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Eric Cressey

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2023-06-01
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2023-06-01
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  1. So baseball's in a challenging place right now, as we talked about a little bit earlier, average fastball velocity has surged. There is very much this injury epidemic in baseball. And I think the But we're realizing more and more most of the athletes are very broken at young levels. I look at radiology report after radiology report on 18-year-old elbows and so many kids are blowing out at young ages. And they're broken before they even know they're broken and they just, they get to higher levels and that's when they eventually start to kind of hit a wall. So I think really the big picture is what excites me the most is how do we favorably impact what's happening on the youth side of things to make sure that the next generation of really talented players are healthy because we're getting to a point where sports medicine really can't keep up with 16 year old kids that are throwing 100 miles an hour. That never happened in the past. So I think big picture, it's the interaction between sports science, sports medicine, strength conditioning, biomechanics, mental skills. It's how all those different pieces fit together. It's all the stuff I'm kind of tasked with in a daily basis in my role. So that's what's really exciting is how do we make this better for the next generation?

    2023-06-01 · The Tim Ferriss Show · #675: Eric Cressey, Cressey Sports Performance — Tactical Deep Dive on Back Pain, Movement Diagnosis, Training Principles, Developing Mobility, Building Power, Fascial Manipulation, and Rules for Athletes · IDENTIFIED FROM THE TRANSCRIPT

  2. Think the biggest thing was how he could be two different people in the best way possible. There's the old saying they don't care how much you know until they know how much you care. And with Brajesh, he could be very businesslike in front of a crowd when you need to be very organized and locked in and control a room so that everything could happen efficiently. But then I also saw the relationships that he had on the side, how he knew literally everything there was to know about every athlete. He clearly grasped them on a personal level and things like that. Interestingly, we only got probably six months together. He actually moved on and took a job at the College of the Holy Cross. He actually just won a national championship with Quinnapiac in hockey. But looking back, like that was the reason I went into strain the auditioning instead of something else underneath that umbrella. And I was very lucky to have very good mentors at UConn, him and Tina Murray, who's now with the Pittsburgh Penguins and Chris West under the soccer umbrella and Andrew Hooty who's back at UConn. There were just some amazing coaches that really, really helped me out there.

    2023-06-01 · The Tim Ferriss Show · #675: Eric Cressey, Cressey Sports Performance — Tactical Deep Dive on Back Pain, Movement Diagnosis, Training Principles, Developing Mobility, Building Power, Fascial Manipulation, and Rules for Athletes · IDENTIFIED FROM THE TRANSCRIPT

  3. Said in that moment, I got completely hooked on string editioning. And at the time, I was taking organic chemistry for a class of like 250 undergraduates. And I saw what Burgesh did. And none of that is focus on movement competency and things like that. It was just a different way of training people, but also a different way of impacting athletes, which I thought was great.

    2023-06-01 · The Tim Ferriss Show · #675: Eric Cressey, Cressey Sports Performance — Tactical Deep Dive on Back Pain, Movement Diagnosis, Training Principles, Developing Mobility, Building Power, Fascial Manipulation, and Rules for Athletes · IDENTIFIED FROM THE TRANSCRIPT

  4. So, funny story. I got accepted to the University of Connecticut graduate school early in the summer of 2003, and I went to Yukon not knowing what I really wanted to do underneath this kinesiology umbrella. I thought maybe I wanted to get into research and all that stuff. And it was just when I had started doing some writing in kind of like an online medium. And Brajesh at the time was a graduate assistant strength and addition coach at the University of Connecticut. And what Burjesh did was he actually read a couple of my articles. And so I got to campus. We had some graduate classes together. He had several teams at Yukon that were underneath his umbrella. And he said, hey man, if you ever want to come in and coach, like or just observe, just say the word. I was like, all right, awesome. He's like, all right, men's baseball is at 5.30 a.m. tomorrow morning. I look back and he was a million percent like testing me. And sure enough, I got up at 5. I showed up and I watched it and it literally changed my career in that moment because I saw the way that he commanded a room. I saw the way that the players bought into everything.

    2023-06-01 · The Tim Ferriss Show · #675: Eric Cressey, Cressey Sports Performance — Tactical Deep Dive on Back Pain, Movement Diagnosis, Training Principles, Developing Mobility, Building Power, Fascial Manipulation, and Rules for Athletes · IDENTIFIED FROM THE TRANSCRIPT

  5. Think you've done a wonderful job, which is expected in light of how long you've been doing this. So I think probably the best place we can finish is me thanking you because you've done a great service to the body of knowledge by supporting so many different initiatives in this realm for a long time. So I commend you for all of your great work.

