• Thank god we pay the new guy in treats because his diagnostic skills are shit. #therapydogfridays @nevpt
    Thank god we pay the new guy in treats because his diagnostic skills are shit. #therapydogfridays @nevpt
  • Brokeback Workout. That's what the movie was about right? Two dudes just trying to figure out how to make gains around a soft tissue or bony injury...no? I don't know, never saw it (miss you, Heath, so so much). Injuries need to be respected but that does not mean you need to be relegated to aqua-aerobics and spin bikes. Emphasis was on keeping work capacity while minimizing any aggravating compression through my upper facets. Focused on movements I could add in some scapular protraction or t-spine flexion, some axial decompression or some lower trap emphasis. Moved well, got sweaty and no pain. I'll take it for now. πŸŽ₯: @ezell.dakota @nevpt @clinicalathlete #powerliftingrehab
    Brokeback Workout. That's what the movie was about right? Two dudes just trying to figure out how to make gains around a soft tissue or bony injury...no? I don't know, never saw it (miss you, Heath, so so much). Injuries need to be respected but that does not mean you need to be relegated to aqua-aerobics and spin bikes. Emphasis was on keeping work capacity while minimizing any aggravating compression through my upper facets. Focused on movements I could add in some scapular protraction or t-spine flexion, some axial decompression or some lower trap emphasis. Moved well, got sweaty and no pain. I'll take it for now. πŸŽ₯: @ezell.dakota @nevpt @clinicalathlete #powerliftingrehab
  • Long post: About 5 weeks ago I felt/heard a criiiick in my t-spine while doing some heavy overhead press. No big deal, my next set was a drop set anyway. Couldn't do one rep without pain. Being a powerlifter, I finished some bench work and accessory lifts and called it a day. Over the next few hours the pain progressively worsened. Tweaked a rib or pulled something, no big deal. Severe pain for a couple days then moderate then none. Resumed some pressing and while it wasn't AS bad, it definitely flared it. Squatting, deadlifting no problem. Ok I'll modify. Fast forward to present and it's STILL bothering me. So I figured, welp better go get x-ray and make sure I didn't get a compression fracture or snap a rib or whatever. More so, I just wanted to rule any red flags out before continuing to train heavy. So this is my x-ray. There are many x-ray's like it but this is mine. The reason for this post is this: PTs, especially me, are just as susceptible to the mind warps of injuries as the next guy. My clinical angel on my left shoulder told me it's no big deal. Don't get excited, let soft tissue heal, modify your training etc. It also listed the dozens of articles showing poor correlation with imaging and pain. The other angel on my right shoulder was like OHMAGERD, look at that curve! Those disc heights! Is that arthritis?? FACKME. But I took this as an exercise in practice what you preach. You're on the short side of 40. You're a powerlifter who asks your body to do incredible things. You're a competitor and not too terrible at your sport and aside from this Acute injury, I really have no issues to speak of. Injuries happen to all of us, but they don't define us. I'll modify, I'll train around it, I'll figure out what technical improvements could have been made and I'll move on. In other words, I'll calm the f*ck down. But yeah, it's annoying. I'm human. Throw this in the box with my I ain't got no ACLs and I just have another story to help me relate to my patients. And to all my chiro buddies who I immediately sent these too, thanks for being lighthouses in a world of fear-mongering. @drjewett07 @michael.ray.dc @jobonesnv @mderek4011 #PTsgethurttoo
