physical therapy

The Myth of Aging

“Well... I AM 46 years old…”

This was the reason a recent client gave me for backing down on his physical activity.

I can understand. He was playing it safe… trying to be careful not to “wear out” his joints too soon.

He had the impression, as most of us do, that there is a limited amount of “wear and tear” your body can take before it breaks down and will require drastic measures- like surgery or stopping your workouts all together.

And 46 feels old… when you’re 46.

Your body doesn’t bounce back like it used to. Maybe you’ve had a few injuries, a surgery or two, and the idea that you could get hurt again has got your feeling nervous.

Maybe you’ve even gone through physical therapy (like this gentleman had) and despite your diligence with your exercise program... and giving yourself time to heal... you’re just not feeling like your normal active self yet. You don’t feel really strong, flexible, or able to handle the challenges of your workout like you used to.

Or maybe repeated bouts of pain have set you back enough times to make you feel like you’re just pushing too hard.

So you tame it down a bit. You stick to the treadmill instead of playing basketball. You stretch more instead of getting out and running hard. You slow down the steps and twists in Zumba class.

And slowly you starting believing that your time to be young, active, and mobile is up.

You’re getting older, so you might as well get used to the fact that your body is just falling apart.

You can’t keep going around acting like you’re 20 years old anymore...


...Well, you COULD believe all of that. I mean, you’ve probably heard it over and over again, and maybe you’ve even heard it from your doctor or physical therapist.

Or, you could choose to believe something different.

You could remember that while you might be in your forties, you’re only HALFWAY to 80.

You could remember that you have a living, breathing, adaptable body. It will never stop being able to improve, even if you’re getting stuck right now.

You could realize that if you stop gaining strength, power, explosiveness, or agility in your body NOW, it WON’T be available to you when you actually do get older.

(And the tough part of that is... strength, power, explosiveness, and agility are the exactly the movement abilities you need to avoid a fall and a broken hip when you’re 80).

You could choose to believe that while you can’t go back to when you were 20, there’s absolutely NO REASON to act like your time is up now.

The only reason you’re struggling is that we haven’t yet solved the real problem that’s keeping you from being your normal, fully active, self.

Most people in your position only need a couple of things to propel them back to the active and healthy life they want (and need).

1. A new set of eyes.

2. An approach that restores all the movement capabilities you need for the sport or workout you love to do.

I’ve had client or client come to me feeling stuck and hopeless, but leave feeling confident, restored, and strong again. One is back to playing basketball confidently. Another is back to regular exercise classes without having to “modify” everything. Still another- back to CrossFit without any issues.

And most of the time, the process is so much easier and more fun than they expected.

But they ALL started with the choice to believe that they were capable living of a better life. And they ALL took the steps necessary to achieve it.

You can, too. And it starts by booking a free call to speak with me at kinesipt.com/talk. When you do, you’ll have the chance to run your situation by me to see if it really might be possible to get back to the active life you want.

If it is, we’ll also walk you through a step by step plan to achieving it, so you too can get your life and confidence back. If it makes sense for us to help you do that, we'll let you know how. If not, we'll point you in the direction that best serves you.

This free call adds massive value to your life because when you book it, you make the choice to KEEP PURSUING the active healthy life you deserve.

That choice can only be made by you, but it has positive effects for you... AND everyone around you.

What could be better?

Book your call now: kinesipt.com/talk

Talk soon,

Melissa

5 Ways To Keep Injury From Ruining Your Dance Career

Many dancers fear injury, and worse, avoid fully addressing their pain or injury once it's happened. Unfortunately, this avoidance can escalate an injury and prolong pain, which makes the recovery process even more difficult. Having a focused and thoughtful approach to injury recovery can help you keep injury from ruining your dance career and can even help you become a stronger and healthier dancer. 

As I look forward to presenting at summer dance intensives for both Dancenter North and Millennium Dance Center this week, I am sharing my hands-down best advice possible to help you heal well after injury so you can keep your dancer career alive and thriving. I have seen these basic practices help many dancers get and stay healthy- I hope they will help you, too.

SEEK MEDICAL ADVICE. 

Many dancers avoid seeing a doctor or physical therapist because they fear being told to stop dancing. The problem is, NOT addressing a problem doesn’t make it go away- it makes it worse. If you are injured or in pain, get it checked out and don’t stop until you get the care you need to fully recover. The time you think you might lose from seeking care is nothing compared to the time you stand to lose if you don't get the help you need now. So, go out and...

