Alignment 101: Why We Teach Alignment

At Advanced Balance Clinic, a major part of our treatment philosophy focuses on body alignment to help get people moving better. When we refer to alignment, we mean how each body part is positioned relative to each other. For example, if you are standing and you look down where is your foot pointed relative to your hip? Is in angled out, angled in, or pointed straight forward? You might wonder why we spend so much time emphasizing these subtle variations throughout the body.

There are several components to this answer. The human body is complex. We might be focused on alignment, but also realize this is far from the whole picture. Take chronic pain for example. A focus on alignment might be a good start for some people, but pain is much more complex than meets the eye. More and more research demonstrates that chronic pain has nothing to do with what we call “posture” and is not even not well correlated with disease state. For example, someone can have terrible...

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Quick Test: Are Your Hips Actually Weight-Bearing?

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 is 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...

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When Body Alignment Does Matter: A Discussion of Chronic Pain and Function

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 (3).

With the nation’s growing opioid epidemic, there has 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 it your knees are hurting” just further exacerbate the myths surrounding chronic pain.

There is much confusion regarding body alignment, movement,...

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The Problem We Should All Be Talking About

In 2015, the costs directly related to fall injuries in older adults totaled over $31 billion to Medicare alone. That’s right. $31 billion. And this does not include costs to other insurance companies or all the secondary costs that come as a result of falls, including increased need for services and care or having to move a family member into a facility from their home.

One out of every four adults over the age of 65 falls each year. Having one fall doubles the risk of having another. Adults over the age of 75 are the highest risk group for recurrent head injuries due to repeat falls. These are staggering statistics and impact each and every one of us. As a greater proportion of our population ages these numbers are expected to rise. The burden of this preventable problem falls on family members, younger generations, and our already taxed healthcare system.

First we should clarify, falls are NOT a normal part of aging. Everyone falls, but excessive falls become a major...

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