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  • in reply to: Weird stinging/burning pain on lower back #75876
    AvatarKatie Hemphill
    Participant

    Hey Connor,

    Sounds like a nerve problem to me. That diagnosis would be consistent with the burning quality of the pain, the location, and the fact that tucking your chin intensifies the pain (doing so applies more tension to the nervous system).
    What did your physiotherapist have you doing? You said that it wasn’t much help?
    If I’m correct and it is a nerve issue, chances are you’ll want to get a pro’s help, and probably a physio specifically. It could be a whole whack of things causing the nerve irritation, and without a proper diagnosis you’re just going to be shooting in the dark.
    in reply to: Terrible Ankle ROM #75870
    AvatarKatie Hemphill
    Participant

    Hey Martin,

    Don’t get too frustrated, as you’re getting there. You’re past a vertical shin, which is a good start.
    The problem with expressing a huge amount of ankle mobility in the squat is that you don’t have much capacity to shift your bodyweight forward, making it hard to overcome the high amounts of stiffness in the calves. You have to get mad supple down there to really see those gains in bodyweight squatting, even though you might be able to get a deeper position if you had weight on your back helping you overcome that resistance.
    The banded mob’s are great (and make sure you try with anterior band tension as well, to work on the glides at the ankle), but you’ll probably find you need to spend a lot of time just hammering out some contract-relax stretching and soft tissue work to get those puppies to yield. 
    Here’s my recommendation for a little ankle-targeted mobility session:
    1) Test: You can use the squat here, but I expect the payout will be minimal unless most of your restriction is in the joint capsule. Those gains by stretching may take a while. As an alternative, I would also use the knee to wall test (how far can you move your foot back and still get your knee to the wall over the center of your foot without your heel lifting up?) You can measure this bad body and actually have numbers on how you’re improving, as well as how your squat feels.
    2) Banded Mob: If, when you squat or do the knee to wall test, you feel pain/pressure/pinching in the front of your ankle, this should be your first go to. Same goes for if you feel those things when you try to do a calf stretch. The banded mobs are meant to restore the mechanics within the joint itself, which can get messed up if you’ve been stiff for a while.
    3) Soft-Tissue Attack: Bone saw, foam roller, whatever. If there are little areas of tenderness or lumpiness in the meat of your calves, go after those first, as conventional stretching won’t typically do as much to these knots or areas of high tension.
    4) Calf stretching: Conventional against the wall with the knee straight will hit the gastrocs, which will be important (so don’t neglect this), but your real money maker will be the stretches you do with the knee bent for the soleus, as this is the primary muscle limiter of your ankle in the squat. I’m a big fan of the mwod piece from recent years, putting your foot up on a bench, and using your chest to push your knee forward.
    Good luck, and just remember that its a bit of a long term process to make good gains in the ankle. Calves are nasty meat.
    in reply to: Uneven squat #75869
    AvatarKatie Hemphill
    Participant

    Hey guy,

    Just watching you, without considering potential mobility restrictions, a huge part of the problem is most likely motor control. You mentioned you weren’t really aware you were squatting far off to one side until it was pointed out to you. It’s likely that you’re just favouring one side in your execution. Yes, there is probably some mobility restriction. Yes, there is probably some degree of strength imbalance side to side. But did these things cause you to squat crooked, or do you have those restrictions and weaknesses because you’ve been squatting crooked without knowing it?
    My advice, before you dig down into the mobility rabbit hole, is to either squat with a mirror in front of you, or have someone coach you as you squat. Even something as simple as having a friend tell you rep-to-rep if you’re veering off in that favoured direction will be very helpful. If, in spite of being made aware of the asymmetry, you can’t get moving in the other direction, or doing so is unduly difficult, then concern yourself with tissue impairments (like mobility problems or strength imbalances) that might be contributing.
    You’ll probably be able to sort this fairly easily with a little feedback.
    in reply to: Mobility Routine? #75860
    AvatarKatie Hemphill
    Participant

