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  • in reply to: Help please: morton’s neuroma #76322
    AvatarNathan Richer
    Participant

    In addition to lots of foot care work -see MWOD videos for their foot care videos – you will need a subscription:

    http://www.mobilitywod.com/daily/tuesday-february-4th-2014/
    http://www.mobilitywod.com/2014/01/pro-episode-59-reclaiming-those-gnarly-feet/
    http://www.mobilitywod.com/daily/sunday-april-13th-2014/
    http://www.mobilitywod.com/daily/saturday-august-9th-2014/
    http://www.mobilitywod.com/daily/friday-april-3rd-2015/
    http://www.mobilitywod.com/2013/05/the-flat-feetsolution/

    http://www.mobilitywod.com/2013/08/pro-episode-38-mwod-pro-user-request-friday-femurs-straight-but-feetducked-the-mwod-approach/

    http://www.mobilitywod.com/2010/08/episode-07-bro-your-navicular-bone-dropped/

    I would also try Correct Toes: https://nwfootankle.com/products/10-correct-toes/grid

    they are a cheap solution and i wore them only at night during sleep, and when i walked barefoot around the house.

    the other thing to do is to find shoes which do not mash your toes together, which unfortunately are 99% of the shoes out there. check out the nwfootankle.com site for recommendations of brands. the more your feet are mashed together, the more Morton’s presents itself.

    in reply to: Newbie with a question about getting started. #76320
    AvatarNathan Richer
    Participant
    in reply to: Any recommendations on mattresses? #76319
    AvatarNathan Richer
    Participant

    i am still a big fan of tempurpedic. i have not tried any of the new ones.

    in reply to: Low back pain from bending over. #76213
    AvatarNathan Richer
    Participant

    i would say that you should get an MRI. X-rays only see certain angles, usually front or side and it is easy to miss disc bulges in other directions. An MRI would be conclusive.

    it would seem to me that you have a disc issue, which flares up during spine flexion. the easy thing to say would be to train for neutral spine during surfing but it is probably easy to say and less easy to do in the water.

    i would say to work on hip flexion with neutral spine. there are some good banded distractions to help with this, like the hamstring floss with band going out back. i would also work on putting the hip socket to the rear of the socket. it may be biasing forward which reduces flexion capability. hip openers will also help and when you bend over, you may want to practice good squatting technique (ie. not knees in, torque the feet) which will enable to you to maintain a good bent over posture versus encouraging flexion to maintain bent over posture.

    breathing is a big factor – people undervalue too much what diaphragmatic breathing does for stabilization. work to achieve belly breathing 24/7 and especially during the excitement of being on a wave. this helps you maintain proper posture with less effort and make it reflexive versus conscious.

    as for sitting on the board, you may want to practice rolling your pelvis forward while sitting. if you let the pelvis roll back, this will encourage spinal flexion. you can practice this in a chair. sit, then spread the legs to wider than shoulder position, which is probably about the width of your board. then stabilize, and bend over at the hips. press your pelvis forward, as well as maintaining your spine shape. you may not get very far at first. mobilize a lot and practice this. then when you’re sitting on the board, put your arms a bit forward on the board to support and roll that pelvis as far forward as possible.

    in reply to: Pure hip flexion #76198
    AvatarNathan Richer
    Participant

    here is a good video on joint centration:

    in reply to: Pure hip flexion #76197
    AvatarNathan Richer
    Participant

    Re: tight movers, joint position

    the concept is simple. you want proper joint centration for proper movement. this means that each joint must be properly centered in the socket to provide for optimal movement, force creation and force absorption, etc. if it is not, then muscle compensations can occur as well as wear/tear on the joint itself. both can lead to bad things as you can imagine and definitely less than your potential.

    each joint as muscles surrounding it. if one set of muscles is not working properly, or has become short or tight, or atrophied, etc., then the joint may not be centrated any more during movement.

    in the case you describe at the hip joint, if the hip flexors become dysfunctional and/or tight, then these can cause problems with the opposing muscles, like inhibited glutes as the neurological signal between the two becomes problematic. so tight, always on hip flexors are telling the glutes to never fire. in a normal functioning human, this is the correct response of an agonist/antagonist muscle pair. in a dysfunctional human, it can cause the hip to glide anteriorily as you attempt to flex your femur at the hip and then this can cause impingement.

    similar things can happen at the shoulder joint where the shoulders can be biased forward due to tight pecs and pec minor among other structures. this weakens the posterior muscles and over time they stop firing. then you try to press and you wreck your shoulders because now they are attempting to rotate up while not being optimally centrated at the shoulder.

    having said all of that, the diagnosis of what exactly is happening with you can be a bit tough. it was why i went to Roop. i hit a wall at the possibilities but he gave me (of course) the one i hadn’t considered – second time he did that to me haha! but he’s the guy with the credentials and experience…

    always remember the categories to work on:

    1. soft tissue
    2. motor control
    3. joint centration

    go through all the possibilities – test/retest on every one. toss the ones with no effect, keep the ones with some effect. and remember it can take one session to see change, or months. yes the months part sucks.

