Feeling Your Substance - Besel Van der Kolk on Trauma, Rolfing and Yoga

How Rolfing and yoga are important for healing trauma. Trauma is in the body. "If people need to overcome the trauma, we need to also find methods to bypass what we call the tyranny of language." -Bessel van der Kolk

Human memory is a sensory experience, says psychiatrist Bessel van der Kolk. Through his longtime research and innovation in trauma treatment, he shares what he's learning about how bodywork like yoga or eye movement therapy can restore a sense of goodness and safety. What he’s learning speaks to a resilience we can all cultivate in the face of the overwhelming events — which, after all, make up the drama of culture, of news, and of life. See more at www.onbeing.org/program/restoring-the-body-bessel-van-der-kolk-on-yoga-emdr-and-treating-trauma/5801

Why Fascia Is Important

This isa German TV show explaining the importance of fascia, or connective tissue.  It’s the stuff we work with as Structural Integrators and something our community of practitioners have known about for over 50 years.  If you’ve ever wondered what’s going on when you receive Hellerwork or Rolfing, this is about the best explanation I’ve seen. German with English subtitles. 

The Gestalt: Coordination and Perception

In the last 2 years I’ve really simplified the way I work with people on movement.  In doing work with movement the holy grail is in the “cue”.  This is the direction you give a client for what to pay attention to or what to do.  For example, in standing one of the most useful things you can do is let your knees be soft with the quads relaxed so they aren’t locked back or bent, just right in the middle.  When you initiate walking with soft knees, the tendency is to land more towards the center of the foot without all the shock and hyperextension that comes with landing on the back of the heel.

The problem I’ve run into cues like this with some of my clients, is that there are just too many of them to achieve balanced posture and the gestalt is lost.  Often the tendency will be to try to do all of the cues I’ve given at once rather than to tune into one at a time or even better how that one cue is effecting the total experience.  This generally leads to the opposite result of what I’m looking for which is that the person I’m working with starts walking like Robbie the Robot, hopelessly lost in the mental exercise of managing the cues.   For example, try letting your knees be soft while landing on the pad in front of the heel, while allowing the hips to shift back and keeping your eyes on the horizon.  While you’re at it, allow your arms to swing from your midline and let your jaw be soft, oh yeah, and don’t forget to breath.  It’s easy for these cues to become a bunch of tasks to pay attention to, but that’s not really the point. I’m going to make a brash statement and say we live in a singularly focused culture.  While we may be getting better at multitasking on our iPhones, when was the last time you noticed your breath or whether your body is comfortable, while you send a tweet?  How about right now while you’re reading this?

This brings me back to the question of, what is the goal of movement education and more importantly, what is the gestalt that ties our experience together?  Some of my clients have articulated it as learning how to sit or walk or stand all over again.  That’s not far off, but I’ll offer another suggestion. To begin with, to feel better, but what does that really mean?  How about something like, “being able to maintain easy attention to your internal experience while participating in the world outside of your skin”?  Isn’t that really what’s happening when we feel good?  We are aware of our experience and we’re able to participate with others and engage with the world. Another way of putting it would be to balance internal and external experience.  When it comes down to it, most people come to see me with problems that stem from difficulty at listening to the inside, while doing something out in the world.  Another way of saying the same thing is that it’s easy to forget how to coordinate our internal experience while interacting and moving.  Hubert Godard, the brilliant Rolf Movement teacher uses the words coordination and perception to talk about the same thing.  Essentially, the majority of postural misalignments have to do with two things: 1. how we experience; and 2. How we express ourselves and interact with the world.  To achieve a balance between internal awareness or coordination and external focus requires a lifetime of practice, but the journey begins when we become aware of HOW to focus on either one (perception or coordination).

It will likely come to you as a surprise that core support doesn’t come from doing sit-ups, (a totally irrelevant exercise in developing core support), but instead comes from a balance of perception and coordination.  I’ll give an example.  While you’re sitting reading this article (assuming you’re sitting), your abs are probably not toned much and your awareness is most likelyon the words on the computer screen.  That’s ok.  See what happens if you take your eyes away from the screen and look out at the horizon, letting what you see come to you if you can.  There’s a reason why gymnasts mark the horizon with their eyes while they’re balancing. With one hand on your belly, press into the floor with your whole foot really feeling the floor, and draw your shoulder sockets and hip sockets back towards the back plane of your body (the hip socket is at the hip crease, right in the middle of the thigh).  You should feel a subtle toning or drawing in of the transverse abdominus muscles under your hand.

