Oregon Exercise Therapy
SCHEDULE YOUR FREE POSTURE EVALUATION!
  • Free Posture Evaluation
  • How It Works
    • Therapy Options >
      • Zoom/Skype/FaceTime Exercise Therapy
    • FAQ
    • OET News Archive
  • Advanced Training for Therapists
    • Education Workshops
  • Testimonials
  • About Matt
    • Contact Me
    • Recommended Products >
      • Therapy Equipment
      • Books and DVDs
      • Shoes
      • Apparel
      • Exercise Equipment
      • Cool Stuff
  • Blog

Why joints fail and how to prevent it

1/28/2014

0 Comments

 
Joints are essential pieces of the human body enabling us to run, jump, bend, and twist. Joints, along with the muscles that move them, are indispensable and allow us to work and play every day of our lives. But joints do fail. Both the beautiful joints we are born with - that are amazingly complex and simple at the same time - and the over 1 million artificial joints that surgeons implant into Americans each year. 

Ned Kehde is an avid fisherman who has done Postural Alignment Therapy (Egoscue) to stay pain free and active as he gets older. In an article from In-Fisherman magazine he talks about what he has seen with joint replacements: 
My wife, Pat, and I are in our seventies.  During the past decade and a half, an astonishing number of our friends, acquaintances and family members have had hip and knee replacements, as well as back, shoulder, elbow and wrist surgeries.

It has almost become a fad.  For instance, one of Pat’s bridge-playing acquaintances told her that he and his wife have had five hip and four knee replacements, and he hinted that they expected that another replacement might be in the offing.

After our friends have endured the grueling aspects of the surgery and weeks or even months of physical therapy sessions,  some of them are still bothered with pain and use assorted pharmaceutical products to dull it.
I don't think joint replacement is a fad, but it is a procedure that is expected to continue to grow at astronomical rates. The annual number of primary knee and hip replacements together is projected to be more than 4 million by 2030. Primary means first time replacement, and if artificial joints continue to fail and be recalled in similar percentages as they have in a last couple years, the number of joint revision surgeries could be over 10 million annually by 2030. 

Not only are the number of joint replacement surgeries going up fast, but they are drastically out of proportion to our population growth and when compared to other countries. A really good question for our society to look at is: Why is it that we are so quick to replace joints?
Picture
In the article, Ned continued:
We also noticed that surgery didn’t significantly improve our acquaintances’ sense of well-being and nimbleness.  Therefore, we couldn’t understand why anyone would opt for surgery.  And across the years,  our anti-surgery perspectives are doubly reinforced when we read front page stories in the “New York Times,” such as the one that appeared on Dec. 28, 2011, proclaiming that “artificial hip failures [are] expected to cost billions”  and the one about problematic hip implants on Feb. 15, 2011.

Coupled by what we witnessed and read, we gradually  came to the conclusion that we wanted to avoid surgery and pain killers. Because we have always had minor proclivities to be  health-food and alternative medicine advocate, it seemed to be an intuitive decision.
If getting a hip or knee replacement fixed the problem, how come, as Ned says, so many people end of having the same joint replaced several times and why does the pain not go away after surgery? Ned talks about a couple he knows that has had 5 hip replacements when the most hip joints I’ve ever seen two people have is 2 each or 4. So at least one of them had a hip replaced twice. I have a client who had 5 hip replacements in 6 or 7 years on one hip! Each surgeon just said the last one didn’t use the correct prosthetic implant or did the surgery incorrectly, but each one ended up with a “failed” joint and another surgery in the end. By coming in to see me and learning the true reason why her artificial hips failed, and by then correcting the underlying postural imbalances, she is not only pain free for the first time in years, but has peace of mind knowing she won't be needing another hip replacement anytime in the near future.

Are surgeons really that bad at what they do and are the prosthetic implants that primitive? No, I don’t think so. I think 95% of people who get joint replacements don’t do anything about the underlying cause of the arthritic joint and pain and because they don’t take the time to figure out and correct what the cause of the hip or knee arthritis was in the first place, the problem is still there getting bigger all the time - waiting to show up as pain, limitation, or a failed implant or surgery. 

