By Dr. Drew


Breathing is important, very important. That is obvious. But how many of us know how important proper breathing is? Proper breathing is a critical function of good health, as it rids our bodies of carbon dioxide while providing our systems with vital oxygen. The more efficient this process is, the more effective we are at removing toxins, performing physical and mental activities, and reducing stress and pain – yes, PAIN! Normal respiratory mechanics plays a key role in our neuromusculoskeletal system by affecting both posture and spinal stabilization. The primary breathing muscles also function as stabilizers of our skeleton. Therefore, it makes sense that abnormal respiratory mechanics can have detrimental effects on our well-being.




DiaphramWhen the proper function of breathing muscles is compromised, the spine is inevitably going to be affected. For example, as the demand for oxygen increases during physical activity, breathing patterns change and spinal stability concedes in order for the body to meet the need for air. We see this all the time when people are exhausted but continue to perform movements or exercises with bad form. The opposite also holds true, as it is very common to find aberrant breathing patterns (e.g. shortness of breath) in people with neck and back pain. Short, rapid breathing can put the body into the “fight or flight” response – an acute reaction to stress. The ability to take slow, deep breaths improves blood flow and returns the body to a calm state.



Renowned authority on manual medicine Dr. Karel Lewit once said, “If breathing is not normalized, no other movement pattern can be.”

Assessing breathing mechanics begins by determining whether you are a belly breather or a chest breather. Belly breathers typically demonstrate proper breathing by utilizing the diaphragm and other breathing muscles lat cspin 2appropriately. Chest breathers, on the other hand, demonstrate faulty breathing by over-relying on accessory (secondary) breathing muscles, such as the upper trapezius and neck scalene muscles. Over time, forward head posture, hypertonic (over-used) trapezius and levator scapulae muscles, shoulder impingement, neck stiffness and increased spinal kyphosis (increased mid-back curvature) can occur if the aberrant patterns aren’t addressed. Other important assessments include rib and lung expansion, checking for symmetry, evaluating breathing rhythms and measuring oxygen saturation. These patterns can be assessed in a variety of positions, which help determine which activities may be contributing to the faulty breathing and/or pain.

At Compass we believe wellness is the fullest expression of health not just the absence of disease. We believe that in order to experience wellness you need to Breathe (properly), Hydrate (well) and Move (often).  We are going to be focusing on these wellness topics over the next three months. For the month of February, we are celebrating the importance of breathing by helping our patients recognize abnormal patterns and retraining them.  Furthermore, in order to motivate and remind you of the importance of breathing, we have created Breathe Bands which are available at the front desk all month long.

To wrap up our Breathe month, Compass will be participating in the Fight for Air Climb on March 5th.  If you would like to participate, please join us by CLICKING HERE