Real People. Real Breakthroughs.

From chronic pain to freedom, hear their stories.
Melgaard Wellness ยป Stories

Stories

Back Pain
Knee Pain
Hamstring Pain
Hip Pain
Neuropathy
Foot Pain
SI Joint Pain
Sciatica
Anxiety

1

A client came to me after seeing 11 different practitioners of varying disciplines with no one able to figure out why they were dealing with back pain for well over 5 years. Offered all sorts therapies, drugs and surgeries, nothing was able to help. Condemned to just dealing with it they sought me out at long last. After a brief conversation going over their story, I got into the assessment with first some standing movements, just a squat and hinge. I saw a lateral shift during the squat and some uneven loading during the hinge, giving me a hint that there was an imbalance in the hips.

Getting them on the table I went through my standard hip flexion test, finding that the psoas and glutes were not firing at all. Upon hearing this, the client started to argue with me, since they'd done a lot of work with their physical therapists on development of the glutes. Of course, they may have improved function a ton, and made big improvements from where they started, but I can only comment on what I see when a client presents with me, as I didn't know them previously. I asked how they performed the testing of the glutes, which they said was done with a straight leg, prone on the table.

In the world of Be Activated, compensation patterns are often the largest issue we're concerned with, and testing the glutes in this way simply does not isolate the glutes from the hamstrings, allowing the hamstrings to give a false positive for glute function, because the hamstrings will be doing hip extension with the lower backs' help. Even the calves could do the job if the tester is not ensuring the toes aren't being pointed. There's just a lot that can confound the information if we're not careful about eliminating the cheats that our body may be so clever in developing. We performed the hip extension test again with the knee bent in order to isolate the glutes, which gave us a clear 1/10 on glute strength. This was the key to the back pain. Without glutes functioning properly the lower back and hamstrings (and potentially a lot more of the system) will drive inwards towards the hip to do hip extension, creating compression and implosion instead of expansion. Over time, the compression and implosion of continually non-functioning glutes will send pain signals as nerves and discs get more and more compressed. Alleviating this was pretty simple once we had an accurate assessment: get the glutes firing with muscle activations and allow the lower back to open upwards instead of down, which eliminates the compression. The key to this whole story is careful observation and rigorous testing, which will yield better information, which allows the interventions to actually achieve the desired result.

2

An unexpected twist on my last session of the day: Sometimes amazing results can be too good to believe. This particular client came to me with lower back pain, much more severe on the right side. After getting the story, I felt I heard a lot of underlying emotional heaviness. Theyโ€™re in charge of taking care of a partner thatโ€™s unable to care for themselves, and perhaps not the happiest about it. With that as the back drop, we set a goal and step into the testing. During the testing I find that theyโ€™re a zero on the right hip, meaning they donโ€™t have a strategy and the other half of the body is compensating for both sides.

On the left hip, we make it all the way to the jaw and arm, and I feel a glimmer of a hold, so subtle and fleeting I almost missed it. The hold was a fraction of a second and then overwhelmed by minor pressure. This prompted me to dig deeper into the story. I asked โ€œit feels like there used to be something there, like at one point the arm was your strategy and now itโ€™s unable to do the job, does that make any sense to you?โ€ They then filled in the gap in their story with the fact that they had neck pain years ago and had a laminectomy on a disc in their neck to try to relieve pressure on some nerves potentially causing the pain.

