So you're putting someone else at risk because I'm providing the intervention strategy and I potentially put myself at risk because if somebody doesn't like the outcome to such a degree and they decide that they don't like me enough, then I get in trouble.

Absolutely. And I like the way you said that it could be one of the solutions. There are many ways to do this. That's just one of them.

Right, and so some of that falls upon you to understand when we talk about the superficial compressive strategies that we would use, those are to hold our position in space. So we're using those to manage our position against gravity, right? And so if I have somebody that is working that hard to hold themselves upright, that it pulls their arm downward. It does not allow them to reach up overhead. It's also pointing you in a direction as to, hey, we might need to reorient you to allow you to capture a certain position in space. So now again, it just points me in the right direction for my exercise selection. So maybe you're not upright and reaching up overhead, but maybe I can start to evolve this in some other position. So maybe I can put you in supine and we can perform some form of pullover activity, which would be some kind of reaching and pulling kind of an activity. And I start to evolve their ability to expand the axial skeleton the way it needs to to achieve these positions. Right? So it's again, it comes back to your understanding of like, okay, you can only reach that far before I see you start to turn or you're compensating or, you know, or feeling pain, which is what I don't want under those circumstances, right? And so again, that just falls to you and you say, okay, I understand where you're restricted, so we're gonna stay in this sweet spot where you are comfortable, right? Does it mean that I don't want you to be able to reach overhead? No, but we have to respect the fact that, and again, depending on who we're working with, what is their potential for that type of a return? And then just respecting where they're capable. The concept that everybody needs to push the same, pull the same, lift the same, twist the same, all that kind of stuff. In reality, it just doesn't jive. Right? We don't fulfill all those needs. Some people are better designed, you know, when they say, Oh, you should be able to hinge, you should be able to squat and, you know, you know, that, that discussion. It's like, no, sorry. People at the extremes don't, don't do one or the other very well at all. Okay. So let's not force them into these situations where they're incapable because now once again, we're taking someone towards a constraint and then we're back to your discussion. It's like, okay, what, what does potentially these, these things that might result in an injury.

Yeah. And like we are seeing some positive change. Like since I started kind of doing the stuff that you recommended, like they haven't done like, a lick of Quad Shrine thing and like I retested her QI and went up 10%. So like there's stuff to let me kind of know again there, but like to her, like everything, like every time she comes in, it's about the pain, about the pain, about the pain.

So visually, it's very hard to see that, but that's what we know is true.

Yeah. So again, it's like how much do you practice? How much do you play? And then how often are you on your feet? Like all of these things come into play. It's like sometimes people are doing the exact right thing that they need to do. They're just not doing enough of it to offset the circumstance. So we always talk about secondary consequences that are associated with all of these activities. Like I don't want to take anything away from you, but okay, so if I'm gonna play, let's say, you play two hours a day of stand-up bass, okay, and you do five minutes of work to try to offset it. Not enough. Which adaptation wins, right? You see what I'm getting at? Some people say, I just can't find the right exercise. It's like, what are you doing? And then you tell me what you're doing. It's like, okay, you're doing the right stuff. How much of it are you doing? What are you willing to do? What are you willing to do to offset it?

So when we think about the sequence of events that occurs based on trying to maintain your center of gravity on two feet, every time that you create an expansion, you're going to move in that direction, which will knock your center of gravity in that direction. So narrows after the diaphragmatic compensatory strategy, they fall forward. And so then they have to push back. So they get an anterior compression first in the thorax. They'll get it. Like if we just talk thorax, it's in the pelvis too. It's just that it's easier to see in the thorax. So they're going to get pushed backwards by this anterior compression. So they go back this way. And that's why they lose internal rotation first and they maintain external rotations. But if they're falling backwards, what are you going to do? You have to stop pushing forward. And so then I create this posterior compression that brings me back forward. And then that's where you start to lose the external rotations. So the easiest strategy is to try to strip these things away from the bottom up, which again is just reversing gears basically. That's why the quadruped activity is really good because you're going to get that posterior lower expansion that she needs and then you're going to go after the pump handle and it can be one big bang of an exercise under those circumstances. And so again, when you're talking about the superficial strategies that get layered on, that's where you have to go, right? If we were talking about a wide, we would be talking again a little bit more backwards. We would say, oh, let's get the diaphragmatic release first and then go after the pump handle because that's the sequence in which those strategies would be loaded on top of the axial skeleton.

But it's a puzzle game.

And expanded anteriorly.

Because they're going to learn something by analogy. They already have, whether they think so or not, they have a model in their head.

Okay. What do parents work?

