CategoriesCorrective Exercise

A Quickie: Addressing Cranky Knees

Get your mind out of the gutter.

(bom-chicka-bom-bom).

Today’s post was inspired by a client of mine who came in for their training session recently but confessed that their knee wasn’t feeling so great.

Given there were a bunch of squats on the agenda that day this wasn’t ideal news to hear. However, rather than sound the alarm and nix squatting altogether I wanted to see if I could alleviate their symptom(s) with a simple intervention.

Read below…

Copyright: ocusfocus / 123RF Stock Photo

Quick-n-Dirty Knee “Fix”

I am not a wizard.

Surprise!

But this “trick” I’m about to show you has worked wonders – as in instant relief – for various clients of mine who have complained of cranky knees.

A few brief notes:

1. I receive no affiliate income or kick-back (other than unlimited hugs) from ACUMobility for recommending their product(s).

2. It’s unfortunate many health/fitness professionals fail to look BELOW the knee with regards to knee health and function. The knee joint is pretty stupid and is often at the mercy of either the hip or ankle. By all means I’d be remiss not to encourage practitioners (which isn’t my role as a lowly strength coach) to assess the knee to see if there’s any nefarious nonsense happening there.

However, in my own experience, when trying to dig a bit deeper as to WHY someone’s knee may be bothering them (outside of the actual knee itself), the lower leg gets the shaft.

3. One component is looking to see if the individual can actually rotate their tibia (lower leg bone) in relation to the femur. Many patellar tracking issues, for example, can be attributed to a lack of tibial rotation…

…AND NOT A WEAK VMO, for the love of god.[footnote]I mean, if you think patellofemoral pain is caused by a weak VMO on the inner quad, think again, seeing as how the fibers line up to pull in a direction that can pretty much have no impact on patellar tracking whatsoever. Kudos to Dean Somerset for that mic drop.[/footnote]

If I were to make a list of what ACTUALLY affects patellar tracking the most it would likely look like this:

1. Lack of ability to rotate tibia.

2. ITB/adductor “tightness.”

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5. Lower leg (calf) griminess (<– technical term). See below.

18. Brexit.

19. Kitty cuddles.

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277. Belly button lint.

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412. Weak VMO

The tibial rotation thing is something I do want to address and is something I may write about in more detail soon. In the meantime, if you just can’t wait that long, Dean Somerset and I JUST ANNOUNCED we’ll be in Athens, Greece this October to reunite after 3+ years (and a pandemic) to put on our popular Complete Shoulder & Hip Blueprint Workshop  – where we discuss this topic in more detail (and much, much more).

Click HERE for details & to register

(Side Note: If traveling to Athens isn’t in the cards you can always follow along at home with our digital course HERE).

But First…

A caveat.

With regards to “general” knee pain I’ll typically start with a technique audit and then make some modifications in terms of volume/load and which variation of those exercises someone performs.

  • Sometimes the fix is some coaching to help clean up someone’s form.
  • Likewise, sometimes the fix is modifying the lift ever so slightly – reducing ROM, widening their stance, changing foot position – to make the lift (in this case, barbell squat) more tolerable.

I’ll always start there because it’s the lowest hanging fruit at my disposal and it ensures the client will still elicit a training effect. That and I’m a big fan of avoiding making my clients/athletes feel like a patient.

After that I’ll attempt to address tissue quality…particularly in the calves (an often neglected area).

Ouch (I mean, Great)

The gastronemius (or gastroc for those of us who are lazy) is a bi-articular muscle that crosses both the ankle AND knee joint.

It’s a nasty area that, for lack of a better term can “get nasty as fuck.”

I often find if I have someone work on their tissue quality in this area that they’ll find immediate relief in their knee(s) because it helps “unglue” their tibia to rotate more during the squat motion.

It’s not fun, but it works:

 

Try this the next time your knees toss you some attitude.

My guess is that it will help quite a bit!

Categoriescontinuing education

Workshop Announcement: De-Constructing the Deadlift and Squat

If there’s one thing I’m known for it’s my affinity for Lord of the Rings, cheese, cute kitty pictures, and killer groutfits,

But outside of those, if there’s one thing I’m known for it’s my man-crush on anything & everything related to the deadlift.

I’m partnering with Brad Cox of ACUMobility to put on all-encompassing 1-day workshop where we (de)-construct the deadlift and squat.

(De)-Constructing the Deadlift & Squat

The Juicy Deets

When: Sunday, January 26, 2020.

Where: Titan Barbell, Stoneham, MA.

