Pills? Shots? How 'Bout a Little SMR?
Happy New Year everyone! Ready for 2013? I am! (I've also had a lot of coffee this morning.)
Yes please!
I had a conversation with a friend of mine the other day and she recounted a saga of back pain to me. She had some back pain that just wouldn't go away so she went to the doctor to get the appropriate MRI and x-rays (nothing was found to be structurally wrong). Then, he writes her several prescriptions for muscle relaxers and pain killers, none of which helped. He also told her to get an epideral.. which also did nothing. She then went to another doctor who sent her to physical therapy... which proved, once again, to be a somewhat unhelpful (she said that the PT was great, but by the time she had started making progress with my friend, the prescribed number of sessions were over.). Then, as a last resort, she asked a trainer at the gym she attends who has training in a method called Egosque (a school of thought focused on postural realignment), and within a session or two, bam. No more back pain. For her, she was merely a little out of alignment.
It's an obvious answer in retrospect; kinda like disarming Voldemort with a simple Expelliarmus charm.
My sister-in-law was in a similar situation. She was experiencing near-debilitating back pain for months. She saw a chiropractor, had MRIs and was prescribed various pain-killers and muscle relaxers, to no avail. Then, one day, Steve was rolling his glutes on a lacrosse ball and Jenn, being curious as to why her brother was lolling around on the floor while making pain-faces, asked what he was doing. "Just rollin' my glutes," was the reply. "Can I try?" she asked. Being the awesome brother Steve is, he passed the lacrosse ball to her and taught her how to roll on it.
Within 5 minutes (this is no exaggeration), Jenn's back pain was gone. In her case, it was just tight butt muscles that needed some lovin'. Go figure!
Last story, I was having almost daily headaches, borderline migraine levels sometimes, for a couple of months this past year. I too trucked off to the doctor and had muscle relaxers prescribed to me (I was also taking a fair amount of Motrin to ease the searing pain in my head). Nothing. The muscle relaxers made me feel sick to my stomach, dizzy and my head still hurt. Motrin, as effective as it can be, is not something I wanted to be taking long term. After several futile weeks, I went to see and ART specialist (Dr. Grove in Vienna if anyone is interested. No, I don't get any special treatment, but she's so great and has helped me so much that I'm more than happy to send folks her way!) and she immediately pinpointed my tight neck muscles and within 20 minutes, my headache disappeared. I've been seeing her once a month (to continue working on my neck) and I have had only a handful of headaches (usually when it's been 3-4 weeks since I've seen her) since August. Again, just a little soft tissue work and boom, pain was gone as fast as an apparating wizard.
Not to discount any PTs or chiropractors out there (as it may seem in the two previous stories) but sometimes the problem isn't where the pain is. (and I think that's what happend with my friend and sister-in-law, their respective therapists were perhaps treating the symptoms instead of the cause.) This is also not meant to be a post about diagnosing pain nor do I claim that I can. If you're having pain you should go see a professional, get the MRI or x-ray to rule out any structural damage and then proceed to seek out professionals that know how to administer soft-tissue work (beyond what you can do yourself with a lax ball and foam roller).
I'm relating these stories because from what I see at work and at my previous jobs (and what people tell me when they find out what I do for a living) people have a lot of nagging pains that don't go away with medication or shots. I'm not saying that those medications don't have merit, (I definitely helped keep Motrin in business!), but they only treat the symptoms and not the underlying cause. The main point is that, folks need to attack the source of the pain (none withstanding actual structural damage). And, in my experience, digging into the soft tissue is often the simplest and most effective answer when it comes to nagging, unresolved pains.
If you have some sort of pain that just never seems to go away, I would encourage you to go see a reputable ART therapist or PT to see if they can find the source of your pain. If you don't have the time (or money) to do so, check out this website and take a lacrosse ball and get rolling!
6 Things I Learned During My Internship at SAPT
Today's guest post comes from Jessica, one of our (awesome!) interns from this past Fall. Hope you enjoy. It has been an awesome semester at SAPT! I learned a lot about coaching, correct technique, problem solving, communication, and lots more. In this post I want to share six things I learned on a deeper level during my internship.
1. Correct technique is important!
It is obvious just being in SAPT a short while that technique is heavily emphasized and for good reason! Sloppy form doesn’t strengthen effectively and creates injury.
2. Everyone needs a coach!
No one is above needing a coach! The body wants to slip back into bad habits or rely on the path of least resistance instead of use the right muscles. Even using a mirror doesn’t give you the full perspective. There were countless times this semester when a coach would provide simple feedback that made a huge difference in the quality of a movement a client was performing. Coaching is invaluable!
