QUESTION:
I am a 20 year old male nasm certitfied personal trainer. I have played sports year-round all my life with NO funcional flexibility. I have an anterior pelvic tilt (tightnes in lats, psoas, and quadratus lumborum). The tightness in my hip flexors really inhibits my TVA. I do tons of corrective exercise and even more flexibility and foam rolling. Do you think most postural corections can be achieved through just corrective exercise or will results be better with chirocpractic care and corrective training? The reason i ask is i have talked to a chiropracter and he says his care is vital to achieve ideal posture. Do you think it is for real or is he trying to find a new client?

To “There is no I in team!”:
When it comes to health and vitality, there are many pieces to the puzzle. Every piece in a puzzle is just as important as the next piece. Not one piece is vital; they are all vital and make up the happy end result. A puzzle has many pieces to it, so does the body when it comes to creating homeostasis within all vital systems (mind, body, and soul). The body is such a complex machine and to segmentalize it like society does, gets us in a whole heep of trouble. The problem with medical industry or any industry for that matter, is that everyone thinks what they do is so vital in the evolution of life. That creates huge egos, lots of conflict, and the only winner is the clinician himself, not the client. There are so many Chiropractors and other Health Professionals in this industry today. The concern that I have as a CHEK Practitioner is that everyone is always looking out for their wallet and not the best interest of the client. “No man is wise enough by himself” Titus Maccius Plautus. Money is the driving factor in businesses of today and when that comes to health and vitality, they are playing Russian roulette with your life.

I am not here to lecture you on my opinion of Chiropractic Care. I am not against it, but you need to find a good one to work with, preferably find a NUCCA (National Upper Cervical Chiropractic Association) Chiropractor. These professionals specialize on the cervical spine, mostly with atlas and axis adjustments. The basis behind a NUCCA is correction of the topmost vertebra on the spinal cord which is also called the Atlas or C1 vertebra. The Atlas is concave on top to accept the convex base of the skull, and it is convex on the bottom to fit into the concave of the next vertebra. Central to the vertebra runs the spinal cord, carrying a host of body control messages from the brain. Between each pair of vertebrae are 31 pairs of nerves extending out to organs and muscles. Misaligned (or subluxated) vertebrae can impinge on the nerves and hamper body function (visceral and musculoskeletal). Another major importance of adjusting the C1 vertebra is because of its correlation with the L5 vertebra. As you can see, as above, so below when it comes to spine mechanics.

There are a lot of people walking around in society with L5/S1 issues, pelvic rotation, vertebral torsion and much more. I am not saying that getting you C1 vertebra is the end all, but it is one very important piece to the puzzle. It will assist the rest of the spine back into alignment, relieving nerve compression/impingement, ischemia, visceral-somatic, visceral-visceral, somatic-visceral, and somatic-somatic reflex dysfunction, as well as decrease overall sympathetic overload. To explain why these two areas are important could take a while, so check out this site www.nucca.org to find a NUCCA in your area.

My intuition tells me that if you feel like he is trying to find a new client, he is. Intuition is a powerful tool that most people ignore, as well as afraid of. Sometimes our intuition goes against what are ego wants and that’s why people go with the egos decision. The ego is there to protect us and make us feel safe. Who doesn’t like to feel safe? The problem with that is we are in a society that loves instant gratification, pleasure and joy. So our decision making skills are at an adolescent level not thinking of the consequences, just on the joy for that particular moment. When it comes to the possibility of working with this Chiropractor, your intuition is telling you NO, but you ego is telling you YES! The important thing to get out of this is that the ego loves instant gratification and security. Is it always looking out for your best interests though?

Society lacks the understanding that everything in life vibrates. So what you are feeling intuitively from this Chiropractor is some of his negative vibrations. Before I do anything to my body (acupuncture, EFT, massage, Rolfing, etc.) or take anything (herbs, cleanses, essential oils, etc.) I educate myself about them. As well, I try to find skilled practitioners in my area that are knowledgeable on the certain topic that I am interested in. This will allow me not only to become educated for myself and my clients, but will assist me in establishing a great relationship with someone who I can trust and refer clients to. We are all or should be in this business to help others, help themselves. So if you meet someone like this guy, I am sure he is in this business to help himself and himself only. Go out into the fields, meet with various NUCCA’s, chiropractors, acupuncturists, massage therapists, herbalists, naturopaths, osteopaths, MD’s, PT’s, etc. to establish not only relationships with these people for referrals, but to find out who is out there helping others help themselves. You will know right away who is in this business for personal gain vs. client health.

