Lessons of the Jaw: A Few Thoughts on the Body's Intradependence

As you read this, I'm either in surgery or in the recovery room. For those who don't know, I am having lower jaw surgery to correct a severe over (also called "open bite") and cross bite. That being said, blogging might be a bit spotty (more so than usual) over the next couple weeks, but I'm going to do my best. Seeing as this surgery has been on the forefront of my mind for quite a while, I thought I'd share a bit of the physiology connections I've learned over the past year or so. It's actually pretty interesting how dependent the body is on it's collective parts. So dependent that something up in my face affects the rest of my body rather dramatically.  We'll do bullet points because I really like them.

Lesson 1: Pain is sneaky. Sometimes the origin and/or cause is not where you think.

I've known I would need this corrective surgery at some point for quite a while now. About 3 years ago, I experienced severe and prolonged pain in my tempromandibular joint (TMJ), the hinge joint of your jaw that connects the lower to the upper. I didn't have the means to have surgery at the time and the pain receded a bit, so I put it on the back burner. Just over a year ago, I started having migraine/severe headaches in the front of my head that would last for days, even weeks. Medications didn't help. Then I started to have shoulder pain on my right side. This made me think something else was going on since I knew I wasn't doing anything that would aggravate my shoulder.

I popped over to this site and discovered that a tight sternocledomastoid can cause both pain in the head and shoulder. Sure enough, I had knots the size of marbles all along these muscles. Guess what? The SCM connects right up behind the ear, near the TMJ, thus a misaligned jaw (being used for thousands of reps per day) will definitely cause some tension in the poor ol' SCM.

Lesson 2: The suboccipital muscles are really, really important.

I also had pain in the base of my skull on a regular basis, thanks to irritated suboccipital muscles. I trolled around to find some information and perhaps home treatment to help manage the pain symptoms. I came across fellow strength coach, Patrick Ward's post here. Readit, seriously, it applies to everyone. It'll blow your mind how important those little muscles are to your overall health.  Patrick Ward goes into the implications of tight suboccipitals and their effect down the stream, such as posture in general and neural control over postural muscles. I found it interesting that "voluntary trunk control" was one of the muscle functions affected. Guess what? I struggle with bracing my right side. I know that sounds weird, but I can not get as "tight" on the right side without really thinking about it. Might be why I have a collapsed disc to the right side?...

Lesson 3: It's seriously all connected.

Then I came across this paper (you don't have to read the whole thing unless you're super-into-science and research papers) that linked symptoms of TMJ dysfunction and jaw pain with the suboccipital muscles. Check out pages 13 (yup, I have all those symptoms, including impaired vision) I should also note that I've suffered from vertigo since I was 13, so perhaps, once my jaw/bite is corrected and those muscles are no longer strained, I might see a decrease in symptoms.  Page 15 which connects hypertonic (too tight) neck muscles with TMJ muscles dysfunction and pain, and 17 describing short cervical muscles and posture and how they research has found correlations... craziness. Upper cross syndrome, a posture <--- description used by those in the health field, is either a creator of tight neck muscles or the result of tight suboccipitals. It's a bit of chicken-egg questions, but either way, they tend to coexist. So, if you have a hunched posture, try massaging the base of your skull, that might help loosen some things up!

Lesson 4: Pain eventually conquers proprioception

We recently had an in-service where we learned about the neuromuscular implications of injuries in regards to training athletes. The main point I retained was, if muscle tissue is acutely damaged, such as a sprain, or chronically irritated, such as repeated spraining of said ankle, the muscle spindles, which reside in the tendons, will no longer respond accordingly, much like Ariel responding to her father's command to stay away from land... Poorly.

Muscle spindles are proprioceptive organs that control the stretch-reflex, for example when the doctor taps your knee and your leg kicks forward a bit, the muscle spindles are rapidly stretched (when the mallet hits your patella tendon) and they respond by sending a signal to your brain to flex the quads (thus, pulling your knee into a bit of extension).