Time: 9 AM – 4 PM.

Cost: $199.00 $149.00.

Pants Optional?: I don’t know, are they?

Sign Up —-> HERE

NOTE: Due to space we are limiting this to 35 attendees only. We aren’t saying this to be marketing sleezeballs and to create a false sense of urgency. Like, for real, space is limited. You better jump on this quick if you’re interested.

This workshop is “user friendly” for the masses. Whether you’re a personal trainer, strength & conditioning coach, physical therapist, or just someone who likes to dabble in the lifting of heavy things…you’re bound to benefit and learn something that will help you better serve your clients and athletes.

—> Click here for more info and to register <—

Categoriescoaching Corrective Exercise mobility

My Go To Mid-Back Mobility Drills

Mid-back (or T-spine) mobility drills are one of those things that, much like bacon, Jason Bourne movies, or LOLCat memes, most people just can’t get enough of.

Copyright: lightwise / 123RF Stock Photo

 

At this point I don’t think I need to belabor why t-spine mobility is a kind of important. But if I had to give a quick 10-second elevator pitch I’d say something to the effect of:

“It helps improve performance in sport(s) and in the gym, helps with posture, and also helps offset the likelihood of your shoulder, neck, or lower back from flipping you the middle finger.”

You’re not going to find that explanation on Wikipedia or anything, but it gets the point across. Having the requisite mid-back mobility – 0r, more to the point: having the ability to “access” mid-back or T-spine mobility (via rotation and eliciting an extension moment) as well as nudging more dynamic stabilization – keeps people healthy (namely shoulders and lower back) and not feeling like a bag of dicks.

Note to Self: I totally need to start submitting more often to Wikipedia.

There are a million and one different T-spine mobility drills and rarely is there ever a “bad” one. However, the three shown below tend to be the ones I gravitate towards the most when working with athletes and general fitness population clients alike.

1. Mid-Back Release

A common drill many people perform to improve T-spine mobility (more specifically, extension), especially when they’re more kyphotic and exhibit overly rounded shoulders, is to extend their mid-back over a foam roller.

First: Most people perform it poorly (see below).

Second: We’ve fallen into this trap of oneupmanship where the “harder” the surface the better the drill is.

Is it better?

Ten years ago it was a plain ol’ foam roller. Now people are rolling on lead pipes. Before you know it, the next iteration will be rolling on live grenades.

Regardless, Here’s How Not to Do It.

 

The mid-back area isn’t necessarily designed to have that much range of motion – to the point where someone can extend their shoulders all the way to the ground – and what most people end up doing is exhibiting excessive rib flair and plowing through their lumbar spine (where we don’t want a ton of movement).

The end result is nothing more than “feeding” what’s causing the issue(s) in first place: an un-stable core (lumbo-pelvic area) which forces the mid-back to lock-up for lack of stability where you want it.

Do This Instead (Seriously, I’m Not Kidding)

 

This mid-back release from the people over at AcuMobility.com is a game-changer.

The idea is to train STABILITY (by paying diligent attention to engaging and maintaining core activation) while also working on the areas we actually want to mobilize.

This drill is a catch-all for pretty much everyone: male, female, young, old, likes to deadlifts, hates it, office worker, Klingon….seriously, everyone.

It works – albeit for different reasons – whether you’re a computer guy with Quasimodo posture or someone who’s more athletic and exhibits more of a “flat” t-spine.

Computer Guy = the added extension is postural gold.

Opposite of Computer Guy = these people tend to be “stuck” in extension due to over-active erectors, rhomboids, etc from lifting heavy things repeatedly. Also, much like “computer guy” most people here will exhibit a weak or unstable core, which, for many, may be the culprit for why their mobility is poor to begin with.

The lack of base of support in the lumbo-pelvic region will have negative ramifications in terms of ideal positioning up and down the kinetic chain, and one’s ability to produce and transfer force.

When we dial down tonicity in the mid-back, we’re able to exhibit better positions (rectus abdominus less lengthened and rib flair less prevalent) and we’re then able to express our actual badassery.

I really love the content and material AcuMobility has been putting out over the past year. You can watch ALL their videos for free on their site HERE.

It’s awesome stuff.

Also, because I’m cool, you can get 10% off any AcuMobility orders by using the code “gentilcore” (no quotations needed) at checkout HERE.

2. Side Lying Windmill

 

It…..just…..feels…..so…..good.

Lots of cool things happening here: T-spine extension & rotation, in addition to a nice pec stretch (which is often overactive in many people).

