Yes.

See, it's not the knee. It's the pelvis just staying in the yard orientation. There's no change. There's no shape change. That's all.

Was that on IFast university?

Yeah.

I got a question about a client who was told by his chiropractor has T4 syndrome. I looked into it online, but the description was vague. I was hoping you might have more insight into whether you've ever heard of it and what it is. To me, it seems similar to thoracic outlet syndrome or radial nerve issues where there's nerve compression causing referred pain down the arm. In his case, he's experiencing pins and needles. He has a tight neck and a history of C5-C6 compression several years ago, which has caused ongoing neck rotator problems and muscle stiffness depending on his activities. However, this recent situation was triggered by moving batteries at work—reaching down with his left hand to stack them on his right side. He's been receiving chiropractic treatment, and the diagnosis was T4 syndrome. I don't know much about it, so I'm wondering if you do.

So I have a procedural question. For example, let's say you're trying to bring a Y back on the right and you want to do like an early Nemo on both sides. Early Nemo, is that what you said? Yeah. So would you, if you want to put a towel under the axial skeletons, try and get it to shift one way, would you try and put it under the left side to try and get the axial skeletons go through the right for both Nemo's? Or when you do the left one, are you trying to get everything to rotate left with it? Where are they first?

Yeah. I understand. Okay. So the concentric orientation means the muscle is getting shorter. Yes. No matter what length.

Yeah, I've been hanging out with him too much, I guess. Do you see it? Yeah.

Good morning, sir. How are you? I'm well. There's a heat wave here in Ireland. People were out taking photos of the sun; it's a rare occurrence here. They ask questions like, 'What is that in the sky?' There are grandparents standing there with grandkids. You don't see this too often, so make sure you take it out. It hurts my eyes, grandma. Look at it. It's a pity. Zach wins off the collar because you kiss Lisa goodbye. I was about to say to Zach that he better take a good representation of that when he goes to kiss Lee. I don't think they're too complicated. It's just too, in my mind, quick ones is the most common representation we see when people are standing in regards to their feet—left and right. It just seems to be the most common one we're seeing most of them.

So non-specific mechanical back pain solutions. Let's break out the back pain cookbook and we will go through this process. I must pull on the second toe at an angle of 32 degrees relative to the third toe. No, wait. Wonder month needs to go outside. Set up the foot like we just talked about. So you're looking at the plantar aspect of the foot. Fair?

I guess my elbow moved that way.

Again, hesitant to say that depending on the actual magnitude of load here, but it would be relatively more externally rotated. Right? It'd be, like I said, when you step forward and your foot lands on the ground to take a step forward, you have a tibia that is in relative external rotation. But it's not, again, it's not the end representation of external rotation. It's not the screw-home representation of external rotation.

OK. Connective tissue behavior, hang on. The reason that you have the connective tissue behaviors in the first place is because you actually stopped the relative motion and the connective tissues keep moving. This is why static stretching does not improve range of motion to any significant degree because it's not supposed to. It's connective tissue behavior. Muscle orientation, so the change in the concentric to eccentric orientation of a muscle is what changes a joint position. That improves range of motion. See, they're confusing things because they're not paying attention to what's actually happening during the stretching element, which would be the yield. Stuff moves. No question about that, but it's not relative joint motion. Like you don't, like when you're trying to train connective tissues, you don't want relative motion because I need the connective tissue behavior to be the stuff that moves joints.

Yeah.

Yes, I did.

So everything starts to turn into IR from the ground up.

Right. So in a narrow stance, like the sacrum is going to be more, in a right foot forward, it's going to be forward to the left.

Hi, sir. How are you? Very well. Thank you. First, I have a quick follow-up. Regarding restricted range of motion, when someone gets more compressed, they get less motion. I wanted to check what happens when someone has too much motion. Let's say over 40 degrees of internal rotation and they have some external rotation. That means their spine is still moving to produce the external rotation. But if they would get more and more compressed, they would start to lose both external rotation and internal rotation.

But you might be orienting to get it. It's coming from the other side, so to speak, right? Well, you're actually turning your spine to get your leg down because you don't have that space yet.

That's OK. I'm letting you down. So you could then do the right stack. You could do the right back and left forward staggered to get the middle representation on the right side.

OK.

You need either some activity that's going to allow you to capture them without a compensatory strategy, or you'd need a manual application. So you're either going to change muscle orientation, or you're going to change joint position manually to allow them to capture the desired contact. All right because it's ultimately the contact that's going to give you the muscle activity that you want, right? From a coordinate standpoint, like from their output standpoint, like we achieve things passively to give them.

So everything that they're doing is on this axis. They're doing this, right? So they're doing this and then they have to go forward like that, right?

Okay. We do a lot of backwards sled pulling with where we put the nylon strap, let's say around the trochanter, right, where it's a trochanter. We use a load light enough that we can breathe really well. We internally rotate the femurs about five degrees, put the foot pressure all in the medial part of the arches and drive back. Is that creating a shape change for the wides that are out wide because of the two parts because of the compression that we're putting on the sides?

Okay. So not that you're not gonna worry about force production, but again, it's like you just don't want things that are going to expand that timeframe, right? So you work in a shorter amplitude, right? And then you gradually induce the connective tissue behavior from an energy standpoint. So it's like, you're not going to take the rubber band. You're not going to try to pull it back as hard as you possibly can at first. You got to teach her how to oscillate within a smaller range. And then you expand the oscillations, always keeping the time constraint reduced. Did you happen to see the video of the 13 exercise progression that I just posted recently?

Yeah, but I want to come up with 3F love myself. It's going from proximal to distal.

Does that mean that you have a metacarpal phalangeal joint restriction?

Okay.

Yeah.

Yeah.