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.

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.

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. These muscles were pulling unevenly on her pelvis so that whatever activity she did caused pain in the joint. Her hamstrings were also tight because she had to alter normal, natural use of her legs 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 Movements.

The key to regaining stability and mobility

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.

T.G. learned quite a few Somatic Movements (in this order):*

* These Somatic Movements were taught over the course of several sessions*

Through consistent 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, bend, and rotate her body with ease and comfort. These Somatic Movements pandiculated the muscles causing SI joint pain and reconnected her brain to her muscles, and reset muscle length, function, sensation, and control.

How to eliminate and prevent SI joint pain – on your own!

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:

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.

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!

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.

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.

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!

 

A Somatic Solution To Chronic Psoas Pain

Mike was a week away from leaving on a 5-week trip to Italy with his wife. He came to me quite concerned about his ability to walk without limping and dragging his right leg along behind him. "I was told that it's a problem with my psoas. Can you fix my psoas?" he asked. Every time I teach a Hanna Somatic Exercise Coach training I am asked the same two questions by bodyworkers, yoga teachers and medical professionals:

  • What do you do about a tight psoas?
  • What role does the psoas have in chronic pain?

I'm always curious about the obsession with the psoas, as if that one muscle controls the entire body. My answer is always the same:

It's never just one muscle causing the problem.

While one might sense that the psoas is the main problem and must be "fixed," it is never one muscle causing the problem. The brain doesn't experience you as one muscle, but as a synergistic system of coordinating muscles. There is always a full body pattern of muscular imbalance going on in the center of the body. This pattern has become habituated due to stress reflexes - accidents, injuries, repetitive movements or poor postural habits - so much so that this pattern has become "the new normal" for the brain. The painful psoas is the symptom; Sensory Motor Amnesia is the root cause.

The psoas is a very important stabilizer of the lower trunk and aids in smooth, efficient and coordinated walking. It coordinatesPsoasBackPull together, however, with other muscles of the trunk to move us forward in an easy, smooth gait. The psoas muscle can become tight and overly contracted as a result of habituation to any one of the Three Somatic Reflexes - the Red Light, Green Light or Trauma reflex. When our backs are overly contracted, the front of our bodies are slumped and collapsed inward, or one side of our torso tighter than the other, the psoas will work harder than necessary. Our pelvis will cease to swing freely and our gait will be labored and uneven. A chronically tight muscle that can no longer contract fully or release fully will and does contribute to chronic pain.

So what do you do about it?

In order to restore full muscle function and relieve the pain of a tight psoas you need to address the pattern of habituated muscle tension that is at the root of the problem. You must learn to release muscles of the back (that extend the spine), waist (that twist and bend us), and abdominals (that flex the spine) so that you have full, voluntary movement of the pelvis and all the muscles that control it.  This is precisely what Hanna Somatics teaches clients in both a clinical hands-on  session and when doing the Somatic Exercises.

Mike was taught to release his back muscles, which had become rigidly contracted due to years of carpentry and various construction accidents. In doing so he learned to regain balance in the center of his body. I taught him Arch and Flatten, Arch and Curl, the Back Lift , movements that helped the brain regain control of the back and front of the body. The he learned the Washrag, which released and lengthened the waist muscles for easier and more balanced twisting of the center. With the back muscles as well as the front and sides of his body a bit softer Mike could stand more easily on both legs. His walk became smooth and effortless and his pelvis moved when he walked. He experienced how his psoas wasn't his problem. His tight back muscles were!

"How does your psoas feel now?" I asked him. "Wow, I can't even feel it!" he replied. "I can't wait to get Italy and start walking."

 ***Most people benefit from a series of between four and six hands-0n sessions. The loss of voluntary muscle control takes place over time; therefore people need to take time to learn how to move well again. As I say to all my clients, "Rome wasn't built in a day..."

