Root Causes vs. Secondary Causes of Postural Dysfunction - Timing MATTERS!

Root Causes vs. Secondary Causes of Postural Dysfunction

When it comes to postural asymmetry, the most fundamental influence is that of our physical structure. By the very placement of our organs, differences in left and right hemi-diaphragms, and neurological differences between the left and the right sides, we are all biased towards asymmetry.

Then throw in factors such as skeletal structure and differences in sensory processing, and we can have a variety of influences that contribute to each person's unique movement strategies.

Most of the time, we see patterns that are predictable and fall into the "normal range" of common movement behaviors. In this respect, it is not the "what" that you are trying to influence, but rather, the "how." It is not a question of "what" we are going for, but rather "how" are we going to get there, and at what time?

As an example, lets take a bunion in the foot.

Now the root cause of a bunion might be that you are creating focal loading on the tissues at the base of the big toe due to how you are loading above that tissue. We need to direct force into the ground in a way that distributes force, otherwise we tend to get focal loading on specific tissues. This inability to distribute force in an effective manner often leads to injuries to the tissues. Most of the time, this issue stems from managing our asymmetrical structure and center of mass.

However, consider then that you develop pain when you load the tissue. At this point, you may create an additional layer of compensation or compressive strategy to orient away from the pain. In this example, the pain becomes a secondary cause of movement dysfunction, but one you must manage before being able to address the root cause of how you were loading over that foot to begin with.

In many, maybe even most cases, management of multiple influences are actually done simultaneously to a degree, but the point is that often one factor is holding you back more at a certain time than another. In this way, even if one factor is a secondary or even tertiary cause of your movement behavior, it may be the factor that needs to be addressed in order to be able to effect the more fundamental causes of our movement behavior and have changes stick.

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