Whiteboard Wednesdays: Why do we look at your heels, shoes, and gait. Neuromechanically speaking, the heel bone itself is a major contributor to ascending postural control. How your heel hits the ground determines what muscle turn on at the hip and spine. Making sure that you can evert the heel bone, or having shoes that help facilitate eversion will set you on the right path...literally. #orthopedicrevolution
Wednesday Whiteboard: Understanding the PT landscape and who is treating what system. Not all PT's are after the entire system. Traditional PT is selective in it's approach, only focusing in on mechanical problems without regard for the hierarchy of neurologic movement control. We must look at all systems in a cascading stability cause and effect sequence.
As discussed in my last column, gravity is the shaping force of how we hold ourselves and learn to move without falling. Everyone with pain is unstable somewhere. If you are having pain, you have lost control of the joint and its proper movement pattern. This in turn, causes compensation and you become too stable somewhere else to make up the difference. In order for you to move and function without compensation, you need to be stable. The 3 components of stability are mechan
Do You Understand the Gravity of the situation? If you went to our website after the last column Are You Square, you may have identified with some of the postural asymmetries shown. Even if you did not see the column, the question is, where do postural mal-alignments, hence injuries, come from? The long and the short of it is gravity! How you hold yourself is the direct effect of gravity and how you have moved in it for years. Postural control, how you move and react to senso
Are You Square? As stated in my prior post, physical therapy and clinical treatment should address the “why” of injury and not just the pain, as that is only a band-aid. The first thing that needs to be assessed to answer “why” with any injury or performance program is your alignment. Alignment encompasses not only the spine but the interaction and position of the pelvis and the rib cage. Often times, the root cause of an injury is the loss of a neutral positioning of the c
Welcome to the Orthopedic Revolution! We have set out to change the orthopedic model. Our current orthopedic care model is broken as it is an industry that is somewhat blind to the patho-genesis of many of the diagnoses that we use to identify a clinical presentation. While a diagnosis is valuable, such as tendonitis or arthritis, to help guide treatment, it rarely answers the question why that process is occurring. "Why" is the single most important question that should be a