Morning Mindful Mobility YouTube Playlist

Hello beloveds!

I want you living your healthiest life (LYHL), and of course, that involves you moving your healthiest and most capable. Daily mobility is a wonderful contemplative practice that puts you in tune with your body, while helping you actually become stronger, more mobile, more coordinated, have better endurance, experience better posture and endurance.

It’s hard to know what to do. I’ve seen this in my 17 years as a PT. You have been failed by your sports teams, and health class, and physical education classes. I’m here to fill in the gap. Subscribe to the Artisan Physical Therapy channel and to the “Morning Mindful Mobility” Playlist to follow along during your morning routines to get a full body workout and different options for each day to help you reach your potential.

Click here —> APT Morning Mindful Mobility Playlist

Bonus if you do your mobility in the morning and double bonus if you do it outside. Interested in joining live? Join the Morning Mindful Mobility mailing list by emailing me the subject line: Mobility Mailing List

Here to help you live your healthiest life. Let’s LYHL!

May you always see the blessing.

Dr. LYHL (Dr. Elle)

Morning Mindful Mobility

It’s been a long time coming, but I’m pleased to launch a view into my personal healthcare routine. My goal is to help you live your healthiest life (to LYHL). To do this, movement is key and doing it with presence and awareness. Our body is part of us and not to be used nor abused.

Have you wanted to know how to have a regular whole-body stretching routine? A whole-body active mobility? Have you been wanting a quick, helpful routine to start your day and incorporate your mind, body and spirit? Do you sense you have muscle imbalances and weakness, but aren’t sure how to identify them? Then this series is for you!

On the APT YouTube channel, you can now find episode 1 of “Morning Mindful Mobility.” You can follow along as Dr. Elle Bottrell uses her 25 years of study of the human body and applies her physical therapy knowledge to guide through helpful body movement to ensure you aren’t unnecessarily getting stiff and developing poor posture, weaknesses, and limitation from your daily life. Our body is very adaptable so we need to be conscious about these adaptations and put in thoughtful challenges.

Dr. Elle (aka Dr. LYHL) has found that many of her patients, clients, and people she meets don’t know how to do basic things like stretching and mobility work AND it’s not their fault. They were not properly taught in gym class or on their sports teams or in their movement groups.

Seeing people needlessly in pain or moving poorly is frustrating, so Dr. Elle is turning the camera on herself to show you what she does (hint - it’s different every day, but with common threads). She responds to what her body tells her and she wants to teach you to do the same - some days are more gentle and laying down, some are bigger movements and require more muscle activation and lead to strength gains.

Let her know what you think and send to someone you know who may benefit from this:

May you always see the blessing.

Dr. Elle (Dr. LYHL)

Healthy Living

What is healthy living? Someone asked me recently if I’m the healthiest I’ve ever been.

My reply was "no." I said no because I used to trail run long distances previously and now I can’t/don’t. I'm not in shape to run 21 miles through mountains at high elevation. I'm not able to do an olympic distance triathlon at this time. So no, I’m not the healthiest since I used to be able to do those previously.

Pause.

With some reflection, I realized how narrow my response was. I only addressed musculoskeletal fitness and conditioning in my answer. And even within that answer I'm not sure I answered it fully. What about the mobility work and physical therapy I am doing to address long-standing mobility issues and imbalance in my neck, upper back, and shoulder? What about the work I am doing on my core and deep stabilizing muscles? What about the work I am doing on my hamstrings and glutes to strengthen them and address front to back thigh and hip imbalances and thus reduce the likelihood of injury to my knees and back?

Often moving forward feels initially like taking steps backwards.

I don't believe that health is simply our physical bodies. What about my mental, emotional and spiritual health? What about my diet, my digestion, my mood, my relationships, my interactions with work, my sleep, ability to communicate, my generosity? In these areas, I am healthier than ever, and significantly so. That is not insignificant. I am living a very satisfying, rewarding, and peaceful life. And it took work to get to this healthy place.

It was striking to me how limited my view was when initially considering my response to: “Am I the healthiest I’ve even been?”. I believe so much in integrated health. I know that there is complex and little understood interplay between these areas. I preach this to my patients, clients, students, friends and anyone listening. I believe that anything I want to impart to others, I need to first inhabit. “Do as I say, not as I do”, doesn't deliver.

