The power of words, and permanent damage....

    I love working with people, and I love helping them recover from injuries and chronic pain. It's actually not that complicated, and my clients are often amazed (and delighted) to experience how easy and effortless it is to heal from pain.

    I recently worked with a young woman who was experiencing persistent neck pain after a car accident. After just a few weeks, her pain dramatically decreased, her cervical range of motion improved, her energy increased and she was able to return to work full time. Even better, she got a spark in her eye, a spring in her step, and her remarkable wit and sense of humor returned. 

    I was stunned when she came back to my office two weeks after we both decided that she didn't need any more help. She was in tears, extremely depressed and in severe pain. Alarmed, I asked her what happened. She told me she had returned  to her physician for a follow up assessment which included more cervical x-rays. Her physician looked at the films, showed them to her, and informed her that she may have permanent damage as a result of the accident. Yikes! Even my neck began to hurt.

    I wanted to scream and pound my head against the wall in frustration, but I figured that wouldn't do either one of us any good. Besides, my own neck was starting to hurt and I knew that would only make it worse. I kept my expression as neutral as possible, and reminded her that she had been pain free for weeks, had regained her strength, range of motion and had returned to all of her functional and recreational activities. She burst into tears and wailed, "But that was before I knew I had permanent damage!" Uh-oh.

    I pointed out that her doctor said that she may have permanent damage; he didn't say that she definitely did have permanent damage. Through her tears she explained that she saw the x-rays herself and they looked "pretty bad". Surprised, I asked her if she had ever seen an x-ray before. She hadn't, but she assured me that it looked awful. Sheesh!

    I know her doctor and I have a great deal of respect for him. However, as a practitioner, I believe that we have to be careful how we choose our words. An unfortunate choice of words can transform you from someone who is healing into someone who has no hope of ever recovering. I know, I've been there myself. A poor choice of words can take away your power and render you helpless. Words matter; they can heal or harm, encourage or destroy, empower or devastate. They can even cause permanent damage. Choose them carefully.


Be healthy!
Cheryl Ilov, PT, GCFP

Free your neck...

    I remembered this helpful tip when I strained my neck last week. Give it a try and see if it can help you, too. For the sake of simplicity, I will give instructions for working with the left side of your neck. However, feel free to turn the directions around to work with the right side if you wish.

    1) Sit on the edge of a firm chair with your feet on the floor. Slowly and gently turn your head side to side. Notice how far you can easily turn without stress, strain, or the feeling of tension. Pay attention at what point the tissues of your neck begin to tell you to stop moving. Do not go beyond that point.

    2) Take your right arm across your chest and place your right hand gently on the left side of your neck. Keep your thumb together with your fingers. Gently explore the soft tissue of your neck and shoulder. Don't press or dig into the tissues. Experience the sensation of your hand touching your neck and your neck touching your hand. Take the time to allow your hand to fully connect with your neck and shoulder. Explore the size, shape and contours of your neck and shoulder. Lower your arm. Stop and rest.

    3) Place your right hand to the left side of your neck. Gently lift your shoulder toward your ear and lower your shoulder back down. Slowly, gently, lift and lower your shoulder. Many times, very slowly, making small movements. Let your hand explore the changing shape of your neck and shoulder. Stop. Lower your arm and rest.

    4) Place your right hand to the left side of your neck. This time, as you lift your shoulder to your ear tilt your left ear toward your shoulder. You are bringing your ear to your shoulder and your shoulder to your ear, then return. Slowly, gently, many times. Your right hand provides comfort and support as you bring your ear and shoulder toward each other and back to your resting position. Listen to the quality of your movement as you make your movements small and slow. Stop, lower your arm, and rest.

    Notice the sensations in your neck and shoulder. Slowly and gently turn your head side to side. How does it feel different now? What is the quality of movement as you turn your head side to side? Is it easier to turn your head? How do your shoulders feel?

    The ability to "listen" to yourself unlocks the key to self care, self help, managing stress and taking control of your own life. This goes beyond the physical discomfort that we all experience at different times in our lives, but extends into the mental, emotional and psychological aspects as well. This level of awareness allows us to take care of ourselves when appropriate. It directs us to ask for help when indicated. It gives us the wisdom to know the difference.


Be healthy!
Cheryl Ilov PT, GCFP

Unlock your jaw....

    A lot of people experience neck pain, jaw pain, tooth pain, headaches and TMJ dysfunction. The pain can become debilitating and incapacitating, resulting in a diminished quality of life. However, the cause may be as simple as holding excess tension in your face and jaw, and can be easily corrected. How? Try this simple but highly effective movement exploration based on The Feldenkrais Method(R).