Here is some basic insight to what you have included in your question about your postural issues. Most people walking around today have not just one postural distortion. Secondary to society working more and moving less, we see lots of upper cross syndrome, coupled with lower cross, which is usually coupled with a pronation distortion. If the pelvis anteriorly or posteriorly rotates, you will have coupled upper and lower body compensations. This is why you see and hear about so much injury, pain, and discomfort within our gyms today. Not only do we work more and move less, our gyms are filled with junk that reinforce the distortions that we already have. On top of that people are living unhealthier lifestyles than ever before.

From what you have told me, an anteriorly rotated pelvis is coupled with adduction of the femur, internal rotation of the tibia and pronation at the ankle. Secondary to the pull of the psoas anteriorly on the pelvis, the abdominal wall becomes lengthened, inhibiting the inner unit from working. As well, common tonic muscles are: psoas, rectus femoris (not always), sartorius, TFL, IT band, erector spinae, biceps femoris, and adductors. Common phasic muscles are: gluteus maximus/medius, inner unit (TVA, Multifidus, internal oblique, diaphragm, pelvic floor muscles), medial hamstrings (semitendonosis/semimembranosis), hip external rotators (piriformis, gemellus superior, obturator internus, gemellus inferior, obturator externus, quadratus femoris).

Common dysfunctions are as follows:
• Low back pain
• Lateral tracking of the patella
• IT band syndrome
• Piriformis syndrome
• Hamstring strains
• Non contact ACL tears
• Achillies tendonitis
• Shin Splints
• Inner unit dysfunction
• Stomach, small intestine, large intestine, and genital dysfunction
• Visceroptosis
• Poopy problems
• Food intolerance
• Depression
• Forward head posture/increase first rib angle
• Sternoclavicular pain
• Headaches/Migraines
• Eyesight problems
• Mal-occlusion
• And much more!

The interesting thing that most people are unaware of is that your physical being is a manifestation of your mental and emotional stressors. Having that said, you will find that most people that have inner unit dysfunction secondary to gastrointestinal issues (constipation/diarrhea, IBS, leaky gut syndrome, hypochloridria to name a few) stemming from stress. This causes the average person to have GI inflammation, become bloated, get visceroptosis (drooping organs), causing visceral-somatic reflexes. This will intern inhibit the inner unit, tilting the pelvis anteriorly and cause a myriad of musculoskeletal and visceral dysfunction. That means you can do all the lower abdominal and corrective exercises you want, but if you have visceral dysfunction you are trying to teach the tail to wag the dog and not the dog to wag the tail by just performing corrective exercise.

Stress is the number one cause of GI dysfunction. There are so many kinds of stress, such as:
1. Not eating organic foods or ones for your Metabolic Type
2. Not getting 8 hours of sleep each night
3. Not drinking enough water
4. Thinking in a negative way all the time
5. Exercising incorrectly or above you current skill level, having poor posture
6. Chemical stress
7. Environmental stress
8. and so on…..

It is hard to give you exacts of what is going on with the spine as well as the rest of your body without any information on it. My advice at this point would be to find a CHEK Practitioner/NLC in your area by going to www.chekinstitute.com in order to get properly assessed both physically and nutritionally. As well, purchase Paul’s book How to Eat, Move and Be Healthy.

To sum it all up, “there is no I in team!” When it comes to making a puzzle or putting the body back into alignment (whether mental, emotional, physical, spiritual, nutritional), there are many people that need to be involved. To answer your question, no I do not think most postural distortions can be corrected with corrective exercise alone. Yes it is a piece to the puzzle, but as you can see above most of the time our distortions are stress (nutritional, chemical, environmental, mental, emotional, spiritual, and physical) related. Finding a CHEK Practitioner/NLC, NUCCA Chiropractor, and a St. John’s NMT Therapist will aid you in your goal to homeostasis, as well as covering all the areas mentioned above.

Namaste!
Joshua Rubin, OTR/L
CHEK Level 3 and NLC 4
jr@eastwesthealing.com