How Has This Changed my Life?

Can Pilates help women facing hysterectomies or other abdominal/pelvic surgeries? Can people move with strength and ease after 50? I am living proof. Recently, I faced two pelvic/abdominal surgeries, only five months apart, to combat the latest effects from my history with stage 4 endometriosis. Each surgery creates new scar tissue, which can create new pain and limitations in my movement and ability to live a normal life. Needless to say, two surgeries so close together (I’ve had 4 all together including a total hysterectomy 5 years ago) was a double whammy for me to recover from and I worried if I’d ever feel well again.

I work in a physical therapy practice as a Rehab Pilates specialist, and so preparing for surgery included what I would recommend for any client – plenty of core work and moving my body safely for strength and stability in all planes of motion. I chose STOTT PILATES for my instructor training because of the emphasis in anatomy, rehabilitation, and adapting the work to fit each unique body’s needs. Setting aside time for Pilates prior to surgery was a chance to experience my body as capable, not helpless, and to feel joy in movement as the springs on the equipment helped me move and soar as I otherwise did not have the strength to do. I literally was doing Pilates in the pre-op little room on my hospital gurney as I waited for them to take me into surgery. My husband laughed, but I knew it would be my last chance to help my abdominal and pelvic muscles be strong and ready to face recovery, and also, it was a welcome distraction from the stress of the moment. Doing Pilates gave me something positive I could do for myself and my healing.

After the surgery, I was able to use what Pilates has taught me to focus the mind with my body… to isolate and relax muscles more easily, use breath to cope with pain, and literally went through the entire recovery without ANY pain meds other than a couple of regular strength Tylenol! My first day back at work, I turned to two women physical therapist co-workers, both extremely athletic young women in their 20’s, and said “ok gals, I need your help in getting me back into shape… let’s do an abs workout.” Imagine my surprise when I, a woman 51 years old, with a total of 4 surgeries to her gut, found I was kicking these younger women’s butts! I thought they were actually going easy on me as we worked out together doing a variety of abdominally challenging Pilates exercises. No, as it turns out, the muscles do have memory and the body does indeed want to return to wellness if you give it the tools. Because Pilates addresses all my muscles, not just the surface ones, my recovery was faster and my power returned quickly. My surgeons were shocked at how fast I bounced back – yet again!

Now at nearly 52, I see each day that age is not a big determiner for wellness. Neither is past surgical trauma. Breathing and moving well is! Each day I move, in all directions and with the stability and strength required to do so safely. At my age, despite having had osteoporosis diagnosed since I was 40, am just as tall and straight as ever. My ribs expand to allow easy full breaths, and my body actually craves the feeling of moving/stretching. Perhaps next time, if there is a next surgery, I won’t be so lucky. I can’t help that, but I can celebrate each day the best I can by moving and challenging my body in ways that feel healthy. It is my best chance at facing whatever life has in store for me with grace and joy.

The thought of advancing age… of possible future illness… none of that scares me anymore. Whatever life brings, I know that my Pilates practice will adapt along with my changing needs, keeping me flexible in mind and body for the whole of my life.

I often think how fortunate I am to have chosen to formally study Pilates at Pacific NW Pilates over all the many choices out there. The level of training and commitment to quality at PNWP is simply heads above the rest! They taught me how to make Pilates relevant for even the most challenging of health situations.

Thank You!
Renata Marsal

Pilates inspires health and happiness

Dear Pacific NW Pilates,

I began taking pilates about 2 1/2 years ago.  It has been amazing for
my teacher (Cheryl) and myself to see and feel the changes that
have happened.

Since starting the reformer in addition to mat class (about 6 months)
I have really felt the positive changes.

In the beginning I would be so tired out by the end of the hour and even
dread coming at first but I knew it was good for me.  I would take what
I learned each week with me throughout the whole week when walking my
dog.  The breathing, connecting of the lower abs.  It was all so rewarding.
I could feel my lung capacity and my whole core working my limbs!

I have felt the work in my lower back becoming stronger and rolling up
through the rest of my back and now into more chest opening.  Everyday
I wake up feeling more refreshed than ever before!!

This has truly been a great experience.  I also love the group of girls in
the classes.  It is just so much fun and makes a wonderful support group.
Cheryl has been a fantastic teacher and I love this studio with its professional
staff.  You are all my heros & life coaches.