They said โ€œafter that surgery it felt like the world fell out from underneath me. What that says to me is that their system had to create all that pressure in the neck in order for the hips to continue working, allowing them to show up. The trauma of the surgery was enough to make the cheat pattern no longer useable by their system, effectively making them a bilateral zero, (which is commonly associated with overwhelm) however it still seemed that the right arm was trying to do the work, and the left hip was still the stronger side.. The overwhelm tied back into the story of caring for their partner quite well. So with the understanding of what was going on and why their system was manifesting the pain specifically on that side of their back we moved in to the Zone 1 activations. I canโ€™t remember anything specifically remarkable from during the activations, only that their breathing shift was quite dramatic, and we were able to get really great test results after the activations. As usual, I had the client stand, settle, then walk to allow their system to adjust to the new pattern. Iโ€™ll never forget the look in their eyes over the next few minutes. They said to me โ€œitโ€™s goneโ€, and I could see the disbelief. I asked, โ€œWhat is?โ€ โ€œThe pain, itโ€™s completely goneโ€. I could see them processing all the changes in their life this would mean, as well as possibly the regrets around some of the other treatments theyโ€™d pursued. This is the part that I still regret, one of my biggest teaching moments and failures as a facilitator. I didnโ€™t bring the coaching conversation to how this new state in their system would benefit not only them but those they care for. I didnโ€™t ask what they saw as the value of this new state and capability in their system. I watched as they processed, and let go of the new beautiful expansion in their system, and brought back the pain full force within seconds before simply saying โ€œitโ€™s back, thank you for your timeโ€, walking out the door and leaving. Iโ€™ve never heard from them again. Sometimes positive change can be a stressor in and of itself, if weโ€™re not prepared or looking for the kind of results that come with huge perspective shifts, they can leave as quickly as we found them. Since then Iโ€™ve changed how I work and adapted things to create space where these things are possible and acceptable, but not necessary as the overarching journey of healing is like the growth of a tree. Nearly imperceptible but if you look back on where you came from you see just a sapling compared to where you are now.

3

Spinal Stenosis is another one of those diagnoses that comes with a little bit more gravity, a little bit more heaviness. To me it says: this isnโ€™t just increased muscle tone, this is a long adaptation to a lot of pressure in the system. The journey in this case would be like the growth of a plant. Maybe a growth spurt here or there but mostly a gentle march higher and higher in a virtuous cycle. When this client came to me they had difficulty standing. Laying down and sitting were fine, but they werenโ€™t working because they couldnโ€™t be on their feet for very long before the pain became more than they could handle. Chunking the goal down we simply tried to see what we could do with standing and walking. Improving that might allow the client to return to work and reduce their stress quite a bit more. We went through both the Zone 1 and 2 work without anything stunning as far as the table testing went, just the โ€œgentle marchโ€ I mentioned earlier of more range and more strength in each of the tests. The real stunner was at the end of the session, Iโ€™d had a wandering conversation (totally on purpose to keep them standing longer, not because I can be a chatterbox) reviewing the session, discussing homework and strategies for that. Towards the end of the conversation they started to tear up because they were still just standing, comfortably.

Way longer than theyโ€™d be able to before. โ€œJohn, do you realize how long Iโ€™ve been standing here? I feel so lightโ€. One of the big changes Iโ€™d made to the procedure was to stop them at each stage after the activations and have them find their breath again. We do a lot of table work and breathing while laying on their back, but itโ€™s way easier to find it lying down than standing up, or standing and walking. So we found their most effective breathing strategy and had them utilize that while they sat up, get the breath moving well and stable in seated, then stand and do the same, then walk and do the same. This really allowed their system to drop and feel safe in those positions, perhaps allowing them to just continue to stand because their system was no longer perceiving threat there. Pain, trauma and inhibition come with really interesting consequences. If you get hurt doing an activity youโ€™re less likely to do it. โ€œOnce bitten, twice shyโ€ is the saying I always use. That may be jiu-jitsu โ€œI got wrist locked and couldnโ€™t hold my hammer at work for three days, thatโ€™s too risky Iโ€™m just not going to do itโ€. โ€œI had a back spasm tying my shoes, Iโ€™m switching to velcro since itโ€™s faster and I donโ€™t have to bend over as muchโ€ You get the point. When we have a trauma weโ€™re more timid when reengaging with a similar situation. That timidity, hesitation or guarding comes with increased tension in our system, we treat it as a threat so we prime for fight or flight which tightens down our compensations. You can see that might be an issue if the compensation is creating the back pain in standing so suddenly youโ€™re no longer feeling safe enough to stand up straight so you get a hump in your back and end up walking as an elder, staring at the floor. Approaching standing creates apprehension which creates the tension causing the pain to begin with. Itโ€™s a vicious cycle. Sometimes we just need to slow WAY down and remind our system weโ€™re safe where we stand, that might be enough to kick start the virtuous cycle of standing and doing dishes, taking care of our house, returning to work or just expanding into more of your life.

