Medicine of Movement - Harness Your Health through Movement

Got pain? Want to be at your best? Get back out on the trail with the right help.

June 18, 2023 by Shawn M Flot

Recently a prolific content producer on backpacking had a series of incidents that led to, in my observation, a cascade of the body’s inability to adapt well and heal itself. A myriad of symptoms have presented themselves that in his video published as a health update, he stated he is receiving medical care, they are not related symptoms, and most concerning were his comments he makes about his age, his body’s capacities and what he must now do in the face of his struggles.

To me this is a bad case of the blues, false belief and despair.

To me this is a case of not getting the right guidance or help, in looking wholesomely at him instead of the symptoms he is suffering with. It’s a different way of getting back on the trail with sound guidance from those who understand the inter-related body and the body-mind complex that loves to hike and backpack!

I’d like to breakdown what I saw in the video and where you might find better answers and individual solutions to meet your need and desire, instead of falling trap to false beliefs and into despair.

First major whammy: Trauma, Survival, Rescue & Breakdown

The inability of the body to handle the demands, pressure and lack of attention often leads to the body saying NO WAY in some way. Recovery from a survival situation requires proper down-time, proper guidance and follow through with the right help. The right help is not managing symptoms. The right help goes beyond just getting over an body shutting down event.

Also facing the unexpected breakdown of one’s own body is a challenge physically, mentally and emotionally. It’s even more difficult when you work with a trainer, or coach, and trust the program to be “fit” for the adventure. Being “fit” for an adventure has specific measures and require an individualized program, just like having the right gear for the adventure. If a program focuses mainly on strengthening your legs, core and “cardio” you are in for a huge disadvantage. This is because being capable and confident in the wilderness requires other variables that typical trainer styled programs don’t address. These include functional mobility and movement standards, physiological parameters of how your body adapts to stressors (and yes exercise is a stressor), your recovery and resilience capacities, your daily routine and habits, and the condition you bring yourself to train and to the trail. Let’s break these down a little bit to know what to look for in a skilled trainer or coach (or in my experience, someone with some therapeutic and wilderness experience).

Functional mobility and movement is about how the entire body collaborates for your time on the trails. This includes more than the legs. For example, it is well known in functional movement assessments that the shoulders and neck can limit the mobility in the hips, knees and ankles. May I add, flexibility is not functional when one joint is measured for a range of motion. Also the challenges of carrying a pack, and your spinal health, are more about diaphragm function than your core muscles of the abdomen. Also the diaphragm plays a key role in force transfer and lower leg fluid motion. In addition, I would hope the person you hire to help you get further well, at a minimum assesses your body behavior with the loaded pack you will be carrying.

Physiological parameters that are important for your confidence and enjoyment on the trail include the traditional – heart rate and intensity ranges, and also measures many do not test for (and don’t understand how to interpret the assessment). These include measuring gas exchange potential – without drawing your blood, circulation dynamics (why most rely on hot and stinky compression socks is because of this factor many long distance backpackers and hikers suffer from), adaptations to environmental stressors – cold and altitude, recovery and resilience, nutritional states (oral and gut health), sleep respiratory function, and nasal breathing optimization.

Recovery and Resilience do not happen by chance. The body needs to be trained and supported for the day in, day out rigors of multi-day adventures on the trail. Understanding your body’s signaling language, importance of sleep states, morning felt-sense measures, and mental resilience are essential to your adventure.

Daily routines and habits are essential to know before you get on the trail. For example if you sleep in, or eat late, you can not expect your body and mind (and your physiology) to just switch to a different pattern. I hope you know eating late and sleeping in are dangerous for your overall health and well-being, and even more so on the trails. Other routines include a flexibility, or warm up, prime before the trail day begins, and sometimes a warm-down, work out the kinks, evening routine goes a long ways to being on those long trail adventures.

And lastly, your current state of health, fitness and other performance based capacities as you enter a training program are critical to the right program for you. Having an understanding of what you are working with with your body and mind will make for a successful training program and time on the trail. This includes disclosing history – injuries (if you have injured an ankle there is more of a chance you will injure it again unless it is addressed functionally, not just the symptoms go away), health status (this includes any known conditions that may impact your training and your time on the trail – heart, lung, circulation, digestion, immune, joints and other tissues, sleep, mental/emotional). And knowing who you want to be when you hit the trail is also incredibly important, as getting the right help can include if a stress or strain shows up once your on the trail, you know what you can do to keep you on the trail.

Being capable in the back-country wilderness in challenging environmental conditions that force the body to adapt for function is not about a “suffer-fest.” Thrive over Survive any time out there! Surviving something does not make for a special-ness, or some superhuman capacity. Survival is actually a weakened, sub-optimal state often leaving a person not accessible to many factors related to rest, recover, restore and regain capacities that make one ready and “fit” for their next adventure.

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.