    Long post: About 5 weeks ago I felt/heard a criiiick in my t-spine while doing some heavy overhead press. No big deal, my next set was a drop set anyway. Couldn't do one rep without pain. Being a powerlifter, I finished some bench work and accessory lifts and called it a day. Over the next few hours the pain progressively worsened. Tweaked a rib or pulled something, no big deal. Severe pain for a couple days then moderate then none. Resumed some pressing and while it wasn't AS bad, it definitely flared it. Squatting, deadlifting no problem. Ok I'll modify. Fast forward to present and it's STILL bothering me. So I figured, welp better go get x-ray and make sure I didn't get a compression fracture or snap a rib or whatever. More so, I just wanted to rule any red flags out before continuing to train heavy. So this is my x-ray. There are many x-ray's like it but this is mine. The reason for this post is this: PTs, especially me, are just as susceptible to the mind warps of injuries as the next guy. My clinical angel on my left shoulder told me it's no big deal. Don't get excited, let soft tissue heal, modify your training etc. It also listed the dozens of articles showing poor correlation with imaging and pain. The other angel on my right shoulder was like OHMAGERD, look at that curve! Those disc heights! Is that arthritis?? FACKME. But I took this as an exercise in practice what you preach. You're on the short side of 40. You're a powerlifter who asks your body to do incredible things. You're a competitor and not too terrible at your sport and aside from this Acute injury, I really have no issues to speak of. Injuries happen to all of us, but they don't define us. I'll modify, I'll train around it, I'll figure out what technical improvements could have been made and I'll move on. In other words, I'll calm the f*ck down. But yeah, it's annoying. I'm human. Throw this in the box with my I ain't got no ACLs and I just have another story to help me relate to my patients. And to all my chiro buddies who I immediately sent these too, thanks for being lighthouses in a world of fear-mongering. @drjewett07 @michael.ray.dc @jobonesnv @mderek4011 #PTsgethurttoo
  • Crazy! Wonder if they're having the Acute:Chronic conversation yet?? Play the starters for progressively less minutes over the month (chronic) before Week 1 (Acute) then ask them to play 100% of the minutes at max intensity. What could go wrong?? πŸ€”Check out our piece on Acute:Chronic Workloads under our Newsletters tab on our website: NevPT.com. #gabbett #injuryriskreduction #aclrecovery
    Crazy! Wonder if they're having the Acute:Chronic conversation yet?? Play the starters for progressively less minutes over the month (chronic) before Week 1 (Acute) then ask them to play 100% of the minutes at max intensity. What could go wrong?? πŸ€”Check out our piece on Acute:Chronic Workloads under our Newsletters tab on our website: NevPT.com. #gabbett #injuryriskreduction #aclrecovery
  • Game day! @nevadastrength #coorslightsandhighlights
    Game day! @nevadastrength #coorslightsandhighlights
  • New logo, who dis? #nevpt
    New logo, who dis? #nevpt
  • Biggest difference between novice benchers and elite ones is often the chosen bar path. The differences are subtle but you can see in the top video the initial push is up towards the ceiling vs the more energy efficient lower video where the initial drive is back towards my face. This optimizes force vectors and shoulder/humerus leverages needed to safely move heavy weight. For a full breakdown on the why's and how's, you gotta read @gregnuckols article on bench bar path over at Strongerbyscience.com. And confession: my bar path leaves something to be desired but I blame the Power Lift J-hooks. They literally are the most cumbersome and obtuse hooks on the market leaving me to finish further away from my face than I would have liked (*resist urge for joke here*). Anyway, back to benching. #bigpecscashchecks #benchpress #shoulderhealth @nevpt @clinicalathlete
    Biggest difference between novice benchers and elite ones is often the chosen bar path. The differences are subtle but you can see in the top video the initial push is up towards the ceiling vs the more energy efficient lower video where the initial drive is back towards my face. This optimizes force vectors and shoulder/humerus leverages needed to safely move heavy weight. For a full breakdown on the why's and how's, you gotta read @gregnuckols article on bench bar path over at Strongerbyscience.com. And confession: my bar path leaves something to be desired but I blame the Power Lift J-hooks. They literally are the most cumbersome and obtuse hooks on the market leaving me to finish further away from my face than I would have liked (*resist urge for joke here*). Anyway, back to benching. #bigpecscashchecks #benchpress #shoulderhealth @nevpt @clinicalathlete