So, damaged muscle tissue, specifically the muscle spindles and especially chronically damaged tissue ("damaged" doesn't necessarily mean an acute injury, but a chronic posture, like your shoulders slumping and your neck protruding forward as you peer at the computer screen) tend to lose their ability to provide valuable feedback to the body in the form of proprioception (where your body is in space i.e. balance). Instead, pain signals are sent. This is bad on two fronts: 1) it hurts 2) lack of proprioception means loss of muscular control, be it voluntary or involuntary.

I don't know too much on how to restore muscle spindles and transfer them back to being proprioceptive and not pain oriented, but I do know that a) removing the irritaing stimulus (in my case, setting my jaw in the correct alignment) b) improving tissue quality through manual therapy (professional or at home) and c) retraining the muscles to move how they should (i.e. standing up straight instead of slouching, or going back to the ankle example, walking without a limp or favoring the ankle).

Lesson 5: Implications for training.

Another random fact, there's a correlation with a cross bite and scapular winging (the shoulder blade sticking up instead of laying flat on the rib cage). Winging impairs overhead movement, messes up the rhythm of the humerus and shoulder girdle and makes picking and lifting heavy things a bit problematic. I've done just about every exercise under the sun to fix my wing, to no avail... maybe surgery?

Anyway, as a coach, just by looking at my own situation helps me work with our athletes here at SAPT. If at first the basic, usual cues don't fix a problem, like "pulling yourself to the floor" during a push up to fix a winging scapula or "crack a walnut" to prevent knee pain during the squat, then, maybe there's an underlying issue that demands a different approach. Maybe some dedicated soft tissue work is in order to correct a nagging pain or it might be severe enough to refer out to a physical therapist or doctor. Whatever the case, if after working with an athlete diligently doesn't solve the problem, probably time to delve a bit deeper. (and check their bite! Kidding.)

Some SAPT Video Highlights: Post-Rehab Deadlifts, 1,000lb Prowler Drags, Pistol Shenanigans, and More

I have a number of topics I'd like to write about, but they'll have to remain on the back burner for a little while due a few pressing deadlines occupying my time. I know a few of you are waiting for me to do a Q & A based on a few email questions that have been sent my way; I'll be getting to those soon, I promise. In the meantime, hope you enjoy!

1. The other evening, I was shootin' the breeze with a couple of our interns, when the topic of pistol squats became infused into our dialogue.

I made a sarcastic comment to Chavez, along the lines of "Hey, why don't you try a pistol squat to a box jump, I think that'd be really easy." (Translation: I can think of a thousand activities that would be safer than attempting a pistol squat to box jump, one of which being throwing yourself into a lion's den with a T-bone strapped to your face, and another being hopping into a live volcano.)

Well, next time I'll learn to hold my tongue, as apparently Chavez doesn't back down from a challenge, no matter how outrageous it may be:

2. Many of you know Conrad from this story that Coach Tadashi wrote up on Conrad entering his first powerlifting meet just a couple months out of his second total knee replacement surgery. (Mind you, the two operations took place within a year of each other.)

Well, we have been continuing to help him along with his post-rehab training, and needless to say he has been doing spectacular, along with recently celebrating his 65th birthday to boot.

Just this past week he hit a 2-rep deadlift at 225lbs + 60lbs chains, so, using our arithmetic skills, that gives him 285lbs at the top of his pull. As you can see, he still had PLENTY of room in the tank to spare. Good stuff!!!

He's come a long way with his deadlift technique over the past few months. Sure, he could extend his T-spine slightly more, and pack the neck, but I give him three green lights for the time being.

3. One of our prior high school athletes, Carson, has been enrolled in our Distance Coaching Program since he left for college last Fall. Throughout his first 12-week distance training cycle with SAPT, he added an impressive 35lbs to his prior deadlift max (410lbs).

