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Archive for the ‘Heal Your Back Pain’ Category

Postive Results with ScolioPilates: “It’s like a shot of Oxygen!”

Tuesday, April 16th, 2013 by Karena

I get emails like this quite frequently and I thought I should probably stop keeping them to myself. So with permission from Pilates Instructor, Diane Mulholland, here is the email I received from her this morning. Thanks so much, Diane! By the way, Diane has been studying ScolioPilates through the book and webinars. She lives in London and as you know I am in SoCal. So I’m especially thrilled that the concepts have been shared so successfully virtually.

Hey Karena,

You know how you always say that the first time you put someone on the wedges they will just fall in love with you and be so amazed with how different they feel, well, I kind of put that down to your enthusiasm for your subject – and now I’m eating humble pie.

I had the first session today with the lady who will be my case study, we did some measuring, and some elongation and breathing, and then I put her on her back and wedged her and got this…

“Wow. WOW. It’s like air can come in!”

“Wow.”

“It’s like a shot of oxygen!”

There was much more of the same.

We were both nearly crying – she said she’s been telling doctors for years that she felt her chest was tight (she’s had chronic bronchitis for ever), and they just brushed it off.

She’s utterly thrilled, I’m thrilled, it’s going to be great fun working with her :)

I’ll send you full details later, but I wanted to share that with you!

See you Friday,

Diane xxx

January 2012 Appearance on NBC Miami

Friday, April 20th, 2012 by Karena

The regular host was away at a funeral and Jennifer the weather gal was kind enough to step in and do Pilates while wearing a pencil skirt. Thank-you, Jennifer for being such a good sport! It was really fun!!

Healthy Your Way to Sexy: Pilates Desk Workout for Back Pain

Friday, April 20th, 2012 by Karena

You’ve been sitting too long and your back is aching. Go for a walk later but for now, with deadlines pending, take a few minutes (5 to be exact) and give your spine some TLC. And a happy spine is also a strong spine, so in case you need to get into something strapless soon it’s good to start with Healthy Your Way to Sexy!

Football Practice on the Beach for Better Sports Performance

Saturday, February 11th, 2012 by Karena

I saw these kiddos practicing on the beach about a week ago. Actually, I see them every weekend.  They pull tires, jump cones and just generally kick up a LOT of sand.  Every time I see them, I think of the study that physical therapist, Andre Labbé, relayed in a continuing education course last August.  Labbé teaches at Tulane University and he and his colleagues looked at the performance of varsity football teams from 5 local high schools.  Four schools were from wealthy areas and one was not.  They measured performance in terms of two categories. The first was a measurement of how much weight can these kids lift, how fast can they run, etc.  The second measurement was a measurement of function.  How quickly can they change direction, recover from a fall, rebound or avoid a tackle, etc.  So, to me, the non-football player it seems the second measurement would be much more important to how the team actually plays.  Who cares how much weight you can lift if you can’t scoot around a tackle and get the touchdown?

The wealthy schools excelled in the first measurement. They had all the fancy gym equipment at their schools and they used it.  The kids were strong. They were fast.

The kids from the poor school didn’t fare so well on the first measurement but knocked the socks off the other schools when it came to function.  Labbé spoke to the coach: “How are you doing it?” Labbé and his team expected the first measurement to correlate directly to the second measurement and it did not.  Lifting more weight did not mean better performance on the field.  So how were the kids that didn’t have any special equipment excel on the field?  Here’s the coach’s answer:

I train the kids on the beach.  First they run in the hard sand by the water’s edge, then they get moved to the soft dry sand.  After that, they do drills an ankle deep in water, then knee deep.

Makes sense why these kids aren’t toppling as easily when they are getting pushed around by linebackers. They are used to it.  The sea, as anyone from New Orleans will tell you, is unpredictable and won’t flinch because you might look tough.

Labbé went on to talk about the importance of working all of our post-rehabilitation clients on unstable surfaces.  He even had a sandbox in his clinic for a period of time.  My next studio?  It’ll be on the beach.  Best therapy in more ways than I had ever thought.

Back Pain? Throw on a Back Pack

Monday, August 22nd, 2011 by Karena

This post could have been titled: How to heal back pain with a back pack. And no, I’m

My back was crying today but I had a 6-mile hike planned.  Hence, the 12-pound back pack

My back was crying today but I had a 6-mile hike planned. Hence, the 12-pound back pack

not talking about filling it with muscle relaxants to get you through the day. I’m talking about the work of Stuart McGill, PhD. He is a kinesiologist out of the Univeristy of Waterloo and has done extensive research on the best ways to heal back pain.

One of this methods includes wearing a back pack with 15-25 pounds in it. Sounds crazy, huh? The theory behind it is that if the weight is placed low in the back pack, it aids the spine extension muscles, so it helps to keep you upright. If you are bent over your spine muscles aren’t really working they are in a holding pattern; it is more like they are holding on for dear life to keep you from going nose-first into the dirt instead of acting to give strength and mobility to the spine.

Dr. McGill’s recommendation is that you wear the pack and walk on uneven terrain. Hiking a dirt path would be great. The small subtle changes in the terrain force your spine to accommodate forward and back, side to side twisting and side to side bending.

I had a chance to test his advice three years ago after back surgery. I stayed at about 10 pounds in a fanny back and it worked really well. I was able to go about 30% farther with the pack then without it. I had another “opportunity” to test it today. My back decided to get super-angry after mountain biking this morning and my friend and I still had a 6 mile hike planned for the afternoon. I was hurting. Big-time.