  • Basement gains. You have time for excuses or results, but not both. 290x7 pause work in this edition of Please Don't Let My Wife Find Me Pinned to Death In My Basement. We're going to do a week on each of the primary power lifts and thought this would be a good opener. First tip: crop your video so no one can tell if you're really as strong as you say you are. #doesyourPTevenlift @clinicalathlete @nevpt #bigpecscashchecks
    Basement gains. You have time for excuses or results, but not both. 290x7 pause work in this edition of Please Don't Let My Wife Find Me Pinned to Death In My Basement. We're going to do a week on each of the primary power lifts and thought this would be a good opener. First tip: crop your video so no one can tell if you're really as strong as you say you are. #doesyourPTevenlift @clinicalathlete @nevpt #bigpecscashchecks
  • Well that is high praise my friend. Not sure I've ever been mentioned in that company before! Not sure it's entirely deserved but thanks brother! I feel the same. Although my list of influences is currently less famous and, uh, a bit more prickly. Gonna have to write a sweet book first so I can acknowledge them someday. Go buy Travis' e-book. It's a good one. #unfuckyourshoulders
    Well that is high praise my friend. Not sure I've ever been mentioned in that company before! Not sure it's entirely deserved but thanks brother! I feel the same. Although my list of influences is currently less famous and, uh, a bit more prickly. Gonna have to write a sweet book first so I can acknowledge them someday. Go buy Travis' e-book. It's a good one. #unfuckyourshoulders
  • Couldn't agree more! #youarenotsodelicate
    Couldn't agree more! #youarenotsodelicate
  • Congrats to our boy @c4triathlon in Canada this past week! Killing it bud. Stoked to have you in the NPT family! #Repost @c4triathlon (@get_repost) ・・・ Oh Canada! You did NOT disappoint! I'm so proud to have been able to wear the Stars and Stripes on Monday at #penticton2017! I was 10th overall and 3rd in my age group, getting a Bronze Medal at the Age Group World Championships! A huge thank you to my supporters and family! A special thank you to @valaredo for being the best adventure buddy/camera woman/friend/partner! This is an experience I won't soon forget! #sierraendurancesports #pendolastrong #iamspecialized #findfaster #zerolimits #triathlon #duathlon #tri365 #swimbikerun #runbikerun #runreno #ridereno #renorunningcompany #itumultisport #teamusa #usat
    Congrats to our boy @c4triathlon in Canada this past week! Killing it bud. Stoked to have you in the NPT family! #Repost @c4triathlon (@get_repost) ・・・ Oh Canada! You did NOT disappoint! I'm so proud to have been able to wear the Stars and Stripes on Monday at #penticton2017! I was 10th overall and 3rd in my age group, getting a Bronze Medal at the Age Group World Championships! A huge thank you to my supporters and family! A special thank you to @valaredo for being the best adventure buddy/camera woman/friend/partner! This is an experience I won't soon forget! #sierraendurancesports #pendolastrong #iamspecialized #findfaster #zerolimits #triathlon #duathlon #tri365 #swimbikerun #runbikerun #runreno #ridereno #renorunningcompany #itumultisport #teamusa #usat
  • Nice little read on external cueing by @nickwinkelman over at clubconnect.com. We're big proponents of Dr. Wulf's work (even if she is at that objectionable school in the South). Her work covers athletes, musicians, and firearms-all individuals that need to react reflexively. Check out Nick's piece and if you clear your morning, read her OPTIMAL theory of motor learning. @nevpt #gabrielewulf
    Nice little read on external cueing by @nickwinkelman over at clubconnect.com. We're big proponents of Dr. Wulf's work (even if she is at that objectionable school in the South). Her work covers athletes, musicians, and firearms-all individuals that need to react reflexively. Check out Nick's piece and if you clear your morning, read her OPTIMAL theory of motor learning. @nevpt #gabrielewulf
