My Interview with Beth Berry of Revolution From Home

This week, I had the honor of contributing on an article with Beth Berry of Revolution From Home.

Beth is an incredible writer and dear friend. She writes for National Geographic Green Living and Mothering. Her blog is brilliant and entertaining in its chronicles of her “crazy” life, challenges of cultural and conventional “wisdom”, thoughts and ideas on sustainable/green living, the simple reminder that each of us holds immense power within ourselves to create powerful change in the world, and much much more. I encourage you to check out her blog right after you finish reading this amazing post of ours. In it we discuss common causes of chronic pain & injury, how a women’s body changes post-pregnancy, foam roller therapy, and self care tips for pain free healthy movement.

Rewiring Our Bodies: An Interview With One of My Heroes

^^click above to read.

If this article resonates with you, please share it with your friends and family.

The Injury Corner

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Over the past few years, I have offered guidance in online forums to people dealing with chronic pain and injury. Oftentimes in these forums everyone is an “expert.” It is nearly impossible to differentiate a professional Movement Specialist, therapist, or coach from a non-professional layman. The problem is that much of this advice, although well intentioned, can at times be downright dangerous for those who receive it.

Each person posting a question in an online forum about pain or injury has a different life story and injury history, as well as an individual path to recovery. No two pain, injury, and recovery cases are ever alike–what may work for one person can cause harm for another. This is why having a trained movement professional in your corner is so important. A Movement Specialist can offer a full movement assessment, followed by injury treatment and an individualized, corrective protocol to help restore healthy and pain-free movement. If you’re in pain or dealing with chronic injury, you need a full assessment prior to any corrective prescription. This is something you simply will not receive in an online forum.

In an effort to reduce the noise and try to reach people who are asking for help, I created a special I created a special group page on Facebook, called The Injury Corner. The Injury Corner is devoted to providing advice and guidance for those dealing with pain and injury.group page on Facebook, called The Injury Corner. The Injury Corner is devoted to providing advice and guidance for those dealing with pain and injury.

I have asked some of the top Movement Specialists in the country to join and contribute their expertise and experience. The support this page has generated in the short month since its creation has been overwhelming. Already, it has reached over 200 members with some fantastic dialogue.

In The Injury Corner, you will not be assessed or diagnosed. The goal of this forum is to provide support, guidance, direction, and help to connect you with the best professional health team available for your needs. In addition to the main forum, I have also created a list of movement therapists who support this group, and posted a directory as a file available to group members. This allows people across the country to follow up in person with a qualified and knowledgeable movement professional in their area.

imgresThe Injury Corner is a safe and supportive space for anyone dealing with chronic pain and injury. I want you to contribute. Share your physical and emotional experience with pain and injury. In order to maintain this safe and supportive space, The Injury Corner is a closed group. Anyone who joins must first be approved before they can read or post on the forum.

The movement professionals involved with The Injury Corner will do our very best to help you change your relationship with pain, begin your healing process, and restore healthy pain-free movement. We will be a resource to connect you to a health team. We will guide, support, and be by your side throughout your healing process.

 

 

 

Click here to join the Facebook Group: The Injury Corner

 

 

My NeuroKinetic Therapy (NKT) Experience

In my heart as an NKT Movement Therapist, I want to help my clients move better, live more fully, and thrive. This means helping them change the way they move in life and through life on fundamental levels. Until this past year, however, I often felt as if something were missing from my practice. Clients would leave my office after a massage therapy session feeling great, but return within a couple weeks with the exact same pain complaint. Something was missing.

Link of chain to show that NKT is the missing linkNKT- The missing link

I took NeuroKinetic Therapy (NKT) Level One in June 2013. I was completely wowed by this modality of movement assessment and therapy. I immediately realized that NKT was the missing link in my practice with clients. Integrating it into my existing work, however, has not always been an easy or elegant process.

After the Level One workshop I felt totally overwhelmed. NKT completely crushed any concept I had about my identity as a therapist and what I had been offering to my clients. Don’t get me wrong–this was a good thing. It meant I was being pushed to grow, which I appreciated, but as with any new challenge it was not an easy pill to swallow. For the first three months, I felt depressed. My ego was crushed. I felt like the dumbest kid in the class. It brought up insecurity, frustration, and fear. In essence I was being pushed to let go of an old self-created concept of my Self and embrace something entirely new.  This was scary.

Something I understood early on was that I was learning something entirely new and foreign. When I could surrender the ego expectation that I should immediately be an expert, I realized that “of course” I wouldn’t be very good at this at first. Like a toddler learning to walk, I had to invest my time and patience practicing, studying, experiencing, and learning.

