 Scoliosis by definition is an abnormal “S“ shaped curve of the spine when observing a person's spine from behind. Most types of scoliosis are idiopathic, which means that the cause is unknown or that there is no single factor that contributes to the development of the disease
Most cases of scoliosis are mild, but some spine deformities continue to get more severe as children grow or adults age. Severe scoliosis can be disabling. An especially severe spinal curve can reduce the amount of space within the chest, making it difficult for the lungs to function properly. Scoliosis is usually confirmed through a physical examination, an x-ray, spinal radiograph, CT scan or MRI. The curve is measured by the Cobb Method and is diagnosed in terms of severity by the number of degrees. A positive diagnosis of scoliosis is made based on a coronal curvature measured on a posterior-anterior radiograph of greater than 10 degrees. In general, a curve is considered significant if it is greater than 25 to 30 degrees. Many of my patients who suffer from low back pain also have concomitant scoliosis creating imbalances in the the spinal soft tissues and hips contributing to their symptoms. We address scoliosis by correcting the strength and mobility imbalances, and stabilizing the spine. Some basic corrective exercises may be : https://youtu.be/9GIsaKrvM8o https://youtu.be/a6pmMUNMbG4 https://youtu.be/f09TGpgEjvo If you have any questions or concerns about your scoliosis, please feel free to reach out to us for help!
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Many of our patients with neck and low back pain come to us with a diagnosis of degenerative disc disease, but are not clear on what this means. Degenerative Disc disease (DDD) is the process of losing disc height The inner most part of the intervertebral disc called the nucleus pulposus, looses fluid and often small cracks or fissures develop in outer annulus of disc. DDD is not necessarily a "normal" process of aging, but a common process. It is often a progression of previous disc herniation or bulge, but can occur at the same time. DDD can occur in individuals as young a 30 years old ,and into 90 years of age.  Common Symptoms of DDD include :
DDD is most commonly diagnosed by an MRI. Treatment can include oral anti-inflammatories, cortisone injection into the spine, spine traction, and physical therapy. Nearly 90% of our patients at Pilates Sante have DDD in their neck and pain. Very often these clients improve with lifestyle adjustments and specific therapeutic pilates exercises. A couple of common exercises we might give include : Bridging https://youtu.be/UpdT8MTIFHk Gluteal Stretching https://youtu.be/BYki46FEHLg Hamstring Stretching https://youtu.be/bfASLztXy6U For any questions or concerns about your spine pain, feel free to contact us at Pilates Sante! I recently had the opportunity to take a class from Donna Eden, who has become a well known Energy Medicine practitioner and educator. She is known for helping clients and patients make profound changes in their lives and health. So what is Energy Medicine? And how does it work? The concept of energy as medicine is to heal the body by restoring energies that have become weak, disturbed or out of balance addressing both physical and emotional ailments. Moving or shifting “stuck” energy can aid in everything from low back pain and chronic headaches, to anxiety, fear or depression. Energy is moved using deep breath while applying deep pressure or taping techniques along energetic meridians, 9-12 of which are recognized, based on the source. What I personally experienced performing some of these energy shifting techniques, was immediate, which is why I feel strongly about sharing them with my clients and patients. After almost 20 years working as a physical therapist and pilates practitioner, I am very clear that teaching body mechanics and therapeutic exercise alone does have its limitations. So much of the time, my patients are plagued by stress which directly correlates to their pain level. Without managing the stress, by shifting their energy or nervous system