Using the LTAP™ to Guide Treatment of Costovertebral Joint Dysfunction
In this episode I share a recent case that had “unreal results”. After 5 yrs of ‘shoulder’ pain and a recent scare of symptoms that felt like a heart attack just one virtual assessment using the MovementREV LTAP™ (locator test assessment protocol™) was able to identify the underlying visceral driver and provide a clear path to long term healing and improved function through movement based interventions for both the visceral driver and the biomechanical limitations.
This provides insight on not just how I use the LTAP™, but how I do virtual assessment and consulting, as well as the importance of recognizing symptoms, asking the right questions, and not being distracted by the client story!
Resources mentioned in the episode-
IG Testimonial and case share: https://youtu.be/NViB9yvkIto
Cross leg lift: https://youtu.be/FMf7Imp7WEE
Prone Thoracic Curve restoration: https://youtu.be/o0cqsW3GaPc
LTAP™ Level 1 In-Person Course: https://www.movementrev.com/ltap-level-1-in-person
Email list for alerts on the online LTAP™ Level 1 course: www.movementrev.com/newsletter
Other resources that are related-
Neck Pain and GERD Home Treatment: https://youtu.be/nxIENMEz-g4
CRAZY Link Between Neck Pain & Reflux | Neck Pain Home Treatments: https://youtu.be/HFiProhhrcw
Considering the viscera as a source of musculoskeletal pain and dysfunction is a great way to ensure a more true whole body approach to care, however it can be a bit overwhelming on where to start, which is exactly why I created the Visceral Referral Cheat Sheet. This FREE download will help you to learn the most common visceral referral patterns affecting the musculoskeletal system. Download it at www.unrealresultspod.com
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Hey there, and welcome. I'm Anna Hartman, and this is Unreal Results, a podcast where I help you get better outcomes and gain the confidence that you can help anyone, even the most complex cases. Join me as I teach about the influence of the visceral organs and the nervous system on movement, pain, and injuries, all while shifting the paradigm of what whole body assessment and treatment really looks like.
I'm glad you're here. Let's dive in.
Hello, hello, and welcome to another episode of the Unreal Results podcast. I'm happy to be here, happy you're here, and uh, I'm on the road this week, so if you're watching on YouTube, you see a different background, but maybe one you've seen before because I'm here a lot, uh, with one of my athletes in the Northeast, and uh, yeah.
I, um. You know, don't always have the perfect situation for courses and recordings, but we continue on because consistency is key. And, uh, I travel so much. I can't always be home for things. So. Um, this is also like the beauty of the virtual world and the podcast world is you don't have to care where I'm at, which is awesome.
Um, anyway, so this week, what I wanted to actually share this week was a case that came up. I think it was last week, um, I did this evaluation and, um, With one of the practitioners that is in my Revitalize Mentorship program. She's also been through the LTAP Level 1 online and the results she code and she's done my swelling course.
She's done all of the things she's been learning from me for a while. And um, so I will preface this case with she already has like a pretty good underlying knowledge. And actually that is. Partly my, um, I don't want to say rule, but from a virtual assessment standpoint, because I saw her virtually, she lives in, um, on the east coast.
Um, I was in San Diego at the time when I was, uh, did this evaluation, but, um, so actually it was, I think it was 2 weeks ago, but, um. I usually, and I say usually because, you know, things change sometimes and you never know, but typically I reserve my virtual session availability for people who have a virtual session.
Gone through my programs and I do this intentionally because especially because this lens of view of the body is very different from traditional setting and I Like people to be familiar with it somewhat before going into a session with me because then I can optimize our time together because You know a session is not cheap and I want to make sure that the whole 60 to 90 minutes is actually spent like doing the practical Things, the assessment, the movements, the exercises, like making sure the client has like a clear plan of what to do after the call.