    good luck and let me know if you have questions on the above.

    in reply to: Pure hip flexion #76195
    AvatarNathan Richer
    Participant

    this video may be of interest to you:

    http://deansomerset.com/side-plank-internal-rotation-question-answered/

    note that many problems are related to core stability, and its precursor to proper stability which is proper diaphragmatic breathing. i would study those as well as working on soft tissue.

    but also related to what you and i are working on, are the 21st century problems like overactive anterior chain, inhibited posterior chain which will move the femur head out of socket during certain movements. you can see some discussion on that in that post.

    it is fascinating stuff and very complex as you dig deeper, but still very interesting.

    i feel very fortunate that i live in the SF Bay and can drive up to see Roop every now and then. i usually work on something until i hit some roadblock, then i go up to see Roop who gives me a ton more things to do and think about. no substitute for his experience or training.

    good luck on it and yes it can take a long time. it took me 4-5 months before i could get ass to heels in squat and then it’s taken twice that long to get there nearly without warm up and then it’s still not consistently perfect.

    in reply to: Pure hip flexion #76192
    AvatarNathan Richer
    Participant

    I just got back from seeing Roop and I feel for you.

    He told me my iliacus and psoas were way tight and my femur head was poorly positioned for certain angles of flexion. Roop checked a bunch of angles and flexion/internal rotation at hip was terrible. The MWOD things he did to me were:

    1. Psoas release with fingers, but i get to do it with KB handle – likely Supernova is too big for me. Can do KB on lacrosse ball, then i can press in with knee up, then while pressing extend leg down.

    2. Iliacus release – wow painful with his fingers jammed in there! This one will probably require me laying on a KB handle for likely 10-20 min.

    Then he did some Roop magic. Basically he would pick an angle, then put his weight on my knee to push the femur head to the rear of the socket and then move it around. Definitely a lot of painful places where pinching was happening, but he managed to work it nearly good except for maybe the extreme range of IR and flexion. i would not recommend trying this. you could really mess something up. he also tested my labrum and there was definitely irritation there which could have been worse if someone who wasn’t Roop tried this. Did your chiro or PT do this? i have never seen this before. i’m guessing not.

    my home prescription is:

    smash psoas, iliacus, glutes, TFL (yes my flexor wad is tight too). need to work on psoas and iliacus a lot more.

    set femur head to back of socket, but move body over the knee so that you’re like in pigeon pose, bending body over the knee to the outside. only keep lower leg not rotated externally but either straight or slightly IR. this is similar to mob called Hip Capsule External Rotation in BSL. distract with band if possible. sorry hard to describe this one.

    couch stretch

    he then showed me a variant of shinbox. i sit down with feet about squatting width, knees bent 90 deg. then let one knee drop to the outside, while keeping heel in the same place. try to get as low as possible. then move the knee to the inside while maintaining foot location but try to touch the knee to opposite leg. repeat with other leg. hard as hell for me!

    variant on above – do this while squatting which i think i saw in a Daily MWOD once. get in deep squat position. move one knee to touch the other knee or leg if possible.

    another practice only with bodyweight – squat down but do it trying to bring the knees together in the center. this practices IR in squatting. never to be used with weight, but just an expression of accessible body position – which i don’t have! ugh!

    in reply to: Pure hip flexion #76190
    AvatarNathan Richer
    Participant

    I would try some resetting of the femur head into the back of the hip socket. if your femur head is biased forward in the socket, then you will be restricted in hip flexion as the femur rotates up it will run up against the top of the socket.

    I would look at both of these ways.

    the first is to get on the floor and do Hip Capsule External Rotation. use a band to distract the hip to the side or rear. then as you lay towards the ground, try to drive the femur head out the back of your butt. do this for 2 min on each side. retest hip flexion – standing i assume?

    the second is standing, and let a band distract a hip towards the back. then bend over the banded leg and do hamstring flossing while letting the band drag the femur head to the rear. retest hip flexion after doing this.

    as for psoas, there could be many symptoms of a tight/weak psoas. one is if you are in a extended low back constantly. the psoas could be dragging your low back forward as you try to stand straight up. glute inhibition could be another. limited hip extension could be yet another.

    treating the psoas is probably best done by gut smashing with a big ball like supernova, and couch stretch.

    in reply to: Squat Help #76189
    AvatarNathan Richer
    Participant

    These video sequences from Carl Paoli can help with the movement/positional part of learning the squat:

    http://gymnasticswod.com/content/air-squat-progression-pt1
    http://gymnasticswod.com/content/air-squat-progression-pt2
    http://gymnasticswod.com/content/air-squat-progression-pt3

    Sounds like you’ve got the mobility part down. Now work on the motor control aspects.