FIND HELP THAT MEETS YOUR NEEDS.

Find a physician and/or therapist that will listen fully to your concerns and who will address them to your satisfaction. If your goal is to continue dancing, your doctor or physical therapist should do everything possible to help you do that. While finding the right person to help you can take some work, trying to recover from an injury completely on your own is even tougher. Don’t give up on yourself if you can’t get the answers you need- keep asking. 

DON’T OVERUSE ICE.

Ice can be helpful to reduce pain and swelling if you’ve overdone it. However, you should never need ice on a consistent basis. A much safer and more effective method of managing symptoms is to adjust how much and how hard you are dancing to a level that doesn’t cause you pain or swelling. Your dancing will actually progress much more quickly if you don’t have to spend so much time and effort recovering from it. 

STAY ACTIVE.

Movement is a critical part of the healing process. However, movement that puts you in pain or worsens your injury will not help you heal. Work with your physical therapist on ways that you can stay active and as safe as possible while you recover. If your doctor has not recommended physical therapy, ask for it. 

LISTEN TO YOUR BODY. 

While some aches and pains are a normal part of the experience of pushing your body to its limits, pain that is persistent or keeps you from moving and dancing normally should be addressed as quickly as possible. Ignoring pain or thinking that you can just “work through it” puts you on the path toward more severe injury and more time lost from dancing. Your body is smart- it knows how to take care of you. Listen to it. 

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

Cultivating Successful Turnout Part 6/6

Turnout Q&A Image.jpeg

Hello and welcome to the 6th and final post about “Turnout,” our workshop at Dancenter North. Last Saturday we reviewed some of the dancers’ favorite exercises and did some Q&A about turnout. Although I joked with the dancers about my elaborate “non-answers” to their questions (because the real answer to most questions is “It depends...”), we did cover some important ideas about turnout. I hope these Qs and As will be helpful to you, as well! 

Q: How can I improve my turnout without hurting myself?

A: The dancers themselves were able to answer this question beautifully. Their very correct answers highlight the fact that improving turnout is a process. Here are their answers: 

  • Work slowly. 
  • Stay where your body is comfortable. 
  • Try to do a little more each day. 
  • Push it when you can. 

I’d also add: 

  • Work on improving strength and flexibility throughout your entire body, not just your hips. 
  • Focus on good alignment and dance technique within your comfortable turnout range- don’t crank your turnout at the expense of the rest of your technique. 
  • And finally, as we said in week 1: Start with success and your body will give you the rest. 

Q: How can I make sure I am turning out from my hips? 

A: First of all, don’t force your turnout by planting each foot separately feet with hips and knees flexed, then straightening both knees. This technique, called “screwing the knee” can cause excessive compensation through the knees and feet. Instead, gently place your feet where you think they can go without feeling excessive strain in your legs (keep legs fairly straight while you do this). Then, lift up one leg to passé. If you can keep your pelvis square and level, you are likely using the correct amount of turnout for your body, which will likely include a good amount from your hips. 

Also, if you are turning out from your hips, your knees will ideally glide right out over your toes, not toward the insides of your feet during a plié. If you have difficulty aligning your knees over your toes, get assistance from your instructor or physical therapist- some people do have alignment variances that prevent the knee from tracking straight over the toes. 

Finally, check with your dance teachers. An instructor who is knowledgeable about correct technique and alignment throughout a wide range of dance movement will be able to help you be sure that you are turning out from your hips appropriately. 

Q: How come it’s easier for others to achieve their turnout?

A: Everyone is different. Our bodies, our histories, and our training can all influence how well we turn out. Hip socket depth, femur alignment, soft tissue flexibility, and strength are just a few of the reasons two people might dance with different amounts of turnout. Please remember: turnout is a process and a technique, not a static characteristic of a person. Respecting your body and putting the work it to make improvements will help you find your best turnout.  

Q: How long will it take to reach my goals?

