Okay.

So, realistically, once we get to a powerlifting style squat or something of that nature, like a heavy barbell back squat, we're never actually going to get into a position where we see early excursion because they're going to finish somewhere around max P or just below at late middle and then punch back up again.

Concentric anterior pelvic floor. Yes.

Yeah, for sure. Because I remember on one of the earlier calls, you mentioned like the same presentation, it's someone trying to push, they're pushing off that side. Absolutely. So it's the kickstand you use.

Okay, go ahead.

There you go. All right.

Welcome to complexity. This is how you manage complexity and uncertainty. You're always, I think I have a good feel for you after two or three calls here that you're a good human being. You're going to develop yourself into the best possible clinician that you can be. You want to do right by people, but you don't have that kind of control. I'm sorry. You're not a God.

So if I'm in an early propulsive representation, is my center of mass behind the foot? If I'm in middle propulsive, is my center of mass over the foot?

Right, no gradient.

Yeah.

It's above mine too, man.

You see what I mean?

Yeah.

There you go. Great job. Love the mug. We'll take that. Have a good day. Happy Thursday. I have neuro coffee in hand and it is perfect. By the way, this is Stellar this morning. I almost threw an internal party.

Right. OK.

Yeah.

So when you say I have more elongating to do, is that more elongating to do in non-weight bearing because she's defaulting to that? Or can I correct it?

Okay. So again, it's staggered. If you need a further assist, like if you need a little bit more of an external rotation on the right side, because that's what's going to happen on the right side. You can elevate that right foot relative to the left foot. Keep the stagger, elevate the foot, makes it a little bit easier for them to capture the heel contact on the left side. So I want a foot that can do that. If I'm trying to get somebody to turn to the left from the right, okay, so the sacrum has to be facing over there, right? Is there a foot position that I could use that would allow me to do that?

Well, I mean, that's the decision that you're going to make. I personally don't use a ramp going sideways because of the degree of orientation that's typically associated with it.

Yeah, that was kind of my high low reference area.

Ah, yes. That's what's going to happen with the heel left on the wide ISA that is forward on the right hand side. It does not alleviate pressure. It increases that pressure. It will increase the compensatory strategy. And if you measure them on the table, if you measure them on the table, you're going to get a whole bunch of ER and no IR.

Absolutely. Yes.

Yeah.

Yeah. That made a lot more sense that time.

That went over my head, but okay. Hang on.

Okay, so is that something that might likely require some manual work on the foot to restore some of that potentially lost movement?

So this is a thumb. This is a thumb that has done too much manual therapy. Okay. This is what it looks like, Jordan. This is what it looks like 32 years from now. That's what your thumb is going to look like, boss.

Yes. But it's also somewhere else. There's two places where their greatest access to internal rotation is going to be in two places.

Yeah.

I like that. Have you ever seen a cross-sectional CT or MRI of stenosis? I have not. It would behoove you to find images of a cross-sectional MRI of spinal stenosis. Compare it to a normal cross-sectional MRI, same level, same age group. You know how to do that, right? Let's say this is the spinal canal. The spinal cord is in there. What's the shape of your patient's spinal canal? Hold your hands up. Start with the normal shape. Show me where it ends up. You've been following my stuff for a while. In what directions do we tend to get compressed?