    2023-06-01 · The Tim Ferriss Show · #675: Eric Cressey, Cressey Sports Performance — Tactical Deep Dive on Back Pain, Movement Diagnosis, Training Principles, Developing Mobility, Building Power, Fascial Manipulation, and Rules for Athletes · IDENTIFIED FROM THE TRANSCRIPT

  6. It's something that I think we need to be better on. It's good for motivated people that want to make a difference because it is a low barrier entry, but it's also bad for unmotivated people that want to enter an industry that can profoundly impact people's lives really quickly too.

    2023-06-01 · The Tim Ferriss Show · #675: Eric Cressey, Cressey Sports Performance — Tactical Deep Dive on Back Pain, Movement Diagnosis, Training Principles, Developing Mobility, Building Power, Fascial Manipulation, and Rules for Athletes · IDENTIFIED FROM THE TRANSCRIPT

  7. Like above the basic threshold, Mike Robertson certification is excellent as well. But I'm still not sure that certification is enough in our industry to really uphold this really high standard because you can do it in a day. You can't do med school in a day. My wife is actually an optometrist and she always is remarked about this. She's like, you know, she did four years of undergraduate school. She was a biochemistry major, four years of optometry school. And then she went and did a one-year residency in Corne and contact lens. And she's like, I spent nine years on eyes. And like people in your industry go to a weekend certification and they get a whole body like is pretty eye-opening, for lack of the pun, but.

    2023-06-01 · The Tim Ferriss Show · #675: Eric Cressey, Cressey Sports Performance — Tactical Deep Dive on Back Pain, Movement Diagnosis, Training Principles, Developing Mobility, Building Power, Fascial Manipulation, and Rules for Athletes · IDENTIFIED FROM THE TRANSCRIPT

  8. Word no. And that's a sad commentary on our industry. And I think it's really, really hard because so many people have kind of flocked to that world. Don't get me wrong, there's stuff that NSCA has obviously been looked at as like kind of the gold standard, the CSCS. And I do think that's a critical threshold because it at least verifies that your first aid in CPR certified and, you know, you have some awareness of how to design a training facility and some of those things. But I think if you talk to most people that are having success in this industry and they're coming back, they're saying that most of what I learned I learned on the fly. I didn't learn it from my certification. I didn't even learn that much from my undergraduate exercise science degree in many cases. And then I think that's challenging. I do think there's some people that have put out certifications that tend to be very specialized in various ways on a wide variety of topics. But I don't know that there is one certification out there that really heavily differentiates really well. I think Mike Boyle's done a great job with the certified functional strength coach certification, people that are doing that are certainly

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  9. But I do think, I mean, certification is obviously like a minimum threshold for working with people. And like I talked about earlier with practitioners, you want to look at people that have been exposed to a wide variety of philosophies. I think that's helpful understanding what a typical session looks like. If it's like, all right, they come in, they ride the bike for five minutes, and then we like press and, you know, doc deck flies and stuff like that. It's probably not someone that's going to be an ideal fit for teaching you how to move better. So, you know, when I see people that have a little bit more movement competency emphasis to this, that's important. I think it's vitally important to consider too. Like the people that are probably listening to this podcast are not going to be the 1% that are trying to compete as bodybuilders or, you know, in some cases be, you know, high, high level powerlifters. We're talking about folks who are looking to exercise to improve their quality of life and to reduce the incidence of pain and all these different things. So you want someone that has a little bit more of a movement competency. So I look for things in that realm, like an awareness of how we can actually optimize movement.

    2023-06-01 · The Tim Ferriss Show · #675: Eric Cressey, Cressey Sports Performance — Tactical Deep Dive on Back Pain, Movement Diagnosis, Training Principles, Developing Mobility, Building Power, Fascial Manipulation, and Rules for Athletes · IDENTIFIED FROM THE TRANSCRIPT

  10. Having run facilities, we have that, it's all very itemized in terms of how often we check it, and I want to know that anytime something goes on that we have like immediate contact info for everyone. So that's, you know, I think that's maybe not where you're going with it. It was more with respect to the professionals.

    2023-06-01 · The Tim Ferriss Show · #675: Eric Cressey, Cressey Sports Performance — Tactical Deep Dive on Back Pain, Movement Diagnosis, Training Principles, Developing Mobility, Building Power, Fascial Manipulation, and Rules for Athletes · IDENTIFIED FROM THE TRANSCRIPT

  11. Because when you do that, that's your emergency contact info. So if you walk into a random gym in the middle of Kansas or whatever to get a workout in and you're not filling that stuff up, you're a diabetic and you collapse in the middle of your sesh, they should have all of your information on file so that they can call your emergency contact and find, oh, he's a diabetic. That's the first thing that you tell the ambulance when they arrive. All those things. So I'm always astounded that. Is this cable going to snap while I'm working out? Like those are some of the very realistic kind of challenges.