A: This is another question that really “depends”. During this workshop, we were able to measure each dancer’s turnout before and after doing even just a few exercises, and they were all able to see a positive difference. So, in that case, we were able to see positive change in just a few minutes. More significant and permanent change will likely take longer. What your goals are, where you are starting, how much time you put in, how much focus you have, whether you stay safe and successful with your movement, what your injury history is, what your training history is, and how quickly your body adapts to change are all factors that contribute to how quickly you might reach your goals. The important part is putting in the work on a regular basis. Keep at it and you will likely see improvement. If you do not see any positive change over a period of weeks or months, your dance teacher or your physical therapist may be able to help you figure out why and help you make it better. 

Q: How can I hold my turnout longer?

A: Warm up before your start. Start by using your successful turnout, not by forcing it (see question 2 above). Practice using it throughout all movements you perform in class. Listen to your teachers and ask for individual help if you are unable to understand or execute the technical instructions they give you. Lather, rinse, repeat. Doing technically sound work, over and over, will help you build the endurance you need to hold your turnout longer. 

Q: What exercises should I do before class so that I am able to hold turnout from the beginning?

A: The simple, but not easy, answer is whatever exercise helps you the most. This requires that you be a scientist with your own body. Try different stretches or exercises that you already know, but test/retest your turnout before and after doing the exercise. Which one helps the most? Do THAT one before class. Not sure if a new exercise you saw will help? Try it, and test/retest your turnout as above. One size does not fit all for exercise.  Don’t worry if your friend, teacher, or even physical therapist, shows you an exercise that doesn’t feel good or doesn’t help you. Do what works for you and don’t think twice about it!

That being said, some of the dancers in this workshop really liked warming up before class with this exercise. Feel free to give it a shot and see if it works for you!


PLEASE READ FULLY: A 3D pivot matrix is a movement sequence that can help your feet, knees, and hips work together in a coordinated fashion. The 3D pivot matrix can be either a warm-up or conditioning exercise. For best results, step only in the directions that are comfortable and/or only step as far out as is comfortable for you.

** Please discontinue this exercise and consult with your doctor or physical therapist if you are experiencing pain or if you are unsure as to whether this exercise is right for you.**


Thanks so much again for joining us! Please comment below or write me at melissa@kinesipt.com if you have any questions- I'd be happy to help in any way possible. Happy Dancing!

Cultivating Successful Turnout Part 5/6

Wow. Time really does fly! We've now spent 5 weeks learning and practicing a myriad of different ways to help dancers improve turnout. We've previously worked on building both strength and flexibility throughout the legs and feet, but Week 5 of our turnout workshop at Dancenter North brought us further north in the body- to an area called the thoracic spine

The thoracic spine is the name for the region of the spine comprised of the 12 vertebrae where ribs attach. Although the word “ribcage” kind of brings to mind the static structure of a birdcage (indeed, our lungs and heart are enclosed safely within it), this area of the body has the capability to move quite a bit. The reasons why thoracic spine and ribcage movement are relevant to turnout can get a little complex, but we’ll dive in to a couple of them here. 

1. When we realize that the human body works as a complete system, it is natural to realize that movement of one body part is absorbed and distributed through the entire system. When we move our head, arms, or shoulders in one direction, that movement must continue somewhat through the spine (just try moving your head or arms without moving your spine- you won’t be able to get very far!). If the thoracic spine and ribcage do not move very well, they will not be able to absorb the movement of the upper body, and that movement will likely be translated to the hips, or even to the knees. So, having a flexible thoracic spine and ribcage is important to turnout because stiffness of these areas can make it very difficult to hold hip and pelvis placement while executing porte de bras (movement of the arms). 

In class, we observed this phenomenon by standing on one foot, in passé, with both legs turned out. We then reached our arms out the the sides and rotated our upper bodies to the right and left. Try this at home, (being careful to avoid causing pain or aggravating any existing injuries!) and notice how your pelvis moves in response to your upper body movement. Our goal is to be able to allow your upper body to move as far as possible while maintaining good control of your hips and pelvis so you can still maintain good turnout in the legs. Doing exercise designed to help your thoracic spine and ribcage move better can be a great step toward reaching this goal.

2. Gaining strength and control of thoracic spine movement is also critical to maintaining hip and pelvis alignment and turnout while dancing. Fortunately, we have many muscles (4 layers of abdominal muscles) and quite a bit of connective tissue that connect our spine and ribcage to our pelvis. When we exercise 3 dimensionally and with a focus on building both flexibility and strength throughout our movement range, these muscles become a tremendous asset to our dancing.  I've included a couple of videos below to give you a visual on this concept. 

