A Prerequisite to Lifting Heavy Things: Stability
In my last article, I talked about the need for correct mobility in your exercises and workout. Mobility is extremely important and should always be addressed early on to ensure good positioning and a full range of motion in your lift. Mobility, however is only one part of the puzzle. There’s another aspect that the yogis don’t like to talk about and many people get confused with a BOSU ball: Stability
Mobility and Stability are the two components that provide the frame-work of movement. Mobility is the ability of a joint to move through a given range of motion, whereas stability is the ability to resist being moved. From a biomechanics stand-point they are like yin and yang, positive and negative, peanut butter and jelly. One cannot exist without the other. They are both equally important in training, however the body will always choose stability over mobility for safety and compensations.
Dr. Perry of Stop Chasing Pain is known for his saying, “stability rules the road.” What he means by that is that your body will always give up mobility in whatever joint it needs to create a stable environment if there is dysfunction(muscles not working properly). Will that cause pain and compensation patterns? Probably, but not always. If muscles aren’t working right, then they will not be able to control the motions in joints, and your body doesn’t trust that, so it will lock it down. It’s very similar to walking on ice. When you’re on the ice, you naturally stiffen up, and you consciously will keep your legs in and tight, not using big strides.
So essentially, if you lose stability, you will lose mobility somewhere else. It follows the joint by joint approach just as mobility did in my last article. This is why it doesn’t make sense to just stretch or just to weight train. When I talked about how to create proper mobility, step 4 was ACTIVATE. This is where stability is created, in the hopes that it will start to become automatic when used with movement.
The Misconceptions:
Stiffness is the Same as Stability
Many people confuse this notion of creating stability with creating stiffness. For an area to be stable, you want it to be tense/active during the appropriate movement and yet supple when not in use.
If you’re doing 50 reverse hyperextensions a day to keep your low back, “stable,” then you’re just creating stiffness by overusing the muscles and there for doing it wrong. If you want to create true stability in a particular area, then you must train that muscle/area as a stabilizer.
Stability training is done on bosus and wobble boards
Creating true stability in a joint DOES NOT need to be done on an unstable surface. It is done by creating mobility and then using a particular area as a stabilizer to hold a particular position. This is not to say that using a BOSU or wobble-board is always wrong. They do have their time and place for rehab, but that’s another topic for a blog post.
Anyway, an example of using a muscle as a stabilizer that I like is using the ½ knealing position for variations on exercises to help create some glute stability and open up the front of the hips. What about the guy doing the 50 hyperextensions? Well how about just try some simple plank variations or maybe even a kettlebell halo instead.
Planning Your Fitness Goals
Pop quiz! Who said the following quotes? -Someone’s sitting in the shade today because someone planted a seed a long time ago.
-A goal without a plan is just a wish.
-Give me six hours to chop down a tree and I will spend the first four sharpening the axe.
-Man does not plan to fail, he just fails to plan.
-Everybody has a plan until they get punched in the face.
The theme of the day (if you haven't guessed) is an often overlooked aspect of the fitness game: Planning. Coming up with a solid training program for long term success is a key component to reaching your goals. Let's enlist the wisdom of some historical individuals to discuss the importance of planning for your fitness endeavors.
Someone’s sitting in the shade today because someone planted a seed a long time ago.
Answer: Warren Buffet
If fitness is your goal, understand that it is not an overnight pursuit. Developing a strong, fit, athletic body requires a ton of time and patience. If you haven’t started a training program yet, “plant the seed” now! The longer you delay starting on a training regimen, the longer it will take to reach your goals.
If you are a complete novice to training, get some help from a professional to put together a well thought-out plan individualized to your goals, your current levels of fitness, and any limitations you may have.
Those that are completely new to training can't just jump in to a program used by weight room veterans. A necessary preliminary phase of "developmental" training must be administered to ensure that the trainee learns how to train. During this phase the intensity will be low, the volume will be moderate, and the primary focus is to become proficient at the basic movement patterns.