    2023-06-01 · The Tim Ferriss Show · #675: Eric Cressey, Cressey Sports Performance — Tactical Deep Dive on Back Pain, Movement Diagnosis, Training Principles, Developing Mobility, Building Power, Fascial Manipulation, and Rules for Athletes · IDENTIFIED FROM THE TRANSCRIPT

  12. You know one that always blows me away? I'll go on the road here and there and work at it at random gems. And I'm always amazed when I walk into a gym and they don't have you sign a waiver. That just to me is a sign that there could be so many other things that are going on there that just like that's the most buttoned up thing you can possibly do is that.

    2023-06-01 · The Tim Ferriss Show · #675: Eric Cressey, Cressey Sports Performance — Tactical Deep Dive on Back Pain, Movement Diagnosis, Training Principles, Developing Mobility, Building Power, Fascial Manipulation, and Rules for Athletes · IDENTIFIED FROM THE TRANSCRIPT

  13. Things to qualify professionals is helpful. That's very hard because it's a low barrier to entry industry. We could go on online and get your dog certified as a personal trainer this afternoon if we wanted to. And I think that is a problem is that licensure really isn't a thing. So there are some kind of flyby night operations that are challenging. So that's a great question. I'd have to really stew on it because I think it's such a multifaceted discussion that we really need to dig in on.

    2023-06-01 · The Tim Ferriss Show · #675: Eric Cressey, Cressey Sports Performance — Tactical Deep Dive on Back Pain, Movement Diagnosis, Training Principles, Developing Mobility, Building Power, Fascial Manipulation, and Rules for Athletes · IDENTIFIED FROM THE TRANSCRIPT

  14. The actionable items for folks. I think this is why it's important to have good practitioners helping you. I think in general, we can probably both agree. Into a contract written up, you go to a lawyer, you need an MRI done, you go to a doctor, you do, your tax is done, you go to an accountant, but anybody who's ever walked into a commercial gym will kind of see that people tend to throw a bunch of poop on the wall to see what sticks when it comes to exercise. And it's scary because you screw up your taxes. There's a way out of it. You screw up your body. You might have a lifetime of pain. So I do think in general.

    2023-06-01 · The Tim Ferriss Show · #675: Eric Cressey, Cressey Sports Performance — Tactical Deep Dive on Back Pain, Movement Diagnosis, Training Principles, Developing Mobility, Building Power, Fascial Manipulation, and Rules for Athletes · IDENTIFIED FROM THE TRANSCRIPT

  15. Fibrotic and nasty. So we just go and we stretch aggressively. We're not always taking into account what could cause that. Conversely, you add some stability to the system. So in the case of like a protective tension, maybe you give them a little bit of core control. You give them some glute activation, teach them how to post really tilt their pelvis, and all of a sudden that tension kind of can resolve. So I'm always mindful of don't just stretch something because you think you need to stretch because you know exactly why it needs to be stretched. And more importantly, look to add good stiffness, motor control somewhere else. And this is why some people go to yoga class and feel amazing. And then every once in a while you get someone that just feels way worse when they left. They probably stretched out some productive tension or they hung out on a structure that didn't want to be hung out on.

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  16. Let's talk about tight hamstrings because that's probably the tightness that we encounter the absolute most. So your hamstrings could be tight for a lot of reasons. It could be tight because the muscles are actually fundamentally short. It would be really, really hard for that to happen just because they cross multiple joints, they extend the hip, they flex the knee. You just don't live in that position to actually be short enough. So more often than not, what we see in the hamstrings is actually a protective tension. Our pelvis is really tipped forward. Our hamstrings posteriorly tilt the pelvis. So they're firing on all cylinders and many of our really kind of active extension bias athletes to kind of prevent debilitating low back pain. So that tone is there for a reason. So if we stretch it out, sometimes we leave them transiently unstable in a little bit of a position of exposure. Likewise, you could have hamstrings tension because you blew out a disc in your low back, you have some kind of nerve tension. Maybe you pulled a hammy and there's just like an element of that tissue not just realigning the right way. So it's kind of dense and

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  17. And then the last one, I'll say this is kind of an interesting methodology one that I might be starting an entirely new discussion as we work to wrap up. I think you always want to know why you're stretching something. So don't just stretch something because it's tight. Stretch because you have an actual rationale for doing so. But if you add motor control, if you add good stiffness to a situation, you'll almost never go wrong. But you can make yourself a lot worse if you stretch the wrong thing.

    2023-06-01 · The Tim Ferriss Show · #675: Eric Cressey, Cressey Sports Performance — Tactical Deep Dive on Back Pain, Movement Diagnosis, Training Principles, Developing Mobility, Building Power, Fascial Manipulation, and Rules for Athletes · IDENTIFIED FROM THE TRANSCRIPT

  18. Say wash for anything that snowballs for you, right? Like if you had a non ideal pattern and then you go and you throw 500 pounds on your back and try to back squat. Bad idea. Yeah, loading bad patterns generally magnifies it, but I would even argue that load doesn't just have to be weight on a barbell, right? Load could be going out and running full speed when your hips bar can at you or you have, you know, an Achilles tendonopathy or something to that effect. Anytime you start to load dysfunctional patterns. I use that term very loosely because we're still, I think, in an industry unable to perfectly define what that is. But pushing through pain generally doesn't end really, really well.