Warning! Trying to get fit is now a health risk.

March 10, 2023 by Shawn M Flot

Don’t get me wrong. Physical Activity and Exercise have incredible benefits…..when done in synch within your capacities to respond and adapt positively to a demand, or load (used in scientific literature as a measure of “workload”).

The benefits of physical activity and exercise are well documented as investigators compare these to inactive, or sedentary, lifestyles. Across the board there are great improvements in health markers. And most of these references are from very controlled physical activity environments and variables, for a short period of time. It isn’t til recently have there been long-range observations of populations and lifestyles to really see what happens outside the short time in a laboratory setting. And these are highlighting the great benefits of physical activity.

Notice I say – physical activity.

Physical Activity is often defined in general populations as not sedentary. Each person observed had a regular walking activity during each day of the long-range time observed. They participated in regular physical activity – walking, gardening, dancing, and other outside activities involving their joys of moving about on their feet. This is physical active, NOT exercise.

Many confuse the two terms. We as a species, with two legs are built and organized to move….on our feet.

Exercise is a different activity, as defined by the language. It is a load, a stressor, for the purpose of creating a change in the body. The challenge is if there are negative impacts – unhealthy breathing habits, stiff joints, and a driven mind – one can promote a negative outcome to the stressor, and thus leading to strain on the system….ALL systems. The main four that you might begin to experience are:

Muscle, Tendon, Joint – aches and pains, even injury if the accumulation of strain is not addressed.
Cardiopulmonary Malfunctions – heart rhythm issues, shortness of breath, loss of stamina – the main culprit here is too high intensity for too many times. And intensity is not measured by how good you feel after….you need more direct feedback about how the body responded.
Loss of Motivation – often associated with the body-mind’s ability to continue the want because of many factors – not progressing like you want, difficulty in doing, or too much time, and internal brakes that the body is trying to get you to stop strain it that then the mind says “what? why?”
Loss of Sleep Quality – disturbances and lack of good quality are signs the body is too strained.

Good measurable feedback helps you understand yourself better and bring some guardrails to the driver behind the wheel of exercising. It is a major factor in staying healthy is exercising well for what capacities you have. Does not help to stress a stressed body-mind complex.

Why? Because this re-occurring circumstances with the people who seek help and guidance from me are showing this to me. And very often these clients have seen me after being seen by many clinicians and when shown has never been addressed related to their condition, or setbacks in their fitness and performance progress.

It’s been the primary variables I see over and over again that are limiting a person’s potential for healing, fitness and performance. It has not been identified, understood, addressed or placed importance on what I consider minimal standards for real progress and success.

Here are the top 5 variables:

The Ankle, and the Foot (below discussion), are the most important area for proper movement in any shape for health, fitness and performance. The mobility of the ankle in particular have a profound influence on what occurs up the chain of motion….all the way to the head. Good balance strategies, good multi-directional movement, stability and impulses from the huge sensory portion of what the foot feels in relationship to the ground all coordinate on an integrated, beyond attention, the pattern of mobility and motion you accomplish. Your ankle mobility also affects how you sit AND how well you breathe!

In-person sessions can easily identify if this needs to be addressed based on the activities and demands you place on your body for health, fitness and performance.

In all motions, especially ones that you do with walking or use of one hand require a coordination of motion and flexibility to accomplish even simple acts of walking. Then add running, hiking and other more demanding activities and you have the necessity for both capacities. In addition, when you use your hands for any activity, then this same coordination of freedom of movement is essential to promote healthy patterns of movement, instead of deteriorating patterns of movement that lead to illness, injury and degeneration.

And a very simple measure is done in a very safe way to better look into this capacity, and what to address if not in a range for proper movement to the activities you do.

I would say 75% of the people in the last 5 years who have come for help demonstrate a overuse pattern of engaging their core for daily activities, recovery from injury, fitness and recreational activities. And this is because the myth of the core being something one needs to voluntarily contract to prevent something from happening that they are afraid of, or experienced before……..such as back pain.

The message to people from misguidance is the assumption that they are weak at the core. Now, just say that to yourself and what does that really feel like? “You are weak to the core.” In my clinic, and online assistance, I debunk this false belief and embedded concept and replace it will feelings of proper engagement and understanding how each individual can uniquely empower themselves beyond fear, apprehension and un-coordinated mechanical movement to be at their best.

And there is a simple measure, actually three that I use to identify where to link in the true core.

The arrangement of how you use your hands and feet in exercise can impact your core stability, spinal health and your breathing. Especially if when you raise your hands overhead…and notice I guided you right there to raise your hands not your arms (this can have good positive impact on the mentioned capacities).

Do you rise up in the ribs and torso, does your navel lift upward toward your heart when you raise your hands? Not a good way to move. Notice when you raise your hands what the quality of your breath is compared to when you don’t rise out of your base…..naturally, not bind something else like your abdomen to keep from rising!…but rising out of your base what is your breath like compared to raising your hands differently and staying home in your base and legs?

