Core Stability: The Exit Strategy Out of Pain<\/strong><\/span><\/h2>\n![\"\"](\"http:\/\/l_new.local\/wp-content\/uploads\/core-stability-photo.jpg\")
<\/p>\n
<\/h3>\nBy: Lori Duncan, DPT, MTC, CPT<\/strong><\/h3>\n <\/p>\n
Pain is not awesome. There is no one in the world that wakes up and thinks: \u201cGosh, today I hope I\u2019m in a lot of pain.\u201d Unfortunately, we all get pain at some point and it doesn\u2019t always have to be viewed as such a negative. Understanding the role of pain may give some clarity and purpose to this stigma-word.<\/p>\n
Why do we get pain? Pain is a signal from our brain that something is not quite right. Whether that is because you stubbed your toe on the wall or have just been through surgery, pain does serve a purpose. It makes us pay attention, take stock of what\u2019s going on and proceed with caution. Pain is not always bad information from our brain to body.<\/p>\n
But, we\u2019ve entered this realm where people don\u2019t want to feel or understand their pain. So, they either \u201cpush-through\u201d or ignore the pain, or numb it down with opiates. Neither of these are great options in the long-term. As I tell my patients: \u201cThere is no push through pain, it\u2019s called compensation.\u201d And as for opiates\u2026sadly we are in the middle of an opioid epidemic that continues to worsen. We can do better.<\/p>\n
Here\u2019s what we know from pain research. Pain does a funny thing to our brain\u2014it confuses it. And when the brain is confused so is our body.<\/p>\n
The state and health of our body movement is a direct reflection of what is going on in our brain.<\/em><\/p>\nIn a painful state, the brain tries to compensate with different muscles, altered neuromuscular patterns and anything else to keep us moving. We begin to use our big muscles for small movements. We start to employ our lifting and pushing strategies for daily function. While this is occurring, pain is quickly shutting down our stabilizing muscles.<\/p>\n
Let\u2019s consider someone with neck pain. The Upper Trapezius is hypertonic, tight and tender. The deep neck flexors are asleep. The brain is confused and trying to use the Upper Trap\u2014a neck and shoulder mover\u2014as a stabilizer at the cervical spine. Well, that\u2019s just a hot mess.<\/p>\n
But, here\u2019s the good news. Our body always has the potential to feel better. Always! And, at any age. It may not be perfect, but it can <\/em>be improved. If we start with a key concept we learn as children, we can pattern the body out of pain. What is this key concept? Stability with mobility.<\/p>\nPilates just happens to be brilliant at teaching this concept.<\/em><\/p>\nThink of a new born baby. When a baby is born they are very mobile and require an adult to provide stability to their fragile body. Around 6 months, a baby will start to sit up for lengths of time, a development phase that indicates they are working on trunk stability.<\/p>\n
A few months later (around 8-9 months old), a baby will sit and begin to reach for a toy outside their periphery. This is stability with mobility. Imagine if that baby had never worked on trunk stability for a few months. They would fall over.<\/p>\n
As we age, we don\u2019t fall over, we compensate. And compensation always leads to pain.<\/em><\/p>\nHaving core stability and learning the concept of stability with mobility is THE KEY<\/em> for lifelong healing, pain-free function and optimal sports performance.<\/p>\nJoin me for my lab-based course Strengthening Core Stability<\/strong><\/a>. <\/em>It\u2019s an interactive and fun day to learn the true scope, power and depth of the core. Over 50 exercises are practiced and the Pilates Principles are applied to any exercise or movement. It\u2019s a class that will help any patient move and feel better in their body. And, having core stability decreases fall risk and increases patient safety. Hope to see you at a course soon!<\/p>\nAbout the Author: Lori Duncan, DPT, MTC, CPT is a respected Physical Therapist, Manual Therapist and Pilates instructor in Lafayette, CO. Lori is passionate about preventive physical therapy and education and is a nationally recognized presenter. She can be reached at\u00a0lori@duncansportsPT.com.\u00a0You can also follow Duncan Sports Therapy + Wellness on\u00a0Facebook<\/a>\u00a0&\u00a0Instagram<\/a>\u00a0for more free tips and information.<\/p>\nThis post was inspired by October representing National Physical Therapy Month and the APTA\u2019s #ChoosePT campaign. #Choose PT is a campaign to raise awareness of physical therapy as a safe and effective alternative to opioids for treatment of chronic pain conditions.<\/em><\/p>\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"
Core Stability: The Exit Strategy Out of Pain By: Lori Duncan, DPT, MTC, CPT Pain is not awesome. There is no one in the world that wakes up and thinks: \u201cGosh, today I hope I\u2019m in a lot of pain.\u201d Unfortunately, we all get pain at some point and it doesn\u2019t always have to […]<\/p>\n","protected":false},"author":31,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","om_disable_all_campaigns":false,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[127],"tags":[],"class_list":["post-5878","post","type-post","status-publish","format-standard","hentry","category-physical-therapy"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/posts\/5878"}],"collection":[{"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/users\/31"}],"replies":[{"embeddable":true,"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/comments?post=5878"}],"version-history":[{"count":2,"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/posts\/5878\/revisions"}],"predecessor-version":[{"id":5881,"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/posts\/5878\/revisions\/5881"}],"wp:attachment":[{"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/media?parent=5878"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/categories?post=5878"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/tags?post=5878"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