And, um, not that it's a waste to educate people on the call is just from a cost standpoint. I have all these. education pieces in place already for a cheaper dollar amount versus spending my one on one hourly rate for me to recreate the wheel. And so, um, this is why I'm, I'm fairly strict about who I take on as a client from a virtual assessment standpoint, uh, virtual, um, Care standpoint, because, um, you know, I want to do the deep work and then also what I love about it from doing it for the my alumni and my people in my mentorship programs and people in my education is because part of the key things about learning, um, how to implement.
All this work with your own clients is actually also, um, doing the work in your own body and experiencing it in your own body because, um, we learn really well from our own fields, from our own body. And so it's actually, you know, I, I highly recommend anybody who is studying with me to schedule a session.
Uh, when needed, because it is a great learning opportunity. So, um, I kind of wanted to preface it with that for 2 reasons. 1, because I might get a handful of people reaching out, asking for appointments and like I said, right now, they're only open to people who have gone through my education programs. You don't necessarily have to have gone through all the programs like this, um, client, but, um, you.
Need to have done at least some of them. So you have a familiarity of this lens of view. And then, um, also to preface it, because some of the choices of intervention I choose or the questions I had for her or the assessment tests I use was also, you know, coming from a lens of she's already tried a few things that I know.
You know, she's learning from me and she could be helpful, so I didn't want to, again, waste her time and, um, going and doing interventions that she's already trying and maybe are not so successful and that goes to some of the questions you ask when you're working with a patient of like, what are you doing?
And is it working? And, um, I would really hope in your virtual assessment with them. You're not just repeating this stuff. They are already doing unless you're like, really. Like believe that that is the thing that's going to get them better. And maybe you want to assess to see if they're even doing it correctly.
I've been known to do that, but, um, you know, also I just want to make sure again, the value of the appointment is not only you get your problem solved, but, um, you're getting some new information and new practical application of things. So, um, also disclaimer, um, she. Um, gave me permission to share, um, on social media, on the podcast, um, one day I actually might even have her as a guest on the podcast because she has a very unique story, um, that she needs to hear, uh, or not she needs to hear, but you need to hear the people of the world need to hear.
And so, um, but yeah, I did want to say from like a HIPAA standpoint, she's totally okay with me sharing. And if you caught it in my Instagram stories last week, um, I actually shared about this case and I'll, um, I turned it into a educational video too, so I'll make sure I link it in the show notes so you can sort of, um, see my thoughts in real time as well.
Um, But you might have not seen it on the Instagram stories because maybe you don't follow me on Instagram. Make sure you do. Uh, and then also, um, since I was selling a course last week, my, um, views were way down. So, um, chances are even if you do follow me, you might have not caught that story because Instagram didn't show it to you.
Anyways, with that said, um, let's get started. It's funny sometimes the words I say over and over again. Um, um, if you've been here a while, you know, I, I love the word, so, uh, and then I guess today is anyways, uh, you're welcome. I don't know why my brain does things like that, but That's just how it is. Shout out Limoncella La Croix.
That's what I'm drinking today. One of my favorite flavors. Hashtag sponsor me. Anyways. Ha! There it is. Okay. Let's get started, Anna. Uh, so... Well, um, her assessment, her complaint, why she wanted to, um, do a, um, one on one session with me. It was two reasons. One, she's had longstanding, what she was calling shoulder pain for five years, right?
Shoulder pain. Um, that she'd, you know, gone to all the physical therapists, massage therapists. She's a, um, strength coach, um, on her own. And so she, you know, she's doing all the things and it, nothing really ever seemed to move the needle and help her. So, um, there was that, and then her other more recent thing was within the last, um, two months, she had found herself, um.
Either in urgent care, the emergency room, or even return visits to those type of physicians feeling like she may have been having a heart attack. And she obviously was very worried about that and. Especially knowing that visceral things, visceral diseases can, can cause some musculoskeletal, um, pains and, um, she was having pretty severe pain through her chest.