Here he is ripping a solid 445 pounds off the ground. I'm saying he'll have 500lbs in his grasp well before he graduates college!

Way to go, Carson.

4. Big Joe - even though he's an "endurance athlete" - finds anything involving heavy weights, or a challenging task, unconditionally palatable. Mix the two together and you get a 1,000lb Prowler Forward Drag by Big Joe from last Saturday morning:

Strong!

5. Here is Sheik, a cat who resides in the same dwelling as Kelsey and I. The other day, she insisted on refusing to allow any Hershey's kiss to remain alive while she still walked the Earth. She inexorably hunted down and destroyed them all, no matter how many continued to slide across the table in their efforts to pass her by.

That's all for now. Hope everyone has a great weekend!

Ryan Wood at Aggressive Strength’s SPF Powerlifting Meet

About a week and a half ago a good friend and former SAPT coach Ryan Wood competed in his most recent powerlifting meet. I once again served as his “handler” for the meet. A “handler” is basically the lifter’s personal assistant throughout the meet, helping him/her into and out of their powerlifing gear, assisting with warm-ups, wrapping knees, and basically taking care of all miscellaneous business so that the lifter can focus on three things: squatting, benching, and deadlifting!

Here is a recap of his performance that earned him first place in the 181 single-ply division!

SQUAT

The squat is definitely Ryan’s best lift. He opened up with an EASY 390, and cruised right through his second attempt of 425. From there we called for 450 on his third attempt, which flew up surprisingly fast. 3 for 3 on the squat, with a 19lb PR!

http://www.youtube.com/watch?v=SoTmBoQgmN0

BENCH

My biggest concern with Ryan’s bench was waiting for the “rack” call on the attempts. Failing to wait for the head judge to give a “rack” call before placing the bar back onto the hooks will result in a missed lift, no matter how pretty the actual bench press looked. Some of Ryan’s training partners let me know that he was falling into the habit of racking the bar too early, so with every attempt I made sure the last thing he heard from me was “wait for the ‘rack’”.

His opener of 295 looked like dynamic effort work (it was lightning fast), and proceeded to hit 325 with no problem. His third attempt was 350, which was a grind, but he pushed through it and locked it out. All commands from the judge were obeyed and he went 3 for 3 on the bench, with a whopping 48lb PR!

http://www.youtube.com/watch?v=IQ4outaCFG0

DEADLIFT

Ryan will be the first to tell you that the deadlift is his arch nemesis. It is continually improving, but has always been a weak point in his powerlifting repetoire. He opened up with 375, a very clean pull. Second attempt was 405, which wasn’t too slow, but it definitely drained him. We called for 425 for his third attempt, and although he gave it a good ride the bar wouldn’t budge past his knees. 2 for 3 on the deadlift, but still walked away with a 2lb PR!

http://www.youtube.com/watch?v=jllGgE5dwGc

TOTAL

All in all Ryan ended up with a 1205 total, a 69lb total PR, and 1st Place in his division! His consistency and hard work during his meet prep paid off, and got to leave the meet with some new numbers in the books, a plaque, and some new goals to achieve in his next meet. Big thanks to all those who came and showed support!

Timeout Strategy

One of my favorite hand motions in basketball is the signal for a “20 second timeout”.  Coaches lift their arms, bend their elbows, and touch shoulders with their fingers to signal a stoppage in play.   It’s a technique that I often use with clients, family, and friends to pause discussions. While the 20 second timeout signal is universally known in the basketball world, the communication that occurs after the motion varies from coach to coach.  I have been fortunate to be part of many different teams, in many different sports, and often observe the strategies used in that brief, but important interaction.  Below is what I have found to be most effective.  If you aren’t a coach think about when you have to deliver information to people in a quick and concise manner.

Attention Getter:  Whether it’s clapping, demanding eye contact, or simply asking a question, it’s imperative that attention is gathered quickly.  Make sure to have an attention getter that gets your team focused.