<\/p>\nBy: Lori Duncan, DPT, MTC, CPT<\/strong><\/h3>\n <\/p>\n
Pain is not awesome. There is no one in the world that wakes up and thinks: \u201cGosh, today I hope I\u2019m in a lot of pain.\u201d Unfortunately, we all get pain at some point and it doesn\u2019t always have to be viewed as such a negative. Understanding the role of pain may give some clarity and purpose to this stigma-word.<\/p>\n
Why do we get pain? Pain is a signal from our brain that something is not quite right. Whether that is because you stubbed your toe on the wall or have just been through surgery, pain does serve a purpose. It makes us pay attention, take stock of what\u2019s going on and proceed with caution. Pain is not always bad information from our brain to body.<\/p>\n
But, we\u2019ve entered this realm where people don\u2019t want to feel or understand their pain. So, they either \u201cpush-through\u201d or ignore the pain, or numb it down with opiates. Neither of these are great options in the long-term. As I tell my patients: \u201cThere is no push through pain, it\u2019s called compensation.\u201d And as for opiates\u2026sadly we are in the middle of an opioid epidemic that continues to worsen. We can do better.<\/p>\n
Here\u2019s what we know from pain research. Pain does a funny thing to our brain\u2014it confuses it. And when the brain is confused so is our body.<\/p>\n
The state and health of our body movement is a direct reflection of what is going on in our brain.<\/em><\/p>\nIn a painful state, the brain tries to compensate with different muscles, altered neuromuscular patterns and anything else to keep us moving. We begin to use our big muscles for small movements. We start to employ our lifting and pushing strategies for daily function. While this is occurring, pain is quickly shutting down our stabilizing muscles.<\/p>\n
Let\u2019s consider someone with neck pain. The Upper Trapezius is hypertonic, tight and tender. The deep neck flexors are asleep. The brain is confused and trying to use the Upper Trap\u2014a neck and shoulder mover\u2014as a stabilizer at the cervical spine. Well, that\u2019s just a hot mess.<\/p>\n
But, here\u2019s the good news. Our body always has the potential to feel better. Always! And, at any age. It may not be perfect, but it can <\/em>be improved. If we start with a key concept we learn as children, we can pattern the body out of pain. What is this key concept? Stability with mobility.<\/p>\nPilates just happens to be brilliant at teaching this concept.<\/em><\/p>\nThink of a new born baby. When a baby is born they are very mobile and require an adult to provide stability to their fragile body. Around 6 months, a baby will start to sit up for lengths of time, a development phase that indicates they are working on trunk stability.<\/p>\n
A few months later (around 8-9 months old), a baby will sit and begin to reach for a toy outside their periphery. This is stability with mobility. Imagine if that baby had never worked on trunk stability for a few months. They would fall over.<\/p>\n
As we age, we don\u2019t fall over, we compensate. And compensation always leads to pain.<\/em><\/p>\nHaving core stability and learning the concept of stability with mobility is THE KEY<\/em> for lifelong healing, pain-free function and optimal sports performance.<\/p>\nJoin me for my lab-based course Strengthening Core Stability<\/strong><\/a>. <\/em>It\u2019s an interactive and fun day to learn the true scope, power and depth of the core. Over 50 exercises are practiced and the Pilates Principles are applied to any exercise or movement. It\u2019s a class that will help any patient move and feel better in their body. And, having core stability decreases fall risk and increases patient safety. Hope to see you at a course soon!<\/p>\nAbout the Author: Lori Duncan, DPT, MTC, CPT is a respected Physical Therapist, Manual Therapist and Pilates instructor in Lafayette, CO. Lori is passionate about preventive physical therapy and education and is a nationally recognized presenter. She can be reached at\u00a0lori@duncansportsPT.com.\u00a0You can also follow Duncan Sports Therapy + Wellness on\u00a0Facebook<\/a>\u00a0&\u00a0Instagram<\/a>\u00a0for more free tips and information.<\/p>\nThis post was inspired by October representing National Physical Therapy Month and the APTA\u2019s #ChoosePT campaign. #Choose PT is a campaign to raise awareness of physical therapy as a safe and effective alternative to opioids for treatment of chronic pain conditions.<\/em><\/p>\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"