Thanks again for your inspiration to healthy & happy living.

Cheryl Lynn

Pilates Positive Impact!

As you know, Pilates has certainly made a difference to me.

A masseuse told me several years ago about one of her clients saying that Pilates had transformed her body.  I went to that Pilates studio because I had been having trouble sleeping from pain in my shoulders, hips and legs and when gardening I would end up with hobbling lower back and hip pain.  I was also having pain from yoga postures even though I had practiced for years.  The Pilates studio helped me understand how my posture and walking were causing me problems.  My sleep improved and I no longer had pain when gardening.  But they were unable to answer many of my questions, I still had many physical issues, and I felt more was possible.

A chiropractor referred me to the Pacific Northwest Pilates studio and I found my answers.  Now I am stronger, feel better, and understand more about my overall body structure, alignment and posture, and how those affect how I feel.  I also know what exercises will help my particular problems and what to avoid.  At first I had great difficulty even comprehending how certain body movements could be made and Leslie would not only have to demonstrate them to me, but also she would have to move my body as apparently my mind and body had lost all awareness of how to do it.  Fortunately, it would usually take only a few weeks of practice for my body to remember.

I came to realize that the root of my problems were the results of major surgery in 2000-2001, along with chemotherapy, radiation, and a PIC line in the right arm for 6 months, and probably also from birth trauma, childhood habits, and major surgery in 1976.  My body had found ways to compensate but I had never realized exactly what was happening and what were the lingering effects.  Pilates is giving me that awareness and the means to work on changing how my body functions.  I have a long way to go, I still have some pains, and some of my structural restrictions limit how much strength I can gain yet, but I now have the tools and the help I need to improve.  I am more able to feel how my body should move and I get results when I do my home exercises.  I take a reformer class that helps me practice using my body correctly.  The class also brings to my attention any restrictions I have not yet dealt with and when that happens, I have found that a private session focused on that issue always provides me with the answers for the problem.  I no longer feel at the mercy of the unknown, I have some control over how my body feels.  To me, it’s a miracle.  One that would not be possible without the guidance of the Pacific Northwest Pilates studio.

Thanks You.

Scoliosis & Winging Scapula

This question was emailed to us from Mila in NYC:

I have long s-shaped thoracolumbar scoliosis. I looked at a post on your website and realized you spoke to someone about a client that had a shoulder blade that tips foward. My left shoulder blade, which has been described as a “winged scapula” is tipped foward to the point where it looks like I am slouching. I have a thoracic scoliosis with convexity to the right.

I often feel “tired” on the left side of my upper body. Do you know of any exercises to help with this or with aesthetic apperance of the scapula? I failed to mention that I am 21 years old.  Also, I know you are not a doctor but I was just wondering if you know whether my condition can worsen with time. I happen to be left-handed. Could that have contributed to scoliosis as well? Also, can an abnormality in the shoulder blade (such as winging or rotation) cause scoliosis?

Jean’s response:

Winging scapulas are not an uncommon occurrence when you have a thoracic scoliosis. If it is feeling tipped forward as well as winged then it would help to strengthen the mid and lower segments of the trapezius muscle as well as serratus anterior. STOTT PILATES has a variety of exercises that can help target those muscles. However, based on the curvature of your spine that scapula may not ever be able to lie perfectly flat on your ribcage. We should be able to decrease the amount of winging and help it to stablize in a more neutral position.
As far as feeling “tired” or less connected to your left side, it might help to focus on breathing into that side more. Most of us have a somewhat assymetrical breathing pattern and a scoliosis increases the odds of that happening. Lying over the spine corrector or an arc barrel or large pillow on your right side will help to open up the ribcage on your left side. Imagine the ribs opening and closing like an accordian to increase the oxygenation to that side. Breathing can create some amazing changes in the body just by bringing awareness and increased blood flow to that area.
I have included some photographs of  winging and tipped scapula as well as a good  exercise to strengthen the scapula stabilzing muscles below.

Melanie’s response:

Thank you for writing to us. Indeed there is alot that you can do to help relieve the fatigue you feel in your spine. Whether or not you can change the appearance of your scapula depends on whether there is a myofascial component causing the winging, or if the scapula position is determined solely by your scoliosis.