It go, it was like, straight through, uh, her chest, um, a little bit more left sided. It was going up into her jaw, her, um, um, kind of upper back and, um. You know, it was feeling like some signs and symptoms of a heart attack. So, um, you know, of course she went to the emergency room and they did all the full work up on her and she was totally fine.
So they sent her home and, um, but she'd still have the, uh, incidences of this pain and, you know, and it was. still like, we're weighing on her conscious of like what's going on. Um, you know, with that said too, though, even though she was worried about it and was like, what's going on, she also knew that there was other viscera in there and that could be bothering her.
And, and I'll give you a little bit of her backstory. Um, you know, she has some issues, digestive issues anyways. Um, so. You know, she knew this was a possibility, but that's why she wanted to see me is because one, she's hoping I could help with this more acute thing, and then two, for a while, she's just wanted me to check out her shoulder.
So, um, her background is she has an autoimmune disease. Um, she was diagnosed, um, I want to say like maybe 15 years ago and recently within the last, um, few months has fully gotten off her medication for it, which is huge. Um, that is not a normal thing for autoimmune. Diseases, disorders, um, illnesses, and, um, that's actually why I want her to come on the podcast is to talk about her journey and her, she's her new business that she's creating all around that to help other people.
You know, live with their autoimmune issues and understand their body and their autoimmune autoimmune issues better. So that is a little bit of her history. Um, like I said, she'd had this shoulder pain for like 5 years and then this chest pain severe for a couple of months and then within the last.
Maybe a few weeks to a month. She'd been having pretty, um, significant, uh, reflux like, uh, gastro esophageal reflux disease or GERD symptoms. And, um, yeah, so that's, that's, that's the history. Um. When I asked her more questions, well, first of all, when I heard her symptoms of her chest, um, I was like, oh, if it's not a heart attack, what you're describing is like, almost like textbook cost of vertebral joint pain, um, whenever patients complain of the chest pain that feels like it's going through your spine or not through your spine, but through your chest.
So like from your spine through your chest from the front of the chest to the spine, that like straight line, um, that is almost always a costovertebral joint dysfunction. Now, with that said. It's also symptoms of a heart attack, so, um, you know, it's not necessarily something you want to ignore, but deductive reasoning can sometimes, you know, it will sometimes make sense that it is this cost of vertebral joint thing.
The interesting thing, too, in terms of her GERD, um. That mid back area and, um, that she was having that symptom of cause like, if we think about our heart, our heart is between like room two and room six. And so it is that like media style area. So the thoracic, uh, spine and those similar areas that she was feeling that discomfort that cost over key role joint dysfunction.
The other, like, top 10. telltale sign where she was having increased pain with the inhalation breath, which is also very ribbed, like costal vertebral type of pain. So this, um, reflex too. So the esophagus, the GERD issues, the gastroesophageal sphincter can refer into that mediastinal mid back area, as well as into the neck and upper back.
So very. Similar pain pattern. Um, her shoulder pain at first when she said shoulder pain, I was like, Oh, it makes sense because if you're autoimmune and because of the medicines you on because right shoulder pain is like almost always liver. You've heard me talk about that on the podcast many times the few different episodes that I've shared that in.
But usually if somebody says they have right shoulder pain, I'm like, it's your liver. 100%. So I'm already kind of thinking esophagus and liver and costovertebral joint. But then when I talked to him more about her shoulder, where she was pointing was not shoulder. And it was actually, she was pointing to like her lat area.
So it was. It's more related to the rib and the cost of vertebral joint than really her. It was like traditional shoulder. She was just referring to it as shoulder pain because it, you know, it was usually like part of her movement pattern of shoulder dominant exercises that, you know, it didn't feel great always on her.
