Philosophy

Defining Success

When I am teaching a new exercise to a client, I often modify the exercise to better suit that client's individual needs. My clients sometimes protest my suggested change. They resist making the modification and ask me some form of the question, "But if I do it this way... I'm not really doing it, am I?" 

I get it. We are usually working with a physical therapist because something is going wrong and we want to do all the right things to help ourselves get better. Doing an exercise with textbook form may seem like the right thing to do. However, if we pursue perfection before our body is ready for it, we put ourselves on the fast track to pain city. On the other hand, to not do an exercise the way we think it's supposed be done feels like failure. 

At the heart of this problem lies a key question: How do we define success? Is success based on outcome... or action? Even though the ultimate goal of rehab is to return to doing everything we love to do (outcome), the best way to reach that goal might be to simply find ways to move without pain (action). We can't reach our destination without traveling the path that leads to it.

Today, I encourage you to release yourself from the expectation of a perfect outcome and, instead, celebrate the success of taking action. 


Squat Success

Are you apprehensive about squatting because of knee pain or because you think that squatting may damage your knees? You are not alone. Although some people do experience knee pain when squatting, the squat itself is not to blame. 

A squat is simply a bending of the legs that brings our body closer to the ground. It's a worthwhile exercise because it helps us better able to reach things on the floor or under the counter, get up and down from chairs, and get up and down from the floor. Pain that occurs while squatting is most likely just a signal that our bodies need a little more help to be able to squat successfully. 

Please take a look at this video to learn how to find ways to build a more successful squat. 

Is a squat that doesn't conform to "correct squat form" still a squat? Yes! Is it still worth doing if it's not perfect? Yes!! Use this information to help you find a way of squatting that feels great to you. If you love squats and feel great doing them, please use these squat variations to build even more flexibility and strength. 

**Please do not continue any exercise that causes you pain or poses a risk to your safety. If pain is keeping you from moving normally or exercising, please seek individualized care from a physical therapist or physician so you can start feeling and moving better now.**  


This post originally appeared as a part of Kinesi, LLC's biweekly newsletter, "Movement Matters." If you would like to receive "Movement Matters" via email, please subscribe here. Thanks for reading!

 


 

Putting In The Work

I came across this video on Facebook last weekend and was absolutely captivated. It’s Paula Abdul teaching Janet Jackson and her dancers some choreography in a 1986. Take a look. 

https://www.facebook.com/deejah818/videos/10153608043931768/?pnref=story

I just love how ordinary it is. Just, you know, two mega stars grinding it out in rehearsal. Doing the plain, repetitive, quiet, unexciting work that needs to happen before a hit video or incredible stage show can exist. No costumes, no microphones, no lights- just working on steps. I like this opportunity to be a fly on the wall, to catch a glimpse of the day to day reality that was obviously so important to their success. Having spent many an hour in the studio working on steps myself, I felt humbled to see first hand that Paula and Janet had to put in the work, too. 

I witnessed something similar to this while watching my husband complete his first ultra marathon- a 50 mile foot race on the Des Plaines River Trail- last weekend. His accomplishment was remarkable, but I think that how he did it was even more remarkable. He followed a simple formula while training and throughout the entire race: run for 5 minutes, walk for 1 minute, eat and drink a little while walking. He repeated this cycle over and over again for hour after hour, mile after mile, while training and throughout his entire race. He focused on his process, rather than getting caught up in the end result. By staying set on putting in the work, he reached his goal. 

I find it comforting to be reminded that when I have a big goal, I can’t and don’t have to achieve it all at once. The process, not the end result, is where I need to focus. It also helps me to see that putting in the work doesn’t have to be fun, exciting, or glamorous to be really, really awesome. I hope it helps you, too. 

The 1 Mindset Change That Can Revolutionize Your Rehab

The foundation of good medicine is in determining a correct diagnosis. Without knowing what we are treating, we can’t possibly choose the correct form of treatment. So, when we have musculoskeletal pain, it’s very important to know exactly what is causing it- be it a ligament tear, a tendonitis, a ruptured disk, etc, right?

Wrong. In fact, focusing too hard on understanding exactly what is causing our pain can drive us to seek out excessive medical tests and to spend too much time treating symptoms, rather than solving the underlying issues contributing to our pain. 

If we understand pain correctly, that it is a sign alerting us that there is potential danger (it does not reliably tell us the type or magnitude of the danger), we can understand that pain does not always equate to injury. What is important is that we rule out the potential for serious injury or illness requiring immediate medical intervention, which can often be accomplished by a doctor or physical therapist taking a complete history and conducting a thorough physical exam. With serious injury or illness ruled out, I believe that there is often very little value to determining the exact physical source of pain. What we know is that there is a movement problem and that’s all I think we need to know. 

With a specific musculoskeletal diagnosis, we sometimes become bound to protocols or site-specific treatments that, if ineffective in alleviating pain, leave us stranded or cause us to chase symptoms. If we simply look at painful movement as a movement problem, we are free to engage in problem solving- in finding and building on movements that are not painful in order to more quickly and effectively restore mobility and function.

As patients with movement problems, instead of injuries, we can let go of the fear of damaging our bodies and feel confident getting back to moving again. 

The Question of the Apple vs. the Orchard

 
“Start slow, and when you think you are going slow enough, slow down.” - advice from Dean Karnazes to Kristin Armstrong before her first ultramarathon

My husband, who has his sights set on his first ultramarathon this fall, shared this quote with me this morning. It makes sense. When attempting to run an extremely long distance, you don’t want to run out of gas too soon. It is basic physiology summed up in a very practical manner. 

But even though this advice was specific to running, I couldn’t help thinking about how it applies to injury recovery, as well. It is completely natural to want to get as much out of your body as possible- to push yourself to return to your normal life, exercise, dance, or sports involvement as quickly as you can. It is common to focus on what Stephen Covey calls Production (P), or immediate results, despite feeling pain or having poor quality (limping or other forms of compensation) in your movement. But my question is, how much are we focusing on the now and how much are we focusing on the future? What are we doing to build Production’s wellspring, Production Capacity (PC)? 

Mr. Karnazes’ quote is clearly about PC. PC is ultimately what leads to production not just now, but long into the future. It’s not about how you fast you run at the beginning. It's about whether you are still running 50 miles from now. 

So, where are you in your injury recovery process or workout program? Are you looking to produce results now? Or are you looking to build the capacity to produce results in the future? Are looking to be able to perform today? Or are you looking to be able to perform next month, next year, or 10 years from now? Are you pushing your body to work despite pain? Or are you finding ways to move successfully without pain? 

Which do you want more? To produce results RIGHT NOW, despite any consequences that might follow? Or do you want a build a future that will bring you good results for a long time to come? 

Do you want to eat an apple? Or do you want to grow an orchard?

“To maintain the P/PC Balance, the balance between the golden egg (production) and the health and welfare of the goose (production capability) is often a difficult judgment call. But I suggest it is the very essence of effectiveness.”  -Stephen R. Covey