But this is why these programs, like our apprenticeship, mentorship style programs have to exist. It's because people just don't know what the options are. They don't even know what they are. And you have all of these superimpositions on top of the exercise. If you talk to, like say, a powerlifter, because their intent is basically the same in powerlifting, it sort of gets mixed down to this limited number of options, right? There's only a couple of things that you can do. There is a way for you to do this. Right. And then when you start to branch out and we get into these dynamics that we're trying to support from a sporting aspect, it's like, oh wait a minute, that's actually going to be detrimental if I do it that way, whereas if I just tweak it in one respect. The duration of time on the box, the touch and go, the foot position, all of these things can be manipulated to create just a point of emphasis that will support this individual's capacity. And again, it's like the only way that you're going to get that kind of understanding is this experiential type of an environment, right? It's like if I can't access it at the quote unquote normal place in a joint, I'm going to get it somewhere. I need something that re-orients me to go forward when I want to walk forward. Knowing full well that people are going to be biased back towards external rotation under most circumstances. ER is our home, so to speak. From an evolutionary standpoint, external rotation came first, internal rotation came second. Because we were swimmers before we were walkers. And swimmers are externally rotated. Walkers have to internally rotate against gravity because the propulsive phase is different on land than it is in the water. I appreciate you all for being here. Have a great week. Hang in there. Keep doing good work and I will see you next time.

Where else can I look to gain a perspective on these relationships? And so now this is where education comes in. And this is where they fail because what education has become is teaching a bunch of concepts without a coherent model to represent things. And so, you know, when you go through PT school, for instance, they teach you embryology. Well, why do they teach you embryology? They never told you why it's important. And the reality is, it's like, that's where you came from. And so when you start to see how these relationships evolved through development, you start to see how they are represented in this fully grown human that we're interacting with. And then it becomes very, very powerful. And so that's why we have to go back and we have to start looking at those things. We look at comparative anatomy between animals because other animals behave very similarly to how we do. So how does it work for them? And then we can start to get ideas of how it might work for us. Finally, we start to say, okay, does this make sense? Is it coherent with what my understanding is? And so think about this for a second. We have universal principles that are applied everywhere. So I talk about compression and expansion a lot. The reason being is because it is a universal principle. So when I say universal, I am talking about the universe in and of itself. So we talk about compression and expansion. So that's what the universe does. It expands. So space expands and compresses. Time compresses and expands. It's light compresses and expands. So we have to follow those rules too. So wherever we have some physical principle in the universe, we need to behave within that rule as well. So is it coherent? Is it consistent with those rules? The rules are very, very simple. When we look at the complexity of a human we can get distracted by sharp shiny objects all over the place but the reality is if we can start to simplify things we look at the simplest of rules that is how complexity evolves so if you look at things like Conway's game of life and you can look that up on google and then go play with it a little bit and what you'll see is there's there's three simple rules that this game is based on but you'll see the most amazing complex structures that evolve from those simple rules. We are the same. And so again, if I see something or I see information presented that requires that I have to learn another rule, I immediately question it because again, I think we're based on very, very simple rules, very simple processes that are just repeated. And because of the new starting conditions, that's what evolves the complexity that we see.

Well, there are unknowns in every situation, right? Yeah, yeah. And all we have to do is respect that. It doesn't mean that we're not going to make progress. It doesn't mean that we can't be successful. It just means that there's stuff that we're just not going to know. But that's why it's a process and that's why we follow things over time. And people ask me, it's like, how long do you think it's going to take me to get rid of this? It's like, I have no idea. I said, if you broke a bone, it would be six to eight weeks. We kind of know that one through experience over time that most people will heal a bone in six to eight weeks. But I'm making a point. It's like, okay, so if this is a learning-based adaptation that I have to teach you, how fast is it going to take you to learn how to do this and make it unconscious? I don't know how long that takes. What is the effort that you're willing to put forth? How many things are you doing that interfere with what we're trying to accomplish? So it's the runner that comes in with plantar fasciitis and then they say, okay, how long is this going to take? And it's like, how long are you willing to stop running? And they go, well, okay, I usually do 120 miles a week or whatever. I don't know how the marathon runner runs these days. They go, what if I only do six? It's like they don't, they don't quite get it. They keep doing things that interfere with their behaviors. And so those are the things that, that have to slowly be taken away because again, they're habitual just like everybody else is, or they don't want to pick things up. So you got, you've got some positional stuff and then you've got some, some muscle activity stuff that limits the great toe. So, so you're going to have to look at Um, so, okay. So here you go. When you have, when you have an actively, um, uh, planar flexed first rat. Okay. When it's actively planar flexed, you have a pelvis problem in the, in the, the posterior aspect of the hip that is exactly the same as what's going on in the foot. Is it a right side or left side bilateral? Oh, okay. So then you must have a really big orientation to have a straight leg raise on that side then.

My brother, five years older than me, and he had to take a home ec class in high school. So he had to learn how to cook for himself. And he had to learn how to sew. And again, it sounds stupid, but I didn't get married until I was in my thirties. So I had, you know, decade and a half, maybe a little bit more of where I had to learn things for myself. Okay. And if you don't take the time to learn these things, then you're the guy that's eating all the fast food. But again, just like life skills like that and just things that like, hey, simple toilet repair. I would love to have that because I got a toilet right now that does not shut up. Or I should have become a plumber because they're apparently doing very well right now. Those types of skills. But again, like all that kind of stuff, like making a good human with a foundational science background so that they can speak intelligently about a number of different things, right? Rather than having these standardized tests that, you know, but they're teaching, and I don't know, because it's better than I can on any level. It's like they're teaching classes to pass a test. They're not teaching, they're not teaching humans to be great people.