Video #1: A twist on the porte de bras stretch, promoting thoracic spine and ribcage movement in 3 dimensions. Remember to only work where you are comfortable and successful. Allow your body to give you more stretch when it is ready- don’t force it. Please discontinue this exercise and consult with your doctor or physical therapist if you are experiencing pain or if you are unsure as to whether this exercise is right for you. 

Video #2: A plank on hands and feet with 3D pelvis movement will challenge your abdominal and hip muscles to be both flexible and strong throughout your movement range. Remember to only work where you are comfortable and successful. Allow your body to give you more stretch when it is ready- don’t force it. Please discontinue this exercise and consult with your doctor or physical therapist if you are experiencing pain or if you are unsure as to whether this exercise is right for you. 

Next week is week 6! For the last week of this blog series, I will post some common questions about turnout, as well as my best attempts to answer these questions. Please feel free to add any of your questions to the comments below and I'll do my best to answer those, too. Thanks for joining us!

Cultivating Successful Turnout Part 4/6

Hello and welcome to the week 4 recap of our turnout workshop at Dancenter North. We are having lots of fun working together and every week I am hearing more good things about how these dancers are feeling with their turnout. They are doing some hard work and seeing it pay off. Great job, ladies!! 

During week 3, we focused on the hip joint structure itself and performed exercises designed to stretch and strengthen each hip joint individually. This week we looked at the relationship between the two hips and worked with the idea that the hips are really just 2 joints separated by 1 bone (the pelvis). Any time the pelvis moves, both hips are affected. We can use our understanding of this relationship to help us train our hips to be coordinated together as we gain flexibility and strength for better turnout. 

A screenshot of the bony anatomy of the hips in Skeletal System Pro III- a really cool app for viewing the bones and joints. Check out how the two femurs (thigh bones) connect to the sides of the pelvis. Picture the movement of the hips and pelvis when you perform a battement or an arabesque. Then, try it yourself, placing your hands over your hip joints to feel how the two hips work together when you move. 

A screenshot of the bony anatomy of the hips in Skeletal System Pro III- a really cool app for viewing the bones and joints. Check out how the two femurs (thigh bones) connect to the sides of the pelvis. Picture the movement of the hips and pelvis when you perform a battement or an arabesque. Then, try it yourself, placing your hands over your hip joints to feel how the two hips work together when you move. 

We also worked with the concept that when we dance, flexibility and strength are movement qualities that almost always work together. For example, what good is enough flexibility to turnout to 180 degrees if you don’t have enough strength to hold it while your are dancing? Each exercise that we did this week required us to find successful hip movement that used the components of flexibility, balance, and strength all at the same time. By moving this way, we make our exercise program congruent with the needs of our body when we dance.

How convenient! Instead of doing separate exercises for flexibility, strength, and balance, we can do one exercise that helps improve all three of those movement qualities. 


See below for an example of one exercise we performed last Saturday. These lunges, performed in a kneeling position, allow us to focus on improving the flexibility and strength of both hips in 3 dimensions. Feel free to try this at home, but please be cautious of the following: If performed as demonstrated, this exercise requires kneeling. Use a good cushion under your kneeling knee- one that allows you to kneel without pain or discomfort. If pain free kneeling to perform this exercise is not possible, you may find that doing this exercise in standing is much more comfortable and still beneficial. 

Also, please move only where you are successful- do not push into any motion that causes pain anywhere in your body. This exercise is not meant to substitute for your own personal wisdom about your body or the opinion of a doctor or physical therapist that is familiar with you and your medical/movement history. If you have questions as to whether this exercise might be right for you, please consult a qualified medical professional. 

If you feel good doing the kneeling lunge matrix, try it a few times this week. Perform 5-10 repetitions of each lunge direction on each leg. Don’t worry if your thigh and hip muscles get sore for a few days after- that’s normal and will likely improve as you get stronger and more flexible. Then, during the week, especially after any soreness has gone away, check on your turnout. If it feels or looks better to you, then this was likely a good exercise for you. If not, don’t worry. There are lots of other things that might help you find more success in your turnout


Thanks for joining us! Next week we move on to the spine. You'll be amazed at how we can use movement in the spine to help improve your turnout. See you then!

