Tag: knee

Surgery Isn’t Your Only Option

Posted on by Michael Devon

It’s unfortunate that so many surgeons push surgery to correct injuries and pain brought on by mechanical dysfunction. Surgeons are crucial for emergency surgery, but when it comes to addressing bone malformations, joint replacements, spinal fusions, etc., they fix the joint at fault but don’t take into account what led the joint to get to that point in the first place, or how that newly fixed joint is going to mesh back into movement with the rest of the structure. Sometimes surgery fixes the issue you’re complaining about but creates another one.

Sometimes surgery is the only option, but if you’re like us and want to prevent surgery or approach rehabilitation from a non surgical route, then your training should address what is causing the problem. Exercise no longer has to be exercise to lose weight or sculpt a ripped physique. The right kind of exercise can provide rehabilitation to old injuries, while simultaneously building muscle where your body needs it, to prevent future injuries!

Don’t get trapped in the mindset that you need to exercise to lose weight (that’s mostly influenced by your dietary habits anyway) and then because you’re dealing with pain or suffering from an injury, you need to carve out more time to go to physical therapy. As mentioned, the evolved way of exercising takes into account therapy that the body needs to mitigate pain and injuries while you exercise.

But exercise can’t be performed the way you’ve always trained, or the way you see most others exercising or being trained, because those same exercises are likely leading to worse mechanics that cause your body to be more prone to injuries and deal with aches and pains. Exercise needs to be pinpointed to simultaneously build the strength and muscle you desire, to support your body, without causing poor movement patterns that lead the body to pain and injury that require surgery.

Circle back to why you need surgery in the first place, and what options you have to heal. Surgeons are always going to look at the problem and what surgery can do to fix it, occasionally you’ll get sent to physical therapy, but usually it only delays surgery or the surgeon will only see surgery as the only option to fix the issue. We want you to know, there are likely other options to fix the issue. Because sometimes the issue you complain about, isn’t the underlying issue. Sometimes it goes deeper than having knee pain and you need a new joint. Sometimes building a strong core and glutes will help support your pelvis better and influence the movement of force in the knee joint. Sometimes building a strong upper body will help your lower body move better, leading to less stress on the knee joint. Sometimes it’s a combination of things that improve the health of your knee joint. We work to get to the bottom of what your body needs to improve your overall health and function.

If you’re on the fence about surgery to fix an issue, you might want to consider the recovery from that. Using the knee for example, if the issue is with weak glutes or a weak upper body, surgery magically gives you a new knee joint, but if you don’t address the weakness in your body, in a few years you’ll be back in the same predicament. Your new joint will take the same force that your real joint used to take on because the rest of your body wasn’t built up to support your movements.

We are the only personal training studio in San Antonio that trains this way. We don’t like to call ourselves personal trainers because we get lumped in the category with the rest of the industry’s trainers. We are Functional Patterns Human Biomechanics Specialists. If you’re not familiar with Functional Patterns, look it up. It’s what sets us apart form the rest of the trainers out there and it’s the way we conduct our training sessions- to improve the current body you have, naturally and non invasively. For obvious reason we don’t display the corrective exercises that rehab your body, what you see on our website and social media is a tip of the iceberg of what we do. We only showcase the dynamic exercises that reinforce the corrective exercises we do behind the scenes.

Sure, it will take time, but with the work we put your body through, the results will last over time and not offer temporarily relief, but relief that is here to stay! Come find out more about our style of training and why it’s changing the fitness and rehab industry.

Functional Anatomy Part 2

Posted on by Michael Devon

In our previous blog we went into great detail highlighting the importance of what function means as it relates to your physical wellbeing. In this blog were simply going to teach what you need to know about your anatomy and how to move it so when you start training with us, you have a basic understanding!

Let’s first start off explaining the basics of spacial proximity, your body’s ability to sense where it’s at. This is important because to correct biomechanical dysfunctions, the brain has to have an understanding of where the body currently rests (or the posture it defaults to) and then learn how to control the body into a better position- to illicit proper muscle contractions, to support better alignment. You must understand how to move your structures forward (anterior), backward (posterior), and sideways (lateral), up (superior), down (inferior), in (adduct), and out (abduct). Once your know the general directions of how your body can and should be capable of moving, then we get into the specifics of micro directional changes of the structures themselves.

