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Dr. Shirley Sahrmann
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- 2023-08-04
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- 2023-08-04
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“My dear friend Michael said, You are tremendous. I've really enjoyed talking to you and you do have a sense of enthusiasm on how to ask the right questions.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“And I think helping people to understand how it's the way they do their everyday activities that causes the problem and that those can be changed with good direction. I can't help but say this too. I help a good friend who's actually on a dementia floor. I go to help feed her twice a day. And I look at all the other people, older people that are in assisted living. And the majority of them are there because they have physical disabilities. I'm older than most of'em, and I think if people had a chance to address We could cut down on improve the quality of life. I know you've interviewed doctor A. And much of what he says, you know, medicine 3.0 or something. And if we did that with more care on exercise and knowing how to do everyday activities and not just take them for granted, I think people could have longer, fuller lives. And”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“Respect for how difficult exercise is. It's not like, here's the way everybody should go out and do this one thing, and then all will be well. I'd like to see this recognition of movement is complicated as anything else that the body does, that there is a movement system of physiological thing, and that we should have diagnostic categories so that people, when they're consulting a physical therapist, get a diagnosis just like when they go to any doctor. I mean, that's to me why you go to a doctor, is to get a diagnosis or find out what condition you're working on. I think that would do a lot to help reducing all this variability in treatment.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“Probably just a little repeat of all the things we've been talking about. It's been really great and generous of you to allow me to discuss your issues. But, you know, what's really nice is here you are somebody that's worked so hard to address all of these things with all the discipline that most people don't have. And it's still hard to get a straightforward story about what's going on and how best to suit you. And that's what worries me a lot. Number one is I look on the Internet for exercises and most of them people can't do and they're not taking into account the variations in how people are. I mean, here you've been through all this exam and nobody said you have femoral retroversion, which you need to know because you came that way you need to stay that way. So I would like to see that there's more”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“Have an increase. I mean, you can still do the same things, Tim, but just don't say I will be absolutely perfect. I have to settle for kind of perfect instead of absolute perfect.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“S-C-H-E-U-E-R-M-A-N- And it's kind of a idiopathic compression fracture of the thoracic spine. It means you won't get rid of it.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“There's a condition called Sherman's disease, which isn't really a disease. If you had it, particularly it happens in your teenage years. Where you get a, you've heard of it.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“way behind it, and you roll over your feet and you push with your feet. So you roll over so that you're pushing with the ball of your foot and your leg swings out, you'll use your gluteels more. Just pushing instead of pulling. Want to chase your center of gravity, not pull it.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“If you also push off, in other words, when you're walking, and this could be another way in which you're reinforcing what your tensor is doing, if you tend to walk by pulling your leg through, rather than pushing with your feet and letting it swing through, and if you push with your feet, you'll activate the extensors more. So the two things, the things that may be contributing to your, and I'm not saying this is for sure because I'm obviously not analyzing you, but let's say if we paint a scenario that you're swayed back with a kyphosis, your line of gravity is behind your hip joint, I always call it then the gluteels do not have good definition. I call it missing for lack of action. And so then you pull your legs forward with your hip flexors. You're just reinforcing the overuse of the tensor. But if you decrease your kyphosis, so your line of gravity is a little more running through your hip rather than”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“Usually, if you're not using your gluteal muscles, and that is because you're swayed back. If you're swayed back, your line of gravity is behind your hip joint. And if your line of gravity is behind your hip joint, you don't need your gluteils, those other muscles. So if you reduce that kyphosis, which isn't bad, it's just not helpful for what your condition is. And then you go forward. And then the other thing is...”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“Yeah, it's like the back is attached, the back bone's attached to the pelvic bone. And I think to me that's what's so valuable about being a physical therapist or looking at people because I can't, like an orthopedic surgeon, just look at the knee or I can't just look at the hip. It's the result of all of these interactions of the body. That's what's so important.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“Yeah, you're not getting that extra pull on your pelvis from those gluteal muscles being pulled so taut. And that's where you should be. That's your normal thing because you have femoral retroversion. See, and that's one of the things that's bad is because, you know, like when people go in and they're taught deadlifts and they say, well, make your feet point straight ahead. Well, many men in particular shouldn't have their feet pointing straight ahead because they have this femoral retro version. And also when they do things that rotate like play golf, their feet should be turned out because if they're straight ahead, they're at the end of their medial rotation range. So then it'll be the knee or the back or the hips that are going to go. It's also interesting.