Somatic Exercises Make Freedom of Movement Possible

Hanna Somatic Exercises are powerful in their ability to change what your brain can sense in your body and how it can move your muscles. What your brain cannot feel it cannot, physiologically, move nor control. Over time, due to stress adaptation, we can become tighter and more rigid - in our movement, our bodies and our minds.

Somatic Exercises can change how we live our lives, how we believe that our minds and bodies interrelate, how powerful we think we are in controlling our lives, and how responsible we should be in taking care of our total being.

- Thomas Hanna, PhD, author of the book, Somatics

I recently taught three online video classes over three weeks to a client who suffered from chronic neck, shoulder, hip joint, low back pain and sense of being twisted in the center. She had read my book and was sure that her muscle pain was a case of Sensory Motor Amnesia rather than a chronic, unchangeable condition. I taught her seven basic Somatic Exercises and two "Standing Somatics" movements.

During our initial assessment I took several photos of her. When we assess we look for patterns of imbalance - the back overly arched, one side of the waist more hitched up than the other, shoulders slumped forward and chest collapsed. The photo below was taken before we started the first lesson. Note the line of her back and spine; it was being held tightly (by the brain) in an  exaggerated curve, like an archer's bow. This Green Light Reflex posture made it look as if she had a protruding belly. Her neck was thrust forward and the weight of her body was on the front of her feet. No wonder she had neck and shoulder pain! To her this was her "normal, neutral" posture.

Profile before lesson 1

Below is the photo taken before her third lesson. She had been doing Somatic Exercises on her own at home, for only three weeks! Notice how much less arched her back; her "protruding belly" had disappeared. Her weight was more evenly distributed over her feet and she had slowly, but surely found a new, more efficient and comfortable neutral. Her uncomfortable twist had gone away as well. She even looked happier! Her biggest "aha! moment" had been when she noticed how she arched her back and thrust her face forward as she sat at her computer. That moment of noticing caused her to stop, self-correct and adjust and take back voluntary control of her movement and posture. The process of learning to be self-aware, self-monitoring and self-correcting is a life long process.

After 2 lesson & 3 wks of practice

So which exercises did she learn? We started where everyone should start: the beginning:

  • Arch and Flatten
  • Flower
  • Arch and Curl
  • Back Lift
  • Cross Lateral Arch and Curl
  • Side Bend (for that sense of being twisted and out of balance)
  • Washrag (gentle spinal twisting that lengthens the waist as you twist the whole spine)
  • Walking Exercises, Part 1 and 2 (which integrates the movement of the back, waist and front into the pattern of walking)
  • Reach To The Top Shelf
  • Standing Arch and Curl

She learned to sense the movements by doing them slowly, with awareness, rather than doing them like rote exercises from the gym. The more she focused on the sensation of the movement and the slow controlled release of pandiculation, the more change and improvement she was able to make.

When we consciously and patiently turn our awareness within, to our internal sensations, we can learn to release often mysterious and long term muscle pain. The best time to start learning to move freely is right now.  Freedom of movement can enrich and improve not just your body, but you as a person.

Learn to skillfully teach Hanna Somatic Exercises in the Hanna Somatic Exercise Coach Training Level One. Join the many movement professionals who have discovered the benefits of incorporating Hanna Somatic Exercises into their primary teaching.

The Mystery of "Muscle Knots" Solved: Sensory Motor Amnesia

There is some confusion as to what "muscle knots" are and where they come from. This article from the New York Times posits: "How do they happen and how can they be prevented? Are they harmful and should they be treated?" Allow me to answer these questions in the simplest way possible:

"Muscle knots" are not mysterious; they are areas of Sensory Motor Amnesia (SMA)

Sensory Motor Amnesia is habituated muscle tension that develops when we become habituated to stress and/or certain ways of moving. These areas of accumulated, learned muscular tension are stuck at the level of the central nervous system and cannot, physiologically, release and relax.