3. THINK about what you are doing.
Just because something looks cool doesn’t mean it’s a good exercise. When you are doing an exercise, think about the purpose behind it; don’t just assume it is beneficial.
4. Work hard!
I was so impressed throughout the semester at how hard the clients work at SAPT. Those that worked hard every time they came in became stronger. Also those were thoughtful about every movement and didn’t rush were the ones who had good form and benefited the most. The few who rushed through the workout weren’t experiencing the full benefits.
5. It is important to be able to receive correction.
Coaches correct because they care! If they didn’t care, they would let clients do the movement wrong. If you aren’t able to receive correction you will be stunted in your growth. But if you take it in and change what you are doing, you will be able to reach your goals.
6. You can accomplish great things!
Maybe it sounds cheesy but its true! There are way too many lies out there about how people can’t accomplish fitness goals because of their gender, age or even past injuries they’ve had. It has been great seeing various clients break these stereotypes and meet their goals regardless.
Tadashi and I graduated from George Mason last week which was a great way to end the semester. I know I will be better prepared as I meet whatever comes next because of my time at SAPT. Thank you again to everyone for a great semester! I am glad to have met and worked with you all. I hope you all have a wonderful holiday season.
10 Things I'd like to Share from 2012
As I opened my computer this morning, it didn't take long to realize I had a list of non sequiturs running around my brain. As 2012 is drawing to a close, why not allow them to run around on paper, forming a random thoughts post. Here are 10 things I either remembered, learned, or simply felt like sharing from the past year: 1. Taking the time to teach an athlete to "sit into the hip" during the foundational phases of jump training in the frontal and transverse planes will do wonders for their athletic development, as they progress onward to more "advanced" stages of change-of-direction training and force transfer outside of the sagittal plane.
Notice how in the video above, I use a "soft knee" during each landing and and push my hips back to decelerate. This displays the proper utilization of the glutes and other active restraints of the hip to create "tri-planar" stability: eccentrially controlling flexion, internal rotation, and adduction of the femur upon each ground contact.
However, the video below shows how you'll typically see people perform lateral hurdle (or cone) hops. Note how I rely much more heavily on the passive supports of my body - namely, ligaments, menisci, and other joint structures - to decelerate each landing.
Many athletes will land with a "double step," or even fall over, when learning how to decelerate correctly for the first time. Investing ample time in mastering this entry-level progression will pay huge dividends later on within the realm of injury risk reduction, change-of-direction speed, and rotational power on the field.
2. I love coffee, and, as a result, one of the best parts of my day (other than a good poop) is preparing and enjoying a quality brew early in the morning. Either that, or visiting my favorite local coffee shop, Caffe Amouri, where I settle down to do computer work alongside my faithful squire, Aragorn.
The best decision I made this past year to enhance the morning experience of home-brewing coffee was to purchase a Clever Dripper to prepare my morning elixir. Some of you may recognize it as the "pour over" or "hand pour" method.
With it, you receive all the benefits of a french press - full extraction of the flavors and sugars of the bean - but without the "mud" that typically resides at the bottom of a the mug. The Clever Dripper also WAY easier to clean than a french press.
I highly recommend it for you coffee-lovers in the crowd.
3. Here's an important classification I like to use for differentiating between main lifts in and accessory lifts in program design: Any main movement can also used as an accessory movement, but not all accessory movements can necessarily be a main movement.
It may sound simple and borderline obvious, but it bears repeating for those that are unsure of how to set up their programs.
4. The wrong and right way to hip hinge during a squat. Be careful of overemphasizing the familiar "hips back" cue too much when either squatting yourself or teaching someone else how to squat, especially if an anterior-loaded squat pattern like a goblet squat or barbell front squat is being performed.
If you push your butt back too much at the start, then your body has nowhere to go but forward on the way down in order to find its center of gravity with respect to the bar position. I think it goes without saying that this is unfavorable, with regards to both safety and that whole getting stronger thing.
See the video above for a brief demonstration of what I'm referring to. The first two reps show what happens when you overdo the hip hinge at the start, and the third and fourth rep show how to properly push your hips back as you descend to the bottom.
5. I read through the Harry Potter series this year (yes, admittedly it was fantastic), and jotted down some memorable lines as I went along. Here are a few of them:
- "Indifference and neglect often do much more damage than outright dislike." ~ Dumbledore
- "If you want to know what a man's like, take a good look at how he treats his inferiors, not his equals" ~Sirius Black
- "It does not do to dwell on dreams, and forget to live." ~ Dumbledore
6. Speaking of literature, I'm currently reading A Game of Thrones, and it is spectacular, to say the least. The author, George R.R. Martin, does a phenomenal job of reeling you into the story relatively quickly, and the world he creates is a different than most fantasy stories in that he veers away from the typical character archetypes (few are totally good or wholly evil, you don't have the classic hero who overcomes impossible odds and is immune to corruption, etc.) and he breaks many of the "rules" of stereotypical fantasy.
