How Your Response to Stress Contributes to Pain

The Three Somatic Reflexes

We know why muscle pain occurs and how to release it, but how much do you know about the Three Somatic ReflexesFamiliarizing yourself with these reflexes and how they cause Sensory Motor Amnesia (SMA) is an integral part of understanding your own muscle pain. It isn't enough to know that the pain in your hip is from SMA; you need to know how your responses to stress causes your SMA to begin with.

There are some 44 reflexes in the human body, yet the Red Light, Green Light, and Trauma reflexes, as outlined by Thomas Hanna in his book, Somatics, are predictable when it comes to habituating to chronic stress. When you can recognize your specific “stuck” reflexive patterns that occur when you are stressed, you will become more skilled at understanding why you have pain, how it's connected to a stress reflex (or a combination thereof), and how to release it in order to self-regulate and create homeostasis and balance within your own body.

How do you respond to stress?

Familiarizing yourself with the Three Somatic Reflexes will better equip you to nip your SMA in the bud and help you to self-correct. Your awareness of how you personally respond to stress mentally, physically, and emotionally will allow you to recognize when you are falling into a stress reflex pattern and how it is affecting your posture, pain, and psychological state.

  1. The Green Light Reflex (Landau Response) is the reflex of forward movement which involves the muscles of the back. The back is typically arched and the shoulders are drawn back. Do you tend to rush around? Are you "always on"? Are you very active?
  2. The Red Light Reflex (Startle Response) involves the muscles of the front. The shoulders are rounded, back is slumped, and chin jutted forward. Do you often feel anxious? Do you spend long hours at a desk or computer? Do you struggle to breathe deeply?
  3. The Trauma Reflex involves the muscles of the trunk rotators and occurs involuntarily in response to accidents and injuries. Do you have a hip hike? Have you had an accident, injury, or surgery? Do you routinely engage in one-sided movement (golfing, holding children on your hip, etc.)

More than just a physical experience...

Understanding each individual reflex and applying your knowledge to your daily life will help you understand yourself better as a person. The Green Light and Red Light reflexes are deeply emotional.

  • The Green Light Reflex can become habituated when we never allow ourselves to stop, rest, relax and let go. We’re always “on” and concerned with not losing control.
  • The Red Light Reflex is well-known in psychology and trauma work. It is a deeply primal, and protective posture, both emotionally and physically.

These reflexes are life-saving and life-giving, and are there for us to respond to, yet we are not supposed to live in them! 

4 Ways to Understand Yourself and Take Back Control

  1. Take a minute to simply BE. Check in with yourself throughout the day. Tune in and feel how it is to be you in this moment. How are you feeling physically and emotionally? What is making you feel this way and how are you responding to this stimuli? Use this time to slow down, calm your mind, and listen to your body.
  2. Recognize your reflexive habits. Use your knowledge of the Somatic Reflexes to understand how these habits contribute to your specific muscle pain. This will help you choose Somatic Exercises that help you regain and retain balance and a sense of neutral.
  3. Be aware in the moment. If you notice yourself slumping, was it because of your response to the outrageous electric bill you just opened? If your right shoulder is hurting, is it because you've been carrying that heavy bag on one shoulder for a bit too long? Did your whole back tightened in response to a phone call? Notice when and how you respond, correct as you go, and...
  4. Do your Somatic Exercises every day. If you've been sitting at your desk for 2 hours straight, utilize the Somatic Exercises from the Pain-Free at Work DVD to reset your muscles and brain to neutral. If you've been golfing all day, wind down with Somatic Exercises so that you don't fall into a Trauma Reflex. Standing for long hours at work can take a toll on your lower back (and create a domino effect throughout your body), so release the day's built-up SMA with Somatic Exercises. If you have done steps 1-3, step 4 is intended for you to use your awareness to customize your daily Somatic Exercise routine to how you felt and what you experienced today.

Without awareness of how you respond to stress mentally, physically, and emotionally, you will undo your progress in no time at all.

The latest research on neuroplasticity is clear: in order to keep our brains healthy we need differentiation and challenges. Understanding how stress affects you personally and your movement habits and physical pain and movement in particular comes from the brain. It's use it or lose it.  The less habituated to stress you are, the more you can keep your brain in a constant state of learning and regeneration.

Somatics Takeaway for August

IMG_8055 I have just returned from a three-week trip to Australia. After experiencing the rainy, chilly winter there, it's great to return to the long, lazy days of summer. It's traditional vacation time and to me vacation has always been one of activity: mountain climbing and swimming. This year the next three weeks will involve a different kind of vacation for me. My daily life is one of travel and movement and different time zones.

So this year August will be a month of no travel, plenty of rest, walking, and doing something most of us don't give enough attention to: integrating.

Integration is like digestion; it allows the brain to process and absorb the feedback of your everyday movements (or your Somatics practice). At the end of your day, allow yourself to come to a full stop, let everything go, and allow your brain to absorb all the sensory feedback from your day. Do the same in your Somatics practice. Without this information, you are unable to hone the awareness needed to determine if your actions are benefitting or detracting from your overall health, movement skill, emotional well-being, and goals.

For those of you who say, "I just can't relax," remember to stop and rest after your somatic movement, or at the end of your day; this is a practice in learning to relax. It truly is an art these days. When you let go completely, your brain and nervous system begin to know what true relaxation is. (And what a wealth of information it brings to your awareness!)

So, remember to pause after each movement (or each day) in order to let your brain and body truly release and reset.

Rushing from one thing to the next leads to burnout and prevents us from sensing our bodies, how we relate to them and how our actions affects them. We don't want to be surprised by a body that seems to suddenly work against us. We all need time to integrate. Take the time; it's worth the rest of your life.

 

The Fastest Route to a Pain-free Body: Clinical Hanna Somatics sessions

Janet (not her real name) came to my office this week complaining of hip pain. Walking upstairs was painful and laborious - and she was only in her 30's.  She had, as she put it, "a list a mile long of things I've tried" in her search for long term pain relief.  "I'm told I have piriformis syndrome. If I could just get my right buttock to relax, I think I could finally begin to feel better," she said. In a Clinical Somatics session that focused on the Trauma Reflex, Janet learned - very quickly - to release her tight waist muscles, ribcage and trunk rotators.I taught her to release the entire pattern of contraction that was causing her buttock to spasm: her tight buttock, abdominals and abductor muscles. Working with sensory feedback from my hand, she contracted these muscles as a pattern, then slowly released them into a fuller, more relaxed length. This technique is called assisted pandiculation - it resets the muscle control, function and length at the level of the central nervous system.  Twice more she pandiculated those same muscles, until she reached her own comfortable limit, flopping her leg inward easily.  She also learned the Back Lift to begin to relax her tightly contracted back muscles.