A key point, however, is to make sure you’re not just flailing your arm and making it a shoulder circle thingamabobber exercise.

The motion should come for the scapulae (shoulder blade) itself, so don’t force ROM you don’t have. It’s okay if you’re unable to get close to the floor.[footnote]Actually, no, it’s not. You’re going to die.[/footnote]

The more you perform this exercise the better you’ll get

Also:

1. Place a foam roller underneath the top knee (at 90 degrees) so you lock the lumbar spine in place and don’t default into lumbar rotation.

2. Squeeze the glute of the leg that’s straight.

An exercise sibling – if you will – of the side-lying windmill is a variation I learned from Dr. John Rusin:

Side Lying Open Book

 

3. Quadruped Reach Through and Extension

 

I like this drill for a lot of people, but I really like it for rotational athletes (especially pitchers as it’s important for them to be able to follow-through and “access” flexion on their throwing side).

A key aspect of this drill is to sit back onto the calves/ankles (if your mobility allows and it doesn’t bother your knees) and to lock the lumbar spine in place and take it out of the equation.

From there it’s pretty self-explanatory:

1. Slide hand underneath and reach through as you exhale your air.

2. Reverse the action and extend back.

3. I tend to default to more of a “rib-roll” action as I feel it’s allows for less cheating and compensation.

Give these bad-boys a try and let me know what you think. Or, if not, I guess I’ll GFM….;o)

CategoriesStuff to Read While You're Pretending to Work

Stuff To Read While You’re Pretending To Work: 10/14/16

I’m heading to Minneapolis, MN today where Dean Somerset and I will be putting on our Complete Shoulder & Hip Blueprint workshop this weekend.

Copyright: <a href='http://www.123rf.com/profile_aneese'>aneese / 123RF Stock Photo</a>
Copyright: aneese / 123RF Stock Photo

 

It’s our last LIVE event before he and I release the digital product onto the world in the very, very near future.

Are you excited?

 

Anyways, I’ve packed my Billy Heywood t-shirt (<— please tell me someone gets that reference) and since I land somewhat early I plan on taking in some of the sights and sounds of the city. Anyone have any suggestions?

Some Stuff to Check Out Before You Read Stuff

1) CORE will be hosting the I Am Not Afraid to Lift (Mindset Edition)workshop featuring Artemis Scantalides and my wife, Dr. Lisa Lewis.

Date: Sunday, November 6, 8AM-5PM.

If you’re interested in learning more about kettlebell and bodyweight training, proper technique, programming, as well as how to develop sound mindset strategies to enhance performance, this workshop will be a great use of your time.

This workshop is appropriate for women who lift of all levels, from women who have never lifted weights before, to beginners to advanced lifters. Men have attended too…;O)

There are only four spots left. For more information you can click HERE (<– click events tab).

2) Week #2 of John Rusin’s Functional Hypertrophy Training program has continued to kick my ass. It’s been a long time since I’ve done an extended high(er) volume training program, but I seem to be adapting nicely.

All of my lifts went up from last week, and I’m looking gunny as shit. So it’s working. As I noted last week my plan is to do this program for a minimum of twelve weeks and to discuss my experiences with it along the way via social media.

If you’d like to jump in on the action go HERE and then use the code TG10 to save a little money off your purchase. Lets get jacked (and commiserate) together…;o)

And now lets get to the stuff to read.

Why the Active Straight Leg Raise? – The Strength Faction

When I took both the FMS Level I & II courses last year one of the things that really stuck out to me was 1) how absurdly protective some fitness pros were about their movement quality. Giving someone a “2” on their overhead squat was equivalent to tar and feathering them based off some of their reactions. Some would debate the number as if getting a “not 3” made them less of a quality human being. It was funny.

And 2) how MONEY the ASLR screen is.

That shit cleans up everything. The squat, the hip hinge, your pigsty of a room. Everything.

My boys over at the Strength Faction – Todd Bumgardner and Chris Merritt – provide some insight on why the ASLR is so integral to good movement.

How to Fix Low Back Stiffness/Rounding in the Deep Squat – AcuMobility

I’m really liking all the content the crew over at Acumobility – Brad Cox and Julian Cardoos – are putting out lately.

This was a very cool video to watch in real time as Brad helps fix a wonky deep squat with a high-level CrossFit athlete.

Dear Fitness Industry – Michael Keeler

This….was……amazing.

Do we really serve the needs of clients? Do we really listen to them?

SOCIAL MEDIA HIGHLIGHTS

I see many of my colleagues doing this and figured I’d jump in on the action. You know, cause I’m important.

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