If you've ever had back, neck or shoulder pain and gone to a massage therapist to work the knots out of your back, only to have the knots return, it seems that there is little that can be done. Not so. The reason these knots seem to stick around despite the best massage therapist's effort, and why they don't show up on scans and MRIs is because what is happening in the muscle is a neurological event in the brain - a functional problem of the sensory motor system. SMA is not a medical problem that can be diagnosed through conventional medical methods. It is a functional  problem of the sensory motor system that can be easily "unlearned" through Hanna Somatic Education.brain-side

Muscle knots can be prevented first and foremost by understanding how SMA develops in your brain due to repetitive stress responses and/or repetitive, habituated movement habits. Muscles have two functions: contract and relax. When muscles can no longer fully relax this is an indication that you have accumulated muscle tension that you are no longer fully aware of. The only way to fully release these "knots" is to make sure that the brain is fully in control of the muscles.

Muscles knots are only harmful when they get in the way of free, efficient movement.

Movement is medicine, movement is life, and painful muscle tension can cause you to move less efficiently and, for most people, minimize the amount of movement you do. In order to live a healthy, free life we need to be able to move strongly, vigorously, and with endurance for as long as we live. If you're not planning on moving a lot then muscle knots won't hurt you. The lack of movement will, however.

Treatment of tight muscles doesn't work. Reeducation of tight muscles does.

If you want to untie a knot, you must look at the cord carefully then gently undo the tangle. Yanking on the cord will only make the knot tighter.

- Thomas Hanna

Muscle knots can't really be "treated" successfully - for the long term.  Treatment is what bodyworkers and doctors do when they attempt to fix tight muscles (or postural imbalances) from the outside; there are therapists who can help provide short term relief, yet muscle tension Pandiculation demonstrated (1)develops from the inside out (Sensory Motor Amnesia) and, since humans are self-regulating, self-sensing beings, not cars or bicycles that need fixing, their muscles must be educated so they can contract and release fully in order to get rid of muscle knots.

Through active involvement of the brain - rather than through manual manipulation - people can more easily and safely learn to  eliminate muscle knots, restore full muscle function in all planes of gravity and prevent them from coming back by doing three simple things:

  • Become aware of your daily movement habits and reflexive responses to stress. Repetitive contraction of muscles without full relaxation creates muscle knots.
  • Learn to pandiculate instead of stretch. Animals pandiculate up to 40 times a day!
  • If you have chronic muscle tension, learn how to eliminate your patterns of Sensory Motor Amnesia with a daily routine of Somatic Exercises**

Muscle knots are not an inevitable part of life; they are a symptom of stress adaptation.

**You can also learn to eliminate your patterns of SMA through a series of hands-on clinical Somatics sessions with a skilled and certified practitioner.

Movement Mornings: Do You Start Your Day With Movement?

I am always inspired when I meet people whose curiosity about movement takes them into exploration outside the box. One such person is the ever-curious Panayiotis Karabetis of Movement Mornings. I was a recent guest on his podcast  and we had a blast recording it. Here are some highlights from our discussion:IMG_4689

  • Pandiculation vs. Stretching
  • How to move “somatically”
  • Martha's 3 should's in life
  • Moshe Feldenkrais and Thomas Hanna
  • A brief history and explanation of Hanna Somatics
  • Sensory Motor Amnesia
  • Making room for play in your life is important
  • Falling apart as we get older is a choice
  • Pain-free moving starts with walking

Click here to listen and enjoy!

Here's what Panayiotis has to say about Movement Mornings and its dedication to sharing the good news about movement:

As movers, we're motivated by a unique force that makes our fidgety goals impossible to ignore and that's what Movement Mornings sets out to explore. Each month, we dive into the morning routine of influential people in the movement community to share new insights and inspire us to get better at what we love doing most: moving!

Top Three Myths About Hip Pain

Myth #1 - Your hip pain is due to arthritis

Sometimes hip pain is due to severe arthritis, very often it's not.

