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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“Yeah, full disclosure. I am not a massage therapist or a physical therapist or even athletic trainer. So it's outside of my scope of practice to actually do manual therapy. Yeah, but just what you've seen. I'm fortunate to work with some really, really good ones. My business partner, Shane, in Florida, is phenomenal. I see some really high profile athletes. And on a regular basis, I see people that walk out of his office shocked at how good they feel.”
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 we're very elastic in nature. Dan Paff is a great coach. She talks about mechanically and fashionally driven athletes. Our fashionally driven athletes largely use this kind of connective tissue matrix to really effectively transfer force. And I think you can fine-tune it, much like a whip. Some people are really, really good at one activity. I'm a guy who was good at picking up heavy things off the floor, but I wasn't a great overhead presser. So I think we get what we train. And the fascial system is probably one reason why.”
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's a great way to describe it. Yeah. And the hard part is when I got gross anatomy, a lot of it had been cut away because they were teaching you muscle. You know, we were the exercise science students, the med students and the OTs and the athletic trainers. They all got it before we did. So we missed on all that. The hard part about that world, though, is it's very, very important in terms of as we're learning kind of how it both restricts or optimizes mobility, how it helps us to transfer force. And the best way I can describe it is we've all seen that freaky athletic high drumper who just doesn't look very strong but jumps out of the gym. We see baseball players in our world. There's a couple guys that throw 100 miles an hour that way, you know, 160, 170 pounds. It just doesn't make sense. These are very fashionally driven athletes. They're not producing high levels of force with classic muscular strength. If you look at like a Mark Maguire back in the day, Maguire's a very strong guy. It looked like the ball just sat on his bat for a while and he muscled it out of the park. And you look at other guys who had just freakish bats.”
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. Yeah, I'm throwing big words out here. I need to slow this down. So you go all the way down. I'm going to use it correctly tomorrow. I can't wait. And what you're looking at very quickly is like there's a lot of stuff to get through because a ligament connects bone to bone. So you see all these different layers. It's like, what is all this stuff in the way that wasn't in any of these anatomy charts?”
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
“Stuff you expect to see, but when they actually cut that elbow open for the first time, you're like, holy cow, what is all this stuff? It's the fascist, the intermuscular septum in it. And a ligament is 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
“And then we can go from there. The best way I can describe it is the first time I ever sat on a surgery. I sat on an elbow surgery. And for those of you who don't know, Tommy John surgery is a most kind of storied surgery in the baseball world. It's a tiny ligament on the inside of the elbow. And it's a limiter, right? It's subjected to crazy high stresses at super high velocities and the fastest motion of sports, which is the baseball throw. And what basically happens is that ligament when it's ruptured needs to be repaired. So basically they'll basically take a graft either from your form or from your leg and they'll use it to take a tendon and make a ligament. But what happens is they have to do an incision on the inside of your elbow. So they open you up and when you open it up, you're expecting to see this pristine anatomy chart the first time you're there. We all took extra physiology anatomy, all that stuff. And I even had gross anatomy during my undergraduate experience. I spent a bunch of time with cadavers and it still didn't prepare me for this. But they have muscles. They have tendons. They have bones. They have ligaments. They have nerves.”
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
“People are insane. It's very strong politics and the fascial system are kind of like a three big things. I saw you posted the picture of some cupping that you had recently and you got eviscerated for lack of better 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
“Yeah, but it's, you know, there is a high velocity component. So when you throw a baseball, there's actually a ton of deceleration taking place throughout the entire system, but it is a concentric dominant sport. So just going and training the opposite direction doesn't necessarily match up from like a pure loading and velocity standpoint.”
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's important in part because you can do more of it. You can do a high volume of concentric work and it won't necessarily make you sore. So it can be advantageous for athletes who are in season. But there are scenarios in our daily lives where we do have kind of purely concentric stuff. Think of like lifting a couch to help your friend move to a new apartment or something like that or just things that we do with medball if you look at.”
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, we do this quite a bit. Both chops and lifts. We throw med balls a ton. We use something called the Proteus, which is a cool technology. It's kind of purely concentric that allows you to train some of those patterns in a fluid way.”
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 that's sometimes where you have to look deeper as you look back at the injury history. Maybe there's a mobility restriction, a loss of thoracic rotation from, you know, wearing a sling after a surgery. These are all things you have to unpack. But landmines are awesome. Use them with our general pop folks, with our athletes a ton. It's just kind of like a moderated overhead press is the way I would look at it. So definitely an important tool in the training toolbox.”
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 above all else, it's the free scapula pressing. Your shoulder buddy is able to move freely, whereas it's not locked to a bench like you would with a bench press. But I think Beyond that, there's something to be said about it. It's almost like a calculated way to get some axial loading. Some of the same axial loading. Yeah, so when we deadlift, when we squat, there's a significant amount of load that goes through our spine. And some people don't handle that really, really well. And I'd argue you're probably going to like that right now. I may be one of those. Yeah, you probably could land my impress. I know for me personally, I don't handle really, really heavy overhead pressing great with my own shoulder history, but I can land.”
