RTMCC Pattern Basics
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- เผยแพร่เมื่อ 27 ก.ย. 2024
- The right TMCC pattern describes the position of the neck as taught in Postural Restoration Institute's Cervical Revolution course. It is definitely the most difficult to understand, but I am trying to give a short introduction to the topic.
The neck is important! It has to be able to rotate from side-to-side. It is a vital part of our system's ability to balance ourselves (vestibular system) and move without restriction.
When the right TMCC chain of muscles is overactive, it will be difficult, if not impossible, to get full Left AF/IR and a left ZOA. In other words, it will be impossible for us to fully move our center of mass to the left side while simultaneously disengaging the right side of our body for clean forward movement. We will be all right sided, all the time, even when we think we are on our left foot.
Restoring proper frontal plane position on the left (Left ZOA) is essential for turning "off" the right TMCC pattern.
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I suffer from this presently attributed to a malocclusion-Anterior open bite with posterior retraction of mandible impinging on C1-C2 vertebrae with significant cervical lordosis loss and cervical vertebrae compression. I was fortunate enough to accidentally find a physiotherapist who has trained a lot with the PRI who identified this immediately. Now I'm working with a great orthodontist who has helped me more in 3 days than any could in the 12months before her. This video clearly shows the link between the postural changes and symptoms I'm seeing and how the left side needs to be engaged to switch off the right TMCC, thanks for sharing.
warlock16 that's awesome that you were able to find professionals who can help you! Good luck and thanks for the comment!
First pri appointment this coming Tuesday i cant wait. Your videos have been phenomenal in terms of explanation and have helped me reach a very better place mentally and physically more then any doctor, pt, or surgeon. Could you do a video on some client success stories and the relief they have obtained?
How did it go? What did they tell you
At the risk of sounding like a paid advocate:
Your TH-cam channel saved my life.
The amount of free knowledge you give is astounding, you have given me back my ability to focus and my confidence that I can get my body and mind back into the condition I've always known was possible.
I've been through some extreme trauma that has been felt in my spine, back and neck in countless ways for the past 20 years. All my research has only lead to temporary relief or dead ends. This is the first time I've felt any relief or hope.
Bless you Neal.
I hope to thank you in person someday.
As I have been learning PRI I often get confused with the Anatomy in Motion phases of gait and PRI's stance phases. The patterns you say happen when you're on your right leg are what AiM says happen in the pronation phase on the left leg. It wasn't until I broke this down in my study group that I discovered where the two methods 'freeze frame' the phases of gait are in very different. Now I'm beginning to understand the differences between the two interpretations.
Thanks for explaining ❤🎉
I"m doing all of that perfectly on my right hand side!
I stumbled on your videos as I have started to work with a PRI practitioner and I am incredible amazed by your wealth of knowledge and clarity (spent my Saturday night watching all your videos!). I really wish your work could be seen by more people. I am also a physio student and wish this kind of perspective was exposed to us..unfortunately there is far too heavy of an emphasis on manual therapy in my opinion.
The reason I began seeing someone was for chronic stubborn L low back pain. Through the exercises, it seems to be helping my back slowly. However, because of the breathing exercises, I feel as if I am protruding my neck too far on the exhale and my high cervical spine has been feeling tight and uncomfortable since I began.
With this RTMCC pattern, is it usual for the right or left side to be painful?
Do you have suggestions for my L neck pain?
Thanks in advance
Hi Gregory, thank you for your kind words. What breathing exercise are you currently doing? If your neck is flexed at the base of the cervical spine (forward head posture, essentially) you can feel discomfort if you are doing a supine 90/90 exercise. With the RTMCC pattern, it is quite common for someone to be experiencing neck pain. It can be either side. From my experience, it goes back to getting a good left ZOA (vial left internal obliques on exhalation) so you can utilize your diaphragms for respiration rather than recruiting your accessory neck muscles. But there are often "roadblocks" to getting or maintaining that left ZOA that make the situation more complicated than simply a few PRI exercises. Did the person you are working with test your neck?
@@NealHallinan We are working on my neck manually..any suggestions of tests I should propose to him. he didnt do the cervical revolution course.
I have a very flat thoracic spine so I find have two issues with most of the PRI exercises.
1. I try to force the rounding when I know it's supposed to be more protraction, but im finding it very difficult to get my left side to protract equally compared to my right.
2. my issue is that during exhale i tend to always drop into excessive cranio-vertebral extension and its causing strain of my L neck?
any suggestions for exercises or things to keep in mind?