What happened next took me by surprise:

She began to yell, "Oh my God, oh my God! I can't believe it! I can't believe it!"

"Are you alright? Does anything hurt?" I asked. She'd scared me!

"No, no, no, it's just that I finally relaxed my buttock! I've been saying this all along and nobody believed me! This is my eureka moment!"

Janet left the office with an ability to move her hips in a way she hadn't been able to for eight years.

Most muscle pain problems are functional in nature, not structural

Why did this clinical Somatics session help her when years of physical therapy, trigger point therapy, massage, acupuncture and medical treatments hadn't? Because Janet's problem wasn't structural; it was functional. She suffered from Sensory Motor Amnesia, the habituated compensatory response to two traumatic accidents. Her muscles had learned to adapt, resulting in a twisted pelvis, altered gait and tight hip joint.  As Janet learned to release the entire pattern of tightness on her right side (and compensatory tightness on her other side) and improve the function of her muscles, her hip pain abated, and her muscle coordination and balance improved.

Janet wasn't completely out of pain. She has more to learn and practice in order to change her old way of holding her body to a new, more free sense of movement. Her brain's "new normal" will take time to integrate. In addition to a few more clinical sessions I told her to attend every Hanna Somatic Movement class and workshop she possibly could.  Being free and in control of your movement involves life-long learning. I give this same advice to every client I work with. While private clinical sessions are profoundly and rapidly effective, attending only a few sessions is like taking a few piano lessons and expecting to perform like Chopin or Mozart!

People often ask, "why do I need to come to class if I'm doing private sessions and feel much better?" The answer is simple: life is dynamic, as is movement. Every day there is the possibility of change and stress. Classes gives you the opportunity to learn more, differentiate your brain and movement, and become more skillful. Learning to override old habits and takes time! The more you sense and feel as you move, the more you can learn. The more you can learn, the more you can master. The more you master an awareness of yourself, from the inside out, the more adaptable and resilient you will be throughout your life. Eventually efficient movement will become your brain's default mode as you become more self-monitoring, self-correcting, and self-healing. Varying your daily Somatic Movement routine with classes and workshops and fun, functional movement makes your brain smarter and keeps you out of pain.

Click here to find a workshop, class or training near you.

Click here to purchase Martha's Pain Relief videos.

Hanna Somatics Retreat - Hollyhock

HollyhockBeach-3_5B872-1

Hollyhock Retreat Center on Cortes Island, BC was founded in 1982 as a center for skill-building and life-long learning. They seek to inspire, nourish and support people whose work serves and educates others in bettering the world.

I love the people who come to workshops at Hollyhock – open, curious, positive – the kind of people who make me more optimistic about our society and the world.

- Andrew Weil, MD

The Myth of Aging at Hollyhock | August 24 - 28, 2016

You can register here or call Hollyhock at 1-800-933-6339 x232 to reserve your spot.

We will explore what Thomas Hanna, Ph.D called "“The Myth of Aging.” This is the Image 14commonly held belief that limited movement, disability and decrepitude is the inevitable result of aging. In reality, it is the way in which we unconsciously adapt to the physical, psychological and emotional stresses of our lives – the accidents, injuries, surgeries, traumas, adaptive behaviors – that determines whether we will become “creaky and old” or maintain our physical freedom, self-awareness, and independence. Participants will experience why it is time to turn the page on that perspective.

Through lectures, movement sessions and interactive participation students will learn:

  • The root cause of most chronic muscle pain – Sensory Motor Amnesia (SMA) and how to reverse it IMG_2442
  • How your movement habits and reflexive responses to stress contribute to conditions such as low back pain, neck, shoulder, hip and joint pain, sciatica, and chronic headaches
  • How all humans respond reflexively to stress within three full body reflex patterns
  • How to lengthen muscles and re-set muscle function without painful stretching
  • A simple daily routine of somatic movements that, when practiced regularly, will relieve chronic pain and maintain freedom of movement for the long-term. The result is more fluid, efficient movement, improved breathing, drastic reduction of functional muscle pain, and improved somatic awareness.

Learning [at Hollyhock] is authentic and powerful. The ripple effect far exceeds the physical boundaries of this special place.

What Causes Sacroiliac Joint Pain and How Somatics Can Help

I recently taught Somatic Exercises online to T.G., a woman suffering from sacroiliac pain, commonly referred to as SI joint dysfunction or SI joint instability. When we began our sessions, she stood tilted to one side, clearly stuck in a Trauma Reflex. She was unaware of the severity of her tilt; she told me that her posture although technically out of balance, felt normal to her. She knew from reading my book, Move Without Pain, that her tilt was an unconscious habit that her brain had set as "normal" because she'd been standing like that for a very long time. She had a few falls, accidents, and a particularly difficult childbirth and labor.

How SI joint pain arises

"After working with me and watching me move, do you think the SI joint is the issue? I'm so amazed at the changes taking place in my body after learning Somatic Exercises. The psoas release you taught me made me feel so much more relaxed in my torso."
 T.G., New Mexico

To answer her question: her Trauma Reflex - not her SI joint itself - was causing her pain. The painful joint was merely a symptom; the underlying cause of her pain was Sensory Motor Amnesia (SMA) in the muscles that attach into, and move the pelvis and SI joint: the extensors of the back, the quadratus lumborum, the iliopsoas, the obliques, the rectus abdominis and others. They were all pulling unevenly on her pelvis so that whatever activity she did caused pain in the joint. Her hamstrings were also very tight because she had begun to use her legs differently to compensate for the tilt in her center. Because her muscles were in a state of chronic contraction, her movement was inefficient and painful.

How the 3 Stress Reflexes affect the SI joint

Some symptoms of SI joint dysfunction are:

  • low back pain on both sides
  • a feeling of weakness and instability at the bottom of the spine
  • sciatic pain
  • pain at the waist, towards the center of the back
  • aching in the front of the thigh and down into the groin

One-sided SI joint pain suggests that the muscles that connect the SI joint and the center of the body are pulling unevenly on the joint. An asymmetrical muscular pull often rotates one side of the pelvis. There is an feeling of being "jammed up" in the sacroiliac joint because the Trauma Reflex puts a painful torque on the pelvis, inhibiting it from moving up, down, forward, and back.

Bilateral SI joint pain suggests habituation to the Green Light Reflex, which creates excessive contraction through the muscles along our spine; this puts excess pressure on the SI joint and lumbar spine. If the Red Light Reflex is habituated, the pelvis doesn't move freely when walking; the iliopsoas is tightly contracted and the joint feels stuck.

These are all cases of Sensory Motor Amnesia and can be eliminated through Somatic Educationpandiculation, and a daily practice of Somatic Exercises.