    Hey Keivan,

    If you’re currently involved in a strength and conditioning program, programming your mobility work in accordance with the training of the day is an easy way to keep it relevant to what you’re doing. Mobilize problem areas that may compromise your movement within the warm-up, and take care of hard-working tissues after training.
    If you have some major restrictions you’re trying to conquer, the biggest thing to keep in mind is that consistency is key. Don’t try to prioritize a whole bunch of issues at once, but choose one or two that you’re going to hammer at in little doses throughout the day, everyday. Take care of the big problems like this one at a time, or at least cycle through them as you see real improvement, and let your training guide the rest.
    in reply to: numb hands not caused by carpal tunnel syndrome #75859
    AvatarKatie Hemphill
    Participant

    Hey Zachary,

    What part of your hand goes numb? Have you implicated the radial nerve only based on the Phalen’s test?
    Also, Joel, you notice that he is complaining chiefly of numbness in the hands, right, not radiating pain?
    AvatarKatie Hemphill
    Participant

    Hey Frank,

    I would say the major implication of upper crossed syndrome to shoulder impingement is how it affects the movement of your scapula (shoulder blade).
    When you reach up towards an overhead position, your scapula should rotate upwards in tandem with your arm. This positions the glenoid (the shoulder “socket”) so that it points more upwardly, allowing your arm to reach greater ranges. However, if this does not occur (whether because of stiffness or muscle imbalances, as we see with the serratus anterior and lower trap weakness / misfiring associated with upper crossed syndrome), your humeral head (the “ball” part of the shoulder joint) ends up squishing tendons and other tissues up into the acromion (that point on the outside of your shoulder), which causes pain and irritation.
    Additionally, Upper Crossed aside, if your rotator cuff muscles aren’t effectively stabilizing you shoulder, the humeral head will move excessively upwards on the glenoid (ball rolls up the socket as you move), which can also cause impingement.
    Now go see a physical therapist.
    in reply to: Sprinting Foot/Ankle Pain #75857
    AvatarKatie Hemphill
    Participant

    Hey dturvry,

    Get cracking into those stiff tissues like Kaitlin suggested, but you know you have to address the cause of the problem as well – the very running mechanical problems that you identified. That’s a hell of a tall order, since you have a history as a track athlete, but you’ve got to plug the leak if you’re ever going to bail out the ship.
    If you haven’t already, you should probably greatly decrease your running or stop altogether until you’re pain free when doing it. After that, dealing with the shin splints is probably your first priority, since that’s the pain issue leading to your compensatory movement behaviour, if your deduction is correct. Once the shin splints are under control, THEN loosen up your feet. As the pain subsides, begin reintegrating running into your training with a HUGE focus on technique work (to the exclusion of caring about training volume).
    And you’ll probably want to replace your running shoes before you get back into the game, if they’ve got any mileage on them. The shape you’ve worn them into will reflect and reinforce your current mechanics, and you want to start as fresh as possible when the time comes.
    In the meantime, while dealing with your pain and mobility issues, you can get a head start on rebuilding your running by participating in whatever relevant strength and conditioning work you can without pain. This is the perfect opportunity to look for mechanical issues in your squat, lunge, and hip hinging (deadlifty) movements, and thereafter the single leg versions of those movements where they exist. Use these tools to build the foundation for your running mechanics.
    Good luck, and keep us posted on your progress!
    in reply to: MAJOR KNEE PAIN–PFS? #75855
    AvatarKatie Hemphill
    Participant

    Hey Scott, 

    Can I get a video of you squatting from the front without load?
    in reply to: My Left Hip is Impinged. Should I stop deadlifting? #75825
    AvatarKatie Hemphill
    Participant

    Ooooh, so I should also mention that I’ve been dealing with this kind of impingement for a few weeks as well. There is a progression of exercises you can follow to start learning to control your psoas during movement, but a good starting point is the Quadruped Rock-Back.