When you go to a doctor with hip pain their job is to give you a diagnosis because this is what most people want. Unless you are given an X-ray, which proves beyond a shadow of a doubt that you have arthritis, the doctor has no way of knowing whether your pain is due to arthritis. I was once told that, due to my age, I had arthritis. The doctor, despite not bothering to take an X-ray, insisted he was right when, in fact, he wasn't. Arthritis is often a "garbage pail diagnosis" - in reality, your hip pain is often caused by tight muscles that are in a state of Sensory Motor Amnesia.

And sometimes you can have arthritis but be moving well with no pain.

Myth #2 - Your hips are weak

It's time to retire this myth in particular. Those coming to me with hip pain have very little movement in the center of their bodies. Their hips don't sway, and their gait isn't smooth and fluid. The problem is not weakness, but tightness.

When muscles learn to stay tight (due to stress reflexes), they lose their full function. They can no longer contract and release fully as a healthy muscle should. Muscles in a state of Sensory Motor Amnesia (SMA) have lost their physiological ability to release.  They are far from weak; they are, in fact, so strong that they cannot relax!

Doctors frequently pescribe physical therapy due to "weak muscles." Strengthening muscles that are in a state of SMA only makes them worse, as I discuss in this post about Tiger Woods' back injury.

Myth #3 - Surgery is the only option for hip pain

The medical profession looks at tight hip joints and sees a structural problem. Somatic Educators look at tight hip joints and see a functional problem. Doctors don't look at movement and patterns; they focus on separate body parts in an effort to "fix" them. Somatic Educators look for what's not moving when someone walks, and teaches them to improve sensory motor control of the muscles in order  to create more release in the center. This can create space and more movement in the joints. Most one-sided hip pain is due to an habituated Trauma Reflex; this reflex also causes an imbalance in the somatic center, altering one's gait and ability to maintain proper balance.

Long term muscle function can result in structural damage, however. Labral tears, osteoarthritis can result from decades of muscle dysfunction. Wouldn't it be a good idea to learn to take back control of your muscle function and coordination, your balance and your ability to sense and move yourself before jumping into surgery?

In this video I share a wonderful variation of the Side Bend, one of the most important and helpful Somatic Exercises you could ever do for hip joint pain. Try it and see how it feels.

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Click here for my Pain-Free Legs and Hips DVD, which has plenty of helpful Somatic Exercises to help you release, relax and control the muscles that move your legs and hips.

Top 3 Myths About Neck Pain

I've work with a lot of people with neck pain, some so severe that they had to go on disability. In the past  Tiger Woods dropped out of a golf tournament due to neck pain - a bulging disc. He said, "I can deal with the pain, but once it locked up I couldn't go back or come through..." While adamant that his neck pain had nothing whatsoever to do with his car accident, as I wrote in this post, Tiger has a bad case of Sensory Motor Amnesia. Here are three myths about neck pain to consider:

Myth #1: Neck pain is caused by the neck muscles

Thomas Hanna once said, "a stiff neck is a stiff body." Muscle tightness in the neck is only a part of a larger IMG_3845muscular pattern of contraction closer to the center of the body. The vertebrae that comprise what we think of as "the neck" are only 7 vertebrae of 24 that comprise the spinal column. There are several layers of strong paravertebral muscles on both sides of the spine that extend from the tailbone all the way up into the base of the skull. If the muscles on the back of the body - from neck to pelvis - are tight, the neck will be affected. This kind of "Green Light Reflex" posture creates pain in the back of the neck and into the base of the skull.

If the front of the body is hunched and slumped, the neck will be affected as well; this "Red Light Reflex" posture draws the head forward, which causes the muscles that move the neck and balance the head to contract strongly to maintain balance.

Simply addressing the neck muscles will not solve the problem - for the long term. The body moves as a system, not a jumble of individual parts. Relaxing the back and front of the body can result in a more relaxed and pain-free neck.

