And welcome back to the Wellness Paradox podcast . I'm so grateful that you can join us on this journey towards greater human flourishing . As always , I'm your host , michael Stack , an exercise physiologist by training and a health educator and health entrepreneur by trade , and I'm fascinated by a phenomena I call the wellness paradox .
This paradox , as I view it , is the trust , interaction and communication gap that exists between fitness professionals and our medical community . This podcast is all about closing off that gap by disseminating the latest , most evidence-based and most engaging information in the health sciences , and to do that , in episode 131 , I'm joined by Kristen Skighton .
Kristen is a physical therapist at Michigan Medicine and in this conversation we're going to drill down on posture , its importance , deviation from normal posture and what fitness professionals can do about it within their scope of practice . Kristen has a very unique and broad background . She has worked as a fitness and exercise professional before .
In addition to being a physical therapist , she works with the figure skating population , the gymnastics population , some performing arts athletes , so she really does carry a wide perspective into this discussion . So I think you'll find it very insightful and she's also going to talk about some great resources that she has available for you to check out .
Coming out of this conversation . Any information we'd like to share with you can be found on the show notes page , that's by going to wellnessparadoxpodcom . Forward slash , episode 131 . Please enjoy this conversation with Kristen Skighton Today . We're delighted to be joined by Kristen Skighton . Kristen , thank you so much for joining us .
Thanks for having me .
I'm always excited when we can get somebody from the University of Michigan to be on our podcast . Obviously , our affiliation with the School of Kinesiology makes it a logical fit .
And Kristen , as I'm sure you'll talk about in a second here , you work as a physical therapist at Michigan Medicine and we're going to get into a good conversation around posture today and we're going to probably take it in a couple different directions .
But before we dive into that , why don't you give us a little bit more of your background , just to provide some context for the discussion ?
Sure , I'm a physical therapist at Michigan Medicine . I work at our Domino's Farms location at MedSport , which is a sports medicine facility , and I've been working here since 2007 . I'm a doctorate in physical therapy and I'm a board-certified sports clinical specialist too , as well as being a certified strength and conditioning specialist top of rehabilitation .
My , I guess , focus a little bit more now that I've been practicing for almost 17 years is that I work a lot with performing arts and so , whether that be students , faculty , through the School of Music , theater and Dance , or even professionally , olympic level figure skaters in the area , and then all the way from the little studio level up through some of those
professionals , I am a lecturer with the School of Music , theater and Dance . With the dance department , I teach anatomy and physiology for the dancer , as well as working with the wellness initiative , with SMTD , and that is kind of as much as they need me .
But one of the biggest things that I do , which is definitely posture related , is I do a lot of screenings , injury risk screenings for our incoming freshmen of all the departments .
So you have dance , you have musical theater , theater and drama , and then our instrumentalists , our vocalists , all of those and also provide any coverage as needed through the course of the year for any backstage treatment services too . As far as in the fitness arena , I had worked at a personal training fitness studio downtown Ann Arbor before I had my kiddos .
I was able to do personal training and work with people that may have some chronic health issues , so it made a good fit for having the PT background but also did off-ice training , and that was how I got into working with US Figure Skating and working with some of our skaters around the area .
A lot of presentations on this on a regular basis and looking at what we find from those injury screenings Again , a lot having to do with posture .
Coming out of the pandemic , there was a lot of concerns that we saw , and I'm hoping that we address this today too , as well as helping to provide some of those customized home programs and giving educational bits that can be utilized not just for professionals but also for the parents , for the students , for the coaches , so that they kind of know what to look
for as well .
Awesome , you stay very busy , kristen . Yes , very much so you have quite a busy schedule busy schedule on top of having kids doing all those things quite a bit . So I think we're going to dive into various parts of your background in this conversation . We certainly do have people that listen to this podcast that do work with athletes of different types .
Athletes of different types . I did find something that you said very interesting and it didn't dawn on me initially when going into this conversation , but you talked about the performing arts a little bit .
So you know , as now I think of it you know , musicians end up in very specific postural positions for a very long period of time and I'm sure that can lead to some pretty significant orthopedic issues if they're not addressed . So that's a little bit of an eye-opener from my perspective .
No , and it's definitely something that we see , and even looking across the performing arts in general , I mean , our instrumentalists are having to navigate holding some type of instrument that they're playing , however big or small that it may be , weight that may be , along with their own size and their length of extremities , and everything too .