But wow, not only did I not think about my full physical body - sleep, strength imbalances, stiffnesses, muscle activation issues. I considered performance in my answer. I have long known that performance and health are different things. Often doing the healthy thing means doing less. And this is remarkably hard to do in our culture. Our society screams - DO MORE, ACHIEVE, ACQUIRE! But deep, deep health comes from knowing our body and this requires sufficient slowing down to learn to hear and understand the voice of your body. I have long served as an interpreter and guide for physical therapy patients to know what their body is speaking to them. Teaching them - “motion is lotion.” Helping them release - “pain is weakness leaving the body.” Our body is us, so we need to not separate ourselves from it, but our body is also not the only thing we are.

When I partner with patients and clients, I frequently suggest that their path to greater health might be doing less of a certain thing so they can focus on underlying problems and direct space, time, and energy to address them. We struggle frequently to do the behaviors that are most helpful for us.

What do you think it means to live your healthiest life?

What healthy habits do you struggle to incorporate into your routine?

What resources are you accessing to help you LYHL?

How would a coach benefit you with this goal?

Dr. Elle

Coaching? Coaching!

Yes, coaching is available for you via phone call or video, making it globally accessible. How can you take part?

Visit www.theellebottrell.com/coaching and request a session or buy a 6-pack for a discount.

What kind of coaching is this? It’s LYHL Coaching. It’s purpose is to help you Live Your Healthiest Life (LYHL). Health is integrated. Our musculoskeletal health is important - so places such as Artisan PT are important. But our health is not just physical. It’s also behavioral, mental, emotional, spiritual.

LYHL Coaching offers a place where you can explore all these domains by identifying your desires and goals, barriers and beliefs that are limiting you, and next steps you can take to bridge the divide between these two, by forging a path. Yes, you have to forge your own path. Fully optimized health takes you listening deeply to yourself. No one else can do that for you. But a guide to partner with you in the process can be invaluable.

Are you ready to take the next step to integrated health? Are you ready to LYHL?

Happy Holidays

The clinic and office are closed for the remainder of 2022. The next clinic visits will be for early January 2023.

I hope you enjoy this holiday season, if not for the holidays, for the beauty all around you. If you have good habits of self-care, continue those through the holidays. If your self-care habits could use some expansion then do just that, but take it easy on yourself and begin meaningful and attainable strategies. Some options you can choose from include: drink a pint more water each day, go on a 20 min walk outside each day, eat one more piece of fruit than you typically do, don’t set the alarm for the morning and let yourself sleep in if you’re body decides that, check in on your breathing and take 20 breathes emphasizing your diaphragm.

My purpose and the goal of APT is to help you live your healthiest life.

Drop a comment on how you plan to LYHL this holiday season.

I plan to do LYHL this holiday season, by emphasizing sleep, active time in nature, hydrating well, and doing creative activities.

May you always see the blessing.

See you in 2023!

Dr. Elle

An Invitation and a New Bike Ride

Do you like the outdoors? Do you like bikes? Do you ride? Do you mountain bike? Do you like gear? This video might just be for you then!

Elle just got a, new to her, mountain bike and just got out for her first ride! See what she thought and get an overview of her new steed, Tori the Trek. See some modifications she made and learn what she plans to do in the future. Get a female mountain biker perspective.

Physical therapy is something I’m passionate about, and it’s not the only thing I’m passionate about. I created a new webpage this year that can be a bit more wholistic. It includes writing, photography, self-growth, , wellness, adventure, inspiration, creativity, and even gear reviews/insights. This video is from TheElleBottrell youtube channel. I’d encourage you to visit and subscribe to the channel and visit www.theellebottrell.com. You can subscribe to the blog or lists to get updates about non-PT projects I’m working on.

Stay tuned for a time lapse video of me doing initial changes to be able to ride: changing pedals and handlebar length, travel/adventure videos, poetry and more!

Have fun out there moving!

Partner with Elle to LYHL - live your healthiest life!

Clean Eating Test Run

In this video, Elle discusses the intersection of clean eating, running, and overall health.