This is what I did
1. I sent out an email to my friends offering free sessions. I knew for the first several months I could not practice this new modality in a paid session. At the time, NKT was a skill I did not own…yet. As much as I needed the practical experience of integrating NKT into my work, I also needed the confidence in my own ability before I could fully give to paying clients. So I offered 6-10 hours of NKT free each week, and continued to maintain my regular practice. This gave me the freedom to completely suck. I could experiment! If I got stuck or had a question, I could use my book or computer as a resource.

2. I found a mentor and a study group. I hadn’t even left New York before I sent Austin-based Jedi Master NKT therapist Joseph Schwartz an email asking to meet. Within a couple of weeks we started a monthly study group with some other new NKT practitioners in the area. Joseph has proven to be a fantastic mentor; he has about 20 years of experience working with NKT and is one of the most intelligent movement/bodywork therapists I’ve ever met. It has been years since I worked with a mentor, and to have one now is such an amazing gift. Studying with another, more experienced practitioner is invaluable and has furthered my learning process at a tremendous speed.

Body in motion NKT.
http://davidlasnier.com/tag/packed-shoulder-baldes

3. I started studying anatomy. (Again.) I quickly realized that what I knew about anatomy–more specifically, movement anatomy–was grossly inadequate. I bought new books and apps on anatomy and movement for my phone and Ipad. Besides using these regularly as a learning resource for myself, I now use them as a teaching tool with clients as well. The greatest gift I’ve received from NKT is a reinvigorated love and desire for learning.

4. I went to the Level Two workshop within three months of Level One even though I wasn’t 100% confident in my Level One material. This was huge. Level One is an introduction to NKT. It’s kind of like learning to write by focusing on just the alphabet. Level Two really brings NKT into a larger movement perspective. For me it was going from the alphabet to complex sentence structure, paragraphs, outlines, and essays. Taking Level Two brought the Level One material into greater context. I came back from the Level Two workshop with the confidence to start truly and fully integrating NKT into my practice.

5. I assisted a Level One workshop. The first workshop I took was taught by the founder of NKT, David Weinstock. The second Level One workshop was taught by Dr. Perry Nickelston of Stop Chasing Pain. Taking the workshop a second time was great on many levels. First and foremost, it was easier to digest the material since I was already familiar with it. Also, when you assist you get to teach, and teaching is a wonderful way of learning on a deeper level. The best part of re-taking the workshop was the opportunity to learn from a different teacher. Each has their individual way of instructing, and I learned a ton from both. With each workshop, it was as though I was able to climb inside their head and witness their NKT thought process in action.

Picture by fromzertohero at http://fromzerotohero.deviantart.com/ NKT

What I’ve learned along the way
NKT is a door into another world. It is less a modality in and of its own and more of a connecting link between the worlds of movement assessment, traditional physical/manual therapy and movement therapy. It is not teaching an isolated paradigm, but providing a way to shift all former paradigms into a new wholly integrated therapeutic movement outlook. You don’t become a better movement therapist by learning NKT. It is not simply another modality of treatment to add to an existing practice. You become a better movement therapist by integrating what you already know with everything you continue to learn through the lens of NKT. It is this aspect of NKT which has reignited my passion for learning.

This concept is what most excites me. I have been shown a door into a new level of learning, and I feel challenged to learn. I have never felt so passionate about what I do. In the past seven months since the Level One workshop, I have learned more than in my previous 15 years of practice, and I’m a smart guy. This stuff is that powerful. And I’m still barely cracking the surface. (That’s exciting!)

My suggestions for new NKT therapists

1. Practice, Practice, Practice! Don’t introduce NKT to your clients until you have the confidence that you can provide a valuable service by integrating this specialized skill. For some this will take weeks. For others, months. If you introduce something new that you don’t fully know, you will lack the confidence to do it well out of fear of failure. You need sessions in which you can give yourself the freedom to be a complete failure at NKT. This is the only way you will become successful. A session with a paying client is never a good time to practice. They pay you for a skill, and like me at the beginning, NKT is not a skill you own…Yet. Take the time to get there. Offer free sessions to your friends and family. Get as many hours in each week as you possibly can.

2a. Join a study group. Find others in your area who have begun to study NKT, or who have been practicing for a while. If you live in the boonies, drive for hours to get to one. If all else fails, find an online study group. This is where you will refine your testing and touch skills. During the sessions, ask questions of each other, get worked on, make mistakes. Most importantly, learn.

2b. Find a mentor and be a willing student. The most successful people practicing NKT, such as Thomas Wells, Perry Nickelston, Kathy Dooley, Joseph Schwartz, David Weinstock, etc are still students. They may be NKT teachers and instructors, but they are still actively learning students as well. Without a mentor your potential to grow is stunted. Find a mentor to study under, and trade sessions with them whenever possible. Pay for their sessions if you have to. Each week, I drive 45 minutes out of town to work with my mentor. We trade sessions and then do movement work. I walk into his place like a sponge ready to absorb; I leave feeling like I’ve doubled my knowledge and understanding.