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“You're getting it fore and aft because you're probably in this one of the syndromes I have of the hip that I've described of the hip because if your tensor is really develop, it's going to be holding your femur in medial rotation when you're standing because it's pull taut then. If your gluteels are really well developed, when your hips flexed to 90 degrees, they become medial rotators too. So they're trying to hold your hip in medial rotation, and you're probably getting that twist on your back. So when you laterally rotate your hips, then you're taking that pull off of them.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“But that's because you came that way. And it should never change. No, I mean it. And so men need to know that. In fact, that's a problem because if your tensor is really developed, you could be sitting in hip medial rotation when you shouldn't be. And if your glutes are really good, that'll also immediately rotate your hip when you're sitting. That's a problem. But one of the ways to, if you're trying to do the quadruped thing, is to turn your hip out a little bit. You're in the quadruped position, so your feet would come together a little bit closer”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“Probably have a femoral retroversion. It's a structural variation. And so the femur, as you know, has a head and neck on it. It's angled. Well, it's also rotated on the shaft. And in the ideal world, the average, not the normal, the average is that that rotation is fifteen degrees. So the head and neck of the femur are pointing fifteen degrees forward. Now many men, it's not rotated, so what it means is that when you're doing your hip rotation, you go out along ways, but you don't go in.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“But let me tell you one thing now, Tim that the quadruped, as much as I love it, and I think It's important whether you have a shoulder problem, a cervical problem, etc., is that one of the things that's a problem, though, is, and it can be for several reasons, but again, the tensor is one of them. If you rock back and your hip medially rotates, in other words, I found this in some patients that as you rock back, your hip should just flex. If you are monitoring the femur, you can sometimes see that it immediately rotates. That is really bad. And the reason why it's really bad is because it's rotating in your knee joint too. And that's a good way to set yourself up for an ACL tear anterior cruciate ligament. And I think people should be monitoring that. Anybody that's doing that, one of the things that helps is if you slightly laterally rotate your hips, you know, many people, particularly men, come with what we call femoral retroversion.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“Abdominals prevents that rotation. So that's another way I'm trying to work my abdominals. And then I stand up and I'm so proud of myself because I can get up from the floor without any difficulty. Many people at my age are many years younger than that can't do that. put my back to the wall and then do what I was telling you to do, arms up overhead and do the little side bend thing.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“Yeah, we didn't throw out a school or anything. But anyway, I couldn't wait to do all the tests that we do to look for the length of the tensor, and she was a fair athlete. So it wasn't like it had been sitting not doing anything if it was there. And I did all the tests and they were negative, which was kind of supportive to me that indeed the tensor does do things that aren't so kind to the rest of the body. So anyway, all that to say, that's why when I do the straight leg raise, I try to laterally rotate my hip because I'd rather use the psoas. And it's not causing me any problems. Clearly, if I thought I was injuring myself, I would not do that. And then I do one other thing with one leg straight and the other foot on the floor so that my knee is bent, my foot's on the floor, I let my leg go out to the side, and that's my way of trying to work on controlling rotation with the trunk. My leg goes out to the side it wants to rotate your pelvis, but contracting your”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“It's this little bitty wimpy muscle, and you say, How can it cause so much trouble? But it sure does. You know, it plays a role in what happens to the knee, plays a role in what happens to the back. Hip, I mean, it's an evil thing. Anyway. But you know an interesting thing one of my colleagues was doing a study and we actually had a student that did not have a tensor fasciulata.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“Yeah, in fact, I think it's so interesting because I've tried to contact the World Health Organization because all over the world the tensor is run amok.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“I mean it's a good muscle to use I need to be able to flex my hip, but the tensor it has a real thrush low threshold for activation. I mean interestingly enough Would scratch the bottom of your foot, the first muscle to go off will be your tensor fasciata.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“And then with one foot on the floor, I do a straight leg race. I don't tighten all my thigh muscles so that my knee is perfectly straight, and I turn it out a little bit so that I don't use the tensor. But if I rotate it out, you'll use the psoas more. And I think about tightening my abdominals. I have had a significant problem, and I don't want to put too much stress on my lumbar spine from the ileosoas. I want to use it, but I want to protect my back. That's why I have one foot on the floor.