Pain Free Performance — Posture Alignment Therapy

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wellness

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.

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.

GO OUTSIDE AND PLAY!

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Alright!  The snow is melting!  The crocuses are poking through the ground.  The temperature is rising and there are some beautiful sunny days.  IT’S SPRING!  At the risk of sounding like my mother…. GO OUTSIDE AND PLAY!!

Perhaps you’ve been inside at the gym this winter.  Let me encourage you to leave the aerobic machine, get out of the gym and go do the real thing!  I know, you love that machine…you’ve grown very close.  Here’s the thing – it’s not near as good as letting your body take you through the motions, rather than the machine.  For example, the treadmill:  the motorized conveyor belt you’re standing and walking on actually does the work for you.  The muscles of the hip are not moving you, they are being moved.  If you hold onto the hand rail, there is even less work through the hips, the back is in an odd position and there is zero trunk rotation to counter the hip movement.  Normally, the hips and trunk twist slightly in opposite directions when we walk or run with opposite arm and leg movement and this is important for balance.

The elliptical machine has its own challenges.  The momentum of the machine is doing all the work and your hips never really extend appropriately for proper gait.  (Hip extension is the leg going behind you and creates the drive that propels us forward in walking and running!)  I often hear “I prefer the elliptical because it’s not as jarring on my back”.  While it seems as though that’s a good thing, your body is being led along and not in the best position.  You are effectively creating some dysfunction – especially if you have alignment issues.

Then, there’s the stair climber.  Most people on the climber are hunched over, leaning way forward at the waist with all their weight, grasping the rail.  Do people really climb stairs that way?  I don’t think so.   Again you are training yourself in a dysfunctional way that will eventually cause injury and pain.  The best thing is to actually go up and down flights of stairs!  Skip the elevator when you can.  If you use the stair climber – keep your hands off the rails and let your arms swing.  This helps with balance and is a better more efficient workout!

The real answer is to get the body functional: a body that has proper strength, stability, mobility, endurance and flexibility in movement.  When we’re functional, we can easily bend, twist, reach, pull, push, squat, duck, jump, climb over and crawl under.  We need all that variety of movement, it is our birthright and where we come from!  Remember how you played as a child?  When we move like that, we decrease pain, feel better, increase metabolic rate, lose weight, tone muscles and improve our mood – Just in time for spring!

Give us a call and let us evaluate your posture and so you may begin your journey to a functional, pain free and active life.  Your playground is waiting!

 

 

HOW POSTURE CAN EFFECT YOUR ORGANS

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Good posture is one of the healthiest things you can do for your body – inside and out!  Not only will you look better (just like our mother’s told us over and over again….) you will feel better.  Do you know that posture moderates every physiologic function from breathing to hormone production?!

Our high-tech lifestyle does not help matters.  We hunch over our laptops while we work, eat, and sit in the car or in the coffee shop.  We crash on the couch for hours and hours, slouching while we watch entire seasons of Mad Men, House of Cards, Breaking Bad.    It all wreaks havoc on our posture, our body and our overall health.  There’s something called forward head syndrome that comes from the technologically-attached posture I’ve described – shoulders and upper back round forward causing the head to hang over forward.  You get up from your laptop in that position and unfortunately it becomes your posture when you’re up walking around…not good for the body and not the intended design! Look around, you’ll see this posture in a lot of people – young and old.

When we stand, gravity and the weight of our head (about 10 pounds) push down on our bodies all day long.  Our rib cage is designed to protect our organs, be an anchor for muscles and support for the head and neck.  The heads proper position is directly over the rib cage.  When you have forward head posture, there is strain on the rib cage, strain and compression of the organs, strain on the spine. 

While you might be thinking back pain, shoulder pain or maybe neck pain would be the only result, this combination of misalignment of the forward head position can lead to a long list of ailments including: 

  • Headaches develop because the brain is sensitive to oxygen flow – when the head is bent forward, the muscles next to the arteries in the neck and head do not fully assist the uphill travel of blood to the brain, decreasing the flow of oxygen and creating the headache.
  • Shortness of breath can occur when the forward hunched upper body compresses the lungs beneath the rib cage depleting lung capacity by as much as 30%.  It’s difficult to take a full breath and get enough oxygen to all parts of the body.
  • Decreased Spinal Mobility because the weight of the misaligned head is pulling the spine into an unnatural curve, movement is painful and restrictive.
  • Constipation or IBS can occur when the large intestine is compressed and proper digestion is compromised, which can create blockages in lieu of regularity.
  • Plantar Faciitis even!  You won’t believe this but all that misalignment in your upper body can cause foot pain!!  The forward head creates an unstable gait as your body struggles to stay upright and can cause you to constantly put more weight on one of your feet.  The uneven pull of the muscles can cause micro-tears in the connective tissue (fascia) on the bottom of the foot!

So, when you think of posture, you probably don’t think of these maladies but I want to encourage you to see the whole picture of posture and its effect on your health and your quality of life.  That’s the beauty of Egoscue!  At Pain Free Performance we look at the entire body, re-introduce the original design of the musculo-skeletal system (total alignment) to relieve pain, to restore function and give you back your life! 

 

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!  

 

Lyme Disease

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I thought I knew about pain…I have had my share of injuries, I’ve given birth three times and, shoot, my business is called Pain Free Performance!  I have spent my entire career helping others get out of pain.  But, after all of these years, I have a new understanding and appreciation of what it is like to really live in pain every minute of every day and not know the way out. 

