YouSaid · the spoken record

Eric Cressey

lines on the record: 164
first: 2023-06-01
most recent: 2023-06-01
sittings or episodes: 1
sources: podcast

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“Just think of the angle at the bottom of your rib cage. You have some people that are very wide and some people that are very narrow. You have a wide infrastructural angle, they tend to be very kind of hingey in their squats. They're built for toe touches versus a narrow infrastructural angle will usually be a very, very good squat pattern. They may struggle to hinge and it kind of creates this little like, I put it underneath the posture roll, I guess, measures, but it gives us a little bit of a glimpse into how people may move. So there's an emerging school of thought that I think is really profound in that regard.”
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
“So I look at hip and internal and external rotation, collection different things like that. And one of the things you want to look at for something like that is you might have a wildly stiff hip that just doesn't move and your spine's paying the price. So we kind of look at some of that. And then actually from a functional standpoint, probably look at a toe touch pattern, assuming it's not too problematic. Look at some squat patterns as well. I'm big on measuring infrasternal angle. Infrasternal angle. Yeah, lots to unpack there. That's a lengthy podcast.”
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
“Yeah, and that stuff just stare at you and judge you. But then actually we'll do some table-based assessments. And not just because I want-to-back-based.”
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
“I think for the most part, if you're looking at some of the blanket statements, particularly based on some of the things you've told me, and I haven't looked at you yet, but it doesn't sound like heavy bilateral loading is your best friend. It does seem like some single-legged, not my best. Yeah, compression in kind of positions that don't allow you to bail out very well that, you know, kind of two-legged stuff is probably not your best friend. And some people just don't do well with it. I think we see kind of your classic flat spines. They generally tend to be people that are more susceptible to discogenic issues and they don't handle compression really well. So when I see a plumber spine, I'm probably not thinking it's going to be an 800 pound deadlifter coming in.”
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
“I've always hesitated to contradicate exercises. I think I tend to contradicate people for exercises more often. I mean, everyone rule it out. I do think there's kind of an interesting trend now of a lot of people who are well into middle age, who have lost in movement capacity, they've gotten into a lot of like Olympic lifting and gymnastics training. We forget that most really high level gymnasts do that from a young age. They build capacity and they hold on to it over an extended period of time. They don't pick it up after they've already had like one rotator cuff repair and spent 25 years at a desk. So I do think that's an area where we need to be really, really cognizant of.”
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
“Exactly, it just brings us right back to it. And that's something that I think happens a lot. And certainly there are times when that's non modifiable in the context of, hey, I play football for a living and I have a concussion. I still need to run into people. Some things like that are very, very challenging. When we're talking about the training initiatives that a lot of people either use to support their athletic participation or what people use for their fitness initiatives, those are very modifiable. So I think we need to be mindful of always being willing to adjust the program and the avenue. So we have some athletes, honestly, that had that predisposition that I just talked about and they don't deadlift. They don't farmers walk. They don't do walking lunges. We do a lot of stuff on the front squat position. And maybe we use a safety squat bar on their back. We can find different ways to load them that won't interfere with our ability to create optimal movement. So often it's not just about what you do, it's about what you decide not to do. And that's often the hardest part is sometimes you have to counsel athletes away from something that they might.”
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
“Had carries and we teach them what better movements are. We do soft tissue work on the lats, all these different things that allow them to move better. But if that same person goes and just does a bunch of farmers walk at the end of the session, it can become a problem”
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
“So the first thing I would say is that movement diagnosis doesn't necessarily just need to be under the, I guess, original algorithms that Sarman outlined in that book, which I think are excellent. We still utilize day to day. But I think what it does is it gives rise to this thought process of there's so many other things that go into it. I'll give you an example. We often see in an athletic population, like a scapular depression, their shoulder blades sit very low. Like as we're talking about this, like you have downslope shoulders. It's really something we see a lot and people have deadlifted, Olympic lifted, thrown a baseball, done anything imaginable in an extension and rotation sport athlete, particularly if they've combined it with a lot of strength and conditioning. So sometimes we see shoulder pain in that population because they get just get stuck so far down in scapular depression. Their shoulder blade is so low that they can't possibly get their arms overhead safely. So we teach them better patterning. We adjust their exercise selection to drive more movement of the shoulder blades to get their arms overhead.”
