Boom. Okay. So I shift my pelvis way back behind my heels. I am pushing space out of the way to make room for me. Right? Yeah. Okay. All right. So there's my ER. Okay. What representation of the pelvis would I expect to see?

What direction did the reaction force come from? And where does it go? Does it go from the ground into you or from you into the ground? Which one is greater?

I'm not talking about that. I'm not talking about making noises. I'm talking about the restoration of turns.

So that is a sustained duration. When you think about something that's really fast and explosive, the time at which they apply force is very, very small. Somebody else that has to push for a longer period of time pushes over a longer period of time. They are less explosive because they can't release the energy as fast. These are the people that try to muscle the activities. Have you ever seen like the two types of vertical jumps, the really springy guy and the guy that has to push really, really long? That is your difference.

So you have a combination of factors here that are all playing together. To what degree? I have no idea. But I do know that all of those will exist in addition to who knows what else. Right. But again, it's like when you start to look at it that way and you go, OK, we've got a pretty big challenge here. Right. And so then the big challenge is OK, how do I make space.

Yeah. Or is it a different type of inferior glute max activity? It's not a different type. It's just a different starting condition. Right, so if I started with it with a new tated. So if this is the base of the sacrum if I started there and I do that so so I didn't move this representation I just bent the other part under right okay so that's the end position there okay if I started here and then I did that. it wouldn't look the same, right? But the muscle activity, because I'm trying to compress the same space, the muscle activity, the strategy would be the same, but because the starting conditions are different, okay? The end appearance will look different. But if it's the same strategy, I have to take the same precaution against reinforcing it. So if I'm a wide and I have posterior lower compression or I'm a narrow and I've posted lower compression, it's highly likely I'm gonna try to do the same thing at the end.

You see what it did? So, valgus. Watch. Varus.

I don't consume much of it at all because it's not helpful for me. It's a time sucker and so I try not to spend. I have a couple of things that I'll go to on a fairly regular basis, so I remain minimally informed. I'm at the point in my career where consumption is not important to me. It's more about, like I said, the creativity side of things, about putting the things together. So it helps me to do what I need to do. But as far as consumption, I wouldn't go on to social media to learn anything important because I don't think anybody's offering anything for me right now. Maybe later, I don't know. Maybe I'll change my tune.

Hello, Bill. Hello, Ivan. First, I want to say I'm smiling because of your great jokes. You have a good sense of humor. Thank you. I try. And because my mind is exploding constantly while listening to these conversations. Basically, my question is I've got a new client with fibromyalgia and trochanteric bursitis and calcifications on the hips and herniations in the neck and lumbar spine. She's just really compressed. I think she's a sway back, but I'm not completely sure because her measures were bigger than I expected. However, when I looked at the videos of the measures in slow motion, I could see a lot of compensatory motions in the body. But still, if she's a sway back, I shouldn't really try to do much of pelvic tilts to increase that posterior lower compression, right? So I was thinking more like right side-lying and maybe first manual rolling. She basically just breathes and nothing else. But because my session is like one hour, what else could I do to fill up the time?

Well, it's in a relative position of extension, internal rotation, and adduction by tradition, right? All of those are IRs. So now you just did a PNF diagonal, correct? Now you understand why PNF does what it does. It's just ER to IR, ER to IR, ER to IR. You get it? Yep. All turns. See, it was all turns to get there. Did you understand that? Yes. All turns. It's all turns. Then who cares about straight lines?

Yes, so is that oblique axis shift something that comes really early in the progression?

Yeah, well the basketball, you want something with it.

Yeah, he had like a little pouch on the front of his knee that we were able to it was like it almost looked like his knee was swollen.

So what do you have to have to lay somebody on their left side to assure that they can move across that left side? You've just anchored the, so if you put somebody in left, okay, hang on. Remember how I talked about what the table represents and why you measure against it?

Yeah, like they're just trying to get into position so they can't.

Yeah.

So the femur is pushing down. The femur becomes the weight bearing bone. It's like a medial heel. It's like a big toe pushing into the ground. But I don't have that representation because the ER took me so far out, away from midline. So for me to push down into the ground, I have to increase the weight bearing on that bone. And so when you ask me which one it is, it's like, well, I'm just creating a shape that slows that movement. So think about this. So is IR compression or expansion?

The left foot.

There has to be a little bit, otherwise you'd be stuck. But the idea is, if this is like the middle of middle propulsion, and this is like my highest force, and this is maximum IR, and I go out here, that's more relative motion. It's just not full relative motion.

Yes, sir.

Should I have some type of control also? Like tell him, Hey, look, just give me one week of resting of not going to the park so I can have like an idea of if you have seven days of recovery, what would be your normal jump? You know? Yeah.