2c. Re-educate yourself with anatomy and movement. This is what NKT is all about — helping your clients feel and move better. If you don’t understand what healthy movement is supposed to look like, it’s going to be hard to teach it to your clients.

3. Take the Level Two workshop. This is an investment in your growth as a professional. If you follow the above advice, by the time you get to the Level Two workshop you will be ready enough. Things will begin to connect.

4. Take the Level One workshop again. If you get your certification after your first Level One, you can assist subsequent workshops for FREE. (Minus the cost of your transport and lodging of course.) Taking it a second time will allow you to absorb so much information that you missed the first time–when you perhaps didn’t even realize you were missing anything.

Illustration of a light bulb NKT
http://www.clker.com/clipart-6937.html

Where I’m at now
As I explained previously, my first three months after NKT Level One were rough. I felt like I was fumbling around in the dark quite a bit. But somewhere along the way things began to shift. Between practicing, study groups, working with my mentor, and taking additional workshops, lightbulbs began to turn on. Things started coming slowly together, connections began forming. Once I started working with clients, the shifts came even faster. Over the past several months, NeuroKinetic Therapy has completely evolved my practice. I now offer it almost exclusively and have seen some amazing results with clients suffering from long term chronic pain.

This was my experience learning NKT over the past several months. I hope you find these explanations and suggestions helpful in the process of discovering NKT for yourself.

Falling Down Stairs

A couple of day’s ago, one of my mentors, Dr Kathy Dooley, posted this on her page. In it she writes:


“Your workout should never break you.

All of us need to sit down and assess what we want out of our workout.

If you want sore muscles, you can fall down the stairs. You’ll be sore and hurt. Is that a workout?

You completed the 15 mile run, but you hobbled out of bed the next day. Did you build fitness on a dysfunctional platform?

I assumed the workout was in place to make one healthier. There is nothing healthy about beating oneself up.

Eustress – positive micro stresses – can have huge medicinal benefits. We are adaptive beings. But the workout making us hobble is not eustress.

If your goal is to deadlift 500 pounds, then earn it – safely. Put the time in. Get a good coach. Or get a new goal.

If your goal is to be “healthy,” I’m here to tell you that no one knows what that means but you. What does health mean to YOU?

Seriously, sit down and contemplate what you want from your workout.

Time is valuable. You can spend it beating yourself up, or you can spend it BUILDING yourself up.

As always, it’s your call.”

drawing of someone falling down stairs.

 

Falling Down Stairs

I reposted it onto my facebook page and it garnered some great discussion. There is one line in this post that has really resonated with me.

“If you want sore muscles, falling down the stairs will work. You’ll be sore and hurt. Is that a workout?”

This quote sums up really well why so many people get caught up in the cycle of injury. They are essentially throwing their bodies down the stairs through every set and repetition of their workouts, whether it’s running, weight training, sports, or even Yoga.

Running, squatting, and lunging are controlled falls. If you lack the ability to stabilize your feet, hips, low back, and/or core, then you have movement dysfunction. Your body lacks the ability to absorb, stabilize, and respond safely to your environment. In this circumstance, every step is the equivalent of falling down stairs. Your joints, connective tissue, and other supportive structures do not know the difference. How many flights of stairs can you fall down before something breaks down?

Warning sign of the danger of falling down stairs.Rest and recovery are important for your tissues to heal. But once they are healed, if you return to an exercise program without addressing an underlying movement dysfunction, you will be once again throwing your body down the stairs.

This is where you may need help. If you cannot fix these things alone, you need the help of a movement therapist who can assess and treat the root causes of movement dysfunction. I recommend finding a movement therapist who practices NeuroKinetic Therapy™ (NKT). This is the work that I do.

When your workouts hurt you, it’s time to take a hard look inside at how you value yourself, your body; and your life. It is not fitness or a workout when it hurts you. It is self destruction. As Dr. Dooley said, “Time is valuable. You can spend it beating yourself up, or you can spend it BUILDING yourself up.”

If you are tired of falling down stairs and are ready to break the injury cycle I strongly encourage you to reach out to an experienced Movement Therapist in your area. I highly recommend someone certified in NeuroKinetic Therapy™, gait assessment, and natural movement. If you’re in the Austin, TX area, then click here to schedule a free consultation.

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Don't Chase Pain, Break Free!

Thinking man statue. What is Neurokinetic Therapy.What is NeuroKinetic Therapy?