Imagine your skeleton, and now think about shifting your ribcage laterally to the right, like you’re trying to stretch your right side of your torso. Or think about shifting your pelvis laterally to the left, like you’re doing The Bump. Those are lateral shifts, but you can also shift your pelvis back (posteriorly), like sticking your butt back, or your ribcage forward (anteriorly), like you’re puffing out your chest. Shifts can apply to other parts of your body, but at the onset we focus on your ribs and hips, since these are two big structures that have influence of your upper and lower extremities. Shifts can also apply to your weight, you can distribute your weight back, in your heels, forward, in your toes, or left and right, as you lean heavier on one leg. In reference to our last blog, if someone’s skeleton is stuck in an anterior pelvic shift (hips humping the air in front of them) we’d first teach them (body and brain) how to shift their pelvis back, into a posterior pelvic shift.

The next structural change you need to understand is tilts. A posterior pelvic tilt and an anterior pelvic tilt are the most common, but tilts can apply to the ribcage as well. A posterior pelvic tilt is in reference to the back of your pelvis tilting down, like your tailbone rolling under you, like a dog tucking its tail between its legs. An anterior pelvic tilt would be the opposite, the front of your pelvis tilting down, like you’re untucking your tailbone. So if you’re stuck in an anterior pelvic tilt, initially we’d teach you how to posteriorly tilt your pelvis to start reprogramming better muscle function in your posterior chain to alleviate the pressure you feel in your lower back because your pelvis is jamming up into your spine.

Rotation is another function that your anatomical structures need to be capable of, especially because rotational forces drive our body during movement. Rotating your pelvis to the right, like your pulling the back of your right hip bone backwards and the front of your left hip bone forwards, creates a turn in your pelvis and activation in your glutes! The same can be said of rotating your ribcage to the right, think about pulling the back of your right should backwards and the front of your left shoulder forwards to create a turn of your ribcage and an activation in your obliques! Can you start seeing how learning to move your structures, can create an automatic muscle contraction? This is helpful because how we teach your to move your structures, is how your body actually moves those structures during basic human functions like walking. So you don’t have to think about squeezing a muscle when you’re busy moving about in the real world, because your structures have already been primed to move like that with the exercises we teach you. And when your structures move the way they should, and they aren’t stuck in a position, your muscles learn to contract to support the ebb and flow of positions that your body moves through, to move!

Flexion applies in most cases to your spine and your extremities (arms and legs). If you flex your elbow, think about doing a bicep curl or trying to touch the front of your shoulder with your palm. If you flex your hip, think about brining your knee up like you’re going to touch your chest. If you’re flexing your knee, think about bending your leg like you’re trying to touch your heel to your butt. If you flex your spine, think about hunching over and rounding your upper back.

Extension would be the opposite of flexion. Spinal extension would be like you’re lifting your chest up and leaning back. Arm extension would be like a tricep extension, or straightening your arm. Hip extension would be like you’re reaching your leg back behind your body. Knee extension would be like you’re straightening your knee, like you’re going to kick someone in front of you.

Adduction is moving toward your midline, like you’re crossing your right leg across your left leg when you kick a ball, or bringing your arms to your sides like a standing military position. An easy way to remember this is, you’re “adding” something to your body.

Abduction is the opposite of adduction, you move away from your body. Like you’re raising your arms up to make your body into a “T” or you kick your leg out to the side like a roundhouse kick. An easy way to remember this is, you’re taking away (“abducting”) something from your body.

Protraction is when you move a structure forward, in reference to your shoulder blades protracting, your scapulae are spreading away from your spine, like your shoulders are getting wider. If you’re doing a pressing motion with your chest, you would extend your arm straight and let your shoulder blades push forward.

Retraction is when you move the structure back, again when thinking about your shoulders blades, you’re pulling/pinning them back (not too much, but some is necessary), like you’re trying to stick your chest out. If you’re doing a pulling motion you would bend your arm and let your shoulder blade pull back as needed.

Additionally, elevation and depression are useful to understand when thinking about the shoulder blades again, you can lift them up (elevate) and pull them down (depress), to allow certain functions to happen in the rest of the shoulder girdle and arms. For example, if you’re reaching over head, you’d need to learn how to properly depress your scapula… too much can cause an adverse compression in your lumbar spine. Elevating them would be useful in other exercises to help activate your upper traps properly… but not just shrugging them like an old school bodybuilder… lol.

All of these are a simplified explanation of basic mechanics that we teach you and the more you understand, the more capable your body becomes. Just because it’s a function doesn’t mean it is a function that your body will need at the start. For example, if you’re stuck in an anterior pelvic tilt, we wouldn’t want you performing an anterior pelvic tilt because that is just confusing the brain and telling it to keep reinforcing the position you’re already stuck in. So functions need to be calculated to benefit your individual body and the way it needs to get better at specific movements. If you need help learning what will benefit your specific needs, contact us to set up your introductory session!