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Insights

The truth about your breathing – the diaphragm Part 2

July 9, 2025 by Shawn M Flot

Breathing is based on the ability to exchange gases. This exchange is accomplished by pressure and fluid dynamics.

The vital exchange of what is in the outside air, and the process of those essential ingredients for you to survive, AND to live efficiently in all activities you do. Health doesn’t happen. Health is a uncovering to continuously reveal the powers and capacities behind how you roll in life with your body and mind. And this requires Oxygen.

Oxygen is a gas.
Carbon Dioxide is a gas.
And so is Nitric Oxide.
These are very important for life to be energized and supported. One is essential for all biological processes in life, and one is produced inside the lining of your nose, from the interaction with Oxygen. The other gas of importance in the exchange for life is Carbon Dioxide – a byproduct of your energy production.

So why you ask is the diaphragm important in this process called Respiratory Physiology?

Because gas moves to and from by pressure, availability and permeability.

And when the diaphragm contracts before you engage with your inhalation. I hope you picked this up! Your diaphragm begins to contract BEFORE you ride the incoming breath, or consciously engage with the incoming air. This contraction sets up a cascade of actions by other muscles, tissues, joints and vessels based on a pressure gradient.

The diaphragm creates a larger space in the rib cage where your lungs are. As the diaphragm contracts:

  • it moves down,
  • muscles in between the ribs assist in up-lifting (a bucket handle analogy is often used for the ribs).
  • neck muscles assist in anchoring/stabilizing the head on the neck, and mobilizing the neck and upper ribs.
  • the spine “elongates” or flattens its curves - the upper spine, or thoracic spine, lessens it’s backward curvature = kyphosis, and the low back, or lumbar spine lessens it’s forward curvature = lordosis.
  • the glottis contracts to generate a pressure gradient so air doesn’t escape (or go into the lungs). My friend Mary Massery’s studies into the “pop can dynamic of postural control” is brilliant in another awe of the diaphragm’s potential in human development, mobility and movement.
  • the dilator muscle of the throat, in the pharynx and laryngeal region, contract to open up the airway.
  • membranes of the small air sacs, alveoli – “grapes”, and lower smaller airways dilate (with the help of Nitric Oxide) for greater profusion across a barrier – the endothelial layer – for gas exchange.
  • the pelvic floor moves downward to accommodate for the building internal pressure of the abdomen and pelvic cavities.
  • certain parts of the blood circulation gain pressure, while other parts decrease pressure to accommodate for the powerful force of the blood; and this is influenced by the diaphragm, the connective tissues around all organs and other tissues for proper fluid dynamics.

And all of these coordinated activities like a symphony, create a maximal function for the outside air to move into all the spaces of the lungs with the greatest ease and least amount of energy required. Yes breathing is one of the energy consumers of your body.

The most important factor is the diaphragm’s contraction creates greater space. With greater space the pressure inside your lungs – which is already sub-atmospheric pressure, meaning it is less than the pressure outside. With an increase in pressure gradient, air moves easier along the gradient from higher to lower. This allows for the greatest efficiency of breathing to occur. And this is true in the opposite way to easily and efficiently release what is not needed in the system as eliminating from the lungs.

I hope you can begin to appreciate what all happens in the act of each breath you are given. All the above mentioned drive all activities in coordinated functions. And the health of each cell, and each tissue function, is dependent on this very important cascade of actions.

Did you know that they way you breathe can be affecting the health of your spine – neck, upper back and low back – too?

Contact me for a full-system approach to how your breathing impacts your health and well-being.

Filed Under: Insights, Moving Into Harmony, Oxygen Advantage, The Breath, Yoga

Why the diaphragm is the most important muscle – Part 1

July 9, 2025 by Shawn M Flot

The diaphragm is the most important muscle in our body. We can’t live without it or mechanical means are necessary to keep you alive. And the diaphragm can perform the important respiratory, or breathing, function with our volitional, or conscious, control and non-volitional, unconscious function (especially during sleep). How your diaphragm functions in the day determines it’s efficiency when you are sleeping.

The diaphragm is so vital to your health and well-being. Here are some facts to contemplate what it does for you:

  • is the hardest and most enduring muscle in the human body.
  • it acts whether you are paying attention to your breathing or not. In my personal and clinical experience when attention is elsewhere, the breathing habits take over unless they’ve been practiced and cultivated. This article explains the qualities of a healthy breath to support your physical and mental health.
  • contracting and relaxing at least 21,500 times per day (calculated at 15 breaths per minute – bpm’s, not rpm….haaahaaa, so if you breath more, then its more, and more, and more. If you exercise or are under stress, it’s probably 20-30 breaths per minute…yes can be doubled!
  • 5.5 million breaths per year – at least
  • living to be 85…..then you have taken almost half a trillion breaths to support your long life.
  • during it’s action it makes breathing easier from the ease of how the outside air can enter all of your lungs. And during the relaxation phase, returning to it’s resting length, it assists in moving air out of the lungs via pressure dynamics. This article explains breathing from a pressure dynamic, and the symphony of actions that occur, to help you to understand the harder you work at breathing the more exhausted you will be.
  • it helps support your posture, and is also affected by your posture. It also aides in stabilizing the spine and transferring forces to/from the limbs during all upright activity.
  • it pumps all the major fluids – lymph and venous blood – back to the heart against gravity and when we are sleeping.
  • it generates a motion and pressure, intra-abdominal pressure, that massages the abdominal organs, and contributes greatly to the fluid exchange for the brain, pelvis and legs. It also mobilizes the spine while you sleep.
  • it contributes to force translation of lower limbs to upper limbs for power efficiency in movement.
  • and more (this article lays out all the functions that I have learned over the 30 years of study, personal practice and clinical experiences.