Encourager:  Once you have their attention offer an encourager.  An encourager will keep their attention and let them know what they are doing well.  It will open their minds and foster opportunities for more feedback.

Information:  The meat of your timeout should occur after the attention getter and encourager.  This is a time to give feedback, negative or positive, which should be the most important point you are looking to provide.

Encourager:  After the information has been processed an encourager is recommended to send the team on their way.  It’s a great opportunity to build cohesion leaving a huddle and remind the players that you believe in them.

Hope you can find a way to use the attention getter, encourager, information, encourager method whenever you have a timeout today.

10 Reasons You Should Swing Heavy Bells

So, I forgot to post on Wednesday. Sorry folks! To make up for it, I present this: As the title states: Swing. Big. Bells.

Me and Natasha, just swinging around.

1. Glute strength- Do you want a strong butt? Of course you do, that's why you read this site. Swings are fantastic glute builders. The glutes are the most powerful hip extensors so it makes sense to perform exercises that force the glutes to extend the hips... hmmm, sounds like swings huh? The powerful snap of the swing carries over into other lifts such as the deadlift and squat. The glutes also play in vital role in sprinting and jumping. So if you want to be the Athlete-Of-Steel, you needs buns of steel. Swing it baby!

Gotta build the wheels if you want speed!

2. Upper back strength- During the swing, the upper back is essentially holding an isometric contraction to maintain the "chest up" postion throughout the swing. The lats are working hard to keep the bell close to the body (so it doesn't go flying away and pull you with it). The rhomboids and the teres major and minor are doing their duty of keeping the shoulder blades down and back and keeping the humerus in it's socket (kinda important). Guess what? Chin/Pull ups require those muscles too.

All my ButtKamp Ladies are swingers (the G-Rated kind, not the other kind) and ALL my ButtKamp Ladies' have improved in the pull up/chin up. We now have 2 women who are able to do a body weight chin up...(Suzanne, above, is one. The day after this, she nailed it!) pretty awesome! Personally, I've noticed an marked difference in my pull up strength, both my 1-rep max (weight on my waist) and my total rep max (how many I can do) have increased. With all the work the lats and upper back do in the swing, I don't think it's a cowinky-dink. Once again, the upper back strength also carries over to the big girl/boy lifts: squats and deads. Try performing either with a weak upper back and you'll find yourself stapled by the weight.

3. Injury prevention/rehab for lower backs- I professed my love and belief in swings for back rehab on Wednesday. The nature of swings, strengthening glutes, upper back, the spinal erectors, and core muscles, perfectly align with the needs of most back-pain sufferers. Most of us have, weak glutes, upper backs, cores, and spinal erectors. I know mine were (thus part of the reason I have injuries). While I can't claim that swings will heal any injury, they can at least prevent further injury (or injury if there isn't one present) and build up the muscles that protect the injury.

4. Grip strength- When your forced to grip a heavy weight while it's moving, you're going to build up some pretty strong hand and forearm muscles. One of my weak links in the deadlift (and pull ups) was my grip. I found this out pretty quickly once I started doing high rep, heavy swings. My forearms were on fire and my grip often gave out before the rest of me did. If you like picking up heavy things and walking around, swings will help build up an iron grip so you can pick up heavier things and walk around even more.

Keep on walkin'...

5. Cardiovascular and muscular endurance- Don't like running? Me neither. I do love to swing though. Swinging is excellent for building up cardiovascular endurance and muscular endurance (the ability for muscles to produce sub-max force over an extended period of time). Don't believe me? Try this: do a ladder of 1-2-3-4-5-6-7-8-9-10-9-8-7-6-5-4-3-2-1. Take a breath for every swing you do. How do you feel? Oh wait, I can't hear your over you pounding heart and labored breathing...

I see too many people talk while using this...