@@gregorystern1348 Why do you e-mail me and I can send you directions for two neck tests. Do you have any occlusion issues? Missing teeth? Underbite, crossbite, overbite? Visual issues?
Thanks Neal. Just curious can this pattern or right bc cuz someone to have a crossbite or not related?
Hi Neal, just came across this super informative video. Either in this or in the article that refer to this video you said how you tried many drills for the Right BC pattern but nothing worked. Then when focusing on RTMCC you solved the neck issues. I am in the same situation, never understood why all the drills that happen others haven’t worked with me and my neck…do you dig a little deeper into your journey in other videos or arricles?
Dear Neal,
is it always in this direction or can it be the other way around?
I have had an injury on my left side (ribs, kidneys, spleen and maybe a trauma in my left pelvis). Everything was ok after healing but then my left pelvis started to feel tight and the space between my left ribs and pelvis felt shortened and with a lot of tension. My right upper back and shoulder are tight and hurt and my neck on the left side.
It is the other way around, or am I thinking wrong?
Thank you very much for all the jewels you are sharing with us.
I searched already for a practitioner here in Germany. There is only one but I try to get a visit. I hope it can help.
❤❤❤ Thank you
Ok so what should i do the fix this
Neal,
Do you Have a video on how to turn off overactive right tmcc muscles?
I think my right internal oblique got so tight because I sad programming and used it as stability while sitting.
Hi Neal, this explains my problems so well. But where can I get help for this? Thank you in advance.
Were you able to fix it?
Diggah, dass is en richtig starkes Video !!
Can a severe deviated septum be a cause if left nostril is blocked and you only breathe through the right side of your nose?
This is it. This is what has happened to me. But how to correct all this. I am from India. And I assure you people here don't even know about this. Please if you can help, I am desperate.
Can lateral pelvic tilt cause unbalanced atlas?
Absolutely. However, it could also be the other way around, an unbalanced atlas could cause the lateral pelvic tilt. It's important to keep in mind that from the base of the skull (occiput) and the atlas, all the way down to the sacrum, is one functional unit. Any malposition anywhere can affect another area.
Neal Hallinan I have lateral pelvic tilt due to unbalanced secrum and I wear 10 mm heel lift but I m having slow recovery and lateral sift in neck too. How can I fix atlas?
Unfortunately there is no way for me to know without seeing you in person. There are just so many factors that go into how our spines end up in certain positions. Perhaps an osteopathic doctor could help. Where do you live?
@@NealHallinan Which should be addressed first? Atlas, Occiput, or Pelvis?
But how do you fix this? Should I see a chiropractor? Doctors don't seem to understand any of this. I have been complaining of this for YEARS. Like more than 10 years. My shoulders and jaw are visibly higher on one side and I have chronic pain on the right side of my neck and jaw, and my LEFT lower back/hip and knee. Please point me in the right direction.
Lori, I'd advise you to watch as many videos on my channel as possible and find a Postural Restoration Institute certified physical therapist from their website.
Hey Neal, could a malocclusion (an overbite) be the underlying reason why I cannot shut off the right TMCC pattern? Despite attempting every PRI technique, I'm beginning to question whether my misaligned jaw is the cause of only achieving temporary results.
Yes, it could. That's why I talk about occlusion so much. Check out my most recent video.
Hi neal ! Do you suggest strengthening the left obliques to alleviate the pain from the right side of the neck ?!
Yes, but all PRI exercises train left obliques if you do them correctly. The trick is that your body has to be in the correct position to train them. Just training the left obliques without proper breathing (elongated exhalation) won't work because the left ribcage will be "out". You have to use elongated exhalation (blow all the air out) to position the left ribcage properly. At that point the left obliques will work correctly.
Did you ever have success with this? I’m feeling a lot of tension and pain in my right neck.
@NealHallinan, is RMTCC Pattern caused by RBC/LAIC patterns?
Yes
Can a major injury to the left big toe cause this pattern? I have lost the ability to properly step on my left big toe and I don't feel the push off the ground I felt when I was healthy, I would say I have lost completely the push off from the left big toe... 5 years ago or so...
If this means that you are no longer pronating correctly on the left side, then I would hazard a “yes”. I have Morton’s toe both sides which means I do not pronate correctly on either side (worse on the right), and I now cannot walk properly. For a few months I have worn insoles to “correct” my feet, but my body is still stuck in PEC pattern. Neal’s starter programme is really really helping to reverse the pathology. Good luck
Can a misalingned bite cause it or it is vice versa …
How to know it is ascending or descending
It is deu to jaw and head posture or deu to legs ?