There is some great research by Paul Hodges that talks about the differences in muscle type and function on either side of the curve. As Jean wrote, combining breathe and movement is one of the very most effective ways to change scoliosis and optimize function.

A couple of exercises that you could start with:
Arm scissors and arms overhead: focus on the motion of the left scapula and clavicle. The clavicle must rotate posteriorly to achieve full elevation and to bring the scapula in contact with the rib cage. Keep your posterior rib cage down as you slowly create the proper mechanics at the SC joint and clavicle. You can use your inhale to try to elongate the pectoralis minor which is frequently is a cause of winging.

Mermaid- Do this to both sides but have a different focus for each side: side bending to the right with the left arm in elevation: focus your inhale into the pectoralis minor region and try to get elongation through the lateral muscles of your trunk and scapula. Really focus on reaching up and over as you side bend right. On the side, after side bending to the left, really focus on your return to vertical. Developing the the multifidus and erector spinae should help with the fatigue.

Spinal rotation with scapula isolation: focus on spiraling through the rotation. Usually we will allow the pelvis to move instead of maintaining the initial stacked position due to the scoliosis.

Spine stretch forward with hands on a stability ball- exhale as you roll forward focusing on keeping your scapulae centered and with no gripping; inhale in your flexed position focusing on not gripping around your scapular and neck muscles; then exhale as you re-stack your spine. After having done a couple of repetitions, add an additional challenge to your spine; after stacking up your spine perfectly, maintain your spine and lift both arms off the ball without shifting or rotating.

Start with those and let us know how it goes. Naturally every exercise can be adapted for your scoliosis and scapular issue.

A good example of winging and anteriorly tipped  scapulae.

Shrugging the shoulders up and then sliding them part way down is a good way to find a more neutral alignment.

Once you have your shoulder blades as neutral as possible, (i.e. flat against the ribcage) then try some wall push-ups, trying to maintain the scapula in this stable position while you are bending and straightening the elbows. You should not let the shoulder blades move while you do the push-up.

Keep the body in one straight line as you do the push-ups. The heels can come off the floor as needed.

A First Hand Account of a Priceless Experience

This was emailed to us by Lindsay Dilworth:

Over the past five weeks, I have been involved in the apprenticeship program for aspiring teachers at Pacific NW Pilates. Saying that I learned a lot would be an understatement. The experience of working directly with clients on a one on one and group basis was priceless, and my only regret was that the program was not every day of the week. Jean Leavenworth, one of the instructor trainers at Pacific NW Pilates, was on watch at all times to be the eyes, ears, and hands of knowledge. Her many years of experience were the major piece of the puzzle that was missing from my practice teaching at home and at the homes of my friends and family.

The program involved a one- hour “Quickstart” session in which five fresh participants came to learn the basics of STOTT PILATES. The majority of these clients had no experience in Pilates and, being able to watch them progress from learning how to breathe to moving through the side leg series with ease, was such a joy. There was a definite feeling of pride surrounding myself and the other two apprentice teachers as we assisted Jean in teaching this class. It is hard not to smile when you watch someone finally able to stabilize their spine in imprint and perform an open chain movement with their legs. That sense of control and confidence reminded me of the day that I finally felt new things in my own body; it still excites me to think about it.

The second part of the program consisted of a one- hour private session with clients of several different ability levels. This was where Cheri, Kate, and I took the reigns and guided each of our clients through a series of workouts that we put together on our own. We were given their history and the level that they had achieved so far and we were challenged to push them to new heights in their workouts. Each of the three clients brought something exciting and challenging for us to work with. One client was extremely controlled and very focused on improving her already strong core. Another client was brand new to the studio and brought the challenge of teaching the basic principles in different ways that she might be able to understand it in her own body. The third client brought a wonderful sense of fun and energy to every day we spent with her, as well as the challenge of working with someone living with Muscular Dystrophy.

I could not praise this program enough for what it has given me. I have reached a new found confidence level in my skills as a teacher. If I wasn’t in love with Pilates before, I know that I am now and that I would never be able to turn my back on it. Like many people, I struggled with depression for several years and had lost touch with my previously fine- tuned dancer body. Rediscovering Pilates at Pacific NW Pilates has changed my world and my outlook on life. The teachers that I have had the privilege of working with have all been so wonderful and given me so much.

