Movement Recovery After Surgery (Part 3)

I’m six weeks post foot surgery and I’m feeling stronger and more stable every day. I’m well aware that the bunion I had removed didn’t develop overnight and neither did the subsequent movement imbalances and pain it contributed to. My return to strong, free, balanced movement is a process that is requiring me to be patient, persistent, and positive. I look forward to moving even better than I did before the surgery.

Let’s take a second to review:

When you suffer an injury or a surgery in one part of your body, the brain reflexively responds by tightening muscles in full body patterns: the front, back, or sides of the body contract. While the conscious, voluntary part of your brain makes sure you’re out of pain and nursing the injury (e.g. icing your foot, wearing your surgical shoe, using crutches) the unconscious, involuntary part of your brain takes care of keeping weight off that limb or area through muscular contraction. This compensatory cringing reflex is called the Trauma Reflex. You don’t have to tell your waist muscles to tighten to hitch your foot off the floor; it happens automatically.

Structure versus Function

Once your doctor has cleared you for movement, a daily practice of gentle somatic movements begins to reverse the tension your brain reflexively created in response to the pain and stress of surgery.

In my case, I had bunion surgery on my right foot. My brain responds involuntarily by tightening the muscles of the waist to keep weight off of my foot when I’m walking or, rather, limping around. The surgical boot creates a further imbalance as it is thicker than the shoe I wear on my other foot. If I don’t address this compensatory pattern, I may find my hip beginning to ache. This compensatory pattern of Sensory Motor Amnesia (SMA) exhibits itself as a Trauma Reflex. The following photos illustrate this pattern clearly.

Pictured: Front view of the Trauma Reflex caused by involuntary compensation in response to foot surgery. The surgical boot (left photo) further exaggerates my existing hip hike. After a short routine of Somatic Movement and wearing my normal shoe instead (right photo), my Trauma Reflex is already less severe.

Pictured: Front view of the Trauma Reflex caused by involuntary compensation in response to foot surgery. The surgical boot (left photo) further exaggerates my existing hip hike. After a short routine of Somatic Movement and wearing my normal shoe instead (right photo), my Trauma Reflex is already less severe.

Pictured: Back view of the Trauma Reflex caused by involuntary compensation in response to foot surgery. If not addressed, this Trauma Reflex can lead to myriad other aches and pains throughout the body.

Pictured: Back view of the Trauma Reflex caused by involuntary compensation in response to foot surgery. If not addressed, this Trauma Reflex can lead to myriad other aches and pains throughout the body.

For some of us there is a pre-existing a pattern of dysfunctional movement present even before we chose surgery. If you can nip this pattern in the bud, surgery may not be necessary. But if this pre-existing pattern of SMA is left alone, it can ultimately create structural issues that may only be solved through medical intervention. Your surgeon can “fix” the part of your that needs fixing, but your pattern of SMA will still exist — surgery does not “fix” your pattern of SMA. If you don’t address the compensatory pattern that developed over time (or in response to your surgery) you might find yourself having aches and pains in another part of your body. Only you can restore accurate balance and proprioception in your movement and release excess muscle tension.

In my last blogpost I discussed how my movement changed and the gradual improvement I’m making by applying somatic principles and movements to my rehab. It’s now time to address both the compensatory reflex at the center and the coordination of the periphery (in my case, the feet).

Try this:

Take a walk around your room. Notice your feet and legs. Notice the movement (of lack thereof) in the center of your body. Is there anywhere that you feel bracing or tension, right to left, front to back?

Watch this video and do the foot pandiculations I demonstrate. Do them on one foot first, then stand up, close your eyes, and sense the difference between that foot and the other one. Take a walk around the room. What’s changed? Repeat this with the other foot.

Now sit in a chair or lie down on the floor. For about a minute slowly move through Arch and Flatten, stopping at neutral after each repetition. Then do several Hip Hikers to get the pelvis swinging side to side as the waist muscles lengthen and shorten, always coming back to neutral. Finish up with a lazy, soft Washrag. Focus on releasing the center of the body yet connecting the tipping inward and outward of the feet to the movement you sense in the center. Bring the center and the periphery together. Stand up and take a walk around. Do you feel more balanced and connected now that you’ve addressed both the center and the periphery?

Your Somatic Movement practice is a daily opportunity to deepen your exploration of what an extraordinarily interconnected somatic organism you really are. Make use of the many support materials we have on the Essential Somatics store. Better yet, find an Essential Somatic Movement class in your area and start learning more. We are meant to move with intelligence, grace, and ease. Enjoy the journey!

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:

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.

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.

Freedom and Habits: Can They Exist at the Same Time?

How easily we allow our old habits and set patterns to dominate us! Even though they bring us suffering, we accept them with almost fatalistic resignation, for we are so used to giving in to them. We may idealize freedom, but when it comes to our habits, we are completely enslaved. Still, reflection can slowly bring us wisdom. We may, of course, fall back into fixed repetitive patterns again and again, but slowly we can emerge from them and change.

While this quote comes from Rigpa, a Buddhist website, it is the same philosophy underpinning Hanna Somatics. From a Hanna Somatics perspective it means that set patterns and habits, while useful in many ways, can dominate our posture and movement if we are unaware of them and unable to control them.  The fixed habits of walking that develop through trial and error as toddlers are critically important. They allow us the freedom to move forward in life. Yet, when other habits take over and become fixed patterns, like slumping at the computer, gritting our teeth when we're angry, tightening our bellies when we're anxious, contracting our back muscles as we rush through our busy lives - we gradually lose our sense of well-being and our freedom. Unconscious habits can change who we are.  getty-cartwheel

Habitual responses to stress become muscular habits at the level of our brain and nervous system. Once we develop a habit we are helpless to change it until we spend thoughtful time becoming aware of:

  • What the habit feels like (back pain, hip pain, sciatica, neck pain).
  • How it shows up in our bodies (slumped shoulders, face forward, leg length discrepancy).
  • How it is limiting us ("I used to dance and now it just hurts my hip... I can only walk a few blocks and then my back gives out...").

