Your pain is from your pattern

Your body does not know the right way to move. It is incredibly intelligent and we are able to do incredible movements, complete challenging tasks, and achieve excellent feats without having to individually control each individual muscle in our bodies. We tell our body to run, bike, climb, swim, drive, & sit; it will accomplish the task. But that comes with a caveat, it does not ask permission or ensure that you move in the most efficient or mechanically advantageous way. Your body likes the path of least resistance. 

What does that mean? 

Chronic pain can be simplified into two categories: Structural/mechanical pain and pain from dysfunction. Think of structural pain as a damaged puzzle piece, broken or non functional (i.e. a rotator cuff tear). In the event of a structural issue, our body adapts and attempts to promote function while limiting pain or further damage. In our example of a rotator cuff tear, our body might use muscles like the trapezius to compensate for the damaged rotator cuff tendon. This compensation can result in the second type of pain–pain from dysfunction. 

Just as square tires are not the most efficient shape to move your car, the way your body compensates is less efficient but it gets the job done. This is where pain from dysfunction begins. When our body creates new movement patterns, we wear down different structures as they work double duty for something that is damaged. When this happens, muscles become stiff due to compensation and can become pain generators that reduce our function and our ability to complete our tasks.

The answer:

Damage to a muscle/structure/tendon is not final. With our natural healing process our body can often get close to full function again. Sometimes it needs a nudge in the right direction. With effective intervention and meaningful movement and exercise, we can retrain a dysfunctional pattern, foster an effective healing process, and promote reduced pain and improved function.

Therapeutic dry needling is one of the most effective interventions to create tissue changes. The doctors at Precision Osteopractic are able to facilitate your body’s healing process with Western trigger point dry needling through three key mechanisms: 1.) Stimulating a new inflammatory process, 2.) Create an immune response, and 3.) Activate our built-in pain killing process. With this new input into your system we can promote a change in the painful compensatory patterns.  We can eliminate your pain and optimize your performance so you can get back to living your very best life.  To learn more or schedule your appointment head to   https://www.precisionopt.com/ .  Precision Osteopractic is located on the ground floor of the River Valley Club.  Precision offers evening and weekend hours and free 15 min screenings.  Easy self-scheduling at https://www.precisionopt.com/.

Success Story: CrossFit Champion

I’ve played sports and have been very active outside since I was a kid. I did collegiate track and field and shortly afterward found the sport of CrossFit. Outside of the gym I very much enjoy hiking, biking, running, swimming and hunting. I truly do believe movement is medicine for both the mind and body. So I think it’s very important to treat and take care of your body. 

Enter Dr. Greg and Precision Osteopractic. Greg is well versed in many aspects of treatment which I think is very important and makes him a very effective practitioner. I started seeing Dr. Greg at Precision just before the CrossFit Games Quarterfinals. I was trying to deal with some chronic hip and shoulder pain that wasn't really going away with my normal rehab exercises. I didn’t have the luxury of taking time off and knew I needed to seek some expert advice. I booked my first session at Precision Osteopractic right at the RVC.  During my initial evaluation including a thorough history, we discovered that my unresolved hamstring tear from high school was a major contributor to my chronic hip pain. Dr. Greg was able to quickly identify my pain generators and effectively treat them with trigger point dry needling, adjustments, and manual therapy techniques. The dry needling looks painful, but it’s really not, and I was very impressed with how effective it was. I was able to train for the CrossFit Games Semifinals and do everything else I love to do without taking any time off.  It’s been quite some time since I’ve competed seriously in the sport of CrossFit and with the increased volume and hours of training the specialty treatments at Precision have really paid off. 

I am excited to continue seeing the Precision Team in the future for all my aches and pains and optimization of my movement. They have been an important piece in allowing me to keep doing all the things I love to do. I highly recommend them. 

If you have any neuromusculoskeletal pain or performance limitations, self-schedule your thorough evaluation and treatment sessions at PrecisionOPT.com

The 2022 CrossFit Atlas Games Semifinal takes place from June 10-13, 2022 at the Complexe Sportif Claude Robillard in Montreal, Quebec, Canada. Twenty-nine male, thirty female athletes and twenty teams will square off for a chance to earn one of five spots at the 2022 NOBULL CrossFit Games.

How to love your feet so they love you back

Let’s talk about your feet. On Monday morning you rise for the grind & slide on your daily driver shoes which contain off-the-rack orthotics. Perhaps they were recommended for flat feet or high arches. Let’s clarify some misunderstandings about feet, orthotics, and how you can love your feet for the long run.

The feet are astonishingly intricate, just like the hand. The brain has similar amounts of space dedicated to the control of the feet, ankles, and toes as it does for the hands, wrists, and fingers. Both hands and feet are incredibly complex, requiring neuromusculoskeletal coordination to ensure that both static and dynamic posture are effective. Without proper control and strength, injury, dysfunction, and pain can occur.