A similar approach is often used for incoming freshmen in collegiate sports. It cannot be assumed that they can just pick up a senior's lifting sheet and follow along. During a developmental phase we will learn how to stabilize the spine, squat, hinge, press, and pull in multiple planes of motion.
This phase cannot be rushed. It is always best to prolong a developmental phase and ensure that the trainee moves correctly before bumping up the intensity or volume. Don't be too hasty to rush into heavier weights before proper movement patterns are completely ingrained. The consequences may be severe.
A goal without a plan is just a wish.
Answer: Antoine de Saint-Expurey
What’s your goal? Do you want to be big and strong? Do you want to lose weight? Improve body composition? Destroy your opponents this coming season?
Define and specify your goal, and draw a road map of how you’re going to make it happen. You’re going to have to answer several questions, including but not limited to:
-How many days a week can/will you train? -Which exercises will help you toward your goal? -Which exercises can you do safely? -How will you track progress? -How many weeks/months/years do you have?
Write out your plan of attack and visualize the process toward your goal.
Give me six hours to chop down a tree and I will spend the first four sharpening the axe.
Answer: Abraham Lincoln, CSCS
My man Abe was obviously using this next-level metaphor to allude to the importance of taking the necessary amount of time to build the foundation and base for your fitness goals.
Often labeled “accumulation” stages of training, these initial stages of the training cycle utilize higher volumes and lower intensities, typically in the 50-75% ranges of your 1 rep maximum. These phases have been successfully used to improve work capacity, cardiovascular endurance, ability to recover, hypertrophy, and mobility.
Although these accumulation phases do not employ the use of super heavy weights, these phases “sharpen the axe” so to speak, and make your next stages of training more efficient.
Man does not plan to fail, he just fails to plan.
Answer: Frederick Douglas
Freddy D hits us with the truth with this one. Maybe summer came too early and you aren’t as ripped as you wanted to be. In fact you’re not ripped at all. Were you training consistently year round? Did you eat right even during the wintertime when abs are overrated?
Or maybe you expected to come into the next sports season stronger with some more size, but you show up on the first day underweight. Did you take advantage of the off-season to beef up and train hard?
You should always be thinking ahead in terms of preparation. If you want to improve performance for the next season, understand that the off-season starts the day after your last game or meet. Spend those precious weeks wisely.
Everybody has a plan until they get punched in the face.
Answer: Iron Mike Tyson
Plan on being flexible! Things will not always go “according to plan” and there will be sudden obstacles that you will have to face. You might get sidelined with the flu, or you might need to take a two-week business trip in the middle of your training cycle. You might even get injured. It happens, and you have to be able to work around it and adjust your plan. Stay calm and continue working towards greatness.
Bonus Link
For a very in-depth overview of detailed planning, check out this legendary two-part series by Dave Tate.
Maximize Each Workout: 3 Practical Tips on Mindset
The mindset associated with any training plan is really what makes the difference in achieving your goals. Sets, reps, exotic exercise selection, equipment, etc. doesn't make a drop of difference if you are only 60% engaged, focused, and mentally committed. Here are 3 practical tips to get you in the zone - and keep you there - for your next workout session:
- Music: I think everybody knows about this one, but it bears repeating. Music is so powerful because it has the ability to change your mindset and push you in the direction you want to go or need to be for a great training session.
- Environment: Make sure your training environment is conducive to you achieving (and be able to focus on achieving) your goals. Constantly getting stopped by other gym members to chat? Always feeling ashamed of making any noise whatsoever? Tired of being harassed for breaking out chalk? Well, all these are signs that you may need to reconsider your training environment and get into one that supports your focus and goals.
Alright, you've got at least two of three tips that you can implement TODAY to get your training dialed up and instantly more productive.
10-Years of Marriage
This is a bit off-topic and probably most appropriate for my facebook page, but I figured I am way more connected to and fond of the people that support SAPT directly than I am FB "friends" so I decided I'd put this here: Today is my 10-year wedding anniversary (next month will mark 17-years of being in a relationship with said husband) and I simply couldn't be happier. My husband is the proverbial "steady rock" that has always provided me the support I've needed as I chase dreams and push limits. I promise, it is no easy road being married to me, but I attribute my successes, focus, and ability to power-on from the unwavering stability, support, and love I've received from Ryan since I met him on August 3, 1996 when I was only 15.