Hint: Don't read it if you're afraid of your favorite and/or likeable characters to die.
Not to mention, Martin is an absolute master of metaphors, description, and overall wordplay. Read it, and thank me later.
And, while I've heard good things about the HBO series, it still doesn't count. Sorry. However, that still doesn't mean this picture is not awesome:
7. One of the most rewarding parts of my job, by far, is helping people to train around injuries. It's extremely humbling to have the opportunity to help countless individuals - be they just coming out of surgery or simply dealing with a "tweaked" ankle or knee - continue to get stronger despite an injury they recently received.
Below is a video of Conrad, a 64-year-old who recently underwent not his first, but SECOND, total knee replacement surgery within the past year. Instead of wallowing in misery over the fact he couldn't do lower body training for a while, he barged through the doors of SAPT, with a battering ram, asking us to prepare him for a powerlifting meet. Keep in mind this was just weeks after his total knee replacement.
We put him on a bench-specialization program, and the end result was him hitting a bench PR in an official meet.
He serves as such a great example to those - way younger than 64 years of age, mind you - who make excuses as to why they seemingly can't take time to care for their bodies.
8. The Hobbit was an excellent film. I honestly don't see how Peter Jackson, or anyone for that matter, could have possibly done a better job with it. Yeah, people are upset he's splitting it up into three parts, but to me that just shows how Jackson pays attention to detail, and wants to ensure they leave no stone unturned during the film. It also means we still have two more excellent experiences in the theater to look forward to around Christmastime.
I didn't want to read any of the reviews before I saw it, so I looked at them a couple days after seeing the movie. Upon reading just a few of them, it confirmed my notion that the opinions of movie critics are worthless and overrated.
9. When you set up for the basic plank (and its variations), choosing to go from the "bottom up" vs. the "top down" actually has significant impact on how much iliopsoas is recruited. Considering that heavy recruitment of the iliopsoas is generally unfavorable in core stability exercises, try setting up from the bottom up rather than the top down.
10. An admittedly strange and ungrounded pet peeve of mine is when people use the words "jealous" and "envy" interchangeably in conversation. They don't mean the same thing!
To clear the air: Envy generally implies a sense of covetousness or a desire for something that someone else has. Jealousy, on the other hand, relates to a sense of resentment due to rivalry or the fear of being replaced.
I readily admit I don't have grounds from which to stand upon this sense of annoyance, as I am far from a grammar expert myself, and I make grammatical errors all.the.time. but for whatever reason I can't get this one out of my head.
Note: If you enjoyed this list format, feel free to check out this post or this post that I wrote in 2011.
Eating During the Holidays: Strategize!
First off, I saw the Hobbit... Most excellent! The reviewers out there who are saying it's not so great (Rotten Tomatoes) Poop on you. I loved it! Any Tolkein fan will love it, go see it!
Onto the topic for today: eating during the holidays. About this time, there are all kinds of "diet" advice, how to manage the holiday weight gain. Magazine covers are inundated with promises of "melting away" pounds and "avoiding the holiday bulge," with articles listing revamped recipes and (in some cases) "quick" workouts to justify the holiday treats.
I'm all for finding alternative, healthier versions of favorite food and I think it's great if a meal can be concocted that is healthy AND tasty! But, majority of holiday meals will NOT be the "healthy" version (or the "Kelsey" version as my family calls it.) So what is one to do to avoid the pounds that tend to accumulate during the holiday season (thus inspiring many New Year's resolution and influx of gym use.)?
How about this: just don't eat as much; obvious statement, I know. I understand that there is a plethora of delicious food, but hey, if you don't want to gain the extra weight, don't eat too much. Or, strategically eat. Meaning, if you know you're going to have cookies/pie/cake or whatever after dinner, don't eat the extra rolls at dinner. Or, if you want to sample all the food, great! Just have a little bit of each instead of a lotta bit.
I know this sounds harsh, or at best, callus, but a little extra will-power now will save a lot of extra work come January. And, saying "no" to the extra helping is not hard. I used to struggle with both anorexia and binge-eating disorder; I know too well the extreme ends of "will-power" (iron-will and no inhibitions). There's no secret recipe or workout that will magically keep you from gaining extra weight throughout the festivities. Trust me, managing caloric intake around the holidays is NOT complicated and with a little work, can be worth the effort.
I should note, that regular exercise, not just frantic after-the-fact workouts in January, is also an excellent tool in the toolbox of good health. Keeping up with your training through the holidays (or at least some semblance of it) will certainly be beneficial.
