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Move out of Pain!

Healing the body from pain and injury is a process. It takes time, dedication and healthy movement patterns. Yep, it’s that simple. Unfortunately, we continue to live in an era of passive, silly treatments to attempt immediate pain relief. Although these treatments may ease the pain temporarily, they are not actually healing your pain. So, how do we truly heal the body? It has nothing to do with ultrasound, E-stim or an elbow digging in your muscle. Healing the body comes down to one key principle: Healthy Movement. 

Here’s the deal. We have created this world of fancy, glittery and nonsense treatments to attempt a “quick fix.” Although the intent is note-worthy, the result is ridiculous. I even see it in my own profession. Here’s an example of a common physical therapy treatment I hear about all of the time:

Therapist: I’m going to rub some ultrasound gel on your shoulder and then have you do the same exercises you did the past 3 weeks

Patient: But those exercises hurt my shoulder.

Therapist: Well, we just need to build your strength and work through that pain. Don’t worry, you will finish your session with some E-stim and ice and that will feel good.

Think I made that up? Nope. I hear about sessions, treatments and clinics that are run like this all of the time. Ugh.

Pain does not heal pain. And, we can do better.

Why have we decided to prescribe ourselves to out of date treatments and old habits that don’t give long-term results? It truly is beyond my comprehension. What if we took the time to teach our body how to move well so that we don’t have to function in pain? Our body wants to feel as good as it can and that boils down to healthy movement patterns.

What is a Healthy Movement Pattern?

I always tell my patients that healthy movement looks the same on ANY body. It’s true. Whether you are lean, short, tall or old, a healthy movement pattern is a healthy movement pattern.

What is a healthy movement pattern? It is the efficient, natural way the body syncs our brain and muscles to move well. For every movement in the body there is a correct and organized sequence. Here is an example.

Prone Glute Lift

pain in lafayette co

Lay on your stomach and lift your leg. What do you feel? Your glute? Hamstring? Lower Back? The correct pattern is that your Glute Max (GMax) initiates the movement before your back or hamstring. Easy. GMax before back/hamstring.

However…

This is NOT the pattern most people have in their body, especially if they have pain. Most people initiate with their hamstring or back first. Sometimes the GMax helps but most of the time it never turns on. This is a poor movement pattern. Back/Hamstring before (or without) GMax.

Now, consider you have back pain with the poor movement pattern stated above. People (and professionals) may suggest pills, massage, dry needling, muscle vibration or E-stim to help ease your back pain. But these passive treatments will help or mask the pain temporarily. Can you see how these common treatments will not change a poor movement pattern? A massage will not teach your GMax to activate before your back. Just think about that…

Ok, so what is happening to our body that causes this inefficient muscle sequence?

Pain Confuses the Brain

pain in lafayette coIn a healthy state, our brain is able to use our natural movement strategies without much effort. This includes function and sport. However, in a painful state the brain is confused. It’s jumbled with a mess of painful messages and it’s not sure what to do. So, it shuts off our healthy stabilizers and tries to use BIG strategies for stabilization. Big strategies? Muscle patterns we use for pushing, pulling and lifting.

 

Neck Pain = The Brain Confused

pain in lafayette coMost of us have experienced some sort of neck pain. When we have neck pain, what is that one muscle that ALWAYS get tight and painful? Yes, the Upper Trapezius. And, the Sternocleidomastoid, Levator Scapulae and Scalenes usually get involved too. These neck “movers” are trying to “stabilize” your neck. This is a hot mess.

Your brain has decided to use BIG muscles and BIG strategies to protect your neck. This is why those muscles feel consistently tight and “on.”

Bottom line: In a painful state your neck thinks it might be pushing, pulling or lifting.

So, what can you do? How do you reorganize and re-pattern your neck for healthy movement and pain relief? That’s right…healthy movement. You would need to kick on those healthy neck stabilizers and relax the neck movers.

Important Note: Most passive treatments have their merit and goodness. However, they should NEVER, EVER be a stand-alone treatment. Getting trigger point release, dry needling or massage will never be the answer. Every passive treatment MUST be followed up with healthy movement.

Move Out of Pain!

pain in lafayette coHealthy movement and correct patterns are the KEY to truly heal the body out of pain. It’s the only thing that actually gives long-term, forever results. This key concept is the specialized skill of a physical therapist. We even have a fancy name (and reimbursement code) for it: Neuromuscular Re-Education

Our profession teaches your body how to restore healthy movement using the brain-muscle connection. 

 

Let’s consider that Prone Leg Lift from before. Maybe you do use your back before your GMax. And, maybe you do have back pain. 

How do you re-educate the body to use the GMax first instead of the back?

Here’s a multiple choice question for you to ponder:

  1. Do more squats and deadlifts to engage the Glutes.
  2. Practice lifting the leg on your stomach often until your brain figures it out.
  3. Run every day to turn on your Glutes.
  4. Visit a Physical Therapist and have them teach you how to re-pattern your brain.
  5. Apply ultrasound and E-stim to the back muscles for relaxation.

Would love to hear your answer below.

I hope it makes sense now that the only way to actually re-educate your body out of pain is through healthy movement.

© 2019 and Beyond. ALL BLOG CONTENT at duncansportspt.com by Lori Duncan PT


ABOUT THE AUTHOR

Lori Duncan, DPT, MTC, CPT is a respected Physical Therapist, Manual Therapist and Pilates instructor in Lafayette, CO and the owner of Duncan Sports Therapy and Wellness. Lori is passionate about preventive physical therapy and education and is a nationally recognized presenter. She can be reached at [email protected] You can also follow Duncan Sports Therapy and Wellness on Facebook & Instagram for more free tips and information.


References

Hodges PW. Pain and motor control: from the laboratory to rehabilitation. J Electromyogr Kinesiol. 2011;21(2):220-228.

Hodges, PW and Tucker K. Moving differently in pain: a new theory to explain the adaptation to pain. Pain. 2011;152:S90-98.

Jull GA, Falla D. Does increased superficial neck flexor activity in the craniocervical flexion test reflect reduced deep flexor activity in people with neck pain?. Man Ther. 2016;25:43-7.

6 Comments

  1. Carol Michels on January 22, 2019 at 4:24 PM

    Answer: Visit Lori!!! Lori has been re-patterning my brain and re-educating my body. For some like me it can be a slow process (my brain is stubborn) but we are winning the fight. Hate to think where I would be without her, she is the BEST.

    • Lori Duncan DPT, MTC, CPT on January 23, 2019 at 8:02 AM

      Thank you Carol. You are working hard to fix some old patterns, but you are making amazing strides. Thank you for the kind comment.

  2. Taylor O. on January 23, 2019 at 7:18 AM

    Visit a Physical Therapist and have them teach you how to re-pattern your brain!

  3. Einat on May 19, 2019 at 5:30 PM

    Hi Lori, I followed your pirifomis excercised to the last one about a two years ago due to piriformis strain and it help greatly to fully resolved or just about. Thank you so much for sharing your wisdom. I’m writing to you to see if you have any idea on how to resolve Tinnitus. My dad has been suffering from Tinnitus for 2 years now and nothing worked so far, it is coming on and off. He tried an Osteopath with some success. Any advice will be appreciated. All the best. Einat

    • Lori Duncan DPT, MTC, CPT on May 20, 2019 at 5:56 PM

      Hi Einat,

      Glad your piriformis syndrome is better. Does he have Tinnitus because of only inside ear issues or is his neck really tight? The SCM (sternocleidomastoid) can cause “ringing” in the ears. Also, has he been tested for sleep apnea? Any of these may be causing him to tighten his jaw/neck, contributing to more ringing.

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