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 can go half kneeling, split stance, standing. We'll do step throughs, we'll do rotational ones. There's a couple different attachments that you can use. Tons of stuff. Let me quick Google search. We'll find you a million things on Instagram and YouTube for better or for worse, right? What are 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
“Correct. Yeah. And it is and it isn't. It's interesting. You'll see a lot of people that can't handle overhead pressing, and they do great with landmine options. And you can do so many different variations on 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
“Kind of cable presses where you're in the standing position and you may be pressing away from a cable column and some of the same ideas of opposite arm reach can be really helpful. I got 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
“I prefer the holiday back position. Well, we call them yoga push ups. Some people call them push-ups to downward dog. But I think those are great options for driving some scapular upward rotation and really I kind of hinted at that convex concave relationship of the scap and the ribcage. That's so important to really reaffirm.”
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 lay on your back, your shoulder blades are kind of tugged down underneath you. In fact, the way that we coach high-level benching is pinch your scaps down and back. In the real world, when you reach, your shoulder blade actually has to move around your rib cage. It effectively delivers your arm. That comes from thoracic rotation. So the upper back rotates, which moves the rib cage, the scapula moves on the rib cage, then the arm moves. And when we're stuck down on a bench, it's not necessarily a truly functional movement. And it might be great for aesthetics, and it might be great because you like to bench press. That's how sorry. Practical in all facets. So, whenever possible, I try to emphasize things like pushups Cable presses. I love landmine presses.”
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
“Let's talk the exercise stuff since we're kind of touching on a little bit. Let's do it. You know, I think another thing that's really, really helpful is anything that allows your shoulder blade to move freely in space. So you think about if I have you going and do a bench press.”
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
“Work in baseball, and you know, if you're a starting pitcher, you want every pitch to look exactly the same where you get into trouble is when there's deviations and hitters see it differently. So there's an unyielding level of specificity in the baseball world that needs to be, I guess, supported by training that adds varied range of motion to people's daily lives.”
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. I think sometimes a loss of athletic participation, right? It's very structured in our world from up until age 18 in many cases. And then people, you know, they go off to college, they get jobs, whatever it is, and unless you're joining like a men's soccer league every, you know, Saturday afternoon or something like that, it's not there. And I do think there's something to be said about folks trying not to lose that amplitude in their lives. And we even see it in higher level sports.”
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
“Every walk across the living room has to include a cartwheel. They are craving movement variability in every aspect of their life. And over the course of time, we just lose that, whether it's Loncar rides or different things that we do.”
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
“Correct. Yeah, exactly. And Thomas Myers, who's the author of Anatomy Trains, I distinctly remember a conversation with him he spoke at a conference back in 2009. At the end of the conference, I remember chatting with him and he said, you know, we probably know about 25% of what we need to know about the fascial system. And he listed off, you know, a few different things that he thought were really important for fascial fitness. And really the biggest things were multi-joint movements and be patient. Those are the two things that he emphasized over and over again. And I mean, I have 28-year-old daughters and a four-year-old, and they do everything imaginable. One of them like sits upside down while she's reading.”
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
“Lines that do the same thing over and over again. They wind up with these pattern overload things. But if we give them exposure to more significant ranges of motion, they do substantially better. And it's probably something that's mediated through the fascial system. We look at all these fascial chains in our body. Everything starts at our hands, our feet, and our head. And if we're really stuck in a small amplitude movement for an extended period of 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
“The first thing I would say is amplitude. And maybe I got ahead of myself by talking about the rows because it's a loaded movement, right? I think probably what's more important and when we look at like the long-term successful folks that really do make significant changes, not just to their posture, but probably more importantly to their movement quality. It's using the warmups to actually impart some kind of favorable change to the way people move. So instead of just getting your body temperature up riding the bike for five minutes, the play is more often than not to find ways to expose yourself to new movement patterns. So for some of our folks, there may be like an element of self-myo fasc release, whether that's using lacrosse ball or an acumobility ball or foam rolling or something to that effect. And then following it up, we may do some positional breathing just to kind of teach different ways that they can get expansion through the rib cage, which can help them to optimize some of their mobility through their T-spine for sure. And then following it up with larger amplitude movements. So when I say amplitude, I mean, add range of motion, stuff that you don't get in your day of life. We look at people that work on factories.”
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. So think of like a cable row where you just do it one arm at a time in the standing position. If you're rowing with the right arm, you would actually be reaching forward with the left. So you're actually in the process. You're not just moving your shoulder blade on your rib cage. What you're actually doing is you're teaching your thoracic spine to rotate a little bit more. So we find ourselves trying to attack rotation, I think, more and more across the board with our clients just because it is the thing that seems to go away. Even people that live through a full range of motion and live what we think are really very lives, like you look at them and they often lose T-spine mobility, they lose hip rotation over the course of time. Maybe that's just where life takes us. You know, we don't run as fast. We don't, you know, do as many athletic things into our 40s, but it's been impactful for folks.”