The key to regaining stability and mobility

When you no longer move with ease, and cannot sense or control the back, front, and sides of your body, you may feel unstable and lose the ability to walk smoothly and move easily. A critically important aspect of reversing SI joint instability and pain is to learn to move the pelvis freely again. It is precisely that lack of freedom in the pelvis that is absent in those with SI joint (as well as hip and pelvic) pain. In order to regain stability and mobility, you must be able to sense, feel, and control yourself fully from within.

My client learned quite a few Somatic Exercises: arch and flatten , arch and curl, back lift, arch and curl with psoas release, cross lateral arch and curl, side bend, washrag, and the walking exercises. Through repetition of these movements she learned to slowly and intelligently reduce muscle tension in the muscles of the back, waist and front of her body so she could extend, flex, side bend and rotate her body with ease and comfort. She pandiculated these muscles and began to reconnect her brain to her muscles, resetting muscle length, function, sensation, and control.

By the time her session concluded, the uneven muscle tension that had pulled her sacroiliac joint out of alignment had greatly diminished. She found a relaxed and accurate "neutral" in the center of her body. Best of all, she had begun to regain a true sense of herself, from the inside out.

How you can eliminate and prevent SI joint pain

Below are some options for learning to prevent and eliminate SI joint pain and instability and learn to move freely again. It is highly recommended that you seek the help of a skilled Clinical (Hanna Somatic Educator) for more precise guidance and rapid improvement:

Move Without Pain Fundamentals Immersion Course: Learn to Live Pain-Free

In my last blog post, Back Pain: It’s Time To Ask Why, I discussed yet another new approach to relieving back pain: mindfulness-based stress reduction which addresses the symptoms of back pain, but, like most other approaches, does not address the cause.

When it comes to back pain, many people find themselves without answers or a long-term solution to help them live life pain-free.

Have you ever found yourself asking: Why does my pain keep coming back? Why do I feel as though I'm falling apart? What am I doing wrong? Why can't my doctor get rid of my pain? What should I do now?  Is something wrong with me? Is this what aging feels like? If so, Hanna Somatics can help you answer these questions.

The answer to most muscle pain lies in learning about Sensory Motor Amnesia (SMA) and how it develops in the brain and manifests in the body, and learning about pandiculation, the safe and effective alternative to stretching that resets nervous system control of muscles and movement memory. The truth is that most muscle pain is the result of our habituated responses to the myriad stresses of our lives.

How can I learn more so that I can live pain-free?

The Move Without Pain Fundamentals Immersion Course focuses on the core principles of Hanna Somatics: the science, philosophy, techniques, and Somatic Exercises. It is an excellent introduction to this highly effective, yet simple method of neuromuscular movement education and pain relief. In addition, there will be group discussion and plenty of time for questions (and answers!) about Hanna Somatics and how to address your particular muscle pain condition.

The Fundamentals Immersion Course is for anyone and everyone interested in Hanna Somatics - no prior experience or training necessary!

Hanna Somatics is not just for those with chronic muscle pain.

Most people who seek me out have been suffering from years of muscle pain without finding a long-term solution. Some people come to me with  no recurring muscle pain - they feel pretty good, but want to learn to keep it that way. Hanna Somatics gets to the root of most muscle pain and the gradual stiffness that many people experience as they get older.

Through gentle pandiculations and Somatic Movements, my clients:

  • Achieve awareness of their bodies and their reactions to stress
  • Experience reduced muscle tension and pain
  • Learn how to relieve muscle pain whenever and wherever they want
  • Rediscover their ability to move efficiently and skillfully with the least possible effort
  • Learn that they can continue to improve their mobility, strength and stamina as they get older

These five benefits are something that can improve the quality of life for everyone - not just people in pain. You will learn to restore precision, efficiency, and skill in your movements, through improved proprioception and internal awareness, so you can create a base of control, strength, coordination, and balance. Reducing muscle pain is simply an added benefit.

Who can benefit from Hanna Somatics?

  • Athletes and dancers (young and old, professional and non-competitive)
  • Anyone experiencing chronic, or recurring muscle pain or injury
  • Those who want to exercise or increase their level of physical activity
  • Parents and daycare workers who carry and lift children daily
  • Anyone who sits and works for long hours at a desk or in a car
  • Anyone seeking to restore their motion and muscle control after a surgery
  • Movement teachers, athletic coaches, fitness trainers, doctors, physical therapists
  • Anyone wanting to improve their body awareness
  • Anyone who wants to be able to move freely for the rest of their lives

Come and experience a renewed awareness within your body and learn to transform the way you move for the rest of your life.

Check out our upcoming Fundamentals Immersion Courses:

 

Back Pain: It's Time To Ask Why

A mindful approach to back pain

A recent New York Times article discusses a new approach to easing back pain, called "mindfulness-based stress reduction." This method involves "a combination of meditation, body awareness and yoga, and focuses on increasing awareness and acceptance of one’s experiences, whether they involve physical discomfort or emotional pain."

The article cites a study conducted on mindfulness meditation and behavioral cognitive therapy for back pain, which reports that "many people may find relief with a form of meditation that harnesses the power of the mind to manage pain."

It is a relief to see an article in a major newspaper that reports a different perspective (a somatic perspective!) on back pain. The somatic perspective is the understanding that we humans are not inanimate objects that can fixed like a broken toy or washing machine, but are self-guiding, self-sensing, self-teaching synergistic systems that are experienced from the inside out and, given the right feedback and stimulation, can improve through retraining of the mind, brain, and body.

Somatic Education pioneers as Elsa Gindler, F.M. Alexander ("the Alexander Technique"), Moshe Feldenkrais, Bonnie Bainbridge Cohen and Thomas Hanna, PhD, have known for decades that by turning our attention inward to the sensations, through movement, of our own bodies, we can affect profound improvement and change our ability to function in an efficient, balanced, coordinated, and controlled manner. We can reverse the adverse effects of stress, relieve our own pain, and improve life through reeducating our brains and our movement.

This paradigm shift was bound to happen because, as the article states,

Sixty-five million Americans suffer from chronic lower back pain, and many feel they have tried it all: physical therapy, painkillers, shots.

This is something I hear every day when I work with clients: "I've tried everything to relieve my pain and only gotten short-term relief. There is something I'm doing - or have done that is causing the pain." I have written previously about the questionable use of MRIs as a diagnostic tool for back pain, as well as why muscle pain is not a medical problem, but a functional problem in need of reeducation.

The Importance of Asking WHY

And yet there is still something missing from the mindfulness approach to healing back pain: an understanding of why back pain (or neck, shoulder, hip, knee or foot pain) occurs and an interest in finding the answer. The simple question, "why does this happen?" is not being asked. When that question is left out of the equation, comments such as this one from the New York Times article, will be repeated:

It may not be for everybody,” [Dr. Goyal] said, noting that some people with back pain find yoga painful.

