I started thinking the other day about why pain happens. The cascading events that lead to pain, and also the cascading events that result from the pain. And finally, the cascading events that lead out of pain.
What got me thinking was Evan Osar's book, "Corrective Exercise Solutions." I had a chance to meet Evan awhile back at a Strength/Performance Enhancement seminar and have since tried to read everything he puts out — great information.
He uses the term "centration" quite frequently. Centration is simply the optimal access of range of motion in a joint. When the body has centration, it has ease of movement, no compensation, and no pain. If centration is lost, compensation occurs and pain is eventually experienced.
Unless there is trauma - car accident, blown knee, falling down some stairs - most of what is felt has had years to develop. That herniated disc didn't happen from picking weight off the floor. That was just the last insult the body could handle.
It is possible that correct optimal movement of the joint was never learned. Neurodevelopment is a hot topic, and it appears that the crawling pattern that occurs is more important then previously realized.
An old injury that doesn't even come to mind is a possible reason for loss of joint centration. I can recall many times athletes telling me that they can't remember how many severe ankle sprains they have experienced. Have you ever had a bad ankle? You limp around for days, sometimes weeks. That is disrupting your recruitment pattern, and the ankle centration has been altered.
For centration to occur, optimal muscle stability must occur. A joint cannot move correctly if there is no stability to allow mobility. An injury to a muscle will alter joint centration.
This brings us to the old saying, "Methods are many, Principles are few." It doesn't matter the method, if the principle is achieved. So whether the method is an adjustment, myofascial work with MOBI, muscle energy, muscle activation, corrective exercise, or a combination, know that ultimately the goal is proper joint centration.
Achieve joint centration, achieve ease of motion and a pain-free body.
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