    AvatarNathan Richer
    Participant

    oops sorry the low/high bar squat link isn’t relevant here. was thinking about another post on this forum!

    in reply to: Transversal Plane #76186
    AvatarNathan Richer
    Participant

    i would add that i still would not recommend significant loading and twisting. i would not recommend doing trunk twists with a loaded barbell on the shoulders. that would seem way too risky vs. any potential reward benefit.

    i should also add that rotation can be deceptive. sometimes rotation shouldn’t happen in the spine but in the hips. think golfers who develop back problems. they are swinging way too much with their spine but with restricted hips the spine takes all the beating. instead, they should brace the spine properly, and have loose hips enough to make rotation happen there…
    in reply to: Transversal Plane #76185
    AvatarNathan Richer
    Participant

    I’m a fan of Stuart McGill’s work. I believe he would say the safest would be neutral spine all the time.  However, it is evident that some people do some amazing things outside the neutral spine position. a great recent example was in a MWOD episode with Matt Vincent where he snatches with a rounded upper back. he maintains the shape of the rounded upper back which protects it (movement during loaded situations is bad for the spine, but static seems ok in certain conditions) but as he throws the bar up, he unloads his spine and then reshapes it to be neutral/extended for the overhead where it is braced again. so he escapes injury because he changes shape when his spine is unloaded but not when it is.

    I believe Stu McGill would also say that the lumbar spine should always be braced and there should be little or no movement there. the t-spine is much more able to move and rotate and thus most of any spine motion should come from there.  
    and there is the concept of global flexion/extension and as well as global twisting, where each segment takes part of the load and thus the whole system is more resilient to loads. it’s when there is lack of mobility somewhere and the flexion/extension/twisting is happening at only one disc. this will wreck the disc for sure.
    i think 1 arm KB swings are a good example. in order to “toss” the KB between the legs between the back swing with one arm, you will have a little bit of rotation in the spine to do so. hopefully it is more global than local and happening with braced lumbar spine and most of it happening in the t-spine. the GS KB folks even take that more to extreme with lots of spinal twisting to enable use of the fascial loading to aid in their movements and help them with snatch endurance.
    i do not know if there are many longitudinal studies on KB swingers has been done, but certainly many have survived decades of good 1 arm swinging without major spinal problems…
    so i think that if you can aid in spinal mobility and make sure movements aren’t confined to only one disc, and aren’t really doing extreme twisting motions (1 arm swing spinal rotation isn’t all that much, just enough to toss the KB between the legs properly- training in GS style i would highly recommend with a competent instructor for sure), there are conditions where it would seem that some t-spine rotation is OK.
    AvatarNathan Richer
    Participant

    if your superfriends say your ankle mobility seems equal, then it is not a soft tissue or local problem but either a motor control or upstream problem.

    as MWOD likes to say, there are three things to check: 1) soft tissue 2) motor control 3) joint position in sockets.  and then do these things upstream and downstream from the problem.
    it sounds like once you started Oly lifting, the ankle problem was probably a sign of something wrong up stream and then the injury happened.  it could be the glutes that is causing ankle in-mobility.
    in the sitting pic above, it could be some residual tightness in the legs that is preventing you from moving the right foot closer without the heel lifting up. 
    ok so loosen up with smashing and banded hip openers. can you get your feet closer while in that seated position?  also, use the air squat as a test. how low can you air squat down before the foot wants to turn?  try generating torque (ie. screwing both feet into the ground ) *before* you descend. does that help?  how low can you go in air squat – ass to heels with proper back posture – it looks like from your squatting video that you can do this.
    this is a good read on the differences bet low and high bar squatting:
    the change in lever arm when you went high could have been enough to exacerbate an existing problem enough to flare…
    AvatarNathan Richer
    Participant

    Hmm that last bit of info seems very important. One diagnosis would be this.

    your injury resulted in the inhibition of your right glute. now when you squat, you rely on your quad to bring you up to compensate for lack of glute action. the quad’s overuse then tightens down all the structures around your knee and you feel pain there now.
    so if you want to test this diagnosis, i would:
    1. voodoo band around the knee. get those tissues around the knee to loosen up. continual squatting will keep tightening those up and result in pain. if this continues, it could develop into something far worse. smashing the quads and hamstrings wouldn’t be a bad idea either.
    2. how’s the back injury? have you done a recent MRI to check the status of your spine?  if there are discs still bulging, i would find a good clinician to address the disc first before squatting ever again.
    3. if the spine is ok, then i wonder about your posture. how good is it? you may be compensating in some way that is subtle.
    4. good torso stabilization is key. do you breathe diaphragmatically? that is the correct way to stabilize, which is to use the diaphragm’s descent to create intra-abdominal pressure to stabilize.
    5. your glute may need some retraining after so many years of being inhibited.  i would do right glute strengthening – ie. single leg glute bridges, single leg deadlifts, but also manage the right hip flexors – ie. couch stretch, gut smashing, smashing the rectus femoris, etc..
    also if you try squatting, maybe with a lot less weight, make sure you pay extra attention to squeezing the glutes (esp the right glute) as you come up, as well as driving the hip forward as you get erect.
    as for your disparity between the ankles, did this happen after your injury or was it like this before? it could be related to the lack of proper glute action if after the injury. 
Viewing 15 posts - 1 through 15 (of 486 total)