View from the cascina

I explained that the pole dancing was a package deal. My daughter, Cally, and I co-teach the classes together; spotting, assisting and guiding women. Five months later Cally and I were on our flight to Milan, Italy with two rifle cases containing our heavy-duty removable commercial poles capable of extending to their fourteen foot ceiling. The rifle cases had been revamped a bit, embossed with an aluminum veneer and butterfly pattern, which did not detract from their 60 pound weight!

When we arrived at the Cascina we found waiting for us, three British women; one working for the office of the Prime Minister, a lawyer from London, a woman training to become a Pilates instructor; and 3 Americans. One of these comrades was my client and two were a married couple from Chicago. All looking for a good time to relax, get healthy; and “let their hair down” so to speak.

Guests received multiple amenities, among them, unlimited daily Pilates (both apparatus and mat; taught by me), unlimited use of the gym, lap pool, and sauna/steam room; daily Culinary Arts classes, all meals beautifully prepared using market fresh ingredients and organic produce from the farm; unlimited Private Label wine from the Cascina’s own grapes, trips to local village markets and an added bonus with Cally and I there…unlimited Pole Dancing for Fitness!

Trisha in the pilates studio with her pole

Out of literally thousands of Pilates instructors worldwide vying for an opportunity to serve as the retreat’s featured instructor, I am humbled and ecstatic that they chose to feature me again last summer. Cally couldn’t go, so I brought another of my instructors, Heather Christopher and 7 clients of my own. We had another wonderful visit. For more info Email Trisha Hatfield Graves:trisha@pilatesatplay.com or Visit: www.cascinapapaveri.com

Pilates have been a tremendously important and essential part in my pain management.

I have had back pain for thirty-four years. This resulted from two ruptured discs at age 21 which required surgery. The pain stopped, but after about a year, it reoccurred. I have tried acupuncture, massage therapy, naturopathic herbs, and water aerobics. Nothing helped. I started falling down on a regular basis and was in almost constant pain. I went to a doctor at Kaiser Permanente and was told that I had ataxia and that I would most likely end up in a wheelchair. In 2005, I was introduced to Pilates after talking with Melanie. Before long, my balance improved immensely and keeps improving with each visit. The days of my falling have ended. Even though I occasionally have a flare-up, usually I am pain-free. Prior to being introduced to Pilates, I often had to remain stationary for extended periods of time.

Thus far, I have only taken private lessons. My goal is to get strong enough to be able to take one of Traci’s group classes.

Now I find that Pilates allow me to maintain an active lifestyle.

Jeannie Tenney

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

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

Thank you and see you soon!

Marlina Propersi

Kristi

You have heard my story before but I credit Pilates for saving my life when I had a ruptured appendix in October of 2006.  While at our home on the Oregon coast, I began having severe abdominal pains.  A trip to the Seaside hospital resulted in an incorrect diagnosis and I was sent home with pain killers and instructions to rest.  A day later the pains were more severe and I returned to the hospital and a surgeon sent me by ambulance to St. Vincent’s where I had surgery immediately.  I had gangrene throughout my body as the organ had ruptured.  I was in the hospital for a week as the doctors were fully expecting secondary infection.  However, that did not occur and I was released.  The day after my release from the hospital I resumed physical activity by walking a mile and two weeks later I was back in the Pilates studio.  My surgeon said he had never encountered anyone in as critical condition as I was and had never seen anyone recover as quickly as I was.  He credited my physical conditioning for saving my life.  Other doctors verified that I lived 24 hours longer than most people would have given the same amount of infection in my body.  So, Pilates did help save my life and made it possible for me to regain full function very quickly.

The same results were true for my recovery from a double mastectomy for breast cancer in December 2008.  My surgeon told my family that I had amazingly strong pectoral muscles which helped make the recovery and reconstruction go smoothly.  Again, a day after surgery I was back on my exercise bike and two weeks after I returned to the Pilates studio.  I fully expect to be a champion over breast cancer through maintaining my physical conditioning.

These life experiences have confirmed for me that physical conditioning and Pilates in particular makes it possible to endure and recover quickly from serious physical injury.  And, that this applies to anyone at any age.

Kay

It is regarding the pelvic floor and the issue of whether men and women have the same anatomy and then therefore does the contraction of the pelvic floor  different between men and women and does it essentially feel different.

I guess my take/my understanding that was realistically men have pelvic floor muscles and women have pelvic floor muscles…they are relatively in the same area for men and women and ultimately function the same way but how we describe it to men might be different than how we describe it to women…I know that men have a the cremaster muscles (which women do not have, right?) but other than that, is there really that much difference……

I recently heard that men and women cannot be told to “kegel” engage their pelvic floors the same way and this just seems a bit silly to me……but maybe I am missing the mark on something…

Any clarification on this and HOW we should be explaining this to our training students would be greatly appreciated.  It is a question that often comes up in training courses especially if there are men in the group….
Thanks!