You can't really know for sure.
The right scm funtion is side bending to the right. Why is it active when side bending to the left?
Because it's rotating the head to the left.
@@NealHallinan Thanks that makes sense. At that moment the left scalenes would be bending the head to the left? I having a hard time getting info / understand the neck in gait and the right tmcc pattern. I did read your blog post.
I feel my right side is affecting my tinnitus and I have forward head posture
I think tinnitus is often associated with forward head posture.
Hi Neal Hallinan,
I have a question: you are saying the left internal obliques are stretched and therefore weakend So the pattern is stretched=weakend. The right SCM in your example is also stretched due to the bending and turning to the left. Shouldn't the right SCM then also be stretched and weak and not be overactive as your are saying? For me this looks inconsistent and gives me a hard time to understand. Thanks for an answer!
The right SCM is confusing due to the three dimensional aspect of human movement, plus there are considerations of cranial movement and the position of the right temporal bone/mandible, and the SCMs involvement as an accessory muscle of respiration. It's too much to write about. However...
If your weight is shifted to the right during gait, the right SCM has to be on. There is no other way things can happen. People are stuck in a particular phase of gait (right stance) so the right SCM is overactive in a three dimensional way, even though in one plane of movement it may be technically underactive. So it could be overactive in two planes of motion and underactive in one, with the net result of overactivity.
That's the big picture. Hopefully that helps.
hey neil can you please clairfy about the fact that in right tmcc if the neck is rotated to the left or head (i.e. cranium )is rotated to left . as you say neck is oriented to right and rotated to left . so orientation and rotation are two different things ?
Correct. Orientation is the overall direction you are facing, but you can rotate/sidebend in different directions in that state of orientation. Right TMCC is right stance, so the spine/neck is oriented to the right but rotated left to stay straight.
@@NealHallinan so what you are saying is that our whole spine is oriented or rotated to right ,
Cause to face in right direction our spine has to rotate to right ?
Can RTMCC cause a deviated septum?
I believe so, yes. It's not uncommon to see one nostril larger than the other because of how the facial/cranial bones can get mispositioned.
How is it that the right SCM gets tight when the neck sidebends to the left?
I think the confusion occurs because the base of the neck and the mid-neck are doing two different things.
It's tight because the base of the neck (T1,C7 junction) is oriented and sidebent to the right. Further up is where the mid-neck (C4,C5) starts to sidebend and counter-rotate back to the left.
In this position the attachments of the right SCM come closer together because the mastoid process of the right temporal bone (where the SCM attaches to the skull) moves forward as the head counter-rotates to the left.
At this point the SCM is attempting to rotate the head to left without assistance from the Left ZOA and the left lateral pterygoid and it becomes overactive. It's also overactive as an accessory muscle of respiration, trying to "lift" the right chest up to get more air.
How to fix this?I have swollen SCM muscle right side,i feel lump and choking sensation in my throat,i have pain in my jaw,itchy ear,pain in my neck(very tight neck),whole my right side burn.
ОЧЕНЬ ЖАЛЬ Я НЕ ПОНИМАЮ ЧТО ОН ГОВОРИТ. НО У МЕНЯ ТОЧНО ТАК КАК ОН ПОКАЗЫВАЕТ. РОССИЯ
Hey Neal- quick question. I feel like i have that subclavius problem on my left side rather than my right side but still have the same problems consistent with being right side dominant. Could that be possible?
Tommy Meyer, honestly I don't know. I haven't come across the idea of bi-lateral subclavius tightness, or left subclavius tightness by itself, but I suppose it could happen. I inclined to think that bi-lateral tightness would occur rather than just left sided. If you are manually palpating the area, you could be feeling the left pec major.
Hello neal, I feel like my left rib cage and my left hip are closer than right ones, and i have a over actice left scm. How can i solve this problem? Actually it's the opposite of what you explain in this video
th-cam.com/video/OH0tvJzrG1g/w-d-xo.html just watched this and @:57s you describe something uncommon but sounds like me. So what is it about being really extended that switches you from overactive right scm to overactive left scm? My left is overactive and my head loves that "nose in the air" position. I try to unravel myself like you do in your videos, right hip forward left orientation, torso rotating right, neck sidebending and rotating right for left stance, just to give myself a feel for what im trying to achieve. But if im super extended with overactive left scm should i be trying to achieve something different at my neck? Is it kinda like how a pec has both illiums forward but the base is left aic? Am i RTMCC with something on top of that?