Until the day that researchers pick up the books and research of Thomas Hanna and begin learning about Sensory Motor Amnesia (SMA), brain reflexes, and pandiculation, nature's "reboot" for the sensory motor cortex, they will always come up short in their quest to help those in pain. SMA is what researchers and practitioners the world over are looking at when they study back (or neck/shoulder/hip) pain – they just don't know it.

Meditation is a wonderful tool for self-regulation, stress reduction, and pain relief, yet the root cause of muscle pain - the brain, and the way in which it habituates to stress reflexes, and thus organizes and moves our bodies - is where the gold lies. When you lose the ability to sense and move yourself fully, you will find yourself moving with less freedom, more pain, and more frustration. The answer lies within you and your ability to regain your movement. Without addressing the sensory motor system, brain reflexes, and how and why muscles become tight and painful, studies will continue to report that "this approach doesn't work for everyone."

And that would be a shame for those 65 million back pain sufferers across the United States.

Happy New Year of Awareness

HAPPY 2016!

Each new year brings a time of reflection - a time to look back on the past year - the good, the not-so-good - and assess how far you've come in your life, your goals, your work, and your health. When we're honest with ourselves in our assessment we may notice habits or behaviors that no longer serve us. We resolve to lose weight, exercise more, and eat healthier.  We reach out for resources and support in order to make those changes.  When we sit down to reflect on our future goals, hopes or aspirations for the New Year, we sit quietly. We remember. We take time to pay attention, mull things over and plan.

Awareness is key in developing new habits.

Without awareness of ourselves, our habits and how they shape our lives and goals we just may go on struggling to create change year after year with no success; we need to realize that true, long lasting change comes from a new perspective. Some habits are beneficial while others are simply conditioned into us by circumstances or upbringing, unconsciously becoming "who" we think we are.

Without the element of awareness New Year's resolutions have as much significance as a grocery list. Add to that a commitment to a daily practice of new habits or ways of being or thinking, and you have a profound and successful recipe for self-knowledge, growth and transformation.

Muhammed Ali once said,

The man who views the world at fifty the same as he did at twenty has wasted thirty years of his life.

And Thomas Hanna said:

If you're not getting smarter as you get older, you're doing something wrong.

No matter your age or limitation, nothing changes or improves without awareness, and practice. Our goal here at Essential Somatics® is to teach to those with chronic muscle pain or limited movement to create long-term pain relief by cultivating awareness of their bodies and movement, and by discovering their innate ability to change how they reflexively respond to the stresses of life. The way in which we move and sense ourselves physically is a reflection of our thoughts, feelings and how we have adapted to the accumulated stresses of our lives. When you have pain you change who you are - your ability to make good decisions, your goals, your dreams and your desires. The good news is that within each one of us is the innate capacity to change, grow and learn a new way of being.

We're here to guide those who want to regain awareness and control of their bodies and their movement goals, with awareness, opportunities for practice, and sincere and patient encouragement.

Please join us for weekly classes, workshops, and private clinical sessions for those of you striving to live a movement-filled, pain-free life. 

May this year bring growth, creativity, health and peace to you and everyone you know.

Correct Your Common Posture Problems in 3 Steps

Today, I read a New York Times article about how posture affects one's emotional state, physical health, and self-esteem. The solution that is offered is simply to do strengthening exercises for the back, core, and buttocks. In reality, the answer is not that simple (if it were, back pain and bad posture would be non-existent). What this article fails to address is the root cause of most poor posture. Hanna Somatics provides this missing link information. I recently wrote this blog post about posture and how Hanna Somatics teaches you to improve your posture - or better said, "efficient balance in the center,"  and relieve your back pain for the long-term.

Step 1: Be aware of your habits

The first thing you need to do is to become aware of your current postural, movement, and emotional habits. Do you use a computer, hold a bag or purse on one shoulder or sit for hours at a time? Are you frequently stressed or fearful? Just take note.

Step 2: Learn how your habits create Sensory Motor Amnesia

Your brain controls your muscles, movement, emotional responses, and the way you habituate to the stresses of your life. Sensory Motor Amnesia presents as full-body patterns of muscular tightness. Whatever you do consistently becomes a habit -  your brain's new "normal" - and you lose conscious awareness. This is when slumped posture and back pain arise. This also affects your emotional and psychological state, and self-esteem.

Step 3: Find your optimum posture

This doesn't mean simply standing straight or sitting with your feet planted on the floor. You need to restore your ability to sense and fully control your muscles to contract and relax by first retraining your brain - the control center of your body - through pandiculation and Hanna Somatic Exercises. This is a process of education, the same as learning to ride a bicycle or play the piano. You will learn body and emotional awareness, and learn to release tense muscles, which will help you to create physical comfort from the inside out.

4 Common "Bad" Postures (and their causes):

  • 32Hunched shoulders and tucked pelvis - slumping in seat, frequent computer use, emotional response to worry and fear
  • "Text neck"/Forward neck - tilting head downward to use handheld device or nurse/feed an infant, straining to see computer screen
  • Uneven weight on feet - compensation due to an accident, injury or surgery, holding baby on one hip, one-sided repetitive tasks
  • IMG_1402Forward hip tilt/Arched lower back - common in Type A personalities and active individuals, emotional response to high-stress situations

Try a few Somatic Exercises to help release tight back muscles and improve posture.

Functional Fitness and Core Strengthing for a Purpose

We can all agree that it is important to be strong. We live in an era in which technology and machinery have replaced tasks that once required muscle, time and physical effort; we have washing machines, lawn mowers, tractors, cars, elevators, and chainsaws. We don't challenge our bones and muscles with functional, weight-bearing tasks during our daily life as often as we once did (this includes squatting down to use the toilet!). Manual laborers, fitness instructors, and professional athletes, among other occupations, are required to have a certain level of physical strength and movement. Unfortunately, many of these individuals often have extremely strong and overly-contracted muscles. Because their muscles cannot release and relax they are likely to experience muscle pain caused by sensory motor amnesia; they need to learn to relax their muscles before strengthening them any further. (In this Strong Core blog post I discuss what "the core" is and how excessive strengthening of the core can contribute to Sensory Motor Amnesia and muscle pain, thus inhibiting free and efficient movement.)

For many people, however, active movement isn't a required part of one's profession. You have a choice to either incorporate strength training and movement into your daily life, or not (and your decision will leave you with respective consequences). Motivation to move can be a big hurdle to overcome if you're not being paid to do it at work every day! The key is to make movement and strength training fun and purposeful.

Ask yourself: what do you want to be strong for? What is your motivation?