Um, so that's important too. That's kind of a little lesson too, of like making sure when someone says that they have pain somewhere, you don't, um, you know, you take it with a grain of salt and then have them point to it, describe it, um, you know, and because if I didn't do that, I was just would have gone on the assumption that it was like general shoulder pain and, um, probably went, maybe could have went down the.
a different path. Uh, with that said, um, this is why the LTAP is so great is because it takes me out of the equation of figuring out what path to go down and it just directs me what path to go down, which is great. So I probably would have still gotten pretty good results, even though I was believing it was the liver.
I probably would have just been surprised, um, that it wasn't the liver because of, if I was assuming it was her shoulder, but once I knew it was more of her like lat, rib, um, periscapular area, then it was like, oh yeah, this is, this is a different referral than liver. And again, this is one of the lessons that I teach in both the results sheet code and the LTAP and in the mentorship is To not be distracted by the patient's story and to be not be, um, will not be distracted by it, but not be biased by it.
And so it is tough in a virtual setting because to just start with a physical assessment without in a virtual session. Assessment is challenging. So, um, it does take conscious practice to be not distracted by the information they're giving you. Um, but in a virtual setting, it does help to streamline things quite a bit.
If I were seeing her 1 on 1 in real person. In not real person, it's still real person virtual, but like in the flesh, um, where I can put my hands on her. I actually, um, wouldn't have asked her where in her shoulder and stuff first, because again, I don't want to be biased by it. But, um, you know, sometimes that's possible and sometimes it's not possible.
So that that's kind of the background. So I already knew on her. I wanted to assess upper extremity function and I want to. Okay. To assess like spine function, um, or stability, uh, as my orthopedic things for her and Even head and neck control though. Honestly, I didn't get to it. But like in my whenever i'm like planning out my My assessment, I'm like, okay, we're going to start with the LTAP and then I want to do an orthopedic and movement assessment.
What am I going to want to look at? And so I was already kind of thinking in my head, what kind of ortho and movement stuff do I want to look at? And um, then the treatment is just going to be based on, um, where the LTAP directs me. And based on, um, my ortho and movement assessment, and then what they care about, like, if she was like, I, you know, care about, like, I'm working on improving my pull ups and that might be sort of something I am, like, directing my interventions around, um.
If possible, so, uh, for her, though, she just really wanted to learn and wanted to feel better. So, um, kind of an open door on that. Uh, so let's talk about her. I'll tap. So they'll tap, um, is an acronym for the locator test assessment protocol. It is my, uh, signature assessment that helps me determine where to go.
To have the best outcomes from treatment standpoint. So where to start treatment and then what sequence to do the treatment in. Right. And, um, it gives me an indication of, like, if the body is in a protective pattern or not, where it is, how am I this protective pattern. be influencing their orthopedic and movement assessment.
So, in the virtual setting, well, this is the great part about the LTAP, it is very possible to do all of it, except for the fifth test in the virtual setting. And, um, it just takes a little bit of body awareness for your clients and you describing where you need.
And I'm looking to see what her SI joint mobility is like. So, on her, Um, like many people in the virtual setting, sometimes the March test can be challenging to see what you're seeing, but, um, I knew something looked off. I, I wasn't, it wasn't clear to me yet, which side was the hypo mobile side until I had her hold her breath.
And then when she held her breath. It changed, and her movement got better, specifically, I believe it was on the, I think it was on her right side, if I'm remembering correctly. Um, it was hypomobile, she held her breath, and then it was mobile. So that directed me. To the next test, or at least that directed me to know that, okay, that means the traffic cop is directing me that it's her protection pattern is specifically around the central nervous system, or Other visceral organs and so then I did the central nervous system tension test I looked at that on her which I'm looking at side bending.
I'm looking at anatomical Landmarks in her cranium and she did not have a central nervous system pattern so I ruled that out which then tells me it is Um, one of the other visceral organs. So that leaves visceral organs of the neck, the thorax, the abdomen, or pelvis here in the virtual setting. That's this is when it's nice to sort of know their story and what's going on because I can quickly go to the.