If you have had a hip or knee replacement and are still in pain, have been told you need a joint replacement but would like to avoid it, or have had a failed implant or surgery and would like to learn about the underlying cause and a simple and easy way to fix it, contact me today and I'd be happy to help you figure out the root cause of the problem. 
Resources and more information:
Perret, Egoscue and me; my quest for pain-free fishing
Projections of primary and revision hip and knee arthroplasty in the US
Why runners don't get knee arthritis
Knee joint osteoarthritis
What is normal aging?
0 Comments

Martin Luther King Jr., the loss of community, and how the Gift Circle just might save us

1/20/2014

0 Comments

 
“It really boils down to this: that all life is interrelated. We are all caught in an inescapable network of mutuality, tied into a single garment of destiny. Whatever affects one directly, affects all indirectly. We are made to live together.” - Martin Luther King Jr.
Picture
Above is a beautiful quote by Martin Luther King Jr., one of the great minds of the last century, but the reality is we no longer live like we are made to live together. We have lost community and with it the interdependence of our lives.

Charles Eisenstein wrote a wonderful piece called “To Build Community, an Economy of Gifts” that explains:
Community is nearly impossible in a highly monetized society like our own. That is because community is woven from gifts, which is ultimately why poor people often have stronger communities than rich people. If you are financially independent, then you really don’t depend on your neighbors—or indeed on any specific person—for anything. You can just pay someone to do it, or pay someone else to do it.

In former times, people depended for all of life’s necessities and pleasures on people they knew personally. If you alienated the local blacksmith, brewer, or doctor, there was no replacement. Your quality of life would be much lower. If you alienated your neighbors then you might not have help if you sprained your ankle during harvest season, or if your barn burnt down. Community was not an add-on to life, it was a way of life. Today, with only slight exaggeration, we could say we don’t need anyone. I don’t need the farmer who grew my food—I can pay someone else to do it. I don’t need the mechanic who fixed my car. I don’t need the trucker who brought my shoes to the store. I don’t need any of the people who produced any of the things I use. I need someone to do their jobs, but not the unique individual people. They are replaceable and, by the same token, so am I.

That is one reason for the universally recognized superficiality of most social gatherings. How authentic can it be, when the unconscious knowledge, “I don’t need you,” lurks under the surface? When we get together to consume—food, drink, or entertainment—do we really draw on the gifts of anyone present? Anyone can consume. Intimacy comes from co-creation, not co-consumption, as anyone in a band can tell you, and it is different from liking or disliking someone. But in a monetized society, our creativity happens in specialized domains, for money.

To forge community then, we must do more than simply get people together. While that is a start, soon we get tired of just talking, and we want to do something, to create something. It is a very tepid community indeed, when the only need being met is the need to air opinions and feel that we are right, that we get it, and isn’t it too bad that other people don’t … hey, I know! Let’s collect each others’ email addresses and start a listserv!

Community is woven from gifts. Unlike today’s market system, whose built-in scarcity compels competition in which more for me is less for you, in a gift economy the opposite holds. Because people in gift culture pass on their surplus rather than accumulating it, your good fortune is my good fortune: more for you is more for me. Wealth circulates, gravitating toward the greatest need. In a gift community, people know that their gifts will eventually come back to them, albeit often in a new form. Such a community might be called a “circle of the gift.”

Fortunately, the monetization of life has reached its peak in our time, and is beginning a long and permanent receding (of which economic “recession” is an aspect). Both out of desire and necessity, we are poised at a critical moment of opportunity to reclaim gift culture, and therefore to build true community. The reclamation is part of a larger shift of human consciousness, a larger reunion with nature, earth, each other, and lost parts of ourselves. Our alienation from gift culture is an aberration and our independence an illusion. We are not actually independent or “financially secure” – we are just as dependent as before, only on strangers and impersonal institutions, and, as we are likely to soon discover, these institutions are quite fragile.