You will want to watch this video for tips, insights, encouragement, and positivity for your health journey. Learn how nutrition helps with pain, inflammation, exercise, headaches, energy, focus, healing, fitness, wellness, running and beyond. APT's goal is to partner with you to live your healthiest life. LYHL!

Sorry for the 2 week lag in getting it here on the blog and APT website. Leave a comment or question below. How healthy do you eat? What does healthy eating look like for you? Did you run? Trail or mountain run?

Coaching is available worldwide to help you live your healthiest life.

Join us on Instagram: @artisanphysical and @theellebottrell or on Facebook: @artisanphysical and @theellebottrell

See more from Elle at www.theellebottrell.com

Preventing Rock Climbing Hand & Tendon Injuries: Part 3 - Dynamic Hang Boarding - Bottom Up

How do you hangboard? Are you a long-time rock climber who wants to climb for a lifetime? A beginner climber who wants to train right and train smart to prevent injury? Are you currently side-lined due to a tendon or pulley injury in your hand and want to know how to rehabilitate it? Are you scared by witnessing your friends get sidelined from finger injuries for months or years and you want to do what you can so this doesn’t happen to you?

https://youtu.be/NuPYYDr0MB8


This is a long-awaited Part 3 to our video series about preventing rock climbing finger, pulley, and tendon injuries in the hand. Make sure to watch videos Part 1 & Part 2, if you haven't already, in which Dr. Elle explains why injuries commonly occur in the hand and tendons/pulleys of the hand, how your technique may be contributing to this, and why strengthening your hand, not just your forearm is important for preventing this and rehabilitating injuries here.

In this climbing training video, Dr. Elle addresses a common training error in hang board training - when climbers only hang statically. Climbing is not static and the abrupt movements in climbing are associated with injury, especially when projecting a route or problem, when fatigued, and when under-trained - all of which are common. You need to bridge that gap in your training. Here is a bottom up way to improve your hangboard training to include more dynamic load to your fingers and make them more resilient to injury.

Comment below with any questions and let Dr. Elle know what questions you have. This shelter-in-place is a great opportunity to train weaknesses and correct imbalances in your body to get you climbing healthy for a lifetime.

Make sure to subscribe to our YouTube channel to not miss any of our educational videos.

TELEHEALTH for You!

Let’s get right to the point. The world is changing. Our health and the people around us are the most important thing. Even with social distancing and shelter in place or even quarantining if you are having mild COVID-19 symptoms, you can advance your health.

At Artisan Physical Therapy & Wellness, we offer both physical therapy and injury prevention programs. For physical therapy we help athletes and regular folks get back to their favorite sports and fitness routines, but can also help you if your goal is to get through the day sitting with back pain or you want to get rid of that heel and arch pain during those first few steps of the day or that shoulder pain in those certain positions reaching overhead and behind you. We have the expertise for all this and can work on multiple areas within one session.

While our physical therapy is limited to California and Oregon residents only, we offer wellness and injury prevention education and services for folks throughout the US and even globally.

Yes, we can help you live a healthier life even if you live in the Midwest, Pacific Northwest, New Zealand, Brazil, or Ireland. We offer wellness consultation worldwide! We do this specifically for rockclimbers and runners, but we can make sure you are healthy to get in a lifetime’s worth of laps at the pool, chasing your kids or grandkids, hiking the El Camino, or playing competitive ultimate frisbee. We are movement analysis experts and exercise prescription and can do this over video remotely. A good portion of the injuries we see come from good intentions, but lack of knowledge. We can give you the knowledge to prevent injuries before they even occur! Healthy for a lifetime. As our seasons of life change and physical goals and demands change, our self-care and fitness routines need to change too in order to optimize our health. Bring us your questions and let us help you answer them!

Honored to partner with you to keep you healthy for a lifetime.

Elle

Tuesday Tune-up: Non-weightbearing Gluteus Medius Conditioning superset

Really want to get your hips strong for walking, hiking, running and any sports that require you to be on one leg? These exercises are for you! Injured and limited in your running abilities? Do these to be ready to hit the ground running? Want to fatigue less easily and be less likely to get injured while running? This superset of gluteus medium non-weightbearing endurance and motor control exercises will get you well on your way. Bonus it will also work on your back stability, strength, conditioning, control, and endurance! Yes!