These are the muscles that lead to stabilization of the spine and help us to get longer, but what initiated the tone was not a squeezing of your 6 pack muscles.  Instead, we got there by coordinating our internal movements (hip sockets and shoulder sockets moving back into the joint), and expansion of our awareness of the ground (through our feet) and our awareness of what’s around us (through the eyes).  When we start to feel misaligned it’s often because of a loss of core support caused by a breakdown of our internal coordination or external perception.   This isn’t a bad thing in and of itself.  It’s often what we do when we rest, but it’s not the easiest way to move.  In a general way we can work on our core support by focusing on our coordination and perception.  So next time you’re out for a walk you might just ask yourself, are my thigh bones softening back into the sockets? Am I able to walk with my attention on the horizon? What’s around me or am I looking at the ground?  Am I able to stay attuned to how it feels on the inside, while being engaged and interested in what’s happening around me?

Motion Control Feet

Turns out, the more shoe you wear, the worse it is for you.  The NY Times just published this article on motion control shoes.  Apparently someone in the Army asked if all that motion control in shoes was necessary.  Turns out, the better the motion control in a shoe, the more likely you are to get injured.  In other words, the more you let the shoe create the stability and the less your foot has to do it, the more likely you are to get injured. If you’ve ever run barefoot or in minimalist shoes, it becomes apparent pretty quickly how much more your foot has to work to create stability, but also how much more relaxed your foot has to be. Balanced tone, always leads to greater function.

Release Your Upper Neck by Changing Your Perception

Release Your Upper Neck by Changing Your Perception

Most of us have the proverbial pain in the neck on occasion and changing the way we perceive the world through our senses can often give relief. A lot of the movement of the neck happens in the top two vertebrae and a lot of neck tension happens because of what’s happening above it. I’m going to start with a few basic assumptions about the relationships between the neck and head and I’ll leave it up to you to decide if they’re true for you. So here are my assumptions:

  • Your top vertebra, C1 (the atlas), is balancing the tension of your brow (if furrowed), your sense of sight, and your inner ear.

  • Your 2nd vertebra, C2, (the axis) is balancing the tension in your nose and your sense of smell.

  • Your 3rd vertebra, C3, is balancing the tension in your jaw, temples and outer ear, or your sense of hearing.

It goes without saying, upper neck tension can be caused by a lot of things, but these are some of the big culprits and in my experience they go hand in hand with a flat neck. When you try the following exercise, consider it a success if you are able to produce even a small change. Developing a richer awareness takes time and commitment to changing the way you relate to your world through your senses.

Start by lying on your back. Try moving your head side to side to see how well your neck moves before starting. Begin by tilting your head back slightly, allowing for a slight curve in your neck, letting your chin lift. As you gently tilt your head back, you should begin to feel a curve forming in your neck as the neck vertebrae shift forward.

C3 and Hearing… Gently place your fingers on either side of C3 (just below the vertebra at the top of your neck that sticks out). The C3 vertebra should feel tighter on the side that your jaw is tighter. Bring your attention to your jaw and imagine all the tension melting away into the floor. Try making the sound “ahhhhhh” and allow your back teeth to float apart. Finally open up your ears. What do you hear? see if you can allow your ears to expand out to meet the sounds. Often in New York we are so overwhelmed with loud noises, it’s easy to develop tension around the temples and ears. Let this go and you should feel your jaw letting go. Check C3, did it soften at all? If not, you may need some more help getting your jaw to release.

The Axis and Smell… To work with C2 find the vertebra that sticks out just below your skull when you let your jaw go slack it will shift forward, but lets see if we can release it with your mouth loosely closed. If you flatten your neck and tuck your chin, you’ll notice that most of the air goes through the bottom of your nose. Now try breathing in through the top of your nose. To do this you might have to tilt your head back a little and relax the bridge of your nose. The upper passage of the nose is where the olfactory nerve allows us to smell. It is no coincidence that the posture of reckless abandon or ecstasy is with the head back. When we are most enjoying ourselves, our heads goes back to take in our environment through our noses. I find that it helps to close your eyes and imagine smelling a beautiful flower to really get the feel for opening this part of your nose. Alternately, flattening the neck and tucking the chin is the posture of disgust (when we don’t want to smell something) or more generally the posture of withdrawal, something we have a lot of opportunities for in New York with summer garbage smells. If you play with breathing through the bottom and top of your nose, you’ll begin to notice a difference in the way things smell, but it is the ecstatic posture of really taking it all in, that allows the 2nd vertebra to lift and open up. You might experiment with some smells you really like-a rose, an incense or fragrance- to see if it helps you to open your upper nose. When it begins to open you will feel a lift and softening in the vertebra with your fingers. Breathing through this part of the nose also facilitates a deeper breath as the breath is directed more forcefully into the bottom of the lungs.

