Well, OK, you've got an ER deficit. So you're going to magnify ER somewhere else, correct?

All right. I just had to make sure.

Yeah. So basically it's like take them into early internal rotation. Yes. Yes. Okay. Cool. Yeah. Which makes sense because we just try to allow to get internal rotation back into the game.

Yep.

I'm cool with that. But if you want the ideal end result, you have to look at this from a much broader perspective. Because what ends up is you don't want to be the guy that just treats symptoms. There are a lot of those. And then you start chasing a whole bunch of stuff and you have no idea what your process was.

Say again, sorry.

Yes.

Same foot cues.

And just the shoulder just like go forward and the wing. Correct.

Sorry, you dropped out for a second, Bill.

That would be the first place that I would look. So think about this. As they're stepping towards home plate, instead of driving the late internal rotation representation that would move them in the direction of home plate, they have an external rotation representation that would open the internal shoulder angle on that side. It would be almost as if the right latissimus dorsi is externally rotating towards second base, which prevents them from moving towards home plate. They have to be able to push into that late internal rotation representation because they have an early internal rotation representation that they must capture on the lead leg. I would look at this as a right-sided problem.

Yes.

The easiest way to do that is via the change in muscle activity, which I'll do this most often in a seated position. So if I wanted to influence near the apex of the ISA, right? So if you were seated on the end of a treatment table, right? I would be standing behind you into your left and I would reach around like I'm going to give you a little hug around the right side and I would turn it in that direction.

Oh, I got you. Uh-huh. Uh-huh.

And they do that by kind of like going up and then to the side where they go down. Down and forward on the left.

And now you're going to bring left knee to chest. Okay. What's the concern?

Yeah, sure.

So would it help also to manipulate the foot like in one of your videos when you try to capture IR?

Okay. All right. Thank you very much. It's good.

Okay. So, we go last to first in terms of the compensatory strategies that shifts us. Okay. Cool. Yeah. Wonderful. Oh, wow. This is the fruition of like so many weeks. I'm like, ah, shit. Why do I not get that? How can I ask the right question? That was very, very helpful. Wonderful. Thank you.

Okay. Because APL is no longer limiting that movement. So it's eccentrically oriented. That means the hand is twisted farther into pronation than the distal radius is. So your pistol, your pistol tests here, your apple test tests the hand relative to here.

Yeah.

No, it's not. It's for driving IR from the top down. It's exactly what it's for. Unless you're Dr. House, what side do you put the cane on?

How do you do that from the ground up?

But there is a superimposing of IR at the end of the backswing and into transition. So I guess where I'm lost is: Where does a wave come in there, Bill?

Well, so what do you think the response is going to be? So if I push your right side forward, what will be the response on the other side?

Yeah.

And we will see you tomorrow morning, 6 a.m. Coffee and Coaches Conference call. Have a good day.

On the right side, he has a little bit more external rotation—probably about 30 degrees. Internal rotation is limited, about 10 degrees or so. This is awesome. I was thinking he's kind of narrow at the external angle and being pushed on the left side, with the left side ahead of the right. But if you look at him from the side, his right tibia angle shows his right knee is in front of his left knee, so he's more forward on the right side. Why is that? I think I figured it out: when he runs or cuts on his left leg, he lands on the outside of his heel. Why does he do that? Because he's way late on that side—he doesn't have internal rotation.

Right. OK. Have you ever had a patient with a supraspinatus tear?