But a lot of times they're doing that seated , sometimes doing it standing , and so we're looking at how they then can manipulate their own body to be able to perform at high levels and , on top of that , practice for hours before they get to that performance , and so you'll see adaptations that their body makes to be able to do so , which are great and are
helping them to perform at that high level . And we see those same things in our dancers . We see , especially when you do a lot of turning in one direction , you're going to have some changes that happen to your body , and those are all good .
Those are all things that have helped you then adapt and perform at a high level and continue to excel , and there's a lot of things that we don't want to change about that . It just becomes a concern when it is either limiting your performance or producing pain .
Yeah , that's a really interesting discussion to get into because I feel like and I'm going to say this and then we'll put a pin in and come back to it yeah , go for it .
I feel like you feel like we kind of have this anatomical picture of what perfect posture should be and not realizing that athletes quite often will have deviations from that that facilitate performance and we actually could cause some issues to their performance if we try to fix those things . So I'm sure we'll circle back around to that .
But let's start by zooming out like super high level here , from its most basic perspective . Why is posture something that is something we should think about and consider important from a movement and an exercise perspective ?
I would say . I mean , it just gives a good foundation to everything . And so when we look at our spine , when we look at how our body is aligned , it is going to give a foundation to all movement . And so just having knowledge about that , but also awareness on what is maybe good posture for you or maybe ways that we can improve , can be really helpful .
But then also looking at okay , are we actually activating certain muscles whenever we're trying to maintain that posture ? And knowing that there's a difference between static posture and just when we rest , when we sit , when we lay down , when we sleep , and what that is at just a resting level .
But then also when you are physically active and you then have a dynamic posture , your body is then having to move and be able to work those muscles to be able to help keep you in a nice steady position but then also keep that alignment so that you're not having any too much stress and strain to any one body part .
Yeah , and so kind of , you know , pulling on that thread a little bit and going a step further , can you give some general parameters for what you know good posture should kind of look like , and then we can kind of move the conversation forward from there .
Definitely . And so when we position ourselves , if you're looking at yourself sideways which I know it's hard to do , but it's always helpful if you have someone taking a picture of you or a video or something and just look at yourself sideways , our spine forms almost like a serpentine type of a position .
It looks like an S , okay , and so our cervical spine is going to have a curve going in towards the neck , and so we say that , like the convexity of the curve , the point of the curve goes forward , and then we have our thoracic spine , which falls below that , that's , by our rib cage .
That point goes backward and then our lumbar spine , the point again goes forward , and then our sacrum , our coccyx , all of that , and then kind of forms that last little curve at the bottom . So when we look at how things should be positioned , there should be those curves .
Those are needed to be able to make sure that the muscles are being able to activate , kind of creating that pulling and everything to help keep us where we need to be with our arms and our legs and everything positioned . But also there are certain landmarks Again if you look at yourself sideways that we want to have falling on top of each other .
So your head should be positioned over your neck , neck should be positioned and in line with our trunk on the side , and then also that line being over our hip and then coming down to our outside ankle bones .
So , specific terminology , your little ear hole right there , your external auditory meatus , should fall in line with the line that just goes straight through the outside of our shoulder and then coming down further to that hip bone , that greater trochanter If you ever bump someone in the bottom , in the side , that type of position , that nice little bone that sticks
out of our hip and then coming down and then hitting right about to the outside ankle bone , and so you want those to look like they're stacking on top of each other . Again , we're having that standing static posture and then you can do the same thing sitting down , more so with the top half and not necessarily as much with the legs .
But then looking at ergonomic positions and everything is a whole other beast to try to conquer and making sure that we have still that alignment , even as we're trying to do , as we're doing right now on the computer or work environments at all .
But those are the easiest things to be able to look for because everybody has those parts and so being able to see kind of how things are stacking on top of each other and if those curves are in fact present .
That's a great job verbally explaining something that's much more easily explained visually than verbally . Very much , and I'm quite sure our listeners can find online an anatomical chart that would provide some of those references .
So now let's kind of move the conversation forward to talk about okay , if that's proper posture , what causes what we'll call just improper posture , and I guess for this question let's relegate it to like the normal adult general population before we start talking about athletes .
So there are many different things , certain things I know personally I've experienced .
So I've been pregnant twice with my kiddos and so that weight gain or if you're experiencing weight gain for whatever other reason that can shift your body weight forward , which can , I know , for me gave much more of a curve to my lumbar spine , that lower back part , which can then put stress on the low back .