Strength: You're Doing it Wrong! Part 2
In the first installment of this series, we dived into a couple of the fundamental errors many folks tend to make while on the quest to become stronger. In case you missed it (shame on you), you can check it out with the link provided above; otherwise, let's get right to it and pick up where we left off!
"You're Doing It Wrong" #3 - Overkill
In case you're wondering what overkill looks like within the context of a strength and conditioning program, Dan John once gave a fantastic illustration of it: "If jumping off a box helps my vertical, then jumping off of a building will help that much more."
People often make the mistake of taking an idea, or something that may be good either in moderation or a specific context, and carrying it to the extreme:
- "I've heard that focused periods of training with loads of 90%+ will augment my one-rep max, so I'll employ them all the time, every day." - "Since a few sets here and there of isolated bicep curls may develop connective tissue quality of the biceps tendons, I'll do thirty sets a week!" - "Strong lifters use bands for accommodating resistance, so I should use them, too." - "Three sets of heavy squats will make me stronger, so doing twelve heavy sets must have four times the effect."
Here's a tip. Always do the least required - be it intensity, volume, or using "secret powerful" methods - to incite the desired adaptation. This way, you can save the higher intensities, volumes, etc. for later in your training when they become essential for continued improvement. (Note: I discussed this in further detail, via the concept of the minimum effective dose, HERE.)
"You're Doing It Wrong" #4 - Sacrificing Form for Weight on the Bar
Putting it another way: sacrificing form to stroke your ego.
How many times do you see "that guy" deadlifting with a rounded back, squatting with the knees wobbling all over the place, or bench pressing with the bar bouncing off his chest like a trampoline?
Sure, sometimes it can be a simple lack of education - he (or she) hasn't been coached correctly on the ability to perform fundamental human movement. But other times, and this is more often the case (at least with males), is that people don't wish to take the time - and by extension refuse to exercise patience and discipline - to learn the various movements correctly. They don't care that adding fifty more pounds to the bar causes complete breakdown in form, as long as it means they can satisfy their egos by lifting fifty more pounds.
Dr. Kelly Starrett summed this up quite nicely: "Sacrificing good form will cannibalize your potential benefits."
Be it training to get stronger, run faster, jump higher, or simply improve your quality of life, lifting with poor form does absolutely nothing for you. Well, other than eventually showing up on your doorstep to exact payment by means of pain or injury.
(Note: for those of you who think one can't lift any appreciable weight with good form, check out the video below with Jeremy Frey.)
You can do pushups with your low back sagging toward the floor and your elbows flared, deadlift with a flexed (or hyperextended) lumbar spine, bench with your shoulders protruding forward, squat with the knees collapsing, overhead press with all sorts of compensation patterns, until one day....you can't.
Who cares who is around you or who may be watching. Recognize that you are in this for life, that a lot of small improvements add up to quite a bit, and that greatness isn't achieved in a day. Exercise the patience and discipline of a true professional.
"You're Doing It Wrong" #5 - Adding Too Many "Finishers"
Confession: I have a slight masochist streak in me, which loves to push my body to the brink of destruction on occasion. And I think it's evident that quite a few others do, as well, which is why sports such as CrossFit are so popular.
However, constantly pushing our body's limits - either as the training session itself, or as a "finisher" at the end of the strength training - will undoubtedly hinder strength gains.
You can only chase so many goals at one time, and it's easy to fall into the "I want it all! Now!" trap. More strength, more endurance, more flexibility, more hypertrophy, etc. Attempting to achieve all these things, concurrently, is akin riding multiple horses with one saddle: rarely does it end well.
