Happy, healthy feet are the key to healthy movement. As we've said before, your feet are the foundation of your body. You wouldn’t want a foundation of a house that's not aligned, so you don't want the same from the foundation of your body.
In order for your hips to be building bone density through the day, they need to be supporting the weight of your pelvis and torso in a certain alignment.
A common pattern we see with resting standing positions is standing with the pelvis pushed slightly forward (as in the first picture). It's subtle but has major implications for bone health of the hips (not to mention the long term impact of this position on foot health, core strength, and balance).
Shifting the pelvis back so your body weight is carried over the heels (second picture) and maintaining this position throughout the day allows for optimal bone health. However, getting to this position if this is not your usual requires taking a closer look at the muscle groups that attach to the pelvis.
A quick and simple test to help you determine where you carry your center of mass: make a plumb line from string with something weighted at the bottom. Position yourself facing sideways toward a mirror and find the boniest...
When it comes to walking, most of us have a strong preference between walking outdoors, indoors, or on a treadmill. We tend to think these activities are interchangeable from a health perspective, but are they? The surfaces that we walk on change the experience of our body and the muscles that we use.
Walking overground should be powered by the backs of our legs with our torso vertical. In order to propel us forward, our muscles generate a pushing action behind us to push the ground away. On the other hand, a treadmill forces our body to do exactly the opposite, relying on a walking pattern driven by the muscles in the front of the hip and thigh to catch yourself because the “ground” is coming toward you. Therefore, treadmill walking is not the same as walking overground.
So Why Does This Matter?
For most of us, the muscles of the fronts of our hips are already shortened due to time spent sitting every day. Treadmill use encourages further shortening and overuse of...
Let’s talk about hamstring stretching...
The hamstrings are a large muscle group running up the back of the thigh that attach below the knee and to the base of the pelvis. Hamstring mobility is so important because walking, core stability, and the ability to get on and off the floor all depend on the positioning of the pelvis. Tight hamstrings (caused by lots of time spent sitting) keep the pelvis in a tucked position that is not great for optimal pelvic and core health.
There are several different ways in which the hamstrings can be stretched. The most common one we see is the forward bend.
There is more than one way to perform a forward bend, however the point of a hamstring stretch is to change the length of the hamstrings. Therefore movement should be from the pelvis and not the spine.
A compensation we commonly see for tight hamstrings is an excessive rounding of the spine (picture 1). In this scenario, the spine is being over-stretched while there is not much...
As the chronic pain epidemic continues to pour over into the opioid epidemic, new research continues to break down the complexity of chronic pain. Just a few short years ago, chronic pain was viewed completely from a biomechanical perspective. When the medical community realized that treating only the injury was not only not working, but the epidemic of chronic pain continued to worsen they realized they needed to take a step back and look at the whole person. What has been discovered has been an eye-opening look at how chronic pain involves factors beyond what is happening within body tissue. Now, we take a broader look at the whole person and understand chronic pain has a multitude of origins.
Over time, physicians and other professionals realized the amount of tissue damage being seen on an MRI and the amount of pain a person was experiencing just weren't matching up. Beyond that, those who underwent surgical procedures were showing...
A quick test for balance: how long are you able to stand on one leg without arm support?
To set up: keep a chair or something you can hold if needed nearby and stand in front of a mirror with your feet hip width apart, shoes and socks off. Place your hands on your hips, shift your weight to one side and pick your opposite foot off the floor. How long can you hold this position?
An adult around age 30 should be able to comfortably hold this position for 30 seconds. In adults over age 65, an inability to hold this for at least 5 seconds indicates a greater risk of falls. Were you surprised by your results?
We often get asked why we spend so much time practicing single leg standing in therapy. This skill is important because this is the position we spend the most amount of time in while walking! In order to take a step forward, you have to stand on one leg to allow the other leg to swing forward. If you are having difficulty with single leg standing, it is likely your walking...
Chronic pain is the leading cause of disability in the United States, with an annual cost estimated to be about $100 billion. These costs are associated with healthcare expenses, lost income, and lost productivity. A majority of adults experience acute pain at least once in their lives with about 28% later developing chronic pain.
With the nation’s growing opioid epidemic, there's been considerable emphasis on understanding the sources of chronic pain. Many mistakenly believe that tissue damage is directly correlated with a person’s risk of developing chronic pain. Statements from medical professionals to their patients which include “Your MRI shows that you have the spine of an 80 year old and you can expect to be in pain for the rest of your life” or “just avoid stairs or squatting entirely if your knees are hurting” just further exacerbate the myths surrounding chronic pain.
There is much confusion regarding body alignment, movement, and pain...
“Losers have goals, winners have systems” -Scott Adams
Be honest with yourself... do you have a health goal-setting system that is actually working for you?
Most of us fall into the trap of setting goals based on outcomes rather than focusing on the habits that help us achieve outcomes, particularly when it comes to our health.
We focus on the results rather than the processes.
An important component of my interactions with people as a physical therapist is to discuss and agree upon goals for the course of care. By goals, I mean what they are hoping to be able to do with the help of physical therapy. When I ask people what they want as an end result, most will tell me to be able to participate in hobbies like travel, dancing, or fishing without pain or having the energy to keep up with their grandchildren. These focus on quality of life rather than health metrics, such as pounds lost, blood sugar levels, or blood pressure readings.
However, when most people write...