How we're driving , how we're doing stuff with the computers , we tend to like our head to come forward and our shoulders to round , and even that top part by our ribs , that thoracic spine , to round forward as well , and so just normal body positions and normal body activities and life experiences can then generate changes to that proper posture and all things that
usually , especially if we're catching them in time , we can correct to a certain extent . But if we let that continue on and our body then adapts to those new positions of that roundedness , of that increased curve , then it can then change the actual what's happening inside the spine , with your discs and with your spine bones and everything .
So just some things to think about that we want to have that awareness so we can try and help modify it to work for us versus having it be something that continues and continues . And I like to use the visual of you know we have this posture babies , as they're coming up through , are able to kind of work through standing walking posture's good .
And then those life activities and positions that we get into cell phone head everything your head's just tilted right down . Eventually you kind of go back into that rounded , almost like a caveman type of a posture and so as we've evolved , coming through it , now we're kind of evolving back into more of that rounded type of position .
Yeah , proper posture favors extension , based on everything you said earlier from an anatomical perspective , and modern day life favors flexion in nearly everything that we do , and so it does present an interesting challenge . So kind of carry that forward then to .
You know , we have a posture that favors extension , life puts us into flexion and then you know we come into the gym and we want to start exercising . What potentially could be the implications of that ? Because certainly there's varying degrees of how much you're rounded forward and for some people it could be an issue , for other people it couldn't .
But broadly speaking , what implications does that bring up from an exercise perspective ?
Definitely so . What we also see , not just what's happening in through the spine , more so in through that thoracic spine , so again by the ribs , where we see that flexion , we usually see that roundedness in that forward head .
One of the concerns that also then carries over , just from a physical strength and flexibility standpoint , is it can lead to a lot of tightness through the anterior , through the front side of the body , and then weakness and lengthening through the backside of the body .
And so then , when we look at what we want to do for exercise or trying to help out with mobility training for those areas , it really is trying to open up , through the front side of the body , exercises that help out with that , not just mobility , not just flexibility there , but then activating the muscles in the back to be able to help keep you there at
the same time . And so it really does go hand in hand . Yes , there's mobility , flexibility , training that we can work through not just in the spine but also in all the supporting structures that are coming through and attaching to it , but we also want to activate the posterior chain back muscles to be able to help keep us there too .
So , whatever that we may have gains from that mobility , flexibility can actually last that we may have gains from that mobility flexibility can actually last .
That's such an important point because I think when people experience tightness , the automatic reaction to tightness is you just need to stretch it , and while that is not wrong , it's also not sufficient if you don't strengthen up the musculature that would hold that position in place . So I think that those two things going in tandem are so , so , very important .
I'm also curious to get your thoughts on this , and I often think about this when teaching exercise to novices , people who particularly strength training , who haven't done it before .
Posture is kind of a challenge during exercise , above and beyond just daily life , because , if you think about it , we're asking somebody to perform a new motor skill at the same time as you maintain what would be an uncommon postural position . What are , just broadly speaking , your thoughts on that challenge ?
I mean , I would say what we see from people who are kind of chronically in that position of having some of those challenges with posture , they do have .
We have proprioceptors , we have different receptors that are within our joints , that are working with our muscles , that help us to communicate the muscles to the brain , to kind of know where we are in space , right , and if you're in a chronically stretched position from the backside or chronically tight position from the front side , those receptors have kind of gone ,
they've gone to sleep , they've shut down , okay .
And so part of that is trying to work through maybe some proprioceptive training , working through that body awareness , and it may be that before you get to the more complex movement patterns that you have to start out with something a little bit more simple , especially if you're seeing faulty postures present right off the bat , and so I think that would help out .
But that may be then homework for the client or the person to take home with them is that , yes , maybe they don't have access to the higher level strength training equipment or also your cueing and everything there to make sure that they're doing the exercises correctly , but they may be able to do some postural awareness activities at home , and then that would give
them a bit of a leg up next time that they come back and really kind of embed that training from there on forward .
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You can enter in WP2022 , that's WP , and then the number 2022 to the website at checkout to receive a 15% discount on your purchase . I highly recommend you go check out mrfinstituteorg . Now back to today's episode . Yeah right , I mean , sometimes the best resolution of poor posture is just try to maintain better posture .
Yes , and you know , I know I catch myself and I'm sure you do as well during the day and you're all you're balled up at your desk and you just you know , and we're people that are reasonably kind of statically aware , and if stuff is happening to us , it's happening to a lot of people .