1

This story actually doesnโ€™t even involve my hands, simply education and demonstration. Teaching a small class with elders, Iโ€™d laid the groundwork, the philosophy, behind Be Activated down over the course of about an hour. Weโ€™d passed through some group โ€œPoint of Focusโ€ testing as well as watched each other shift our states simply with our mind as we walked back and forth across the room.

This participantsโ€™ reason for joining us was that theyโ€™d received Prolia injections for concerns of osteoporosis. Theyโ€™d had some serious adverse reactions to the treatment, some of which pointed to a trip to the ER (that didnโ€™t happen and thankfully the drug interactions didnโ€™t go so far), but the drug did end up creating massive bone pain that was affecting sleep and a knee that simply wouldnโ€™t bend an inch, making them a fall risk amongst other things. I showed the group the diaphragm activation first, and theyโ€™d reported little change in their system as a result (though others in the class had quite a different experience!). Moving on to activating the psoas, however, brought forth something really quite unexpected. The participant was just learning self applied touch therapy for the first time, really, and also getting an anatomy lesson, so needless to say thereโ€™s plenty more opportunity for even more improvement! As weโ€™re going around sharing the changes we feel with the activation they shock us all and show that they can bend their knee about 20 degrees now, enough to walk somewhat normally, without pain. To me, this shows the power of these tools are not limited to professionals who do this all day every day, but learning and applying yourself with no amount of skill can still create amazing new possibilities and changes in your system. This is why I teach them. Iโ€™m not in the business to create recurring revenue from a small group of people. Iโ€™m in the business to help people tackle big challenges and put them in the driver seat, to help as many people as possible with this amazing work. We finished up the class session by activating our glutes, and sending the participants home with the assigned work of doing the activation sequence at least once but preferably twice a day. Any of my teachers growing up wouldโ€™ve scolded me for this, but I celebrated it: they came back the next week to go deeper into the sequence, learn and explore more, and theyโ€™d said they deliberately ignored the homework. They wanted to test and see if the changes would stick. Lo, and behold! They stuck. A week later, all the ups and downs of their life with that, and their system decided they were safer with the knee functioning. I still encourage daily or even more often use of the tools, but sometimes thatโ€™s what we need, just a one and done, clear up the issue and move on. Of course, if that situation ever arises again, theyโ€™ve now got the tool they know they pull out of the belt, dust off the email and re-watch the technique and deal with it, no waiting.

2

Itโ€™s not often that an assessment doesnโ€™t immediately yield loads of helpful information for understanding why a client is presenting with the challenge they are. My oldest client yet brought with them one of those situations. Their chief challenge was knee pain and their pattern testing showed theyโ€™re a bilateral jaw driver. The only link we saw with the knee pain was that the entire system was driving inwards in order to do hip flexion and extension so there must be another explanation for the knees.

We progressed with the agreement that we were going to continue to try to sort out whatโ€™s going on with the knees as we go, and find the piece of the story that added up. Through the first two activations nothing major showed up just a lot of relaxation and better breathing. Then we got to the glute testing. This is done prone on the table with the knee bent beyond 90 degrees to reduce the hamstrings ability to do hip extension. The only problem was, we couldnโ€™t get the knee beyond 90 degrees flexion. Their quads were so tight that it was impossible to do the test as I normally do. I asked for a bit more information and it turns out every day for the last so many years they spend about 2 hours sitting in the same chair reading the news, and donโ€™t do any sort of stretching or work to counter an inactive lifestyle. For quite a long time the knee simply had not bent further than sitting in their favorite chair, and the body was now quite comfortable with that range. We agreed to make note of that and do not only the glutes but hamstrings and quads within that session to give the foundation of the glutes but also get the hamstrings and quads out of the way to make sure the glutes could do their work. A note on this, sometimes there are things way down the chain that are holding back our Zone 1. This is a perfect example. We could do wonderful work activating the glutes but if Zone 2 (quads and hamstrings) canโ€™t open up to get out of the way then weโ€™ll actually not get the results weโ€™re looking for. Itโ€™s a weird situation where weโ€™re doing further work to allow the previous activations to have their effect. So anyway, we continued with the work going straight into Zone 2 and it wasnโ€™t until we did so that her entire system opened up. It appeared to me the client grew about 2 or 3 inches from the previous time they were standing, and they felt very light on their feet, the knees not bothering them at all. I believe we even joked about going for a run in the grass outside! We had a discussion about the work, gave them some homework and I sent them on their way, only to miss the most amazing part of the session. Theyโ€™d sent me a text after they got home in disbelief: โ€œJohn, if you had looked out the window to watch me walk down the stairs from your office this afternoon, you would have seen something that I have not experienced in YEARS. I walked down the stairs like a โ€˜normalโ€™ person! Not like a toddler and not backwards.โ€ Working with elders is something I really enjoy because thereโ€™s tremendous joy and positivity when they reclaim something they valued and they havenโ€™t been doing thanks to the steady march of time. Another instance of this is a participant in a free class Iโ€™d done that had stopped everything to say โ€œholy smokes look at my feet!โ€, and they were pointing at their toes curled up on the floor, which startled me, thinking they were having a bad cramp or something. It turned out this was how they sat when they were a young student in school and it was a position of deep comfort that they havenโ€™t been able to do for years due to ongoing pain. What if we donโ€™t have to give up, not only, the safety of strong and stable movement, but the activities we cherish that give us a sense of ourselves? Too often I hear people say โ€œwell, I just wonโ€™t do it again because Iโ€™m getting olderโ€. What if you had not only the capability for that which you cherish but MORE of it? Whether itโ€™s a toe curl while you sit and enjoy your coffee or white water rafting or anything else?