Do you want to be able to run a marathon? Climb a mountain? Bring your blood pressure down? Play with your children? Perhaps you want to just "be in shape." Think about what is important to you and what you want to accomplish. As Dan John, strength and conditioning coach, and author of Never Let Go, says,

"If it is important, do it every day. If it’s not important, don’t do it at all."

Do every day what you want to be able to do in the future. Work toward your strengthening goals by incorporating functional and enjoyable movement into your routine. If you want to be able to climb a mountain, ditch the treadmill and walk a mile through your neighborhood or in a local park to get you started. If you want to play on the ground with your children, practice getting up and down off the floor. Every. Day.

Most of my personal fitness goals focus on the long-term. My biggest goal is to be able to walk up and down the stairs briskly (unaided) as my 87-year-old mother still does, so I make a point to walk an incline (stairs, a hill, etc.) every day. I want to be able to squat to the ground, carry my own luggage or groceries, and play "tag" with my grandchildren in the playground. Some of my favorite strengthening and movement practices that help me to work towards my goals are: Exuberant AnimalNia, and hiking. These movements will keep me strong and strengthen my brain in the process.

Martha's Tips for Motivating Your Movement:

  1. Find your "purpose for moving." What is important to you?
  2. Do your Somatic exercises before and after your chosen strengthening routine. Your muscles need to "reboot" in order to be fully functional.
  3. Enjoy your new routine and keep moving! This takes strength. It also takes a belief that it's possible.
Now get up and move!

Regain Freedom of Movement (for the rest of your life!)

The desire for freedom is intrinsic to human nature and essential to human development. It is so crucial to our development that children who are not allowed to move (restricted recess, sitting still for long periods of time, etc.) can develop cognitive, emotional and psychological problems (as discussed on NPR Ed).

In our youth, we learn by trial and error to move our bodies, from the moment we first lift our head to our first success at riding a bicycle without falling off. Through repetition and habituation we create stability through movement patterns. Movement habits are formed in order to allow for efficient movement and conservation of energy.

freedom2The freedom to climb trees, run after soap bubbles, chase our friends, ride bicycles, dance, jump, yell and shout teaches us about ourselves both on a personal, social, emotional, and physical level. We learn how to problem solve, collaborate, create, and strengthen ourselves - processes that occur from the inside out often unseen by others as we grow into adulthood.This is, at its essence, how we get to know who we are.

All life is sensory motor in nature.

Babies have one way of experiencing the world: through sensory feedback. They sense discomfort and they cry; they sense safety or comfort and they relax; they sense danger or fear and they cry; they awaken from a nap and paniculate their limbs, yawn, and squirm in order to sense their bodies. 

As we get older things change. Many of us, for a variety of reasons, stop moving as freely as we once did. We adopt ways of moving that reflects societal rules or restrictions and, inevitably, the many “insults” of life: accident, illness, physical or emotional trauma, psychological fear, and family patterns. Others keep physically active (sports, playing, dancing, or walking), as well as mentally or emotionally active, seeking help when we need it to create emotional patterns that serve us. All of this learning shows up in our bodies, our health and specifically our movement.

The goal of Hanna Somatic Education is to teach you to take back physical independence and control of your own ever changing, dynamic body and life. Our bodies and our lives are never static. As human organisms we are an ever changing, dynamic, living process that can only ever be sensed individually. Life is, indeed, lived from the inside out.

Muscle pain can disappear and aging can still be active and healthy. By learning to sense what it feels like to be "you," from the inside out (physically and emotionally) you redirect your dependency on others and move toward authentic physical freedom.

A daily practice of Somatic Exercises and conscious movement that is pleasurable and fosters awareness is necessary to maintain the the self-awareness and skill it takes to maintain freedom - physical, mental and emotional freedom from patterns that don’t serve us.

Visit the Essential Somatics® store for our easy-to-follow instructional DVDs.

Check out our Clinical Somatic Education Professional training.

6 Somatics Exercises for Pregnancy

Here is a brief "Somatics Journal" from one of my clinical Somatics students who just had her third baby. It is her experience of doing Hanna Somatic Exercises before, during and after her pregnancy and integrating the awareness she gained from it. Enjoy!

I wanted to share my Somatics experience during the delivery of my daughter and during the last few weeks, back at home, exploring ways to avoid unnecessary pains and discomfort in my body.

It is amazing how awareness and connectedness to your body can make the childbirth experience so different.

It wasn’t easier or less painful for me, yet in the moment of truth, when I had to help my baby and push her out, I could actually imagine and picture the muscles in my body. I could see which muscles should work when I needed to push and which muscles should stay relaxed, long and open, in a way that would help me work in the most efficient way. In every contraction I actually did Arch and Curl. Then I completely relaxed my muscles in between the contractions. I felt in control of my body and the entire process. This was much different experience from my other two deliveries. I was part of it, I helped it, I had control!

Back home, there was lots of physical and repetitive stress:

Holding my baby for hours, breastfeeding her in an uncomfortable position that didn't feel good in my body. Holding her in one arm and playing with my other two kids, using the rest of my body, trying to find balance and ease. Challenging!

Thankfully, at the end of the day (well, there isn't really end of the day when you have a baby) when the other kids were asleep, I had my “Hanna Somatics cat stretch” - I had my awareness - just me taking care of my body and reminding it that it could be different. Pandiculating, feeling my muscles, isolating the areas needed to be taken care of, enjoying the movement, allowing my body to flow in such a natural, relaxing way.

It takes me about 15 minutes a day to awaken my muscles, to activate my joints, to find again the way to move freely and remind my brain and my nervous system how my body, my muscles can and should work. Three weeks after having my baby, I was laying on my yoga mat and what I felt was discomfort in my back - a huge arch in my lower back. Both my shoulders were rounded forward and it felt like someone was  pulling them up to my ears and I could not control it. I was looking for that feeling of “melting” into the mat, and just couldn’t feel it.

An easy daily movement routine to regain control of your body:

Arch & Flatten - I start to feel more in control, my movement becomes more fluid, smooth. I feel a wavy movement in my entire spine and can actually feel it and imagine it moving from bottom to top. My neck joins the movement and then the head and chin move as well. My entire body is in that movement and I already have much more control than I had when I started.

The Flower - this is where the front of my body really opens, and the shoulders release down. It BiaELA7BTfeels great because it releases my upper back. I still don’t feel comfortable laying on my belly and doing the Back Lift, so I just do a variation of it while lying on my back. After doing it, I can sense the connection between my upper body and my lower body.

Arch & Curl - I love this one! When releasing the front of the body, on the way down back to the mat, I release so slowly that I feel each vertebra, one by one, as it touches the mat. My elbows open to the sides and I go all the way down until my shoulders and elbows touch the mat. It is a complete release of my upper body when I do it slowly and control each muscle that is part of that movement.