state, their healing process is stunted. Some of you (my patients ) have recently experienced my hands-on energy shifting techniques, along the spleen meridians, sacrum, and occipital center points at the start or end of our sessions. However, what I recommend is also doing self energy work. I've been performing Donna Eden’s “Daily Energy Medicine “(DER) daily for two weeks and I’ve noticed very significant changes! I am more calm with a greater ability to focus and be present. I experience a feeling of stability or centeredness that my meditations have been lacking. Below is the DER, which takes only 4-5 minutes, as well as some wonderful additional stress management techniques. Daily Energy Routine 4-5 minutes Purpose: build positive energy in your energy field & move “stuck’ energy to live with greater vitality, health, and happiness. 1. The 4 thumps 15-20 seconds each -tap cheekbones (stomach meridian) -below collarbone /notch at top of breastbone (Kidney meridian) -middle of breastbone (thymus ) -one rib below breasts (spleen meridian) https://www.youtube.com/watch?v=uLWoEhOXVG0 2. The crossover shoulder pull Put one hand on opposite shoulder, pull down firmly & drag hand diagonally across to the opposite hip https://www.youtube.com/watch?v=zVhU9t2Sl2g 3. The Wayne Cook Posture Cross right wrist over left, clasp fingers, turn your hands under/up & rest them on your chest, inhale & exhale slowly Unwrap arms/hands, “Steeple” fingertips at third eye (between brows), & pull across forward https://www.youtube.com/watch?v=UjzndnN357I 4. The Crown Pull Place your thumbs at temples, & fingers at forehead then pull fingers apart toward hairline Repeat at hairline, center & back of head Finish with hands pulling down/forward on shoulders & breathing https://www.youtube.com/watch?v=mscH1K4Az8A 5. The Zip Up Move your hands from your pubic bone up toward your lower lip with deep breath https://www.youtube.com/watch?v=pVWCjgNDKC8 6. The Hook Up Place middle finger of one hand in belly button, & other on third eye Press inward & upward for 15-30 seconds. https://www.youtube.com/watch?v=hBRerb5ILxE Extras : 1. Connecting Heaven & Earth: inhale while stretching one arm up & one arm down, exhale return to prayer position, then switch arms. Finish with forward bend (relaxing bend) https://www.youtube.com/watch?v=hMcIQNN1QFU 2. The Triple Warmer Smoothie: begin with fingers at temples; Inhale & move fingers upward then exhale & circle fingers around ears. Finish by dragging your hands over shoulders with pressure, then down to middle of chest (heart chakra) https://www.youtube.com/watch?v=shUh6ygIi4U Stress mangement techniques: 1. Hands to forehead (neurovascular points) - change flight or flight by bringing blood to brainhttps://www.youtube.com/watch?v=A1DGqajccCg 2. Tap between 4th /5th finger with hand placed on heart (shifts triple water meridian) https://www.youtube.com/watch?v=a0Dm2p2K5bY I am happy to meet with any Pilates Sante clients to apply some energy healing hands-on techniques or instruction in exercises. Please feel free to write with questions or comments. Thank you for trusting us to help you in your healing journey.  Are you menopausal, perimenopausal, or postmenopausal? Have you had a recent bone density scan? Osteopenia and osteoporosis are becoming an epidemic in our society. These “silent” conditions do not exhibit symptoms, and therefore are often not addressed properly or in a timely fashion. How do you define Osteopenia and Osteoporosis? What is the difference between the two conditions? Osteopenia is a condition where bone mineral density is lower than normal. Its defined as a bone mineral density score between -1.0 and -2.5, and is considered by many doctors to be a precursor to osteoporosis. Osteoporosis is a progressive bone disease that is characterized by a decrease in bone mass and density which can lead to an increased risk of fracture. Osteoporosis is defined as a bone mineral density score of -2.5 standard deviations or more below the mean peak bone mass. Medication is typically indicated. What are the risk factors for these conditions?