Given the circular nature of gift flow, I was excited to learn that one of the most promising social inventions that I’ve come across for building community is called the Gift Circle. Developed by Alpha Lo, co-author of The Open Collaboration Encyclopedia, and his friends in Marin County, California, it exemplifies the dynamics of gift systems and illuminates the broad ramifications that gift economies portend for our economy, psychology, and civilization.
To learn how to create your own Gift Circle and recreate the power of a real community like Martin Luther King, Jr. knew read the rest of Charles Eisenstein’s article in Yes! Magazine.

I’m going to leave you with his last paragraph which sums up the benefits of a community built on the Gift Circle:
On a less tangible level, any gifts we give contribute to another kind of common wealth – a reservoir of gratitude that will see us through times of turmoil, when the conventions and stories that hold civic society together fall apart. Gifts inspire gratitude, and generosity is infectious. Increasingly, I read and hear stories of generosity, selflessness, even magnanimity that take my breath away. When I witness generosity, I want to be generous too. In the coming times, we will need the generosity, the selflessness, and the magnanimity of many people. If everyone seeks merely their own survival, then there is no hope for a new kind of civilization. We need each others’ gifts as we need each others’ generosity to invite us into the realm of the gift ourselves. In contrast to the age of money where we can pay for anything and need no gifts, soon it will be abundantly clear: we need each other.
 “To Build Community, an Economy of Gifts” by Charles Eisenstein in Yes! Magazine 
0 Comments

Embrace the Paradox

1/20/2014

0 Comments

 
In honor of Martin Luther King Jr’s life, I’d like to
invite you to embrace this paradox -

You and I are equal.
You and I are different.
You and I are the same.


This combination moves mountains, shifts cultures,
and makes heroes for the ages.

You and I are equal. My dreams are as important as yours.
Your pain is as vivid to you as mine is to me. My differences
from you do not make me inferior. You may not understand me.
You may not feel what I feel, but what I feel is just as important.
Sounds easy, actually difficult. All human children have an instinct
of “me first.” It’s a survival instinct. But how do you mature out of that?

You and I are different. ”Equal but different” can be difficult to process.
When we find people equal to ourselves, we tend to assume that they
are the same. But they’re not. That’s the paradox. You and I are each individuals,
with our own experience, our own needs, and our own freedoms.
Appreciate that I am different from you, and that the way I see the world
is different from the way you see it.

You and I are the same. Once you appreciate someone’s difference
and their equality to you, with what emotion, what energy do you act
on that insight? Is it simply an intellectual observation? Or does it change
the way you live? This is where Dr. King became a leader for all ages.
He insisted not only on equality, but on brotherhood. In other words,
there is an underlying passion and love for the other’s being. It’s not
just about tolerating differences. It’s about appreciating them, relishing them,
and protecting your brother’s or sister’s right to be who they are. Beneath
the difference and equality, there is universal love.
The above comes from Mark Peysha, CEO of Robbins-Madanes Training, where they teach Strategic Intervention. To learn more visit the website.

At Oregon Exercise Therapy, we try to embrace these three truths with each client and how we treat their pain.

You and I are equal. We all share the same design, the blueprint for human posture. We all have eight load joints (2 shoulders, 2 hips, 2 knees, 2 ankles) that line up with each other vertically and horizontally at 90 degree angles. We are symmetrical. We are designed to live a pain free and active life without limitations and enjoy the peace of mind that comes from knowing that.

You and I are different. We are all individuals with different life experiences, different goals, and different dreams. Some of us want to run ultra marathons, compete in the Olympics, or play professional sports. Some of us want to sit at a desk and work 14 hour days and watch movies for fun. There is nothing wrong or right with either of these lifestyles and our role at Oregon Exercise Therapy is to recognize that and help you live the life you want to live – pain free.

You and I are the same. We are equal in our design, different in our goals, and the same in that our bodies are designed perfectly for whatever life we choose to live. When we appreciate each other for their amazing bodies, beautiful minds, and different dreams, we find universal love. We are all in this together.

Oregon Exercise Therapy takes the beauty in these statements and treats each client as equal, different, and the same to help you achieve your individual goals and dreams by giving you the tools to pursue them pain free. Knowing that you are not broken, that nothing is genetically wrong with you, and that nothing is wrong about your lifestyle, you can rediscover the resiliency of your human body and gain peace of mind to enjoy life to the fullest.
0 Comments

What is "normal" aging?