Anyway, I know this was short and not particularly informative, but more like food for thought (pun intended). Just be smart with your food choices and you won't have to worry about having to "work" it off later.
So What?
A golfer misses a putt. A basketball player misses a shot. A baseball player swings and misses. Often those misses seem like a matter of life and death before, during, and after the moment. But, the truth of the matter is they are not. Your ability to recover is where mental toughness lies. Over the past few days my work with athletes brought discussion on perspective. Perspective on the tragedy in Newtown served as a simple reminder that our misses are not nearly as big of a deal as we make them out to be. A game is a game. Many of us fear failure and the emotions that come with it. Yet, it’s failure that allows us to grow, which allows us to live. Failure is where brilliance is born. It's how we learned how to walk, talk, and read. It's all part of the process of greatness.
So next time you miss, and your thoughts start racing about all of the bad that can happen; give yourself perspective on the situation and ask yourself, so what?
An Overuse of the "Arch Your Back" Cue, and How to Create Better Positioning During Your Lifts
"Pull your chest through.""Stick your chest out." "Put your shoulder blades in your back pocket." "Arch your back....I said, ARCH!"
If you've ever set foot in the weight room, I bet you've heard at least one of the above verbal cues spat out hundreds of times by a coach or trainer in the middle of teaching someone to lift weights.
And for good reason, considering that this is what I usually see when I watch the average gym-goer set up to perform a deadlift or row:
Not pretty, right? And something that should make you want to throw your face into an axe.
We know that lifting with a round back (flexion), at least in the lumbar region, is exceedingly dangerous, large thanks due to Dr. Stuart McGill and his research showing that repeated lumbar flexion, especially under load, is the exact mechanism for disc herniation.
So, what did we do as an industry? We took the stance that if lumbar flexion is bad, then we should keep people as far away from that as possible. If extending (arching) your back is good, then the more the better, right? This thought process lead to us ensuring that everyone "arched their back," or "pulled their chest through" as much as humanly possible anytime they set up to perform a deadlift, row, squat, you name it.
Guess what? Excessive extension is bad, just as excessive flexion is bad.
Overextension in the lumbar region can be just as evil as flexion. What shows up on your doorstep when you do it for too long? Hellooo to low back pathology, to spondy and her cousins. Hello to facet irritation. Hello to an even greater anterior pelvic tilt. Hello to crazy stiff lats and a weak anterior core. Hello to literally cranking on the passive restraints of your back (not a good thing). Goodbye to stronger lifts.
Below is a bevy of comparisons I've put together, showcasing what is commonly seen as good form (sticking your chest out, or overarching your back), alongside a picture of what your back should look like. The pictures on the left show broken, ugly positioning while the pictures on the right display stable and sound positioning.
Instead of performing our lifts with a hyperextended spine, we want a neutral spine. A neutral spine is a happy spine.
TRX Row
Seated Row
Chest-Supported Row
Bent-Over Row
Anti-Rotation Press
Bent-Over Barbell Row
Goblet Squat (Top)
Banded W
Deadlift (Middle)
It may surprise some of you to see what you may have initially thought of as good form, to actually be broken. And knowing how to cue neutral spine is of even greater importance when you're working with someone with extension-based back pain, or even an athlete who lives and breathes in an extended posture.
And it's no wonder why you see so many ugly internet videos of people performing high rep snatches, with the top of each one looking something like this:
When we have crazy stiff lats and a weak anterior core from performing everything in extension, it's no wonder why so many of us look like utter poo poo when we go overhead.
Closing Thoughts
- Telling someone to arch their back or stick their chest out isn't always a bad thing, you just have to use discernment as to when to use it. Some people - i.e. desk jockeys or those with very kyphotic postures - may actually need to extend their back as much as they possibly can, just to get to neutral! These are the folks you may find yourself cueing "chest out," "arch your back" over and over again to help them get out of flexed (rounded) posture into neutral, and, depending on the population you work with, you may in fact find this scenario way more common than the reverse (those who shoot way past neutral into hyperextension).
- For those with flexion-intolerant back pain, it can be O.K. to cue a minor bit of extension during core stability exercises, lunge variations etc. just to drive a bit of intended extension and help them get out of the flexed posture they sit/stand in.
- It's kind of ironic that fitness professionals always freak out about anterior pelvic tilt, and yet the way we we've been cueing exercises have only exacerbated the issue! We bang ourselves against the wall when we stretch our hip flexors into oblivion and then go right into a deadlift or glute bridge with a hyperextended spine.
- The captions "broken" and "fully operational" in the pictures above are references, of course, to the different statuses of the death star ray gun in The Return of the Jedi.
