Esteemed Colleague's excellent blogpost on alignment

Thanks, Jillian!

The Path You Take

Wednesday, May 30, 2012

Don't just stand there! How are you *actually* supposed to stand?

There's a lot of talk in the media these days about how standing is way better for you than sitting, but did you know there's actually a "right" way to stand?  Here it is: space your feet pelvis width apart, line up the outside edges of your feet, fully straighten your legs, relax your quads, and carry your weight in your heels (get your hips directly above your heels).  This advice may be different from what you've heard over the years, like "keep your knees soft (slightly bent)", or "tuck your pelvis under to engage your core".  So who's right?  How do you know which advice to follow?  In my opinion, you should follow the advice that doesn't do damage to any of your body parts.  Read on, you'll see what I mean. 

First image: hips forward, loading the feet.  Second image, knees bent, loading the knees and the feet.      Third image, hips over heels, loading the posterior muscles.

Let's start with the feet.  Your feet are like your hands, your toes are like your fingers.  If you did a handstand, you probably wouldn't let your body go forward and put your weight on your fingers, you'd keep it in the heel of your hand, closest to your wrist.  The rules are the same for the foot.  Your feet actually house 25% of your body's bones and muscles, and are packed full of nerves.  The fact that your feet are capable of an infinite number of positions and are so sensitive to pressure, shape and texture suggests that they are made to read information from the environment.

A nice, flexible foot will be able to form to the surface you are walking on, giving you greater stability.  If your foot can't move to accommodate a rock or a hole in the ground, or a rogue Lego, some other joint will have to (sprained ankle, knee), or you fall over and break a hip.

The side of my foot can come up over the block so I don't have to fling my whole body to the floor to avoid getting hurt.  If I carried my weight in my toes, this would be very painful.

When you carry your weight on your toes, your foot has to contract and grip the ground all the time to hold you up.  This puts a significant amount of strain on the small muscles and soft tissues of your feet, makes the muscle stiff and unyielding, and actually cuts off blood flow to your foot.  Your poor foot loses its fantastic range of motion and will be in pain and may even start to deform from the strain (bunions, hammer toes, flat feet, etc.)

The size of muscles and bones can give us a clue to their intended function.  Bigger muscles and bones should be doing heavy load bearing work.  Smaller muscle and bone is more for proprioception and other functions, like the delicate task of capturing nose goblins from a sleeping 2 year old.  When you carry your weight back in your heels and turn OFF your quads, you allow the large muscles on the back of your leg and your butt to hold your weight, rather than the teeny tiny bits and pieces that make up your feet. 

Another thing to look at is the effect of a contracted muscle on other parts of your body.  When you use the back of your legs and your butt to hold you up, your butt muscles gently tug your tailbone outward, which maintains a healthy tone to your pelvic floor ( it is attached to your tailbone).  Cool!  When you use your quads to hold you up, either by having your hips shoved forward or having your knees bent, it pulls your kneecap up and into the knee joint, grinding through the cartilage, creating lots of friction and inflammation, leading to chronic pain/disease, eventually knee replacement.  Uh-oh.  Also, you lose any toning effect on the pelvic floor.  Dang.

The last thing I'll mention is the effect that the placement of your weight has on your bones.  In order for your hip bones (femoral heads) to develop and maintain their proper density, your legs MUST be vertical.  Your leg bone is triggered to grow (ie, NOT degenerate over time) through the compression it gets between the ground and gravity. 

A tilted leg bone, as in hips forward OR knees bent, is not getting the right amount of compression, which means your bones are not as strong as they have to be for your weight.  If I weigh 100 lbs, I want my bones to be able to handle that weight when I'm walking, or if I have to jump to avoid getting hit by a bus, or if I'm going downstairs and I think there's another step but there's not and I land hard on my leg and get that jolt that reverberates through my skull (we've all done it) .  If I don't bear my weight on my bones properly, that means that maybe they'll only be able to handle 85% of my weight, which is bad news for me in the above scenarios.  I don't know about you, but I'd REALLY rather have my bones strong enough to hold me up, since I have an aversion to chronic pain and osteoporosis and hip fracture.

(A side note, this is why time spent sitting is such a big factor in the development of osteoporosis.  Those hours you spend sitting in a chair are hours that you're telling your bones to go on vacation.  A horizontal bone isn't getting ANY compression from gravity, so it isn't getting ANY signal to replenish!)


So there's my case for standing with your weight in your heels, and for learning how to relax your quads when you stand around.   Makes sense, doesn't it?