    1) Lie on the floor on your back with your knees bent or your legs straight, whichever is more comfortable. In the spirit of making yourself comfortable, you may need to support your head with a folded towel. Don't use a pillow, it is too soft to provide your nervous system with the appropriate feedback (proprioception). Bring your attention to your face, neck and jaw. Does your neck feel tight? Does your mouth and the muscles of your face feel tense? Are your teeth touching?  Don't try to change or "fix" anything, and don't place any judgement on what you are sensing. Just be aware.

    2) Slowly begin to open and close your mouth. Don't open all the way; just make the movement small, smooth, soft and easy. Do not bring your teeth together as you close. Get comfortable with the sensation of your mouth being closed without having your teeth together. Take a brief rest. Continue the gentle movement of opening and closing your mouth in a smooth, continuous, rhythmical way. Stop and rest.

   3) Slightly  open your mouth and gently take your lower jaw a little to the left. Again, slowly and rhythmically  open and close your mouth without allowing your teeth to come together. Pay attention to the joint of your jaw, which is located just in front of the opening of your ear. How can you make this simple little movement more smooth and easy? If you hear a clicking of your jaw, or you experience and pain or discomfort, make smaller and smaller movements until you find a range of movement that is comfortable for you.  Stop and rest.

   4)  Again, open your mouth slightly, take your lower jaw a little to the right and continue the gentle opening and closing of your mouth in a comfortable range of movement. You may want to take a moment to compare the 2 sides of your jaw and how they move. Do they move differently? Again, not to judge, but just to pay attention. Stop and rest.

    5) One last time, return to just opening and closing your jaw as you did at the beginning of this movement exploration. How does it feel now? How is it different than when you first began? Stop. Bring your attention to your face, neck and jaw. How does your neck feel now? What about your mouth and the tension in your face? Are your teeth touching?  Stop.

    Often times our aches and pains are a result of simply holding excess tension in our muscles and joints. After a period of time, these faulty movement patterns can result in excruciating pain, joint dysfunction and joint destruction. This simple movement exploration will help you unlock your jaw, relax your neck and shoulders, and can be done anytime you're feeling stressed. It can also help you fall asleep more easily if you have occasional insomnia. Discover The Feldenkrais Method(R) and learn how to decrease aches and pains, improve the quality of your movement and the quality of your life!

Be healthy!
Cheryl Ilov, PT, GCFP

Effortless posture......finding your spine.

    Good posture is effortless. No, this isn't a typo; it's the truth. And the key to effortless posture is to find a way to let your spine support you. Our spines are designed with natural curves that support us during all weight bearing activities. Unfortunately, sometimes our ideas about finding "good posture" causes us to try and change the natural curves of our spines. The result? Abnormal alignment, muscle imbalances, back and neck pain. 

    So, how can we find the natural curves of our spine? Try this simple movement exploration based on The Feldenkrais Method(R). It's important to move slowly, carefully, and with a spirit of interest and curiosity. Remember, in Feldenkrais(R) lessons, there is no right or wrong, good or bad; just opportunities to learn. 

     1). Sit on the edge of a firm chair with your feet flat on the floor. Bring your attention to your sit bones (located under each buttock and called the ischials). Notice how your sit bones contact the chair. Notice the shape of your spine......don't change it, fix it, or make a judgment about it. Simply take a moment to sense the shape of your spine from the base of your pelvis to the top of your head.

     2). Very, very slowly and gently begin to rock your pelvis forward and backward on the chair. You are moving from your pelvis, not your chest. Notice how you rock more forward on your sit bones, and then more backward on your sit bones. Do this several times, slowly, carefully, and with a sense of curiosity. Notice how the pressure of your sit bones change against your chair. Pause and rest.

     3). Once again begin rocking your pelvis forward and backward. Slowly. Gently. Notice how you get shorter on the front of yourself and longer on the back of yourself as you rock backward on your sit bones. Notice how that changes when you go forward on your sit bones. Several times, slowly, gently. Notice how you breathe as you do this. Pause and rest.

     4). Once again begin rocking your pelvis and notice when your sit bones pass through a spot where you feel like you can sit easily and comfortably. If you can sit without any effort your spine is supporting you. You have found effortless posture in sitting.

     5). Slowly come to standing, and notice what it feels like to be in a standing position. Notice the shape of your spine. Walk around and notice the carriage of your head, the movement of your shoulders and the movement of your pelvis as you walk. 

      This simple but powerful movement exploration can help you find a renewed sense of ease, grace, youthfulness and elegance in your posture as well as all of your functional and recreational activities. The Feldenkrais  Method(R)....making the impossible possible, the possible easy, and the easy elegant!

      

 Be healthy!
Cheryl Ilov, PT, GCFP