Seeing, Balance and the Atlas… C1, the Atlas, named for Atlas who holds up the globe, is harder to find from the back of the spine because of all the muscles around it. The musculature around the Atlasboth holds up the head and also helps us to know where we are in space. It sits between the skull and the 2nd vertebra. For this exercise feel for the muscles between the 2nd vertebra and the back of the skull. To soften these often overworked muscles, imagine your temples softening and floating away like a balloon, let go of any tension in your brow by first furrowing and then letting go of your brow. This is the proverbial third eye, so you might also imagine an eye in between your eyebrows.  Allow the eye to open and see how it feels.  Allow your regular eyes to relax back into their sockets. If your eyes are open, imagine that the world is coming towards you rather than your eyes having to go out and get the images. When we try to grab what we see with our eyes it throws the head forward and forces the upper neck muscles to tense. Instead, let the world come to you. The inner ear is where we find our relationship to gravity and if we’ve lost touch with our inner ear we instinctively tense our upper neck to brace for a fall.  One way to help jump start the inner ear is to hold your hand in front of one eye (on the tense side) and move your hand back and forth. Notice how the hand blurs? Keep the hand steady and move your head back and forth. Notice how the hand doesn’t blur? That’s because your vestibular system is talking to your eyes and telling them where you are in relation to your environment.  If your neck releases from holding your gaze on your hand and moving your head, it’s likely that the tension in your upper neck is from your vestibular system.  Now check your neck. Did the muscles at the top of your neck soften?

Finish by rotating your head back and forth. Did you gain any range of motion? If your neck is moving more easily, build up to doing this exercise standing and in different environments. Does it change when you’re with certain people or in certain places? If you allow yourself to breath through the top of your nose, soften your eyes, or let the sounds come in, does your experience change? Often it is our relationships to our environment and the people around us that determine whether we are able to stay free in our neck. Did you notice anything else change when you changed your perception? Let me know by sending me an email.

Sitting May Be Bad For Your Health

You probably didn’t need me to tell you this, but now there’s scientific evidence to support the idea that sitting for long periods changes your metabolism in negative ways. If you still aren’t convinced, check out the recent NY times article. We might be a long way off from a Surgeon General Warning on sitting, but one thing is certain, sitting with poor posture has a negative effect on wakefulness and for most people leads to poor posture. For more on how to sit in a relaxed way with balanced posture, check out my earlier blog.

How Your Company Can Benefit from Structural Integration

Structural Integration has been proven to reduce job site stress and injury. Just ask Starkey Labs, if you’re not convinced (video below). They’ve saved over 1.2 Million a year in workman’s comp claims.

If you think your workplace could benefit from Structural Integration, let’s talk more. I would be happy to put together a team of Board Certified Structural Integration Practitioners to address work related stress and injury on-site. Besides Structural Integration, we can teach skills to improve alignment and alertness, and decrease pain. We would be happy to develop a corporate wellness program designed to work around your companies schedule, keep your employees pain free, productive and happy. On-site services can include Structural Integration, Movement Education, Yoga, and Acupuncture. 

 

Walking on the Front of the Heel

I started shooting video this summer with my friends Weena and Matt, but never got around to a final edit. I decided to cobble together some of the footage to show off Matts video…

In the slo-mo, we shot Weena walking the way she normally walks (the way most people with heeled shoes walk), landing on the back of the heel. If you look closely you can see the shock-wave going up her leg, hyperextending her knee. In my experience, this can lead to stress on the knee and a stiffening of the subtalar joint (between the heel and ankle). If you’ve gotten used to wearing heeled shoes, you’re probably doing the same thing without even knowing it.

The other thing we played with that we don’t show in the video is how important balance over the knees is. For Weena, the shock-wave really diminished even more when we worked with her knees. When you stand with your knees locked, it’s much easier to hyperextend your knees once you start walking. While you’re standing, even just unlocking your knees until they’re loose can make a big difference once you start walking. Try it and let me know how it goes.

