Oh, sweet.

You always say that. You always say that. And then we talk for 10 minutes.

Away from the leg.

Yes, ma'am.

My sumo deadlift is about 30 to 50 pounds heavier than my conventional deadlift.

In this circumstance, I'd call it the expanded representation, but I'd have to assume in some regards, it could be both.

Yes.

Elongating bones using the late representation. So a lot of times these bones have the proximal end twisting to external rotation, the distal end twisting to internal rotation, and it gets screwed down. Eventually you want the differential to get the proximal end in internal rotation and the distal end in external rotation. And when we use the late representation, that would be the opposite. So I'm just wondering from like a, I guess, I don't know, practical or theoretical perspective, how does the late representation lengthen it while it's already too much of a differential?

Well, it was folded. I didn't get to pull it away.

Like this has got point tenderness to the medial patella.

Okay, fire up Lalo. Hello, and I can't hear you. I heard you a moment ago. Today will be a silent call.

The left side. Right to left. Okay. I'm with you. And then just by pushing off the right side, and reloading it and move the center mass to the left, that allows the right side to achieve the orientation. That allows the left side to come down lower than it.

So that's me waking up as I say that. I've been trying to dive into some cranial stuff lately and figured out that positioning. Then I had an opinion come in the other day whose ears were very different in position during a head-down forward scenario. He was young with no particular issues, but it got me wondering what happens to the particular apparatus and different systems with different positioning like that, and how much that would affect those systems.

It slowly starts to speed up.

Yeah, it's a big award.

He says he knows you.

I don't know if I understood correctly, but I imagine that when you captured the position, you would want to drive the left knee a little bit forward to delay the right side a little bit to get the expansion or no.

So I'm asking because my friend was sprinting on the beach. They were barefooted and then she started to feel the pain on the medial side of the knee while straightening it. Yeah, I'm just curious.

Kind of either or because if they don't have the hip flexion, I mean like on your feet. So like yeah like on your feet like I was thinking like a TRX mountain climber or like a step up like both are on your feet so I mean or even in the cross-connect like some may struggle, right? Like to get there, one hip, like.

Is that what you're saying? My axial skeleton, the sacrum, is going to be pointing to my left.

But that would be my opinion. I would say that those people are more likely to get these more exaggerated changes than others or like it's genetics or no.

What's the sign? So when you have a twist in the distal tibia, like an IR twist, I'm wondering how that's represented in the sacrum. And I'm wondering if that's like some kind of like concentric muscle activity posteriorly that kind of like, I don't know, almost folds it a little bit in. That's sort of what happens.

Yes.

No, sorry. Literally just like AP expansion in the foot with my hands.

Not. I don't think so. Probably shorter than that. So you talked about in the last week, you talked about with Manuel, at the bottom of the squat. So the anterior pelvic outlet is eccentrically biased until you hit the bottom. Yeah, in the bottom of the squat. Until you hit the bottom. And you said the reduction of the muscle activity will increase the yielding potential of the connective tissue.

Yes.

Both.

Yeah, well, sort of. So I'm thinking that if we took an extreme example and we had a long bar with a weight hanging out to our left side, for instance, and providing the weight wasn't so heavy that we needed to lean over in the opposing direction to keep it upright, we were able to maintain an upright position, then that is going to drive further and further internal rotation on the right side and further and further internal rotation on the left side, providing the load is appropriate and not too heavy.

Yeah, it's just cause it's all the same and we're good to go. So I had two patients that have come in the last couple of weeks, different in terms of presentation-wise, as far as like archetype and their chief complaints, but similar in terms of low back pain, specifically with extension. So just trying to figure out kind of like where they are in terms of their shapes.

Hi, sir. Yesterday, I was thinking a little bit about this and I realized maybe I don't have everything sorted out in my head. You and me both. Yeah. I think me more than you, but yeah. It's a pretty basic question, I think. I just wanted to go over how the femur and tibia orient during early, middle, and late propulsion. How does the calcaneus orient and the midfoot?