Using myself as an example: back when I discovered the "wonderful" world of metabolic circuits and Tabatas, I'd throw them in at the end of every strength training session thinking that it would automatically turn me into a lean, mean, fighting machine. My primarily goal was strength improvements (I was following a powerlifting-centric program at the time) but me, in all my intelligent greatness, thought it'd be wise to throw in crazy finishes at the end of each session to improve my work capacity and keep body fat at bay.
Did I become pretty decent at doing a lot of squat thrust + tuck jumps in a short period of time? Sure....but to what end? Did I get stronger throughout the course of the program? Not so much.
At least, not nearly as much as I could have had I not committed such wanton foolery at the end of each strength training session. Our bodies can only handle so many competing demands; you can only get so far by trying to simultaneously train for both strength and the anaerobic lactic system.
Keep the goal.....well, keep the goal, the goal! If your goal is strength, then your actions should reflect this. 20-rep deadlifts in a circuit, for time, is not strength training.
I'm not poo-pooing on those who enjoy circuit training or want to add a "metabolic boost" to each training session. To each their own. But I do feel many miss the mark when it comes to choosing a goal and seeing it to the end. If you want to get better at circuit training, then do circuit training. But if you want to get stronger, then, well, do things that will make you stronger, and focus on those things alone.
Now, just because strength may be your primary goal, this doesn't necessitate you allowing yourself to fall so far by the wayside that you become winded from climbing a small flight of stairs. In fact, smart cardiovascular activity will only aid you in your quest to carry, push, and pull heavy objects. Just follow these rules with any conditioning you do:
- If you're worried about increased bodyfat levels, do your due diligence in the kitchen. A rule we use with our athletes at SAPT is that training should NEVER be used to make up for irresponsibility in the kitchen.
- Don't be an idiot.
- If you do need to develop your work capacity, go about it in an intelligent manner. Monitor your heart rate, employ joint-friendly modalities, and track your strength gains to ensure you're still moving in the right direction.
Examples for the Strength Enthusiast
- For some examples of joint-friendly conditioning options, check out the series I put together HERE and HERE.
- Hill sprints are another great option.
- Todd Bumgardner also put together a solid article at T-Nation, A Practical Guide to GPP, in which he lays out some good options, along with providing advice on when to put focused periods of GPP (general physical preparedness) into your program.
- Tim Henriques wrote a great article, Cardio for Strength Athletes, that discuss and provides awesome guidelines for....well, I think the title is self-explanatory.
"You're Doing It Wrong" #6 - Training at Too High of a Percentage Relative to Your One-Rep Maximum
I tell you truly, it really is incredible how strong one can become by lifting with submaximal loads. While yes, there certainly are times to push it and incorporate periods of lifting close to your max, there's much to be said for maintaining solid bar speed and keeping the load low(ish) in training.
Yes, I am biased, as I work predominantly with athletes and I'm always seeking ways to make them stronger and faster with minimal risk of injury, but many successful powerlifters have (successfully) utilized this approach, as well.
Two quick examples of student-athletes at SAPT. Here is Carson, now at UVA and competing in powerlifting, who we helped take his deadlift max from 410lbs to 445lbs, never using loads higher than 365lbs in training!
And here is Red Dowdell (now playing Division I baseball at VMI) who trained at SAPT in-season during his senior year of baseball. I kid you not, we never had him lift anything higher than 275lbs during his in-season training, and yet he was able to pull 405lbs post-season. (His previous best was 325lbs.)
That's a 35lb and 80lb improvement, all accomplished while using loads well less than 90% of what they were actually capable of doing in training.
It's amazing what you can accomplish by ceasing to obsess over weight liftedin training as your sole benchmark for improvement, rather than improving rate of force development, honing technique, and judiciously manipulating frequency, volume, and other training variables to make yourself stronger and more powerful.
And the stronger you become, the more imperative it becomes to astutely plan and cycle periods of higher loading, given that your nervous system is more efficient and you recruit more higher-threshold motor units than you did as a beginner. While a beginner may be able to get away with regularly training close to their max, stronger individuals become absolutely fried from doing this too regularly. What may be 90% for a 700lb deadlifter (630lbs), will have a much different impact/effect on the human animal than 90% for a 200lb deadlifter (180lbs).