Myth #2: Neck problems come with old age

The older we get, the more opportunities our muscles have had to learn to stay tight, "frozen," and contracted. This is how Sensory Motor Amnesia develops. It occurs due to accidents, injuries, surgeries, repetitive use, and emotional stress.  If that state of habitually contracted muscles progresses over the years, it will appear that the neck problem is a result of age, when in fact, it is the result of muscular dysfunction left unchecked. There is no substantive evidence to prove that age itself has anything to do with neck problems. There is, however, substantive evidence that a lack of movement can result in tighter muscles and restricted movement. This can happen at any age, especially in today's technological world.

Myth #3: Neck problems mean the neck muscles are weak and need strengthening

I addressed this issue of painful muscles being "weak muscles," in an old post about the Top Four Myths About Back Pain. Painful, tight muscles are rarely weak; in fact, they are usually so tight that they can neither release fully, nor move efficiently. Tightly contracted muscles which lack proper blood and oxygen are painful, sore and, because they cannot fully release, feel weak. What is needed is to restore fully muscle function, so the muscles can do the two things they are meant to do: fully contract and fully release. A muscle that cannot fully relax is holding unnecessary tension. Learn to relax and control the neck, back, shoulders, and hips and move the entire body efficiently and your neck pain will probably disappear forever.

Try this easy movement in order to relax and release not only the back muscles, but the neck muscles as well. Notice the connection between the neck and the lower back:

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To learn to reverse chronic muscle pain with gentle, easy Somatic Movements for the back, neck, shoulders, and hips, click here for my Pain-Free Neck and Shoulders DVD.

How Clinical Somatics Can Bring Tiger Woods Back Into Competition

Tiger Woods is taking a leave of absence from golf. Even he seems confused about what the real problem is. Does he need to keep changing his swing? Improve his attitude with sports psychology? Get stronger? Tiger has tried just about everything, from the best back surgeons to his trusted physical therapists and coaches, yet nothing has worked for the long term. His story is, unfortunately, all too common. He is hitting his head against the medical wall because his trusted practitioners and trainers are trying to "fix" him from the outside in, when the problem all along has been happening on the inside - within his own sensory motor system.

Tiger Woods has Sensory Motor Amnesia.

tiger_woods_injuries_576

tiger_woods_injuries_576

The reason none of his treatments are working for the long term is because Sensory Motor Amnesia (SMA) can only be eliminated by learning, through movement, how to release and relax his muscles at the level of the nervous system. He is unaware of how he has adapted physically to the accidents, injuries, and repetitive movements and stresses of his life. These have all taught his muscles to stay contracted and never fully release. These adaptations of muscular holding, all happening within the brain, have changed the way he moves and his once powerful and accurate golf swing has gone by the wayside. He can, however, get it back.

The brain teaches muscles how to move; that's how elite athletes learn to move so efficiently. Tiger's brain has taught him to contract his waist and trunk rotators in response to the constant twisting inherent in golf as well as in response to the accidents and surgeries he has experienced. This habitual pattern is called the Trauma Reflex.

Tiger can very easily get back on top in golf once he learns how to eliminate his Sensory Motor Amnesia and regain an accurate sense of himself - from the inside out. He has not only lost control of his muscular system; he's lost control of what it feels like to be Tiger Woods. Restoring muscle function and reducing excess muscle tonus is a learning process that will not come through traditional strengthening/stretching, PT or surgery.

Sensory Motor Amnesia can only be eliminated by changing the way the brain senses and controls the muscles

His doctors and trainers don't know what to do with him because SMA doesn't show up on MRI's, X-rays or blood tests. Surgery only exacerbates SMA because it creates even more muscular compensation and adaptation in the brain/muscle sensory motor connection. It doesn't address the root of the problem: his muscles are sub-cortically (involuntarily/unconsciously) contracted all the time and his brain cannot recruit his muscles accurately, nor relax them fully.

Mo Skelton, a physical therapist at McCurtain Memorial Hospital, recommends the following advice:

Woods must now take time to listen to his body, get off the course and fully restore his strength and mobility. Rest is not what he needs most. He needs strength. Woods must focus on strengthening his erector spinae muscles, his abdominals and obliques as secondary stabilizers, and his posterior chain for function. 