Many people feel defeated: "Well, I'm not getting any younger." "It's all down hill from here..." or "I probably ache because of my age." Many accept their unfortunate limitations with fatalistic resignation. They feel trapped and frustrated by muscle pain and few sensible solutions as they seek a solution to their pain "out there" - massage therapy, bodywork, physical therapy, the latest trends and remedies to relax muscles. They don't realize that in most cases the answer lies within their own brain and sensory motor system, and how an awareness of what they're doing repeatedly, (whether emotional, physical or psychological) can be the piece of the puzzle that they're missing.

This is the message of Hanna Somatics: freedom comes through awareness of one's ability to sense and control oneself from the inside out as they move through life. It is a patient and persistent practice of awareness - of what it feels like to be you, how your old habits have created habits of pain and limitation, the meaning you have given to what has happened to you over the years, and how you can change limitation to freedom - on your own, from the inside out. We need habits in our lives; they create a necessary element of stability - in movement. It's whether these habits serve us or not that is the question.

What does freedom look and feel like to you?

Movements That Don't Feel Good For My Hip

As promised, in my last post I shared my daily Somatics routine. In this post I'll discuss the movements that don't feel good for my body and hip, as well as movements I enjoy that help me feel strong without stressing my hip and causing pain. To start, here's what I've learned about my labral tears:

Because I can't fix the structural problem I need to listen to my body, move in a way that feels good and stay away from movements that cause pain. I had to get past my self-competitive nature and embrace acceptance of what I can't change and know that I can be strong, healthy and happy without pushing my body into places that don't serve it. It's calling letting go of your ego. Not always easy.

Movements that aren't pleasant for me:

Running. Though I like to run a block, walk, run another block, then walk, I can only do this a few times. Not having equal structural stability in my right hip simply causes my brain and muscles to come down just a bit harder on the right side. I wind up quite sore for a day if I do this and it puts unnecessary stress on my hip joint. It's not worth it.

"Core strengthening:" Sit ups, certain Pilates mat exercises. Why? Because the more I tighten my "core" the more it hurts my right hip. Sounds odd, right? Not really. Many people with a labral tear also have a cyst on their hip. Their hip joint structure isn't symmetrical. This can create some sensitivity that those without tears don't have.

Look at an anatomy chart and you'll see where the abdominal muscles insert into the pubic bone, the pelvis and you'll get a better idea of how excessive strengthening exercises can create pressure and tightness into the hip joint.

The best abdominal/core strengthening for me is functional body weight movement like vigorous hiking. I also love the movements of Exuberant Animal. They're fun, functional, creative and strengthening.

Fast twisting movements: Zumba doesn't work for me. It's simply too fast and one is never able to get to the full range of the muscle, nor have enough time to learn to do the movement properly. Slow hip movements are great, but super fast? It serves no purpose that I can see.

Stretching: Stretching only makes muscles tighter and, when done statically, invokes the stretch reflex. I pandiculate - a lot. And it means that I move in a comfort range that is right for me and optimum for my muscles.

I have had to become extremely aware of my tendency to revert to the original pattern that likely caused the tears in the first place: the Trauma Reflex. When stress hits most people revert to their most deeply familiar habit. For me it's the Trauma Reflex. Don’t worry. The beauty of the human brain is that we have the capacity to be internally aware of and in control of these habits. This leads to the ability to be self-correcting, self-actualizing and self-healing. We can start all over again every minute of the day.

Becoming aware of how you emotionally respond to stress is a critical part of the process. Do you cringe into that hip? Do you tighten your back, hunch your shoulders? Does that hip begin to ache when you’re stressed? Has it never occurred to you that your emotional or psychological state is connected to how your muscles move and how you feel in your body?

The lesson is to learn to listen to yourself, sense the information your brain is giving you about your body and move in ways that create pleasure, learning, growth and strength. It's a life long process that makes us smarter and more resilient.

My Daily Somatics Hip Pain Relief Routine

In my last labral tear update I wrote that an habituated Trauma Reflex is always a part of the posture of someone with a labral tear. Whether you get surgery for your tear or not it is critically important to regain full muscle function of the muscles of the somatic center if you're ever going to move efficiently again.

My daily pain relief tips for hip pain

Pandiculation - first thing in the morning! I never get out of bed without pandiculating. I wake IMG_3791up and take a few minutes to yawn out my arms and legs - my own natural version of the Human X - "hike" my hips up and down, and twist the center of my body, letting my head and neck move with the movement (like the Washrag).

A daily Somatics routine of between 10 - 15 minutes, morning and evening.

  • Arch and Flatten - sometimes moving into the Flower (especially if I've done a lot of computer work that day).
  • Cross Lateral Arch and Curl
  • Back Lift
  • Arch and Curl with psoas release
  • Side Bend - I prefer the "arm sweep variation"
  • Washrag (or Steeple Twist)
  • Walking Exercises

A varied routine, with movements such as:

  • Hip Lift and Reach
  • Propeller
  • Arch and Curl with Psoas Release (find it here on Laura Gates' DVD)
  • Arch and Flatten with Cactus Arms
  • Side lying shoulder and hip circles (relaxed shoulders help release the hips)
  • Seated Somatics
  • Standing Somatics (from my book)

Pandiculate often during the day! I make movements up: rolling my hips, shoulders, squatting, Screen shot 2013-09-23 at 4.14.33 PMreaching my arms up, twisting our my center, swinging my arms, bending to the side.

