Jennifer Beamer (Dancer, Pilates Instructor and Coach)
New Hips Leaping Forward into Life: One Dancer's Journey into the Bionic Age
Type: Direct Superior Approach (Minimally Invasive) Hip Replacement
Date: April 13, 2016
Surgeon: Dr. Jason C. Snibbe, MD
Hospital: Cedars Sinai Hospital, Los Angeles
dance photos: RJ Muna
Powerful, elegant movement is the greatest gift to me. And therefore, it is the greatest gift I feel I can guide others to attain. Driven by my passion for the art and science of movement, I initially chose to pursue a career in medicine, intending to serve athletes and dancers. During my third year of medical school at UCSF, I received an incredible opportunity to dance in Paris, France. Though initially intending to go back to finish my M.D., my dance career had taken off, and was leading me to incredible new discoveries in the ways that I could contribute to the world. Seeing the excitement and gratitude in people's eyes in Belarus, Poland, Germany, Russia, Scotland, and the US, and hearing how performances brought new inspiration to their lives... feeling my mind and body focused in an extreme state of focused harmony...this fueled a new stage in my life, and I embarked on a fifteen year dance career, starting in Europe and evolving with Liss Fain Dance in San Francisco.
Living as a dancer has instilled in me incredible respect for the power of the body to meet extreme demands, when given the proper information. Despite initial frustrations with pain and injury, I came to realize that the body truly wants to be healthy, and to do its very best for us at all times. When I realized that I could partner with my body, rather than fight with it, healing power became paramount. I now combine my love of science and medicine, with the art of elegant movement and healing through my work as a Pilates teacher and health coach, guiding others to optimize their own lives through movement and healthy lifestyle choices.
Thanks to my all-star surgeon, Dr. Jason Snibbe, innovator of the Direct Superior Approach, my community, and health, I am now fourteen months post surgery (Bilateral hip replacements) and happily back in action. It is fascinating to learn to move powerfully again, integrating new high tech parts into the complex system of the body.
I am astonished by how quickly this occurs and have written about the experience in my blog www.empowerpilatesmalibu.com.
Here, on dancerhips.com, I share a series of these chronological blog entries in hopes of inspiring others on a similar path.
This journey continues to deepen my respect for the body's power to heal, and generates empathy for those in pain, seeking the keys to unlocking their potential for powerful movement. Thank you to my incredible community for all the love and support you have shown me. I will forever remember the team of friends arriving at my door each day, radiant with healing energy, and nutritious foods to fuel me. May this entire experience make me a better guide to others, with more energy and knowledge to give back to my community.
I am now two weeks post op, bilateral hip replacements with Dr. Jason Snibbe, at Cedars Sinai Hospital, Los Angeles, and elated to be walking, climbing stairs, and living my life without pain. Taking this step-by-step, and honoring the healing process, I am moving at a pace that is much more gentle and attentive, than I am used to. And there is so much information at this pace, leading to rapid advances. This is a fascinating journey. Learning to walk again, with hips made of warrior style titanium, takes vast amounts of energy. As my body emerges from medications and anesthetics used in surgery, my normal high energy is returning and my mind tells my body to spring into action. My body responds with enthusiasm, but also emphatic reminders that I just had canals drilled into my femur bones to accommodate the stealthy new titanium shafts and ceramic femoral heads, encased in polyethylene liners and a titanium rim on my hip sockets. As my body recovers from surgery (indeed, a trauma of sorts), my liver, kidneys, lungs and lymphatic system are working overtime to detoxify from an array of foreign chemicals introduced in surgery and post-op (astonishing how this all occurs relatively pain free), my bones and tissues are working diligently to rebuild, and my nervous system is at the helm, taking in all kinds of new information and integrating these new bionic Stryker Dual Mobility hips into my entire system for the intended goal--Strong, efficient movement forward.
I am astounded at how the body and mind adapt so quickly to new challenges. After only one day, I was up and walking (with a walker) and by day 2 doing stairs. Progress would have been even faster had it not been for my very low blood pressure, leading me to dive into lightheaded oblivion every time I stood up. Day two BP hovered around 73/33 on standing. Such orthostatic hypotension (dips in blood pressure with changes in position) is apparently common in healthy athletes after surgery. Not because of extensive blood loss, but due to a phenomenon called third spacing: the blood vessels become highly permeable, as a result of a complex cascade of chemical inflammatory responses to surgery, allowing fluids to escape from the vessels into the interstitial space (between vessels and tissues). The vessels cannot accommodate quickly enough to changes in position relative to gravity, and consequently, blood pressure plummets. My doctor reassured me that my healthy body would soon recover. Sure enough, after a day of increased fluids and protein intake, I was standing and walking, without stars dancing in my head.