  • One of my favorite articles. #ihavefavoriteresearch #geeksquad #Repost @chrisabeardsley ・・・ Long-term programs of stretching can increase flexibility (joint range of motion). However, the mechanisms by which flexibility increases are not well-understood by most recreational trainees. Indeed, there is evidence that intense programs of stretching, with progressively increasing external resistance can cause small ↑ in muscle fascicle length. However, the main mechanism by which joint range of motion is ↑ after stretching, is an ↑ in the tolerance to stretch. This has important implications for performance and injury prevention, as a change in stretch tolerance is unlikely to affect either of these. -------------------- #sandcresearch #strengthandconditioning #strengthtraining #strength #sportsscience #biomechanics #exercisescience #research #sciencetopractice #performance #science #infographic #infographics #hypertrophy #muscle #physicaltherapy #physiotherapy #stretching #fasciclelength #musclefasciclelength #staticstretching #flexible #flexibility #stretchtolerance
    One of my favorite articles. #ihavefavoriteresearch #geeksquad #Repost @chrisabeardsley ・・・ Long-term programs of stretching can increase flexibility (joint range of motion). However, the mechanisms by which flexibility increases are not well-understood by most recreational trainees. Indeed, there is evidence that intense programs of stretching, with progressively increasing external resistance can cause small ↑ in muscle fascicle length. However, the main mechanism by which joint range of motion is ↑ after stretching, is an ↑ in the tolerance to stretch. This has important implications for performance and injury prevention, as a change in stretch tolerance is unlikely to affect either of these. -------------------- #sandcresearch #strengthandconditioning #strengthtraining #strength #sportsscience #biomechanics #exercisescience #research #sciencetopractice #performance #science #infographic #infographics #hypertrophy #muscle #physicaltherapy #physiotherapy #stretching #fasciclelength #musclefasciclelength #staticstretching #flexible #flexibility #stretchtolerance
  • When we've turned our new grad into a cynic. Welcome to our fold. We just saved you thousands of dollars on bullshit courses and sounding like a used car salesman for the first 5 years of your career (I speak from experience). My work is here is done. @clinicalathlete @nevpt #nosillybs
    When we've turned our new grad into a cynic. Welcome to our fold. We just saved you thousands of dollars on bullshit courses and sounding like a used car salesman for the first 5 years of your career (I speak from experience). My work is here is done. @clinicalathlete @nevpt #nosillybs
  • Thanks for the shout bud! Always good trading ideas with you. Although I'm pretty sure I stole this from @mderek4011 or @michael.ray.dc but at this point, I've lost track. #Repost @drjewett07 ・・・ This is part of the reason I have been harping on eccentrics lately, especially as it relates to my Mastering the Basics workshop and then coming soon the MWOD Performance workshop. eccentrically loaded muscle is a shock absorber (like running) but it also is a powerful stiff spring. I see it time and again, people who just drop into the bottom of a squat or basically drop the bar on their chest for the bench or don't understand how to effectively use this to put several deadlifts and presses together smoothly. So many squats can be fixed by people just not going so fast. It's so obvious the point will be missed by many. Sure you can chase a perfect pistol to help fix your squat or RNT or some other PT thing but those usually are not as direct and then people get stuck thinking they have to get perfect at some rehab exercises before they can train. πŸ‚πŸ’©. Thanks for sharing some of your information with me @nevpt my brother in strength (especially the bench) #strengthandconditioning #mobilitywod #quitbeingsoft #fightdoughiness #gobeawesome #getstiff
    Thanks for the shout bud! Always good trading ideas with you. Although I'm pretty sure I stole this from @mderek4011 or @michael.ray.dc but at this point, I've lost track. #Repost @drjewett07 ・・・ This is part of the reason I have been harping on eccentrics lately, especially as it relates to my Mastering the Basics workshop and then coming soon the MWOD Performance workshop. eccentrically loaded muscle is a shock absorber (like running) but it also is a powerful stiff spring. I see it time and again, people who just drop into the bottom of a squat or basically drop the bar on their chest for the bench or don't understand how to effectively use this to put several deadlifts and presses together smoothly. So many squats can be fixed by people just not going so fast. It's so obvious the point will be missed by many. Sure you can chase a perfect pistol to help fix your squat or RNT or some other PT thing but those usually are not as direct and then people get stuck thinking they have to get perfect at some rehab exercises before they can train. πŸ‚πŸ’©. Thanks for sharing some of your information with me @nevpt my brother in strength (especially the bench) #strengthandconditioning #mobilitywod #quitbeingsoft #fightdoughiness #gobeawesome #getstiff