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
“Is that, hey, we can't just mess around. We want to be proactive with this. So I think it's useful. I would never pull the rug out from underneath people that haven't worked in that population. If they've proven themselves clinically and they really care because there's absolutely a need for that. But yeah, it probably gives you a little bit more mindfulness to how people look at the injury too. treating them like an athlete, not just like a patient. I think that's probably important”
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
“The simplicity in identifying those people, yes, the complexity and what it takes, it probably makes it a useful approach is a key consideration. So I would say is there's being asymptomatic, there's return to play, and then there's return to performance. Those are three very different things. Like a surgeon can make you asymptomatic and you can lose all of your range of motion and not be able to return to play. If you're a recreational tennis player and you can't get your arm up, you're not going to be able to serve. And then it's another thing altogether you get back to return to performance. And I think when you deal with clinicians who are used to dealing with those higher level athletes, that's their outcome measure is return to performance. When you talk to major league baseball doctors, it's can you come back and pitch in the big leagues and throw 98 miles an hour anymore or not? And it's not just the surgeon. It's not just the physical therapist. It's the entire team because you can do a lot of things wrong along the way. So I do think the standard of care is probably higher when you're dealing with those competitive athletes. And there's also just a mindfulness to timeline.”
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
“I'm just kidding. What I always want is I want someone who's got like a number of different skill sets in their toolbox because if you're a carpenter who only has a hammer, everything starts looking like a nail. So you're looking for some people that can delve into different methodologies to try to help get you better.”
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
“Has a wife and two dogs. And you read their bio and like, there's no substance. When I read a bio for someone I can refer to, I think I matched.”
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
“Of the more complex it is, the more you might need to travel. The one thing that I actually talk about the most is when we're talking about rehabilitation specialists, I think it's always important to make sure you do some digging on what's the model that's employed in this rehabilitation realm? Is it a lot of one-on-one, hands-on? Is it one person supervising eight patients at the same time? Is there a manual therapy component to it? Do you have experience working in these specific postoperative cases or with this? Something like an Achilles rupture is a pretty specialized injury. Just someone who's done shoulder rehab all the time isn't necessarily going to be able to handle someone who's had a post op Achilles. So you have to be mindful of how specialized the actual rehabilitation may be. I think that's big. And then kind of building out that, you can always just scrutinize a resume. I think that goes a long way. I always worry when it's like Bob Smith is a chiropractor that does this. He likes long walks on the beach.”
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
“Yeah, I think it's obviously conversations. And I'm not sure that reading patient reviews online is great because you always tend to get just the really bad ones of the people that take the time to write it up. But I think asking people in your network who have been to these folks, particularly if there's a geographic component, hey, I live in Oklahoma and I need to see someone who's within 30 minutes of me. So that's the first thing. The second thing I would say is how specialized is it? It's one thing if you break your leg. That happens all the time. People are pretty well equipped to handle that. When you have this very odd collection of symptoms, something that's unique things like a thorascalette syndrome is a more specialized thing. Basically your thoracic outlet is based where all the nerves and blood vessels have your upper extremity start up at your neck and it can be effectively clamped off and multiple different points. So it can become a hard diagnosis when you see numbus entangling in the fingers and you don't know whether it's at the neck at the shoulder at the elbow all these different things. So that's a harder diagnosis that's much more specialized. So I think you have to be aware.”
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
“First and foremost, it's asking around who's had favorable experiences with different physicians. Obviously, Bedside Manor plays into this tremendously. You want to make sure that you're dealing with a surgeon who is accessible. If things don't go well, things like that. So we try to really align ourselves with people who have great bedside manner. We've been really fortunate to have some really strong relationships in that realm. So I think that's important.”
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
“Literally did like four weeks of PT, did a good return to throwing program. He went on, I played four years of college baseball and never had shoulder issues again. So I look back on that. That year was very transformative that I needed to be an advocate for my athletes because they didn't know, much like I didn't know when I was younger. And really the quest over the last, you know, 15 years has been how do we continue to build out our team at our facility, but also the network of people to whom we can refer just because as the game is getting more specialized, we need to be more specialized in who cares for our people.”