Organs that I think that might be causing the problem and do an inhibition test there to confirm and so I used Standing shoulder internal rotation as the test to determine if there was a protection of pattern around the organ and so She was limited in internal rotation on her left arm And when we inhibited specifically the upper part of her esophagus in her neck, it, her internal rotation went from like here to here.
Like it gained probably like 30 or 40 degrees of range of motion. It was significant. The liver didn't really change it much. The stomach did a little bit, but not as much as the esophagus up in the neck. gastroesophageal sphincter.
itself and it changed, but again, not as much as in the neck. And then to just prove that it was, you know, not biased, I picked some organs that it, you know, like were not as related to her symptoms. And, you know, I tested something in her pelvis and her abdomen and. those didn't really change her um, shoulder internal rotation at all.
So that was confirmation, that this protective pattern for her, was in the part of her esophagus, that's in her neck. So um, at this point I paused. The LTAP, right? Well, not pause. I'm at the end of the LTAP because I have identified, yes, there is a protective pattern and, uh, in the viscera, and I determined what specific visceral organ it is, that it was esophagus.
So, uh, from there, I moved on to my orthopedic tests and my movement tests. And from an orthopedic standpoint, just from a general postural standpoint, her right shoulder, the scapula, was depressed and a little bit downwardly rotated. Um, and then when I had her do shoulder flexion, she was significantly lacking upward rotation of the scapula.
Her scapular inferior angle did not...
Um, and then, um, her movement dysfunction was not just a lack of upward rotation specifically on this right side, but in order to get her arm all the way up overhead, um, instead of the scapula, upperly rotating protracting, upperly rotating, it was actually going into a, posterior tilt and external rotation, which also concurrently made her spine extend and rotate to that side.
And so I'm like that, that motion is exactly why you're having costovertebral joint pain is because you're moving. You are using excessive movement in that cost of vertebral joint junction around the thoracic spine to make up for shoulder flexion, and also you're. really putting a lot of force, anterior force on that rib, um, when you're using your periscapular muscles to poster, tilt, and actually rotate.
And so that's going to be low trap and mid trap. And it was just driving that instability at the cost of vertebral joint. And then So she was actually having two symptoms related to the ribs. She was having that straight through pain for the cost of vertebral joint, but the lap pain, the shoulder pain she was complaining about was kind of a wrapping around pain, which was likely like an intercostal nerve distribution pain.
Both of them likely because the head of the rib was driving through that area. Let me repeat that, likely because the head of the rib was going more anteriorly as she was going into extension and rotation to that same side that she was moving her shoulder overhead. Now, the other interesting thing is at this level, it was likely the level of T6, which is sort of the lower part of the medius dynum.
Why this level also tends to be one that causes problems on people is because if we look at how our ground reaction forces are transferred from our feet to our head, that is, the T6 is the area where the forces cross. So the force comes up our leg, crosses our SI joint, moves up the spine, and then at T6 moves over.
to the opposite side of the head and neck. And so T6 is just an area that tends to already have a lot of force going through it. So that coupled with it now being the way she gets her arm up overhead, it was like very, I don't want to say classic, but it was like, I wasn't surprised to see that pattern on her.
So, um, I wanted a, because she was lacking effort rotation and because I saw. Um, that pattern, I was curious, too, of like, what her, what her serratus anterior strength was, and, um, I think one of the best ways to look at it, um, is a single arm wall push up. And um, it was very, very clear. She had a very clear pattern when she did the single wall arm push up on this right side.
Um, that she was weak. Her, and also not only was she weak in the scapular. stabilizers like that. But her core was weak when she went to that right arm support. And so you saw her spine immediately extend and start to rotate at that side. So here I was able to identify like, Oh, okay, she's got a little bit of serratus weakness, but also oblique, um, weakness as well, which makes sense because the serratus anterior interdigitates with the obliques.
