Tag Archive | pilates rehab encinitas

Home exercises vs. Pilates training for Orthopedic Rehab (at Carlsbad Pilates studio)

Home Exercises vs Pilates for Orthopedic Rehabilitation

Therapeutic exercises are a part of traditional physical therapy and they are a very important way to get the client more involved in their own rehabilitation process. Unfortunately, the home exercises should be given only if clients can do them with proper form by recruiting correct muscles. Unfortunately, when they are injured or have pain, they may compensate, which makes it harder to learn a proper form. The matter of fact is, if they repeat these home exercises with poor form and control, the exercises may do more harm than good.

Many physical therapy practices seem to use their physical therapy aid to teach home exercises to clients and that is not ideal. Physical therapy aids usually have very little knowledge about body biomechanics and anatomy, even when PT aids are trained and supervised by a Physical Therapist. If those home exercises are not taught well, they are not going to help either. Furthermore, home exercises are usually isolated to strengthening and stretching the muscles around injury, and that may sometimes be too much to tolerate, especially when clients have pain or fear of pain. So, in home environment clients may not repeat their home exercises correctly which may lead them to compensate and add even more muscle imbalances than they have already.

If you were injured and think that you are fully recovered, you may still have 50% chance to get the same injury again or create a new one. Why? Because your brain may develop faulty movement patterns during your injury and pain. You start to compensate and your brain adapts to that faulty way of moving. Sometimes, even though you feel better and don’t have pain anymore, you may still have those compensatory faulty movement patterns. These faulty patterns can lead to new injury by placing abnormal stress and load on joints and soft tissues.

You need to re-program your neuro-muscle system to correct these faulty movement patterns. It may sound easy, but it is not. Unfortunately, your short visits to Physical Therapy and doing home exercises, is probably not helping to correct these faulty movement patterns and muscle imbalances, because they focus more on your injury, not on how you may compensate it. The ideal rehabilitation program should focus on your whole body alignment and how your body parts are working together.  Traditional Physical Therapy may still help at your acute stage but after initial physical therapy it would be very wise to continue your rehabilitation process with Rehab Pilates.

Pilates as a Rehabilitation is a missing link in your recovering process from injury and pain. Pilates Rehab works for many reasons. Great attention to detail and form is a perfect way for clients to gain strength in their weaker and injured muscles and joints as well as the whole body. Pilates develops a smaller muscle group that works to support joints and body structures. It is a great way to complete your Physical Therapy. It works also as an alternative rehabilitation method for people with orthopedic issues and dysfunctions. Pilates one-on-one training with experienced Pilates Instructor or Physical Therapist can help people with their real underlying problems such as correcting those muscle imbalances and faulty movement patterns (which may have caused your injury in the first place). It is pretty much re-educating your body to work more optimally, economically and ergonomically with proper alignment, control and coordination. With Pilates you will get long-term solution about how to take care of your body as a whole – and the best part, being injury FREE! It’s all about PREVENTION!

For more about PilatesWise after Physical therapy program, please click HERE

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Sciatica Back Pain – Is Pilates really helping?

The term sciatica describes the symptoms of leg pain and possibly tingling, numbness or weakness that travels from the low back through the buttock and down the large sciatic nerve in the back of the leg. Sciatica occurs most frequently in people between 30 and 50 years of age. Often any particular event or injury does not cause sciatica, but rather it tends to develop as a result of general wear and tear on the structures of the lower spine.

Common causes of sciatica are Lumbar Herniated disc, Spinal Stenosis, Degenerative Disc Disease, Spondylolisthesis, Piriformis syndrome and Sacroiliac Joint Dysfunction.

Exercise is usually better for healing sciatic pain than bed rest. Sciatica exercises are also important for the healthof the spinal discs. Movement helps exchange nutrients and fluids within the discs to keep them healthy. Many sciatica exercises focus on strengthening the abdominal and back muscles in order to provide more support for the back, so do Pilates.

Many Pilates studios are marketing their services as a treatment for lower back pain and sciatica, but does Pilates really help? Yes, it really helps if you find a good Pilates instructor who has back pain rehabilitation experience and who is familiar with your diagnosis, diseases and symptoms. Why Pilates instructor knowledge is so important? Because all Pilates exercises do not fit all sciatica clients and some exercises might be even contraindicated.

Here are briefly some underlying exercises that spine specialists recommend for each diagnosis of sciaticaThese exercises help to relieve pain and prevent further back problems:

  1. Spinal stenosis: Focus on flexion exercises (forward bending). Flexing the lower spine relives pain and nerve irritation for people with spinal stenosis. They often feel better bending forward than standing up straight. Still it’s important to strengthen back and abdominal muscles and teach posterior pelvic tilt which allows the client perform more activities and exercises with less pain.
  2. Degenerative Disc Disease: Focus on spinal stabilization exercises, back extension exercises including the McKenzie method. All Pilates exercises are focusing spinal stabilization, so Pilates for DDD is really beneficial. However, back is fragile for DDD clients, so full flexion and intermediate spine articulation exercises are in some cases contraindicated.
  3. Herniated disc. Focus on spinal extension with McKenzie method and Spinal Stabilization training.  Pilates is good, but has to be pain-free range.
  4. Spondylolisthesis: Focus on flexion based exercises and spinal stabilization program. It’s important to teach how the lumbar spine remains stable in a flexed position.
  5. Piriformis syndrome: Focus on stretching piriformis muscle, hamstring muscles and hip extensor muscles. Maybe only stretching exercises is enough to help to decrease this painful symptom. Finding neural pelvic position, spinal stabilization training and hip range of motion are all important for people with piriformis syndrome.
  6. Sacroiliac Joint Dysfunction: Focus on restore range of motion in SI-joint, which can be limited if the joint is inflamed. So, spinal stabilization, pelvic and hip exercises are all good.

All the above diagnoses cause sciatica pain but as you see the recommended exercises are very different. Pilates in general is good but definitely there is no “one size fits all” exercise for sciatica pain clients. Sometimes Pilates instructors are too confidence to taking care of people who suffer back pain, caused by sciatica. Many Pilates programs don’t give enough information about back disorders and many instructors don’t have enough experience either. It’s very important for Pilates instructors to know the client’s history of sciatica pain before they plan any Pilates program for their client. However, carefully planned Pilates program with a good hands-on skilled instructor make the life of sciatica pain client easier by relieving pain, strengthening and stretching muscles and increasing spine and joints range of motion. “Motion is lotion” is true here.

Please visit PilatesWise.com and read more about our SpinePilatres bacxk rehab program which is specifically designed for people with back pain and sciatica. Program is combination of Pilates and Spinal Stabilization, click HERE and learn more. This program is available also via SKYPE, so not need to live in North County, San Diego, California.