This is the the same recycled myth about muscle pain that fitness trainers have been teaching for decades: when you lose your form or experience back pain it's because you're weak. This couldn't be further from the truth. In actuality, muscle pain develops because the muscles are so strong they cannot, physiologically, relax nor recruit properly. Strengthening only makes things worse.

What Tiger Woods needs is not more muscles, a bigger squat or stronger obliques. He needs to learn to relax the muscles of his back and waist.

And I would add that yes, he needs to take time off and devote himself to learning to reverse his Sensory Motor Amnesia and regain skilled cortical control of his sensory motor system. It won't take long for him to be back on top. 

Tiger needs to learn how to pandiculate with Somatic Exercises, rather than stretch and strengthen and spend time working with a skilled Clinical Somatic Educator in a clinical setting. He needs to de-habituate the stress reflexes he is stuck in so he can regain balance in the center of his body and move freely again. I would love to see Tiger back on top of his game and back in control of his life. With Clinical Somatics he will find that not only does his life go better, but his golf game comes right back where it used to be - and possibly even stronger than before.

Here is a sample of a good place for him to start:

How To Counteract The Dangers of Too Much Sitting

Thankfully, more is being written about the dangers of sitting. And this YouTube video says it all. I questioned the usefulness of chairs a while ago after learning more about functional evolutionary movement. Doctors and scientists are beginning to observe - and accept - what Somatic Educators have known for years: humans are meant to move, in many different ways and planes of gravity - they are not meant to sit for long periods of time without moving. Movement helps to embed learning, enhances creativity and, most importantly, keeps the respiratory, circulation, lymphatic and  muscular systems moving efficiently. It also reinforces basic movement patterns that we all need to maintain in order to keep ourselves moving freely for the rest of our lives.

Dr. James Levine, is quoted in the Business Week article as saying,

"What fascinates me is that humans evolved over 1.5 million years entirely on the ability to walk and move. And literally 150 years ago, 90% of human endeavor was still agricultural. In a tiny speck of time we've become chair-sentenced."

Most people sit one of two different ways - slumped in their chair or pitched forward. 32Sit as I am in the photo at right - slumped - and notice in your own body how:

  • the muscles of the front of the body contract as you hunch. Your breathing is shallow (because your chest is collapsed)
  • the back muscles are tight in co-contraction
  • the neck muscles, both front and back, tighten as your head moves forward (and/or down) to look at your computer screen

Sit pitched slightly forward and notice now:

  • IMG_6834the muscles of your hip joints tighten at the creases in your groin
  • your lower back contracts (feel them with your own fingers)
  • your neck muscles tighten
  • now, keeping that position, look at your computer!

This is what millions of people do every day... all day!

People who sit for long periods generally complain of low back pain, neck and shoulder pain, TMJ and hip joint pain. This, unfortunately, makes sense, because sitting is a repetitive task that teaches the muscles (that only learn through repetition) to stay contracted. Sitting contributes to Sensory Motor Amnesia (SMA), the condition of chronically contracted muscles that, due to habituation and compensation to stress, have learned to stay involuntarily and constantly contracted. If your muscles are full of tension, ready for the next day of sitting, nothing will relax those muscles unless you get the brain back in control of the muscles.

Try these Somatic Exercises at your desk to reduce and release muscle tension

Below are a few simple and safe movements that will remind your muscles that they don't have to stay "frozen" all day long. These movements are from my easy to follow Pain-Free At Work DVD. Instead of stretching as you do these movements, you are pandiculating - gently tightening into the tight , tense muscles (this takes the muscles off cruise control) and then actively and slowly lengthen the muscles into their full range. This awakens the brain to sense the muscles again so it can lengthen them into their full range. It is what cats and dogs do upon waking and before they move into action. Don't forget to breathe easily.

ARCH AND CURL

Screen shot 2013-09-23 at 4.19.01 PMScreen shot 2013-09-23 at 4.19.23 PMArch and curl your back as you sit. Go slowly and gently, inhaling as you arch, and exhaling as you round.