1/16/2014

0 Comments

 
It's "normal" to lose muscle mass, bone density, joint mobility, height, endurance, energy, balance, and the ability to run, jump, hike, walk, and move as we get older. 

It's "normal" to have muscle soreness, joint pain, arthritis, herniated discs, bone spurs, trouble getting up off the floor and trouble sleeping at night as we age. 
Picture
No wonder "anti-aging" is a multi-billion dollar business. Who would want to be normal if that's what it looks and feels like? Not me. 

But what if this "normal" is not normal at all? 

I agree that the average person experiences all these changes as they grow older, but I do not think it is the least bit normal. The average American (actually 69% of Americans!) is overweight. It's not normal to be overweight, but it is average. The average American consumes over 152 pounds of sugar a year! That's not normal (normal might be 20 teaspoons a year), but it is average. The average American takes 12 prescriptions. That's not normal, but it is average. 

The average American might have high blood pressure and sleeping problems, be overweight and unable to walk 3 miles, have several herniated discs and arthritis, and have very low energy and a daily regimen of taking half a dozen pharmaceutical drugs, but there is nothing healthy or normal about being average. 

Next time you hear someone say it's "normal" to have something wrong with you, correct them and say "it's average, but not normal." And remind yourself you can become well above average with a little awareness, work, and fun. It's never too late and you're never too old. 

The real normal is taking no medications, being physically strong, flexible and energetic, having no muscle or joint pain, sleeping like a baby and playing like a kid. Normal is having no physical limitations, enjoying perfect health, and having peace of mind. 
0 Comments

Forward head posture

1/13/2014

2 Comments

 
Forward head posture. It is easy to spot and you probably know several people who have it (hopefully you’re not one of them).
Picture
Forward head posture is very common.
Forward head posture is when your head sits forward of a vertical line drawn up from your ankle. Ideal posture is when that gravity line goes from the front edge of your ankle, through the middle of your knee, middle of your hip, middle of your shoulder, and through the front edge of your ear as shown below:
Picture
Correct Functional Posture
Self-Test
You can do this simple test to find out if you have forward head posture. Stand with your heels and shoulder blades touching a wall or door and relax. Is your head touching the wall without you having to pull it back? If your head is off the wall at all, you have forward head posture. 
Picture
Forward head posture has been an issue for years (evidenced in books like “Body Mechanics and Health" originally published in 1922) and seeing normal head position today is becoming more and more uncommon. From classrooms to red carpets, retirement homes to professional athletic fields, forward head postures are the norm.
Forward head posture can cause many problems like headaches, neck pain, shoulder and upper back pain, breathing issues, difficultly sleeping, TMJ and even depression.
Picture
The book Body Mechanics and Health published in 1922 explains how forward head posture affects the diaphragm, stomach, and liver:
The stomach and liver are attached to the diaphragm, and the suspensory ligament of the diaphragm is the pericardium, especially of the right side, which finally attached to the anterior part of the lower cervical spine. Because of this anatomic make-up it is possible by simply correcting the position of the head, to raise the diaphragm, stomach, and liver one inch or more. If the diaphragm is lowered as a result of the habitually forward position of the head, the movement of the diaphragm in respiration must be less than normal. The effect of this upon the breathing, as well as upon the circulation, especially in the large abdominal veins, to say nothing of the function of the other organs, must be apparent.