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  19. So, the Sagittal plan would be straight ahead plane. So forward and back, you know, so if you're thinking about a pane of glass, like going through the middle of your head, that's a sagittal plane movement. A frontal plane would be side to side, so like a lateral lunge or like a shuffle to the side. And then the transverse plane is, I think, where people get in trouble. That's rotational. So imagine rotating to throw a med ball or the rotation that takes place during a golf swing or tennisball swing, something like that. Yeah. And I think in general, people lose rotational capacity, but it's actually vitally important. We use it probably a lot more than we could have possibly recognized. That's something that we need to be really, really mindful of for sure.

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  20. Man's best friend. I'm a big fan. Yeah. But I think underneath the movement umbrella. Optimizing rotation seems to be the one that's really, really big. And I think we get really, really kind of stuck in this sagittal plane world. Everything is very strategic.

    2023-06-01 · The Tim Ferriss Show · #675: Eric Cressey, Cressey Sports Performance — Tactical Deep Dive on Back Pain, Movement Diagnosis, Training Principles, Developing Mobility, Building Power, Fascial Manipulation, and Rules for Athletes · IDENTIFIED FROM THE TRANSCRIPT

  21. Couple big ones. I would say first, don't specialize young. I mean, that's a message for both the parents on this podcast, but also I think people who may be losing athletic initiatives in their life, like try to find a way to do a wide variety of movements well into adulthood. So that's certainly an upstream activity because it's much easier to do a little bit and maintain mobility than it is to lose it and try to get it back. Takes a lot more work. I think obviously sleep, nutrition, and regular movement are very, very big. Certainly there are times when supplementation can make a big difference. We know that vitamin D deficiency seems to have some pretty big relationships to musculoskeletal health as well. I think in the big picture of movement, if we're going to look underneath that umbrella, just pause.

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  22. Five breaths, and it might be an inhale to the count of three and an exhale to the count of six. So you're talking about these taking close to a minute. So that's why, you know, full body weight might not be necessary. How we cue their breathing will kind of be impacted by some of the infrastructural angle stuff that I talked about a little bit, maybe a really forceful exhale for like a wide ISA that really needs to learn to kind of close. ISA is infrasternal angle versus like a narrow, it might be more like an inhale through the nose and try to expand your rib cage to the sides. And then when you exhale, think of like fogging up the mirror versus like blowing out the birthday candles. So subtleties that we would obviously coach in different positions and we might use that more in one than the other. But yeah, definitely just some different ways that we'll attack it.

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  23. Say for me, I'm generally integrating in the warm up, particularly in someone who's really limited in shoulder flexion, so their ability to get their arm overhead. So I'll generally program it for breaths. So I might only have them do five breaths. And again, usually it'll be like a lat inhibition hangs. We might not have, you know, full percentage of their body weight, but we have other variations that are just like hanging. They're ultimately distraction exercises for the upper extremity that are effectively taking the rib cage away from the pelvis. So you're getting some length through quadratus lumborum and lat and long head of the triceps, all these different muscles that kind of all run in that same path.

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  24. Yeah. And I think maybe my bias came because we see a lot of really hypermoile, loose-jointed folks in the baseball world. And they can just get in really, really bad positions. So when they hang, you usually see like elbow hyper extension. You see like a ball that's like flying out of the socket in the shoulder. And so I really didn't like the idea of doing a lot of it with them. But I quickly came to realize is if you have any athlete that has any element of stiffness, things like that, it does seem to really make a big, big difference. So particularly when you integrate hanging with correct breathing, understanding how to inhale and exhale correctly where you actually can manipulate how you're pressurizing the rib cage, that has been, I think, a big difference maker for us, particularly with how people are very dense through their lats and you get your arms overhead, you hang, you get some reduction in tone there. And you can also deload it. There's nothing that says you have to hang with your full body weight. You can put your feet on a box and cut 50% of your body weight out. So I'd say if I had to change.

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  25. That's a lot of what his research has kind of postulated, but it seems like 30 seconds is kind of like a minimum threshold. So we've seen some really, really awesome changes in some of those chronic patellar tendonopathy people, chronic Achilles tendonopathy people, where we even use it proactively, like start of the offseason. We want to do some more isometric loading for people as we prepare them for their offseason sprint programs and things like that. So I think that's powerful. And the next step is how do we translate that to maybe tenons that aren't as easily measured. So the example would be like, you can touch your patellar tendon, you can touch your Achilles tendon. It's really hard to say like, all right, I want to get in on my super spidatus tendon. And we know in a baseball world, like some of those get pretty banged up over the course of time. Is there something that we can do to favorably impact tendons that maybe aren't as easy to isolate? So I do think that's kind of like an exciting frontier and credit to Keith and his lab for doing some great work. So I'd be the first one. I think the second one is hanging. In general, I was kind of out on hanging for a long time, even though it's very...