So you started to talk a little bit about , kind of you know , what we can do about this , and so I'm going to ask the challenging question at first and then we'll get it into maybe the easier question .
So , as a physical therapist , obviously you're working with people on issues that have reached a clinical level to some degree , and the exercise professionals that are listening to this are working with people that hopefully they haven't reached that clinical level of pain or injury yet .
So I guess the first question I would ask and this is my favorite task to medical professionals is where does an exercise professional draw the line between , hey , this is me helping improve someone's just generally not so great posture , or this person has some type of pathology . That requires something that's outside of my scope .
So how do we figure out where to draw the line ? I realize it's a hard question , but it's an important one .
So what I say , and again , I work with fitness professionals that may be , you know , coaches or instructors , personal trainers , I mean people that really have , I guess , more reachability sometimes than what we even do in the healthcare field , and they may be seeing our patients more regularly as well than what we can .
So I think it's great having this information but , in the same respect , also having that communication if there are concerns .
So what I would say personally is , if there is pain , that tends to be a deciding factor for me , and even whenever I had done personal training , when I had taught classes , if there were any of my clients , any of my attendees , that were having pain with certain movements , I wanted to get them checked out .
And I would even say , as a physical therapist , someone in rehabilitation , if I have a patient that I can't make them better with physical therapy and they're still in pain , I still want to send them back to the physician at the same time , because it's one thing that if I can't help resolve their pain , the reason why they're here for PT , I want to make
sure that there isn't anything else going on .
And so for sure , when it comes to a fitness professional and within their scope that if there is pain that's involved , and especially something beyond muscle soreness , something that's beyond joint tightness or limitation If they were really sore , they're complaining of pain immediately after a really hard workout , okay , give them a day or so , it may just self-resolve .
But if it's something that's lingering , if it's something that is limiting their sleep , their ability to rest and recover , then for sure we'd want to try to get them in and get them seen and just make sure that there isn't anything else going on .
Perfect , perfect . So that's a really good , clear boundary and you know , even as a physical therapist yourself , a boundary that you know , you , you adhere to .
So , with that kind of as our boundary , let's assume that you know the , the clients that are exercise professionals are working with , you know , aren't in pain and you know they , the fitness professional sees clearly based upon just the person walking in and in many cases nowadays you could see this the second somebody walks through your door .
Okay , we have some postural issues here we need to address . How would you suggest that they go about thinking about that from an exercise prescription standpoint ?
So I think one of the things that can be really helpful from a fitness professional perspective is asking some questions to the client and being able to see okay , yes , you may be able to visually see that there may be some concerns going on with their posture but also asking them about their work environment , asking them about their home environment .
So , for work , do they have any type of like an ergonomic setup going on ? Are they sitting for hours ? Are they moving around ? Are they a student , you know , looking at , even providing some general recommendations . One of the things that we like is , if you're sitting for 30 minutes , get up and move around for five .
If you're sitting for 60 minutes , get up and move around for 10 . And that's the thing I give the instrumentalists , the students , all the faculty , everybody just to be able to help get things moving so you don't get tight . But then also their home environment . Do they have little kiddos ?
I know my posture , like I said , changed when I was pregnant , when I had to carry around the littles After coming back from surgery or some type of big injury or something you're going to have compensation that ends up happening in the body , or , if they're a caregiver at the same time , maybe they're caring for an elderly parent or a family member .
And then what has to happen with repetition tasks of what they're doing , lifting , loading , their habits , their hobbies , figuring that out too , and then their sleeping positions , how they like to sleep ?
I know , just a little quick pearl , that when we have , maybe , patients or clients that have back pain , one way that they like to sleep on their back is with a pillow or something underneath their knees , but what that can lead to is a lot of tightening through their hamstrings and their calf muscles so that when they stand up they look a few inches shorter
with a bent knee , and then that can then cause a whole bunch of issues coming up and down the chain too . So that , and then just knowing broadly what their goals are , what they're trying to get out of personal training , group fitness classes , anything like that , so that we're able to see , okay , how is then posture woven into that ?
How can I work on that with exercises that I'm trying to do but then also trying to help meet your goals at the same time ?
Yeah , that's great . I think asking the questions about life outside of exercise is so incredibly important because you know , even as an exercise professional , maybe you have somebody for you know , two , three hours a week , four hours a week if you're lucky to your point in PT , you're probably going to see somebody less .
But what's happening with the other 160 , some odd hours during the week where they're undoing unconsciously all the things that you're doing ? So I think getting that history is so important and I want to ask a question on . This is a very specific programming question and I'll kind of tell you how I thought about it . I'm curious to get your thought .
