SPEAKER_02 21:51–24:16
We want to start talking about solutions. What we want to start to think about is that we always have a directional preference. So one of your comments is: does the model already account for this in some way? Absolutely it does, because it doesn't have to revolve around pain. As far as our directional preference, we always have one based on our structure, our orientation, and any compensatory strategies that we may apply. So that's exactly what you're looking at. What you're looking at, though, is the response. In this situation, when we're talking about a disc injury, we're talking about where the yielding strategy is applying. So number one: don't do stuff that hurt. Okay? That's kind of like the obvious. And then, second, treat the human. So we want to use our measures that we would typically use to identify what their true preferences are based on their structure, their orientation, and, like I said, any compensatory strategies. Most likely, what you're going to have to do depending on which side that you're dealing with is you're going to have to restore the normal early propulsive strategies. Now, let me give you a simple rule of thumb. If you're dealing with a left-sided issue, you're probably going to have a pelvis that is oriented forward and it's going to be driven more on the left than it is on the right. We're going to see this later propulsive strategy on the left driving forward. If we have symptoms on the right, typically what we're going to have, we're going to have an anti-orientation of the pelvis, but it's going to be tipped on the oblique axis. So right away, now we have some resources to deal with. Number one, I would go look at the video they did about a week ago where I was talking about hip flexion and propulsion, so you understand the early and late propulsive strategies from the ground up. So we talked about the foot and we talked about the pelvis there. Secondly, what I would do is I go through all the videos that are talking about restoring hip ranges of motion and especially the ones that discuss the propulsive phases. And so this is heels elevated stuff for the early propulsive strategies and the lack of that. So Zach, this is a great question. To wrap it up into a nutshell, a herniated disc is most likely, based on my model and my understanding—and I'm willing to be wrong here, so keep that in mind—most likely an early propulsive problem. So you're using the disc as the yielding strategy in early propulsion rather than distributing it through the system from the foot, through the extremity, through the pelvis, through the thorax, through the cervical spine, and even through the cranium. So having a distributed yield, now we have a focal yield, and the disc is unfortunately taking the load for us here. So I hope that answers your question.
directional preferenceearly propulsive strategyherniated discyielding strategy