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  26. I'll give you two. The first one I would say is isometrics. And I think for those who don't know, isometric is really just a muscular activation where there's no change in length. So if I had Tim hold in the bottom of a split squat for 30 seconds, that would be an isometric hold. And I always thought that, hey, the loading isn't significant enough. I'm not sure this really has its place. And we started to see more benefit, I think, with respect to really hypermobile athletes, people who are really, really loose jointed, giving them time to own positions are really helpful. But what really took me to the next level was Dr. Keith Barr's research is excellent. He's looked a lot at the favorable impacts of isometric holds on ten and health, particularly with respect to Achilles and patellar tendons. And it just seems like the biochemical response to isometric loading is really, really good. And it does things that we don't get from concentric or eccentric.

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  27. Yeah, for sure. When I talk to young coaches in this field, I'm always like, figure out what you can do to be differentiated. And very rarely does following your passion get you there. Because everybody in my field, you have to remember most people wind up in this world because they like to exercise or they were former athletes that wanted to stay competitive, but it's not a differentiator. It's just something that they're passionate about. And I think you quickly realize when you open a training facility that some days it's not much different than running a restaurant or an accounting firm or something like that. So I think where I've been served well is I always tried to actually develop skills that could in one way or another make me differentiate in the marketplace.

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  28. entire undergraduate ear boozing and not doing anything. I didn't do that. Instead, I worked, I experimented, I was in the gym every single day and I was annoying people that I knew were a lot smarter than me. So I never loved the idea of people following their passion. I think you follow your marketable skills. And eventually as Newport, the book was Be So Good They Can't Ignore You talked a lot about being able to redeem those eventually for other things. Maybe it's more compensation. Maybe it's a better work-life balance, more autonomy, whatever it may be. Too often in our industry, everybody has these very similar resumes. Everyone has an exercise science degree. Everybody has a letter recommendation from their academic supervisor and their high school volleyball coach or whatever it is. And very rarely are they heavily differentiated in my world. I'm like, I want to know what's weird about you. Do you speak Spanish? Do you have experience with particular technology? None of that is necessarily about being passionate. You're talking about

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  29. Just marketable skills, you know, skills that would eventually serve me without even knowing when I was going through shoulder rehab and all this shoulder stuff. I was actually working much more with basketball and soccer athletes during my grad degree at the University of Connecticut. It just so happened that some of the first athletes I worked with in the private sector were baseball players. And because I had had all these shoulder issues and dealt with them myself, I think I identified a really underserved population even more than I otherwise would have. Would that have been the case if I had spent

    2023-06-01 · The Tim Ferriss Show · #675: Eric Cressey, Cressey Sports Performance — Tactical Deep Dive on Back Pain, Movement Diagnosis, Training Principles, Developing Mobility, Building Power, Fascial Manipulation, and Rules for Athletes · IDENTIFIED FROM THE TRANSCRIPT

  30. And things like that. So there's probably even more of a recipe for people just getting hurt because they aren't locked in.

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  31. We don't have to go through all of them. I think at that level, you're going to see guys, for me personally, if I'm going to deadlift 600, it's going to be usually 135, 225, 315. And once I've hit 315, I'm going to go 25s all the way along. So it'd be 315, 365, 405, 455, 495. There's a pretty significant build up to it. You don't just go and throw it on there. And it's usually your first exercise of the day. So there's an extra need for it. But you see so many people that just don't know how to kind of flip the switch and tap into the level of stiffness it takes to move that kind of weight. It's no different than having like a major league baseball pitcher go out and throw their first ball at 95 miles an hour. It's like the first couple throws are really, really gradual and you build up your long toss. So I see a lot of people that just don't have the right mindset to really be handling heavyweights. And it's probably even worse than when I actually probably gave this interview just because there's more distractions. I mean, this might have been like 2010. And here we are now. People are checking Instagram between us.

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  32. Some of that stuff. But I think on the other stuff, there's some good reminders in there, the attitude aspect of it where I commented being afraid when you're under a bar is a respirator injury. I actually see this a lot. Nor you see it the most in the weight room is people who don't take their warm up seriously. I can't tell you how many times or people that just like jump right to 225 on the bar and stuff like that. You always take the bar, you always take your first 45. If you look at most PowerLife gyms, it's always plate quarter, plate quarter, 4525, all the way up.