A little more than fifteen years ago, I found myself sitting on a bench in a gym thinking about what I was going to do with the rest of my life. I was recovering and rehabbing from a second knee reconstruction and just a few months away from being discharged from the Navy. I had no idea what I wanted to do. Then it hit me like a brick: I wanted to help people feel better, move better. I wanted to help people live better.

Over the years, this key moment has remained present with me as I re-educate and re-invent what I do, in a continual process of re-investing myself in my passion. How can I best serve? How can I provide the best possible support to my clients?

These questions still continue to shape me as a movement therapist, and shape my practice as it evolves to best meet the needs of each individual client. I have graduated from being simply a massage therapist or personal trainer primarily focused on the short term physical fitness goals of my clients. I am now also concerned with helping them heal and recover from the chronic pain and injury while improving their long term movement quality. A massage therapy license has allowed me to do hands on massage therapy targeted treatments, and I am a strong advocate for self-massage with a foam roller. However, I have noticed that hands on massage therapy is frequently not enough. Some people experience short term relief from pain, but a few days later, it returns. Massage then often becomes a tool for pain relief, rather than for actual healing, and clients accept that pain and discomfort are a normal part of a life well lived. Have you ever said “My hip/shoulder/back/neck/foot is aching again, but I can deal with it for a few more days. Time to schedule another massage”?

I was looking for a more profound modality to help my clients truly heal. This is when I began to read the work of some of the top coaches and therapists in the world. (Charlie Weingroff, Dr Perry Nickelston of Stop Chasing Pain, and David Weinstock) Advice such as “don’t chase pain” and “pain is telling you there is a problem, not where the problem is coming from” was followed by discussion on how to assess compensation patterns through hands on manual muscle testing and movement assessment, which tells a therapist where and how to treat the root cause of the pain, rather than the pain itself. I was directed to the page What is NeuroKinetic Therapy, and I knew immediately that this was the work I had been seeking–the work that will best help my clients recover.

When it comes to pain and discomfort, there is no longer any need to “deal with it.

With that said, I will do my best to explain the function and application of NeuroKinetic Therapy.  However, words do not do it justice. If you ever experience pain or discomfort, perhaps caused by an acute injury or perhaps from simply living life, I encourage you to call and schedule a free consultation. We will work together to craft an individualized set of treatments for you, so that you can feel better, move better, live better.

What is NeuroKinetic Therapy™ (NKT)

Manual muscle test on client's elbow. What is Neurokinetic Therapy.NeuroKinetic Therapy™ is a sophisticated form of movement therapy that goes beyond the treatment of symptoms and instead focuses on the root causes of pain and dysfunction. It can be used as both an assessment tool and rehabilitative technique for chronic pain and injury. It is very effective for treatment of pain in the low back, neck, shoulders, knees, hips, and feet; NKT is also used for improving walking/running gait, correcting poor posture, preventing injury, and enhancing athletic performance. For many, treatment can result in nearly instantaneous relief from pain and discomfort.

Through a series of hands-on muscle tests, a certified NKT professional can assess movement systems to determine the specific patterns of imbalance, dysfunction, and compensation. This problem-solving technique can quickly zero in on the muscle(s) responsible for pain and injury. The therapist can then utilize massage therapy, foam roller therapy, stretching, or other therapy modality to release the appropriate muscles tissues; and corrective exercises to strengthen imbalances.  The result is quick, long lasting relief from pain, stiffness and dysfunction, and overall improved movement quality and performance.

NKT bypasses treatment of symptoms and is instead used to identify and correct the root cause of dysfunctional motor patterns through direct assessment of the relationship between your nervous and musculoskeletal systems. This relationship takes place through the Motor Control Center (MCC), which is crucial for interacting with the world by determining movement as well as for establishing balance and stability.

Old school switchboard operator. What is Neurokinetic Therapy.The MCC in action

Think of the MCC as a switchboard operator. Except instead of a person on the other end of the line, you get a movement action from your muscles–your body’s engines. The MCC receives a call to move and determines the appropriate combination of muscles and forces to generate the desired action. This process requires the synchronized and choreographed interaction of the nervous system (the phone lines) and the muscle system (the movement engine).

Say you want to perform a movement such as getting out of a chair. This message passes through the switchboard operator (MCC) which relays the message through the phone lines (your nervous system) to the engine (your muscles). In this message the MCC command directs which muscles to fire and which to relax, or brace. It determines the sequencing, speed, and power needed from each muscle in order to complete the desired action.

