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Harper Smith's avatar

Practical, patient focused discussion of fascia management is so hard to find! I’ve been treated by the John Barnes method, in addition to lots of physical therapy. Figuring out how to self-manage is challenging. This is such a fantastic resource, thank you so much!

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Richard's avatar

How do you square the focus on interoception with advice that suggests that external focus is better for movement? E.g. coaches/physiotherapists are moving away from telling people specific cues for how to hold/move their body and more towards external task-based cues like "squat as if you are sitting down on a stool" https://www.thestrengthathlete.com/blog/external-cues

The idea is that your body knows how to organise around a task, so interoception actually interferes with the smooth intuitive functioning of the body. There is a similar idea in Alexander technique, where the idea is to maintain external focus. At one session I went to, the teacher said he had no internal experience.

Also, with listening to your body - I think this sometimes causes problems. I had RSI for a long time because I was stuck in a cycle of worry about pain, which then caused the pain. I got out of it by mindfully attending to the pain while keeping doing the things that activated it. Eventually by pushing through I taught my body that nothing bad is happening and the pain went away. I've heard lots of similar stories from other people. My physio recommends continuing through pain, as long as it's not getting worse, because it seems my body just produces pain in response to any change in load, so the pain is not necessarily pointing to any actual problem and I just need my body to get used to the new load. My physio also mentioned a client who did a lot of yoga and who had all sorts of movement problems because she was over-focussing internally on specific muscles.

So I guess what I'm asking is - is a move towards interoception really healthy? Especially as, if you think of our ancestral environment, we wouldn't be constantly interocepting, we would more be doing task-based externally-focussed movement.

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