1

Acute situations are often โ€œleft to cool offโ€ by a lot of practitioners (rightfully so if their tools arenโ€™t safe to use in acute situations), but I donโ€™t feel theyโ€™re something to be afraid of (within reason, if youโ€™ve got a broken bone go to the hospital please). A client presented with a partial tear in their hamstring tendon, feeling unable to get comfortable anywhere, messing with their sleep and severely limiting their movement.

They sought physical therapy and were told since the injury is still currently โ€œhotโ€ they should just take it easy until it calms down, then they can begin working on improving the situation. Within the confines of a safe environment, with a client on board to try to see if we can open things up I think thereโ€™s no better opportunity to see if we can directly impact function and therefore allow more healing to take place faster. I skipped a lot of my normal testing, and we simply got a baseline on their walk, noting gait as well as perception of discomfort. The only on-table testing I did was checking passive hamstring range of motion. With an acute injury we definitely move slower, but we donโ€™t shy away from seeing whatโ€™s going on with the body and where itโ€™s at. Making sure not to provoke or worsen the injury we found that the hamstring was severely limited in range (duh), right about 45 degrees off the table to start, as well as it was quite heavy and had a hard stop. Beautifully, we worked through the Zone 1 work, allowing the system plenty of time to settle and adjust to the changes, bringing in really great breath between each activation and the result we achieved was quite awesome. Over the course of the session the leg just felt lighter and lighter, and the range increased, reaching a full 90 degrees (the benchmark for a hamstring in order to have safety for the low back in bending) without aggravation or feeling unsafe with the stretch in the hamstring at that point. Once off the table we noticed a much faster walk with nearly no perceptible pain with the injury. The paradox of injury and pain is that when we have something traumatic like this it creates constriction or tension. Then we have the mental stance around pain of โ€œIโ€™m not supposed to feel this, I donโ€™t like thisโ€ or generally, refusal. Believe it or not, this adds to the stress and tension in the system which only furthers the guarding. The guarding of the system actually gets in the way of healing. A 10-15% muscle contraction reduces blood flow through that tissue by something like 30-50%. If we have an injury with inhibition causing a 50% reduction in range of motion how much less blood is that tissue getting? What if we can decrease the recovery time by settling the system down, restoring some function and more importantly improving total fluid flow to and from the tissue thatโ€™s affected? What if we tack on better sleep with a settled system as well, where the real healing is happening? The follow up appointment on this session was quite amazing as the hamstring was much less bound up at the start and we were able to achieve 100 degrees range of motion off the table, going beyond the benchmark, all while feeling safe and comfortable with the level of stretch in the tissue without aggravation. This then allowed their physical therapy work so much more room to work and to drive even more blood in and bring in even more healing and just make so much improvement so quickly.