Kelly Dormady
SweatShop Health Club, St Paul, MN LTC

Response from Melanie Byford-Young:

Hi Kelly!
Good question. Indeed men and women have essentially the same muscles (except for the cremaster) and those muscles do both stabilization of the pelvis and sacrum, movement of the sacrum, and closure of the orifices with the sphincter muscles. They work the same. For guys, the feeling is often said to be the same feeling as pulling up their genitals like when walking into cold water. Often the cue I use is indeed very vague ‘your abs and pelvic floor will gently draw in/lift like walking into cold water’. Make sure of course that it is gentle and hardly done with any force at all. The other visuals like ‘an elevator shaft’ can work. One thing I like is to really get to the heart of what we are doing and why; we are trying to stabilize using all of our muscles together, drawing them in towards our center, which sits just in front of the S2. So if you can get the idea that the center of gravity of the body sits just in front of the sacrum, protecting the spine is done by engaging each of the stabilizers together or having them draw in towards that center of gravity.

 There are some clients who I just do not talk about the pelvic floor muscles initially because it would be too awkward and detrimental to the session. This can especially be the case if there is an older gentleman working with a younger instructor. If a client has back pain, SIJ pain, asymmetrical pain, has had prostate radiation, grips a ton in the QL or  erector spinae, or has some specific pathologies, you need to determine if the pelvic floor is working effectively or not.
Let me know if this works well enough.
All the best
Melanie

Response from Melanie:

Hi Tina!
Ischial bursitis is an interesting and complicated issue to help resolve. Things that characteristically contribute to, or leads to ischial problems include: hamstring dominance over the gluteals/deep rotators, stiffness of the feet or ankles, poor positioning of the pelvis (either anterior or posterior rotation) which places the hip adductors and gluteals in a position of inefficiency, and lumbar spine problems.
Developing gluteal strength in the presence of a hip replacement can be tricky. We like to lie such a client prone over the cadillac or ladder barrel and work on hip extension there where the gluteals are working in midrange. Start out by assisting with the concentric lifting of the leg, make sure that the glutes are set, then have the client control the lowering. Assist as much as required so that the client does not experience the ischial pain.
Try to develop as much ankle and foot mobility as possible. Your client requires the full 20 degrees of ankle dorsiflexion to be able to walk normally and not have to alter the hip to compensate.
See how these ideas work and report back to us.
good luck!
Melanie Byford-Young

Sherry Charles

Response from Melanie Byford-Young:

Hi sonia!
Great question. Osteiitis pubis can be very debilitating and hard to figure out. You are doing good exercises already.
Essentially you have to imagine that the pubic symphysis can get pulled apart very easily, even just via the contraction of the hip adductors. Your goal is to try to work the myofascial slings to hold her together- the anterior and posterior slings. You need to get the external control adn the internal control of the local stabilizers.
There are several other things you can try
1) breathing- see if she can tolerate breathing like she is sucking in through a straw, and gently lifts the pelvic floor as she does (i.e. uses the breathe to lift the pelvic floor) instead of focusing on contracting the pelvic floor (PF) muscles specifically. It can be a more gentle way and uses the diaphragm with the PF. If she can, use this technique then have her hold the PF up while she exhales. If this works, repeat hourly through the day.
2) swimming prep on hands and knees to get the posterior oblique sling supporting the pelvis and spine
3) footwork on teh reformer- probably 2 springs starting with the stopper out at position 6. Progress range first then weight and rhythm. Running can be very effective at beginning to tolerate weight shifting. Then, progress to shifting weight from on leg to the other.
4) sleeper on the reformer/ V2Max with the  spring from above (flexband supporting the leg)
5) standing arm work on the rotational discs, bosu or just on the floor. Light to moderate weight, bilateral first then unilateral. Eventually you want to do it standing on one leg.
6) sitting on a stability ball and doing imprint  and release, arm circles, spine twist etc. Vary her leg positions as able.
That should keep you busy.
Let us know how it goes!
Melanie

Melanie

Hope the summer has been fab for yous all, mine has been busier!! Along with my clients, I have been working hard at my own rehab. It is coming slowly, but correctly!! My question regards a male client, mid 50’s, with hip perthes. I have done some research and understand the basic of the disease. He has come in several times with it “out” which gives him a leg length difference of 1/2 to 1″. He is in very good muscular shape but lots of disfunction throughout his spine and scapula. Are there any exercises or positions that would be an absolute no-no, or is this a problem that can be worked in any position as long as there is no pain?

Thanks for being available for these type of things! I had never even heard of this disease before!

Happy Still Summer,

James

Response from Melanie Byford-Young:

Legg Calves Perthes disease is when the growth plate at the head/ neck of the femur (the capitol epiphysis) slips, and thus the orientation of the femur is irregular. In order to know what the precautions are, you would have to know what the shape of the hip is, whether or not the socket is a normal depth, and any other dysplasia. Your client or his therapist should know some of this information. In the absence of all of this information, follow the range of motion your client has and do not push it. The neutral position is most likely not symmetrical, so again find the best position and always follow the ease of movement.

Melanie