Image from: modpodpodiatry.com

First, static (still) posture is only one component of structure & function. Many patients mention they have been told at one point or another that they have high arches, flat feet, or another postural anomaly. Fortunately, these variations in resting posture don’t doom the feet to problems. Dynamic posture refers to the changes that occur as we move. When walking, the foot goes through phases and the arch is dynamic, meaning that it changes during various parts of a single step. This dynamic posture is critical for function. The heel first strikes at the beginning of a step, creating rigidity so the foot can absorb the force of our body moving towards the earth. Then, as our weight transfers over that planted foot, it pronates, creating a normal, relative “flattening” of the arch. At the end of the stride, the foot then supinates, or builds an arch again, creating rigidity so that we can push away from the ground. When there is a decrease in the foot’s ability to change its posture throughout a stride, problems can arise.

Image credit: https://www.tekscan.com/blog/medical/gait-cycle-phases-parameters-evaluate-technology

Fortunately, by working on ACTIVE strength and stability through our feet and ankles in functionally meaningful ways, we can successfully address pain and dysfunction. For example, by weight bearing/standing with forces in multiple planes, we can promote the neuromuscular ability to support the skeleton of our foot. This approach promotes longevity and reduces potential for injury, regardless of footwear or orthotics. Therapy ensures the foot has its own robust internal support, so that shoes which provide extra support are truly giving EXTRA support in addition to what has been cultivated in the muscles and connective tissue of the foot itself. 

Image credit: from OPED International’s YouTube channel: https://www.youtube.com/watch?v=rUGYpx5tb3U

At PrecisionOPT, we treat many foot, ankle, & toe problems, including plantar fasciitis, instability or balance issues, metatarsalgia, achilles tendonitis, bunions, heel pain, turf toe, sprains & strains, & recovery from stress fractures or other types of fractures. Treatments we employ include strengthening, stretching, dry needling, voodoo floss, manipulation, and more. 


The Osteopractic physical therapists at PrecisionOPT utilize a holistic, multimodal approach to improve the neuro-musculoskeletal connection to promote reduced injury risk and improvements in function. By combining hands-on techniques like osteopractic manipulation and dry needling with meaningful exercise, they promote long-term wellness with maximum function.

Cover photo: Creator sankalpmaya | Credit Getty Images / Stockphoto

Success Story: Running Strong

Success Story: Running Strong

My journey with Precision Physical Therapy began when I was sixteen years old and suffered from IT Band syndrome. I heard about Precision Physical Therapy through my dad, who had previously gone to Dr. Greg when he was in need of treatment. My dad’s experience with Dr. Greg listed Precision Physical Therapy as his number one treatment center. He was able to go back to training with strengthening exercises, knowledge; and, a stronger and more capable body.

Success Story: Open Water Champion

Success Story: Open Water Champion

Despite the many challenges of the 2020 pandemic, it turned out to be a great year for open-water swim training. While there were no official events, as a teacher with the summer off, and nothing else going on (no travel, no weddings, etc.), I was free to swim more than ever before. Inasmuch, I trained for and swam a solo 10k open-water ‘event’ in July. Logging weekly totals over 20,000 yards, combined with plenty of dryland work had me feeling invincible by the time school started. Unfortunately, that feeling came to an abrupt end in mid-September when I suffered an acute injury to my left shoulder while swimming butterfly in the pool, and couldn’t raise my arm past 20˚ the following day.

Are cortisone shots all they’re cracked up to be?

Is knee pain holding you back from enjoying the things you love? Worried you have the same “bad knees” your mom had? Has a loved one told you that you should get a “cortisone injection?” The urge to seek out a quick fix often leads patients down this path. These can certainly sometimes be helpful, but are they the best option for long term pain relief? The results of a recent clinical trial in the prestigious New England Journal of Medicine suggests otherwise.

Success Story: Ready to Run

Success Story: Ready to Run

Now I am pain-free, but I am not the same person I was before I had physical therapy. I have the heart and soul of an athlete, but I am aging and stubborn. My head of white hair contrasts sharply with my new walk; I prance like a filly. Greg Shea, with his ability to see the injury and the whole person, helped my feet heal and performed a miracle, though maybe with a little help from the Braggs.

Success Story: Roller derby superstar makes comeback

Success Story: Roller derby superstar makes comeback

Brittany Crocco shows how dedication, hard work, and a little help from Precision can help get you back on track. She came to Precision after suffering with hip pain. Through a combination of osteopractic treatments, technique coaching, & lots of grit, she has forged ahead with powerlifting and competitive high-level roller derby. Read on to hear her story.

Success Story: CrossFitter Comeback

Success Story: CrossFitter Comeback

It was apparent from my very first appointment how knowledgeable Dr. Shea was. I felt an immediate sense of relief knowing he was an athlete himself and that he was willing to work with me in order to get me back to doing what I love without pain. The unique combination of spinal manipulation and dry needing were life-changing. In addition to treating the pain, Dr. Shea takes a proactive educational approach that encourages continued wellbeing through targeted strength and mobility exercises.