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Dr. Shirley Sahrmann

lines on the record: 123
first: 2023-08-04
most recent: 2023-08-04
sittings or episodes: 1
sources: podcast

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“You've got pathology in your movement. But as I indicated, movement can also induce pathology. In fact, we know if people don't move enough, they develop the metabolic syndrome and other kinds of things, because for lack of movement. So how important it is to move, this is related to the lifestyle issue, and doing it right. One of the things I always love doing with patients was saying, so who taught you to walk? And they say nobody, and I say that's the problem. Just because you're doing it doesn't mean you're doing it right. You're just doing 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
“The movement stops, everything stops. And so I think in some ways, to me, it's like a parallel to the nutrition system because we take for granted doing it. And yet there's right ways and there's wrong ways. And so the whole idea of this is to realize that their movement does involve a system. And just like we were talking about before, movement, if you have a lesion in a system like you have rheumatoid arthritis or something, or you have a stroke.”
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 not like the traditional anatomically defined systems like the cardiovascular system or the musculoskeletal system or the nervous system. It's a system of systems. But that's just like, in my mind, the immune system, which nothing is more important in medicine these days than the immune system. And it's a system of system. It uses many of the different organs in its function. Metabolic system is the same way. So, when you think of it as running from subcellular all the way up to how do you move in your environment, movement is critical”
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
“In 2013, the American Physical Therapy Association adopted the movement system as its identity. And to me, what's really important about all of this is that it's a way of trying to say to the public that there is a body system called the movement system.”
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 you need to just do flex your knee, and then you need to laterally rotate your hip. So you're letting your knee flex to 90 degrees. And then let your foot go in towards the other leg, that's lateral rotation.”
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
“Hansen's right and let your hips drop to about ninety degrees. You don't have to go back all the way. You just need to go back a little bit and go back by easily pushing with your hands because otherwise if you activate your hip flexors, it could pull your problems. And then can you tolerate prone”
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
“Of what happens when one iliac crest stays higher than another, and I'm not, to be perfectly honest with you, I haven't quite figured it all out yet. There's some adaptation of the other hip muscles. And I've just found that if you do this in quadruped, you just rock back. Often it will improve the asymmetry.”
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 confirmed one of my thoughts is that if your right iliac crest is higher than your left, but then I would also bet that your right TFL is stiffer than your left. So if that's playing a role, then when you put your feet apart, your iliac crest should level out. That should help with your symptoms.”
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 if you put them together and your symptoms increase, then you would know that that's what's playing a role in doing this.”
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
“Number one is this little thing I referred to before if one iliac crest is higher than another and it's a test for what we call relative stiffness. So one of the big hip flexor that's problematic is called the tensor fasciolata. Iletob And it's an abductor. So if you put your feet apart, so your hips are abducted, it takes the stretch off of that band. Any kind of asymmetry that you would have, particularly with the transition vertebrae, would be playing into the symptoms. Do you see what I mean?”
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
“So The other thing to try Tim is when you stand up, put your feet apart, separate them out and see if that changes your symptoms.”
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
“Not rocket science, you know where your pelvis is, you know where your hands are Just because very often when your hip flexors are not even just not short to stiff, stiffer than your back as you walk, it rotates your pelvis and that's where you're going to be getting your symptoms from. And evidently when you go fast enough, you're not staying static and you're causing enough equal movement, but that would be the big thing. When you stand up and you're in this anterior tilt, can you contract your abdominals enough to get out of the tilt?”
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
“So that's the ballpark idea. That also reflects how we're looking at these problems. What is it about the way you move? What is it about the way you've exercised or done things that cause the symptoms?”
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 if you can't really do that, then it means that the stiffness of your abdominal muscles is so much it's adding to the compression. And then if you have any kind of asymmetry, for example, if you put your hands on your iliac crest and one iliac crest is slightly higher than the other. Then your spine is in a side bend. And if it's in a side bend and you're squeezing on your vertebrae, they're not happy because they aren't lined up as optimally as possible. Do you see what I mean?”
