You're going to want to make sure that you capture the foot position. Because if you don't capture the foot position, it doesn't matter how you load this exercise. Because the foot position is your first contact with the ground on that lead foot. And so for me to get internal rotation under any circumstance, that medial aspect of the foot has to be on the ground. The kettlebell in the opposite hand helps me do that. The band making me pull in against the band helps me do that.

Other than visual, I can see how the speed of the movement is quicker with one, but that doesn't correlate with the rate of loading of the tissues that I'm getting lost there.

Yeah. You bounce across the ground on connective tissues. You don't bounce across the ground on like the muscles capture the. So the muscles are wet, maintain the position. Right? The connected issues is what's producing the action.

That's interference. That's like interference all day, every day, right?

It's the connective tissue behavior. It's not muscles. The muscle orientation doesn't have to change. I have storage and I have release of energy. So yielding action is a storage of energy. The overcoming is the position of release based on the rate at which a tissue is loaded.

Yes, yes, exactly.

And that was just a light bulb moment for me yesterday. I was like, Oh, it's so easy. I'm paying all this money for a doc.

I have a patient that's been a little bit challenging. She originally came to me post-op SLAP repair on the right side. She's about six weeks post-op now, but for the past two years, prior to the SLAP repair, she's had a lot of neck pain, like almost debilitating neck pain to where she had to stop bodybuilding training, stop a lot of activity. And the surgeon prioritized the SLAP tear at the time she went through with the surgery and now that we're six weeks and we're kind of getting into that more we can start rotator cuff strengthening and getting into a little more active range of motion. I find that neck pain to be the most limiting factor for her. I mean, shoulders are progressing great, but now that we're able to get into more it seems a little more like first rib involvement. I've done a lot of whatever she can tolerate, but she has been brought to tears with even like gentle, gentle pressure. I do a lot of breath work to help bring everything down with her, a lot of breathing, a lot of relaxation. I've done some nerve glide. She responded well to that as well as with the breathing work. I got two days of no neck pain after that.

Okay. What has been the goal? Like for the last, however many times that you've worked with her, in regards like that, based on the drills that you mentioned, what has been the goal?

Especially, Cameron, as long as you don't injure or kill your patients in the process, it's usually okay to experiment a little bit. I made a comment yesterday: it's okay to break the rules as long as you know which rules you're breaking.

But standing.

Do you have an ER deficit?

It doesn't.

Yeah.

Interesting. So it's not a more distal first metatarsal. It's a more distal subtalar.

Just see if you understand the representations in the foot, it's going to be the similar representation in the hand.

So as soon as you put a foot forward, you've got an orientation of the sacrum relative to that extremity, right?

Come on now.

Yeah.

Yeah.

Well, the interference to that is going to be, first of all, their limitations in the connective tissue stiffness or orientation further up the chain.

They're still facing third base. They're still facing third base.

Please, that'd be great.

Yeah, oh, everybody's, the first time you start messing around with ribcage is like, yeah, you screwed up pretty much. Yeah, yeah. But you see, you see what I'm getting at. It's like, it's like, you've got it. You've got it. It's important to understand where they came from. You start with this imaginary, imaginary tweener between the wide and the narrow, like as far as where they go, move them into the wide, wide space. You kind of know where they are now. And then what, what direction of force you need to apply to change the shape. Same thing with the narrows. You have to appreciate as they're coming down on the helix, right? And they're going up on the helix. You see it? Yeah.

No, you're on point. You're on point. You got it. That's awesome.

Alrighty. Thank you.

Yeah, yeah, no, you're on it. You're on it. Yeah. So, let's really simplify this from a representation standpoint. Narrow ISA only forward on the left. Like one of the simplest things to do is to do the literally the exact pushup that we're just talking about before. So you do left hand elevated, right foot elevated, done. You just moved them back into their foundational representation on the left side. Okay. Yeah.

Yeah.

Okay. So yeah, in this case with a split squat with the left foot front would be okay.

ER at the femur. So yeah.