I try to be as posterior chain heavy as is reasonable in my exercise prescription with strengthening , because I feel like you know , traditionally people go to the gym and they're all it's quads , it's chests , it's biceps I mean fortunately the , you know the , the glutes are getting a little bit more . You know play now you know through social media .
So that's good . So that's at least the posterior chain . But I try to be somewhat intentional about that in my resistance training prescription because I feel like we are very just kind of push dominant in life and very whole minimal . How do you think about that ?
Agree 100% .
I mean I can say it's something that we for sure see in the clinic and something that , when it comes to even looking at exercises that I give to the students after we go through and do their injury risk screening so never met them , don't know a ton about their history , but I'm just looking at them , just observing and seeing , and even when it was through
the course of the pandemic and again just seeing through a computer and being able to make observations of what I could see from a posture standpoint , from limitations in functional transfers of different positions , that it was very limited on their strength on that posterior chain , and again , very much hip flexor , trunk flexor , everything heavy .
What I would say , though , too , is I think it's tough , because when we look at dancers , skaters , gymnasts , they tend to have more of that sway back and so much more of a pronounced lordosis , a lot more curve in that low back , which can be hip flexor tightness .
But a lot of times these athletes , they need to be able to do things at a very high kicking range of motion .
So they might be tight in their hip flexors , but they may also be weak in their hip flexors too , because tight muscles aren't always strong muscles and so , even though we see the tightness in the pecs , we see the tightness coming from the front , which are more of that front kind of glamour muscles that you're talking about , that people are wanting to work .
You also then have to look at maybe the end range of where we're at , and eccentric strengthening tends to be really helpful for that anterior chain , so that really strong through the full range , because that's one thing that I would say I'm not seeing as much if they are strong through the front that they may not be strong through the full range of utilizing
their anterior muscles .
Yeah , that is such a great point . I want to drill down on what you said . There is , just because a muscle is tight doesn't necessarily mean that that muscle is strong , particularly end range of motion , you know , when lengthening , which you know , particularly in the case of athletes , you know is important from just an injury prevention perspective .
So let's , before we end , I do want to touch on the athlete component here a little bit , and you kind of brought us to it with what you just said .
So in general and we alluded to this a little earlier tell me how you think about posture in athletes , Because that gymnast who has a lot of excessive lordosis in their lumbar spine , while that may be problematic , it may facilitate performance . So how do you approach posture just broadly with athletes ?
So I think part of that is what we discussed about looking at making sure that they are strong through the full range of motion , which that's where we usually find some of the deficits , even coming through the athletes . I think again , if the posture that they have is necessary for their sports , necessary for their performing art , are they having pain with it ?
Is it something that their body's adapted to to help them perform at a high level ?
If it is , it may not be something that I want to 100% focus on trying to correct , but maybe stabilizing in that range and then making sure that they're warming up through a full range of motion , stretching through a full range of motion , because that , I would say , tends to be more so with the athletes .
They're great about their training , they're great about their deficits , they're great about their sports , specific activity progressions , but the warmup and the cooldown is what tends to stink , especially the cool-down .
And I can tell you , like I did dance , I played an instrument , but I also did volleyball , track and did some basketball too , and cool-down it was non-existent , and so that tends to be something , even at these professional levels , at these high Olympic levels , that we're continuing to see is that they're just getting done with their practice session , getting done
with their competitive activity and leaving , and that is where a lot of the challenges come in , especially for our students that may be the movers maybe our dance students , our musical theater students that are then in a movement class and then boom , they have to go away and sit for two hours during a lecture and they don't ever get a chance to even walk
around campus as a form of cool down . So I think that being able to have some type of a strategy in place , and whether that is again walking lightly , doing a couple of stretches , even seated stretches , can be really helpful . There are so many opportunities instead of just not doing anything .
That can help set us up then for the next activity bout , and so that is usually what I tend to see that , yes , if we do see that they have some of these pastoral potential concerns maybe not current concerns , but potential concerns are they doing anything to , I guess , stabilize that or prevent it from getting worse ?
Yeah , that's a great way to frame that up , particularly around the warm-up and the cool-down , and the cool-down in particular yeah , I mean , look , I'm guilty of it in my workout , I'm sure you are as well . It's like done with the workout , let's you know . On to the next thing . You know that is very , very valuable time that you can't make up .