1

Sometimes, one personโ€™s opinion on our situation just doesnโ€™t really hold water (this goes for me too, Iโ€™ve been wrong so many times in assessing something and giving an opinion on whatโ€™s possible with a situation). This was a session with a client Iโ€™d seen several times at this point and we were exploring the deeper work in the system. We were testing new things and learning more about where she was holding tension and the challenges associated with them.

In testing their hip's internal rotation we found not great range on the left hip but very nearly totally locked on the right. I asked them for more information on this, were they aware of anything going on and the response was "oh that's the hip the doctor said is going to need to be replaced, it's just too far gone". Something didn't quite feel exactly right, it was a strange almost neural blocking, there wasn't any major pain associated with the end range which would make me think there's an actual bone issue since I would expect that would be painful. But we continued with the work anyway. The other testing associated with the activation we were going to do involves the resting tone of the arms as well as a strength test. This activation is actually digging in some specific points in between the ribs, as well as some work with the mid back, nothing actually with the hips or arms. While the retest on the arms didn't show much change the hips had quite a massive change. The (alright) left hip was now really quite good, improving range by something like 20 degrees, and the locked right hip was now suddenly moving freely, nearly matching the left. There's many times I'm shocked by what my clients are able to do with the activations, this was one of those times. Both of us almost couldn't believe the testing. Being cheeky I of course asked "are you still sure about that replacement?" I'm of course not trying to advise my client one way or the other, or put down the other professional who offered their opinion. Based on what they see within the confines of their tool kit and understanding and past experience with other patients they may have seen something that looked exactly like a previous replacement candidate. As I've said above, I've made wrong initial judgements based on previous experience as well. That's why I try to maintain an open mind and wide open eyes with this work because I truly don't know. The fact remained that in this case the client was able to achieve something that the original doc may have thought was impossible (as well as the client). Will the hip need replacing in the future? Who knows? Perhaps it still will. But until then, this client now has a tool they could use to open the hip and move it well to lubricate and create space to perhaps even just stave off the replacement longer.

1

My stance with any person coming to see me for the first time is genuinely โ€œI donโ€™t know if I can help you but letโ€™s see what your body is doing.โ€ Neuropathy was one of those situations I really had to stand behind that. Iโ€™ve seen many times back pain, knee, hip, all the usual stuff. But neuropathy? I definitely wasnโ€™t sure, and even in the โ€œusual culpritsโ€ Iโ€™m not 100% sure because I have a person come along that was more like a fight than a session, and we didnโ€™t get anywhere. Nobody bats .1000, and that was a one time thing, but also thereโ€™s the rare situation where the body simply says โ€œno itโ€™s not time for thatโ€. So with that in mind, I feel itโ€™s better to approach this work from a place of humility, curiosity, and playfulness rather than this hard and fast confidence. For me, that confidence comes with trying to prove myself right and if Iโ€™m doing that then Iโ€™m LOOKING for something, THE thing thatโ€™s going to make me right and make this work. If Iโ€™m doing that then Iโ€™m not seeing whatโ€™s happening in front of me.

So, I approached this case with that curiosity, if not even a bit of timidity because I've never had experience with it. We found that the clients pattern is a bilateral 3,3,3 leg. This means that their strategy for hip flexion is the calf and shin shorten, tighten and drive up to lift the legs, and the abdominals tighten down A LOT to stabilize the pelvis against the long level of the leg. Perhaps the calves and shins having to do the hip, shortening and tightening so much was choking the fluid supply to that part of their body, effectively killing the nerves over a long enough time? Maybe. All I know is if that's their pattern then the breathing and the hips are doing their job properly so we worked on that first as usual. The outcome of just the Zone 1 work was really amazing, as once we finished and they were walking around they said the tingling, pins and needles were greatly reduced, and they could feel more through their feet on the carpet. I'd love to say that through continued work it just got less and less until they had restored function but that's not where the journey went. The neuropathy improved to the point of ceasing to be the focus of our sessions, so I simply stopped talking about it with them because we were striving to create improvement elsewhere. It's left me with the question of "what's really possible with reduced or elimination of nerve function?" Douglas Heel (founder of Be Activated) has done some work with Ryan Bachik of Bachik Methods in Addison Texas with multiple sclerosis, spinal cord injuries and other severe neurological cases and has seen some stunning results, so a dream of mine is to see if I can help people dealing with those issues as well. It's possible to improve, but how much, and how much can I facilitate for the people that find me is the question. But only if that's the work the client is also looking to focus on as well.