So does that make it look like there's more external rotation?

Right. So they're using whatever they can. They're on the outside edges of their feet. So they, they look like they're in a supinated representation. They have what would be referred to as a, as a varus knee, which is just external rotation coming down through the system because they're so compressed A to P they have to orient so hard into ER, right? So they're oriented into ER. All right. And then again, it's like your job is to try to create the expansion or like I said, you move them into a position where they do have a window of adaptability to alleviate pain. These are tough, these are tough because you're battling a constraint. It's just like somebody that comes in with like an altered joint because of arthritis. It's like, okay, I have a limited number of strategies in that joint because I don't have normal synovial behavior. What do I do to alleviate the load on that? Okay, I can move you in this direction, alleviate the load and give you less symptoms, but I might be creating another situation that ultimately results in another loss of adaptability. These are tough because again, it's like people come to you. They don't come to you to say they say Victor I need I need full relative motions. They don't say that he'd go Dang it and knee hurts. Only if they listen to these videos, right? In all seriousness, it's like nobody comes to you. They just want the pain to go away. It's like there's certain things that we can do that will alleviate pain, but it's not always the best strategy because we might have to push them farther into something to catch that because of the constraints. Right. I want to make it very, very clear that I'm not saying that this is the ideal situation. This is actually just to alleviate the symptom. It doesn't, it's not the fix. It's like, okay, I have a constraint. I am, I am here to solve someone's problem that they came to see me for.

Okay. Cool. Yeah. That's awesome. I'm curious about how you mentioned in your email that he's... So I'm wondering how that plays into it. Is that something I should be trying to fix, or is that going to be just following suit with the rest?

So at least you've established a threshold. So you know where you can take somebody if you're trying to maintain something, you probably have an idea of the types of activities that you're gonna have to select. When you're trying to address yielding, we have to think about sort of like a localization type of a concept. It's like, where are you trying to produce the yield? And then you have to start thinking about the time exposure, right? And there's a lot of variability when we talk about the exposure of time from a prolonged static hold to literally some variations of explosive work have a longer time exposure than others. So give me a specific activity that you're trying to utilize or a specific goal that you're trying to achieve with someone. So we can talk about this a little bit more in context because let me give you a reason. Static hold would produce a yielding action. So like if I do like a static stretch, a traditional static stretch will produce a yielding action if I hold it long enough, right? Okay. If I do a max effort squat and I compare that to jumping off of a 24 inch box, the duration of exposure to the connector tissues is actually longer in the box jump than it is in the max effort squat, which means that I would get more yield relative to the heavy squat. So now we have to start thinking about context. It's like, where are you trying to express this yielding activity? Is it in normal walking? Is it in some other form of exercise? Is it during a specific sporting activity? Because we have to be very, very specific because we have time constraints in certain situations and we don't have time constraints in certain situations. We have magnitude that we have to address. And in other times, it's just body weight based movement. So narrow the context for me just a little bit.

Oh, that's not tall. That's not. Well, taller than me. So, but it's not really tall. Like when we talk about like the six foot nine, six foot 10 guys. Gotcha.

Out of the car, waiting for the train. Yeah. Um, so I've, uh, an older brother who is currently dealing with a situation that one would normally diagnose or self-diagnose as carpal tunnel syndrome. And he plays a lot of piano. He's a very good piano player and obviously he loves to do it and something he wants to keep doing. So I've been trying to help him out. because I think he, he went to his doctor and his doctor wants to start giving him steroids and I was like, really trying to want to, you know, want to stay away from that if he can. But it's not, you know, it's not debilitating to the point where he can't play obviously, but it is getting to the point where It is interfering with what he's doing. So from a conceptual standpoint, I kind of wanted to know how you viewed it from the lens of your model, and then maybe some things to go after or pay special attention to in regards to interventions.

Yes.

And then what about a picture that's still in the developmental process? He's in our minor league system and maybe presents in a similar fashion. Could we potentially try and give him more relative motions? He's a longer runway to maybe then utilize those new motions, learn a new delivery, and thoughts there.

How can you have a definitive answer in a complex domain where multiple outcomes are possible? Right? So, and you've heard me talk about this before where I talk about the probabilities of success, right? It could be 82 in favor of you and 18 against and you land in the against because that was a possible. It could be a 0.05% chance that something's going to happen and it does. Right? Because it's still possible. And that's a bitter pill for people to swallow because in school, they gave you yes, no answers. It was very black and white. This is this. This is that. Right? Because it's uncomfortable to think that, oh, if your instructor was saying it from the classical, by the way, you're never really going to know what's going to happen until it does. And then all the stuff, ooh.