And I mean , in some sense I feel like that warmup and cool down , when done properly , is just some really good prehab or proactive rehabilitation .
Yeah , no , it is , I would say when I when I I speak a lot on warmup and cool down , and so this is something that's a little bit my personal soapbox , but it is one of the most prevalent modifiable risk factors that we have for injury . If you do your warmup , if you do your cool down , we know that that decreases injury risk right out the gate .
And so I would even say , as a fitness professional , making sure that that is part of your session with somebody , making sure that's part of your class with somebody , because then if you're ingraining it within the session that you have with them , they're going to hopefully you know , within the session that you have with them , they're going to hopefully you know
practice what you're doing and then be able to have that be something that's integrated into just their normal pattern .
Great , great . Yeah , there's so many more nuanced things that I would like to talk about here , but I think you've done a great job of painting the broad picture for the general population , you know , and for athletes . So , before we bring this to a close , a couple of final questions for you .
First , where can people go if they want to find out more about the stuff that you're doing ?
So we have . There's a couple of playlists that are on YouTube . There's one that's through the School of Music , theater and Dance .
If you look at wellness initiative at SNTD , you can find and there's a whole bunch of videos that we put out lots of this information about warm-up and cool-down , but also different ways of like the DIY of treating your own injuries , especially if it is something that is a bit lower intensity , but then also when to go see a healthcare professional too .
Also , I have my own YouTube channel . It's the Performing Arts PT , so at the Performing Arts PT on YouTube , and I also have an Instagram handle with the same and TikTok with the same . Hopefully , by the time we get through all this , the new website will be launched and that is wwwperformwellcom , and there'll be a ton of resources on that as well .
Lots of this programming type of thing information for healthcare providers , fitness professionals , coaches , athletes , everybody , parents , everyone involved . Just a lot of info , just some things that we've kind of gotten over the past almost two decades of being a PT and doing a lot of this education and really happy to share it .
Great . So we will link up to all of those on the show notes so everyone can check those out . Yeah , great resources . I've seen a lot of the stuff that you put out on social media . I think it's very well done . I'm not quite sure how , given all the things you do , you also have time to do it .
I had minimal sleep , but I make up for it on the weekend , so we're good .
That , ken , so we're good . So , kristen , before we end the conversation , I want to ask the question that I always end the podcast on , and I really love asking this to healthcare professionals because I can ask it a little bit more directly .
I consider the wellness paradox to be the trust , interaction and communication gap that exists between fitness professionals and healthcare providers . So for you as a healthcare provider , could you give the fitness professionals listening one piece of advice about how they could close off that gap , even with someone like you who's a physical therapist in the system ?
Sure , I would say just kind of what you just mentioned communication , that is something . Even when we have patients . I know that there are specific forms that they have to fill out to be able to share patient information .
But I can tell you I've been on some really good teams of communication with fitness professionals , with coaches , with teachers , and being able to have that accessibility and also they're only going to be with me for a short time , they'll be with you for a much longer period of time .
And having been on the personal training side myself and being able to work with healthcare professionals to make sure that that doing that , but also the thing that has come up that has been a concern , is , I guess , mutual respect in both areas at the same time .
So the healthcare professional respecting what the fitness professional does and vice versa , the fitness professional understanding the evidence-based practice and medical jargon , everything that we're coming from .
And so that's why me , having kind of rode both those lines , I can see both sides of it , but knowing that at least again , from our sports medicine perspective , here we want to work with fitness professionals , we want to make sure because we know whatever we can share with you , whatever the client , the patient feels comfortable in sharing with you , it will help
them . Whatever changes , whatever modifications , whatever instructions that we've given them will help that actually last and help prevent injury , because that's one of the things , especially from a physical therapist standpoint we love to see our patients out in the community .
If we can not ever see them in the clinic again , great , because our focus is on primary prevention as much as possible , and fitness professionals have a huge part in that , and so if we can work together to help make that happen , awesome .
That's great Communication and mutual respect . Kristen Seiden , thank you so much for joining us on the Wellness Paradox .
Thank you . Thanks so much .
Well , I hope you enjoyed that conversation with Kristen as much as I did . If you found it insightful and informative , please share with your friends and colleagues . Those shares make a big difference for us . Any information we'd like to share with you from today's episode can be found on the show notes page , that's by going to wellnessparadoxpodcom .
Forward slash episode 131 . Please be on the lookout for our next episode when it drops in two weeks , and don't forget to subscribe through your favorite podcast platform . Until we chat again next , please be well .