder pain at bay so that you can do the sports you love! Movement is essential!  We love that our clients want to be active!  Let’s keep your body healthy while in motion!

If you have questions about e-cises for your activity give us a buzz!  Have fun out there!

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.

 

Things I Wish I Explained Better….

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I often have a conversation with a client that causes me to think – “Wow, I didn’t do a very good job of covering all the information I wanted to!” There is a lot of information we share with clients and it’s a lot to absorb, especially in the beginning.  We also have such a smart group of people who come to Pain Free Performance, we sometimes assume people know things that they don’t.

Here is a smattering of random questions and topics that come up often and might be helpful as you continue your Egoscue journey toward a pain free body! Clients often ask or say….

Can I resume weightlifting?

At first, NO.  We don’t want to strengthen any misalignments.  When your body is ready, we will give you some pointers on how to start with weights again.  You will be surprised at the “work-out” you will get from your Egoscue!

Can I go to Yoga class? Pilates? Tai Chi? Can I jog?

We are all about getting you back to your fullest most pain free life – whatever you love to do! The easy answer is yes, of course.  Talk with your Egoscue therapist regarding your particular issues and your favorite class or activity to make the most of it!

I twisted my ankle (bruised my elbow, tweaked my back) so I’m just going to cancel my appointment.

No, just the opposite! That’s the perfect time for you to come in – this is what we do – treat people in pain!  So, keep your appointment and have your therapist assess the injury and create a program that will enable you to heal faster and keep your newly aligned body on track!

I may not be doing my E-cises correctly and it made my leg hurt so I just stopped doing the program.

Contact us immediately if you feel that your program is causing any pain. We want to know, ask you a few questions and tweak the program if necessary.

I do my e-cises when I get home in the afternoon ……

Do your program in the morning! I know, I know sometimes it’s just not possible but here’s the thing…if you do your E-cises in the morning, you are setting yourself up to have your most aligned body possible to carry out all of the living you have to do during the day!  This means better function, less pain and less possible injury.  Talk with your therapist about how to adjust your program to fit your schedule.

Don’t cherry-pick from your program – do all of the E-cises in the order only!

The order of your Egoscue program is key. The e-cises are prescribed to either wake up certain muscles that are not doing their job or quiet muscles that are overdoing which creates that pesky misalignment, poor function and pain! Depending on your specific issues, there is an important chain of events that must occur by doing the e-cises in order to get you to the best outcome….which is a pain free body!

Do I have to do everything on both sides?

Occasionally, I have a client who ran out of time, or thought because her pain was on the right side that she’d just do the e-cises on the right side. Not with Egoscue.  We are trying to get the two halves of the body to work together as intended.  What you do to one side, you must do to the other.  It is important for regaining muscle balance, symmetry and healing to do the complete program on both sides.  If you’re often running late, talk to us and we can tweak your program to fit those days that are just too busy!

Do I have to do Egoscue the rest of my life?

Yes, but a very doable, shorter version of your program. It will be as easy as brushing your teeth or bathing…a necessary and desirable habit to maintain your pain free functional body!  When you’re ready, your Egoscue therapist will instruct you on how to continue with abbreviated and rotating programs that will keep you aligned and living life to the fullest!

 Speaking of function….

One of the most important things I want our clients to understand is that our job is to improve the way your body functions. Pain relief is the amazing benefit of having a functional body. Pain is the symptom, not the cause.  When the joints in the body are in the proper position and the muscles are balanced – the pain goes away!

 

THE EGOSCUE HABIT

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We talk a lot about “habits” – good and bad, new and old, conscious and even unconscious. We have a myriad of them that propel us through our days and nights.  Some habits we’d like to break, some we’d like to initiate.  I was recently  gifted the book “The Power of Habit” written by Charles Duhigg.  My mind went immediately to you, my Egoscue clients. How can we utilize this powerful thing (habit) to help us get exactly what we want?  Especially when we want an aligned and pain free body!

Well, if you’re reading this blog, you’re interested in Egoscue. You want to be vital and active and do everything you love to do. Your back pain, leg pain, shoulder pain, sciatica, or neck pain has gotten in the way.  Perhaps you have an Egoscue program.  Is your Egoscue program a habit or are you consciously struggling every day to map out a new plan to accomplish it but not always able to?

The most commonly asked question when clients are in the midst of aligning their body, feeling good and once again able to do their favorite activity is “will I have to do this for the rest of my life”? The answer is always “yes”!  Maintenance, you know.  Like brushing your teeth or bathing.  You get great results from those habits and you understand the consequences if you stop doing them so you do them every day and in the process you have created a habit.