One morning last August my alarm clock went off as usual. I attempted to look at the time and turn off the alarm but could not turn my head.  I got out of bed that morning thinking I had a stiff neck.  As the day progressed my neck stiffness eased up but my body ached.  Did I have the flu or maybe I “slept funny”? I got to work and did a few of my Egoscue e-cises to help with the pain.

The next day when I tried to lift my right leg, it felt strange and heavy.  The day after that, I could barely lift my right arm.  The pain was different than any pain I ever experienced and it was not from overuse or a pulled muscle.  Concerned, I went to see the doctor.  After my exam, a lot of research, and some process of elimination, the only thing that seemed to make sense was Lyme disease.  Lyme disease is a tick borne illness and is increasingly prevalent in the Northeast United States. What was strange is that I never saw a tick on me nor did I have a bull’s-eye rash which is a sign of a tick bite in need of treatment.  My Lyme test (a blood test taken at the physician’s office and sent to a regional lab) was negative. 

As days passed my pain became worse.  The pain that I felt in my shoulders was excruciating.  It felt to me like my shoulders were no longer connected properly.   I could not dress myself or lift my arms to wash my hair.  Both of my shoulders were frozen. My left ankle was swollen, some of my fingers were numb and just about every joint in my body hurt.  I tried to continue my Egoscue e-cises but soon I knew I needed more help.

Back to the doctor I go.  I was put on the standard antibiotic for Lyme and re-tested.  My second Lyme test was also negative.  Two months on the antibiotics and nothing had changed… in fact I felt worse.  Because my case was not typical for Lyme disease, and the tests were negative, of course my physician (who leaves no stone unturned) wanted to rule out other medical possibilities for the symptoms.  He even consulted with a Lyme expert in Maryland and suggested that we consult a neurologist, a rheumatologist, and also an endocrinologist. I was convinced that I did not have a neurological issue.  I also felt strongly that I wouldn’t have just gotten up one day with rheumatoid arthritis.  I was in so much pain and I was frustrated and confused.  How did this happen to me? I am typically healthy and active.  Now I can barely get out of bed!

I was at my wit’s end and in so much pain I decided to try a massage just to feel better for a little while. The therapist asked me if I had any medical concerns and I told her what had been going on with the possible Lyme disease.  Her eyes got huge and she told me was in the exact same place herself just six years ago.  She had to quit her nursing job because her pain was so bad that she was not able to work.  She learned quickly that there is not good information or protocol to treat chronic Lyme disease in our traditional medical community, so she had to become an expert in order to find a remedy and regain her life.   I learned so much from her.  Only about 50% of people with Lyme disease get the bull’s-eye rash and only half of the people bitten remember seeing the tick.  The mainstream blood tests for Lyme are not accurate. Antibiotics are usually effective when you are treated soon after being bitten by the tick. Long term antibiotics can be very harmful.

My new friend, Jean Weiss, RN and Certified Massage Therapist, has devoted her life to educating people about Lyme disease.  She has just started a Lyme Disease Support Group and is working with physicians in the area to help treat people in the community with Lyme.  She taught me there is hope.  There are additional treatments for Lyme. There is another more accurate blood test for Lyme that is processed at a lab in California.  Finally I tested positive for Lyme and with Jeans help I am almost back to 100%! 

Sometimes our pain is not musculoskeletal, it’s something else.  At Pain Free we’re the experts at treating musculoskeletal pain and we can always help you with that.  We also want to be good at referring you to other talented practitioners we have the good fortune of knowing who have different expertise… especially when we experience it first-hand! 

 If you or someone you know need help with Lyme disease, want the schedule for the Lyme Disease Support Group or just want to know more, below is the contact information for Jean.  

Jean Weiss

Massage and Wellness

434-960-3869

Jeanweiss100@gmail.com

 

In Good Health,

Cindy

Winter Wonderland

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With our recent winter storm gifting us with 12 to 16 inches of beautiful snow a lot of us have been talking about it.  How deep it was, where it was and how much there was to move!!!

So, probably like you, my workout the last couple of days has been the old fashioned kind – shoveling snow!!! And, there’s nothing like a lot of wet heavy snow on a 120 foot driveway to have me eating some humble pie regarding my strength and endurance.  However, I lived through the three hour workout without issue and I have my Egoscue menus to thank for it!  How did you do?  Hopefully you won’t have to use these until next season, but I wanted to share some pointers:

As a warm-up before I started shoveling, I did my menu of Egoscue e-cises which got me ready in two ways:  1) it lined me up and got me equal on both sides.  Both left and right sides of me were working and made sure my legs and hips were ready to work and not my back!  2) it warms up the big and little shoulder, leg and hip muscles that will be doing the major work!

If you don’t have an Egoscue menu yet, then try these simple things – swing your arms around in all kinds of ways especially imitating what you’ll be doing with your snow shovel.  After that, try an “airbench” for a minute or two – you may know it as a “wall sit”. (Your back – low back especially– is against the wall, legs bent as if you were sitting in an imaginary chair, knees over your heels, equal weight in both heels) Go back and forth between those two things a couple of times before you begin shoveling.

While shoveling, keep your back as flat and straight as you can, which will make you bend your knees and use your legs and arms to toss the snow, not your back.  Make sure you move your feet up close to the shovel or the shovel back to you before lifting to toss.  Take lots of little mini breaks – this is hard work so be nice to yourself and stop and lean on your shovel to admire how far you’ve come!!

When you are done for the day, do another airbench then spend about 15 minutes in “static back” (which is lying on your back on the floor with your lower legs over the seat of a chair with your butt right up to the legs of the chair and your arms out to your sides, palms up).  Relax.  You’ll feel great afterwards! 

Give yourself some kudos for a job well done!