Welcome aboard new hips. Prior to surgery, a good friend reminded me to thank my old hips for all they had brought to my life. Rather than be frustrated by the limitations brought on by extensive arthritis, bone spurs and cysts growing in response to bone on bone friction, I embraced a spirit of gratitude for the incredible journeys my hips had taken me on...dancing around the world, overcoming the obstacles of starting professional training at the late age of seventeen, my facility and determination led me to a wonderfully vibrant dance career.
It has been three and a half weeks since my surgery, and I am quite amazed at how natural my hips feel, and how rapidly progress is occurring. I have no sense that foreign titanium parts are set inside my body; rather I feel more integrated, and connected than I have in a long time. The challenge is to reawaken stabilizers that have been dormant for some time, and unwind destructive tissue tension (hip flexors, adductors and rotators), that developed over decades to stabilize eroding joints and to protect me from pain. Now the real work, to realign and rebalance around highly efficient hip joints, has begun. For the first time in many, many years, I am able to align my hip, knee, ankle and toes properly; and my neuromuscular system is learning to connect the dots to support it.
I am tremendously grateful for my rapid recovery. I attribute this progress to a combination of factors; being dedicated to healthy living and committed to daily prehab and rehab exercise programs; maintaining a positive, focused mindset; having a supportive medical team and community; and of course, the brilliant work of Dr. Jason Snibbe and his Direct Superior Approach, leading to optimal recovery and return to high function without restrictions.
While previously practicing the PATH approach, Dr. Snibbe was determined to develop a method that allowed for faster recovery time and better outcomes. After brainstorming with a few of his highly trusted colleagues across the country, the Direct Superior Approach was born. (Read about the approach here) This involves one small incision, minimal muscle trauma, and minimal structural damage -the piriformis tendon and a small flap of the hip capsule are cut to allow access to the femoral head and acetabular rim, but later resewn). This spares the iliotibial tracts (IT band) that is critical to pelvic stabilization, and spares the gluteal muscles (the gluteal tissues are carefully separated rather than severed). This is in dramatic contrast to traditional hip replacement where all gluteals and external rotators are cut. With the Direct Superior Approach, one has less muscle trauma and, therefore, a much faster recovery. One normally stands and walks the same day of surgery. Highly computerized imaging during surgery ensures utmost symmetry of the legs and return to precise, integrated movement.
Dr. Snibbe chose a Stryker Dual Mobility hip implant for me. With it's combined high range of motion and stability, this prosthetic is allowing athletes to return to high levels of performance. Its longevity record (an upwards of 25-30 years and beyond) means there is a high possibility of never needing a revision, particularly if one limits impact activities such as running and jumping.
Returning to daily function is rewarding. The joy of being able to care for oneself is so refreshing. I had forgotten how much mobility it takes to tie one's shoes! After a week and a half, I was cleared to return to driving, and to teaching part time. Dr. Snibbe advised me to keep moving while being conscientious of the six week critical healing period, during which time the bone is ossifying around the prosthetics; jarring movements or overloading the hips would hinder healing, while gentle, weight bearing exercises, focused on activating the hip complex, would advance progress. My days are filled with movement, including my personal practice of an hour long exercise program twice a day (guided by Andrew Droll of Home Health Physical Therapy, and advanced by the therapists at Body Logic, Westlake), multiple walks, stair climbing, 20-25 minutes on the stationary bike., and training with light arm weights. Rest periods throughout the day, and a full eight hours of sleep each night are priorities. Rest and sleep are powerhouses for healing.
I am a sponge for new movement information, and am avidly soaking up the teachings of the therapists at Body Logic. They assure me I am well ahead of the curve, as I ask them intricate questions about why my body is responding in various ways to the surgery and recovery, including irritating hip flexor and rotator tension. I am fortunate to have a lifetime of athleticism and deep mind body connection to reconnect the dots after surgery. My training in pilates is critical to rapid rehabilitation, as efficient movement flows outward from the core powerhouse. Initial programming is focused on activation of the gluteal complex, followed by strengthening in weight bearing positions.