1

Occasionally, I get the chance to remind a client of the power they have within themselves, utilizing the tools I teach them. A client Iโ€™d been seeing for a few different challenges came one day with a foot that was aggravated enough to take front and center stage. In the beginning of the session we always contract, which is just getting clear on the goal weโ€™re aiming at.

So todayโ€™s goal was to help the foot because it was inhibiting walking and really uncomfortable. Theyโ€™d previously had surgeries and falls that have added considerably to the story of the foot in question. Before getting on the table Iโ€™d asked if they tried doing their activations yet this day to which they responded that they hadnโ€™t. So I took the opportunity to teach and empower them a bit by having them establish their own baseline, with some air squats and walking around the table to get a sense of how it was affecting them currently at that time. They gave a X/10 rating on the discomfort and a sense of how it was affecting them, so we proceeded to do the Zone 1 work together, I mirrored them and we spent maybe only 5 minutes going through those activations, just inviting the system to take a step down and see if thatโ€™s what the foot needed because it was only recently it returned as a problem to be focused on. The client lingered on a few more sticky, sore spots and found a great breath before retesting. I saw immediately a huge change in the squat, then as they walked there was a noticeable shift in the evenness of their walk, balanced between both feet without any sign of a limp. I asked what theyโ€™re feeling and the answer was โ€œitโ€™s great, feels totally better.โ€ I offered to end the session there as weโ€™d hit the goal for the day and we could take the win and run with it. Often times we can get so wrapped up in the hum drum of our lives that we forget we literally have the answer at the tip of our fingers. This of course is only true if you know you have the tool you need. But if you have that tool then the question is, why hesitate to see if itโ€™ll work? And if that tool has worked across several different issues, why not try it yourself on something new? Thatโ€™s the empowering side of this work, it allows us to take our healing into our own hands. We may not need to reach for the ibuprofen or Advil or CBD or whatever, we can simply reach inside ourselves, reconnect the system and often thatโ€™s enough to deal with a dragon thatโ€™s only returning to rear itโ€™s head. For the younger readers thatโ€™s like repeating a boss battle in a video game. You know the strategy, youโ€™ve already done it, you just have to do the buttons in the right order, at the right time and youโ€™re on to the next level. For the older readers I liken that to an oil change, or a flat tire. Youโ€™ve dealt with the problems before, so when they happen you know where your tools are and how to use them to get the car back on the road.

1

I had a kick for a few months of twice weekly yoga sessions at a local yoga studio that I really enjoyed for the most part. I donโ€™t practice very often because I donโ€™t find itโ€™s the right fit for me to maintain integrity in my system, and I struggle with how a lot of teachers teach. I donโ€™t fault them for it, they teach from where theyโ€™re at and thatโ€™s all they really can do because we donโ€™t know what we donโ€™t know. Iโ€™d offered a free class at this yoga studio and what turned up was a room of teachers only.