    2023-06-01 · The Tim Ferriss Show · #675: Eric Cressey, Cressey Sports Performance — Tactical Deep Dive on Back Pain, Movement Diagnosis, Training Principles, Developing Mobility, Building Power, Fascial Manipulation, and Rules for Athletes · IDENTIFIED FROM THE TRANSCRIPT

  33. I think the first thing I would say is some of that stuff is really just a plan on some of the joint by joint approach that Nick Gray Cook and Mike Boyle to their credit kind of put out there is that you have certain joints that are more conditioned for mobility, things like the shoulder, right? Obviously have a lot of motion we need to drive more motor control. We use the term stability. I'm not sure it's a great way to describe it. And we have other joints that obviously are more built on hey. They need to be really, really sturdy, like a knee, right? It's a hinge, it's load bearing, all that stuff. So a lot of this is just, hey, preserve what they're meant to do either be mobile or be more stable. So I think I would definitely adhere to all those different things. I think probably the stuff I might backtrack a little bit from is the more pulling than pushing. I think for your general population folks, people who sit too much, that's still probably the case. I think in our athletic populations, I've gotten away from thinking of just pushing and thinking it more now as reaching things to drive more rotational capacity.

    2023-06-01 · The Tim Ferriss Show · #675: Eric Cressey, Cressey Sports Performance — Tactical Deep Dive on Back Pain, Movement Diagnosis, Training Principles, Developing Mobility, Building Power, Fascial Manipulation, and Rules for Athletes · IDENTIFIED FROM THE TRANSCRIPT

  34. And the other thing, too, is even during your rehab, the crossover effect, there's research that shows that, all right, let's say you have left shoulder surgery, you're in a sling, assuming we do it without obviously setting you back. There are things that we can do for your right side. They won't do anything to minimize the Azure fee that might take place on a shoulder side, but from a pure neurological standpoint, we can do some stuff to preserve the strength aspect of it too. So we always train the non-injured side in our post-surgery athletes. I train my right leg a ton while my left leg was on the men and the crossover effect is a real thing.

    2023-06-01 · The Tim Ferriss Show · #675: Eric Cressey, Cressey Sports Performance — Tactical Deep Dive on Back Pain, Movement Diagnosis, Training Principles, Developing Mobility, Building Power, Fascial Manipulation, and Rules for Athletes · IDENTIFIED FROM THE TRANSCRIPT

  35. Your neck might get cranky from wearing that sling. So just be mindful of all the different places where you could lose motion. Like if you're in a sling for four to six weeks, there's not a whole lot of arm swing happening during your gait cycle. So it could have some other impacts.

    2023-06-01 · The Tim Ferriss Show · #675: Eric Cressey, Cressey Sports Performance — Tactical Deep Dive on Back Pain, Movement Diagnosis, Training Principles, Developing Mobility, Building Power, Fascial Manipulation, and Rules for Athletes · IDENTIFIED FROM THE TRANSCRIPT

  36. My addict or so growing tightness was more significant. You just notice I lost some shoulder mobility during my time on crutches. It was just very eye-opening that, you know, for me at the time, that was 39. It was not a, you know, something that I should not have deteriorated that quickly. I don't feel like, I mean, I kept my fitness up and I was able to work out. I was hopping around on one leg and doing what I could, but it was extremely eye-opening to me that motion can be lost that quickly, even if you're paying attention to the particular joint where you had surgery and being very mindful of that. So I always try to counsel people on like the downstream effects of some of those orthopedic interventions. They're not just necessarily fixing a shoulder or an elbow in many cases.

    2023-06-01 · The Tim Ferriss Show · #675: Eric Cressey, Cressey Sports Performance — Tactical Deep Dive on Back Pain, Movement Diagnosis, Training Principles, Developing Mobility, Building Power, Fascial Manipulation, and Rules for Athletes · IDENTIFIED FROM THE TRANSCRIPT

  37. Hour later, I could barely move it. But what was fascinating about it to me was that I had the surgery a couple weeks later and two weeks non-weight bearing, two weeks partial weight bearing. And what blew my mind was how quickly I lost motion. And I was taking care of the knee motion, but my inability to kind of move side to side.

    2023-06-01 · The Tim Ferriss Show · #675: Eric Cressey, Cressey Sports Performance — Tactical Deep Dive on Back Pain, Movement Diagnosis, Training Principles, Developing Mobility, Building Power, Fascial Manipulation, and Rules for Athletes · IDENTIFIED FROM THE TRANSCRIPT

  38. It's incredible. I never recognized it honestly. It was very impactful for me. I had my first orthopedic surgery. I had a meniscus repair. I had kind of ignored some posterior medial knee pain in my left knee for a long time and I actually finished it off, believe it or not, Christmas Eve 2020. I was re-racking a weight. I went to pivot and I caught it just right. I heard a pop and didn't think anything of it. Kind of finished my lift.