Cultivating Successful Turnout Part 3/6

Welcome to our week 3 recap of Kinesi’s “Turnout” workshop at Dancenter North. I continue to hear that the dancers attending class are keeping up with the exercises they learned during Week 1 and Week 2 and are feeling that their turnout is becoming easier and more comfortable. Fantastic! That’s exactly what we are aiming for. This week we learned a little bit about the hips- how they are structured and how they work.

The hip is a “ball and socket” joint that functions, like all other joints, in 3 dimensions. The ball is located at the top of the femur and the socket is located on the pelvis. 

Front view of the right hip joint. 

Front view of the right hip joint. 

Back view of the right hip joint.

Back view of the right hip joint.

The hip can move:

  • because the femur moves inside the socket (like the moving leg hip in battement), or 
  • because pelvis moves over/around the femur (like the standing leg hip in cambré), or
  • because both the pelvis and the femur move at the same time (like both hips in grande jeté). 

Regular movements performed in ballet and other forms of dance use all of these types of hip motion. During class last Saturday, we utilized mostly a “top-down” approach with exercises that cause movement of the pelvis over and around the femur. 

As we discussed in Week 1, starting with successful movement is a much safer and more effective strategy than pushing into painful or very tight directions. And here’s the super-secret-magic* key to why: Movement is 3-dimensional. It occurs in 3 planes simultaneously at all joints and in all muscles of the body.

A visual depiction of the planes of motion. Forward and backward movement occur in the sagittal plane, side to side movement in the frontal plane, and rotational movement in the transverse plane. Although these planes are depicted as separate, all human movement has components in all 3 planes of motion. 

A visual depiction of the planes of motion. Forward and backward movement occur in the sagittal plane, side to side movement in the frontal plane, and rotational movement in the transverse plane. Although these planes are depicted as separate, all human movement has components in all 3 planes of motion. 

If we have difficulty moving in one plane of motion, we will have difficulty moving in all three planes. On the other hand, if we can gain mobility in one plane of motion, we can gain mobility in all three planes. 

Our bodies and brains are very smart. They will try their best to protect you from danger and pain is one of the ways they protect you. A stretch should feel good (though it can be a little intense) and should result in an improvement in movement in that direction. A feeling of very intense tightness or pain in the hip when it is fully stretched let’s you know there’s no more room to go. Rather than pushing hard into that direction and risking damage to your joints, ligaments, and tendons, stretch in a different direction that can be improved without pain. 

For example, if pushing your hips to turnout (when standing up or in a frog stretch) is getting nowhere, try doing an exercise or stretch that causes your leg to turn in (see below for one to try). Turning in often feels really good for dancers and can be a great strategy to improve your overall hip mobility. I’ll say it again- when your hip moves better in one direction, it moves better in all directions. Sometimes turning in is actually a better way to work on turning out! 

Stand on your left leg facing the barre and place your right hand on the barre. Then gently circle your left hand and right foot "around the corner" to the left until you feel a little bit of stretch in the outside of the left hip. Gently bend your left knee and keep your left foot planted, toes forward. Repeat 5-10 times as needed, then reverse to the other side.  Please discontinue this exercise and consult your doctor or physical therapist if you feel pain.

Stand on your left leg facing the barre and place your right hand on the barre. Then gently circle your left hand and right foot "around the corner" to the left until you feel a little bit of stretch in the outside of the left hip. Gently bend your left knee and keep your left foot planted, toes forward. Repeat 5-10 times as needed, then reverse to the other side. Please discontinue this exercise and consult your doctor or physical therapist if you feel pain.

Note: If you are experiencing intense or unrelenting pain in your hips with movement, please consult your doctor and/or physical therapist for further evaluation. These strategies are appropriate for healthy hips and are not meant to substitute for good professional or medical care. 

Thanks again for joining us! Next week we will learn a little bit more about the hips and learn more strategies to maximize your successful turnout. See you then!

*Just kidding, guys. Although this is an important point, there's nothing really super secret or magic about it. It's just a truth of how your body works!

Cultivating Successful Turnout Part 2/6

The dynamic and adaptable human foot contains 26 bones and 33 joints. Getting them moving well can help your turnout!

The dynamic and adaptable human foot contains 26 bones and 33 joints. Getting them moving well can help your turnout!