I would recommend the Pacific NW Pilates Apprenticeship Program to every aspiring teacher. It took my awkward cueing and low self confidence completely away and helped me to break out of my shell. Although I will be moving soon to San Luis Obispo in beautiful, sunny California, I will always consider Pacific NW Pilates a home of mine and a place where I will always come back to learn more. I have also made the promise to myself to always be a student. I learn new ways to control my muscles using my mind every day and I could not do that without the time and energy I have devoted to studying the material I have learned at Pacific NW Pilates.

Thank you so much to everyone who has been a part of this first phase of my Pilates journey.

Waiting to Exhale

Years ago, I was lying on a mat listening to the Master Trainer quote Joseph Pilates on the foundation of his method: Breathing.

“Above all, learn how to breathe correctly.”

I remember thinking, ‘If this is step one, I might not be able to get this.’

Over the years as I have introduced breathing to my clients, I have often found I am not alone.

Client: “I am not a good breather.”

Me: “You’re a natural breather! And if you can breathe, you can do Pilates.”

For me, exhaling seemed more obvious at first. Maybe that’s because I was holding my breath in concentration so often my lungs were exploding. As I followed the instructions to fill the lungs completely, I became aware of the challenges of “breathing correctly”.

My inhalations were short with only my upper chest and neck feeling full. My exhalations seemed to have a longer duration but they did not feel complete either. The harder I tried to suck back enough air to fill my lungs three dimensionally the more it became clear something was missing. My body was literally waiting to exhale.

“To breathe correctly you must completely exhale and inhale, always trying very hard to “squeeze” every atom of impure air from your lungs…”

A full and complete inhalation requires a full and complete exhalation. Exhaling all the air creates a vacuum in the lungs which allows them to inflate on the inhalation like two giant balloons.

As I exhaled until there was no more air to expel, I was amazed to find the air gently filling to the edges of my lungs almost automatically. My intention was on the complete exhalation and the happy, unforced result was a full inhalation.

This complete breathe is the power that revs up the engine of the body by way of the heart and bloodstream.

“These exercises induce the heart to pump strong and steadily…and drive the pure fresh blood to every muscle fiber of our bodies.”

In this way, Pilates breathing is dynamic and able to support movement. The involuntary process of breathing is focused and its power harnessed to maintain the healthy movement patterns of our bodies on mats and reformers, as well as, in our daily lives.

So here’s to exhaling to completion and taking our bodies out for a spin on all the air that comes in!

Janet Nordlund is a fully certified pilates instructor through Momentum Studio of Albuquerque, and has been teaching clients in the Portland area since January 2006.

* All italicized quotations are taken from Return to Life through Contrology and Your Health, by Joseph Pilates

What’s the difference between yoga and pilates?

Frequently, people ask me what the difference is between yoga and pilates and if they should practice one versus the other. While there are differences, there are many elements of pilates and yoga that complement each other.

Yoga which means “union,” is a highly sophisticated system of whole-body integration. It has a physical component, the asana (postures or poses) that promote toning and strengthening muscles, flexibility and range of motion, balance and relaxation. It generates motion without causing strain or imbalance in the body. It also asks for a full union of body, mind and spirit, so you can’t be distracted while doing yoga–you need to be fully present. Yoga is a spiritual practice, providing tools to help quiet the mind, become more grounded, and live in harmony and tranquility.

Pilates, on the other hand, is an exercise form developed by Joseph H. Pilates during World War I. The Pilates method emphasizes building strength and improving posture, balance, coordination and stamina. The exercises can be done on the floor (mat-based Pilates) and on specialized equipment. Designed to strengthen, stretch, and stabilize muscles without building bulk, Pilates can benefit anyone. In Pilates, emphasis is placed on ensuring that the movement is done fluidly, but, accurately: The quality of the movement is more important than the number of repetitions completed.

So, what are the similarities between the two methods?

• Both methods facilitate deep concentration and integration of the whole body. Often described as the mind-body connection, this leads one to be fully present and in the moment
• Both improve alignment and posture and create a sense of balance in the body.
• Both forms are excellent for injury prevention. Both promote healing and help facilitate recovery from injury.
• Both are interested in creating a sense of energetic flow through the body, facilitating grace, poise and coordination.
• Both forms have been “tried and tested.” They aren’t just some new fitness fad.

