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

cervical disc herniation

Over the past 2 years I struggled with a herniated disc in my cervical region. During this time, I have seen multiple doctors and physical therapists. After my recent surgery, my doctor did refer me to Dimity due to problems I was still having and my active lifestyle. With little to no expectation based on prior PT experiences, I did make an appointment.

What I experienced was nothing I have experienced in the past. It was a comprehensive approach to healing. Not just treating the symptom, but treating the underlying imbalances within my body.

During my 4 sessions, we identified the underlying issues, strengthened my imbalances, and most importantly I learned how to maintain this state.

The results have been drastic and obvious and it has been an incredible experience.

I will never go back to a traditional physical therapist after meeting Dimitry.

plantar fasciits summit nj

Remember these beauties 👣 from about 1 mo. ago? She was the client with the Right over-supinated foot and 30+yr. history of Right groin pain who was told she needed orthotics for her ‘flat feet?’

This observation was NOT the main focus, but I decided to keep an out to see if this would change.
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3 sessions later & working on her hip movement, thorax, breathing patterns during dynamic motion & BAM! 💥
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R Foot looks real pretty now!🌟 No orthotics needed folks! 🙌 But lots of work near those hips 🍑yielded some pretty interesting results down the kinetic chain!

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Oh . . . .& that 30+yr. history of groin pain? Well … that’s now history as well!! Poof 💨

#movehealchange @totalptnj.

Neck Pain or Position Fault

2 sessions over a span of 2 weeks! Neck pain to NO PAIN!💥. Real work & real follow-through💪🏼. If WE work at this together then YOU can get THIS 🏆.

— Definitely NOT 3x/wk for 4-6 wks. w/different PT’s, hot packs, electric-stim, arm raises, neck circles, & ice all while reading In Touch Magazine & watching SportsCenter on TV . We DON’T give you this ☝️.

— Oh . . . & we also give you your TIME back!! 🙌. — You’re welcome 👋

This plate is up on our wall in our Summit office. Can you spot the #diaphragm? Why do we keep chatting about this mystery #muscle 💪🏼 ?

Note the arrows. . .

**R side is higher then the L. (Red)

**attachments to the back muscles (yellow).

**much larger anchor on the R side of lumbar side (green).


The diaphragm integrates a lot with many contractile and non-contractile tissues. It’s uneven set-up creates normal imbalances in the anatomy of the body – this creates undo torque that in-turn may cause you to compensate and move in abnormal patterns that you are not aware of.

If you don’t know how to breathe properly during specific movements then you are going to have a problem☝️
Do you know how to inhale and exhale properly when you are performing “_______?”

Being aware of how you stand is a BIG deal☝️. Of course it’s important to figure out WHY you’re not standing in the most optimal way, but 1st you need to bring attention 👀to the fact that their way isn’t exactly sustainable.

Most clients have no idea that they’re leaning forward/backwards, to one side or the other or hanging on one hip more than the other. To them – they feel upright 🗼 …. but as you can see here – its not always the case.

We often discuss ‘stacking’ of the ribs over the pelvis as one way of looking at creating a better center. What muscular patterns compliment that position?

What tissues create optimal tension that generates the necessary torque to position the body more optimally? 🙌 Those are all questions that we discuss in order find a solution to our cases.

ribs and pelvis alignment

We talk a lot about rib-cage position☝️, but the relevance of this simple. Your abdominals attach to these ribs. Check out your ribs! What’s their position? Do you see a pattern in these pics? 👀
If the ribs/thorax are not moving well then your abdominals will be under uneven tension.
That means that your Ribs and pelvis will not move well or reciprocate during functional movements like walking or 🏃‍.
Let’s fix that! 💥

Here’s what happens if you take the time! LEFT-sided lower back pain, LEFT-sided neck pain & LEFT-sided hip pain. Stance looks good, slow-motion #gait analysis shows RIGHT-sided hip deviation – find the #WHY & there goes her left sided hip, neck and back pain. Here @ @totalptnj we always focus on treating the #problems & then 💥go the #symptoms!

We have clients who come in with complaints of lower back pain and tight hamstrings quite often
These pictures were taken at the start and end of the session. The pictures were taken 60 min apart.
Suffice to say there was absolutely NO stretching that was performed during the session. There was plenty of education and breathing instruction that was conducted during the session.
Motor control training was also essential!