Be aware, this is not a beginner exercise, but helpful for those looking to take their health to the next level of endurance and more thorough strength. Reach out to Artisan PT for a remote wellness consultation via video or schedule a wellness or physical therapy visit at our Los Angeles office to see what exercises are best for you, at this moment of time.

We are currently doing Tuesday Tune-ups on our Instagram feed and IGTV. Follow us at @artisanphysical to make sure you don’t miss out. As appropriate, we will do our best to also upload to our Artisan Physical Therapy YouTube channel as well. Make sure to subscribe to our YouTube channel to get notifications about new videos on how to live your healthiest life. Don’t miss out.

That’s our goal at Artisan PT: to partner with you to optimize your health for a lifetime.

Thank for reading and watching,

Elle

(owner, doctor of physical therapy, fellow in orthopedic manual PT)


(PS: These hip abduction/abductor exercises are helpful for preventing pain and improving tolerance to running, walking, hiking, skateboarding, soccer, ultimate frisbee, basketball, volleyball, triathlon, mountain biking, yoga, dancing, and anything else you spend time on one leg!)

Give the Gift of Health This Holiday Season!

Wondering what to buy for that special someone this holiday season? Uncertain how to thank a colleague, client or neighbor? Or simply tired of the consumerism all around? Artisan PT is here to help! Artisan PT is now offering e-gift cards!

We are excited to offer e-gift cards this holiday season; a perfect gift for the person who has everything, or someone who needs a little help jumpstarting the new year of health and wellness!  The holidays can easily be a stressful time, and we often find ourselves taking steps backwards in our health when we should continue moving forward, but that doesn’t have to be the case. With an e-gift card you can help someone begin - or continue - their health journey! 

E-Gift cards can be used towards:

Standard 50 minute and 75 minute (and even 100 minute!) physical therapy visits, as well as our Healthy Runner Injury Prevention Evaluations and Healthy Climber Arm Injury Prevention Evaluations. You can purchase them here.

And here’s a little something for you too: Purchase as a gift before December 31st (the last day of the year!) and get 25% off your own visit. 

Here’s to your health!

Elle (Liz) Bottrell

Sleep Hygiene? Part 1 of 2

Sleep hygiene. Sleep hygiene? Where did I first hear that phrase? I don't recall. Possibly a TED Talk? I do know that when I mention it to my patients and clients they are intrigued by it. It's a novel phrase and a novel concept. I certainly didn't come up with it, but now it's something I live by.

Do you struggle with insomnia and/or getting good sleep at night? Do you wake up not feeling rested, but rather tired and fatigued? Have you ever thought about your patterns leading up to sleep? Did anyone teach you good patterns?

The World Health Organization defines hygiene as the "conditions and practices that help to maintain health and prevent the spread of diseases." Woah! When you think about it this way SLEEP HYGIENE starts to make a lot more sense and is something we should all consider and develop healthy habits because sleep is so important to our wellbeing.

We are to spend 1/3 of our day, week, month, years, and lives sleeping. Yet, for the most part we just expect sleep to come. But often it doesn't. It is shy and elusive. We expect our mind and body to go from 60 to 0. It just doesn't happen. Most of us can’t just lay in bed, let our head hit the pillow and be out. How fortunate are those folks!

To have healthy teeth and gums and non-odorous breath and thus prevent things like cavities, root canals, gingivitis, and offending those we come into close contact with, we practice oral hygiene. We brush our teeth multiple times a day, we floss, we might use breath mints or mouth wash. We don't expect it just to happen. We are taught this from a young age from our guardians, and dentists, and do our best to follow through with it, for our own benefit throughout our lives.

Body hygiene is another thing we practice daily. We wash our hands, our hair, our body. We use soap and deodorant, we wash our clothes and sheets - all this to limit the spread of harmful germs and undesirable smells. It takes effort, but it's worth it for our quality of life. Again, we are taught this from a young age.