What are some of the main differences?

• Yoga adds a spiritual element to the mix. The Indian sage Patanjali wrote the yoga sutras thousands of years ago, describing the spiritual and philosophical path of yoga.
• Yoga takes a holistic approach to the body, while Pilates focuses on a specific area called “The Powerhouse.”
• Pilates improves flexibility by fluidly moving the limbs in their full range of motion against a stable base of support, while yoga improves flexibility by lengthening muscles during dynamic poses (asanas).
• Yoga offers tools to aid in relaxation, relieving stress, and meditation.
• Breathing is very important in both forms, but the technique is different.

Why is the combination so beneficial?

• The concentration required in a Pilates workout really helps build the focus that is required for doing the yoga asanas (poses), pranayama (breathing techniques), and meditation.
• The focus on precision and movement technique, emphasized in Pilates, assists the yoga student to work more correctly.
• The asana in yoga give the Pilates student a broader scope of practice to apply stability and good technique.
• The stronger core body developed in Pilates, gives the student confidence to go more deeply into their yoga practice, more safely.

Practicing both Pilates and Yoga, gives a student more tools for developing a whole body that is vital, aware and adaptable.

Singing and Pilates

Darcy said Pilates breathing and singing breathing is the same except for some funneling of the ribs. So there is some rib stuff, but otherwise it’s the same. Darcy Dillon teaches the Thomas Blaylock Method and it’s made a huge difference for my voice, but it also made it easier for me to understand Pilates breathing.

How do I work with someone with scoliosis?

From Melanie Byford-Young

Hi Jeff,
Great questions about your client.

Pilates and Lymphedema

This question was sent and responded to through email, but we thought others might be interested!

Hello,
I am a Peak Pilates Certified Trainer in Bradenton, Florida. I have a client that has severe lymphedema and I would like to train her. Her arm is always swolen and she generally has 2-3 infections per year. I am not able to attend you Breast Cancer class but would be interested in purchasing the materials, perhaps. I look forward to hearing from you.

Patty McIntosh

Answer from Melanie Byford-Young:

Hi Patty!
Pilates can be an excellent approach to help her general health and lymphedema. There are several main things that you need to know and keep in mind.
1) Make sure you get clearance from your client’s physician before beginning any exercise program.

2.) wearing her compression garment is a great idea, especially at the beginning, or until you know how she is going to react to the activity.
3.) Diaphragmatic breathing can help stimulates the pumping of the lymphatic system, which will hopefully help with her swelling. Adding lymph massage throughout the session can be very useful if she or you know how to do that.
4.) You do NOT want to overwork the arm! It is suggested that you begin with breathing and some abdominal work to help stimulate the lymph system, then do some leg work; then start some arm work moving the proximal muscles/ joints first, then progressing to the more distal muscles and joints, and then to return to the proximal/ shoulder muscles to help get blood and lymph moving and clearing from the arm. Follow this up with more abdominal and breath work. You can repeat these steps throughout the workout. Minimally, start with the trunk, and then alternate between leg and arm work so as to not overtax the affected arm.
5.) In the past, women with lymphedema were told to never lift anything heavier than 10 pounds. This advice has changed recently, and experts suggest beginning with very light resistance and progressing very slowly. There is a great website www.lymphnotes.com where you can do some more reading on the topic.
6.) You always must consider whether your client has osteoporosis because of her treatments. If there is any concern that she may have decreased bone density, avoid all inverted positions, avoid thoracic flexion and avoid combined flexion and rotation. If she has osteoporosis in her hips, avoid full compression of the hip in a flexed position. If her wrists are involved, then avoid weight bearing through the wrists. Make sure that you include balance work to help prevent falls and fall related fractures. Again, make sure her physician has given her approval and that there are no special exercise modifications to take into consideration.
I cannot take the credit for putting together the STOTT PILATES® Breast Cancer workshops and DVDs, another team created them. The mat and equipment DVDs are excellent and provide a very good introductory preamble,as well as a well balanced exercise program. You can order them on line at www.stottpilates.com or call 1-800-910-0001.
I hope this helps you out. Good luck to you !