orthotics flat feet

Another pair of feet just earned their freedom!👏 Do you think you need orthotics❓

Here’s a question for ya! If you have neck or back pain do you think wearing a neck or back brace is a sustainable strategy? Will that neck/back brace fix your neck or back problem? So why is wearing orthotics OK for foot pain or shin pain or knee pain or hip pain or back pain⁉️

Maybe you’re not getting to the ‘WHY’ of the problem!👆

Now … we’re not saying that you should never wear orthotics. There are great reasons to use them on a short-term basis & sometimes on a long-term basis, but so many of our clients come in wearing them because someone told them they have flat feet – when they really have high arches & vise versa. It’s not, “you have pain somewhere below the waist & you have flat/arched feet so orthotics are the answer.” 😤There are so many sneakers/shoes that will support your feet properly if chosen wisely.

Maybe there’s a reason why your feet are too flat or too arched? Remember that your ankle is connected to your tibia & that’s connected to your  femur & that’s connected to your 🍖 – & it keeps going up & up (so it’s all connected folks!) #movehealchange

sneaker wear pattern

You can tell plenty from an old pair of 👟 ‼️

Wherever the feet go so do the legs and pelvis.

But sometimes the pelvis controls the legs & thus the feet have to adapt.

Chest & ribs usually counter that with an opposite rotation/motion.


Neck usually counters & adapts based on position of the thorax.

There goes the wind-up and torque.  That may lead to a few complaints! 😩

1️⃣ find where the torque is
2️⃣ unwind
3️⃣ stabilize
4️⃣ integrate

🔵 Release into the wild and watch it run! #movehealchange

low back pain

Dimitry is incredibly knowledgeable and helped me understand the whole picture of how the different problems with my body relate to & cause one another. This was the first time someone has been able to give me the ability to comprehend how it all works and the realistic belief that I can get better.

He doesn’t try to treat just one problem from one type of angle like many specialists and doctors do; he gives you a comprehensive explanation and strategy to resolve the interconnected issues at hand. He’s very approachable and reassuring, and I never felt like an anomaly or like there was no hope. 10/10 would  be recommended!!!

hamstring strain

Another sweet before & after from a lacrosse player who doesn’t remember ever being able to touch her toes.

➖ Low back pain to NO pain 💥

➖  stretching never got her anywhere, but several treatments that included NO STRETCHING 😲 worked wonders for her 👍

➖ now she just has to repeat what we did in the clinic and she should be golden! ✅ #movehealchange

PRI Impingement & Instability

This was a mind-altering weekend that was spent learning from one of the best in the business! 💥💥

Thank you so much to Mike Cantrell  (@mikecantrellprc) & to the Postural Restoration Institute for continuing to advance, elevate & separate our practice from the rest of the pack! 🙌👍 … & to TJ Martino (@the.performance.therapist)for being my co-pilot for the weekend.

Looking forward to using & integrating this material ASAP with all Total-PT patients! 👊😎#movehealchange

Single limb stance and asymmetry

Our bodies are amazing 🙌 at compensating for the smallest of deviations. When they do, they will not send you an email to let you know that the correction is taking place. —-😤

Those compensation patterns eventually add up to undue tension and torque . Eventually that leads to your body contacting you with a message … that message is pain. How you answer your body back matters💥 #movehealchange

reposition retrain restore

Clients come to us all the time saying that they’ve been told that they’re ‘out of alignment.’  They’re constantly going back for adjustments & that they work really well – for a while! But they always ‘go out,’ & have to regularly go back to be readjusted!

Adjustments (or REPOSITIONS) are great. If they don’t stay in alignment then that’s not great! 👎What that treatment approach has is a POOR STICKINESS FACTOR! What’s their long term strategy❓ To keep going back❓ Over & over?❓Don’t you think that’s a bit silly⁉️

What YOU WANT . . . Dare we say what YOU NEED is a HIGH STICKINESS FACTOR‼️ What if we not only REPOSITION, but also RETRAIN⁉️Then you can RESTORE your ability to ‘_____.’💥

Now you DON’T need us. You need YOU! Oh . . . .you already own YOU & it’s FREE!🙌 Now that’s a great ROI!💰 #movehealchange

standing posture and low back pain

#Patterns. #Habits. 🍅. Tomahto. We look @ patterns & try to figure out WHY our clients come in ’stuck’ in certain patterns/habits. Sometimes they come in saying that they don’t know how to not do what you see here!🆘
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patterns of stance✅
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patterns of movement✅
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Some are optimal, but some need a bit of refinement. This ⬆️ pattern is the most common❗️Anterior pelvic tilt &/or forward shift of the hips. Compensatory anterior rib flare. Forward head posture. That’s just a super short list of the sagittal plane. What’s the ripple effect on the shoulders, neck, knee, ankle, foot, etc…?😲☢️
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You can tell someone to just ‘stand up straight’ or to ‘suck in their bellybutton,’ or to ‘put some weight through your heels.’ But that would not be very optimal now would it? I think that would be very 1999!#movehealchange

Single Limb Stance

This is a simple test yet so many people fail it when we assess them. SINGLE LIMB STANCE. This tells us a lot about how you stand and move. Do you see a pattern here? Hips forward & chest back😕
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I can guarantee that most of you know this ‘posture’ or ‘habit’ you see here is not ideal. But WHY?
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Because you’re not generating tension in the appropriate areas & are ‘hanging’ on your spine & hips instead of using appropriate bracing strategies. 👆
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What if …… you could LEARN HOW to do that without even thinking about it (#habit) – just think of the ripple effects that could have when you WALK (single limb stance 85% of the time😲) or RUN (single limb stance 100% of the time!😲) #movehealchange

Total-PT Hip Hinge

It doesn’t get more fundamental than the hinge… here are 4 variations that are great for teaching and training the hip hinge
1️⃣ PVC pipe hip hinge cuing neutral spine position

2️⃣ Banded pull through which adds resistance but encourages reaching the hips back and angling the torso down


3️⃣ Single leg hinge or RDL with PVC in the opposite arm as the standing leg to help with balance and also a counter reach forward as the non weight bearing leg reaches back


4️⃣ Single leg RDL with a long foam roller or short PVC as pictured to increase core engagement and tension through the system
#movehealchange