Weena Pauly is an amazing dancer, trainer and a Yoga Therapist and can be found here…
http://www.weenapauly.com/

Scientific Evidence to Support Barefoot Running

A fantastic story just came out on NPR about the impact of running in shoes vs. running without them.

Something I’ve claimed for years, based on my own experience running barefoot and also from working with runners, is that shoes causes more impact on your body than leaving them behind.  Running in your birthday shoes lowers the impact on your body simply because it forces us to improve our alignment to avoid pain.  Very quickly our alignment and running posture improves from the simple act of trying to avoid blisters and hard landings.  Getting blisters running, while a painful annoying experience, actually help to tell you if you’re moving with too much effort!

Barefoot running works like this… Most people with very little coaching will naturally switch to landing forefoot first when running barefoot.  When we land on the more stable forefoot (rather than the unstable heel) it guides the foot into the center of the arch.   Anytime you land over the center of your arch, the foot acts like a spring.  Something that might not be so obvious is that when we run heel first the leg is extended in front of us and all that straitening keeps the knee from being able to bend and really absorb shock. by landing on the forefoot or the center of the foot the tendency is to land with the knee slightly bent and with the torso directly over the foot.  This keeps us from driving our heels into the ground in front of us like it’s a pole vault we’re throwing ourselves over the top of, hence, less shock.  With the knee bent, the body is also prepared to absorb shock by bending the knee.  With a strait leg, the only thing that can absorb the shock of running is the little padding in your shoe and the curve in your lower back.  Personally, I would rather use the full bend of my knee as a shock absorber than my low back.

Another thing that isn’t as obvious when you haven’t run barefoot is that the muscles you use are different.  We are adaptable creatures and we can put ourselves to the task of all sorts of horrible postural imbalances if they serve our purpose, but there is a cost.  The muscles that are activated from heel (shoe) running vs toe running (barefoot) are going to be different because you are balancing differently.  If you lean forward your back muscles engage, if you lean back, your belly tones. This should surprise no one.   So not surprisingly, when you land over the center of your foot, it tends to create more balanced muscular tone whether running or walking.  When you walk or run with the weight in your heels it tends to engage the back and outside of the legs disproportionally because you’re swinging the front leg out in front and hooking your heel to bring yourself up and over the leg.  When you move from your center it allowing the leg to go behind you to push you forward and engages the front and back of the legs in a more balanced way.  When the leg goes behind the body it also lengthens the psoas, but this can only happen when we are walking or running over our centers.  In the NPR article the photo of the man running in shoes is pitched forward and he as to be to get his weight over the extended leg. It’s far easier to be centered over a pair of moccasins or barefoot than fancy running sneakers.

Light like a deer… When you are running barefoot you generally want to be light on your feet to avoid impact. The tendency is for the drive of the run to come more from lifting the kneesthan from pushing the foot down.  I’ve discovered from my own experience that this action tends to both strengthen and engage the psoas so much, that pilates exercises I thought I’d never be able to do became effortless after a 15 minute barefoot run.   The opposite is true of running heel first.   I’ve worked with many runners, or former runners who complain of tight hamstrings and painful IT bands as a result ofrunning heel first.

Since it’s winter in New York I wouldn’t recommend going out and trying to run barefoot, but there are some great shoes for simulating the feel of running barefoot like Vivo Barefoots and Vibram Five Fingers.  To really get good feedback on your form though, nothing beats doing a couple minutes around your gym track or on the treadmill unshod.  Just be sure you start out slow and keep it around 5 minutes the first time you give it a try.  Build up slowly.  There’s a lot of adjusting that has to happen if you’ve been running with shoes your whole life.  You wouldn’t go into your first yoga class and try to bring your ankle behind your head.  The same caution applies to running barefoot.

The Trouble With Shoes

With snow forecast for New York this week, you might think of it as your big opportunity to walk the way your body was meant to-over your center.  All that slipping and sliding really forces us to be over the center of gravity, something that most shoes with heels discourage us from doing. Wearing shoes with heels, even most sneakers, tilt us forward as if we’re standing on a hill.  To keep from falling forward and tumbling down the hill inside our shoe, our natural tendency is for the hips to go forward, and chest to go back.  This helps us to balance.  It also creates a kind of collapse, since our hips aren’t under us and the chest is behind us.  It’s the All American posture and you won’t see it in anyone who walks around barefoot or in flat shoes.  Go to any Caribbean beach town where flip-flops and barefoot walking prevails if you need an example.