"You're Doing It Wrong" #7 - Failing to Train with Purpose
Even though, in the points outlined above, I touched on concepts of good form, not going too heavy, and never doing more than is required, this doesn't mean that you can expect to become stronger without training with conviction, purpose, and intent to succeed.
Those who constantly check their cell phones for texts and Facebook or Twitter updates, and those who converse with others while the bar is on their back, will always see sub-par results compared to those who train with some freaking purpose.
Don't just go through the motions! Put the magazine down, grab the bar as tight as humanly possible, and move it like you mean it!
When you walk on to your respective training grounds - be it your garage, a commercial gym, or an awesome performance institute like SAPT - let go of everything that was plaguing you outside the facility walls. Traffic, girlfriend/boyfriend problems, co-workers driving you nuts, celebrity news tempting you to read the magazine on the shelf, it all doesn't matter.
Focus on the task at hand, and then be amazed as you reach new heights.
My L5-S1 Disc Explosion Pt II
Continued from Part I So after bucket-loads of pills, rest, e-stim, physical therapy, decompression treatment, chiropractic adjustments, and acupuncture I was still a mess. My pain had only gotten worse over the course of 6-7 months. What was the next step?
Steroids
I was referred to another doctor, this time a pain management specialist. I gave him the story that I’ve been repeating over and over to the other health care professionals. He took notes, reviewed my MRI and my treatment history, and decided the next step was to try an oral steroid treatment. Before you shake your head in disappointment and disdain, understand that we aren’t talking about anabolic steroids (I doubt those would have helped me much). The treatment consisted of 10 days of a corticosteroid drug, specifically Prednisone, in a hardcore attempt to kill the inflammation in my spine. The doc was straight up with me and told me that there’s a chance it will help but it’s a far cry from a guarantee. He wrote me the prescription and warned me of the side effects:
-High blood glucose
-Fluid retention
-Insomnia
-Anxiety
-Weight gain
-Severe facial swelling
-Fatigue and weakness
-Mental confusion
-Steroid dementia syndrome
-Infection
-Joint pain
-Blurred vision
-Acne
-Depression, mania, or psychosis (wait… what?!?!)
I followed the directions closely and took the pills everyday for ten days. The dosage started high and tapered down throughout the duration. I can’t say I felt much of a difference throughout that time. The pills didn’t make me feel better at all, but I didn’t get any noticeable side effects either.
So soon after that I’m back in the doctor’s office to see what the next step is. We agree that something more invasive needs to be done, but not surgery… yet. He suggests an epidural steroid injection. An epidural injection does not “fix” the issue of the blown up intervertebral disc, but can provide lasting relief for anywhere from a few weeks to a year or more. In combination with a solid rehabilitation program, many patients have had great success with these injections.
A few weeks after the oral steroid treatment, I’m in the doctor’s office ready for my first injection. It was definitely a scary thought, the idea of an enormous needle driven right into your lower back, but I was a desperate man ready to take desperate measures.
They provided some local anesthetic to my lumbar region, and proceeded to stab me in the spine with a Super Soaker of a syringe. They warned me that it would hurt, and it did. I felt an extreme sense of pressure in my lower back, as if an elephant stepped on it, followed by intense pressure down my left leg. When I got off the table to stand up I almost collapsed, because my left leg was still numb. They told me this was normal and that I should regain the feeling in my leg in a couple hours.
The pain in my back and down the leg at this time wasn’t completely gone, but it was significantly dulled. I remember feeling a sense of hope, that I was FINALLY on the path to recovery. The dulled pain continued for a few days, but then slowly started creeping back. I called the doctor with concern, but he let me know that sometimes it actually takes a couple weeks for the drugs to kick in 100%, so I should give it time.
Over the next two weeks I remember trying to ignore the fact that the pain was coming back, but after a few days of waking up to the full blast pain that I felt before, I went back to the doctor. He recommended a second injection. The second injection was just as pleasant as the first one, and left me numb for a day. This time the doctor also wrote me a prescription for Cymbalta.