Illustration of man in pain in front of the computer. What is Neurokinetic Therapy.When you have trauma caused by an accident, injury, repetitive use, over-training, or poor ergonomics, the pain and/or instability disrupts natural movement patterns, causing temporary dysfunction. The MCC responds to the dysfunction by rerouting the signal to other muscles and shutting down the injured muscle, thus creating a compensation pattern. Muscles that normally perform other uses are now facilitated to make up for the injured, inhibited muscle(s). In the short term, this helps protect your body from further injury and allows the injured tissue time to heal.

However, problems arise when the compensation remains well after the injured tissue has healed. Over time, the compensation becomes hard-wired into the nervous system, which can lead to persistent muscular soreness and stiffness, loss of strength and function, and eventually to more serious bio-mechanical issues.

This is bad. Beyond the fact that it causes pain and discomfort, why is it bad? Because the muscle that is now compensating (the facilitated muscle) already had a job responsibility–now it has two. This is akin to you having to do your job and your coworker’s job. You would be working twice as hard, wouldn’t be as effective at either job, and most likely you’d also be a little (or a lot!) cranky. This is what happens to your muscles. When a muscle becomes cranky, it affects movement quality and often causes pain.

Southpark image. What is Neurokinetic Therapy.Things get even worse when you apply a strength and conditioning program to a dysfunctional movement pattern. When you add load and repetition, the movement patterns you train become stronger over time. Add load and repetition to a dysfunctional movement pattern, and you strengthen the dysfunction. When it comes to moving without pain and injury, practicing high quality movement is fundamental. Practice doesn’t make perfect–practice makes permanent! Perfect practice will help you own high movement quality. When you are dealing with a motor control injury, a strength training program by itself probably won’t correct it. If anything, you risk hard-wiring the dysfunction even more deeply into your motor control system. Unfortunately, this is a cycle I see many athletes repeating: coming off an injury, slowly adding load and intensity back into their training program, and–boom!–another injury setback. It is a vicious cycle, and can be frustrating and depressing.

There is an option to break free of this cycle.

NKT can be a powerful tool to help heal from an acute injury, reduce your risk of pain and injury, break from the injury cycle, and get you moving and feeling better. NKT is quick, cost effective treatment for both rehabilitation and prevention of injuries.

Will NeuroKinetic Therapy be helpful for you? Every case is different and every person responds differently to therapy. NKT is far and away the most profound therapy I have come across. The only true way to understand this work is to experience it.

Ready to ask what is NeuroKinetic Therapy and learn how NKT can help you? Leave a comment below. If you’re in Austin, Texas you can schedule a consultation online here.

Who can benefit from NKT?

  • Runners
  • Triathletes
  • Weight Lifters

Those who enjoy:

  • Tennis
  • Golf
  • Football
  • Baseball
  • Basketball
  • Dancing
  • Body Building
  • Volleyball
  • Soccer
  • Swimming
  • Rock Climbing
  • Biking
  • And so on…

Jesse James Retherford of The Art of Fitness is a Movement Therapist who offers NeuroKinetic Therapy, movement assessment, hands on massage therapy, personal training and coaching, and personalized exercise programs to help his clients eliminate pain, create a pain and injury prevention plan, move better, and tackle all of their life goals. Click here to learn more about What is NeuroKinetic Therapy.

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Plantar Fasciitis – What is it and Finding Relief

I frequently get questions about specific injuries. Many of these are about plantar fasciitis. Here is a breakdown of one of the more common causes of plantar fasciitis.

Picture of the achilles tendon wrapping around the calcaneus and blending into the plantar fascia. Plantar fasciitis.Plantar fasciitis is a pain symptom located at the heel or plantar fascia of the foot–the thick connective tissue which supports the arch of the foot. It is often most painful in the morning with the first steps out of bed, and may be aggravated by standing, walking, or running.

Here’s the deal about plantar fasciitis

It is the diagnosis of symptoms. It is not the diagnosis of the problem. The pain may be in your foot–but the problem is not. What you will not often find in definitions or explanations of plantar fasciitis on the web is that there is a deeper issue at play. The pain in your foot diagnosed as plantar fasciitis can often be traced back up to your gluteus maximus–your butt. These days, we sit too much and our butts muscles wind up not doing much. So they basically shut down or go to sleep–they become inhibited. This is not a good thing.

Your gluteal muscles have some very important functions. They are some of the most powerful muscles in the body and are the primary reason we stand upright. The gluteus maximus is a pelvic stabilizer and powerful hip extensor. The gluteus maximus provides power when we are going upstairs, rising from a sitting position, and climbing or running.