Stand up frequently if you're doing desk work. I stand up frequently and do "Reach to the Top Shelf," sometimes 15 times a day!

Sun Salutation - done very slowly and somatically. I take all the time I need to sense the flow of the movement without stretching or holding stretches. I do about 3 rounds 3-4 times a week.

Walking, walking and walking.  Walking integrates my movement and allows me to coordinate the whole body. Walking is, after all, the most important movement any human being needs to be able to do easily and efficiently.

Stair climbing or hill walking. Incorporating stairs or a hill allows me to strengthen and coordinate my hips, back, legs and waist within a functional movement. I can really tell what's out of balance when I go up and down stairs. It gives me a chance to go back, notice what's not moving as freely and see how I can tweak it.

In my next post I'll share with you movements that don't feel good for me considering that I have a labral tear. They might feel good to those with no structural hip issues, but not for me! So I honor what my body has to tell me and stay away from them. There are so many movement choices, why stick with something that doesn't feel good?

How Hanna Somatics Helps Me Move Well Despite Labral Hip Tears

It’s time for an update. Several years ago I wrote several blog posts about hip pain, labral tear surgery, and how to help alleviate hip pain - not as a quick fix, but for the long term. Since then I’ve had countless emails from readers asking advice about hip pain and labral tears: which exercises are best for it, can Hanna  Somatics really help and advice on whether to have labral tear surgery or not.hips

So where do I stand now that I’ve had labral tears for several years, a very active schedule and haven’t had surgery?

I’m moving really well. I feel strong, I am still quite flexible and I know how to honor my limits to keep myself out of pain. You see, I am a poor candidate for surgery (I also have osteoarthritis in my hips from years of dance training and injuries), so there has only ever been only one clear choice for me: to incorporate the exercises, concepts and principles of Hanna Somatics into my daily life. This includes awareness of my emotional responses to stress, my postural habits, and my daily movement habits.

That means that I have had to walk the talk and be the example of what Hanna Somatics has to offer those in pain: the ability to become self-aware, self-monitoring, and self-correcting in their movement and muscular control. I know which activities help me and which ones don't and I know that if I "push on through" because I want to be competitive, and I ignore how my body is feeling, I will be sore for a few days afterwards.

I was diagnosed with labral tears after recovering from a skiing accident, which resulted in an ACL tear. As a Somatic Educator, I knew that my tears were the cumulative result of years of Sensory Motor Amnesia as well as minor, but very important, imbalances in the center of my body. For some people labral tears occur suddenly due to an accident or over time due to overuse; baseball players, martial artists and dancers are athletes who frequently suffer from labral tears, all due to repetitive movements.

The Trauma Reflex contributes to labral hip tears

If you have a labral hip tear, you've probably had an accident, injury, surgery, or performed repetitive IMG_3857actions - all of which evokes a sudden and powerful reflex called the Trauma Reflex. The brain, the command center of the muscles, loses its ability to contract and lengthen the muscles of the waist and trunk voluntarily and equally. You find yourself slightly tilted to one side, the pelvis twisted and leg length  a bit  uneven. Your gait changes and smooth walking or running becomes a thing of the past.

Here is what I have advised my readers:

If you have a labral tear and decide to have surgery, the surgery won't fix the muscular imbalance that you undoubtedly have in the center of your body. Only you and your brain can do that through sensory motor retraining. Then, once the tear is fixed, it's important to restore full muscle function, balance and coordination through Clinical Somatics sessions and daily Hanna Somatic Exercises. If you don't, you just may experience continued tightness in that hip, or aches and pains in other areas of the body due to compensation.

If your goal is to avoid a hip replacement (or put it off indefinitely) then the smartest thing you could do is to get the muscles which attach into and move the hip socket to release and relax. This is what I have done. Reduce excess muscle tension and free up your movement. This will take the pressure off the injured area and help you regain freedom of movement.

No matter what you decide, improved somatic awareness and control is what will change the course of your recovery from one of pain and limited movement to one of greater movement and self-control.

So what does my daily practice look like? There are so many Somatic Exercises to learn and choose from, yet some are what I call the “non-negotiables.” All this in my next blog post...

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.

[youtube=http://youtu.be/ExJs0_FBYj4]

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.

How To Reverse Hip Pain

Here is an old blog post, recycled and updated with free videos. It has stood the test of time.

Strengthening hip muscles doesn't always relieve hip joint pain.

In this post about hip pain and labral tears I questioned the commonly held belief that strengthening the muscles of the hip will somehow relieve general hip joint pain when you've had an injury (like a labral tear).  Here's a recap:

  1. Labral tears are generally the result of athletic injury or wear and tear over the years due to accidents. Labral tears cause instability in the hip.

  2. Instability in a joint causes muscles to contract to try and create stability.

  3. This kind of reflexive contraction to save yourself from further pain or injury or to compensate because because of an injury changes the way in which you would normally move.

  4. The muscles involved in this "Trauma Reflex" pattern must be trained to relax first before beginning any course of strengthening or exercise. Otherwise you will more deeply entrench a pattern of muscular dysfunction.

I recently read a blog written by a young woman who has struggled with hip pain (and also has a labral hip tear) for 4 years.  One extensive post had to do with her experience of dealing with hip pain. She strongly advocated hip exercises, and included links to videos of yoga stretches and repetitive Jane Fonda-esque exercises, all under the heading, "Hip Exercises Will Hurt."

Maybe they will.

And if you have a hip injury that hasn't been addressed, hip exercises will hurt your chances of ever feeling really good again.

To  her credit, the writer admitted that she still has hip pain despite the exercises and noticed that one leg seems "shorter" than the other - yet her own doctor's advice was to strengthen her hip muscles and to "not expect much more mobility than she already had." Despite her good intentions and obvious search for pain relief, from a Somatic Education perspective there is better advice out there than what her doctors gave her or what she is giving her readers.