During Week 2 of our "Turnout" workshop at Dancenter North, I was so happy to hear that some of the dancers had felt that their turnout was already improving since Week 1. Yes! Great job, ladies! Now, onto the feet:

  1. Foot structure is highly individual. Flat feet? High arches? Whatever! How your foot functions is much more important than what it looks like. Ideally, your foot should function a little bit like a spring, flexing gently downward as you put weight onto it or perform a plié, but also rebounding back up when you take weight off of it or rise onto relevé. 
  2. Your foot contains an astounding 26 bones and 33 joints. These bones and joints move 3-dimensionally to keep you connected to the floor as you move. This incredible function not only allows you to keep your balance, but also feeds movement, like a chain reaction, to the rest of your leg and body. 
  3. Although our ankle joints have lots of motion in the sagittal plane (front to back motion seen when flexing and pointing the foot), they are still 3-dimensional joints. The small amounts of frontal plane (side to side) and transverse plane (rotational) motion at the ankles have a big influence on the ability of the ankle to flex and point fully. In addition, maintaining good rotational ability through the ankle allows your lower leg to contribute to the total turnout of your leg.
 

Foot Note: Forcing your turnout to the point where your arches roll in toward the floor limits the ability of your foot to stay stable on the ground while you are dancing. Try readjusting your turnout to an angle where your foot can be comfortably flat and your arch a little bit springy- this is your successfully turned out position!

 

During the Week 2 class, we worked on a number of exercises to help the foot and ankle move and work well. Check out the stretch below and try it for yourself- remembering to stay pain free and work where you feel comfortable and successful. 

Thanks for joining us- see you next week!

Two approaches to stretching the calf in three dimensions:  Position/Movement: Face the barre or a wall, use hands for support. Place 1 foot on the floor, toes forward, toes in, or toes out (whichever is most comfortable). Move other knee 5-10 times in each direction: straight forward and backward, then straight side to side, then rotationally to the right and left. Allow your body to follow the movement of the knee. If your ankle on the standing leg isn't moving, bring that foot closer to the wall and try again. Please discontinue this exercise and consult your doctor or physical therapist if you feel pain.  Pictured Left: Towel roll under the heel lessens the (dorsi)flexion in the ankle allowing more side to side and rotational movement success.  Pictured Right: Towel roll under the ball of the foot causes more dorsiflexion in the ankle, which challenges the foot and ankle to be more flexible in all 3 directions.

Two approaches to stretching the calf in three dimensions:

Position/Movement: Face the barre or a wall, use hands for support. Place 1 foot on the floor, toes forward, toes in, or toes out (whichever is most comfortable). Move other knee 5-10 times in each direction: straight forward and backward, then straight side to side, then rotationally to the right and left. Allow your body to follow the movement of the knee. If your ankle on the standing leg isn't moving, bring that foot closer to the wall and try again. Please discontinue this exercise and consult your doctor or physical therapist if you feel pain.

Pictured Left: Towel roll under the heel lessens the (dorsi)flexion in the ankle allowing more side to side and rotational movement success.

Pictured Right: Towel roll under the ball of the foot causes more dorsiflexion in the ankle, which challenges the foot and ankle to be more flexible in all 3 directions.

Cultivating Successful Turnout Part 1/6

Last Saturday, I had the pleasure of working with a few dancers at Dancenter North on turnout. This was the first of 6 weekly sessions designed to help these dancers better understand and execute turnout while dancing. As a complement to this class, each Wednesday of the following week I will post a brief summary discussion of our time together. It is my hope that these posts will help even more dancers get a glimpse of the work we did and learn some concepts that might also help you improve your turnout. As with every physical endeavor, success is created with a process, which is why I have entitled these posts “Cultivating Successful Turnout”.

For our first week together, we discussed three concepts that will guide every exercise and activity we do together during this workshop. 

  1. Turnout involves your whole body. From head to toe. Our bodies are made up of multiple segments that are interdependent and constantly interacting with each other. Although we focus on the hips and a primary source of turnout, the shoulder, spine, knees, ankles, and feet do influence how well the hips can turn out. We must address how each of these segments move in order to achieve our best turnout. 
  2. Turnout involves multiple physical capacities, not just flexibility. Your body requires strength, balance, control, and endurance to achieve and maintain good turnout while you dance. Developing each one of these components to turnout can help you not only improve your ability to turn out while standing still, but during dynamic movements such as passé, développé, or grande jeté.  
  3. Starting with success is critical. When our bodies perceive that they are under stress and in danger, they will likely react protectively. Therefore, forcing maximal turnout will likely contribute to more muscle tightness and less mobility, which is the opposite of our goal. Allowing our bodies to work from an initially comfortable position (we used the standards of little to no perceived joint strain and good stability when standing on one leg) enables a sense of safety and supports more movement and control as we progress. 