Both of these movements can be done standing. Try them, play with them and see how they feel.

 

WASHRAG

Screen shot 2013-09-23 at 4.14.58 PMRoll your shoulders forward and back, allowing the shoulder blades to slide along the back. Do this as if you were yawning.

Same with this one: try it while standing.

 

STANDING REACH

Screen shot 2013-09-23 at 4.14.33 PMStand next to your desk and reach up, as if reaching to the top shelf for something. Repeat this slowly on the other side.

 

 

 

 

Walk to work if you can. Stand at the counter and work at your laptop (as I'm doing this very moment). Change your position and notice the difference between your hips and back when you stand versus when you sit. Use every opportunity you can to not sit, but to bring movement into your life. And when you do feel the need to sit, go back to my blog post about chairs and read it. Consider sitting on the ground and making your chair the exception instead of the rule.

Click here to purchase my Pain-Free DVD series. Click here for my book, Move Without Pain.

Somatic Education is Evidence-Based Treatment for Back Pain

Scientists at the Sahlgrenska Institute in Gothenburg, Sweden have research to support the use of Somatic Education - movement reeducation that relaxes tight, painful muscles - as an evidence-based modality for treatment of back pain. Somatic Education has been around since the early 20th century and has helped people learn to improve their posture, relax tight muscles and move in more efficiently and easily.  The method the Salgrenska Intitute studied was the Feldenkrais Method, the same method that Thomas Hanna, Ph.D., creator of Hanna Somatic Education, practiced for decades before developing his own method called Hanna Somatic Education. Swedish physiotherapist Christina Schön-Ohlsson states,

"Inefficient movement patterns gradually become habituated even though the original injury or strain is no longer present."

How right she is!  Clients frequently tell me, "I just don't feel the way I once did." They feel as if something "happened to them" to cause them to lose their flexibility, movement and self-control. The good news is that they can learn to regain their independence; all it takes is a process of education and a little patience.

In Hanna Somatics clients learn to become aware of the muscles that have habitually and tightened (as Schon-Ohlsson said) in response to the original injury - and then to release them at the brain level.

All human beings respond to stress with specific, visible patterns of muscular contraction.

Thomas Hanna was the first Somatic Educator to codify three specific stress reflexes - reflexes that all humans respond to in response to stress. By addressing these reflex patterns (of the back, the front of the body and the sides of the body), people can learn - very quickly - to reverse their muscle pain and restore awareness and control of their movement.

Chronic low back pain develops as a learned response to stress. It can be unlearned.

Muscles are controlled by the brain and central nervous system. The brain gets sensory feedback from the muscles, then commands them to move.  It is a simple feedback loop of sensing and moving. When stress occurs repeatedly, we can learn to habituate, adjust and adapt to our stress, as  mentioned by the Swedish scientists. This causes our muscles to stay tight and frozen; our brain literally forgets how to sense and move our muscles. This is called Sensory Motor Amnesia (SMA). The reason that medical science has no solution to habituated muscular tension is because SMA is not a medical condition. It is a sensory motor condition that can only be reversed through movement.

If you'd like to experience sensory motor learning, explore the movements shown on my website.  Move slowly and gently, with eyes closed (to tune out visual distractions). Make them pleasant and be mindful not to work too hard; these are not exercises as you know them from the gym. When you're done, relax completely and notice the difference in sensation in your body.

Thankfully there is a slow acceptance of "sensory motor learning," also known as "neuromuscular movement re-education" in the medical community. In my Somatic Exercise Coach Training I have taught osteopaths, chiropractors, and physiotherapists how to teach basic Somatic Exercises in order to help their patients become more self-aware and self-correcting in their movement.

I look forward to the day when Somatic Education is the first line of defense against back, neck, shoulder, hip, and joint pain. If you are in pain and have not gotten the relief you know you can get, come take a class, or workshop, schedule a private session, or contact me. I am happy to help get you on the path to a pain-free life!