Side Bend  - After holding my baby for only four weeks now, I know I still need to restore balance between the right and left sides of my body. This is the best exercise to restore balance. I do it first with my hand on my hip, just to feel where the movement is and which muscles are working. When doing it with my arm holding my head, I feel the entire side of my body lengthen and open all the way to my armpit.

Steeple Twist - I love connection I feel when I do the Steeple Twist the upper and lower body and sides of my body - when everything moves from the center. I'm like a well-oiled machine.

I do my Somatic Exercises every day. Sometimes I add my own movement variations and allow my body to choose the way it wants to move, in the most natural way. At the end of each practice, I stand up and feel taller, softer; I feel good in my own body, I feel that I have control again.

I thank Hanna Somatics, as well as my Nia movement practice for this. I feel lucky that I’m able to choose awareness and movement as a way of life.

 

A Strong Core is a Core the Brain Can Control

I recently received this email from a woman who purchased Move Without Pain and my Pain Relief Through Movement DVD:

We are often told (by doctors, exercise experts in the media) that it is good to strengthen our "core muscles" - and often Pilates or Yoga is recommended for that purpose. We're also told that soft muscles and ligaments make us vulnerable to low back pain. Do Hanna Somatic exercises help strengthen our core, such that we don't necessarily have to add another type of strengthening exercise routine to our already busy lives?

"Core strengthening" is often considered a panacea for low back pain, and a lack of "core strength" is often blamed for low back pain! Neither one is accurate. In reality, most people with back pain, limited movement and poor posture are suffering from Sensory Motor Amnesia.

The muscles of the core respond involuntarily to stress reflexes by twisting or rotating  to avoid pain or injury (Trauma Reflex), slumping and drawing inward (Red Light/Startle Reflex) and contracting the back (Green Light/Landau Response) to move forward. If you continuously repeat these actions, the muscles of the core learn to stay tight, short and overly contracted. Strengthening muscles that have habituated to stress reflexes is a recipe for more pain. It simply doesn't work and can sometimes cause harm.

What is "the core" anyway?

"The core" of the body comprises the front, sides d5c71e70ed10d57c667d879908bb48ccand back of the body, from the skull to the pelvic floor and out to the hips. It is not just those abdominal muscles that we are told to suck in and draw up in order to support the back. The core includes the deep muscles of the back that flex and extend our spine and the muscles of the waist (which strap our ribcage to our pelvis) that allow us to laterally flex as well as twist. It is like a girdle of muscles that strap the upper and lower halves of the body to each other.

Repeatedly contracting your abdominals (as one does with sit-ups) creates excessive muscle tension that can prevent fluid, efficient and pain-free movement. Overly contracted abdominal muscles contribute to back pain, neck pain and pelvic floor dysfunction. When the muscles of the back, waist and abdominals are supple, relaxed, and fully under the brain's control, movement is easy and efficient. The trouble is, most people can tighten their core but cannot fully relax it. This poses a problem when it comes to strengthening for long term health and fitness.

Hanna Somatics helps strengthen the core and relieve low back pain by restoring full brain control of the muscles.

Hanna Somatic exercises do not intentionally teach you to strengthen the muscles of the posture pillow excore. They teach you to regain voluntary control over those muscles of your core which are, for most people, in a state of Sensory Motor Amnesia. They restore full muscle length at the brain level through slow, aware movement, and pandiculation so you can regain balance and have a supple core whose long muscles can flex, extend, side bend, and rotate voluntarily. Hanna Somatics doesn't take the place of the movement you love to do; it prepares you to do what like, only better.  Hanna Somatic Exercises teach you to find your own comfortable, neutral posture for support of your spine as you learn to sense and control your muscles from the inside out.

Is it important to strengthen the core?

Yes, it's important to be strong and it doesn't have to be a burden - one more thing you feel obligated to do in your busy life. It all depends on how you do it and what you choose to do.

We all need to be strong. Being strong stresses our skeleton in a good way, and can prevent osteoporosis as it aids in bone density. Strong muscles that the brain can control support and stabilize you in any given task so that you can maintain your physical independence as you age. Somatic Exercises improve your sensory motor awareness so you can self-monitor and self-correct your movement and posture in response to the stresses of life.

In another post I will discuss some ideas for functional daily strengthening that will be less of a burden and can be integrated into your life.

The Best Somatic Exercise for Low Back Pain and Neck Pain

A stiff neck is a stiff body.

I've written about neck pain before, and how it is never solely a problem of the neck muscles. The brain and nervous system control our bodies as a system. While it may feel as if there is one muscle - or area of the body - causing the pain, that is rarely ever the case. So it is with "neck pain" and "back pain."

Both neck pain and low back pain are the result of tight muscles in the center of the body. "The neck" is only the top portion of the spine and it moves in conjunction with the rest of the body - the muscles on the top of the shoulders (levator scalpulae, scalenes, and upper trapezius) as well as the strong and deep muscles of the back.

In a case of whiplash from, for example, a car accident, the muscles of the back of the body, which insert from the pelvis up into the occiput of the skull, reflexively and violently contract. This can cause Sensory Motor Amnesia, in which the muscles remain "frozen," unable to release fully. These frozen muscles can contribute to migraines, TMJ, tension headaches, shoulder pain and back pain. Because nothing in the body moves or functions in isolation it's important to release the full pattern of tight muscles in order to reverse your muscle pain and restore full muscle function.

Try this gentle, easy Somatic Exercise for neck pain and back pain relief:

This movement - the Back Lift - is effective for anyone suffering from neck problems - or for office workers, technical people, engineers, teachers who stand all day or anyone who sits, stands, walks, runs or drives:

Lie on your stomach, head turned to one side. The palm is on the floor with the elbow directly in line with the shoulder.  Place your opposite cheek and the fingertips of the hand together. Make sure you're comfortable, with enough room for your shoulder to relax.

Slowly lift just the elbow several inches off the floor. Notice the contraction in the upper, middle and lower parts of the shoulder. Repeat 3 times, lowering the elbow slowly. Notice the quality of movement. Is it bumpy? Shaky? If so, slow down and smooth it out.

Slowly lift your head and notice how far down the left side of your back you can you feel the contraction. This is what a baby does at 5 months; it's a deliberate contraction of the back of the body in order to begin the eventual process of crawling, then walking. It's called the "Landau Response." Repeat two times slowly. Completely relax.

Keeping the hand and the cheek together, inhale and float the elbow, cheek, head and hand up several inches. The right arm relaxes on the floor. Notice the strong contraction down the left side of your back. This movement comes from the back of the body, not just from the top of the shoulder. Your neck muscles shouldn't be doing all the work! Did you notice something happening on the right side of your body? Your right leg wants to lift! This is an involuntary contraction. Repeat slowly two times. Completely relax between each repetition.