You could be a bi-lateral TMCC, meaning you are bi-laterally extended through your entire body (I was, too) Overactive left SCMs can often have a visual component. My cranial pattern (torsion) had it's origin in my visual system, which I found out in August. Jarett, e-mail me at nealhallinan@gmail.com and I'll send you something you can try.
Hi Neal, I feel somehow so relieved after seeing your video! I have been dealing since a year ago with pain at several places of my body and my therapist is always so confused because my symptoms don't match my diagnose (herniated disc on the lumbar spine) . She (my therapist) keeps saying, that my body is so weird, because the left side is so different from the right and there is a twist here and there. So, seeing that things can be explained this way (because my asymmetries match quite well what you describe!!) fills me with some hope. I hope to find in the future a therapist with experience in PRI in Colombia!! (South America, where I live). One difference from what you describe is that the left side of my jaw is the one that feels more contracted ...I guess, since its cracking frequently when I open my mouth too much. I look forward to your next video on the topic! Thanks, Carlos.
Yes me too. It is my left neck and jaw that are tight, but everything else in this video seems to be spot on.
@@tommylandrix6070 right tmcc torsion
Hi. I am wondering if this could also impact the wisdom tooths? I have probably had the left aic pattern, right bc and rtmcc since I was atleast 13 years old. I have only got wisdom tooths coming out on the upper right side and lower left side. But now, after doing PRI exercises for about 1.5 months and noticing a huge difference in my pelvis, back, shoulders and neck, I have also suddenly started feeling my wisdom tooth on upper left and lower right, they are suddenly coming out! Is this something that is normal for right tmcc? I find PRI so fascinating!
Marion Emilie Mølsæter that’s an interesting observation!! I don’t know for sure, but I do believe that normal human development can be altered due to strong patterns.
hello simple question I was just wondering wether being in a pattern affects blood flow, more in particular to the penis? does it contribute to erectile dysfunction?
My god. Im so happy that you are talking about this (mine) issue. So just to clarify, the right neck muscles that you are talking about in red, they are overstretched? They can't relax because of the context they are puted in? This is what i understand.
Follow this guy
I should say subscribe
This was a wonderful demonstration that I was able to follow along with by sensing my body. Thank you
I have all of this but on the left side. I had dental braces for TMJ issues, which helped with my pain a lot, but now my left shoulder looks a bit higher than the right, my left pelvis seems higher, and I'm currently in terrible left side SI joint pain. It seems like the same issue but just on the left. Since breathing isn't a solution here, what can I do? My chiropractor helps, but it keeps coming back. I can't find anything online about a left TMCC pattern and how to "turn off" the left side. Thanks!
same issue here
Well explained, Neal 👏🏼
this cause problem with c3,c4,c5 then diaphragm and breathing?
Yes, it can.
Hi!!
I have cervical spine rotated to the right but it's my left SCM, scalenes and trapezius very tight.
Is it possible with right tmcc??
Please i need an answer cause this condition makes me suffer a lot.
Thank you 🌷
Yes, that happens. The left side is a "victim" of what is happening on the right side.
Big thanks !
You're certainly among the best in this domain.
Hope you will answer my mail. Need your expertise in online consultation (Hope it is possible)
How do you manually release the sub-clavian?
I have a video about it somewhere on my channel.
Do you have a physical therapy center in New Jersey?
I do not. I'm a trainer and massage therapist. At the moment I do house calls because the space I rent was destroyed by a truck
Neal Hallinan ok I will contact you soon I m from Mississippi I have to move New Jersey for some time.
In PRI the aim is to turn on left TA/IO and bring left lower ribs and pelvis closer and expand on the right side (I’ve only had 1 PRI class so trying to understand this more)…in a person with scoliosis who has left lower ribs close to pelvis and can’t expand the left side is the goal still to facilitate left TA/IO?
That is one of the goals, yes, because that is what we are always doing on the right side.
In regards to scoliosis, I recommend watching my Playlist about that subject. It depends on the individual, but they may be "pathologic" and so you'd have to recognize how to treat that person and the classic PRI playbook may have to be significanlty modified. It's complicated and not my specialty. The three people I interview actually teach a course on integrating PRI and scoliosis. You should look them up.