Article by Shawn M Flot, MPT – Masters in Physical Therapy (1994). He is an experienced Certified Oxygen Advantage® Instructor, and Functional Movement Systems specialist. Combined with his 35 years of experience in Exercise Physiology, Physical Therapist for health and performance, and a dedicated Hatha Yoga practitioner, is making for a power-house to help many people succeed in re-discovering their own health and healing, being fit and living well for their adventures.

Filed Under: Insights, Longevity on the Trail, Moving Into Harmony, Oxygen Advantage, The Breath, Yoga

It’s Time to Stop normalizing the pain. Start discovering your potential!

February 22, 2024 by Shawn M Flot

It’s time to find real solutions to your struggles and barriers to you moving well in your life. No more normalizing the pain that limits you and the things you want to do in your life.

Why does someone begin normalizing their pain? Because they didn’t get the results they believed they could achieve. Because the care they sought had many pitfalls to their success…..with a caveat – they participated in their attempts to resolve their pain and were committed to moving better in their lives. Over 30 years of working with people struggling to move well again, I often have the experience of helping people who did not succeed in their previous care for their pain. And over those 30 years, these were the common things true to today that they presented me with:

  • Not getting the resolution they want because the pain returns – the result of treating the painful area rather than the patterns and tendencies that are involved (it’s been identified, the rate of success among musculoskeletal pain and dysfunction was less than 60% with physical therapy care, and why most payers for the care have downgraded the tier of value for physical therapy services since 2019…and it keeps getting less valued, which means less valuable care by those dependent on being reimbursed….it’s important you know this) . I see this many times over….the painful region is often the over-worked region, taking over the roles of the compensated and dysfunctions elsewhere. The painful area is often crying for help, it is not the problem. The analogy I give is – you are on a team of 5, and 3 people often don’t show, or worse yet they show up but can’t fully do their role making mistake after mistake…..who is going to be overworked? When you can identify the missing links, your body and mind will work more together, and redistribute the work load for the given tasks of daily life.
  • Missing the mark on the trajectory to health and fitness – “this is as good as it’s going to get” and “I’ll have to do these same exercises the rest of my life” are often phrases people repeat when they see me after getting care elsewhere. Many arrive thinking they are stuck with what they got (and research shows this contributes to apathy, dis-empowerment of health and depression). I don’t believe this! There are somethings that are going to be hard to overcome. And again, what is the focus – it’s usually been on the painful or “degenerative” place, instead of the potential hidden in those places that contribute to your health that have gone dormant and lost from your mind. It’s time to find another avenue to your health.
  • Totally missing key elements in one’s health, such as breathing patterns. Why exercise if your breathing is not supporting your health. This is a very commonly missed vital variable that can actually attenuate a great deal of compensations and imbalances. Imagine with every breath you take, your spine is pulled in a certain direction – and how many times does that torque occur in your day?…..and night? Or the breath is only taken by the upper chest – shallow and fast – leaving the crux of your movement stability in the lower back region to be significantly compromised (research shows a certain breath pattern that almost 90% of a “fit” population demonstrate contributes to low back pain), and yet it’s not even observed by the clinician.
  • Not giving their potential for progress enough time – this is based on a model of “sick-care” that has little vested interest in you becoming a better part of yourself. With a limited number of visits (usually focused on the “wrong” place) that are misdirected by reimbursement concerns rather than what you would benefit from. So after your 4 – 6 visits you are released with what you got. Health care is something totally different in my perspective, and with the right information from screening the movement and breath (the FMS Screen and the BOLT score are well backed clinically and scientifically for over 25 years), the right program can be given, AND the progression comes with your investments – efforts and time, not expensive methods.
  • no long term roadmap to want they want to do – just do these exercises to keep your ________ from hurting. Once the pain subsided or didn’t seem to hamper life, the person would return to what they were doing. And some of those things they returned to doing were hampering their continued progress, often promoting a painful pattern, and would falsely believe the exercises they were given would minimize the problem…….you can see the insanity, and yet this is the common scope of what’s offered to someone struggling to move.

You do have choices, despite what has happened in the past. Give me a try! I think you will be surprised how quickly you can get back on your feet well and gaining confidence in doing the things you want to do, and do them well!


Article by Shawn M Flot, MPT – Masters in Physical Therapy (1994). He is an experienced Certified Oxygen Advantage® Instructor, and Functional Movement Systems specialist. Combined with his 35 years of experience in Exercise Physiology, Physical Therapist for health and performance, and a dedicated Hatha Yoga practitioner, is making for a power-house to help many people succeed in re-discovering their own health and healing, being fit and living well for their adventures.

Filed Under: Insights, Longevity on the Trail, Moving Into Harmony, Oxygen Advantage, The Breath

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