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“Yeah, and the biggest worry is going to be with the older person that if you have a kyphosis, you're not going to be able to get your arms on the floor all the way up over your head. And you don't know pain. You don't want any pain on top of your shoulder because that's not going to be a good plan. So they may need to have a pillow up there when they're first starting so their arms don't go all the way back because you want to avoid any kind of pain on top of your shoulder. But happily I know how to do it and I can do it. And then I do actively hip and knee flex, bring one knee towards my chest, put it down, and the other one. And ten times with each leg.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“I go supine, turn over. And I think this is really, you know, I'm pretty good about not having a kyphosis, but in supine, I AD duct, pull my shoulder blades together and slide my arms up over my head, so that my arms are all the way up over my head as much as I can. And I'm on a hard floor. I'm starting with my hips and knees bent. Arms up overhead and then slide one leg down, slide the other leg down. And believe me, for an older person who's got a tendency towards collapso smasho, just getting yourself as stretched out as possible is so important. I mean, really.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“Yeah, so they're not quite ones maybe 80, the other maybe 70 because it doesn't take all that long. And then with my knees extended straight with my lower extremity straight, I alternate doing hip extension, but I think about using my gluteal muscle. I think about activating my gluteus maximus, and again only about ten degrees of hip extension. And then, in that same position I do hip abduction. In other words, one leg out to the side ten times'cause you use your gluteus medius in that better if you're working against gravity and extension than you do when you're supine. You tend to recruit the tensor too much.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“Then still in the prone position, knees flexed to 90 degrees, and then I do hip rotation in both directions, letting my lower leg come in and then go out.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“And so then in that position, then I lift my thigh off of the floor. I do hip extension, but not high. There's only 10 degrees of motion It's a way to stretch your gluteal muscle Because you can't, if you use your hamstring, you'll get a cramp. Get a bad cramp in your ham So, just a little bit of hip extension to use my gluteal muscle.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“And I tried to get my leg just one knee to fall back on my thigh because I don't want to hold it bent at 90. In other words, if you bend your knee, you can go to 90 degrees. If you go more than 90 degrees. Leg is falling on your thigh”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“Yeah, like the outside of the right and the inside of the left. So there were all these little changes that took place just from improving my alignment partly with that. So to go on to answer your full question, so what do I do these days? Guess what? I still do quadruped. I don't go all the way back and sit on my heels. And I also want to tell you about one thing people need to know about that exercise. And then I do push-ups, modified push-ups. And then in prone, and I think that if you could do this carefully, it'd be good is in prone, I flex my knee so that my leg as much as possible is falling on my thigh.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“Yeah. And then the other thing is I had always worn my shoes off so that they were going off to the side, and after I did this few years of this quadruped rocking, I didn't walk in the same way and I didn't have my shoes weren't worn off to the side from.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“My fingers were always flexed from everything I did. I never really thought about stretching them out. And so when you're in quadruped,”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“I was getting my hips to bend and letting my back go down so I was getting more of a curve. And I think also decreasing a bit of a tendency towards a thoracic hyphosis. The other thing that was really interesting, I had used to bowl, you know, like with a bowling ball. And while I was in my PhD program, which took me six years, I didn't have any money to bowl, and so when I went and got my bowling ball out again, I had to change the finger grips because I had stretched my finger flexors out, and so the finger grips no longer fit maybe because my fingers were longer.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“Just the idea of being in quadruped and just letting your back go down and then rocking back. I tended to ride the bicycle. I was a catcher for three different softball teams. So I was really in a posterior tilt with a really flat back. And I had never really gone the other way.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“And so we started looking at the darts, and sure enough, I had them on backwards. Well, before my alignment was such that they looked all right. But now that I was doing this quadruped exercise, they didn't look all right. They were looking funny because I had changed the curves in my back and my buttocks. And so that's why she caught the idea that I wasn't wearing my pants right.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“Well, and it really related to doing this quadruped little exercise. So one sort of funny story was I was really poor going through getting my PhD because I didn't have any income and was living off of a minimum amount of money. And so I didn't get to buy new clothes very often. And I had a pair of slacks that I was wearing for a long time and a friend actually took me out to play golf and it was an older woman at that time. We're out playing golf and she says, you know, surely you've got your pants on backwards. And I said, you know, I'm working on my PhD. I think I ought to be able to know how to put my pants on.