So this new client presents differently from anybody else I've seen so far. She's about 55 years old, athletic overall, and had been doing CrossFit until COVID. During COVID, she was really worried about it, especially since her husband has a condition that makes him more sensitive. Her stress level increased significantly during that time, which I think is related to what she went through. About three weeks ago, she reached out to me and said she had terrible pain up into her chest that wasn't deep—she wasn't worried it was a heart or gastrointestinal problem. It felt superficial but really intense. She was in physical therapy, and one of the therapists gave her a move that resembles CPR, which she said was excruciating—one of the worst pains she'd ever experienced. After that, she's been seen by a different physical therapist complaining of neck tightness and upper chest tightness. When I saw her, I could visually see how high her sternum is.

Yeah.

So if I am in a late propulsive strategy on this side of the pelvis, what that means is that I'm going to be turning the sacrum away right. So it's going to try to turn the sacrum to the right. So I'm going to push from behind here and it's going to turn the sacrum this way.

Think about it. They're pushing hard into the ground. So when the spine goes forward, that was what we call traditional extension. So they're using a massive amount of internal rotation to get into that position.

I'm trying to put something together that would be beneficial. So I do like that idea of the case study. Before talks, let's do a quick review. We only have a few minutes. Quick review. Four small talks, nine minutes each. You make your point, you give examples, and then you make your point. So it goes point-example-point, four times. Little transitions in between to get you from one point to another. Patient walks in, here's the findings. Step one. Step two, here's what those findings mean. Step three, here's where we're lacking shape change to allow this movement to occur. Step four, here's an intervention that I can show you will reacquire the internal rotation of the shoulder that caused the positive test in the first place. Talk done. Any questions?

That's the old Facebook is probably where they're at.

Yeah.

So in regards to early versus late propulsion, my impression is posteriorly on the hip, it's content from yielding for both of them. But I know there's a difference because the foot is different. And so I was wondering in regards to the axial tuberosity, exactly what is going on there between the two.

Okay. What does the pressure do? Why is it bad?

Yes.

I've definitely run into a wall, so to speak at the pelvis and then move to the like the shoulder girdle and had a lot more success.

It's not really in front of you. It's over there. It's actually a way for midline. I'm just turning this way and then the leg goes apparently forward. But it's actually stepping out that way.

Are you into nerve glides? Is neurodynamics a dirty word?

I think I have a pretty foundational question, but I'm struggling to get the next step in outcomes of my patients. So I can use a case study to help guide the conversation a little bit more. But what I'm picturing, or I guess what I'm struggling to picture is the actual shape change in movement when they're coming back on the right side, and then being able to know what the shapes would be—what would need to happen in order to go from right to left at that point. So if somebody's coming back on the right side, is it because we're bringing them to an earlier representation of internal rotation on their right side, right? So then they have enough space to then use late internal rotation to push from right to left. Is that sort of what we're doing?

Okay, so right before the food makes contact on the posterior aspect, we would have the maximum amount, maximum, the biggest amount of overcoming action relative to the yielding action because there is no food contact on the posterior side. So when we do make contact, the overcoming action is starting to decrease and the yielding action is starting to increase at the highest rate. I'm thinking.

It would be really nice if we could say that. And then you start throwing out a term that is very ill-defined or poorly explained. We've got a definition of, we use a pronated foot. We've got a definition of that, but what's happened is that every foot that has a low arch has been branded as a pronated foot, which implies that if I call every foot that has a low arch pronated, that it's using the same strategy, which it's not, that becomes part of the problem because our descriptors are poor. Right, we have to understand that, yes, it's so pronation is an IR strategy. Okay. Yes, we're looking at IR situations, but. We can't define it exactly the same way, because if we are making an assumption that every pronated foot is exactly the same, we should just have one solution. And that one solution can solve every problem with a pronated foot. And you know better than anybody else, it's like, that ain't true, right?

Can they sleep that way? Will they not move? How long will they stay in that position? I mean, maybe you can do that. Maybe you can do that. I don't know how effective those techniques are. Having tried them in the past, I have much greater success when people are actually awake and conscious and working on what they're doing. Then they tend to have not so many problems at nighttime. If you have those problems at nighttime and it's a positional issue, and again an airway issue specifically, call the dentist and get some help because they can usually help you with appliances and such versus trying to stick somebody in a position and try to sleep there. Really hard to do. I don't want to think. Trying to think your way through sleep is really hard to do.

Yes.

So the patient's feet are flat on the ground. They're very flat-footed. I was thinking that elevating the heel would assist with this. And it didn't. It made it harder. So I'm trying to figure out why that would be, basically.

Take your address. Take your address. Do your waggle. Everybody's got a waggle, right? Unless you're Sergio and then you waggle for an hour and a half.

It's going to pull the guts down faster, right?

Okay. You have to start with small arcs, low intensity. It's going to be boring. He's going to hate it. It's not going to feel fun. That's his job. JP? My name is JP, sir. Hey, JP. Listen to what Lalo says. You have to get on the ground and roll around, boss. You have to get some of your muscle activity to tune down.

Yes. Okay. All right.

I need another thing.

Yeah. So these are just elements of this. This is why we talk about space time because they're literally moving across their foot at a rate, right? Yeah. And IR is just a slower point in time.

First of all, Bill, I gotta say I am very grateful to have been exposed to your model because I am more and more impressed with the amount of grass I can gain with these concepts, unlike stuff I didn't realize was like in the end, it's all matter, right? Like it's all physics. So if you have a basic understanding of physics, you have like a basic understanding of everything. But I'm going to keep investing time into figuring those concepts because it's really opening up a lot of doors. And like I'm, this is kind of like your life's work and your legacy. So I appreciate it. Thank you. We'll do something nice with it.

No.

Yep.

There's a set of a box, like I said, or I put a foam pad.

But again, think about the sequence of events here. What came last?