As a physical therapist who understands the problems and symptoms associated with low backs that are too extended or too deep, I feel troubled and uneasy when I see people with such extended backs.  I find myself wanting to go up to strangers and persuade them to schedule an appointment with anyone they professionally trust, to help them understand what they can do to reduce the urge, need, or reason for arching their low back too much.  Maybe I am just getting old, but I believe this is an epidemic.  I travel a great deal, giving courses to physical therapists, occupational therapists, massage therapists, dentists, optometrists, etc. on Postural Restoration® and I see this extension epidemic, everywhere.  Of course I have a cognitive bias toward those with deep backs, but again I really believe a significant amount of our respiratory, endurance and musculoskeletal issues arise from those who innocently do not know how to stop extending their backs.

We have professionals in our world today who do know how to help you reduce this extension.  The only requirement, “you” have to ask for that help.  The question you need to ask them is, “Can you help me or help me find someone who will help me learn what I need to do to reduce my back extension?”  These professionals exist; they may be a physical therapist, a massage therapist, a yoga instructor, a personal trainer, etc.  Reach out and extend your search for these people so you can feel better and live with a body that is not fighting itself.  By extending this inquiry, your back extension and everything reflected by it should reduce, such as your possible back and neck muscle tightness, your irritability, your sleeplessness, your hip pinch and knee pain.

As humans we need other humans for help when our knowledge, education and ability is limited.  Those who have as much passion as I do to reduce patterned and asymmetrical extension of the back are usually willing to integrate your daily activity in a highly demanding and physically challenging environment through “your” ability to do so.  If you can’t find these passionate professionals, consider calling someone at the Hruska Clinic for consultation. They are physical therapists that will always keep your best interests and capabilities in mind and may actually need to consult with other professionals to reduce your extension.  “Extend” this search today, so that you do “not need to extend” tomorrow.

Posted March 18, 2013 at 8:30PM
Categories: Clinicians Science

This week’s featured speaker for our 5th Annual Interdisciplinary Integration Symposium is Heidi Wise, OD, FCOVD. Dr. Wise graduated from Troy State University in 1994 with Bachelor’s degrees in both Math & Chemistry. She continued her education at Southern College of Optometry where she graduated Magna Cum Laude with a Doctor of Optometry degree in 1998.

Dr. Wise worked in primary care optometry before opening a private practice, PRI Vision in Lincoln, NE which focuses on expanded services including vision training, behavioral optometry and neuro-optometry integrating with the science of Postural Restoration®. These areas focus on helping children and adults gain better vision skills to maximize performance in school, work and while playing sports. She is a member of the American Optometric Association, Nebraska Optometric Association, College of Optometrists in Vision Development, and Heart of America Contact Lens Society. In 2011, Dr. Wise completed her fellowship in the College of Optometrists in Vision Development (FCOVD).

“Dr. Heidi Wise has devoted her professional career to understanding and changing how the visual system impacts human performance. She will enlighten you on how the visual system limits or enhances athletic performance in her two-hour talk, by changing the biomechanics behind a batter’s swing or a golfer’s concentration before a putt. Three key areas that are often not considered reflections of the visual system’s function and behavior include muscle lengthening and strengthening, breathing and the mental game. Should be an eye-opener.” - Ron Hruska

Early registration for the two day symposium on Athletic Performance ends this Friday! CLICK HERE to register!

Posted March 13, 2013 at 8:48PM
Categories: Courses Clinicians

If you have not listened to Neil Rampe’s recent interview on, be sure to check it out soon! It is available FREE until this Wednesday only.

The teleseminar interview that I did back in 2011 for (scroll down to bottom of the link) is also available for FREE until this Wednesday as well!

Check out the new featured interview with Carrie Langer, MPT, ATC, PRC! Carrie was a member of the first Postural Restoration Certified (PRC) class in 2004, and is co-owner of Kinetic Physical Therapy Institute in Woodbury, Minnesota. Although, there are challenges that come with running a private, outpatient clinic in today’s world of healthcare, Carrie states “there is not a day that goes by in which we (Karen and I) regret our decision.”

To read the full interview, CLICK HERE!

Neil Rampe, M.Ed., ATC, CSCS, LMT, PRT is featured in’s weekly teleseminar interview! Neil is in his sixth year as the Manual Therapist for Major League Baseball’s Arizona Diamondbacks. He was introduced to Postural Restoration® in 2006, and earned the designation of Postural Restoration Trained (PRT) in January 2013. In addition to Neil’s interest and expertise in Postural Restoration®, he is also a C level DNS practitioner through the The Prague School of Rehabilitation. In this teleseminar, Neil discusses his background and experience with integrating Postural Restoration® and DNS in his professional career and rehabilitation of elite athletes. 

CLICK HERE to listen to Neil’s teleseminar interview. Neil’s interview, along with Ron Hruska’s teleseminar interview (open link and scroll to the bottom) from in 2011 will be available for FREE for the next week!

Josh Olinick, DPT, MS, PRC has begun writing about the pelvic-calcaneal relationships seen in PRI. CLICK HERE to read the first segment of a three part series where he discusses the sagittal plane. Josh did a great job with this article and his illustrations help differentiate what is occurring in the right foot vs. left foot in a Left AIC patterned individual. Stay tuned for part two (frontal plane) and three (transverse plane) of this pelvic-calcaneal relationship series!

For those of you who know Ron pretty well or if you saw his Twitter posting yesterday, you have realized that he likes to know “What’s your story?” He enjoyed reading these recent emails this past week! Thanks for sharing!