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
“To navigate more effectively. Yeah. And I think when the conversation was initially happening, it was talking about, hey, our parents are aging. How do you advocate for your parents when they're getting medical care and you're having to make a lot of these hard, I guess, conversations take place? But I think there is a need for it on the orthopedic side of things. How do you advocate for yourself as a patient when your shoulders barking at you? And I think for me, I always come back to like you have to do a lot of questioning. You have to ask to make sure how specialized is my issue. In the baseball world, we had a teenage athlete. This is 2008 or so right after we opened up and he had significant medial elbow symptoms, pain on the inside of his elbow with throwing and super stubborn, had been to a doctor, MRI was clean, clean in quotes always, which I never loyally loved as a term, but kept having issues. And he was just, he went to a general ortho. And long story short, he found his way orthopedic surgeon. Yeah. Long story short, found his way to an elbow specialist, which is not a super common specialty. And more importantly,”
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
“The challenge then becomes I look back and I can see how I moved poorly. That's the challenge to me is that I was treated as a rotator cuff patient when I should have been treated as here are the things that I didn't post nearly till my scapula well. I didn't upwardly rotate well. I had poor N-range rotator cuff control. So think what it speaks to is that if we're talking about medical advocacy being the overarching theme of our discussion meaning 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
“Average basketball velocity in the Major Leagues climbs every single year. And if you look at like my experience, we founded our facility in 2007. If you were a left-handed pitcher who was throwing 91 to 92 miles an hour, you were a first-round pick. Nowadays, you see guys consistently throwing 100 miles an hour. Some of those kids can't even get drafted. It's incredible how much it's changed.”
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
“You don't see many Michael Changs playing professional tennis anymore. I mean, he was a freaky athletic, but these guys are monsters now. They're much, much bigger.”
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
“Nuanced and niched, for lack of a better term. And we started dealing with this baseball population. We quickly realized that it was a very underserved population. It was either, hey, here's the football program or here's the rehab program. Don't lift heavy or just do the football program. And we realized that you could push guys pretty hard if you understood their unique demands and the way that the game challenged them and what subtle intricacies that you may need to put in from a exercise selection coaching standpoint. But we also saw that the game was changing dramatically. They're way more specialization with younger kids playing baseball year round. The massive increase in fastball velocity that's still taking place. The average major league player gained 22 pounds, 12% increase from 188 pounds to 210 pounds from 1990 to 2010. The game is just played at these insanely high speeds. So if you have like a generic program and you have maybe doctors that don't see a lot of baseball play.”
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
“Really lay their own back. They have freakish external notation. But we actually see in the throwing shoulders something called retroversion. And it's actually an adaptation that takes place when kids are playing catch in the backyard at age eight, nine. And they actually warp their growth plates and they acquire more shoulder layback. And it's advantageous. It helps you to throw hard and actually probably spares the elbow a little bit. But what we see is they actually present with less internal rotation on their throwing shoulder than they do on their non-throwing shoulder. And so it's a normal asymmetry. And what we'll sometimes see in clinicians that don't see a lot of baseball pitchers, they all of a sudden get their eyes on this. They're like, oh my gosh, we got to stretch them into intern rotation because they're asymmetrical and we'll actually see scenarios where the rehabilitation has created other challenges, whether it's a posterior capsule tear or irritation of the cuff. So what it really speaks to for me is that rehab in general is getting more and more”
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
“See that a lot in the baseball world, in baseball players, if you think about what external rotation is, imagine what a baseball pitcher has to do to throw.”
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
“Maybe some of the challenges with insurance driven physical therapy, but it's not really rehab unless you're doing the exercise correctly. So I hate it when people say I failed rehab. It's like, no, sometimes rehab failed you. You were trying and you just didn't get the right coaching cue or the right intervention that you needed.”
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
“The variables were not controlled enough. I might have come in and done all the exercises great. And it didn't matter because the training that I was doing on my own, maybe my activity patterns in both work and in training were just not ideal. So it made me realize that when we actually wanted to eventually design this system at Crisis Sports Performance, like one of the things that we needed to do was build out a team where everybody was rolling in the right direction, that there was no stone that was left unturned. And that when I see people who have failed rehab like I do, often it's one of those things. They didn't have anybody put their hands on them or they've been giving other exercises they thought would be helpful and they've been doing them completely incorrectly. So I kind of have my checklist that I go through. I have certain exercises that are in almost every rotator cuff pain patients programs and we come and we look at them and 75% of the time they're just not being done correctly even because they weren't taught or they weren't being supervised and it's to some degree maybe it's a flawed business model.”