My therapists have introduced me to an intelligent system of rehabilitation, Dynamic Neuromuscular Stabilization (DNS), developed by Pavel Kolar, PT, PhD, a Czech physiotherapist. According to DNS theory, core stabilization is achieved through precise coordination of the abdominals, spinal extensors, gluteals and associated musculature, and intra-abdominal pressure regulation by the central nervous system. I found this paper helpful in understanding the principles of DNS. I am discovering many parallels between DNS and the breath-work, alignment and stabilization techniques I have learned in pilates and my training as a physical therapy aide at Core Conditioning Physical Therapy. The importance of core connection, and efficient breathing patterns to stabilize the core, cannot be emphasized enough. I look forward to bringing the principles of DNS more fully to my students in the studio.
I am fortunate to have a wealth of movement experience to draw upon in this retraining process, and am eager to share the information to help others navigate the complexities of joint replacement. My studies in pilates, dance, physical therapy, medicine, holistic health, posture and alignment (Esther Gokhale merits special mention) are guiding me to learn how to turn systems on in a natural, integrated way and are propelling me forward to my movement goals.
Week four post op has been very inspiring; walking barefoot on the beach (no crutches!) and swimming in the pool are revitalizing. As my hips become more powerful and mobile, my gait is becoming more fluid and at times I am forgetting that I had hip surgery a month ago. Gone are the sharp pains stabbing in the front of my right hip, and the popping/grinding that felt destabilizing in both hips. It is elating to feel that when I take a step, my legs are solid underneath me. I feel strongly supported for the first time in a long while. I knew that my nervous system had previously been working overtime to analyze how to stabilize my body on what began to feel like stilt-legs. Uncaged, I now move with confidence that my legs are strong underneath me, without stabbing pains, and my mental energy is liberated for higher tasks.
I am deeply grateful for all the support I have been granted; especially nutritional and movement coaching both pre and post surgery. I am compelled to emphasize the key role that early physical therapy (PT) has on rapid, effective rehabilitation. I recently learned of a woman who had a single hip replacement two months ago and is still very limited in her movement, requiring a walker. Her current therapists believe this is due to lack of effective PT immediately after her surgery. Her complications might have been prevented had she had immediate access to an effective physical therapist and rehab exercise program. Efficient and immediate movement coaching has been critical to my rapid progress, and I encourage anyone contemplating joint replacement to organize this ahead of time.
Also, I must emphasize the healing power of food; fueling the body with nutrient dense, whole foods --both before and after surgery--sets the foundation for strong healing. My personal preference is a plant based whole food diet following the paleo/primal principles. Bone broth, organic grass fed meats (including organ meats), wild fish and plenty of organic green vegetables (2/3 of my plate is covered in veggies) provide a winning combination of bone building, tissue and gut healing nutrients. For more details on key nutritional considerations for bone and tissue healing, please refer to my blog entry, Bone and Connective Tissue Health, Speed Your Healing.
Seven weeks post op and, except for my new four inch long tattoos (scars) on each hip, I am forgetting that I had surgery almost two months ago. It is incredible to feel how the body integrates new parts so rapidly, seamlessly. Unraveling of twisted tissues and bones continues, as my body now learns to trust the stable, mobile efficiency of shiny new hip joints. Patient assertive work is critical: Defining the delicate balance point between aggressive retraining and gentle compassion in allowing the body to heal itself. As I teach my students, I aim to be an assertive and attentive coach, pushing to the edge of efficient movement, stimulating musculoskeletal nervous systems to up-regulate and rebalance, without overtraining or compensating or steering the body into an inflamed state. Rest and recovery have become great friends of mine and feel how strongly they are working for me.
The past two weeks have allowed me to feel a gradual shedding of rigidity in my right hip, but a pain in right psoas...so great that each swing of my leg brought an internal grimace...has been limiting. Stretching only exacerbated the pain. My nervous system, seeking to stabilize the hip joints, responded to stretching by bringing tension back with a vengeance. I turned to strengthening, balance training, Pilates, and integrated neuromuscular work. But the key I found last night...the irritation was coming from my lumbar spine and nerve pain was radiating into my right hip, causing my right back and psoas to clamp down. My system was working overtime and acupuncture and cupping (thank you Corie Tappin at Soulspace!) to my spine freed me to move without pain. My stride is becoming more graceful again as my psoas is not clamping down to protect my lumbar discs and nerves. While wobble board squats, banded side- walks, lunges and hydrants have been instrumental in building my hip strength and stability, it is working on the reformer today that helped me really tap in to my central strength and alignment, providing key stimulus and feedback to strengthening my center line and rebalancing the systems around my spine. I am working to be attentive to vulnerable areas that I have braced around for years, and now to strengthen these deep core areas that have been dormant, perhaps due to injury, and move from a strong foundation.