What are the complications of these conditions? Bone fractures, particularly in the spine or hip, are the most serious complication of osteoporosis. Hip fractures often are caused by a fall and can result in disability and even an increased risk of death within the first year after the injury. In some cases, spinal fractures can occur even if you haven't fallen causing back pain, lost height and a hunched forward posture. What is the treatment for these Osteopenia & Osteoporosis? This varies considerably among physicians and practitioners, but usually includes hormone balancing, exercise specific for bone health, a healthy diet rich in calcium, vitamin D and magnesium, and bone building supplements or medications. At Pilates Santé, we recommend Osteoben by Designs for Health. Osteoben is a complete bone building formula. It contains a natural compound, Genistein, that acts like a mild, safe form of estrogen in the body. It is also rich with vitamin D, calcium, magnesium, zinc and vitamin K2. Osteoben increases bone mineral density, reduces frequency and severity of hot flashes and is safe for breast, uterus and the cardiovascular system.   What is inflammation? We generally have two different inflammatory responses. Acute inflammation is a necessary (and helpful) short term immune system response to ward off “invaders” such as pathogens, bacteria, viruses, etc. Immune cells will rush to the site of injury or pathology to help heal and recover. This occurs with musculoskeletal injuries. Chronic inflammation is long term, sustained inflammation in various systems of the body caused by repeated “hits” to the immune system such as poor diet, lack of sleep, sedentary lifestyle, and high stress levels. Chronic inflammation is the root of most diseases and health conditions such as heart disease, arthritis, chronic pain, IBS, high blood pressure and even depression. Chronic Inflammation is typically the cause of pain. “All acute and chronic disease states have pathophysiology that is multifactorial, but nearly all have an inflammatory component to them” Generally our new patients or clients come to Pilates Sante with symptoms and pain due to excessive inflammation. The inflammation of their condition prevents us from being able to effectively apply pilates therapeutic exercise to improve their condition. Therefore an immediate anti inflammatory regime is needed. This generally includes postural changes, ice, & oral medications such as NSAIDs. Many clients are allergic to NSAIDs or have been on them long term, and are not tolerating them. It seems we have found the solution with Inflammatone.  This is a holistic anti-inflammatory supplement which consists of a protein enzyme blend which assists the breakdown of the inflammatory process. Many of our clients have experienced significant decrease in symptoms and increased tolerance for exercise, as well as daily activities.
We also recommend changes in lifestyle such as diet & stress management. Please let us know of you have any questions about your level of inflammation , & whether you could benefit from an anti inflammatory regime. Source: Jackie Miller Designs for Health  I've been meditating on and off for nearly 20 years now. I began in graduate school as a desperate step to manage the “academic stress." My mother sent a meditation cushion to me in Boston. From there, I read nothing on techniques, instead I just sat on the cushion and breathed for 15 minutes daily, prior to doing anything else. After 2 weeks, I noticed I looked forward to sitting on the cushion (instead of dreading it). I noticed a sense of peace, that wasn’t always long lasting but was clearly present. I was able to better focus on my studies in a calm state. Years later I continue to meditate, but for a much different reason, with various techniques, both alone and in group settings.
They call meditation a “practice” because it is difficult and requires consistent practice to see or feel the effects. At times it results in a great deal of reward, and other times more frustration. However, what is becoming more clear, are the benefits of a steady meditation practice. Amongst some basic benefits are reduction of stress, anxiety, depression, pain, and an increase in awareness, self concept and general well being. Research by Dr Joe Dispenza is now also proving an actual “rewiring” of the brain to body pathways, and new gene up regulation with specific guided meditation leading to profound change in physical and psychological health conditions. More about rewiring your Brain with intentional meditation to manage your pain: https://www.youtube.com/watch?v=MggxikOZN80 So many of us understand the benefits of meditation, but are not sure how to meditate. I've come up with a short list of some basic types of meditation which you can try in order to find a particular technique that resonates with you. Your technique will likely change or evolve as your practice deepens. Types of meditation : 1. Loving kindness meditation - also known as Metta meditation. The goal is to cultivate love and kindness toward everything, even an individual's “enemy" or source of stress, as well as toward oneself. https://www.youtube.com/watch?v=wfHnP9ouuhA 2. Body Scan or progressive relaxation - the goal is to scan the body for areas of tension, and allow it to release. This technique can help with both relaxation, and decreasing chronic pain in the body. https://www.youtube.com/watch?v=Cdeh5WU5ABo 3. Mindfulness meditation - goal is to become aware and present with your existing surroundings. This technique can help with focus, emotional reactivity, & general negative emotions https://www.youtube.com/watch?v=6p_yaNFSYao 4. Breath awareness