We need the same for sleep. We need to transition from the busyness of the day - with emphasis on productivity, planning, navigating and nurturing relationship - into rest, enoughness, and stillness. We need to do this to optimize our health, to allow the body to heal, and to prevent disease. It's something we should take seriously in the same repetitive, committed focus that we wash our mouth and our armpits!

What are ways we can do this? Comment below for ideas you have and practices you suggest.

Stay tuned for our next blog post to see a list and discussion of practices to incorporate in your nighttime routine.

Let’s get to the source, and TOGETHER, let’s get moving,

Elle (Liz)

Don't Be An Ageist!

Being an ageist, it's not cool, right? The first step to not being an ageist is to examine how you view yourself. I think ageism is quite common in US society. People are often self-limiting in what they pursue and what they routinely do simply because of the number of years under their belts. It's likely that if it's not something you actively think about or have noted in society, that it is present in your life.

Our society gives us this imprint and expectation of behavior that we tend to fall in line with and don't question. Questioning, by the way, is something we can do in our minds or with our actions. I've observed that in the US getting older means that hanging out with friends no longer means going to the park, or running around the block, or going on a bike or skateboard adventure, climbing a tree, or building a fort like it did during our youth. It means things like getting coffee, going out to eat, and watching TV or a movie, or sitting at a concert. Our communal time becomes less active and increasingly sedentary.

Also the types of movements we do become less and less playful, more rigid and predictable, less demanding of balance and coordination, and overall slower and slower.  Physically it means that our body is less adaptable to face the challenges of the world whether that's moving quickly to catch something that's dropping or falling, running across the street to get out of the way of a car or get a child out of the way of a car, catching ourselves from a slip and trying to prevent a fall, impaired balance and coordination, and later in life as a senior reaching for high objects off the shelf, lifting something overhead, getting out of bed or off the floor. Yes! I’m not exaggerating - a lot of the problems I see in older patients comes from this ageist attitude and habits. Our body responds to what we do, so less and less activity means more and more limitation. I see this behavior in younger patients, even though the habits often haven’t yet caught up with them, but sometimes it has, well before they are a senior. It makes me sad. But it’s also something we can change!

Our body thrives with variety. These good bits of stress, allow our body to make adaptations - adaptations such as quicker reflexes, better movement patterns, better proprioception which is knowing where your body is in space. As a result, our tendons and muscles are stronger in more varied positions and speeds. This is important because, injuries in daily life usually occur at higher rates of speed, so integrating faster movements into our regular life and training (once we have good movement patterns established at lower speeds), decreases this likelihood of injury in our everyday lives.

Ageism has negative consequences for us not only physically, but also emotionally and mentally. Mentally it's limiting because we've decided certain things aren't for us because of our age. We've decided that's for young people, we're too old for that, we'd be too silly or look too silly, we wouldn't do well at it. So we do less. How we live part of our life is how we live our whole life. If we limit ourselves physically, we are doing it mentally, and emotionally. We are not challenging ourselves.

Emotionally we miss out as well when we don't have playful movement such as dancing, or roller skating, or playing tag, games, or wrestling with children or grandkids. Brene Brown, a social worker and vulnerability/shamre researcher, can tell you more about this in her book, "The Gifts of Imperfection." In her 10 Guideposts to living whole-heartedly, a.k.a happily, (based on her research), you will find play as one of the required components to living this better life. You can also learn more about her research in her TED talks and now on her Netflix special.

Are you an ageist? Are you limiting yourself simply because of your age and what folks around you are doing? I don't want to be an ageist, not of my patients and my clients, nor of myself. This starts with how I view myself. In order to do this, I need to not view myself through an ageist perspective. What are some things that I do to combat this? I skateboard from my car to my classes as a graduate school instructor at USC. This alone makes me feel ~20 years younger. I snowboard. I adventure and play in the mountains doing things that get me dirty, require me to adapt to the environment, expose me to weather and natural elements, and make me work different every time. I climb, run, and mountain bike in the mountains.

One of the most recent areas of growth for me in this area has been incorporating a discipline of regular dance in my life. This is not choreographed, group movement. I throw myself regular dance parties, often in my living room, or the living rooms of friends. The music goes on and I let my body be creative and explore in response to the beat, the melody, the lyrics. It's been so fun, freeing, and even healing for me. I feel the change in my body, my mind, my emotions, and even my spirit. Every know and then if you follow me on social media, I share some of this dancing, because I want to break down these ageist walls we've built up or allowed to be built up around us, that keep us imprisoned in this limited mindset and perpetuates this negative belief in society.