So I let my friend wrangle both dogs, I threw a lot of water bottles in the bottom of a pack and gingerly started making my way along the trail. Ow. Ouch. Holy be-geezus… But it got better. It loosened up. And I did the 6 miles. Tonight, I can feel my back. I iced and I’m getting ready to take some Aleve but it’s good. We are planning another hike tomorrow and my back pack is ready.

Exercise Reduces Scoliosis Pain and Curvature

Friday, December 10th, 2010 by Karena

Exercise reduces scoliosis pain and curvature. That’s the good news.  The really good news is that we have studies published in peer-reviewed medical journals to back up those claims. I chose three for you to look at.  If you go to PubMed and search ’scoliosis exercise’ you’ll find a few hundred more.  These are the studies that are the basis of the exercises in my book, Scolio-Pilates.

1. In 2003, a study of adolescents with scoliosis showed a significant reduction in the degree of curvature over the course of one year using exercise alone. The Cobb angle, used to measure the degree of a scoliosis curve, was reduced on average from 26.1 degrees to 17.85 degrees with exercise alone. The type of exercise used in the study is referred to as the Schroth Method, designed by Katharina Schroth in the early 20th century. Her exercise program for correcting scoliosis is the building block that all modern day therapeutic exercise programs stand on and is described in the book, Three Dimensional Scoliosis.  Her exercise program relies on lengthening and de-rotating the spine, used since the time of Ancient Greece to correct scoliosis, along with a strengthening program.

Read the entire study at PubMed: The efficacy of Schroth 3-dimensional exercise therapy in the treatment of adolescent idiopathic scoliosis in Turkey. Saudi Med J. 2005 Sep;26(9):1429-35.

2. A 2010 study  shows that asymmetrical exercises were effective in engaging the muscles on the concave side of the scoliosis. The concave muscles, or muscles on the non-hump side of the scoliosis, are generally in a state of severe atrophy. The weaker these muscles become the more the scoliosis is allowed to progress. The study concluded “that these exercises may advance care of patients with scoliosis.”

Source: Schmid AB, Dyer L, Böni T, Held U, Brunner F., Paraspinal muscle activity during symmetrical and asymmetrical weight training in idiopathic scoliosis.Journal of Sport Rehabilitation, 2010 Aug;19(3):315-27. Read the complete study here.

3. With scoliosis, there is a concern surrounding pulmonary (lung) function because of the mis-shapen and rigid ribcage housing the lungs. A rigid ribcage will make it harder for the patient to breathe normally and lung disease becomes a concern.  This study shows that exercise increased mobility in a rigid ribcage and greatly increased vital capacity, measured by the amount of air exhaled, in scoliosis patients.

Source: Weiss, Hans-Rudolf, M.D., “The effect of an exercise program on vital capacity and rib mobility in patients with idiopathic scoliosis.” Spine, Vol. 16 (1/1991). Read the complete study here.

As a result of these studies and also my own scoliosis getting much worse after a discectomy surgery three years ago, I started employing the three-dimensional techniques from the Schroth Method and applying it to my Pilates work.  And even though I was certain I was headed back to surgery, the pain in my spine subsided.  I used the method so successfully with other scoliosis clients that I decided to put the exercises into a book: Scolio-Pilates.  If you are interested, there is more information here about the book. Good luck!!

Exercises for Relieving Sciatic Pain

Monday, November 1st, 2010 by Karena

When it feels like a gnarly-toothed troll has taken up residence in my tush, then it is obvious that my sciatic pain is back.  Grrr.

I have had my fair share of sciatic pain but it’s been a few years since it has been bad and this week?  VOILA!

Roll out your sciatic pain on a 6" foam roller.  Ahhhh..... relief.....

Roll out your sciatic pain on a 6" foam roller. Ahhhh..... relief.....

Our teaching schedule became a little busier this month and my sciatic is now a cranky little putz.  Here’s what I do for my clients and now, again, for myself when the troll returns.

5 ways to Give the Boot to the Pain in Your Bootie (Sciatic Pain)

  1. Walk 20-30′ briskly on a zero incline. If the pain increases stop. The idea here is to loosen up the spine and therefore loosen up the bootie.
  2. If walking without a limp is impossible, then I would recommend medium-light weight on the Pilates reformer.  Continue for 20-30′. (See why the weight has to be light-ish?) The purpose of this is the same as #1; hence the long time period.
  3. Side-lying leg work. Lie on your side. Bend the bottom leg and straighten the top.  Lift the top leg off the floor just to hip height (10x’s). Follow this exercise be small leg circles. Again no higher than hip height. And again 10 in each direction.
  4. Use a 6″ diameter foam roll to steamroll your tush.  See the pic. This exercise is similar to a deep tissue massage of the area.  I also like to ’steamroll’ the IT Band.  The IT band is on the side of the leg between the knee and the hip. Don’t roll over your hip or knee bones.  They will NOT appreciate it!
  5. A popular stretch for sciatica as mentioned by @MelMajoros on Twitter is the ‘Figure Four’ Stretch.  Lie on your back with knees bent, soles of the feet on the floor.  Place one ankle on the opposite knee. Put your hands under that opposite knee and pull it to your chest.  Ahhhhh… relief!