Lift the opposite leg slowly. Notice how the upper body contracts slightly to help counterbalance the upper body. This is what we do when we walk. Repeat two times, completely relaxing between each repetition.

Now let's put it all together: slowly lift elbow, cheek, head, hand and the opposite leg - as if you want to look over the left shoulder. Only come up as far as is comfortable. It's the back that is working to lift you. Now slowly come back down. The slow lengthening is when your brain has the most potential to change what the muscles are doing. During this phase the brain can restore the full length of the muscle. Completely  relax and melt into the floor.

Repeat this 3-4 times slowly, lifting only as far as is comfortable. Notice how the front of your body lengthens to allow you to contract the back of the body! The neck is coordinating along with the back and shoulders in an efficient, easy and natural movement.  The only goal of this movement is to teach your brain to restore awareness and motor control of your back muscles - so you can tighten them when you need them, and relax them when they're no longer needed for action.

IMPORTANT: After doing this Somatic Exercise, follow with Arch and Flatten. Then take a minute to relax completely. Let your brain soak up the sensory feedback. You are changing your nervous system by doing this movement; this is how your brain begins to make changes in your muscles.

For more helpful Somatic Exercises, visit the Essential Somatics® store to check out our instructional DVDs.

Activation Exercises For Improved Athletic Performance - Part 1 - Strength Training

A lot of athletes have asked me for a daily routine of Somatic Exercises to serve as "activation exercises." Activation exercises are a short series of exercises that will prepare you to move well.

Hanna Somatic Exercises are activation exercises as well as "deactivation exercises."

A large component of strength is full muscle control. Traditional athletic training teaches us how to "activate" (or contract) our muscles. But there is very little emphasis on learning to "deactivate" (or relax) our muscles back to their original and optimum resting length. Hanna Somatic Exercises teach you to pandiculate, which allows you to fully contract, and then de-contract your muscles for more potential for strength. Pandiculation is the safer, more effective alternative to stretching.

A word before you begin:

These movements are movement patterns - not "exercises" as such. No stretching is required - just slow, yawn-like pandiculations. Please do not "do" these movements; "create" these movements through use of the breath, as you move slowly, with conscious attention to the quality of the movement. You can't sense quality if you're moving quickly! And your ability to do ballistic movement depends on your control and quality of movement. If you want to go fast, first go slow so you know what you're doing.

The point of Somatic Exercises is to to eliminate accumulated muscle tension before you begin training and then reduce any accumulated muscle tension after your training. Accumulated tension occurs due to over-training, injuries, accidents, poor postural habits and the stresses of daily life.  Address the muscular system at the level of the brain and nervous system, and you quickly restore full muscle length and function and relearn optimal movement patterns.

Here are a few Somatic Exercises that will ready your entire body in the same way a cat or dog readies itself for action every time it gets up off the floor. We have all seen cats and dogs pandiculate when they get up from rest. They do that reflexively. If they didn't pandiculate, they would lose the ability to move as swiftly and adeptly as they do.

As you move through these Somatic Exercises treat them as the preparation for movement that they are; there's no need to go quickly, there's no need to tick repetitions off your mental clipboard. Treat them like the lengthening yawn that they are. Put your focus on the patterns that you're moving through. Stop for just a few seconds between repetitions as well as each individual movement pattern in order to allow your brain to absorb the sensory feedback you are sending it. This momentary pause will integrate new proprioceptive awareness once you stand up again and begin working out.

Please note: It is assumed that the reader has a basic understanding of Somatic Movements. The best way to use Somatic Exercises to support your workout is to learn as much as you can. Consider having a longer morning routine in which you pandiculate the extensors, flexors and trunk rotators. Then, when you get to the gym, three short, slow Somatic Exercises will suffice to sufficiently "reboot" your somatic awareness and muscle control for full recruitment of the muscles needed for your workout and full relaxation when you're finished.

Try the Somatic  Exercises in this video. They are basic human movements necessary to all sports: extension, flexion and cross lateral movement. You can apply them to any sport:

  • Arch and Flatten - extension and flexion - and a return to and awareness of neutral
  • Back Lift - extension of the spine through the posterior diagonal line
  • Cross Lateral Arch and Curl - flexion of the spine through the anterior diagonal line

Thanks to Colm McDonnell of ClinicalSomatics.ie for his collaboration on this post.

Why Do I Have Neck Pain?

Why can't I turn my neck without pain? Why is it hard to turn around to look behind me?

How do I relieve my neck pain so I can easily twist and turn?

Learning to turn to look behind you is a learned movement skill. It involves all the muscles of the body that allow the hips, abdominals, neck and shoulders to aid in the movement of the head and neck. Owls can turn their heads almost 360º without involving the center of their bodies.

As hunters gatherers we evolved to differentiate the movement of the eyes from the head from the neck and trunk in order to be aware of our surroundings. In today's modern society we no longer need to be able to do this. We don't hunt for our food, nor do we need to be on the lookout for predators who would like to have us for dinner. We do, however, spend most of our time facing forward as we stare at computer screens, TVs, iPads or drive in traffic. This creates tight muscles not only in the neck and shoulders, but more importantly in the center of the body. Here's a perfect example of how modern technology is actively encouraging us to develop Sensory Motor Amnesia, that condition of chronically contracted muscles that can no longer let go, nor function fully:

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I decided not to get one of these back-up cameras in my car so that I would not lose my awareness and forget how to turn around while reversing. While these devices can be handy, it's best to maintain the quintessential skill of all humans: the ability to twist and turn, like this:

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If you don't turn to look around behind you you will lose that skill altogether.

As Thomas Hanna said, "A stiff neck is a stiff body." Neck and shoulder pain result more from tight back, waist and abdominal muscles in the center of the body than from an actual problem with the neck itself. The brain and nervous system, the control center of the muscles, has forgotten how to coordinate the natural movement of twisting, which is at the core of smooth walking and running.

Learn how to release tight, painful necks and shoulders with the Essential Somatics® Pain-Free Neck and Shoulders DVD

 

How To Improve Posture & Reverse Your Back Pain

There are "posture experts" everywhere that teach you to how to stand: bones in alignment, body parts stacked just so. Many yoga teachers stress alignment more than they do somatic awareness and proprioception. Because most people have Sensory Motor Amnesia and don't know it, it's even more important to understand how our brains control our muscular system as a whole and how stress reflexes create a distorted internal sense of how our body is connected, how our joints move and what it feels like to stand squarely on our feet. One of the worst pieces of advice people are given is to "stand up straight!" One of the least helpful opinions about "why" people have poor posture and back pain is "the back muscles are weak." I am a former professional dancer and many of my teachers had intractable back pain (and retired early) while having extremely strong back muscles.