You have to remember that the head is balanced on top of everything below it, so forward head posture is caused by things like kyphosis, hinged shoulders, swayback posture and pelvic tilt imbalances. These imbalances not only cause pain and limitation, but kyphosis has now been linked to an increased rate of death due to atherosclerosis!
At Oregon Exercise Therapy we always look at the body as a unit and do not just focus on the symptom. We know that forward head posture often starts with pelvic imbalance. An anterior pelvic tilt puts excessive compressive stress in the lumbar spine and the upper back will round forward to ease the pressure. This rounding when severe is called kyphosis. Kyphosis can cause back pain, neck pain, thoracic outlet syndrome, breathing problems, digestive problems, chest pain, cardiac and pulmonary problems including eventual pulmonary and/or heart failure. This anterior-kyphotic posture can be seen below:
Picture
Anterior-kyphotic posture - Kendall
Forward head posture can also be caused by the pelvis tilting the opposite way. A posterior pelvic tilt flattens the lumbar spine which causes the thoracic spine to flex excessively into a kyphotic posture also. This loss of the normal lumbar curve can cause lower back pain, disc herniations, nerve impingement's, degenerative disc disease, and degenerative hip joints or osteoarthritis of the hip. This posture is shown below:
Picture
Posterior pelvic tilt, flat lumbar spine and kyphosis - Kendall
At OET we see one more major postural imbalance that can cause forward head posture. Swayback posture is when the hips are forward of the ankles instead of sitting directly above them. This causes the upper body to lean backwards to counterbalance the hips moving forward. The head then moves forward in response to the rest of the body as seen below:
Picture
Swayback posture causing forward head - Kendall
Forward head posture is also very influenced by bad sitting posture which creates kyphosis and rounded shoulders pushing the lower cervical spine into flexion and the upper cervical spine into hyperextension. Bad sitting posture is not caused by poor ergonomics and cannot be fixed by a new chair, better computer setup, or any other piece of equipment. Poor sitting posture is a reflection of your muscular imbalances and faulty movement patterns, but can be corrected. The spinal curvature changes can lead to muscle tension, spasm, and pain. The cervical spine alignment imbalances create an environment where cerebral spinal fluid, nerves, lymphatic fluid, blood flow, and air can become restricted and impeded. Cervial flexion can lead to spinal disc herniation. Cervical hyperextension can lead to degenerative disc disease and spondylolisthesis. Besides neck and upper back pain, this can lead to a magnitude of problems including tension headaches and migraine headaches and temporal mandibular joint dysfunction (TMD). 
Picture
Bad sitting posture
Picture
Lower cervical flexion and upper cervical hyperextension.
Forward head posture can be fixed. The treatment must look at the true underlying cause of forward head posture. Treating your neck without looking at the rest of your body will not have any longterm positive effects. Correcting postural imbalances in your pelvis, spine, and shoulders with Postural Alignment Therapy will result in normal head posture and a freedom from pain and symptoms. 
Resources:
Forward head posture causes balance problems.
Forward head posture and tension headaches.
Kyphosis causes balance issues and reduces mobility. 