How your breath is driven is from the metabolic process. If there is accumulated strain – or the opposite, congestion and immobility of fluids inside – then the breath is usually faster, louder, heavier and more forceful to get good breath. And the breath often becomes over-breathing when you exercise. The BOLT score, or comfortable pause measure, can give you an indication into the physiological capacities of how your exercises impacts you. It also directly relates to blood pressure, heart rate variability and tissue integrity. This article goes into a bit more detail.

Acquire the right capacities with the right guidance. Your capacities of Moving and Breathing Well will fundamentally support every activity you do for daily life, recovery and healing, health, fitness and performance.

Your Health span is more important than Life span!

February 26, 2023 by Shawn M Flot

Explore this essential value from someone who has been around a while.

I’ve been around a while in the arena of health, fitness, performance, and wellness. And I’ve come to realize many things.

HealthSpan is the time having the capacity of wholesome balanced body and mind that is maintained over a period of time. Often health is defined as the state without a condition of disease or dysfunction. I see it differently – I see potential. In my arena of health and fitness, health is the foundational status as the spring-board for furthering one’s capacities. The foundations are based in measures of functional mobility and breath function from which fitness, wellness and performance rise from. Healthy foundations allow a person to stress the body-mind complex in the pursuit of promoting positive adaptations and furthering capacities. These strengthen, or cultivated, capacities are then available to ward-off degenerative and dysfunctional imbalances, and fostering resourceful supports for what a person wants to do in their lives.

Unfortunately most health systems and practitioners focus on treating people’s pain, dysfunction and/or illness and all attempts go toward prolonging life and preventing pain. This happens under a narrow scope of services aimed at the dysfunction or disease, rather than on the promotion of one’s available and attainable resources to surround the healing process. Results of limiting pain, illness or disease leave a person dependent on the given remedies and practitioner for the answers to their suffering. Dependency on a system that does not promote health and life, and little faith in one’s own capabilities. Few are given the opportunity to move beyond just being less in pain, or illness. And thus health is seen as a baseline level of living, instead of the vast capacities possible with the right actions. Little or no guidance is offered, referred or given to what the next steps are beyond maintaining a low-level status quo. Very few are encouraged to seek potentiating their own capacities for a more vital life experience.

As I look around on the trails, in the gyms, and in the movement studios of Pilates and Yoga, I see more flawed and debilitating movement and breathing patterns than proper and strong patterns. And I don’t blame people. I point to the lack of proper guidance and body-breath awareness that is essential to exercising well. So instead of exercise to promote health and fitness, people are exercise to promote un-necessary stress and imbalances. And then the exercise becomes the “injurer” of the injured. Instead, it was the person performing without the proper guidance that injures themselves.

In addition, there is incredible confusion and misguidance as to how to exercise for promoting health and fitness. And from all angles – the doctor who is not a professional in the movement and breathing arts, the therapist who can only focus on the body part in pain for multiple forces placed on them to provide therapeutics, the trainer who is choose to go for strength in power and core moves, the psychologists who encourages a deep breath every time one experiences a stress situation, the motivated fitness pursuer who is inundated and manipulated with images and messages in the fitness world market, the false quick fix promises that project from the bullhorns of the so-called know the best thing without backing, the messages of weakness and stiffness are the problem, and the unattainable goals set by self or other. The confusion is the poison that sickens the one who wants to be healthier through some form of exercise or stimulating activity.

I am not promoting my approach is for everyone. My approach requires a desire to move and breathe toward the best self. My approach puts the responsibility on you to put in your best effort, your best feet forward, and the hunger for experiencing your life from your best self.

I do have over 35 years of personal, educational and professional experience. Personally tested many ways for periods of time to see their benefits over time – more than 3 or 4 weeks. I’ve also invested time in being with the top professionals in the fields of movement and breath to potentiate my practical knowledge and implement the well tested methods – clinically, scientifically and longevity (practices that have withstood time and evolution 500-1000year wisdom).

I also have seen time and time and time again the results of participating in their health and well-being. With the clients who have followed their individual guidance AND participated to the best of their ability in the suggested program(s) given – even simple, minimal time methods – they ALL have experienced the change they’ve wanted, experienced life changing possibilities by furthering their capacities for what they want to do in their lives.

From my own disabling injuries and painful experiences that I overcame and grew tremendously from, I feel I have some idea of what it takes. From the many fortunate years of clinical practice, not manipulate by the industry or 3rd-party influences, and being able to see a multitude of people with a wide spectrum of challenges I trust my ability to assess and figure out best ways forward. And with the passion to both be at my best with each client, AND offer the best that I know (or get them to someone who does) I believe I have something very supportive, valuable and effective to offer.

Medicine of Movement - Harness Your Health through Movement

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