When gluteus maximus isn't functioning well, it get's very angry like the Hulk. This can lead to plantar fasciitis pain.Hip extension is your ability to stand upright. If you look at our primate cousins who still use their hands to walk, you’ll notice they have tiny butts. They also lack the ability to extend their hips into a fully upright standing position. Pelvic stability is hugely important. It provides the ability to stabilize the pelvis to our upper body, support the low back, and provide a solid powerful core. This point where your pelvis stabilizes with your upper body is where most coordinated movement is generated. If you lack pelvic stability, your entire movement system will be negatively affected. Your body demands stability. Without it, your body will find compensation elsewhere, by utilizing other muscles to do the job of those that are “sleeping,” i.e. inhibited. With plantar fasciitis, the calves are recruited to help stabilize the pelvis. This is not the work the calves are functioned to do. They don’t like it. Move like this long enough, and your calves will turn into The Incredible Hulk–they will get very angry and start to smash, i.e. tighten up and cause big hurt.

How this translates into pain in the foot

The two muscles that we call the calves (Gastrocnemius and Soleus) attach to the heel via the Achilles Tendon. The Achilles Tendon wraps over the heel bone where it then becomes the Plantar Fascia. The Plantar fascia stretches across the bottom of the foot to the base of your toes. While we may think of these muscles and tendons as separate plantar fasciitis is pain on the heel or plantar fascia of the foottissue structures, you can see by the picture that these structures are not separate. They are one continuous fascial tissue structure. So you can imagine that tension in one will affect each of the others. If your calves are working overtime–doing not only their job but also the job of your glutes–they may get distressed. With this distress, inflammation and pain will eventually set in. That pain can then show up anywhere in this continuous tissue chain. When the pain appears at the heel or plantar fascia, we call it plantar fasciitis. If it happens above the heel, it is called Achilles Tendonitis or tendonosis. The irony of all this is that the calves are not the issue! If anything, they are the most functional muscle in the group–they’re working overtime, after all. It’s their relationship with the asleep at the wheel Gluteals which need to be addressed. This is where the pain in your foot is literally a pain in the butt.

Relieving plantar fasciitis pain

GRIDXside
The Grid Foam Roller by Trigger Point Therapy

When treating any kind of painful dysfunction, my first goal as a movement specialist is to help my clients find relief from the pain. The method I’ve found most beneficial for this is self massage using The Grid foam roller to release the tension built up in the calves. Here are some simple exercises to help relieve the discomfort in your foot by working with The Grid.

Now once the pain is gone, this does not mean you are fixed. Pain is a communicator–it alerts us to an underlying problem. But it is not the problem itself. This is why the “treatments” often found online (such as this one) will only provide temporary relief; they target the symptom (pain) rather than the core underlying issue.

There is still movement dysfunction that needs to be assessed and addressed, and as detailed above, it likely originates in the hips. Strengthening and balancing movement patterns associated with the glutes is the next step in treating plantar fasciitis, and can best be done by making an appointment with a qualified movement specialist. To ignore this step places you at risk of an even more painful and serious injury at some point in the future. Finding help is hugely important in the long run for continued recovery and pain free movement.

Here are some simple quick tips for quick temporary relief. Or check out this older article with more exercises to help with plantar fasciitis pain.

Place foam roller beneath calves. Slowly roll from the ankles to the knees. Plantar fasciitis
Place The Grid foam roller beneath calves. Slowly roll from the ankles to the knees.
Using a foam wedge, press heel into the ground and actively straighten your knee. Stretch to slight discomfort, NOT pain. Hold for 1-3 minutes each stretch for plantar fasciitis
Using a foam wedge, press heel into the ground and actively straighten your knee. Stretch to slight discomfort, NOT pain. Hold for 1-3 minutes each stretch
The Grid foam roller by Trigger Point Therapy. Self treatment for plantar fasciitis.
The Grid foam roller by Trigger Point Therapy.

 This is the foam roller I recommend: The Grid by Trigger Point Therapy

Foam Roller Self Massage For Calf and Foot Relief

As a Movement Therapist specializing in hands on massage therapy, I help clients improve movement quality to aid in the healing, recovery, and prevention of chronic pain and injury. In many clients, I see a connection between their persistent pain and the health of their feet. Painful conditions of the knees, hips, low back, shoulders, and neck can often be traced through the fascial lines down to the feet. Foot health is one of, if not the biggest determining factors of pain and injury, as well as overall health, wellness, and vitality. To improve foot health, one of the best self care options available is foam roller self massage.

Anatomy of the foot and ankle. Foam Roller Self MassageThere are 26 bones in the human foot, 33 joints, more than 100 muscles, and roughly the same number of sensory nerves that you have on the palms of your hands. The foot is designed to be incredibly dynamic, sensitive, and responsive. Most importantly, it offers the promise of stability in almost any context.

How to Treat Your Feet

1. Take off your shoes! Even if only for a few of hours per day. (Should you wonder why I am an advocate of making the transition to barefoot or minimalist footwear, take a look at Free Your Feet.)