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 know, I know, I know. Even within the community of physical therapists, people are really exercising big time. I mean, high intensity exercise is super popular. I'm all for it because it'll increase our patient load. But one of the things that happens when your abdominals are overdeveloped because what happens when muscles hypertrophy, they become stiffer. And muscles are like springs. So they have, I mean, I'm using the mechanical word of stiffness. And so when the abdominals get to be too much, they increase the compression on your spine. And so the way you can check me out on this is if you look to see if you take a deep breath, if you go from maximum exhalation to maximum inhalation, you should be able to change the circumference of your rib cage about two and a half to three inches.”
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
“What I would be doing is naming your low back pain by the movement that most consistently causes your symptoms and by changing that movement reduces or eliminates your symptoms. Then I'm talking to you about the Abriel cause of the problem. Now, it's not going down to the tissue level and saying, well, you know, it's a disc or a facet joint or any of the rest of it. Here again, in some ways When you have a problem like that, you can't say in the back that one tissue is at fault because a lot of tissues have to change if you're having pain coming from your back region. So the expertise of a physical therapist needs to be what is the movement that's either causing or exacerbating that problem.”
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 am from Long Island, so Questions, but got to start with the basics. The nice part is you can actually get reimbursed for making that big, clever diagnosis. So even without an MD degree. But. Where I would be looking at that problem, and I have an idea what your problem 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
“I mean, just what you're saying is low back pain. You're just telling me that you've got pain and you're telling me where you've got pain. That is clearly a symptom. Yeah, 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
“And if the green beans were too healthy, we had bacon grease to put on them. But I was very fortunate. I worked with a physician for a while who was really leading the way and showing about the role of exercise and nutrition. He did what's really called translational research, showing the cellular changes in animals and then also running studies in older people. And it was like an amazing insight for me to realize that your lifestyle had something to do with it. So I think that's behind what's slowly emerging as seeing movement play a different role. I think what I'd like to get across to people, it's not inevitable what's going to happen to you that you can do things via lifestyle to improve what your outcome is going to be.”
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
“Different than what I'm proposing or have proposed with this book. And I think the other thing that's so important about all this, and I'm sure you are a reflection of this, is in the old days no one thought lifestyle had anything to do with your health. I always like to point out this story. My family cooked with so much crisco. I don't know how my blood flows.”
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
“To be perfectly honest with you, Tim, it's not like this insight has been taken over by even the large majority of the people in my profession. It's still a bit of a struggle to have people move in this direction for a whole variety of reasons. But typically, and even though I wasn't there when physical therapy was first started, I wasn't too far behind. But typically, the role of the physical therapist was the doctor figured out what the problem was, made the diagnosis, and the physical therapist really provided treatment for what I think could fairly be called the symptoms or the consequences of that problem. In fact, I am old enough that I actually saw polio patients. The vaccine had just come out about when I was entering physical therapy school. So we had a role in providing the therapy for the doctor's identified condition. And that's very...”
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
“The back and the shoulder and the hip, and so I guess the shoulder is one of the things that he must have been particularly interested in if he's dealing with pitchers. And the shoulder's really quite complex because you've got that shoulder blade as well as the glenohumeral joint and it's not as easy as muscles just turn on or turn off appropriately. They've got to really be well coordinated. So I think that putting together this kind of information in a way that could be I was so slow in getting it out that I was grateful that there was the internet and Amazon selling things because if it would have only been sold in medical bookstores, no one like Eric would have ever found it. So that was one of the advantages of... Being a slow rider. And of course, I learn more while all that was happening too.”
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
“The one big objective, and I've actually been a physical therapist for over 60 years. And during all of that time, I've been through different eras of changes in physical therapy and where I've sort of gotten to is how movement basically induces pathology. And part of that trying to explain that and how it works is also developing diagnostic categories that direct physical therapy treatment. What this book was about was a first attempt to really put together diagnostic categories that are based on movement and movement as an inducer of musculoskeletal problems. Also, kind of working on the background of what are the tissue adaptations that contribute to this. So it really was an organizational attempt to identify for, in the first book, we covered the”
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