And so if the disc becomes my yielding strategy, now I can sensitize the nociceptors in that disc, right? So right away. So there's my minimum. I could be getting some measure of low back pain associated with that. The stronger the yielding strategy that I would be using, the greater the stimulus to the nociceptors. And so we kind of know this, that if we're differentiating between, say, um referred pain or or ridiculous pain so there is a difference there's actually a significant difference um the ridiculous pain tends to be very very very sharp um stabbing um knife-like pain is typically the way people are going to to describe this and when we talk about ridiculous pain from the research what they're going to say is well anything past the knee would be considered ridiculous pain but i would caution you uh against that belief system um there's a study from way back before you were born in the late 80s by a Haldeman that showed that when they stimulated the disc, depending on the degree of stimulation, they could actually produce pain that went well down into the leg past the knee. And this was not ridiculous. This is actually referred. The referred pain tends to be more of like this dull, non-specific kind of a pain versus like the sharp stabby kind of the ridiculous. But the point I'm trying to make here is that is that the degree of stimulus, so the degree of yielding strategy that I'm relying on this disc to produce is going to increase the intensity and therefore the proliferation or the degree of the referred pain. So the farther down the leg that I'm going to experience this, that means I'm just getting on greater stimulus to the disc. So now you've got an idea of why some people centralize and some people might not because Let's just say that I have a greater expansive strategy or I'm demanding more yielding strategy on this this disk and so there's the greater stimulation so that's going to create more more pain down the leg might be harder for me to centralize however when I do put somebody on their belly and I take tension off of this demand for yielding on this side, that might be why I see this so-called centralization phenomenon, which might not be centralization per se, it's just reducing the amount of stimulus to these nociceptors. And so again, that's one of those things that we have to take into consideration is this quality of pain, the degree of the stimulation, and that's going to help determine who's going to respond.

I'm not sure. So say again, say last one. It could be internal rotation. It doesn't have enough internal rotation. So it's not really a triceps weakness now, is it? So if I train the bejesus out of triceps, maybe I accidentally get the internal rotation. But if I chase a muscle problem for a positional issue, I might be barking up the wrong tree. I might use the wrong strategy. Under certain circumstances, I might accidentally do the right thing by chasing a muscle. But if I look at this conceptually and say, okay, what elements are required for me to access that elbow extension, shoulder internal rotation and pronation? If I see somebody that can't lock out, that means they're literally producing too much pressure or force that I can't extend the elbow and finish. So I have to figure out a way to access the position. And so now I have this reductionist strategy where I say the most specific thing didn't work, what's the next thing I would do? So if you say chase triceps, and let's say you do an inverted EZ bar tricep extension, and they get extension in that position. You just did the right thing. You gave them an activity that allowed them to capture the position you're trying to get in the press at the elbow. So under those circumstances, they were able to access enough internal rotation to produce the desired outcome. So then you train that and go back to the bench press and ask, did it work? Because you just changed the context. So you don't know if you got a transferable activity, you just know the activity you chose before allowed the outcome you wanted in the bench press. And then you go back to the bench press and ask, did they lock it out better? If they did, you say, I'm the smartest guy in the world. It was triceps the whole time. It wasn't triceps, it was the internal rotation.

Right.

Let's just think process. What's my intention? What is my goal? What am I trying to achieve? I want to make sure that this thing has everything that it needs to recover. I don't care what methodologies. I don't care if you stick needles in people. I don't care if you rub them. I don't care if you use an elbow. I don't care if you use a thumb. I don't care if you take a breath. I don't care if you activate a muscle. The goal is to make sure that whatever you're trying to protect and promote the recovery process has the ability to do that. So it doesn't matter to me what tool you're using as long as the tool is effective under the circumstance.

Yes, like how can I help you? Yeah, it's like if so if we can do something that enhances the physiology of your player that allows him to do the thing that you actually wanted to do, and I always say this about golfers too, because we worked with a lot of golfers over our history, is that a swing coach knows golf better than anybody, but they may not know the physiology that underlies it. And so that's our job. So we restore the physiology that allows them to be the better coach. And now you have an athlete that can actually execute. And so that becomes the big difference. But again, we go back to the relationships. That's where all of this kind of comes from.

I would probably pass them off to another therapist. I like to keep my outcomes at a certain level. And it's like, when anybody that's hard, I just pass them on. No, I'm kidding.

I'm talking about while it is still swinging, not on the ground.

So to capture the early representation, which is the superimposition of internal rotation, first metatarsal head would have to hit the ground.

So when he was maintaining the arch, we're assuming the toes are not flat.

Awesome. So if you're slowing down, what would be the connective tissue behavior of the right posterior outlet?

Thank you.

So if someone like this would ask you how to sleep at night, would you? Eyes closed most of the time. I mean, would you put them on the front? How would you create the circumstances that the support would stay there.

So you have a knee orientation that means there's no knee joint anymore. You have such a strong orientation that the knee joint is gone. Assist. Then you go, I know this knee doesn't bend, so let's bend it. The orientation of the knee is now the limitation. You have to look at the bony position of the knee because based on that position, you'll pick up concentric orientation of musculature since all energy must pass through that knee. Now it doesn't exist. You have a stick for a leg that used to have a bendy spot in the middle but no longer has one. What is a bunion?

Okay.

I was on the call back in August, and I can say it was one of the best things for my golf coaching. So I have a couple of questions. I'll start with this one. You talk about both Iliams being an ER representation in the backswing. Now, the backswing starts before the club starts moving back. So we need some sort of trigger or something to get the slosh. That's a great way to look at it.

What is a box landing?

No, we don't have any manual therapy here.

OK.

Yeah, I'm just curious.