meditation - goal is focus on mindful breathing, and shifting from focus on thoughts. https://youtu.be/iuv5EomIA9s 5. Kundalini yoga meditation - physically active meditation that blends movement with deep breathing and mantras. This technique can improve physical strength and reduce pain. https://youtu.be/qckbvP0ldeI 6. Zen meditation - form of meditation that is a part of the Buddhist practice. This practice is very similar to mindfulness meditation, but has potentially more of a spiritual component. https://youtu.be/AgxdLkUohcE 7. Transcendant meditation - goal of this technique is to transcend or rise about the persons current state of being. Focus is on a mantra or repeated word to series of words. https://youtu.be/1oCJ1MIjEF4 These are just a few guided meditations on Youtube, but there are plenty of options available to try. For all of our Pilates Sante clients I strongly encourage & invite you to join us for our meditation workshops. With the presence of significants amount of stress in our daily lives, we need to have steps to manage our lives holistically which include not just exercise, but our diets, sleep regime, & pain management techniques which includes meditation. We thank you deeply for allowing us to assist you in reaching your greatest health potential. Many women suffer from symptoms that they believe to be “normal” after a certain age. However, we now understand that isn’t necessarily the case, and pelvic floor dysfunction can be diagnosed and treated. Common pelvic floor dysfunction symptoms include:
Although we don’t really understand causes, we can link pelvic floor dysfunction to:
A common diagnosis for pelvic floor dysfunction that we often treat before and after surgery is pelvic floor prolapse. A prolapse occurs when the pelvic muscles and other supporting tissues become weak, which causes the organs in the pelvis to drop or fall out of place. We also see patients who do not have prolapse but complain of some of the above dysfunctional symptoms. We recommend these patients see a specific internal pelvic floor physical therapist in addition to us working on the imbalances externally in their hip and pelvic musculature. Many of our pelvic floor patients have extremely tight pelvic floor musculature. Once of the exercises we instruct them to do is for relaxation - deep diaphragmatic breathing with imagery. While breathing , the client is to imagine the 4 points of the sitz bones, coccyx, & pubic bone to spread apart as if you are “ laying an egg”.
For more pelvic floor questions, concerns and exercises, contact us at Pilates Sante! Breathing is the first thing we do once we are born, and the last thing we do before we die, but how much attention do we often give to our breath? Most of us don’t think about our breathing, likely because it is automatic and occurs nearly 20,000 times per day. Breathing of course is vital to our existence, and provides for all of our body’s systems. Physiologically, breathing provides oxygen to our all of our vital organs, as well as elimination of toxic substances from our bodies. For our emotional system, it provides control and clarity. In exercise, it provides for efficiency and organization of our musculoskeletal system. Breath is one of the fundamental principles of pilates. Breath with pilates therapeutic exercise creates flow and ease of movement, encourages proper engagement of our deep core musculature, allows for axial elongation or decompression of our spinal segments, and general efficiency and strength of our musculoskeletal system. At Pilates Santé we focus on two types of breathing patterns: diaphragmatic breathing and lateral breathing. Diaphragmatic breathing involves inhaling through your nose, while expanding and relaxing your abdomen, then exhaling through the mouth while engaging your lower abdominal muscles. We often teach this breath technique initially to clients to create a connection to the lower abdominal muscle (transverse abdominus) to facilitate core control. This breath pattern also allows for relaxation and focus for our clients learning the pilates fundamental exercises. Lateral breathing focuses on the expansion of the rib cage and breathing into the sides and back of the ribs. In lateral breathing, we maintain a consistent inward contraction of the deep abdominal muscles, through the inhalation and exhalation. This encourages us to keep our “corset” engaged by recruiting our intercostal muscles (the muscles between each of the ribs). Lateral costal breathing is the primary breath pattern implemented by our rehabilitative pilates clients, so that maximum core support and engagement is maintained through exercise. The timing and direction of inhalations and exhalations we cue are based on the type of movement being performed. Inhalation is often cued to facilitate extension of the spine, while exhalation is for flexion. Inhalation is cued for axial elongation or relaxation, while exhalation is cued for engagement or facilitation. However, as Brent Anderson Polestar Pilates says, “Breath is a tool, not a rule, “ therefore cues should be based on the movement quality of the exercise you are observing in your client. For more on these breath techniques, please refer to our website videos.   Nearly all of us have been told we need to have good posture to avoid injury, but what does that really mean? It means that when the spine is in its natural position, all 3 curves of the spine, cervical (neck), thoracic (middle) and lumbar (lower), are present and in properalignment. In this position the spine is able to withstand the greatest amount of gravitational stress during our daily activities. It is also the position in which we can most safely exercise.