No gen pop which kind of shocked me, but makes sense because those that went in to teaching most likely did so because they wanted to learn more and theyโ€™re exploring through the practices rather than just wanting to receive dictation from the teacher. I found it a little intimidating to start because every other time I was in that room I was the student, but I got to share what I know well within the confines of their world which is where a lot of magic happens. I brought up a participant to show the 1,2,3 pattern testing to explain how this pattern is the water we swim in when weโ€™re doing yoga, all the poses depend on this strategy. Iโ€™d never had such a visually clear and satisfying test before, and for that Iโ€™m thankful to the volunteer. The word is โ€œholdโ€ and most people fight with me, but they simply tried to hold, and for the observers the pattern was totally clear once weโ€™d allowed them to use their strategy. We went through Zone 1, nothing, Zone 2, nothing, Zone 3 leg, nothing, we added the right arm in and BOOM, their system was SUPER strong. I canโ€™t actually remember what the right hip was, but theyโ€™d brought up some significant challenges with their SI joint when discussing the typical risks we see with arm driving, which includes SI joint and lateral disc bulges. Fantastic, so we both knew now what was causing the issue, the next step was to get Zone 1 working and see if that changed things, and boy did it ever. I had the students do a short flow of poses to get themselves acquainted with what they were feeling, then we did very brief activations and some breathing then went back through the flows to see what was different. For this participant Warrior 1 was something theyโ€™d felt they shouldnโ€™t have had a problem with since theyโ€™d done so much yoga and were even a teacher themselves. Following the psoas work they moved through the flow then stopped at warrior 1 and just sat. They couldnโ€™t believe the difference, zero pain or discomfort. The pose felt locked in and it looked the same to me as I watched from the front. I feel a critical part of this particular story was the testing and explanation weโ€™d done beforehand. When the arm is driving the hip itโ€™s coming from the opposite side so youโ€™ve not only got compression from the entire leg and opposite arm driving in to the hip but you add an angle to the force coming down as well that can push around all sorts of things off the midline like the discs out to the side or SI joint. Being well connected to their body through yoga and then layering on top the understanding of what the secret cheat pattern is that drives the whole practice opened up a whole new world within yoga to them. With the SI joint no longer a factor in their practice they felt so much safer going into more challenging poses because there wasnโ€™t any hesitation around incurring pain or โ€œreally feeling itโ€ after a class.

1

Sciatica is one of the few scenarios most people can relate to โ€œthe cause is not where the pain isโ€. Pinching the nerve around the hips can create pain and discomfort all the way down to the top of the foot. I feel that this work showcases time and again โ€œthe cause is seldom where the pain isโ€. Of course we look at whatโ€™s going on within the local tissue because something may be easily seen right there (as with one of the knee stories Iโ€™ve written about on this blog), but often times what makes a change in that tissue is something somewhere else.

A lot of times some simple stretching can relieve sciatica, or at least calm it down, but this client had tried the stretches and the pain was only slightly less while doing the stretch and then it was no better once theyโ€™d stopped. We went through the Zone 1 work finding some really positive results but once the client stood up off the table things just didnโ€™t seem to stick right, and sure enough retesting back on the table showed that it didnโ€™t take much for their system to revert. It was something in the stand-up, so Iโ€™d asked for more information, previous challenges, traumas etc. and theyโ€™d realized they forgot to report incontinence as one of their challenges. This is of course totally excusable, not many people like to discuss incontinence because they perceive it as embarrassing, which itโ€™s totally not. Itโ€™s simply an adaptation your body is using to meet itโ€™s priorities. In this case the client had several children with zero rehabilitation to the pelvic floor following any of the vaginal births and theyโ€™d been incontinent more or less since then. The reason this is important is because when thereโ€™s an issue with the pelvic floor sometimes the body will tuck the tail and utilize the glutes to function as the pelvic floor instead to prevent the internal organs from prolapsing (which had happened as well apparently, but the story comes in layers often as we discuss and find new things). So what this meant to me was we got the glutes firing fine which helped free up the pressure on the sciatic nerve on the table but once they stood up their body said โ€œuh oh we almost lost our guts!โ€ And tucked the tail right away. With the new information it made sense that weโ€™d continue on with the session down the chain until we got to the pelvic work. Iโ€™ll say this here: the pelvic floor work is nothing internal, weโ€™re using activation points elsewhere on the body and simply having the client squeeze and relax their pelvic floor to figure out which of the activation points are most impactful. Theyโ€™d had this tremendous sigh once we finished with the activations and once they stood up it was absolutely clear so much had shifted once we found the right piece. It looked as though theyโ€™d grown 3 inches, they said their back hurt way less (which wasnโ€™t the target for this session) and the sciatica was completely gone. Watching them walk around the table integrating this into their system was quite beautiful to see, because it wasnโ€™t just an alleviation of discomfort but an unburdening of something theyโ€™d been carrying for many, many years since the birth of their last child.

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"Anxiety, going once.... Gone!"