Success Tip: In your next dance class, start with only as much turnout is completely comfortable. Then watch your comfortable turnout gradually increase as you warm up. 

Next week, we will explore the role of the feet in turnout and will work on some exercises to enhance the contribution of our feet to our turnout. I will be reviewing comments and questions about turnout submitted by the dancers participating in this workshop and encourage you to comment below to join the conversation. We hope you will join us as we continue our journey toward success!

Letting Up Is Not Giving Up

2011 Marathon

2011 Marathon

My husband is currently in his 3rd week of training for a marathon he is planning to run in early May. This will be his fourth marathon and is already putting up bigger numbers in weekly mileage than he has ever before. He is feeling great, primed and ready for the long arduous journey that is marathon training. 

Flashback to last month, about mid-December. He was struggling with a back tweak he acquired after sleeping on an uncomfortable bed while we were out of town. He was hardly running at all. He was working on gaining some comfort and movement one step at a time, but was still on the losing end of the battle. As we were talking one afternoon, he told me that although he was frustrated about the pain in his back, he was patient and hopeful about the future. He said, 

“I just know that when I get through this problem, I’ll be stronger.” 

And he has a lot of experience to prove it. He has faced many tweaks, injuries, set backs, and detours in his life and running career. But I have witnessed, over the years, that rather than getting more frustrated or anxious about his ability to run, he grows more patient and more peaceful, more invested in process of running than in the outcome. He knows that each injury, pain, or set back is an opportunity to grow, to become more in-tune with what his body needs, and to get better at doing what he loves to do. Each measure of patience he gives his body and his running pays dividends in his performance, comfort, and happiness as he pursues his goals. 

When someone comes to me with an injury, their current outlook is, quite understandably, dismal. They are usually feeling anxious, frustrated, and fearful that they have not been able and may not be able to do what is most precious to them in life. Their inability to move well is an inability to live well and the effects are often devastating. 

But time and time again, when these individuals take the time to regroup, reset, and dedicate themselves to really getting better, the results are astounding. I have seen many people sidelined by injury and fearing falling behind their peers, only to emerge stronger, more comfortable, more confident, and more capable after their recovery. They have taken time to understand their bodies and how to take care of them. They have taken time to rest (which is an often overlooked component of growth). And they have taken time to work on the fundamental movement qualities that are foundational to their success in their sport or activity.

They have embraced, or at least tolerated, the process of recovery and they are stronger for it.  

So, if you are currently working toward a goal or suffering a set back, please take heart. Take a moment to thank your body for this opportunity to rebuild. Invest in yourself and invest in the process of recovery. Know that letting up is not giving up. And know that when you get better, you will be stronger. 

2015 Training

2015 Training

We Are Not Broken

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In a world with the blessings of science and technology that give us medications, braces, orthotics, and MRIs, we have gained tremendous ability to understand and help our bodies when they are in serious need of help. But there is another side to this blessing that motivates me to speak up and to toss away this technology whenever possible. 

It’s the belief that we are not inherently broken. We humans are built exactly and miraculously how we should be.  We are meant to stand upright, our feet are meant to pronate, and pain is not a sign of failure, but a sign of success. Furthermore, it’s the belief that when we do break down, our bodies are knowledgeable and well equipped to lead the healing process.

Although this belief may stand in opposition to many medical and therapeutic practices that are common today, the research is mounting to support it. We are finding that our brains and bodies have tremendous protective and corrective capabilities that, when respected, light the path toward healing and growth. Gary Gray, David Butler, Brian Mulligan, and Barefoot Ted have been onto this for years, and I have learned this lesson time and time again from the patients who have been gracious enough to let me try to help them.

We are powerful. We are meant to move. And we are capable of healing.

When we respect our body’s inherent wisdom, we can more easily step away from tests and treatments that don't work in harmony with our needs. If we make ourselves students of our bodies, and if we listen with humility, we may more readily reach our fullest potential.