6. Core strength and function- During the swing, the midsection must remain tight not only to protect the spine, but also to transfer the force of the glute contractions into the bell to swing it. The core has to also be able to relax slightly so you can breathe throughout the workout (pretty important piece of exercise, that breathing. Generally, you inhale on the way down, brace on the way up, and breathe out forcefully at the apex of the swing.) and immediately brace for the next cycle of contraction as the bell swings forward. For those with back pain, sometimes the core muscles aren't firing in the right order. Swings help retrain the muscles in this sense.

7. Joint-Friendly conditioning- As mentioned, swings are pretty safe for those with back injuries (most of the time anyway). They're a perfect conditioning tool for those with cranky knees, ankles, and shoulders (mostly). They're also good introductory training for deconditioned individuals as they're scalable to individual strength and fitness levels. Unlike running, which essentially is thousands of one-legged hops, swings have very little negative joint impact (the elbows can take a beating if the upper back isn't doing it's job though so be prudent!) so it's less likely that you'll sustain an injury and want to quit exercising.

Done...

8. Leanness- This is more anecdotal than factual, but swinging promotes leanness better than any other form of conditioning I've run across (outside of regular sprint sessions, which can take their toll on the system physically as they're pretty stressful). Coach Dan John has spoken of the power of the swing to help athletes/trainees maintain a lower body fat percentage and I've noticed in myself as well. It's not going to be the magic bullet, but for those who train hard and eat pretty well, the addition of swings can help pull the body fat down a bit without too much stress to your system.

9. Overall strength- Swings involve the whole body, in case you couldn't tell from the above points. If you want to increase your strength, add some of these in and you'll be amazed at the carry over into the rest of your workouts/activities.

Hagrid-like strength in a little body

10. Self-Defense- If swings help build up the glutes and hamstrings, which are the primary movers and shakers of sprinting, should you be attacked by zombies or some other terrifying creature, you'll be able to scamper away pretty darn fast. Or, if you're brave, just swing your bell at them and let go. 60+ pounds to the face will mess any body up. Pretty sure Kathy could take down any foe.

If those didn't convince you then, well, I have no words.

The Reverse Band Bench Press and How to Know How Much Help You Receive from the Bands

 

Given there are a bevy of variables affecting the amount of assistance you receive from the bands in a reverse band bench press - the thickness of the band, how high above the bar the bands are attached, how many times the bands are looped around, how old the bands are, to name a few - one of the most common questions among people looking to reverse bench for the first time is, "I have know idea how much the bands are helping me....so where do I start poundage-wise for X number of sets and reps?"

See the video below to find out:

The reverse band bench press is a fantastic tool that I like to employ for four primary purposes:

1. As alluded to in the video above, there is less eccentric stress compared to a normal bench press - and way less eccentric stress compared to a bench press against bands - during the lift due to the fact that the bands are pulling in the opposite direction of gravity. In general, this makes it much more shoulder and elbow friendly, and it also doesn't "tax" your body and central nervous system as much as a normal bench press would.

2. Because of point #1, the movement tends to be a bit easier on the joints. As such, I've been using it more and more with some of our athletes that either have shoulder pain, or are coming off of a surgery or rehab program.

3. It teaches the lifter to actively row, or pull, the bar down to him or her. One of the most common flaws I see in amateur lifters is failing to do just that, and it's a technique I discussed in further detail in THIS post; basically, it's going to engage the upper back more (always a good thing) and give you a more stable platform to press out of in the bottom. How you enter the tunnel affects how you exit the tunnel, if you will.

4. It helps improve the top half of your bench. Since the bands provide less assistance as you press up (the band becomes more slack) you are responsible for lifting a greater percentage of actual bar weight toward the end range of the lift.

There are a number of other reasons one would use it during a training cycle, but I'll cut it there for now.

Oh, and I believe this goes without saying but, be very careful when loading and unloading the bar when it's hanging from the bands. Things can get very chaotic really quickly if you're not careful.