    2023-06-01 · The Tim Ferriss Show · #675: Eric Cressey, Cressey Sports Performance — Tactical Deep Dive on Back Pain, Movement Diagnosis, Training Principles, Developing Mobility, Building Power, Fascial Manipulation, and Rules for Athletes · IDENTIFIED FROM THE TRANSCRIPT

  39. I would say it depends full disclosure. Like I'd probably be a lot better off if I follow my own advice better. But I would say it's bare minimum 10 to 12 minutes. I think the older I've gotten, the more I've realized that that needs to be extended. And I probably do better when there are targeted mobility initiatives between sessions as well. I don't think anybody at 40 has ever regretted doing more mobility exercises in their 20s and 30s. So that would be my advice is even if you don't think you need it, you need it.

    2023-06-01 · The Tim Ferriss Show · #675: Eric Cressey, Cressey Sports Performance — Tactical Deep Dive on Back Pain, Movement Diagnosis, Training Principles, Developing Mobility, Building Power, Fascial Manipulation, and Rules for Athletes · IDENTIFIED FROM THE TRANSCRIPT

  40. Kind of like an extended warm up is the way I look at it. Maybe you sprint. Maybe you jump something along those lines. I just think it's a good way to kind of like get your body temperature up and solidify some of that stuff. And then we're going to go and I'm going to lift. And I generally live four days a week and I'll condition a couple days a week as well.

    2023-06-01 · The Tim Ferriss Show · #675: Eric Cressey, Cressey Sports Performance — Tactical Deep Dive on Back Pain, Movement Diagnosis, Training Principles, Developing Mobility, Building Power, Fascial Manipulation, and Rules for Athletes · IDENTIFIED FROM THE TRANSCRIPT

  41. Yeah, so things that involve multiple joints. So if you do like a Spider-Man with hip lift and overhead reach, something like that, as some people call it world's greatest, like those are things that get you a wide variety of movements across multiple planes of motion. Those are great. And then after that, honestly, I'm doing something that's reasonably powerful. Maybe it's throw some med balls or do a set of kettleball swings.

    2023-06-01 · The Tim Ferriss Show · #675: Eric Cressey, Cressey Sports Performance — Tactical Deep Dive on Back Pain, Movement Diagnosis, Training Principles, Developing Mobility, Building Power, Fascial Manipulation, and Rules for Athletes · IDENTIFIED FROM THE TRANSCRIPT

  42. For me, it's historically been make the most of my warmups. If I take care of those, whether it's some self-myophaschacial ease, like getting on a foam roll or doing some of that stuff. And for me, it's much more targeted. I'm not going to spend a lot of time on an area that I don't think needs it, but I'll use an acumobility ball on my neck a little bit just because my neck gets a little gumped up. And then I'll follow it up with a more thorough warm-up, which is usually one to two positional breathing exercise. And then I'd say seven or eight exercises that are more long chain compound movements.

    2023-06-01 · The Tim Ferriss Show · #675: Eric Cressey, Cressey Sports Performance — Tactical Deep Dive on Back Pain, Movement Diagnosis, Training Principles, Developing Mobility, Building Power, Fascial Manipulation, and Rules for Athletes · IDENTIFIED FROM THE TRANSCRIPT

  43. But that's the challenge. We get so caught up as an industry arguing about the minutiae of how to create a transient change in range of motion that Louise said to the fact that we agree on the other two factors 99% of the time.

    2023-06-01 · The Tim Ferriss Show · #675: Eric Cressey, Cressey Sports Performance — Tactical Deep Dive on Back Pain, Movement Diagnosis, Training Principles, Developing Mobility, Building Power, Fascial Manipulation, and Rules for Athletes · IDENTIFIED FROM THE TRANSCRIPT

  44. About whether one discipline is better than the other. I'd love to argue about whether manual therapy works. They love to argue about whether It's incredible. They argue about whether positional breathing is lame and boring. And I think people just like to fight on the internet.

    2023-06-01 · The Tim Ferriss Show · #675: Eric Cressey, Cressey Sports Performance — Tactical Deep Dive on Back Pain, Movement Diagnosis, Training Principles, Developing Mobility, Building Power, Fascial Manipulation, and Rules for Athletes · IDENTIFIED FROM THE TRANSCRIPT

  45. What does this mean? So get long, right? Transient or more permanent change to range of motion. Maybe that's some positional breathing that gets you 15 degrees of hip intern rotation. Maybe it's some soft tissue work that gets you some shoulder flexion. There's all these different things. And I'll backtrack to that in a second. But get long, get strong. Go ahead and do some exercises that make that change stick. So, all right, we're going to do a thoracic spine mobility drill to get some length and I'm going to do a kettleball arm bar just to help kind of hold it under load and then train hard. Now I'm going to do quite a bit of volume with ample load to make my brain, my body perceive it as normal so that I hold those patterns. Like that's what good training really does. Now here's the problem. We can all agree on what a good lunge is and what's probably an excessive amount of exercise. So the get strong and train hard, everybody's probably 99% in the same bucket on. It's the get long part. People love to argue.