A distraught mother reached out to me about her pre-teens anxiety around school. Apparently things had gotten so bad that the child was not attending school due to panic attacks and breakdowns, as well as needing to remove themselves from class periodically if they did make it to school. Not wanting to put her child on drugs, she found me and said "let's give it a try". What followed was one of the more unusual sessions I've done. The moment they walked in I could feel the tension in the child's system; I wasn't super confident because it almost felt as though they were only coming along because Mom was dragging them to "another doctor's appointment". It's tricky to work with someone who doesn't want to make a change or improve something. I reminded myself of when I struggled with anxiety, skipping classes (though I was in college, not middle school), vomiting in ordinary social situations and even having to skip on activities I truly enjoyed, it was awful. Deep down they wanted to be done with the anxiety too. I spent maybe 20 minutes interviewing both mom and child, since when they first entered the child was struggling to speak with me. After getting the story, some school stuff and some family stuff was going on, it appeared to me that the child was getting stuck in mental loops and dwelling on things out of their control as well as not their responsibility.

We started with the "point-of-focus" drill which I had to modify because the second the child turned away from me to begin the testing I felt a HUGE "I'm not safe" from their system. I stopped right away and said "you don't like not being able to see me right?", they agreed so we altered the test so they could see mom and me, and just use one arm instead of both. Going through the test seemed helpful to not only illustrate the effects of their focus on their body but also gave them a bit of power in their choice on what to focus on. We'll come back to this style of testing for some really interesting stuff. Moving on I'd explained why her system was shutting down, how stress affects us and why we're going to do what we're going to do. They followed along with the explanation and seemed ready to move on. I asked "are you ready to get on the table?" "No." "What would you need to feel safe doing so?" "Maybe mom could get on with me?" So we had them lay down and Mom stood at their side holding their hand. We did a baseline hamstring test to assess total body tension, then when I explained the activation and where I would place my hands they tensed up. I asked, "are you okay with me working on those areas?" "No." "Is there a way we could modify things so you're safe?" "touching is weird". That was all I needed to hear. I said "cool, we'll make this even better for you because you're going to do all the work on yourself so you can own the results".

They hopped off the table and we went through some self applied activation measured with a sit to stand out of my chair in the office. They seemed to be making and feeling marked improvement with each activation, they were more engaging and open as the session progressed which was really quite awesome. We discussed more about what they were experiencing, why it was working, and I coached them to make a decision about when and how they can use the activations to help maintain a sense of peace when going to school. We still had some time and I wanted to poke deeper into the family issues to see if we could help this child maintain some equanimity despite what the adults were choosing to do. This is where the session, for me, got even more interesting.

We decided to have mom berate/scold/admonish them about clothing choices, not getting out of bed on time, not cleaning their room etc. and run the point of focus drill again, seeing the effects of the scolding on their system, which of course was implosion, weakening, overwhelm, and shutdown. It appeared to me mom got emotional realizing she was contributing to her child's overwhelm by the way she was communicating with them. So, now that all 3 of us were clear that these communications and other family circumstances were having a serious effect (despite already having activated to a pretty good place), we had mom continue to scold/admonish/remind the child while they went through the activations we had just done and retest once they were done WITH mom continuing with an onslaught. The result stunned me. They weren't phased even though mom was heaping it on. I immediately had to put on my parent hat and remind them "even though you now have a technique to not get shutdown by being remind to clean your room you still have to help your mother and do it, right?" "Right. (With a sly smile)". A little bit more discussion about how to use what they'd learned and encouragement to empower them and they were off, I'd hear back after Monday's school day about how it went.

I sent videos to remind them the techniques and encouraged mom to do the activation with them to practice before the school day. So I waited, and waited. Wednesday evening rolled around and I hadn't heard anything, so I reached out with bated breath to see how it went. The text I got back gave me goosebumps. "Yes I meant to text you! They're doing great!!! No crying or complaining before school or after. Every time (they do it) they look at me and say teletubby haha". It's funny because the teletubby point is my big one too, and it's quite funny visually. But if we can laugh about it and still reap the benefits that's even better. Let's normalize finding ourselves, centering and showing up with equanimous presence, no matter the technique that gets us there.

I spent probably 1/2 the session building rapport and understanding to even begin the work and when it came to it they had to do it all themselves. Now they've got the tools and the power to work with their system to face bigger and bigger challenges, and that's quite the exciting prospect for me. As I reflect on this story I find myself half wishing someone had taught me this when I was their age, but I suppose if someone had then I wouldn't be in the position I am now to be bringing this work to way more people than just myself, and for that reason my past pain is a blessing.

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