It is quite common for the psoas to clamp down and hold on to stabilize after hip replacement. The gluteals and rotators of the hip are stretched during retraction in surgery, and need time to heal. The psoas wants to be a super hero and save the day by supporting everything. My own situation was complicated by ten to twenty years of psoas dysfunction as a professional dancer, preceding surgery. I have learned to heal this by standing from my core and reaching through the tube of my legs rather than hanging on my joints. My left side, by comparison, is pain free and soaring forward with no complications.
In seeking to help me stop compressing my right side and swaying to the right as I stepped on my right leg, my savvy PT at BodyLogic, Ethan, decided to put me in the Alt-G treadmill. With its corseting set up, the treadmill holds the torso in place and lifts weight off the legs (somewhat like a jolly jumper for adults), allowing my hips to feel decompressed. This was revolutionary! By alleviating compression (I was walking at 65% body weight), my pelvis began to feel like it was floating, and my psoas began to lengthen in a way it has not in years. I began to walk with longer strides, my legs actually extending behind me, as I pushed the ground away with a strong toe push off activating my glutes and extending my hip flexors, rather than reaching in front of me with my hip flexors and pulling myself forward. The experience was like rebooting a buggy computer program; my gait had been programmed in a compromised way with impaired hip function; although my hips had been replaced, the mental program kept running until I consciously reprogrammed it with the assistance of the treadmill.
On the Alt-G Treadmill, cameras (focused on my legs) allow me to see the action of my own legs as I walk. In this way, I can focus on long strides, extending my legs behind me, pushing off with the ball of my foot, landing with my foot underneath me, and the pattern of heel strike to push off through my foot. I was elated to feel this! It was like my hip flexors were getting a massage while I walked, being allowed to dynamically lengthen for the first time in years. It was an incredibly liberating gift to receive, teaching my brain what it is to walk with a healthy gait pattern. And the truth was seen as I stepped off the machine. The new program was set and I walked across the room with strong, fluid, balanced strides.
Also fascinating is noticing the drop in inflammation in my body. Bone-on-bone hip joints are ripe with inflammatory factors that elevate stress on the entire body. Upon removing the eroding joints, my body is beginning to thrive again. My acupuncturist, Corie Tappin, noted my pulse and tongue qualities (key determinants of health in Chinese medicine) have dramatically improved. Swelling in my ankles has disappeared. My energy is better and I am sleeping through the night, a critical player in all of health.
After nine weeks, I feel much better than before surgery and I am excited to continue progressing. It is incredible to feel assured that my legs are stable underneath me, to not worry that sharp pain will strike as I climb stairs, and to feel my energy surge as my body is no longer fighting chronic inflammation of arthritic hip joints. I did not realize how much energy was being spent on the inflammatory processes of bone on bone; this has been lifted. When the body is no longer feeling a constant threat and pain, energy surges and fuels the system towards health. Friends delight in telling me that my walk is so much more fluid than before surgery. One even said I look like a totally new person. Indeed, gait is an identifying factor; our minds are programmed to recognize movement styles and we categorize accordingly.
As they watch me move, friends ask if I am 100% better. I am encouraged by their enthusiasm and by my return to a relatively high level of performance. Yet, I am only a fraction of where I aim to be--dancing, hiking, climbing--and my work is constantly assertive and patient. Daily, my training continues with focused alignment, breath work, Pilates, functional movement, weight training, physical therapy exercises in a range of squats, balance work, banded leg work, lunges, step up/downs, etc. I am learning to balance my body with a new, clean slate of healthy hip joints. I am avidly curious, discovering the joy of new breakthroughs, and the gratitude of teachers guiding me to new discoveries. This is the elation of discovery that fuels my passion for teaching; my desire to guide others to find these pearls in themselves and see their lights turn on as they discover new connections deep inside themselves and open up a beautiful strong new range of movement.