It is basically an extension of the same muscle. So I wasn't, again, shocked to see that. Um, But, um, you get exposed a little bit more in that exercise than some of the other ones. One, because it's single arm, and two, because it's an exercise people don't do a lot, so they don't know how to prepare for it, right?
Because sometimes when you pick exercises like a plank, or quadruped, or like, Things that are already familiar to them, especially movement professionals. They'll be like, oh, she's watching me I better do this correctly and sometimes you'll get like false information The single arm wall push up like it's just not something that people commonly do and so it's a really good test in that aspect to see Real quickly, some patterns of what's going on.
Um, so then I felt like at this point I had a pretty good, um, list of orthopedic things I want, I was wanting to see change. So one, it was just the dynamic alignment and static posture of her. upper extremity girdle. Um, and then two, it was the shoulder flexion, both single arm and double arm. I was seeing this pattern on, and then a single arm wall push up, uh, to see a little bit more of the strength and performance side of it.
So then we started treatment where the LTAP directed us, which was at her esophagus here. And I actually chose, so up in your neck area here, the esophagus is, um, Intimately connected to the trachea there within the same visceral sheath or visceral container. And so, um, I chose to do more of a, a little bit more of, I guess, uh, uh, intervention that you would associate with the trachea than the esophagus, but knowing that they're in the same place, I was like, let's.
Do it together and just see what happens also, too, because in my own body, in my own experience, I know that my reflex is worse when my asthma is worse, and they're very intimately connected in that standpoint, too. I have no doubt that some, um, inflammatory things that happen within one structure to the other get, sort of.
intermeshed and influence each other. So, um, I chose the first thing I chose for her was gargling. Um, and that was. proved to be a difficult task for her. Um, and gargling, so she gargled for a little bit, and then I retested her shoulder flexion, and it was actually improved. It was improved, but I was like, I feel like we could get more out of this.
So then I tried humming. At first, I tried humming while she was lifting her arms up overhead, and that was It had her thinking too much and, um, because at this point I had already pointed out some of the movement faults she had and so she was trying to do too much at once. So I saw that in her body language and so I said, forget the arm flexion part of it.
Let's just hum and then I want you humming in different octaves and that's hard for people to conceptualize. So I was like. Let's hum a song together. So we hummed happy birthday. We hummed twinkle twinkle little star was her other choice Which I loved because side note in the third grade for the talent show I played twinkle twinkle little star on the piano and I was like so nervous and so proud of myself and then I got made fun of by People like these bullies when I would wait for the, um, bus stop, they would sing Twinkle Twinkle Little Star to me and like ride their bikes around me and laughing at me.
I'm like, but even though I have a little like trauma with that, uh, It still is one of my favorite songs, so those bullies didn't ruin it for me, but that is sadly what I remember. Anyways, that was a side note. So we hummed together, which, um, this is an even more powerful thing. So, the humming for her, humming is...
It's obviously more trachea based. Um, it's technically can be considered a, um, glossopharyngeal nerve activator or stimulator or whatever you want to call it. Um, but me doing it with her also. Is social engagement and autonomic nervous system regulation, like we're co regulating together, which is very good for the nervous system.
And so I was kind of getting a 2, 4, 1 with her, um, but she hummed and then we retested and boy, did that change her dynamic alignment of our shoulder quite a bit. Her whole shoulder came back. Up in some elevation and some protraction and then therefore when she lifted her arm up over her head She had a little bit better upward rotation and a little bit less spine extension and rotation and then we went over to the wall for the single like a single arm push up and She had way less of a movement fault in, um, her core control.
And, um, she was able to do like two or three reps before her serratus really fatigued. So I loved to see that. Um, and then I taught her, we were running, then we're running out of time. So then I taught her the exercise I wanted to do. I'm like, Hey, here's the thing. One, you're going to do some prone thoracic breathing on the ball, maybe neck a new.
And then the humming and then I want you to do this exercise called cross leg lift, which is an exercise that really targets the serratus anterior and puts the spine in a curve, so facilitates obliques as well. So it connects anterior. It's one of my favorite ways to get upward rotation and better spine mechanics.