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“I started really running and doing things when I started my PhD studies and after encountering this physician and learned a bit about nutrition, breaking all the family tendencies. And then again, learning about musculoskeletal problems, even though I was really interested in working with neurological patients, people with spinal cord injury, head injury, stroke. I had always had this tendency to look at how people moved, and I always tried to figure out why they were moving the way they were moving, etc., and got involved with musculoskeletal patients and they started getting better. So I had to figure that out. And then I applied my own ideas to myself. I don't know how folks you want to get at, but they're really some funny stories. Let's do it.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“As I told you, that number one, choosing to be a physical therapist. And also I was very fortunate because growing up, I refused to grow up and I played sports in my day. It's when are you going to grow up and stop all that stuff? And that was very good. We also didn't have air conditioning and we only had one car. So instead of paying more for a bicycle than a car, I had to ride a big old bicycle and ride it everywhere. happily laid down enough bone and enough muscle in my early years and then the physician that I encountered who was part of the Department of Medicine at Washington University in St. Louis, his name was John Hollisey, he started bringing in the lifestyle issues. And as a physical therapist, even though I got a PhD in neurobiology because I wanted to solve the motor control problems of the stroke patient, I stayed very physically active.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“I'm so lucky, I'm so fortunate too, because I don't mind saying both of my parents had dementia, and I've now exceeded their ages both in life and in dementia. Right now I don't know that I have any.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“Exactly. Not a good idea. Now, if your spine moves easily, then that's all right. And you can get the same effect if you would put your hand where your spine is and tighten your glutes. You'll see your spine doesn't move. You see what I mean? If it wants to go along for the ride, it'll go along for the ride. But the problem is those people where it doesn't want to go along for the ride and you're going to be one of them.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“I was working with this older woman. I thought old was my age now. And so she did have spinals to gnosis. And I was working on sit to stand, so she didn't have any symptoms. And I had her try to tighten her abdominals and she was doing pretty good. And then I said, okay, now let's tighten your gluteal muscles as you get up. Well, she did that and she got pain shooting down her legs. And the reason being that Your gluteal muscles, as Junok, attached to the pelvis so if they posterly tilt the pelvis, but if the spine doesn't want to go along for the ride. Stays there and you get a translation motion between where the pelvis is moving and the vertebrae are not moving.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“This is one of my guilt trips because many years ago I was working to get the point across. I'll tell you my little story. Yes, please.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“Just in that position, just let it go down. It's amazing how much you can improve your alignment. It looks like you could change pretty readily. And the big thing, so we started off because you were doing the bridging exercise. I wouldn't be tempted to do that. One, you'll do a much better loading of your gluteal muscles by that bending over and coming back up with your. Hip extens And if you tighten it there, there's also a tendency for the glutes to actually posteriorly tilt the pelvis, but the spine doesn't go along for the ride.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“You can easily practice, you've got the lower abdominals or the external obliques. They're the ones that tilt your pelvis. And if you just easily practice tightening those, but don't work hard at it so that you sway back”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“Just think about going over and coming back up by making your hips extend. Hold it there. Now, hips, just come back up with hips, hips, hips, hips, hips, yeah. Was better. Yeah, just yeah, and try not to let your back sway back. You use the momentum of your upper back coming back to finish up.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“Yeah. Now you need to work a bit on how you come back up from. Forward bending so that it's, and don't worry about going over that far. You need to come up with your hips and let less back. As you finish off your back, you sway back and do too much back extension.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“Right, right. Yeah. So that is going to be the tensor on that side. Now, let me do one more thing, just bend over and come back up.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“With your hands like that, it looks like they don't look so bad to me. Let's do what we talked about before. Put your feet apart and let's just see what happens. If that changes your symptoms at all.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“Yeah, okay. Yeah, and it looks like your hips are fairly straight, so go ahead and turn, put your back to me so I can just put your back to me for a minute and put your hands on your iliac crest.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“All you need to do is think about letting your chest go towards the floor and like you feel the load on your shoulder blades. Okay. Now let me watch you just easily like you're going to contract your helmet to pull it in. You see, you do sway back. Okay, stop. You did lean back”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT
“I lean back, and then these are Yeah, you lean back to get away from those, but you need to, the rectus needs to be a little bit longer.”
2023-08-04 · The Tim Ferriss Show · #685: Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More · IDENTIFIED FROM THE TRANSCRIPT