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
“I think it was a lot of it as I look back. I wanted to know what were the shortcomings that defined my experience in physical therapy? Why didn't I get better? How could I have re-engineered it differently? I think the first thing I'll say is it was a classic kind of insurance driven physical therapy model. I was one of six patients at a time. Some of them were grandmother rotator cuff repairs. Some of them may be gymnasts with stress fractures. I was a 22-year-old athletic guy who had shoulder pain and needed to learn. And so there was probably an element of like the exercises just not being done correctly with not enough eyes on me. So I think that was the first one. Second, as I implied, I really had no manual therapy. It was not a hands-on experience. For me, that was particularly important. I had a pretty significant athletic background. I'm sure I'd been accumulating a lot of gunk in my armpit as I implied and it didn't touch my neck. And just in reality, it was, it could have been re-engineered markedly different. But I think the biggest thing for me is there was no counseling about what else I was doing. That wasn't necessarily with respect to sleep or hydration.”
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
“I had nothing left to lose. And a lot of it was just self education, reading what was out there. And again, this is 2003. So the internet now, it wasn't as easy back then to kind of dig deep. So it was a lot more asking questions and Shernoff got to go to good ART down the street. And first time I had somebody dig a thumb in my subscapularis. Oh, that feels good. Pretty much changed my life. Yeah, bruised armpits and all that stuff. But I'll never forget Halloween Day 2003. I called my surgeon's office and I canceled the surgeon. I was completely asymptomatic.”
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
“It was a partial tear Which, to be honest, if you look at the research, sometimes they're the most stubborn because they're most painful. Yeah, a lot of people, you know, I've seen Achilles or Patella ruptures where people have no pain once they finally rupture. It's when they've got like a partial tear that's more painful. It might be not very highly functional. But so I went off to college or to grad school in the fall of 2003, expecting to have surgery in three months and decided, you know what, I'm going to just try to figure this out of my mind. I'm going to be a guinea pig in the, I guess, in the two Tim Ferris way. I'm going to experiment. So I completely redesigned my training program, took out a lot of stuff, added some new stuff. And just to significantly, I found actually a good ART guy down the street.”
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
“Exactly what it is. It's that big externally rotated abducted serve. You see it in baseball players, swimmers, tennis players. And I went through physical therapy and I didn't get better. I'd gone through multiple courses of it. And so I went off to grad school in the fall of 2003 thinking I was going to have surgery over winter break. I was going to suck it up for a few months. I was going to have surgery the day I got back from break, you know, being a sling for a couple weeks and then hopefully go back and do the spring semester”
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
“Of walked away from tennis. I worked at a club and strung rackets and gave lessons and things like that. But in reality, it was something that really plagued me for a good five, six years. To the point that I was in pretty significant pain actually in the summer between my undergraduate experience and the start of grad school, I was diagnosed. I had an undersurface cuffed hair, which is a really common diagnosis. It's internal impingement, really something you see all the time in a throwing population. It's basically in a classic like general population rotator cuffy rotation, you'll see tearing on the top side, so the bursal side, I had an articular sided tear. So the underside.”
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
“Sure, and that is in many ways a derivative of Sarmen's work that we just talked about. I'll speak to maybe my own example. I was a tennis player in high school, got recruited to play. I was as many coaches are, I was a fantastically mediocre athlete. I was all stayed in the state of Maine. Problem is there's only about a million people and not a lot of people play tennis. So, you know, upside was probably division three tennis, but I dealt with a lot of shoulder issues that ultimately kind of limited me from going on and playing college tennis. And this started, you know, my junior in high school and really it was present all the way through my college years as I”
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
“Their stuff reads awesome. Decisive is another really good book. I actually gifted that to a number of different athletes who have been drafted who have tried to decide between signing and going to college and just outlines the decision-making process really well. So good stuff across the board.”