    Start on your hands and knees with a neutral back position (if you don’t know how to set that up, learning that is your first step). Slowly rock back, attempting to pull yourself into position (the active psoas part). Move in and out of whatever pain free range you have (avoid painful movement or pinching). Adding band distraction backwards on the affected side is a great idea.
    Generic prescription: 3×15
    If nothing else, it will just start teaching you how to feel and contain movement in your hips, so you understand the current limits of your ROM. At best it will help integrate normal femoral head position back into your hip flexion (a start, at least).
    in reply to: FMS Shoulder Mobility Help #75815
    AvatarKatie Hemphill
    Participant

    Hey lowcountryboy,

    The shoulders, neck, and thoracic spine are all very interconnected. Your thoracic spine is the foundation on which your scapulae and shoulders move, so if it doesn’t work properly neither will they. Most significantly, if your t-spine is not able to extend (straighten) properly, it will limit your ability to move your arms overhead because it affects their starting position.
    Imagine your scapula as a raft on a lake. If you were standing on it, you could shift your weight to move the raft back and forth, side to side. It would have a lot of freedom. Now imagine that the lake was frozen, and how rigid the raft would become as a result. It’s the same with your shoulders: a stiff t-spine can’t move to accommodate the scapulae, and if the scapulae can’t move properly your shoulder range of motion becomes greatly reduced.
    The FMS approach to t-spine mobility seems to favour rotation, I suppose as means of attending to asymmetry in the region. I’ve found that performing more general mobility in t-spine extension (as is typically done on the MWOD) does a lot to open up the t-spine, which may make your rotation mobilization more effective when performed afterwards.
    Now, once you’ve made some improvements in your t-spine, a big part of correcting your screen is going to be restore mobility and stability to the scapulae. Your t-spine is the foundation for your scaps, but the scaps are the foundation for your arms. Once you learn how to stabilize your scapulae, you’ll understand the true scope of your mobility challenges, and have a more reliable and quality way to test/retest relevant movements.
    The MWOD does a pretty good job of explaining shoulder mechanics, so you should start to get the hang of it after a while, especially if you’re seeing some FMS practitioners. Just be uncompromising in the quality you demand of the movements you’re trying to improve. Remember that quality is the primary focus of corrective exercise, so make the movements you perform as basic as possible to move well.
    For example: I’m currently working to balance out the behind-the-back part of the shoulder mobility screen. Right now, after doing soft-tissue work to open up the stiff muscles on the back of my shoulder, my first stability exercise is nothing more than lying on my back with my elbow out to the side of my shoulder, carefully performing rep after rep of reaching my hand towards the ground, taking exquisite care to keep my shoulder from rolling forward. This has helped me understand where I run out of shoulder range of motion before my scap gets pulled out of place, and has helped me pattern that stability into my rotation at a very basic level.
    I have personally found improving internal rotation to be a huge challenge, one perpetuated by previously half-hearted attempts to correct it. Make sure you understand that long-term improvements to the screen can come very slowly, just like any improvements in training. Keep plugging away, and you’ll be way stronger for it in the end.
    in reply to: My Left Hip is Impinged. Should I stop deadlifting? #75814
    AvatarKatie Hemphill
    Participant

    Hey Baldr,

    I would definitely recommend avoiding painful ranges of motion. Pulling off the blocks, as David said, is one way you can reduce range so that you can still train.
    The posterior hip capsule mob is a good place to start, but since you’re noticing only temporary relief that restriction isn’t the complete picture. What’s likely happening is that your femur is sitting and moving a bit forward in the hip socket. This can happen if you’ve spent a lot of time mobilizing into extension without really needing to. (Any background in dance?) Part of this might involve the capsule restriction, as you’ve discovered, but can also be a motor control problem involving your psoas and deep butt muscles.
    Here’s something to try, as a general movement fix (hopefully it will help you out):
    1) Prepare for the movement that causes you pain (just do a Romanian Deadlift without a bar or anything)
    2) Before you move, concentrate on trying to pull your left thigh very slightly into your hip (nothing should move). This is a very fine and obscure feeling, and may take a lot of tinkering.
    3) Maintain that feeling as you slowly attempt your hip hinge. Did it improve your pain?
    If you do succeed in doing this, you’ll have to practice hard to integrate it into your normal movements. It’s going to take a tremendous amount of focus at first during every rep. Practice the hell out of it while warming up for those block deadlifts, and try to apply it while working with weight too. Slowly increase your range of motion as you are able to pain-free, and only try to load deeper positions when you are very confident (add weight very slowly).
    Now go get hinging!
    There may be more to this, but hopefully this will offer you some relief. Remember, there should be no pain.
    in reply to: hip/ankle mobility and the butt wink #75813
    AvatarKatie Hemphill
    Participant