  • @clinicalathlete when you settle your differences over small batch beer. @mderek4011 #walkthewalk
    @clinicalathlete when you settle your differences over small batch beer. @mderek4011 #walkthewalk
  • Eccentric overload! We are fortunate enough to be able to beta test some applications for the @electricweight and what better application than the deadlift?? This is 135lb barbell with approx 100lb concentric addition to a 200lbs additional on the eccentric paced at 2.0 sec. @chrisabeardsley @drjewett07
    Eccentric overload! We are fortunate enough to be able to beta test some applications for the @electricweight and what better application than the deadlift?? This is 135lb barbell with approx 100lb concentric addition to a 200lbs additional on the eccentric paced at 2.0 sec. @chrisabeardsley @drjewett07
  • Great post from our boy @codymisuraca.dpt Check him out! #Repost @codymisuraca.dpt (@get_repost) ・・・ HIP IMPINGEMENT # Symptomatic hip impingement is often characterized by pinching pain in the groin or front/side of the hip during the squat. The approach to addressing this starts with (per usual) LOAD MANAGEMENT. While impingement is a natural component of deep hip flexion and is typically pain-free, often with loading and repetition over time the involved structures can become sensitized and painful. First and foremost, the TRAINING PROGRAM needs to be assessed, as it may be outpacing the body's ability to recover. Following this, several technical alterations can be made to modify the symptoms, demonstrated above in the following order: 1. (My) Regular 2. Wider stance 3. Toes out 4. Heels elevated 5. Higher bar position 6. Pelvic tilt (posterior) 7. Limit depth Each of these works to some degree by modifying the load on the sensitized structures, and some combination (preferably the minimum necessary) will typically allow one to continue loading and training the squat with minimized or no discomfort. Over time the squat can be slowly be moved back toward its original technique, or it may be deemed more efficient and remain unchanged. Either way, training is better than not training. # *DISCLAIMER: This information is for educational and entertainment purposes only and should not be considered medical advice. Please consult with a licensed professional if you are experiencing pain.
    Great post from our boy @codymisuraca.dpt Check him out! #Repost @codymisuraca.dpt (@get_repost) ・・・ HIP IMPINGEMENT # Symptomatic hip impingement is often characterized by pinching pain in the groin or front/side of the hip during the squat. The approach to addressing this starts with (per usual) LOAD MANAGEMENT. While impingement is a natural component of deep hip flexion and is typically pain-free, often with loading and repetition over time the involved structures can become sensitized and painful. First and foremost, the TRAINING PROGRAM needs to be assessed, as it may be outpacing the body's ability to recover. Following this, several technical alterations can be made to modify the symptoms, demonstrated above in the following order: 1. (My) Regular 2. Wider stance 3. Toes out 4. Heels elevated 5. Higher bar position 6. Pelvic tilt (posterior) 7. Limit depth Each of these works to some degree by modifying the load on the sensitized structures, and some combination (preferably the minimum necessary) will typically allow one to continue loading and training the squat with minimized or no discomfort. Over time the squat can be slowly be moved back toward its original technique, or it may be deemed more efficient and remain unchanged. Either way, training is better than not training. # *DISCLAIMER: This information is for educational and entertainment purposes only and should not be considered medical advice. Please consult with a licensed professional if you are experiencing pain.