When I ask people to stand up - and sit up - to what they think is "straight," they typically arch their lower back in an effort to pull the shoulders back and open the chest. I see this in yoga class as well. This posture - a strongly arched lower back and tight shoulders - is called the Green Light Reflex (or Landau Response) and it is a major cause of chronic low back pain.

Life is dynamic - so are you without back pain

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A healthy body is one that can adapt and adjust to whatever feedback comes in through the environment, yet can find its way back to balance and relaxation. Yes, life is dynamic, as is efficient, functional posture. Just like the ladies in the photo at right, balancing life and balancing books requires the ability to find center naturally as you move.

Many people work really hard to "get the right posture" not realizing that they're actually tightening and bracing certain muscles in an effort to attain it. Again, this contributes to back pain as well as neck pain, shoulder pain and hip pain. What would it feel like if you learned to let go of muscles that are unconsciously tight and tense in order to find your "perfect posture?"

Achieving good posture is about learning to relax muscles that aren't crucial to holding you up, while allowing the muscles that need to work to coordinate together in perfect balance and ease.

Good Health Doesn't Just Happen

One of my colleagues recently wrote me an uplifting email. I thought I'd share it with you.

I had a doctor's appointment last week, complete with blood work (which I have done every 6 months). My lab stats were even better than they were last time - and last time my doctor said they were "perfect!" So despite my perfect stats, the stats just keep on getting better and better.  I had another doctor appointment yesterday, and told her about the stats from my last visit. She looked them up and she commented that "good health like that doesn't just happen."I feel I am living proof of the unlimited potential to improve all aspects of our health - not just relief of aches and pains - as we continue to strengthen sensory motor awareness.  I'm wondering who out there who has a daily practice of Hanna Somatic is experiencing the same benefits?

Improving one's sensory motor awareness - the sense of what it feels like to be "you" as you live and respond in your life - has myriad benefits: reduction of muscular pain, improved brain to muscle control, improved joint stability and strength, and increased neural pathways in the brain due to movement differentiation and pandiculation. A body that is under the voluntary control of one's brain is a body whose autonomic nervous system is also more likely to function optimally.

As a Hanna Somatic Educator and trainer my goal is to teach people to move through life pain-free, with choice, mastery and joy. It can be done.

Somatics in Calgary, AB

Debra Denison can stand and move for 30 minutes at a time after two years of intense chronic pain left her on crutches. Sue French is back to running after barely being able to walk for months due to severe back and hip pain.

Jude Ewan can finally move and control her arm after suffering a stroke that left her entire right side nearly paralyzed six years ago.

All three believe they have reclaimed their bodies and their lives because of simple exercises called Hanna Somatics.

I attended a Hanna Somatics training in Calgary this past summer. For the first time ever there were medical professionals in this training who understood that while manual bodywork has much to offer for those in pain, there was "something missing" in their perspective and their treatment plans. There was also Debra (mentioned above) who, for two years, had not been able to stand for morknob-hille than a few minutes at a time. She had rediscovered herself through Hanna Somatic Exercises and slow, gentle movement exploration. Yoga teachers and massage therapists also attended in a quest to deepen and "tweak" their perspective on their bodies, their own movement, and this concept they'd heard so much about: Sensory Motor Amnesia.

What came out of this training is an exceptionally well written article about Hanna Somatics and how its methods can transform the course of one's well-being as well as add "missing link" information to the medical perspective on chronic muscle pain, aging, repetitive stress and injury recovery.

READ THE ARTICLE FROM THE CALGARY HERALD HERE!

 

 

How To Reverse Iliotibial Band Pain: Addressing the Trauma Reflex

I've written about Iliotibial Band Syndrome (ITBS) before. In my previous iliotibial band pain post I explain what it is as well as how this condition is yet another example of Sensory Motor Amnesia. Here is an email I just sent to a woman who has my DVDs, has a personal Somatics practice, yet is stumped by her IT band pain: Many people ask me if I have Somatics DVDs for specific body parts that are causing them pain. I tell everyone the same thing - which will be the focus of my upcoming book:

It is never just one muscle causing the pain or problems in your body. It is always a pattern. The brain organizes you as a system in which patterns are primary. Address the dysfunctional muscular pattern and that body part will cease to be painful. In the case of iliotibial band pain, it is the Trauma Reflex.

An habituated Trauma Reflex causes iliotibial band pain.

Pain in your iliotibial band develops because your brain and muscles have habituated to human-body-muscle-diagramthe Trauma Reflex. One side of your leg (the IT band) is working harder than the other side. You may have already seen my iliotibial band release on my YouTube channel. You'll notice that it's a variation of the Side Bend - the most important and powerful movement one can do to regain control and awareness of the waist muscles.

When the waist muscles are tighter on one side than the other, those muscles "hitch" the pelvis up slightly on one side. What happens then? Your brain, the great compensator and integrator of all sensory and motor feedback in your life, teaches your legs to work differently, one side to the other. This happens, in most cases, completely under your conscious awareness.

If you have bilateral IT band pain, you may be stuck in the Startle Reflex (red light reflex). The Startle (red light) Reflex, a full body pattern, causes your knees to bend slightly  which makes it impossible for your pelvis and legs to swing freely.

Look at the full body pattern, learn to reverse that and your iliotibial band pain will go away. Use the mirror: what do you look like side to side? Are you uneven? Do you walk in an uneven gait? Do you put more weight on leg than the other? Consider what you do during the day that may cause that to happen.

Go back to the basic Somatic Exercises on your DVDs and start from the beginning. Look for balance, symmetry, quality of movement, and the ability to move the same on one side of your body and the other. Be mindful of patterns, especially when you get to the Side Bend, Washrag, Steeple Twist and Walking Exercises. Take your time! As you get to the walking exercises you have a great opportunity to even out the pelvis and the movement of the legs. And remember that nothing you do in your practice makes any difference if you don't take that awareness and apply it to the way you move throughout your day - walking, sitting, holding a bag on your shoulder, working out, driving...

This is sensible information that needs repeating again and again and again. This woman is not alone in her frustration. After all, most people are not taught sensible information by our doctors, our physical therapists, our fitness trainers.  We aren't taught that our brains are the source of the problem and that we are the only ones who can re-educate the way our brains and muscles communicate. We are taught to see ourselves as separately moving parts, like a car or bicycle, when in fact we are a beautifully balanced, synergistic process that can only be experience from within.

Once you can walk smoothly and evenly, squat right down through the center (use a mirror!), hitch your hips up side to side smoothly and evenly, you know your iliotibial band pain will be gone for good!