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
“I'm in this industry, the more I realize that it's all about closing the gap between what I know and what I implement. I think so much of their stuff is behavioral nature, understanding what makes people tick and how to get them to buy into different things. I think Dan Heat's latest book upstream was really, really good, just in the concept of thinking about what are the things that are upstream in terms of our athlete success while it's sleep, it's nutrition, it's taking care of these higher level concepts before we even get into the nuances of the particular exercise that we're giving them and things like that. And to be honest, Peter Tia's late book, which I just finished in last week, is probably going to trend in that direction. Some of the stuff that's meant for longevity still optimizes performance for athletes. You'd be shocked at how many seemingly healthy 30-year-old professional athletes have absolutely horrific blood work that really needs to be addressed. And I think that's something that could be a good one too. So I actually just got that from my mom. So three categories, I guess, 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
“I think that one impacted me the most is we had always had this very pathology driven model of movement where it was like, all right, you have biceps tendonitis. Here's what we're going to do to treat it. We're going to do ultrasound on the biceps and you're going to do this, this, and this. And it changed the perspective from that medical diagnosis to a movement diagnosis. Instead, we started saying, all right, you have scapular downward rotation syndrome. And someone that's in this position from a movement standpoint could have a lad strain. They could have biceps, tendonopathy, they could have a rotator cuff irrotation. So it made us realize that one movement issue could create a number of different pathologies versus going and having a diagnosis of biceps tendonitis could come from a collection of different things. So it got us thinking a lot differently about that. So that's one that I've recommended and gifted quite a bit over the years in a different category. Chip and Dan Heath's books across the board are excellent. I think the long”
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
“I'm going to give you two because they're kind of categories to it. I'd say the first one underneath this health and human performance realm, diagnosis and treatment of movement impairment syndromes is a Shirley Sarmon book that I think is landmark. I mean, it's decades old, super impactful, kind of reads like stereo instructions. So you're going to go through a page at a time, but Sarman is still practicing physical therapists at Washu in St. Louis.”
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
“It's a medicine ball. Medicine balls. Good point. Weighted balls, and you're sort of throwing against a wall. Exactly, and relatively low risk for folks can be really helpful. But I think people sometimes overlook how much they do. My grandmother is 99 years old, and she still golfs. That's her version of power training. And she's, you know, she's got two new hips and one knee, and she's been doing great. Robocop on the golf course. Exactly. So I think that's vitally important. If you don't use it, you lose it. And it's a function of a lot of things. That's mobility. strength. The power is probably the most important of the bunch when we talk about aging. Everyone's going to get stiff as they age, but you don't want to be stiff and weak slash slow.”
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
“Sounds terrible to say any kind of sprinting. I'm not saying go out at age 80 and sprint, but we do see people in those ages that play tennis regularly, that are involved in things that are higher velocity that involve change of direction. So I think a lot of it is remain athletic into age. So what do we do with folks? We'll throw med balls. We'll do chemicals.”
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
“On the power side of things, it seems like it starts to detrain in as little as five to seven days. So it's very important to actually challenge it. And where it becomes vitally important as we age is, you know, this is the stuff that protects you when you're older and you want to avoid falls. And we know that you fracture your hip. For a lot of people, it's honestly a death sentence as terrible as it sounds because it markedly impacts your mobility. We know that the cognitive decline after a loss of ambulation is really substantial. So we see a lot of people that just tend to spiral after falls. Being honest, my own father passed away a couple years ago after he fell down our cellar steps and fractured his clavicle. And it was very interesting, maybe in the context of the orthopedic relationship to systemic factors. He kind of went through multi-system failure. He was unhealthy, but a clavicle fracture on a fall really kind of like pushed him over the edge on it. Would training power have helped that? Probably not. But I think for a lot of people that wind up with hip fractures and things like 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
“Most of the athletes you see on TV are really, really powerful, the guys that are running fast and jumping high. That's kind of an in-person demonstration of power. But I think where power is tricky, we do know that it tends to detrain fastest. Strength, aerobic capacity, they actually stick around pretty well, assuming you're not like a crazy high level of those things. You can probably train it if you're in an intermediate to slightly advanced stage. You can probably train it once every 30 days and it's going to power. No, I'm talking about strength and aerobic 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
“So really think of power as just strength with a time component. It's how quickly we can apply force. And you'll see powerlifting is really not powerful. It's slow 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
“Yeah, something underneath that deadlift umbrella. But at the end of the day, most of them are going to be deadlift derivatives. Same thing with the kettleball swing. It's a deadlift that you just execute quickly.”
