A really important philosophy that I follow with my treatment is simply to help to return the body back to position in which it is supposed to be in. In this position, the muscles aren’t working hard to hold up the body (as they would be if the body is out of balance) and all the joints and tissue are soft enough that the body moves well in the planes that they are intended to move. If I have someone come in with discomfort, I am aware of the symptoms, but I take myself back to this philosophy with the confidence in the body’s natural ability to self-heal when it is in its optimal position. My success with patients in the past reveals that half the success is what I do and the other half is home care and self awareness of posture to maintain the progression during the last treatment and help the body to normalize to this “new” optimal position.
Being out of position can occur from the feet up to the head. Maybe your foot is rotated out, your pelvis is turned one way or the other. Perhaps the low back had too much of an inward curve or the mid back has too much of an outward curve, or the right shoulder is turned in too much. When things like the above happen, the body is working hard elsewhere to bring the body back up so that you’re not leaning in one direction or another.
I find this philosophy has applied especially to the way that shoulders may be pulled out of position by upper back, and how neck pain occurs due to misaligned shoulders and low back pain reacts to mispositioned pelvis. If your neck hurts, then you don’t connect it to shoulder position. If your back hurts, then you wouldn’t think “hmm, my pelvis may be out of position”. That’s my job. My job, essentially, is to say “hey, your back hurts, and this is what I’m seeing. You should be in this position. I’m going to loosen tissues to make this position easier for you and give you stretches and strengthening exercises so that this good position is easier to hold. And were going to focus on things that you do during the day, that can be contributing to your issues to see what can be changed or altered”. Patient knowledge and education is so important so that you know what we’re doing and why we’re doing it. Otherwise home care and exercises don’t mean anything and you may end up not doing them as you’re not making the connection.