What this does…
Heels also tend to shorten the connective tissue of the calves and as a result the hip flexors, and when you’re standing with your hips shifted forward the upper hamstrings shorten which makes sitting difficult.  When the hamstrings are tight they pull the sitbones under which makes an upright posture while sitting impossible without strain.

Gentle exercises to try…
Full body arching and curling is a fantastic exercise to find a balance stance, especially the arching part.  Standing, try arching back, your tail back and up as if you have a 6 foot squirrel tail and you’re trying to touch the back of your head.  Really exagerate it.  When your head goes back shift your weight into your toes, this helps the sitbones to lift.  With your tail back, weight in the toes, breath deeply, spiraling the arms back to open the upper ribcage.  Inhaling is important because it opens the upper ribcage and supports the shoulders to rest more on the back.  When you exhale, let your body spring back to neutral leaving your hips back, tail lifted.  You should naturally find a less collapsed posture.

You can also go back and forth following the inhale with an exhale into the heels, rounding the shoulders, but make sure you end by inhaling and letting your body come back to neutral.

Another one…
Calf stretches are good with the knee bent and the hips back..  straiten and bend the knees with the hips back, to work different parts of the calves.  Be sure to put even pressure in the ball of the big toe as much as the pinky toe ball so your feet dont twist.   This will help the hips rest more back over the center of the feet.

Flip Flops…

If this article finds you escaping the New York winter someplace tropical heels probably aren’t your biggest worry right now, but flip-flops might be.

For many people flip-flops or thongs force the wearer to lift their toes or scrunch them up (which is kind of like pushing your toes down while you lift them) to keep the sandal on.   Walk down any street in New York in the Summer and you’ll see someone struggling to both hold their cell phone to their ear andbalance while they shuffle along in this year’s flip-flops.  Holding that floppy footwear on is tough work and it’s kind of like multitasking for the feet.

Your toes were designed to respond to the ground, and they have a much easier time doing so if they aren’t having to wrestle with your footwear at the same time.  Lifting your toes is something that most yoga teachers will ask you to do to find your arch.  This is a great thing in yoga because it aligns thebones of the foot.  If you tend to pronate, you probably have a little trouble finding the ball of your big toe and lifting your toes really helps to find that part of your foot without loosing the alignment of your ankle.

Unfortunately, all that toe lifting makes our ankles and arches stiff, and makes for a hard landing on the heel when we walk.  When we are walking we want the arch to flex like a spring.  The spring of the arch provides shock absorbsion for our bodies, but it can only happen when the foot is relaxed.  If this is you, try this.. Standing, try placing the outside of your heel down first, then the outside of your toes,then the big toe ball and then the inside of the heel.  When you press your toes down, you might notice that it’s easier to lengthen them out as you press down.  This is the action you’re looking for in flip flops, instead of scrunching, pressing down as you lengthen through the toes.

Easier walking…
This exercise can help whether you’re in shoes, barefoot or in sandals.  When you’re walking, try starting by standing over the center of your foot (all four corners with equal pressure) with your knees strait but soft, feet relaxed.  Once you’ve found this posture standing, begin to walk.   If you try this barefoot on a hardwood floor your walk should go from loud and pounding to almost silent.  This is because you are landing closer to the center of your foot, instead of the back of the heel.  How you start your walk will essentially determine how you end up moving.  If you start over your center, you’ll end up walking over your center.

While flip-flops aren’t the best for your feet, if you wear them, you’ll want to find ones with a tighter strap across the top of the foot for a snugger fit, or one that allows you to press your toes down to hold the sandal on.  Your toes shouldn’t have to do anything more than respond to the ground, don’t make them hold your sandals on too.

I hope this helps,

David.

Ida Rolf Describes Structural Integration

Classic! I couldn’t describe the work better myself.  Below are two videos of the woman who created ‘Rolfing’ or Structural Integration, Ida P. Rolf.  Back in her day there was a lot more use of the metaphor of stacked blocks to describe the body and it’s alignment, though her understanding was incredibly nuanced.  I remember hearing Joseph Heller (created Hellerwork) tell a story about how they were at a restaurant and when a waiter walked in wearing a suit, she could pick out that his quadratus lumborum was short.  Amazing.