For the upper trinity to move on so I taught her that she did three or four on each side and was Very tired because when you are weak, this exposes it and then we rechecked shoulder flexion and the wall push up and everything looked so much better. And then my advice to her besides adding in the humming, uh, the restoration of her thoracic curve and, um, this cross leg.
Lift was I wanted her to lift a little heavier in her workouts Because I needed her to improve her core stiffness to help this because She's always given her autoimmune history and her challenge with her immune system having this excessive inflammatory pattern and, and her liver still processing 15 years of medicine and like all the things, right?
She's going to have a tendency towards these visceral, um, protection patterns. And so I want her spine to be less.
responsive to it, if that makes sense, meaning less, um, manipulated by it. Her cost of vertebral joint in that area was easily manipulated by it because of lacking stiffness around the joint. The joint is hypermobile from years of driving motion through it. I'm not going to fix that. Right? That's just how it is.
The only thing that's going to fix that is stop moving through it so much. And we're going to stop moving through it so much by giving it more stiffness. So the long term game is manage these symptoms, do these exercises to increase stiffness around the area, so then when your esophagus gets irritated again, we're less likely to get so hypermobile through that joint.
So and then also part of the pain pattern probably was a little bit of referred pain too But there was a big mechanical piece, but the mechanical piece was there because of some of the protection mode So it's like we're layering all these things together So not only did I ask her to lift a little bit heavier.
I wanted her the intensity about seven 10 intensity. So lower the reps down, increase the weight as needed. And then, um, I asked her to add in, um, suitcase carries because that's probably 1 of my favorite, um, exercises for improving, um, oblique stiffness. So, um, and the only other request I had, which I hate telling people not to do things, but she really does not have the scapular mobility and strength at this point to do overhead pressing exercises.
And so I was like, ah, for now let's let the cross leg lift upward rotation exercise be your overhead pressing. And then as you're Core gets stronger as your mobility and your strength get a little bit better. And just you understand where your, um, relationship of your scapula and your spine are in space.
Then we can talk about adding in upward rotation as an extra or sorry, um, overhead pressing as an exercise back into her program. So that was it. That was, it was like a 70 minute session and, um, I left her on her way and then she messaged me the following week and was like, I feel so much better. She's like, for the first time in like five years, I haven't had that shoulder or lat pain.
And she's like, and my reflex feels so much better. And, um, she was just so happy. And it's just, you know, again, like pointing out when you know where to start. It just makes it so much easier. Um, so thank you to her for allowing me to share this story because I think it is a really powerful example of the connection between visceral and musculoskeletal and then also a really good example of using the L tap, um, in action and assessment and then also a great example of doing it virtually, you know, so I know a lot of us help people virtually and, um, or are movement professionals that want to help people in a more specific and precise way.
And so this is a great example of that. So that's it. Um, I'll link, um, the video, uh, that I shared on Instagram about this in the show notes, as well as the cross leg lift exercise and, um, maybe the
prone breathing. I don't know. I think I've linked
that that's it. I hope you enjoyed. And, uh, Oh, since we're talking about, too, the LTAP, let's see, this comes out Wednesday the 27th, so the following week, the LTAP Level 1 course, online course, will be open for registration, that course starts October 9th, but if you want to come and learn the LTAP Assessment in person.
There is an in person course coming up in San Diego, November 18th and 19th, and, um, spots are limited. There's already a few, I think four or five spots taken, uh, but I would love to have you join me in San Diego for that course. Um, it's going to be great, so I'll make sure, uh, the links, the link to the in person course is in there.
And, uh, that my email list is in the show notes. And, um, so if you're interested in the online course, sign up for my email list. And if you're interested in the in person course, just go ahead and check out that, uh, web, web page all about it. Um, thank you for being here and I'll talk to you next week.
