Food for Thought Regarding Optimal Posture and Movement

From Bill Hartman:

“The greater our ability to manipulate the internal pressures regardless of the task, the greater our tendency to move well or accomplish a task. When we fail to shift or manipulate the internal pressures, movement is restricted or biased.

Either we simply cannot execute a task effectively or we may be limited to such a degree that we lose the ability to dissipate or distribute stress, tension, or pressure throughout the body. In this case, focal pressure and tensions may result in pain. Ask any couch potato how their back could just start hurting for no reason.

Remember the last time you had to sit on an uncomfortable chair for an extended period of time and your butt started to hurt. Too much pressure in one place for too long. Pain can simply be the same problem.”

You'll get hurt if you do not move at all, not move in the wrong position, or move wrongly. And you'll get hurt anyway as you age as you're, um, aging. That's why I laugh when sedentary people (who complain of aches and pains anyway) decide to remain sedentary because they're "afraid to get hurt".

Just get up and moving, hopefully in a correct and safe manner, and just do your best.

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Exercise Therapy versus Arthroscopic Partial Meniscectomy for Degenerative Meniscal Tear in Middle Aged Patients

So the outcomes become equal at 24 years follow up (and interestingly at 3 months), but outcomes are better in between that for the surgical group (that brief period only). The exercise group also reported lesser incidences of swelling, mechanical problems, and restricted range of motion. There are other studies suggesting that for degenerative meniscal injuries, rehab should be considered first.

I wonder if this and more studies will change the practice of managing knee meniscus injuries in athletes. Just got word that Jimmy Butler injured his meniscus (after controversially not playing in the NBA All-Star Game to get needed rest playing the most minutes per game). Then there's the sad story of Brandon Roy, whose career you could argue was destroyed by surgeons; he needed a proper strength coach to fix his problems leading up to the injury risk. I'm biased towards rehab for most sports injuries. But I'm not the expert in the field, just an enthusiast. But I believe for the most part, we should not touch them with probes and debriders; this ain't no ACL.