I feel as though I have a tight wetsuit on and am realigning myself. The tissues around my bones have compensated for over a decade in a web-like fascial network of twists and turns, to allow me to continue dancing and performing at a high level despite the high level of friction and inflammation. While my hips are symmetric and biomechanically equivalent, the tissues must rebalance and align from their twisted system of pushing and pulling. Working with a focus on symmetry, I feel the twisted web-like "wetsuit" tissues unraveling and realigning around my skeleton. The tensile pulls on my spine, shoulders, neck, legs, and feet all adapt. It's like shedding an old suit I have outgrown, and creating a new, efficient, symmetric one. I would like to emphasize this point; surgery will not fix everything. One must work with awareness and diligence to rebalance the entire system and integrate the new parts into the dynamic working of the body. Tissues that have compensated for years to support inefficient joints need time and attentive retraining to rebuild in a functional, healthy way.
October 13 marked the six month mark post surgery; this is a landmark in the healing timeline. At this point, bone has ossified securely about the prosthetic, soft tissue has healed and the entire system has adapted to new demands of compression and tension, co-ordination and organization of movement. In simple terms, things get really good again! Friends and colleagues continue to ask if I am out of the rehab window and back to 100%. I appreciate the kind concern. But it is honestly a difficult question to answer.
Certainly, I am far better than I was before surgery. But I am constantly striving to rebalance my body, optimize function, and surpass where I have been. Thus 100%, representing optimal performance, is always a step higher, outside the window of where I am at any point in time, on this constantly up-spiraling staircase of progress.
Every day I reassess; the laboratory of my own body is a dynamic experiment, responding to the variables I subject it to; new mobilizations, resistance, functional challenges, technical cues. And the movement options expand as I enhance the four prime determinants of movement capacity; tissue quality, joint capsule tension, strength, and nervous system control. After years of compensating for impinged hip joints, within the context of a highly demanding dance performance career, tissue tensions and motor patterns have compensated. For example, overactive hip flexors have taken over for dormant gluteal muscles. The body does an incredible job of meeting the demands we impose upon it, even if it means using inefficient muscles and pulling the system out of alignment. Therefore, a keen focus on movement symmetry, efficiency, and firing of the correct muscles are essential to reprogramming for optimal movement and function. And when dormant muscles do wake up, the reward is phenomenal. Feeling the correct muscles fire is like plugging a cord into the correct socket and seeing the light bulb go on. My entire body feels the difference; a feeling that is so innately "right", after compensating with misalignment for so long.
Advances in hip replacement surgery are astounding, and returning to a high level of function is a true gift. I hope that my own progress can inspire others who may be hesitating about the surgery, as I did for many years. Hearing the success stories of fellow athletes was the key that unlocked my decision to undergo surgery. Along the way to this six-month mark, I have enjoyed returning to activities I adore. Hiking in Yosemite has been a highlight. Scrambling up the rocks to Yosemite falls and diving in the ice-cold pools, climbing the trails and scanning majestic vistas from the top. Returning to ballet class is elating; keeping my legs low and focusing on proper alignment, I am restoring strength and range. Traveling to Paris, navigating metro stations with luggage, walking and climbing stairs for hours, without fear of pain is a newfound freedom I recently enjoyed. Strong functional workouts and Pilates training begin each day. Brisk beach walks with my dog are a reward at the end of the day. I now realize how much energy had been lost to my body's struggle with inflammation prior to surgery. Energy and a spirit of play resurge when pain diminishes. The lights are on again!
I am extremely grateful to all my friends and the professionals that have guided me with expertise, wisdom and compassion. Special thanks to Master surgeon, Dr. Jason Snibbe, and his assistant Jennifer Cabrera, PA-C; my physical therapists at Body Logic, Ethan Ezaki and Tali Duer; Scott Campbell, PT; Dr. Chang Park, LAC; Dr. Corie Tappin, LAC; and Lonnie Galate, director of Malibu Fitness, for allowing me constant access to the pilates equipment...my healing playground!
It is extraordinary to feel how the body heals in response to the correct information; whole foods, clean water, balanced movement, ample rest and recovery, healthy behaviors/relationships and determined mindset.
When one has determined that healing is the only option, and commits fully to the path, the hard work is filled with reward. May everyone seeking to enhance health, experience the joy of committing to this path.
A friend recently sent me this inspiring quote...
"Every cell of your body is eavesdropping on your thoughts" (From The Happiness Project.org)
Indeed, our thoughts have the power to shift the way we respond to our environments, right down to the cellular level. The placebo effect has exemplified this in scientific experiments time and time again. What we choose to focus on, becomes our reality. Our expectations will create our perceived experience.