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
“Without a failure looking at a deadlift. And deadlift is a broad categorization. You might have a trap bar deadlift or a kettlebell deadlift, something that in those realms are going to be a little bit easier to teach. A lot of people go right to the straight bar and some people just are not biomechanically set up to be successful with that. So we don't necessarily go to that. Things like kettlebell swings, if you're ready for the patterning and the higher velocity, I think a lot of people need to train power as much as they need to train strength, particularly as we age. And that's a low impact alternative to going out and sprinting or jumping that, you know, isn't going to leave an Achilles on the floor. So I think kettleball swings probably have some merit in that discussion. Certainly various hit thrust opportunities have come about in the industry from a wide variety of exercise selections there. I think, you know, some people probably do better with them than others, but I do think there's a place for it. Anything in those worlds are good single-legged RDLs as well is kind of like 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
“Yeah, everything on the backside of the body. I mean, I think just in general, we know that we're stronger in hinging patterns. If we're looking at functional carryover to the real world and our ability to attack what life stresses, I think Peter did a great job in his recent book, just talking about the need to be strong and to hip hinges. Do you need to deadlift 800 pounds? No. But in general, these are high cross-sectional area muscles that probably have a lot more of an ability to help us. And most people are going to be stronger in a hinge pattern than they are in a squat pattern. So it's probably the most biomechanically efficient way for most people to accomplish various lifting tasks, whether it's something that's significant in the gym or something that's as simple as picking up a bag of groceries or a kid.”
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
“That could be an issue for me. Yeah, I look at it very much. The glutes are kind of your rotator cuff of your hip. I think less about activate the glutes, activate the glutes, and I think more about how do we clean up our hip extension patterns so that they're actually taking place in the right place. But the glutes are, you know, it's a buzzword. It's certainly something that I think has gotten some good momentum for better or for worse in kind of the exercise community. But I look much more at how does it fit into the big picture, particularly because we just talked about fascial system. It's probably less about individual muscles and more about how comprehensive movements are controlled in a reasonably tight window.”
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
“So sometimes if the glutes don't do their job, it's not just the back pain aspect of things, but it's also a function of people kind of wind up beating up on the front side of the joint”
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
“Yeah, for sure. And I think the whole glute amnesia thing maybe has been a little overdone. I tend to look at them as part of a comprehensive system that we live in a population that's lost a lot of hip extension, the ability to obviously get your upper leg behind your body. And we don't have adequate hip extension. We go somewhere else to substitute for it. So two big things happen when that's the case. You either get too much motion through your blowback. So you get lumbar extension instead of hip extension. We tend to see that particularly if you see like fatiguing runners, you know, as time goes on, they just kind of keep arching their back more and more. You also have kind of the way that the joint itself is controlled where your glutes are really, really important is they kind of terminally extend your hip. They give you that last 10 degrees of hip extension that are so important. And what happens is when they don't really do their job at terminal hip extension, you get a very hamstrings dominant pattern. And a lot of people, because of the way the hamstrings attach in your pelvis, will actually wind up with like an irritation in the front of the head.”
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
“Yeah, it's a challenging thing to study for sure. I do think that the academic world is doing a better job of actually starting to learn more about how different fascial layers glide on one another. We're actually starting to get some of the technology that can kind of see how things change pre and post treatment. At the end of the day, we haven't necessarily elucidated exactly why it works. And it's probably not even my place to say, but we are big bags of water. And probably what's happening with fascial interventions is that we're changing the way that fluids move so that folks do have better gliding of tissues that are adjacent to one another. I don't think we're mechanically breaking down scar tissue. Maybe we're stimulating the nervous system in a unique way that transiently reduces the risk of threat and maybe creates this short-term opportunity for us to put in the right exercise interventions for motor learning. And that's a step that I think gets missed. Some people might not have a good experience of manual therapy either because they work on the wrong place. They do the wrong approach. Or what I see more commonly is they get that transient reduction.”
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
“Absolutely, which is, you know, I had great success in certain populations. And then certainly you have more diffuse approaches that might cover a larger surface area, something like an instrument assisted approach where they might scrape along the entire length of your hamstrings, something like classic massage, which tends to cover a lot more square footage. And then cupping could kind of go in both directions. You can cup and drag, you can throw a cup on one spot. So there's a lot of different ways that you can impact the fascial system. I'd say the biggest misconception about it is that it doesn't work. I mean, that's my personal opinion. I think there'll be some folks from the paint science community that will have really strong disagreements. My mindset has always been if it's been on cave paintings for 5,000 years, massage probably has its place. And we're just figuring out why it works.”
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
“Yeah. Exercise physiology initiatives. And then certainly, you know, there are things that are focal with respect to like classic tendon stretch techniques and things like 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
“And I think what do we have in our toolkit? It could be a number of different things. It could be a very focal approach like a dry needling that kind of centers on trigger points and things like 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