Are we harming our bodies by moving out of neutral spine? No. Throughout the day, we have to move within a safe spinal range of motion that will not always be neutral spine. Therefore, we need spinal extension, flexion, side bending and rotational mobility in our spines. The beauty of pilates is that we work on both neutral spine stabilization and controlled spinal mobility in all exercises. This is the primary reason pilates can be so beneficial in both prevention and treatment of low back pain. How do we find neutral spine? Pilates instructors use many different cues to teach alignment and awareness. In my opinion it’s a matter of finding what's most successful for each individual. I find cueing for axial elongation, or spinal length, is a nice way for people to achieve proper alignment and decrease stress on their spine. Often finding a neutral pelvic position first will help clients to stack their spine appropriately. An exercise to find pelvic and lumbar spine neutral is the pelvic clock. Once you have performed these tilts and circles, find neutral spine on the clock face by being balanced on the center of the sacrum and feeling minimal effort of the abdomen and lower back muscles.You can practice just the vertical pelvic tilt both in sitting and in standing to find neutral in more functional positions, and to practice throughout your day. One of the most common things new pilates clients tell me is how much more aware they are becoming of their posture during functional activities. Finding better alignment during your daily life will not only help prevent injury, but will also allow for more efficient use of your muscular support system.  Low back pain is second only to the common cold as a reason for doctor office visits in the United States. Why is low back pain so common? Today’s jobs and functional activities are contributing to worsening posture and body mechanics, causing increased load and stress to the spine.
There are a variety of problems and pathologies that cause low back pain. These range from joint inflammation, soft tissue and facial tightness, disc herniation, degenerative disc disease, stenosis and lumbar nerve root inflammation or impingement. All current research concludes that the only long-term effective treatment for low back pain of all pathologies is therapeutic exercises. Unfortunately, research does not support massage, joint mobilization, or any other supportive modalities at this time. What is therapeutic exercise? It is exercise which helps to facilitate support and healing of the injured tissue. The specific exercises prescribed must be related to the type of pathology or structure creating the low back pain. Pilates has become one of the most commonly prescribed therapeutic exercise treatments for low back pain. The movement principles of Pilates align with what allows for the healing of low back pain. Principle 1: Core control. The ability to initiate the deep muscles of the trunk (transverse abdominis, obliques, multifidi, pelvic floor, diaphragm) to control outside forces, such as gravity, from stressing spine structures. Principle 2: Axial elongation. The ability to lengthen the spine decreases gravitational stress again by creating more space or openness between vertebral segments. Principle 3: alignment and organization of the body. This is essentially learning how to properly place our rib cage, pelvis, and hips to improve posture in all positions, which again decreases stress to the spinal segments. At Pilates Sante we develop an integrated whole body exercise program with the above principles in mind, which has given us an extremely high success rate in treating patients with a variety of low back conditions. Our clients feel the benefits of pilates mat and equipment exercise early on in their program, and most often continue as a wellness client once symptoms have resolved. Our primary goal is to allow our clients to heal and return to a fulfilling pain-free lifestyle. https://www.verywellfit.com/where-pilates-and-physical-therapy-meet-2704278?r=facebook |
Ariel Lehaitre AuthorArchives
October 2019
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