Try these Somatic Exercises for hip pain relief.

When hip joints are tight, it's because the muscles that attach into the joints have learned to stay tight. They need to be retrained, slowly and intelligently - not forcefully - to release, lengthen and move freely again.

Here are a few easy movements you can do at home to begin to release hip muscles that, when habitually contracted, contribute to chronic pain. Then I'd like to caution you against certain commonly prescribed exercises that can sometimes make hip pain worse.

Instead of stretching the muscles as you go through these movements, you will pandiculate them - contracting the muscle first, then slowly lengthening it to a full relaxation (as if you were imitating a cat or dog getting up from rest). Pandiculation is the key to resetting muscle length and sensory awareness and motor control without forceful pr painful stretching.

Arch and flatten: This movement relaxes the back muscles. Tight back muscles contribute to tight hip joints.

Arch and curl: This movement helps to relax the abdominal muscles, while the washrag allows for easier full body twisting. It relaxes the back, waist, belly and hips.

Side Bend: This movement directly addresses the "Trauma Reflex" muscles of trunk rotation that, when habitually contracted, are probably the biggest contributor to hip pain. This movement will teach you to relax, release and lengthen the waist muscles so that both sides of your waist are the same length and have the same ability to bend from side to side.

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Lay on your right side, as shown in the photo below. Have the knees folded on top of each other at right angles to the body. Rest your left arm on the floor so that your head can rest on it. Get comfortable.

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Let's first explore the lower part of this exercise: put your top hand at your waist and, keeping the knees together, slowly lift the top foot as shown at right. Notice how the hip slides up toward the ribs as you lift the foot. Allow the hip to move as the foot lifts. The waist muscles are drawing the hip up as the foot lifts. Repeat that movement 3 times slowly. Completely release the hip and foot back to neutral.

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Now let's explore the upper part of the exercise: reach the left hand over top of the head and grab your right ear. Inhale and on the exhale, very slowly lift the head into the air. Let the waist muscles and ribs contract to bring your head up. Sense the contraction in the waist as your ribs squeeze down toward your hip. Slowly release down to neutral. Repeat this 3 time slowly.

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Now, let's put both movements together for a full pandiculation of the waist muscles. Inhale, expanding the ribs, and on the exhale lift the head, and the top foot at the same time. The ribs squeeze down as the hip slides up toward the ribs. You're making an accordion with the waist muscles!Let the movement of the waist and hip raise the foot. Notice the contraction in the groin as well. Only go as far as is comfortable and don't force any movement! You are retraining the muscles, and reminding them that they can move.

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On the inhale, slowly lower the foot and the head down at the same time. You're lengthening and relaxing the waist muscles as the hip rolls down to neutral and the ribs relax.  up the right hip to touch the right armpit. Lengthen the entire side of your body as you come down to neutral and completely relax as shown in the photo on the lower right. You're beginning to gain length in the waist muscles! Repeat this movement 6 times slowly.

Roll onto your back and take a minute to notice the difference in sensation between your left side and your right side. Let your brain soak up the sensory feedback. Now roll onto the other side and repeat the side bend 6 times slowly.

Finish this series of movements with theWashrag.

Remeber to do all of these movements SLOWLY, GENTLY, and WITH AWARENESS.

Take a moment after doing these movements to notice the sensations of your body. Lie quietly on your back. This allows your brain time to absorb the sensory feedback you have given it. This new sensory awareness results in improved motor skill and flexibility.

In my next post, I'll discuss my own answers to the following questions about labral tears:

  1. Should they be repaired?

  2. How do you deal with the discomfort of a tear if your doctor says, "let's just wait and see."

  3. Are you setting yourself up to create serious structural damage to the hip joint by not repairing the structural weakness?

I welcome all feedback about the advice given in this blogpost. Do the above movements for a couple of days and let me know how it goes. If you need help, advice or guidance, please contact me!

To learn these movements at home for rapid, long-term muscle pain relief, you can purchase my new, easy-to-follow instructional DVD.

Pandiculation - "Dynamic Stretching" Squared

In a  New York Times article about stretching, Gretchen Reynolds reported on the largest study ever conducted on the effectiveness of stretching. The results showed that...

Stretching makes no difference one way or the other as far as injury prevention is concerned.

The percentage of those runners assigned to do 20 second static stretches before every run, was identical to the group assigned to the "no stretching" regimen. The study was conducted over the course of three months.

Dr. Ross Tucker, a physiologist in South Africa and co-author of the Web site The Science of Sport said, “There is a very important neurological effect of stretching. There is a reflex that prevents the muscle from being stretched too much." This is  what Hanna Somatic Educators have taught their clients for years: the reflex Dr. Tucker refers to is called the "stretch reflex." It is invoked by static stretching, and induces the muscle to contract back against the stretch, in effect making it tighter than it was before. This is a reflex that protects the muscle from trauma.

Reynolds goes on to write:

Dynamic stretching, or exercises that increase your joints' range of motion via constant movement, does not seem to invoke the inhibitory reflex of static stretching, Dr. Tucker said. When "you stretch through movement, you involve the brain much more, teaching proprioception and control, as well as improving flexibility."

Pandiculation improves muscle function at the level of the central nervous system.

Hanna Somatic Educators have been teaching students for decades not to stretch to change muscle length, but rather to pandiculate. Pandiculation is a brain reflex action pattern that animals do - often up to 40 times a day. Next time your dog gets up from rest, watch what he does: he'll put his front paws out and contract his back as he relaxes his belly in a yawn-like lengthening. He may even do the same with his legs. This "wakes up" the muscular system at the level of the  brain and ensures the the brain is always in control of the muscles.