“An anti-depressant?!” I asked. I mean this injury is depressing for sure but c’mon doc.
He explained to me that the drug is a seratonin-norepinephrine reuptake inhibitor (SNRI) and that yes, it is used to treat clinical depression but also to treat peripheral nerve pain. Reluctantly I took the prescription and took about a weeks worth. I quit after that first week because I felt like it wasn’t helping and I was becoming paranoid about the dictionary-sized list of associated mental side effects.
The dulled pain lasted about three days this time and immediately returned. After another couple weeks I came back for injection round three. The limit for these injections is three per year, and I reached this limit within a couple months. These injections definitely aren’t child’s play and you can’t haphazardly just shoot them up into your spine whenever you want to. With each injection you run the risk of infection, dural puncture, nerve damage, and even joint degeneration in the long run!
This time the doctor wrote me a prescription for Gabapentin as well. Gabapentin, also known as neurontin, is a drug used to treat epilepsy but has been successful in treating neuropathy as well. Apparently it’s also a popular recreational drug because of its potential psychoactive effects. What is this doctor feeding me?!
Anyways, after three injections and a bunch of sketchy drugs, I was back to square one. No relief. When I came back to the doctor I already knew what they were going to tell me: “We’ve exhausted all of our options and it may be time to consider surgery.”
The Surgeon
My girlfriend, who works at INOVA, did some digging on several reputable orthopaedic surgeons in the area. After consultations with three different surgeons, I decided to go with Dr. Thomas Schuler of Virginia Spine Institute.
As one of the top 100 spinal surgeons and specialists in the country, recognized among the top 1% of physicians in his specialty, and top 10 spinal surgeons for the NFL, his reputation preceded him. Being the spine specialists for the Washington Redskins had nothing to do with my decision… I think…
During the consultation at his office, he and his assistants spent almost two hours of dedicated time with me, running me through a myriad of tests, looking through my records, performing another x-ray on my spine, and analyzing my MRIs.
When it was all said and done, he was confident that a microdiscectomy would be the way to go.
A micro-what now?
The plan was to perform a “micro-surgery” that was relatively minimally invasive: The doc would slice into my lower back, push the erectors out of the way, cut some bone away from the lamina of the vertebrae, find that insidious piece of disc that was pushing on my sciatic nerve and ruining my life, decapitate the herniation, and stitch me back together.
Terrifying… I thought. “Let’s do it,” I said. My consultation was on a Thursday, and the operation was scheduling for the following Monday.
The Surgery
Like almost everything in life, the operation came with a bunch of paperwork. I filled out all my papers, signed a will (yeah, really), and they sent me home with my pre-op packet filled with instructions.
There wasn’t much to do from my end pre-op. I couldn’t eat or drink anything the night before and had to shower with a special soap.
The next day I showed up at the hospital, checked in, and waited in the waiting room with a number of other poor souls like myself that were about to get cut open. When I was called up they prepped me up in a gown and surgical socks and rolled me away on a bed to the anesthesiologists.
The anesthesiologist prepared the IV and stuck it into my arm. She explained that she would soon inject the drug and I would fall into a deep sleep. I remember her asking me where I went to school, to which I replied “George Masgfughabluhhhhhhh…” BAM! I was out like a light!
After what seemed like a minute or two, I slowly woke up, very hazy. One eye half-open, I looked up at a nurse and asked “when are they taking me to surgery?” She chuckled and replied “Oh honey, you’ve been out of surgery for hours. It went perfectly!” I didn’t want to argue so I went back to sleep.
The second time I woke up I was in the recovery room with my girlfriend and family. After the blur started to wear off I realized that the intense pain in my back and left leg were gone. I was so happy I could’ve cried. Pain had become such a huge part of my life that I forgot what it was like to not be in agony. I was definitely sore from the flesh wound I now had in my back but it was merely a slight discomfort compared to how I’d been living that past year.
I spent the night there, still in a daze from the morphine and eating French toast while watching The Simpsons. It was definitely one of the most joyous days of my life.
Stay tuned for Part III!
