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 “_______?”
Sometimes you need to go waaay back to what set your foundation as a #physicaltherapist when you were still a bit of the new kid on the block! 🙌
Going back to my roots with some #mckenzieinstitute #cervical work did the trick this time out. 💥
Mid-line c7 pinching was no match for the work done today! Full range & no pain = 1 happy client 👏🎉
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.
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!
Can’t say enough good things about Dimitry and Total Physical Therapy. Dimitry created a customized program with an approach specific to my needs. I was dealing with a herniated disc and wanted to avoid surgery. After the initial assessment, Dimitry attacked my overall biomechanics that caused the issue. Within a few sessions the progress was incredible! Most importantly, I understood the “what” and the “why” and have been able to translate that into my day-to-day lifestyle. In addition, videos of everything we worked on gave me a virtual coach and easy reference to ensure progress between sessions.
I have received physical therapy in the past and the cookie-cutter approach it offers. After working with Total Physical Therapy, I now know why the issues was never full resolved. The best way I can articulate this is to say I kept putting new tires on a car with terrible alignment. So of course one side kept wearing down. There’s still work to do, but I am very confident that I now have the proper foundation in place. I am more excited than ever to try to tackle them with a body that is functioning as optimally as possible.
Thank you Dimitry & Total-PT!
HAPPY FRIDAY! Look at this handsome devil! 😊Haven’t see him in almost 3 years since his last complaint of L knee pain. Still amazes me what can happen to posture in under 90min. 👏 when the proper intervention is given. This guy’s got homework to do☝️, but his right-sided knee pain is now absent after 1 session! 💥
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Taking the time to assess properly & ask all the pertinent questions goes a long way in driving proper initial treatment. 🤓This means less treatment sessions. That means less 💰 wasted on treatments that don’t create lasting change! That is #efficiency!
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Guess I’ll see him back in another 3 years or so!🙌
Remember this guy? After his 3rd session we now have this: 😮
**no neck pain & no head tilt ✅
**full cervical aROM ✅
**level scapula (B) ✅
**relaxed lower back ✅
**relaxed arm position ✅
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What do you look like after YOUR 3rd session?☝️
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What do you FEEL like after your 3rd session?
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Best part of all of this is that he now KNOWS what to do to NOT have this happen again. Why? Because we’ve put in the TIME to learn & practice the exercises that he needs to maintain his posture!k
Front loading a squat provides counter balance to allow you to better sit into and load hips 🔹goblet or front squatting also recruits core and spine erector tension keeping the pelvis and rib cage better positioned reducing the temptation to anteriorly tilt. 🔹Squatting to a target gives you an end range cue to pause and […]