The action of pandiculation restores muscle length, function and brain level control of muscles and movement as it re-educates all movements of a muscle: concentric, isometric (when you hold the contraction for just a second) and eccentric. The brain "takes back" that part of the muscle's length and function that it had lost voluntary control of - the part that was "stuck" or full of tension. Pandiculation sends a strong signal to the sensory motor cortex, which in turn serves to "reboot" the function of the  muscles for greater sensation, motor control, balance, proprioception, and coordination.

Pandiculation of over-trained and tight muscles can prevent knee, hip, and back injuries when running.

Phil Wharton, well known author of the Wharton Stretch Book, now agrees that contracting a muscle first, then moving it through its range of motion is much more effective than simple, static stretching. Dynamic stretching, however similar to pandiculation, is not the same as pandiculation, nor is it as effective. The key to freer movement in any sport or activity is freedom of movement in the center of the body. If you don't release and re-pattern the large muscles of the center - from which all movement originates - you will experience only short term improvement. Think of an animal, first contracting its back muscles, then slowly and deliberately lengthening them only as far as is comfortable for them to go - then doing the exact same thing with the muscles of the front of the body.

You may have a favorite athletic stretch; explore a way to pandiculate it: tighten into the tight muscles first, then slowly lengthen away to the end of your comfortable range. Then completely relax. This can be done with hamstrings, quadriceps, waist muscles, triceps, biceps, you name it!

Here is a short video that shows a couple of easy pandiculations you can do prior to your run. Try them out and see what you think. To learn these and other Somatic Exercises that can teach you to reverse your pain and regain freedom of movement, click here.

[youtube=http://www.youtube.com/watch?v=j8J5fDdCpF4]

Somatic Exercises Make You Happy!

I taught a Somatic Movement class the other morning. It was a cold, snowy morning and honestly, I was surprised that anyone showed up for class. You know how it is when it's cold outside -  you hunch your shoulders up, pull your scarf up around your neck and tighten your center as you walk so you don't slip. Winter can really cause the muscles to become tight. Then I remembered that there is nothing more invigorating and effective for opening yourself up from the winter cold to a relaxed state than a slow, gentle Somatic Movement class.

Everyone in the class had some kind of hip and shoulder pain. Here is what I taught this morning:

  • Arch and Flatten - first arching and flattening to neutral on the floor, then arching and flattening into the floor, moving from the Green Light Reflex into the Red Light Reflex.
  • Arch and Curl - with a gentle psoas release (thanks to Laura Gates, CHSE)
  • Side Bend
  • Propeller
  • Washrag - first with the feet about a foot apart, then with the feet wider apart ("windshield wiper legs")

By the end of the class, those who had had a twist in their pelvis had evened their pelvis out. One woman had felt scattered and anxious and after class she felt grounded and strong. Everyone's hip pain was gone, their walking was lighter and, best of all, the students had a clearer understanding of which stress patterns had contributed to their discomfort - and how they were able to reverse them.

In my teaching I have found that if people don't understand why they're being told to do a movement or exercise, they simply won't stick to it. That which makes sense to us in our own experience is that which will serve us as we continue to grow.

Why do Arch and Flatten? Because it recreates the Green Light Reflex of forward action (go, go, go!!) and the Red Light Reflex (or worry, fear, anxiety, slumping over the computer) that is invoked every day, hundreds of time. Recreate it so you can recognize it when it happens and de-create it.

Why do the Side Bend? Because it gets the brain back in control of the waist muscles - the very muscles that contract and "freeze up" when you have a sudden injury or slip or fall.

And so on...

Somatic Exercises brings you more awareness, efficiency of movement and help you "shake off" the stress of daily life.

Reflexes are merely unconditioned responses to stress. They are neutral. Problems with movement and muscle pain occur when we become habituated to and stuck in a reflex pattern - our shoulder rounded forward or one hip hitched up higher than the other. We want to be able to respond to the reflexes when we have to, but we don't want to "live" in any one of them. We want to live life at neutral.

Here is an explanation of why Somatics is great for everyone, every day. It's from Kristin Jackson, a Somatic Exercise Coach in Portland, OR. Her reasons for teaching Somatic Movement echo mine. Enjoy her video at the end; her students' experience of Hanna Somatics is common to that of hundreds of people experiencing Somatic Movement around the world.

Somatics makes everything in your life easier.

In addition to helping you move with more ease, Somatics helps you think more clearly, sleep better, even relate to people better. It all has to do with your nervous system. The constant stress of today's fast-faster-fastest world puts your sympathetic nervous system (the part of your nervous system that stimulates fight-or-flight bodily responses) into overdrive and never lets your parasympathetic nervous system kick in so we can enjoy the pleasant things in life like relaxing, digesting and making babies.

Somatics makes you happy!

Who wouldn't want to offer something that makes a client exclaim, "I feel like I'm 10 years old again!" after her first session. Honestly, I'm tired of "selling" exercise. I can't compete with big-box gyms or Groupon or flashy trainers. That's not me. But educating people how to move well and feel amazing is a wonderful thing to share!

[embed]https://www.youtube.com/watch?v=vFK9UJeIZyk&feature=youtu.be[/embed]

 

How To Know If You're Out Of Balance

Daily stress teaches our muscles to contract in very specific ways. If the stress is on-going or repetitive enough we may even feel as if we're "stuck" in our stress. Over time we may find that we feel out of balance. An imbalance in the center of the body will show up as an uneven gait, twisted pelvis, slumped shoulder on one side, one-side muscle pain or quite commonly, a "hiked" hip. Overly contracted muscles pull us off balance and add excessive stress to our joints. They can contribute to arthritis, joint pain, back, iliotibial band pain, neck, shoulder and hip pain. The key is to learn to ride the waves of stress in our lives - not get stuck in them. One of the biggest benefits of Hanna Somatic Exercises is learning to find neutral in the center of the body and bring the brain back into control of the muscular system. It's one of the most important skills necessary to become stress resilient.