I started this simply. It didn’t require any additional equipment. Just a little bit of space, my phone, and a song that I can move to. Early on it was simply one song after a work day. Often times I’d find myself feeling better and playing more songs. Now I have a “Daily Dance Party” playlist I’ve created on my phone. I’ll put it on shuffle and have built up to 20 minutes that I incorporate into my 20 minute of daily cardio. This has been so good for my mood and outlook and incorporates unpredictable, varied movements, balance, coordination to balance out things that are more predictable - running, swimming, biking for cardio.

What steps can you take to be less of an ageist? Remember it starts in your own life and how you're limiting yourself. As you try more activity, be wise - start slowly, give your body time to adapt, and get help (perhaps PT) if you need to get some basic, foundational movement - strength, coordination, mobility - down.

Together, Let’s Get Moving!

Liz

PT Better Than Surgery for Shoulder Impingement and Subacromial Pain

New guidelines for management of shoulder impingement are strongly in favor of physical therapy and away from surgery! These recent guidelines were posted in the BMJ (British Medical Journal) and you can read more here. This is exciting news supporting conservative treatment that physical therapy provides versus more invasive techniques such as surgery.

As the research was examined, the findings revealed: decompression surgery resulted in no significant differences from other approaches—including PLACEBO surgery! The lack of difference was long-term, remaining at 6-month, 2-year, and 5-year follow ups.

Shoulder impingement occurs when structure that pass through your shoulder get pinched between the humerus and acromion that compose part of your shoulder joint. This can lead to irritation, pain, and wear and tear to structures such as the bursa (bursitis), supraspinatus (rotator cuff strain, tears, tendonitis, and tendinopathy), biceps (long head of biceps strain, tears, tendonitis, and tendinopathy).

The following helpful schematic visuals presents the findings for how to management shoulder pain from rotator cuff disease/dysfunction (RCD) and subacrominal pain syndrome (SAPS).

PT better than SAD.jpg

The fact that physical therapy is the ideal way to treat these pain syndromes is not surprising given that the shoulder joint is a complex joint comprising of 4 separate joints and myriad muscles that must coordinate well. Tightness, weakness, poor endurance, control, or posture at any of these points including at the shoulder blade (scapula) can lead to narrowing at the subacromial space and thus impingement. Reversing these problems can then increase the space and reduce the strain, pain, and irritation.

Bottom line?

Having shoulder pain? Come to PT before a surgeon! Please note that these findings are for overuse and non-traumatic shoulder injuries present for more than 3 months.

Thanks for following along as we journey to: Get to the Source, and TOGETHER, get moving.

Liz

Daily Dose of PT (#dailydoseofpt)

Yep, I made a hashtag #dailydoseofpt. Why? Because everyday for 2019 I’ve committed to myself, for my own personal health to do at least one physical therapy exercise. I’m not going to limit myself to one, but I will do at least one.

After some thought, I thought": “why not bring others along?” 365 exercises is a lot and sharing them is a lot, so the daily dose of PT will be shared just on one platform. For ease of use, I’ve chosen Instagram and the live story. It’s not that you won’t find any excerpts or references anywhere else - blog, Facebook, Youtube, Google+, or newsletter, but the journey will be unfolding and evolving on Instagram live and then kept up on the story for 24 hours.

Daily dose of PT - climbing gym edition

Daily dose of PT - climbing gym edition

My hope is that my quest for personal health and well-being will be educational and motivational for you and those that stumble across it. At the time of the writing of this blogpost, I am 9 days into the challenge, with 356 to go. There are lots of opportunities to participate. To not miss out, make sure you follow @artisanpt on Instagram and even allow notifications for live posts from me.

The focus to-date of the #dailydoseofpt has been primarily shoulder, neck, shoulder blades (scapula), and postural stability. Over the course of the year, the whole body will get covered, as needed by my own personal PT intervention needs. If there are regions or parts of the body, that you would like me to focus on, let me know and I’ll do my best to incorporate them sooner rather than later.