The best things in life are free :o)

Stressful times.  If you’re not already rich, your net worth has likely taken a beating in the last little while.  Dang, Jim.  For most of us, enriching one’s existence will likely be headed in the “inward” direction, not in the acquisition of cool toys.  My Tesla will just have to wait for me.  And that’s not entirely a bad thing.  What the greed heads don’t want you to know (or feel) because when you do, then you don’t need to buy anything:

The Best Things in Life are Free  :o)

(I feel a song coming on) A genuine smile shared, holding your baby in your arms, a moment to reflect, taking a walk in the sunshine OR on a rainy day and jumping in puddles, or __________(your good and free thing goes here).

For the moment, oxygen is free, so take a deep breath and notice:  are you creating downward pressure on your Pelvic Floor in so doing?  If you move your ribcage to bring air in, make the cavity larger-changing the air pressure-outside air rushes in, downward pressure doesn’t happen.  Huh?

If you ride a horse, the next time you dismount:  notice that their entire ribcage expands as they breathe, it’s not just their belly reaching down to the ground and back up again.  If you toss a stick or a ball to your dog, once they’ve fetched it back to you and set it down, check it out: their entire rib cage grows all over for respiration. The ribcage is a moveable affair.

Put your hands on your own ribcage and see if you can give them a ride away from each other when breathing in deeply.  Breathe into those hands:  booyah!  See?  You can "ride" your hands in and out using the muscles in and around your ribcage. 

Soon, we’ll see swimmers race in the Olympics.  Their ability to compete successfully has a great deal to do with how much oxygen they can take in repeatedly:  the ability to move their rib cages.  After the race is over and they’re hanging poolside or on the ropes, check them out:  their backs are big – the ribcage goes all the way around.

Maybe you don’t partake in competitive sport.  You may take something else seriously, encounter other daily stresses.  In a stressful time [or when you’d like to remain separate from one] give your hands a little ride:  a couple of good, deep breaths.  It’s so relaxing.  And relaxed is where you do your best stuff:  like dancing or singing in the shower or ____________ (your best stuff goes here). 

Adult diapers: are you in? (know someone who is)

I think it's pretty clear that anyone who's outgrown them, does not want to return to wearing diapers.  Yet there are football and tv stars advertising them on tv in primetime:  expensive time.  That means the market for this item is BIG.

So many of us spend lives with our butt permatucked (a technical term) and it ain't natural.  Gentlemen and women, influenced by a 'civilized' culture, that sticking your bottom out isn't done, "tuck" them and in so doing set off a chain reaction of tension traveling throughout the body.  Think: tossing a pebble in pond.

Sitting for long periods of time [all day?] [got an hour commute to add to that on either end] exacerbates the situation.  Your hamstrings are way tight, (another technical term) from being asked to do nothing all day long, and while seated, the weight of your torso is jamming that sacrum in from the bottom. We're designed to sit on our ischial tuberosities, where the sacrum can assume its natural position.

So you say, "what's the big deal, I'll do my downward dog, and stretch those hamstrings, all right already."  Sure.  But your pelvic floor is muscle and it's the only thing keeping your guts up inside you and not falling out on the floor. Your PF is attached to different spots in the pelvis, one of which moves: the sacrum.  If it's jammed in on the bottom, there's slack in the PF muscles created only by the narrowing the obstetric conjugate (the shape is slightly different in men, but is the functionally the same). The PF muscle which used to be serviceable is now hanging like a hammock.  The muscles shorten and tighten in an effort to remain structurally useful, yet if the angle is extreme, you're out of control.

Your doctor (who's likely forgotten any of the biomechanics he/she may have studied in college) recommends kegels to you, so you can strengthen your pelvic floor, failing to realize that the tissues are weak not because they're lazy, but because they are not physically able to shorten any more than they already have.   Not too loose: too tight! 

Your entire body is amazing and it moves just as you ask it to.   Were we a people who squatted for toilet affairs we would not have these issues.  The places in the world where people still squat for eliminations have no need of diapers.  And they're definitely not tucked, as the tucked squatter sends their business between their feet (and those desiring to leave some items behind will be UNtucking their pelvis, no?) 

Developing your ability to squat and stick your tail out (and one ought to be able to maintain this position for as long as is necessary) will restore their obstetric conjugate to its natural ratio/relationship to the rest of the pelvis and your pelvic floor will (magically) be able to function normally once again.

Surgery doesn't work for long, so if you're dealing with pelvic floor issues your choice is simple.  Start asking your rear end to behave naturally or start shopping for diapers.

And if I've piqued your interest in restoring your body to its natural vibrant state, come see me or my colleagues in lovely Pt. Richmond for classes in Restorative Exercise.  And if you're not nearby, don't worry.  There is much instruction available on line, a line of DVDs, a great book on Fixing your Feet (they're where the rubber meets the road) all available at www.alignedandwell.com.