2. Throw out the flip-flops. It is not the job of your little piggies to curl unnaturally (involuntarily & imperceptibly!) in order to keep your shoes from flying off your feet! Consider finding a similar style with an ankle or behind-the-heel strap instead.

3. Utilize a golf ball and The Grid foam roller self massage the arches of your feet and lower leg.

Using a golf ball to self massage the arches of the foot. Foam Roller Self Massage

Foam Roller Self Massage

Foam roller self massage techniques are very simple to learn. It may be painful in spots. The goal is not to force through the pain, but to be very gentle with your body. There should be some discomfort without being unbearable.

Set up on the foam roller under the desired muscle area to be worked on. Relax your body and breathe. Ease into it and allow yourself to relax.

You are seeking out the most tender spot. Once you find it, stop, relax your body as much as you can; and visualize the tissue as melting butter and the foam roller as a hot knife. Allow the butter to melt over the knife. Hold position for at least 30-60 seconds or until you notice a significant reduction in pain, about 30-40%. Then move on to the next painful spot. Do this in 2-3 different spots for each muscle shown below.

This list is by no means exhaustive, and these suggestions are not meant to take the place of a regular training program with a professional. That being said, it’s a good place to start the recovery process. And if you’re feeling acute pain, foam roller self massage will help bridge the gap until you are able to get advice and treatment from a qualified movement therapist.

The Grid Foam Roller self massage by Trigger Point Therapy.

This is the foam roller I recommend: The Grid by Trigger Point Therapy

The Grid foam roller self massage by Trigger Point Therapy is my go to foam roller. I’ve used it for years and recommend it to clients. In the interest of full disclosure, I am an affiliate for Trigger Point Therapy. This means that if you purchase one of their products after clicking one of these links, I will get a small commission. That said, the only reason I am an affiliate for their products, primarily The Grid, is because I believe in it 100%.

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Nutrition 101

Check out this great article on Debunking The Calorie Myth– Why “Calories in, Calories Out” is Wrong by Kris Gunnars of Authority Nutrition. Read it once and after your head stops spinning, read it again. Seriously, this is like taking Nutrition 101.

Some really great take aways. Here’s one of them:
“Optimal nutrition and disease prevention go way beyond just calories.”

Jesse James Retherford 

www.tao-fit.com

Debunking The Calorie Myth – Why “Calories in, Calories Out” is Wrong by Kris Gunnars

I think the notion of “calories in vs. calories out” is ridiculous.

Foods affect our bodies in different ways and go through different metabolic pathways.

Not only that, but the foods we eat can directly affect the hormones that regulate when and how much we eat.

Therefore, the types of foods we base our diet around are just as important as the amount of calories we are eating.

Click here to read more…

An Inspiring Story

I came across this video yesterday on a colleague’s, Brandon LaVack of LaVack Fitness Facebook feed. It is truly an inspiring story which invoked some internal self reflection on my part.

Two questions popped into my mind.

1. What do I have that this guy, Richie Parker, doesn’t have?

2. What does he have that I don’t?

The answer to both cut to my core.

The first question isn’t as easy and comfortable as “I have arms.”

With my arms, I have baggage. What I carry, that is a bigger deal than arms, are my limitations. A perspective which can suck the energy out of life. I have excuses which hold me back from experiencing, growing, and living to my fullest potential. He does not.

What does he have that I don’t have? He has a fulfilling attitude. One that doesn’t look at his physical challenges as barriers preventing him from success. His is an attitude that sees hard work and challenge as an opportunity for movement, independence, and freedom. A pure beautiful embrace of life.

“I don’t know if there is anything that I can’t do. Just things that I haven’t done yet.” Richie Parker

After watching this video I don’t have any more excuses. Just two arms to reach out and embrace life fully. What a beautiful man. Thank you Richie Parker for some serious perspective.

How does this story move you? Please watch the video and post your thoughts below in the comments.


Inspiring Story Armless NASCAR Engineer Richie Parker

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Knee Pain and Running

Running and Knee Pain

There is a conversation taking place on facebook in a runner’s forum about knee pain and running.  What you are about to read is the exchange I had with the author of the original post.  Check it out below.  And will you do something?  If you know someone with knee pain that you think this would speak to, will you pass the link along?

The Question:

Ok fellow runners…ever since I took a week off post 1/2 marathon I can’t run more than 2.5 miles without excruciating knee pain. Never once happened before. This is bullshit! Help!!!

My Response:

Knee pain is a postural issue. It has less to do with a problem at the knee and more to do with mobility and stability dysfunction at the hips, feet, upper back, core, and shoulders. For any adjustment to be effective, the entire biomechanical chain must be addressed.  Not just the knees.