Thanks for joining on this journey to optimize health and wellness.

Together, let’s get moving!

Liz

Finding the Perfect Pillow

Neck pain is a real problem for many people. Unfortunately for many people, their pillow is a main contributing factor. Also unfortunate is the fact that pillows are confusing. In desperation, many people will pay ridiculous amounts for a “perfect” pillow that promises to miraculously reduce their neck pain, improve sleep, and allow them to move their neck better throughout the day. All you need to do is spend $80-$200. However, many of the designs behind these pillows are flawed.

What should you look for in a pillow? You want a pillow that helps to keep your neck in neutral position. What is neutral position? Neutral position is a position that reduces the stress on your joints, muscles, ligaments, and tendons. Each joint has this ideal position. For your neck this means that when you lie on your pillow you shouldn't feel like your head is dropping down, or rotating, or getting forced up.

Find Neutral Position

This woman pictured has too much pillow & is straining her neck as she sleeps. The midline of your head should be straight with the midline of your torso to reduce stress on your body and prevent neck pain or arm numbness/pins & needles.

I suggest getting an inexpensive, soft, yet supportive pillow. Soft, yet supportive, is tricky. You want soft, but sufficiently full so that it gives support. Get a pillow too fully packed and it's no longer soft and adaptable to your head and your body position. Get a pillow that's too flat and it will not be appropriate for lying on your side. To get your neck and corresponding joints into their neutral position, you need the pillow to be just right, so do not be surprised if it takes time to find the right pillow for the size and weight of your head and the proportion of your body. For example, when lying on your side, you need the pillow to be the right size to take up the space between your head and the bed, created by your shoulder and torso. Too big relative to your body and your head will get pushed up, compressing the top side of your neck and pulling the lower side. Too small and your head will dip down, similarly causing strain to your neck but in the opposite pattern of too big a pillow.

I have a little trick for how to take any garden variety pillow from your favorite inexpensive store and make a winner, comfortable, soft, yet supportive pillow and look forward to sharing that with you in a future post and possibly even in video format. In the meantime, please save your money and don't buy that expensive pillow promising to save the world, starting with curing your neck pain and insomnia.

Questions? Comments? I'd love to hear them.

Liz

LA 2.0

LA we are coming back to you!

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We are so excited to be serving the Los Angeles Community, once again. You can book appointments as early as August 20th. We will be based in the Silverlake neighborhood just down the road from our previous office in Echo Park. We are just down the road from Hollywood, Los Feliz, DTLA, Frogtown, Atwater Village, Highland Park, Lincoln Heights, Glendale and Burbank.

Drop us a line to say "hello" and let us know what you've been up to.

Do You Have Weak Ankles?

Ankle sprains are incredibly under treated. 

"Just walk it off."

"Time will heal it."

"Just ice and rest it."

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Over the course of my career, the number of times I've heard "I have weak ankles" is noteworthy. It is typically said with a matter of fact complacent "this is the way it is" tone. 

But it doesn't have to be this way. Ankles can't be weak, but the muscles around them, which are myriad, can be. What do you do with weak muscles? You strengthen them. Muscles don't get stronger just because time goes on. If they naturally got stronger with time, wouldn't our abs all be "beach body"-esque. How are your abs? If they look amazing, Congratulations!, you worked for them.

After ankle sprains people typically end up with poor balance, ankle stiffness into dorsiflexion (think the action your foot does when you do a squat), and weak muscles. Surprisingly, research shoes that after ankle sprains, not only are the ankles chronically weak, but so are the gluteal muscles!

If you have a history of chronic ankle sprains, go see a physical therapist to have an evaluation to determine what impairments might be persisting and consequently leading to foot pain, ankle pain, knee pain, hip pain, and back pain. These impairments can contribute to things down the line like bunions, plantar fasciitis and fasciosis, meniscus tears, arthritis, and ACL tears. If you're an athlete of any sort involving running, squatting, jumping, cutting, these problems will lead to worse performance, not just injury.

Any questions? Comment below or reach our to our office via email.

Let's Get to the Source - and TOGETHER - Let's Get Moving!

Liz