Kyphosis causes reduced lung function. 
Hyperkyphotic posture linked to increased rate of death due to atherosclerosis. 

Kyphosis causes pulmonary and heart failure. 
Anterior pelvic tilt causes kyphosis.
Head position affects kinematics of human mandible. 

Body mechanics in health and disease.
Temporomandibular joint dysfunction syndrome and posture.
2 Comments

Bunions - overlooking the obvious

1/9/2014

6 Comments

 
Picture
Bunions are a very common foot problem that is said to impact 30% of Americans and about 90% of those affected are women. Bunions can lead to significant pain and limitations in activity. What causes a bunion? 

Common thought is shoes. More specifically, shoes that have a tapered toe box that is too narrow to allow normal toe splay. Shoes can deform feet causing your feet and toes to conform to the shoe, as seen below:
Picture
Bunions are obvious on the feet above, but notice how the left foot is worse than the right? 

What caused the left foot to have a larger bunion than the right? 

The shoes look the same…except for a hole worn in the bottom of the left foot by the first metatarsal. 

Interesting. What would cause a hole to be worn in sole of the shoe? 

In a word: friction. 

Excessive friction will wear down one shoe faster than the other. To understand where the excessive friction is coming from and why, we must look at what the foot is doing during gait. Because the excessive friction is on the head of the first metatarsal we know the foot is abducted during gait and excessively pronating and everting during the push-off phase of gait. 
Picture
Abducted Feet
Picture
Overpronation and eversion of the right foot
Typically the foot is also pivoting on the first metatarsal from mid-stance to toe-off. This pivoting can also create large calluses and ingrown toenails at the points of friction. 
Picture
Picture
The faulty foot strike is usually caused by a lack of true hip flexion and extension and the compensation created by the dysfunctional hip joint. 
Picture
Hip flexion of right hip
Picture
Hip extension of right hip
Below is another very common example of a bunion being much larger on one foot than the other. 
Picture
Small left foot bunion and large right foot bunion
Shoes are not the reason for these imbalances. A faulty and imbalanced gait pattern is to blame, which is caused by postural imbalances up and down the body. Since the body works as a unit and everything is connected, we must look at a person's entire posture and treat all the major postural and muscular imbalances throughout their body.
Picture
Balanced postural alignment allows the hip joints to flex and extend correctly leading to a normal foot strike allowing the feet and toes to maintain their normal position. Dysfunctional postural alignment interferes with normal shoulder, hip, knee, and ankle movement which is essential for every movement and activity. 

To feel how your posture affects your foot strike and causes bunions, do this simple test:

  1. Take off your shoes and socks and walk up and down a hallway and feel how your feet are striking the ground. Where on the heel do you hit? Where does the weight go as you roll through your foot? Where do you push off from? Notice what is different between your right and left feet. Also notice if anything hurts. 
  2. Now interlace your fingers together and put your hands behind your head so your elbows are out to the sides. Pull your elbows back as far as you can and hold them there. Relax your stomach. Now walk up and down the hallway again several times and notice your foot strike. What is different now? What changed? Why?

Most people feel their foot strike get more symmetrical left to right and balanced down the middle of their feet. This is letting your experience how much your shoulder and upper body position affects your foot strike. This also means that getting different shoes, orthotics, inserts, or foot surgery will not fix the problem. To fix the problem that is causing your bunions you much change your posture. Restoring your postural alignment and postural balance is the only way to treat the underlying cause of your bunions. 

If you'd like to know how to get started, contact me today for a free consultation: 971-279-2189 or matt@oregonexercisetherapy.com
6 Comments

    RSS Feed

    About Matt Whitehead

    I'm an Egoscue Institute certified Postural Alignment Specialist (PAS) and Advanced Exercise Therapist (AET), certified personal trainer, PatchFitness performer, FiveFingers wearer, trail runner, mountain biker, dad, music lover, environmentalist, and wanna-be slam dunk champion. I will be providing you with the latest posture exercises to help you live, play, and be pain free.

    Archives

    January 2023
    August 2022
    July 2022
    April 2022
    March 2022
    February 2022
    December 2021
    October 2021
    February 2021
    February 2019
    October 2018
    June 2018
    April 2018
    March 2018
    February 2018
    January 2018
    December 2017
    November 2017
    October 2017
    September 2017
    July 2017
    June 2017
    May 2017
    March 2017
    February 2017
    January 2017
    December 2016
    November 2016
    October 2016
    September 2016
    August 2016
    July 2016
    June 2016
    May 2016
    April 2016
    March 2016
    February 2016
    January 2016
    December 2015
    November 2015
    October 2015
    September 2015
    August 2015
    July 2015
    June 2015
    May 2015
    April 2015
    March 2015
    February 2015
    January 2015
    December 2014
    November 2014
    October 2014
    September 2014
    August 2014
    July 2014
    June 2014
    May 2014
    April 2014
    March 2014
    February 2014
    January 2014
    December 2013
    November 2013
    October 2013
    September 2013

    Categories

    All
    Beliefs
    Chronic Pain
    Emotions
    Exercise
    Health
    Play
    Posture
    Sports Injury

WHAT OUR CLIENTS HAVE TO SAY

I really just wanted to express my gratitude for what you do and your great help. And, great help it was!! When one is in constant great pain for as long as I was and so desperate for help...words cannot express what I want to say....how can I thank you enough? You helped change my life. 
– Carrie
I feel soooo limber and free in my hip movements and relaxed in my low back. Outstanding and I'm very impressed with the pdf's and the videos, great support to the client. Wonderful job, keep up the great job. – Mike
It is amazing! I've been in pain for 5 years and worked with other therapists and no one has been able to help me. Working with you I am 95% pain free! It feels so good to not have any pain and be able to walk and do things I haven't been able to do for years. Thank you so much! - Joni
Storybrand Website Design by Red Door Designs
Photos used under Creative Commons from mynameisharsha, Jon Grado