To play with this concept, last week I determined to envision myself as aligned and well, (despite feeling some frustrating asymmetries in my body) and began repeating the mantra, "I am aligned". Simple as they are, visualization and intention produce dramatic results. Quite beautifully, my body has responded with small, but consistent shifts towards a new sense of symmetry and fluidity. This consciousness infuses my posture even when I am not thinking about it. This becomes my new model of reference.
As my expectation has shifted, my perceived reality follows suit. Author Todd Hargrove eloquently explains how our expectations influence perception:
"Our internal model of reference shapes how we integrate perceived sensory information and the nervous system's output signals for action...For example, if you have a good deal of experience where flexing your low back causes pain, you will start to build an internal model of your back that predicts it will hurt with flexion. This will strongly bias you to feel pain each time you bend, even if the back isn't actually producing that much nociception."
"You can reduce the contribution of top-down factors to your pain by updating the model of your back. To do this, you need to cause a prediction error by violating your expectation that bending will hurt. A good strategy would be to perform low back flexion in some novel way, perhaps in quadruped or supine, while paying attention to how it feels while bending so that any predictions errors are not disregarded. That sounds like a high percentage of movement therapy in a nutshell. Either way, good internal models and good predictions are the basis for generating functional perceptions and actions."
One of the hardest lessons I have learned is not to push through pain. As Hargrove explains in his book, Better Movement, pain is a danger signal to protect us, an output signal from the brain, in response to a perceived threat (tissue damage, stress, inflammation, body position, etc) in the body. A keen awareness of alignment has become the prevalent focus of my training. While I have previously been frustrated by limitations in my symmetry, I am now discovering a capacity to establish "joint centration"--- aligning the bones of the legs deep in the hip socket. While my new titanium hips are technically centered-- the new femoral (thigh bone) head precisely placed within the new acetabulum (hip socket)--the entire body is in dynamic equilibrium and must adapt and accommodate to the new forces of compression and tension in three dimensions throughout the body. Therefore, the ability to now center my hips creates the opportunity to find new alignment in all the surrounding muscles, ligaments, tendons and fascial lines. I am experiencing shifts in the muscles of my core, neck, feet and more. Everything is dynamically connected.
I discovered the power of visualization and intentionality during high school. I read of flow states described by Mihaly Csikszentmihalyi, and the power of visualization to advance the performance of champion athletes. I began to practice this regularly and felt its power to advance my athleticism and dance performance to the astonishment of my teachers. Alongside passion, discipline, and focus, this practice guided me to a professional dance performance career despite my late start in ballet at 17 years old. I have embraced it ever since.
This power lies within each of us and is waiting to be unleashed. I know that if I envision myself as balanced, symmetric, fluid, healthy, whatever optimal state I am seeking, (though it may be in contrast to the state that I am consciously experiencing), and if I prioritize this in my training, I will realize my goals in health and life. It is not a matter of "if", it is simply a matter of "when".
Now eight months after my surgery (bilateral hip replacements), I am feeling more stable, strong and fluid than I have in more than a decade. With discipline, optimism, persistence, and the guidance of insightful teachers, I continue progressing and am happily surprised by new abilities each week. However, this is not without frustration and setbacks. After surgery, I embraced a beginner's mind, knowing that I would need to learn to sit, stand, walk, and move in complex ways all over again. But with a clean slate, (ie. new hip joints), my body would be able to process the information in a more aligned way than I ever possibly could have with bone on bone impingements.
Daily Pilates, stabilization and mobilization work, and a spirit of curiosity in the process, have led me to truly amazing discoveries in the power of the body to heal itself and leap forward to meet higher demands. Last weekend, I was thrilled to be flying through space, dancing on walls with Project Bandaloop. Suspended by ropes from the ceiling we learned to do cartwheels, back flips and move together in unison in a horizontal plane...truly dancing on the walls! My mindset is, and has been, that healing and optimal performance are the only options for me. Guided by wonderful therapists and teachers, I am elated to be moving fluidly and powerfully as a dancer again.
I know the progress will continue and I am driven to share the knowledge with others seeking to move optimally without pain. Visualize your higher self and know it will happen. With focus, determination, discipline, and compassion towards yourself, you will realize your goals. It is just a matter of time, and being ready to receive it.
Health and Vitality to all,
June 6, 2017
Dr. Jason Snibbe:
About Stryker Direct Superior Approach surgery
Direct Superior Approach (DSA)