I can’t tell you how excited I am by the work that you’ve done (and are doing), bringing together concepts and techniques from various disciplines, and building a unique and incredibly insightful approach to physical therapy examination, evaluation and treatment.  I realize that your work (as all of our work) is built on the shoulders of others, and I am not prone to hyperbole, nor have I ever had a hero; still, I am awed by the genius of your constructions.  I am reeling a bit from all of the information I have received in taking 3 of PRI’s courses in the last month, but everything I have learned has resonated strongly.  There are many patients who I haven’t been able to help, many more who I could never take to 100%, and I’ve always been very aware that I was missing something.  Though I have treated very few patients with the PRI approach thus far, I am convinced that this is the missing link.  I am a bit of a continuing ed junkie, have taken many hundreds of hours of courses (most of them excellent) and am in the process of completing my DPT degree, but I have never encountered coursework that was this inspiring.  It seems that you are grossly under-appreciated in the physical therapy world and I just want to thank you for all you have done and all you continue to do! 
- Carrie S.

All of you guys at PRI are amazing!  I hope that you know how important each of your roles is.  PRI is really changing the lives of countless individuals each and every single day.  It is not only the lives of the patients, but the family members and also the clinicians that are using this.  I, for one, was super frustrated with being a PT and was feeling pretty much like I was wasting my time before I fell into a PRI course.  It was the first course that Jen Poulin had taught and it literally has changed my life. I know that it is easy to get bogged down in our daily lives and our work and to feel like what we are doing is just ‘work’ or doesn’t impact people, but it does. - Lori S

Posted March 1, 2013 at 2:51PM
Categories: Courses Clinicians Science

We received another great question on the treatment of right ischial tendonitis…

The reason we include a discussion on left ischial tendonitis and not right is because right ischial tendonitis is often ‘cleaned up’ or treated with a conventional myokinematic approach to the treatment of the Left AIC or PEC pattern.  One would start with “pulling” the anteriorly rotated pelvis back to neutral with left hamstring engagement (90-90 Supported Hip Lift with Hemibridge) then proceed with right glute max activity to “shift” the pelvis to the left and “rotate” the pelvis into left AF IR and right AF ER, therefore, reducing strain on the contracting, shortened right hamstring and the proximal attachment of the hamstring on the right ischial seat. 

So in essence you would treat the right ischial tendonitis issue by using the myokinematic hierarchy of lumbo-pelvic-femoral control for the Left AIC patient that is outlined and covered in the Myokinematic Restoration class.  Remember under every PEC pattern there is a Left AIC pattern, so even if your patient had right ischial tendonitis and had limited SLR on adduction levels bilaterally, I would start with the above recommendations.

The left ischial tendonitis patient will need more concomitant cooperation from the right glute max and left medial adductor and left quadricep during left heel strike and push off, to reduce left hamstring strain. 

Posted February 22, 2013 at 3:27PM
Categories: Clinicians

We were recently asked a great question about some of the wording in our TMCC Non-Manual techniques…

What is the reasoning for the jaw moving forward and to the left in the ‘Supine Active Sacro-Sphenoid Flexion’ technique and forward and to the right in the ‘Active Left Lateral Pterygoid in Protrusion’ technique?

Many of our patients have cranial base function oriented to the right secondary to the human spinal pattern often seen in the human right upper brachium and cranium (Right BC and Right TMCC patterns).  These patterns demand on the right lateral pterygoid (mandible often seen oriented to the left) and overdeveloped right sternocleidomastoid (head and neck often seen slightly side-bent to the left and turned to the left) can be reduced by activating the left lateral pterygoid.  The left lateral pterygoid assists in rotating the sphenoid or cranium to the left through its attachment on the lateral pterygoid plate of the sphenoid, and the base of the skull and upper cervical spine to the left, through lateral movement of the mandible to the right. 

Movement of the mandible to the right promotes good left lateral pterygoid function for meaningful chewing on the right with a balanced forward condyle to fossa relationship on the left during the actual downward power stroke.  Movement of the jaw to the right is, therefore, promoted which is so often lost on patients who are very active on their right side when they chew.  Right sided chewers over-activate their right lateral pterygoids immediately preceding opening and at the end of the downward power stroke on the right, by moving their mandible to the left after each power stroke.  Alternative chewing on both the left and right, is advisable as is keeping lateral pterygoid function balanced, by reducing right neck activity through left lateral pterygoid non-chewing function during the day.  The ‘Active Left Lateral Pterygoid in Protrusion’ is one way to keep balanced horizontal movement during mastication and the right cervical muscles relaxed because of the left lateral pterygoid indirect action on moving the cranium (sphenoid) and occipital base (OA/AA) to the left.

Because of the direct attachment of the stylohyoid, styloglossus and stylopharyngeus on the styloid process, moving the mandible to the left “pulls” the right temporal bone into external rotation and flexion, thus reducing intercranial torsion, and intraoral cants associated with the Right Temporal Mandibular Cervical Cranial (TMCC) pattern.  This technique reduces hemi-extension of the cranium, restores symmetrical cranial respiratory function and provides a complete base for the tongue to function without compensatory glossus activity.  By moving the mandible to the left, the hyoid, dorsal lateral tongue and pharyngeal thyroid cartilage move also to the left, promoting alignment of the airway and pharynx of the Right TMCC patient. 

Posted February 20, 2013 at 3:29PM
Categories: Clinicians

Double X Science, an online science magazine for women, recently posted a story which features PRC therapist’s Kristen Spencer and Louise Kelley. The story titled “Pregnancy 101: It Hurts Where?” discusses post-pardum pregnancy pain, and how physical therapy, including Postural Restoration to address pelvis asymmetry can prevent or eliminate pregnancy-related pelvic pain.

Posted February 12, 2013 at 3:50PM
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