Core Stability: The Exit Strategy Out of Pain By: Lori Duncan, DPT, MTC, CPT Pain is not awesome. There is no one in the world that wakes up and thinks: \u201cGosh, today I hope I\u2019m in a lot of pain.\u201d Unfortunately, we all get pain at some point and it doesn\u2019t always have to […]<\/p>\n","protected":false},"author":31,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","om_disable_all_campaigns":false,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[127],"tags":[],"class_list":["post-5878","post","type-post","status-publish","format-standard","hentry","category-physical-therapy"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/posts\/5878"}],"collection":[{"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/users\/31"}],"replies":[{"embeddable":true,"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/comments?post=5878"}],"version-history":[{"count":2,"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/posts\/5878\/revisions"}],"predecessor-version":[{"id":5881,"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/posts\/5878\/revisions\/5881"}],"wp:attachment":[{"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/media?parent=5878"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/categories?post=5878"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/tags?post=5878"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
In a painful state, the brain tries to compensate with different muscles, altered neuromuscular patterns and anything else to keep us moving. We begin to use our big muscles for small movements. We start to employ our lifting and pushing strategies for daily function. While this is occurring, pain is quickly shutting down our stabilizing muscles.<\/p>\n
Let\u2019s consider someone with neck pain. The Upper Trapezius is hypertonic, tight and tender. The deep neck flexors are asleep. The brain is confused and trying to use the Upper Trap\u2014a neck and shoulder mover\u2014as a stabilizer at the cervical spine. Well, that\u2019s just a hot mess.<\/p>\n
But, here\u2019s the good news. Our body always has the potential to feel better. Always! And, at any age. It may not be perfect, but it can <\/em>be improved. If we start with a key concept we learn as children, we can pattern the body out of pain. What is this key concept? Stability with mobility.<\/p>\n Pilates just happens to be brilliant at teaching this concept.<\/em><\/p>\n Think of a new born baby. When a baby is born they are very mobile and require an adult to provide stability to their fragile body. Around 6 months, a baby will start to sit up for lengths of time, a development phase that indicates they are working on trunk stability.<\/p>\n A few months later (around 8-9 months old), a baby will sit and begin to reach for a toy outside their periphery. This is stability with mobility. Imagine if that baby had never worked on trunk stability for a few months. They would fall over.<\/p>\n As we age, we don\u2019t fall over, we compensate. And compensation always leads to pain.<\/em><\/p>\n Having core stability and learning the concept of stability with mobility is THE KEY<\/em> for lifelong healing, pain-free function and optimal sports performance.<\/p>\n Join me for my lab-based course Strengthening Core Stability<\/strong><\/a>. <\/em>It\u2019s an interactive and fun day to learn the true scope, power and depth of the core. Over 50 exercises are practiced and the Pilates Principles are applied to any exercise or movement. It\u2019s a class that will help any patient move and feel better in their body. And, having core stability decreases fall risk and increases patient safety. Hope to see you at a course soon!<\/p>\n About the Author: Lori Duncan, DPT, MTC, CPT is a respected Physical Therapist, Manual Therapist and Pilates instructor in Lafayette, CO. Lori is passionate about preventive physical therapy and education and is a nationally recognized presenter. She can be reached at\u00a0lori@duncansportsPT.com.\u00a0You can also follow Duncan Sports Therapy + Wellness on\u00a0Facebook<\/a>\u00a0&\u00a0Instagram<\/a>\u00a0for more free tips and information.<\/p>\n This post was inspired by October representing National Physical Therapy Month and the APTA\u2019s #ChoosePT campaign. #Choose PT is a campaign to raise awareness of physical therapy as a safe and effective alternative to opioids for treatment of chronic pain conditions.<\/em><\/p>\n [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":" Core Stability: The Exit Strategy Out of Pain By: Lori Duncan, DPT, MTC, CPT Pain is not awesome. There is no one in the world that wakes up and thinks: \u201cGosh, today I hope I\u2019m in a lot of pain.\u201d Unfortunately, we all get pain at some point and it doesn\u2019t always have to […]<\/p>\n","protected":false},"author":31,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","om_disable_all_campaigns":false,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[127],"tags":[],"class_list":["post-5878","post","type-post","status-publish","format-standard","hentry","category-physical-therapy"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/posts\/5878"}],"collection":[{"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/users\/31"}],"replies":[{"embeddable":true,"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/comments?post=5878"}],"version-history":[{"count":2,"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/posts\/5878\/revisions"}],"predecessor-version":[{"id":5881,"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/posts\/5878\/revisions\/5881"}],"wp:attachment":[{"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/media?parent=5878"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/categories?post=5878"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/tags?post=5878"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}