So if you understand your starting conditions, then it's just a matter of moving you progressively towards that position where you have an internally rotated ilium, an antiverted acetabulum, a nutated sacrum without compensatory strategies, and there you have your hip extension. So rather than trying to force things, rather than trying to blame weakness of a muscle, which is ridiculous because those are positional problems that result in a lack of force production, it's not a weakness of a muscle. Let's stop blaming muscles, let's stop blaming length, and let's start looking at orientation, and then the relative positions that we need to capture that internal rotation so we can step cleanly over that limb or we can sprint with full capability with this full excursion of the pelvis and full excursion of the hip joint. So Brian, again, apologies for not seeing this sooner. I hope this works for you. It at least gets you started. If it doesn't, ask more questions. I appreciate you. Everybody, have a terrific weekend. Have a great Friday and I'll see you next time.

I had a cough.

Yeah, but if you start to look at the foot in its segments versus the whole foot, you can talk about the gliding of the medial cuneiform with the navicular if you want to, but the reality is you have to try to segment this thing and make it a little bit simpler. And you can, in my opinion, make it look very familiar to you if you know how to flip things around in your head. But the end result they wanted was the extension. It doesn't address the rotations. So again, you have to look at the mechanics of the knee. It's like, okay, how do you get the extension? Why do you have to have tibial ER? Do you have tibial ER? So again, those questions need to be addressed. Do I have a position at the pelvis that negatively influences the knee? Do I have a position at the foot that negatively influences the knee? So all of these mechanics come into play when you're trying to address, and we're talking about knees, but this is any joint—there are influences that will limit joint excursion. Again, is the person using a compensatory strategy to move through space that does not allow them to access their full knee excursion?

Okay.

And you may never know at all, which is, again, that's why we're going after outcome. But see, this is why understanding the science to some degree is important, is because it provides you that theoretical foundation to make a decision from. You say, well, okay, so I need to increase endurance. So that implies that I'm going to be promoting some enzyme development, mitochondria construction, et cetera. You have this theoretical foundation of understanding, and then it's like, okay, if I was to do this, what parameters would I want to impose to promote this adaptation? And then you say, okay, so yo-yo test improved, so okay, I was right. Whether you're right or whether you're wrong, you got the desired results. So we have the theoretical, we have the understanding that influences our capabilities of making a decision. Then we have the pure application of producing the outcome.

Dr. Mike. How real is this carnivore diet? It's now trending. I'm seeing people post about it. Like how real is it? Like are people actually doing it and what are the macros to make you a carnivore?

No question. Say what? Totally unable to answer. Yes. No question.

Yeah, exactly. It's like we don't have to pigeonhole these people into these protective atmospheres in every case, especially when she's demonstrating the fact that it's OK. It's safe for her to proceed. So I think this is brilliant.

Literally, yeah. And we looked at a bunch of places and then we found the Home Fry Fast 1.0, which is literally in the same building that we're in right now at the extreme opposite end and about half the size. And tell the story of what it actually is.

Incredible.

Okay. And so, all of the things that you mentioned are possible. It just depends on the context and the circumstance and the individual. It depends on what learned behaviors they have. What capacity do they have? As we get older, our connective tissues dehydrate. Well, connective tissue behavior is dependent on water behavior. If we don't have enough water content in those tissues, we have given up part of that yielding capability. And so you do the best that you can under those circumstances. You make sure that whatever capabilities that you have are intact. This is where some of the nutritional stuff comes into play. We don't talk about that too much because it's kind of all over the place as far as nutrition goes. But just making sure that you're hydrated so you can move might be useful.

What does it mean? A dramatic increase in symptoms.

But if you look at it from a segmental standpoint, if you take T2 and then look at T9, and take a breath, they're moving in different directions. One is tipping forward—T2 is tipping forward—while T9 is tipping backward to make a bigger curve. Can you picture that? So to blindly call it one thing doesn't seem fair to me.

Yeah. Okay.

Yes. So you're going to encourage the accumulation of internal rotation. Good morning. Happy Thursday. I have neural coffee in hand and it is.

OK. Thank you.

In that situation, would we be moving more, like in that circumstance, would you be moving more along the lines of rectus, or would you be trying to facilitate more of the normal pattern of the diaphragm movement?

There's definitely differences. And again, pelvic inclination, not clinically, but from the research standpoint, when you look at the pelvic inclination, that is a representation of the degree of orientation that we're talking about. That is measurable, but again, it's not reasonable to use that clinically. And it informs us of things that helps us determine what we're actually looking at clinically, but the degree of which is almost impossible to tell. But there is a little way to kind of, there's some detective work that you can do in regards to the way that the sacrum shape changes, especially some of your really compressed sacrums. You'll get an idea of the degree of pelvic incidence. The greater the incidence, the more bend you have in the sacrum. Like that's just an absolute, as far as we can tell. So your question. Go ahead.

Exactly, yeah.

Which would be the goal. Yes.

Yes.

Yeah. I'm trying to get him to abduct the arm and it's just not opening.

No.

All right, understood. And after that, I was playing with some, let's say I'm seated on the box as they can go up and down and back up. If I want to add like the duration component of it, could I make them lift their legs up and as they contact the ground like feet up and as they contact the ground, I'm getting that distal to proximal IR. So I'm basically pressurizing from bottom up and just use the feet contact to make the duration as fast as possible.

Let's say I'm pushing into the ground. So what is pushing into the ground look like? ER IR? So shouldn't I have an IR representation? Yes. So where would the IR show up? It's where you have access to it.

Oh, yeah, my bad. There we go.