No Pain sign. Knee Pain Running.I work on postural dysfunction in four (4) stages:

Knee Pain Running

1. Pain: Your range of motion must be, first and foremost, PAIN FREE! This means, if it hurts to do… DON’T DO IT!!! If your knee hurts to run, squat, or lunge, etc… hold off on these exercises until you can do them without pain.  What to do about the pain?  I address the pain through movement assessment, hands on massage therapy, and a personalized exercise program. I recommend finding a highly movement therapist who uses walking and running gait assessment and has experience successfully treating these types of injuries. I typically see a significant reduction in pain within 2-4 treatments.

Practicing some full body self massage using a foam roller may also provide some temporary relief from the pain.

2. Mobility: Once the pain is reduced, you will need to work on improving your functional range of motion, such as the ability to perform a functional deep squat or lunge. IN MY OPINION, IF YOU CANNOT PERFORM A FUNCTIONAL DEEP SQUAT OR LUNGE, YOU SHOULD NOT BE RUNNING! PERIOD!!! These are progressive movement patterns that lead up to running. Babies learn to squat-ass-to-the-grass BEFORE they learn to walk and run.  You must do the same.  So do it.  And on top of training for functional lower body mobility, you will need to work on upper body mobility as well. When your thoracic spine, scapula, and neck are restricted, your hips will not function properly.

3. Stability: Now that you have improved Range-of-Motion (ROM), you will need to train your body for stabilization with this renewed ROM. This is the basic definition of posture. The ability of your body to stabilize throughout your entire ROM. For more on posture, read:

What is Posture

Here are some super basic corrective exercises to get you started.

The Foundation of your Posture – Injury Prevention Begins at your Foot

Corrective Exercises for the Hips

Corrective Exercises for the Scapula

4. Conditioning: Running is a very basic movement pattern. It is also a very small percentage of our overall functional movement pattern. If the only form of exercise you are doing is running… you are running directly into a potential injury. Your body needs to be conditioned throughout it’s entire movement ability. Full body functional movement is vital to overall health and vitality, as well as running ability. Another way to think about this is: How do you want to feel when you’re 70, 80, 90, or 100? Do you want to run comfortably in advanced age? Conditioning your body through full functional movement patterns, which includes running, is the key to both of these questions.

I encourage you to hire an expert team to help you through this process. The investment now will save you thousands in your long term pain and health. I suggest hiring a therapist to help with the pain; a movement coach to help improve your posture; and a running coach to teach you how to run (years and years of sitting on our butts means that we don’t know how to do this very basic movement pattern – even if we run frequently). Here is a link with tips on finding a quality therapist and coach:

Five Steps to Choosing a Professional Therapist

Good luck.

The Response:

Jesse, in a perfect world I would LOVE to be able to hire all of those folks to help me out. I have contacted an ART (Active Release Therapy) doctor in hopes they’ll be able to help me a little bit. As for the rest I’m going to have to go it alone or go through my HMO (which everyone knows could take years) to get to a physical therapist. My knees don’t actually hurt unless I’m running. I can do squats and everything w/o knee pain…it’s when my glutes get tight about mile 2 that everything goes to pot. So I’m sure some of it’s my form and some of it is that I’m just too tight. I will continue to work on it and stop running for the time being. Perhaps yoga is in my future…

My response:

I completely understand the issue of cost. At the bare minimum, I encourage you to invest in a foam roller, softball, lacrosse ball, and golf ball. This will allow you to do a great amount of the massage work on your own. The foam roller alone should make a huge difference with your pain during running. It may take a few weeks. Here is another article on foam roller therapy that has a bit more detail to it.

How to Treat and Prevent Injury and Become a Better Runner

Finding a good teacher, Part II

When looking into a PT, I recommend really vetting them out. You want the most educated, experienced, passionate, top of their game professional available. You are looking for a highly skilled therapist, preferably one who includes manual therapy; as well as multiple other modalities; and looks at the entire movement system, not just your knees. If they treat the knees in isolation, find another therapist! Hopefully, it won’t take too long, but you are better off taking your time searching for a high quality therapist who is the best fit than to settle on someone who isn’t.

Can you really do a functional squat?

The majority of clients that I see, at the time they come in, say that they can do a squat. The fact is they cannot do a “functional” squat. This is what I consider a functional squat:

This Is A Functional Squat

Baby squatting with perform form. Knee Pain Running.
If you can’t do this from standing to sitting to standing keeping your shoulders down and back, without your heels coming up, your feet rolling out, or without pain then you can’t do a functional squat.

Here is a great little video from Barefoot AngieBee describing squatting

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