In this video below you'll learn an easy and quick way to determine if you're out of balance. Don't worry! If you are, you can begin to learn how to regain muscular balance and symmetry with Somatic Exercises.

[youtube=http://youtu.be/srE5f0-N5tE]

Click here to purchase Pain-Free Somatic Exercise DVDs.

Click here to purchase Martha's book.

Click here to find out about clinical sessions, Skype sessions and phone consultations.

How To Get The Most Out of Somatic Exercises

Here is a short video with helpful tips about three exercises which most people need some guidance on. I sent this video link out to everyone who purchased my "Pain Relief Through Movement" DVD. I'm making it available to everyone who's learned Somatic Exercises - even if you haven't purchased the Pain Relief Through Movement DVD. Here are some highlights. Read them, then watch the video!

Arch and Flatten:

When you do this exercise, you should feel your back muscles gently contracting and arching as the pelvis rolls forward. You should sense equal effort on both sides of the spine, and then, as you slowly and gently release back to neutral on the mat, you should sense both sides of the back "landing" together.

If you're slightly tighter on one side of your body than the other, you will probably sense more weight or pressure into one hip as you "inhale and arch, and tip the tailbone down in the direction of your feet."  You will feel that you're tilting into one hip. This may cause your lower back to feel sore. It may even cause an uncomfortable pinch. The aim is to sense the gentle arching and flattening right down through the center of your tailbone. The recalibration I demonstrate will help you find "neutral" in your pelvis as you pandiculate the muscles of the back.

Back Lift:

If you are tighter on one side of your waist than the other, maybe from a previous injury or accident, you probably have a Trauma Reflex in the center of your body; you'll feel as if you're off center or heavier on one side of your pelvis than the other as you lie on your front, ready to do the back lift. When you lift the leg you may feel as if you're "tipping" into one side of your pelvis and it will be more difficult to lift the leg.

Gently "anchoring" the pelvis of the non-working leg as you lift elbow, cheek, head and hand, will help you more fully regain balanced control of your back muscles.

Side Bend:

Many people tend to do the side bend and slightly arch their lower backs, twisting slightly into a typical pattern of the Trauma Reflex. This will cause a slight pinch in the low back. If you have sciatica, it will not feel good, as it is only re-creating the pattern that caused the problem in the first place.

Do the side bend as if you're up against a flat wall. Better yet, do the movement against a wall if possible! This will help you make sure that when you contract your waist muscles as you lift your top foot and your head ("making an accordion out of your waist muscles"). You'll be more able to sense the waist muscles contracting and lengthening instead of using the muscles of the lower back to help out.

Here is the video. (In case you're asked for a password, it's DVDthankyou1):

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Let me know how it goes and whether or not these tips were helpful to you.

For those of you would like to learn how to skillfully teach the Somatic Exercises to others, my Somatic Exercise Coach Training (Levels One and Two) is for you. This popular training has been taught in the UK, Canada, Germany, Canada and Australia and people are learning to relieve their muscle pain and move more freely the world over thanks to the skills of Essential Somatics® Somatic Exercise Coaches.

Martha is available for phone consultations, workshops, private clinical sessions. Click here for more information.

Learn to relieve back, neck, shoulder, hip, and joint pain easily, safely, and intelligently using methods taught nowhere else!

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!

Relieve Hip Pain Easily and Quickly

Everyone these days seems to have hip pain - and it's usually one-sided. To demystify this right from the start, most chronic, one-sided hip pain is due to habituation of a very common reflex: the Trauma Reflex. This is a reflex that is invoked involuntarily in response to accidents, injuries, surgeries, or falls. It can also become habituated due to using a computer mouse, holding a baby on one's hip, or holding a heavy bag on one shoulder. The muscles of one side of the waist and trunk become tighter than the other side. This changes the way you walk and can lead to plantar fasciitis, achilles tendonitis, and sciatica.

You must change the sensory motor nervous system in order to relieve muscle pain.

Think about it: if you could relax the muscles you would, right? But you can't. This is because you have learned so well to adapt and adjust to the stresses of your life (physical, mental, emotional, and occupational) that you don't even notice your movement or posture until pain sets in. The key to long-term pain relief is to learn to "reboot" your brain and nervous system so your muscles learn to fully relax. You are the only one who can do this; in Hanna Somatics we teach you how.

The first step is know what to look for. I like to ask clients to pay attention to specific things as they walk: Do both arms swing gently? Does one hip move more than the other? Do you land more heavily on one foot or the other? Do you notice a difference from one side to the other? Invariably even clients who say, "I've never paid attention to how I walk," will tell me that they notice one side moving while the other side feels stiff.

"Dorothy" came to me with pain in one hip, and discomfort IMG_1865when walking. She was very active, and loved to garden.  Notice in the photo at right how the right hip is higher up than the left hip. Notice the hem of her shirt; it curves up and to the right. Her right arm and hip are touching. Notice the difference on the left side; her back is more relaxed and there is space between her arm and hip. Her right shoulder slumps down while her left shoulder is level. This is a typical Trauma Reflex posture.

It wasn't surprising that Dorothy had discomfort when she walked. She was literally out of balance, with one foot and leg moving differently from the other, like a car with a flat tire. This kind of muscular imbalance creates hip pain on one side of the body; if it is not addressed it can also contribute to structural damage.