Duhigg says that there is a habit loop – there is something that prompts you to “do” something (time of day, day of week, frame of mind, alarm on our phone for example); then there is the thing you do – the habit – (have a cup of coffee, brush your teeth, take the dog for a walk, shower, do your Egoscue) and then the reward –caffeine stimulant, fresh teeth, happy dog, clean skin, painless body.  See where I’m going with this?

He also says we should pay close attention to our reward because often the habit we attach to it is just a part of it – there might be more to the why of it than we are aware of. For example, back to our list above…

Coffee – gosh, actually I love the sensation of holding the warm cup as I plan my day

Brush my teeth – definitely fear driven – I hate the thought of a painful dental visit

Walk the dog – It is what it is – nothing like the unconditional love of a happy dog!

Shower – my husband thinks I smell amazing and always compliments me

Egoscue – I expect to continue to be active, do everything I want to do (and even some I haven’t done yet) and do it all pain free as I age and I’m getting up there!

Are you following me? What I want to impart to you, is that at Pain Free we are in it for the long haul.  This is life. Literally, all of the above is life – you have your own list.  From here forward let’s get back to experiencing all of it as fluidly and pain free as possible.   My favorite Pete Egoscue quote is: “A pain free, active lifestyle is not only possible, but it is the way you should expect to feel and live, no matter your age, no matter your previous experience”.  I believe this and YOU can believe it.  I will set myself up to live it.  It is my reward. It can be yours too.

Let me help you find the way to make your Egoscue program a habit so that it will work for you! Let’s define your prompts and tune into your rewards of doing your program for your life.  Remember that age is not a factor of function, misalignment is the culprit. The Egoscue Habit makes the lifelong pain free function that  you desire possible!

Aging and Egoscue

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What’s trending at Pain Free Performance? Aging….

When I think of the most common conversation that pops up at our clinic these days…it has to be aging. At Pain Free Performance we are made up of a lot of baby boomers, people who are interested in staying active, working hard, retiring well, while enjoying life to the fullest. What I’m hearing (and feeling) is that we don’t like the wrinkles, the diminishing muscle tone, but especially the insinuation that we’re losing physical momentum and there’s nothing we can do about it.  Society has always been fascinated with youth…but weren’t we young not long ago?

Then, something stops us in our tracks. We’re still skiing, golfing, swimming, running but afterwards we can barely move. We twist or land hard doing things we’ve always done and ouch – back pain, heel pain, foot pain, neck pain – where did that come from?!  I can’t tell you how often I hear “I suddenly feel so old”, “I can’t believe I can’t ____ anymore” (just fill in the blank), or “My doctor says I have arthritis…”.

I encourage you NOT to buy into the theory that because you’re a little older, that activity is a thing of the past. There’s a great quote John Elder, of Egoscue University, used in a recent article “If you didn’t know how old you are, you’d have no idea how old you are…”! Forget the number! The best thing we can do for ourselves is keep moving.  Stay active.  Listen to our bodies.  They are amazing – even as we age! The human body has an innate and amazing ability to heal.

Our bodies, young or old, are designed to run, jump, play, swim, move and rest without pain. The pain is an alarm sounding that something in the musculo-skeletal system is out of whack.  Your head should sit squarely on your neck – your ears over shoulders which should line up over your hips, which line up over your knees and on down to your ankles.  If you look at yourself from the side in the mirror and this isn’t happening, you’ve got some muscles that are not doing their job properly.  This creates uneven wear and tear on the joints and is how all of the tendonitis, stenosis, bulging disks and tennis elbow stuff come into play. It could be a result of an injury (ie; putting more weight on one ankle after breaking the other-for years and years) or habitual poor body mechanics or posture (ie; hunched over your computer, phone, steering wheel or easel).  Muscles pull bones – either into or out of alignment…are you getting the picture?

Most often, the missing link to becoming pain free is getting your body aligned so that you can continue to do all of the things you love to do.  Everything else – the meds, the massage, the adjustment – are great, but temporary relief.  Egoscue – it’s real lasting relief. If you have back pain, plantar fasciitis, rotator cuff syndrome, knee pain, arthritis, or wrist pain – don’t blame age, blame alignment!!

We know how to teach you to retrain your muscles so that they are on track – waking up those muscles that aren’t doing enough and quieting those muscles that have been overworking – perfectly pulling your skeletal system back into the design intended and relieving the pain. Let us show you how.

 

 

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.

 

 

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.