Why Do I Feel Unbalanced? Postural Restoration Explained

February 16, 2020

Many new clients come in shifted... their squat looks crooked... or they've got a longer stride on one side when running.

So how did they get these imbalances? Oftentimes the logical explanation is that they're simply over-exposing themselves to certain environments such as:

  • Spending too much time doing one thing
  • Sitting at a desk with the mouse in one's right hand
  • Having an untreated injury
  • Playing one-sided sports like golf, sweep rowing, archery or pitching baseballs

When activities are biased towards one side, you may be disrupting the "balanced asymmetry" of the body. Yes, that's correct — we are all naturally asymmetrical.

Postural Restoration Institute (PRI) is a clinical education program started in Lincoln, Nebraska by a physical therapist, Ron Hruska, over 30 years ago. He looked at the human body as being asymmetrical. The muscular, neurological, respiratory, circulatory, and vision systems are not the same on the left side of the body as they are on the right side. They have different responsibilities, functions, positions and demands placed on them.

System asymmetry is actually a good thing and a great design.

Balanced Asymmetric. Postural Restoration. PRI

The body is balanced through the integration of system imbalances. For instance, your torso has a liver on the right, and a heart on the left. Your diaphragm (the primary breathing muscle) is thicker and more domed shape on the right, while thinner and less domed on the left. Even though the left and right sides are different from each other, they create balance.

It is our asymmetrical anatomy that predisposes us to certain patterns of movement. If we go into an exaggerated asymmetry pattern, then movement dysfunction follows and eventually pain sets in. Some common ailments include TMJ disorders, headaches, postural abnormalities, and impaired function and performance.

PRI evaluation and treatment techniques allow us, as physical therapists, to recognize typical patterns that occur from disruption to this balanced asymmetry. My objective is to restore the natural, balanced asymmetry of the human body, termed neutrality.

In order to achieve this, we must train the right side differently than the left side. We must also practice more natural (primal) movement patterns to break free from the physical restrictions that our daily lifestyle (school, work, etc.) has put on us.

When neutrality is achieved, our bodies are able to move as intended, reciprocally from right to left, from left to right, and in and out of neutral. With balanced asymmetry we are capable of doing amazing things!

Disclaimer:  The views expressed in this article are based on the opinion of the author, unless otherwise noted, and should not be taken as personal medical advice. The information provided is intended to help readers make their own informed health and wellness decisions.

Need help? We're here for you. Contact us today to request an appointment. Also check out our Telehealth offerings to get help from the comfort of your home.

Dr. Bryan Carestia

Physical Therapist & Owner (Newtown, PA)
Bryan Carestia is a highly skilled Doctor of Physical Therapy (DPT) and Certified Strength & Conditioning Specialist (CSCS) with more than a decade of experience helping people overcome pain and safely return to a fulfilling life of sport, activity and wellness. He works at Activcore in Newtown, Pennsylvania.‍ With an extensive clinical background and education, Bryan is uniquely qualified to handle more complex pain conditions that other practitioners could not resolve.
FULL PROFILE

BLOGS BY SAME AUTHOR

What Can a Functional Movement Screen (FMS) Do For You?

The SFMA is something I now use every day in my practice, and with every single patient. It is a systematic process of looking at the body as a whole to find the primary source of movement dysfunction and pain. Interestingly, the source of dysfunction is often not at the site where clients actually experience their symptoms.

Read MORE

Why Do I Feel Unbalanced? Postural Restoration Explained

Postural Restoration Institute (PRI) is a clinical education program started in Lincoln, Nebraska by a physical therapist, Ron Hruska, over 30 years ago. He looked at the human body as being asymmetrical. The muscular, neurological, respiratory, circulatory, and vision systems are not the same on the left side of the body as they are on the right side. They have different responsibilities, functions, positions and demands placed on them.

Read MORE

Understanding Pain and How A Skilled PT Can Help.

Why are you seeking PT? Are you rehabbing post-op (after surgery), recovering from an injury, or looking for guidance and training for athletics? While these are all popular and valid reasons for seeking out a qualified physical therapist, one of the main reasons people come to physical therapy is due to pain.

Read MORE

Why Back and Neck Pain Are Common in Cops – and How to Fix It Without Surgery

Studies have confirmed that standing for long periods of time, a routine part of a police officer's job, causes back pain. While 62% of police officers suffer from low back pain, only 9% experienced low back pain before joining the force. These statistics show us that low back pain can unfortunately be one common and negative side effect of being a law enforcement officer.

Read MORE

How Can Breathing Possibly Help Fix My Back Pain?

Have you ever had back pain? Have you tried stretching and doing some core exercises, but the problem persists? If so, you're not alone. The "old" way of correcting back pain is out; breathing is where it's at. What if you are not breathing correctly? Yes, that is a thing.

Read MORE

From Boxing to Breathing: The Many Functions of the Serratus Anterior Muscle

The serratus anterior is commonly referred to as the Boxer’s Muscle. It is a fan-shaped muscle that originates on the superolateral surfaces of ribs 1 to 8 (or even 9 in some people) at the lateral wall of the thorax, and inserts along the superior angle, medial border, and inferior angle of the scapula.‍ Given its anatomical location, origin and insertion, and extensive documentation, we know that the serratus anterior muscle is critical in healthy shoulder function.

Read MORE