    2023-06-01 · The Tim Ferriss Show · #675: Eric Cressey, Cressey Sports Performance — Tactical Deep Dive on Back Pain, Movement Diagnosis, Training Principles, Developing Mobility, Building Power, Fascial Manipulation, and Rules for Athletes · IDENTIFIED FROM THE TRANSCRIPT

  46. Wild. I think in general, we're in an interesting transitional time for young athletes. I think a lot of this conversation centered around like self-medical act. We see people on here who are, you know, listening because they're hip hurts or something like that. But like advocacy for your kids is a really big thing is the model is changing dramatically. Like when I grew up, we played multiple sports. We played a wide variety of sports until my mom yelled out to come in for dinner. And now we have kids that are legitimately playing baseball year around playing soccer year round and they're not getting that broad foundation, that rich proprioceptive environment. And I think orthopedically, I know for a fact we're paying the price for it in the baseball community because it's the most specialized game. It's the highest velocity movement in the shoulder internally rotates at 7,000 degrees per second. But we're also going to pay the price when these guys are 35 years old and getting shoulder replacements and things like that. It just seems like in general, youth sports are a

    2023-06-01 · The Tim Ferriss Show · #675: Eric Cressey, Cressey Sports Performance — Tactical Deep Dive on Back Pain, Movement Diagnosis, Training Principles, Developing Mobility, Building Power, Fascial Manipulation, and Rules for Athletes · IDENTIFIED FROM THE TRANSCRIPT

  47. I never have loved the term injury prone. I would say there's injury predisposed. And I think they're very different things. Like injury predisposed was the guy that rolled his ankle in high school and didn't do anything about it. All of a sudden he's got way more dorsiflection on one side on the other. And he just kind of becomes this helicopter pattern of movement where everything's kind of rotating in the wrong places. So I think those are the things that we need to be really mindful of. And if you're a 50-year-old man getting into Olympic lifting that you're more predisposed to injury than someone who's 15, it's not to say it can't be done. You never want to discourage people from their goals. It's just that the onboarding has to be a little bit different.

    2023-06-01 · The Tim Ferriss Show · #675: Eric Cressey, Cressey Sports Performance — Tactical Deep Dive on Back Pain, Movement Diagnosis, Training Principles, Developing Mobility, Building Power, Fascial Manipulation, and Rules for Athletes · IDENTIFIED FROM THE TRANSCRIPT

  48. Correct. So generally try to keep you in a non kind of compensated position. In other words, like you turn your toes way out and go to an ultra wide stance. So we just want to see what unpacks. And what's great, you can kind of, I joke if you look for everything, you see nothing. So we can see everything from shoulder mobility to upper back mobility to how well you hinge through your hips to whether you have adequate dorsion, really through your ankles, and also just how you position your center of mass. We can also look, you know, do you shift to one side of the other? You mentioned a leg asymmetry. We talked about potentially there being like a bony block and a hip. All those things are stuff that we need to kind of keep in mind. And then we'll do some modifiers, right? If it doesn't look good, then we're probably going to go and we're going to try some like a counterbalance where you don't have your hands up overhead and see if the pattern improves. And we'll just kind of like workshop it in the sense that, you know, you screen out whether it was it terrible because the ankles didn't move. Did you fall over just because you can't reposition your center of mass effectively? All those things are on the

    2023-06-01 · The Tim Ferriss Show · #675: Eric Cressey, Cressey Sports Performance — Tactical Deep Dive on Back Pain, Movement Diagnosis, Training Principles, Developing Mobility, Building Power, Fascial Manipulation, and Rules for Athletes · IDENTIFIED FROM THE TRANSCRIPT

  49. I would say generally speaking, people who are biased towards being really, really strong, like weightlifters, powerlifters, NFL linebackers, running backs, they're often your wide folks. I think when you look a lot more at like some of your really like your high jumpers, some of your six foot, 360 pound pitchers who throw 95 miles an hour, they generally tend to be narrow. There's just different ways to get jobs done. And sometimes people will get into bad patterns just because they get a little bit too adhered to the things that come naturally good to them

    2023-06-01 · The Tim Ferriss Show · #675: Eric Cressey, Cressey Sports Performance — Tactical Deep Dive on Back Pain, Movement Diagnosis, Training Principles, Developing Mobility, Building Power, Fascial Manipulation, and Rules for Athletes · IDENTIFIED FROM THE TRANSCRIPT

  50. That's not quite work wide versus narrow, yeah. Yeah, okay, and credit to Bill Hartman. Bill has done some wonderful stuff in terms of willingness to the forefront.

    2023-06-01 · The Tim Ferriss Show · #675: Eric Cressey, Cressey Sports Performance — Tactical Deep Dive on Back Pain, Movement Diagnosis, Training Principles, Developing Mobility, Building Power, Fascial Manipulation, and Rules for Athletes · IDENTIFIED FROM THE TRANSCRIPT