    Also, a couple technical pointers after reviewing your video:

    1) Make sure you have a solid grasp of how to brace a neutral spine. There are MWODs on the topic, for sure. As you move to get under the bar to unrack it, you arch your lower back and push your belly out. Breaking position before you receive the load will have a very negative impact on your ability to move well through the set. Practice getting under the bar with good form. Practice it like there is nothing else to the squat until you can do it reliably.
    2) Watch that head position. Your chin is dropping down to your chest throughout the video. Keep your head in line with your body. It can help to look at a spot on the floor a few feet in front of you. But similarly, you should practice being able to maintain a good head position while you move and be able to do this reliably before you try to progress the squat any further.
    3) One thing at a time. Each set, or even each session, pick a technical detail that you want to improve, and make it your primary focus for the practice session. Trying to juggle all the things you need to fix will be very overwhelming, and result in very little actual improvement.
    You’re going to crush the squat! Just make patience your personal virtue while you do so.
    in reply to: hip/ankle mobility and the butt wink #75812
    AvatarKatie Hemphill
    Participant

    Hey Kristopher,

    To be honest, if you’re experiencing a butt wink in your squat, you’re going to deep FOR YOU. It may be that you have a mobility deficit or you’re not quite moving correctly, but the bottom line is that you’re exceeding your ability to squat with good mechanics.
    Squatting below parallel is the ideal (barring any limiting factors like injury), but if you continue to squat past your true end position, even if that is above parallel right now, it will very likely hinder you on your quest for a good deep squat. Only by finding and respecting your bottom position will you familiarize yourself with what the bottom position feels like, and only by knowing what it feels like can you hope to improve it reliably.
    So, step number one is to reduce your range of motion (squat more shallowly) and fine-tune your mechanics within THAT RANGE as much as possible. I highly recommend using a box squat, with a box height that meets your available depth (or even a little higher at this point), and PAUSING in the bottom position. Not sitting on the box, but hovering with minimal contact so you learn to stabilize the bottom position. Any butt wink is too much. Continue to diligently box squat, slowly reducing the height as either (1) your improved mechanics allow you to squat more deeply, or (2) you gain the range through working hard on mobility.
    I also highly recommend that you begin these box squat sessions without load. Air box squats! You need to be confident that you can move the way you want to without fully relying on the weight to drive you into the bottom position. You may be able to get deeper with weight, and that’s fine, but make sure you can understand what the bottom feels like without load, and then start heaping it on very slowly.
    Something very important to keep in mind is that this won’t be a one workout thing. This might take weeks. Maybe longer. Mentally prepare yourself to be involved with improving your squat for the foreseeable future, because nothing will waste your time like a half-assed attempt to improve those mechanics (speaking from experience here). Consider that you’ve been butt winking for a while, and you’re not even truly aware of it without video. You’re almost learning the bottom position of the squat for the first time. It’s way behind the rest of your squat. Nurture it carefully, but with your full intent and dedication!
    Good luck.
    in reply to: Weird Elbow “Twang” Pain #75811
    AvatarKatie Hemphill
    Participant

    Just some quick words of caution regarding the neural flossing:

    1) It’s not really meant to tension the nerve (those are called neural tensioners). The idea is to simultaneously tension the nerve from one end and slacken it from the other end, so you pull it back and forth slightly through the tissue tunnel, which can help reduce restrictions if the nerve’s coating is getting stuck and preventing it from sliding properly.
    2) If you have a lot of muscle tension along the neural pathway, this can cause compression of the nerve at key sites. Don’t be too eager to floss the nerve until you’ve resolved those compressing factors.
    3) The ulnar nerve passes the elbow on the inside, not in the elbow pit, so that’s probably not what you’re experiencing. The median nerve does run along that area, but if you’re not experiencing pain or nerve symptoms (downstream numbness and tingling, etc) I would look elsewhere for the issue.
    I think it’s more likely that you experiencing some sort of twangy tendon snapping over bone, which could be caused either by your mechanics, overtension issues in the arm and forearm, or (most likely) some combination of both (mechanical issues create stiffness which creates mechanical issues, etc). David gave you a pretty comprehensive list of mobilizations to try, but make sure you test/retest the twangy position so you can tell if you made change, and what mobs made it happen.
    Also, if you’re not 100% confident in your mechanics, post a video and we can see if that is a contributing factor.
    Good luck!
    AvatarKatie Hemphill
    Participant

    My opinion might be a little skewed, as I started BSL after watching the entirety of the available MobilityWOD over the course of a year or so and obsessing about the information, but I didn’t really find the book poorly organized.

    The first few chapters go through the principles of movement that govern the biomechanics you’re trying to enhance. The next few chapters cover major strength and conditioning movements in detail, including fixes for common faults, and the next few chapters get into the specific mobilizations for different areas of the body.
    In terms of providing too much information, I think it’s important to realize that the MWOD and BSL aren’t meant to be mindless roadmaps towards a result, but also a tool to familiarize yourself with the “why” of it. Quite frankly, if you have a poor grasp of the “why”, you’re not going to do a very good job of taking care of your issues. It’s meant to instil a sense of mastery over your biomechanics, and that means understanding what’s going on to some degree.
    It’s also important to remember the MWOD’s roots when criticizing the organization of the videos. It was just a video a day, shot on Kelly’s phone, talking about some things CrossFit athletes can do to improve their mechanics, reduce pain, and perform better. It kind of exploded after that, and the last few years have shown a tremendous improvement in the way Kelly delivers his content as the MobilityWOD  transitioned from just a video blog into what it is now. BSL, too, represents this transition, a first real attempt at organizing and streamlining all the information that came out of the first year or two of the MWOD.

    I’m not trying to play K-Start Nut Hugger here, but when criticizing his stuff I think it’s important to keep in mind that the system is new and very much in flux as the sample its being tested on grows and grows.
    That said, there are obviously some short-comings to the whole experience. To watch a MobilityWOD video and properly consume the information requires a pretty strong grasp of the lingo, as the system has its own jargon; and that’s important, because normal people are going to respond better to terms like “smash” than “self myofascial release”. And yeah, Kelly talks pretty fast, but I think the content from the last couple years has seen him develop a pretty good on-screen personality and cadence that makes the videos much more watchable overall.
    And I do agree with you, Bjoern, that it would be ideal to have a clear and basic template for beginners getting started with self-mobility, something that simplifies the concepts, takes out some of the advanced techniques, and streamlines the approach. But in the end, the more advanced thinking and techniques will be required for long-term development. An idea there would be to have some sort of level system built in (to BSL, in particular, as it represents the curriculum). I think it’s already there, implicitly, but there could stand to be more “if you’re a beginner, try this first!”
    Even as the system becomes more fine-tuned, however, success in implementing the knowledge and techniques therein will require the individual to work hard to familiarize themselves with the basic theory and practice the crap out of the mobilizations and movement techniques. No amount of reading will substitute the self-exploration piece of the puzzle. So much of this has to be realized through trial and error, through self-experimentation, and a deliberate effort to improve the skill of self-maintenance.
    If anyone read this to the end, kudos. It’s probably the most disorganized thing I’ve ever written.
    tldr; Don’t be so hard on the MWOD. It’s still new. Obviously some things could be changed, but try to be constructive about it. Even then, it takes a lot of practice to get good at actually making change.
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