Dorothy didn't notice these imbalances until I pointed them out. She initially said that she felt IMG_1866balanced and even! Why? Because this "out of balance" posture had become an unconscious - therefore, uncontrollable - habit. In order to release the muscles around the hip joints and pelvis and relieve her hip pain, she needed to learn to regain conscious awareness and voluntary control of the muscles of side bending and twisting - the very ones that were hitching her pelvis up and tightening around her hip joint.

After only one session, she was able to relax her right hip so that it was even and level with her left hip. Notice the difference in the level of her hips in the photo to the right. The hem of her shirt is even as are her shoulders.

After a hands-on clinical Somatics session that addressed the muscles of the Trauma Reflex, I asked her to walk down the hall one more time. She noticed that her gait was smooth and effortless, and her hip pain was greatly relieved. I sent Dorothy home with several easy Somatic Exercises (arch and flatten, the side bend, and the washrag) - to do at home to reinforce the improvement she had made. I saw her her a few more times to help her release the muscles of the back and front of her body, and she reports that she continues to feel looser and more comfortable both in her hips and in her walk. It's amazing what a little awareness and movement can do!

How To Relieve Thoracic Outlet Syndrome, Neck, Shoulder and Hip Pain

There is always a full body pattern of muscle tension that causes functional muscle pain.

In my last post I wrote about hip pain and how the posture of leaning and slumping into one's dominant side to reach for and use the computer mouse, can create hip pain. I often call this "computer-itis." This action also contributes to Thoracic Outlet Syndrome (TOS) and can also create shoulder and neck pain as one hunches, draws the shoulder forward, collapses through the ribcage and waist and concentrates on the work (and computer screen) at hand.

When we move, it is never just one muscle that lifts our arm, brings our leg forward, or bends our back.  Beneath our conscious awareness there is a perfectly balanced process of sensing and moving between agonist, antagonist and synergist muscles that allows us to coordinate each movement. If one muscle group contracts, its antagonist lengthens to allow the movement to happen. This is how we move through gravity efficiently and, we hope, with the least possible effort or pain. We are a system, controlled by the brain, not a jumble of separately moving parts. If there is tension in one part of the system, everything else in the system changes to accommodate and compensate.

If we change the way we move due to overuse, repetitive action, injury, or accidents we can develop the condition of Sensory Motor Amnesia (tight, "frozen" muscles that the brain has forgotten how to release). This means that your brain invariably contracts and recruits not just the muscles needed to complete the action, but also other groups of muscles that compensate to help us move. This dance between muscles stops working and both agonist and antagonist muscles become tightly contracted, as if we are stuck in a vise.

Thoracic Outlet Syndrome is a perfect example of Sensory Motor Amnesia. It can develop due to an habituated red light reflex, excessive computer work and habitual hunching of the shoulders. The scalene muscles become overly contracted and compress the thoracic outlet, causing tingling down into the fingers. Tight upper trapezius muscles, rounded, hunched shoulders contribute to the problem. Address the full body pattern of tightness through the center of the body and nerve conduction will improve.

Try these corrective Somatic Exercises for relief of shoulder pain, hip pain, and Thoracic Outlet Syndrome.

Here is a simple protocol for releasing, relaxing and retraining the muscles that become painfully tight from excessive computer work. This is useful for office workers, graphic artists, film or music editors, data input workers, and those whose work is simply repetitive.

Arch and flatten - allow the neck to move along with the movement.

Flower - allow the abdominals to soften and relax as you lengthen the front and open the chest.

Side bend - allow the waist muscles to contract and slowly lengthen.

Side Bend variation: In the video below is a Somatic Exercise that helps to release and relax the muscles involved in Thoracic Outlet Syndrome (TOS). TOS causes tingling into the fingers and symptoms similar to angina in some people. The problem lies in the fact that the muscles of the neck - specifically the scalenes, as well as the upper chest are tightly contracted. This puts pressure on the thoracic outlet, the space between your neck and upper chest where many blood vessels and nerves are found. I have used the Somatic Exercise below to get rid of TOS in my own body.

This is a full body pandiculation of exactly the muscles that "collapse" and tighten when you slump, jut your head forward to look at your computer screen and reach for your mouse:

[youtube=http://www.youtube.com/watch?v=fYxnRwvHeIE&feature=youtu.be]

Washrag - to open up the front of the body and connect the center of the body to the shoulders and hips.

Other wonderful Somatic Exercises that can help to battle "computer-itis" are the steeple twist, flower, neck and neck variations (from Pain-Free Neck and Shoulders).

Martha is available for corporate presentations on pain relief and workplace injury prevention. Save healthcare dollars and prevent worker injuries from repetitive muscle strain and overuse. For more information, email Martha.

How Computer Work Causes Shoulder Pain and Hip Pain

Overuse on one side of the body can create muscular imbalance and pain.

The most common muscle pain complaint people contact me about is hip pain - specifically right sided hip pain often accompanied by tightness in the ribs and waist on the same side.  There is invariably accompanying same-side shoulder pain, usually on the top of the shoulder and into the neck. To top it off, 100% of these people sit at a computer nearly all day.

Many of these people have also experienced an accident or injury that has caused them to "cringe" and contract in an involuntary brain reflex called the Trauma Reflex.  The trauma reflex involuntarily contracts one side of the waist and trunk rotators, which results in a slight side bending and twisting of the waist muscles on one side of the body. This occurs due to the need to compensate for an injury or to avoid pain on one side of the body.

Try this: Visualize sitting at your computer. Do you lean into your screen to see by thrusting your face forward? Do you reach for your mouse by rounding the shoulder forward and collapsing slightly in your ribcage? Do this do you sense a twinge of pressure or pain into your hip and up into your shoulder and neck when you do these movements?

Now look in the mirror. Does your posture like either of these photos?:

 

The photos above show a specific pattern of overuse on the computer. Look at the photo on the left and notice how the shoulder on the right side sits lower than the left shoulder. Look at the wrinkles in the woman's shirt right under her armpit and shoulder blade which indicates tight shoulder and waist muscles that pull the shoulder down.

