Be "In The Know"
Where To Find Me
Banner
Banner

Search

Posts Tagged ‘scoliosis’

Broken Toilet Seats?

Wednesday, February 17th, 2010 by Karena

Picture 29As pilates and fitness instructors we spend so much time commiserating about our clients who don’t feel the work that we are giving them: they don’t feel the gluteals on bridging, they don’t feel their abdominals after a series of 5 (Pilates)…. You know what I am talking about. But this article is about what they DO feel. And how they describe it which is generally very different from the fitness jargon that we use.

For instance, I had a client tell me that her main goal was to ‘Stop breaking toilet seats.’ I am NOT kidding you. She’s 5′9″ and weighs about three pounds. Super thin. So of course, I laughed when she said it but she was serious. That was one of her main goals. So what did I find? I found a pretty good scoliosis that rotates the left side of the pelvis posteriorly when she sits. Thus, breaking toilet seats.

Another client told me that she wants to be able to breathe again. I found her to be kyphotic; not severely but enough to make a big difference to this woman whose career involves giving presentations. A kyphosis crushes the lowest lobes of the lungs and stops full aeration.

Let’s take a goal/complaint we hear all the time: I don’t feel my abs. If your client never feels the abdominals then the chances are good that they really are not using them. Maybe the hip flexors are doing all the work. Maybe the low back is tight and not allowing the abdominals to come out of a stretched state.

I encourage you to listen very carefully to what your clients are saying. Usually they are right on with their assessments of their own bodies. Crazy, huh? :-)

Would love to hear your stories if you have any to add to the conversation.

Scoliosis Help: Based on the Schroth Method

Saturday, November 21st, 2009 by Karena

Picture 21

Scoliosis, or a curvature of the spine, is something a lot of people have to a more or lesser degree. Many people aren’t even aware that they may have a scoliosis. If that is you, then you have nothing to worry about. Don’t fix what ain’t broke, right? If you are aware of your spine’s unnatural curve then you have probably experienced some discomfort as a result of it. The discomfort is usually in the form of generalized back pain/discomfort and poor (to atrocious) posture.

Katharina Schroth developed her own method for working with scoliosis at her clinic in Bad Sobernheim, Germany. Her first booklet on the subject was printed in 1924. There are many clinical studies proving the efficacy of her method at this site: http://bit.ly/5nmrgE. Suffice it to say here, in this brief blog, that the method has proven more efficient than any treatment to date including most surgeries and/or bracing.

Here’s what it is all about. First you have to figure out which direction your curves are pushing. So when you look at the x-ray above, you see two curves: one, in the low back making the left tip of the pelvis hike up and the second, higher in the rib cage. If the x-ray showed the entire spine you would see a third curve in the upper back neck area. Let’s assume that your spine looks just like the one in the x-ray (which by the way is the most common pattern for scoliosis).

When working in the Schroth Method the first thing you do is not to exercise to correct the shape of the spine but instead you correct the shape of the spine first and then perform exercises within that corrected alignment to help your musculature hold that new and corrected position. Make sense?

Okay, lie on your back; it’s alignment time. Your knees are up and the soles of your feet are down. Place your thumbs on your hips. Do you see how your right thumb is higher than your left? (Remember, we are assuming you have the same scoliosis as the one in the picture). Push that right hip BACK toward the floor. It’s okay to over-correct at first. Now look at your hips again. Do you see how your right hip is kind of hiked up and closer to the ribs than on the left side? Push it DOWN and away. Or in other words, you are creating more space between the right ribs and the right hip. Lastly, push your right hip directly to the right SIDE. Imagine you are lying an inch away from a wall and you are trying to push that right hip into that wall. Got it? So you’ve moved that right hip BACK, DOWN and SIDE.

Now you are going to do the same thing focusing on the left rib cage. Push the left ribs BACK toward the floor. Now push the ribs to the left SIDE. You can still imagine that wall but now it is one inch away from your left rib cage. Push into it. Lastly, stretch UP lifting your left ribcage towards your left ear. Make sure it is not your shoulder you are lifting: it may go along for the ride but it may not do the primary work. So you have moved the left ribcage BACK, UP and SIDE.

Now hold this position. For the rest of your life. See how easy that is?? Not easy at all. I have a scoliosis and I practice this posture ALL the time, especially when I am in the car. Once you can memorize ‘Right Hip: BACK, DOWN and SIDE. Left Rib: BACK, UP and SIDE’, you’ll have made a great start. When you get into the position hold it for three deep breaths. Build your way up to holding the position for 10 deep breaths. Practice that for a week or two and then let me know when you’ve got it and I’ll add some exercises for you to add onto it. Let me know if you have any questions because I know it is pretty confusing.

Good luck with this Alli. I know it will help. It may not feel like it at first. Your muscles will more than likely be sore. But it is worth it. As we get older, unless we do something about it the scoliosis may continue to collapse and create a more magnified curve.

I have written a book that uses the principles of three-dimensional alignment and applied it to the Pilates method that I have been working with for years.  I have attempted to make it as user-friendly as possible so that you can do this on your own at home. Half of the exercises are on the Pilates equipment and half are on the mat. If you have a Pilates instructor in your area that focuses on post-rehabilitation she/he should be able to help you if you run into problems. The link to the book is here: http://bit.ly/hUj2PL

Best of health, Karena

Pilates Exercise for Back Pain – Part 5 of 8

Wednesday, July 15th, 2009 by Karena

Gentle stretching. The key word is gentle. Most of us tend to over-stretch and push into the ‘grimace-range’. If you are grimacing you may be over-doing it. Don’t inflict pain on yourself. Seems obvious, doesn’t it?

The point of this stretch is to improve posture and to get the spine moving in a direction that we don’t often move: side-to-side. We spend our days bent over computers, kitchen counters and steering wheels. This exercise gets the spine moving in a way that will help remind your body that there are other options than slumping forward. By the way, little note here…don’t stretch your spine by slumping forward and hugging your knees. More forward slumping is the last thing your spine needs if you are achy.

Also, this exercise addresses the less flexible side of the spine. Most of us are not ambidextrous. What that means to our spines is that we spend most of the day leaning into the strong side: think about carrying heavy groceries and how the weight-bearing shoulder will be higher while you are holding the extra weight. Or even consider your mouse hand. Ever notice how that shoulder tries to hug your ear? This extra work consistently being done on the same side creates a slight scoliosis or curve of the spine. Muscular imbalances result.

I do want to emphasize that these imbalances are normal. Much the same way as when you look in the mirror you see a slight difference between the right and left side of your face. No one is perfectly symmetrical: not from one side of our faces to the other or from one side of our spines to the other. Now, having said that, it is still very worthwhile to work both sides of your body equally when you exercise. Become aware of the imbalances and see if you can’t create more strength on the weak side and more flexibility on the stiff side. Working on these imbalances will help prevent undue imbalance and the possible resultant muscular discomfort.

With the hips stabilized and pushing into the mat the upper back has the opportunity to move. If the hips are not anchored then the upper back stays stuck. Anchor the hips and allow the spine to move as far as it comfortably can.

Try this exercise. If you have back pain, be sure not to stretch first thing in the morning. The discs take on water at night (just like our hands can be swollen and our rings can be tight when we wake up in the morning). This extra water stresses the muscles around the spine and stretching is an additional stress they do not need first thing in the morning. Let me know if you have any questions about these exercises for pain relief.

Karena

p.s. Oh My, my hair is stunning this week…