Look at the photo on the right. Notice the same effect, only this time from the front. The shoulder on the left side (the client's right side) is pulling noticeably downward, causing the ribs to contract. Again, the telltale wrinkles in the shirt just under the armpit let you know that there are muscles tightening unconsciously all the time, while my client is standing "at ease."

If you are collapsed and contracted in the center of the body, your hip joint will also be tight.

Some studies show that between 70-90% of people are right handed. This means that most people working on computers also use their mouse with their right hand - reaching, holding the right shoulder still, and slumping slightly into one hip as they type. No wonder so many computer users also complain of shoulder pain!

But how does collapsing/slumping on one side of the body create hip pain and shoulder pain?

The graphic on the right will help you understand: this shows the external oblique muscles (the "waist muscles") that connect your ribs to your pelvis. The internal oblique muscles attach down into iliac crest of the pelvis. Both muscles help to twist the body and flex it laterally. They act like an accordion to bend the body to the side and enable the torso to turn. They are instrumental in moving the hips up and down and stabilizing the torso side-to-side.

If you habitually contract this muscle group, both the origin and the insertion of the muscles will become tight... all the way up into the ribs, shoulders, and neck, and down into the hip. The muscles will learn to stay tightly contracted and no longer able to fully contract, nor relax (Sensory Motor Amnesia) and pain will develop. The key is to improve awareness of your posture and movement habits, then consciously restore the muscles to their original length and function. Your pain will begin to diminish, your balance will improve, and your ability to move both of your hips and shoulder equally will return.

If you work at a computer and experience hip pain, shoulder pain or low back pain, you can choose to live without it. There are specific Hanna Somatic Exercises that can help you reverse this problem.

Products that can help you reverse your pain on your own:

You can also contact Martha for an online Skype session or one-on-one clinical session.

How to Relieve Low Back Pain After Snow Shoveling

snow-shovelerThe East Coast is experiencing its first blizzard of the season. People are bracing (literally!) for the cold and getting their snow shovels and supplies ready. While I absolutely love snowstorms, and even consider snow shoveling an excellent workout, I can do without the low back and hip pain it can cause.

A few years ago after the last snows of a blizzard had subsided, my son came in from an afternoon of earning money shoveling snow.  “My back is killing me, Mom,” he told me. “I need a massage!” His back was in spasm and he desperately needed relief. I promised him a massage (I was a massage therapist for 25 years and gave it up after discovering Hanna Somatics), but only after he did a few Hanna Somatic Exercises.

Sounds cruel to deny your child a massage in such a situation, right? Not really. I knew that were I to massage his muscles while they were in spasm, they would become even tighter. A muscle in spasm is a muscle the brain can't control. If you press and knead that muscle or muscle group, it can contract back against your pressure, creating more muscle tension than before. This is called the “stretch reflex.” The stretch reflex is a protective, spinal cord reflex that contracts a muscle back against a stretch to save it from being traumatized or injured. Once that muscle's length and function is restored at the nervous system level a massage feels great and doesn't create tension.

I assured him his massage would be much more enjoyable once his brain reminded his muscles that they were no longer engaged in the arduous task of snow shoveling! After five minutes of Somatic Exercises and pandiculation he got up off the floor and, grudgingly, expressed amazement at how much better his back felt. Now, when his back is tight from shoveling, working out, or desk work, he does his Somatic Exercises and feels great.

Muscles spasms release more effectively with Somatic Exercises and pandiculation.

Here are the Somatic Exercises my son learned that taught his brain to regain control of the involuntarily contracted muscles that caused his back pain. To maximize the benefits, do these easy, safe Somatic Exercises before, and after, snow shoveling:

ARCH AND FLATTEN

This exercise teaches your brain to regain control of the back muscles. Gently contract the back muscles and roll the pelvis, and then slowly release your back, returning yourself to neutral. Go slowly and notice the pleasant wave-like feeling as your back moves from the base of your head all the way down to the tailbone.

ARCH AND CURL

Arch&Curl1

Arch&Curl2Arch&Curl3

  1. Lay on your back with your knees up and feet planted. Place your hands, with fingers interlaced, behind your head.
  2. Inhale and gently arch your lower back and tip your pelvis in the direction of your feet. This tightens the back muscles (only go as far as is comfortable and never force!).
  3. Exhale and slowly relax your back to the floor. When your back is flat, tuck your chin, point the elbows toward the knees, pick your head up, and slowly curl up as you contract the abdominal muscles.
  4. Inhale and slowly relax back to the floor.

Remember: this is not a sit-up! As you curl up, you are lengthening the back muscles as you tighten the belly. When you slowly come down, you are relaxing the abdominals.

SIDE BEND

This exercise relaxes the muscles of the trunk so that both sides of your waist muscles are relaxed and released. When we shovel snow we always tend to shovel on one side only. That twisting movement is a natural movement, yet when done while lifting wet, heavy snow it can cause a lot of muscle tension on one side of the body. The side bend will help you relax out of that twist once you are done shoveling.

WASHRAG

Enjoy lengthening and releasing the entire center of your body as you learn to gently “wring your body out like a washrag” – from your shoulders down to your hips.

These easy, safe movements can be done every day to keep your muscles remembering how to relax. The brain controls the muscles, therefore repetitive activities (such as snow shoveling) can teach your muscles to become rigid and “frozen.” The solution is to get your brain to remind your muscles how to relax again. All it takes is five minutes of gentle, aware Somatic Movement and those muscles will begin to relax and release.  Then you can go back outside in the snow and play!

Click here to purchase any of the Pain-Free Series of instructional Somatic Exercise DVDs.