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 thing that I'm going to try to do is I'm going to try to safely give them movement variability. So things like the old kind of adage of pull twice as much as you push. There may be some merit to it in that population. I get on board it. When I'm doing my pulling, I'm actually doing a lot of stuff that's probably unilateral. So one arm at a time. And the reason I would do that is I want to be reaching with the opposite arm. So I want to kind of bring everything back to almost ambulation, like that reciprocal action that takes place during the gate cycle.”
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 think about what happened is that's just robbing Peter to pay Paul, right? If your upper back doesn't move, something else has to pay the price. Maybe it's his cervical spine that was put into positions that were less than ideal. A lot of times we see a scapula that just doesn't sit flush with the rib cage the way that it should.”
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
“Computer posture. And then on top of that, they may select exercises that don't allow them to safely get out of that posture. So classic example is the guy that sits like that at a computer all day and he goes to the gym. He tries to overhead press and his shoulder starts to bark at him. There's nothing inherently wrong with overhead pressing, but he might not have the proficiency to even get enough thoracic extension to safely get 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
“Exactly. So, you know, I think the challenge is a lot of people go to the gym and they do things that reaffirm it. They ride the bike, they bench press, they do a lot of things that just kind of support that existing posture.”
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 the number one thing that I'm looking for is I'm looking at that upper back posture as an avenue through which I can create movement, and in particular rotation. Historically speaking, if you're really rounded through your upper back, it's not going to rotate very well. If you just look at the way that the segments kind of sit on each other.”
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
“Yes, so if we're talking about the upper back, you know, I think the assumption is that everybody is very phototic, meaning that we have like that classic S-curve where we round up top and then we arch further down. And that's how we're built. But we can acquire different positions in different places, right? So if you sit at a computer all day, you're going to more than likely reaffirm that. It's going to get significantly worse in an athletic population. What's interesting is athletes extend, they rotate, they actually arch their upper back so much that they move in the exact opposite direction. And they actually lose the convex concave relationship between the ribcage and the scapula. So in our baseball world, we actually do the exact opposite in many cases of what we'll do with a lot of our people or maybe the folks that you're referring to, the folks that sit at a computer a lot.”
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 first thing is, I would say make sure that you're separating stag posture from movement proficiency. And we see very different things in an athletic population versus a death bound population. And a desk bound population, you're also going to see people similar to older adults who acquire more of a hunchback posture, that kyphosis. In athletic population, we actually see a lot of very flat thoracic spines. We see people who are almost like in a military posture from extending and rotating so much. And that actually creates a scenario where we need to do a lot more reaching and rounding and rotating to drive flexion. So in my baseball guys, we spend a lot of time talking about 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
“We get older and older, and that to me is just so important you almost have to look at your musculoskeletal health as there's a line. It's a symptomatic threshold line. I'm either above it or below it. It's kind of like being right on the fringe of having like a type 2 diabetes diagnosis. You go for a walk, you watch what you drink my cookies last night.”
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
“Insignificant, but part of the discussion. Another study that I talk about a lot with our athletes, so there was a study of Scandinavian junior basketball players. And this is significant because we're talking about a collection of basketball players in their late teens. Like these are the guys that can recover from anything. I'm in my 40s. I can't bounce back from the dumb stuff I used to. They looked at 134 players, 268 tendons. And this is where it gets really fascinating. There's only 19 tendons, so 7% of them actually presented clinically with like a patellar tenonopathy. They said the front of my knee hurts. And then what they did is they went back and they ultrasounded all 268 tendons. And they found that under ultrasound, 26% of all tendons could be diagnosed. So they hit the clinical qualifying criteria for a tendon problem. So you could make the argument that for every one we diagnose, there's probably three that get overlooked. And it's probably substantially higher. Both these numbers probably shift.”
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
“100%. And the best example I can give you this is with knees, 2020 study of 115 patients, average age was 44, so 230 total knees. MRI showed abnormalities in 97% of knees. 30% of them have meniscal tears, 57% had cartilage abnormalities, 46% had tendon abnormalities, and 6% of them were actually qualifying as high grade tendonopathy. They had some ligament disruptures in there. 2% of them had ACL issues that they didn't even know were there. And so these are 44-year-olds. And this wasn't. Really, an athletic population. So you can imagine the wear and tear that takes place from playing any sport at a really high level. And you can do this for every joint in the body. It's pretty eye-opening.”
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 can be all the above, you know, if you look at a lack of hip internal rotation, it seems to be associated with low back pain and golfers. So I think it depends on what your activity is. But I would argue that not having sufficient hip flexion can create problems too. I think it's a joint that obviously has evolved from evolutionary standpoint, from being very, very mobile to being a little bit more stable to support weight bearing. But where we get into trouble is we start to lay down a lot of bony overgrowth on the acetablums or the socket or on the head of the femur. And those can create a collection of challenges because you have stiffness that you have a hard time working around. So at the end of the day, it all comes back to we lose variability over the course of time. We lose the ability to go back to what's very foundational for us.”
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 hyper mobility. Exactly. And I think the challenge that we see sometimes is how people change over the course of time. So, you know, I talked in that article about poorer hip mobility. And we know is that some athletes over the course of time will develop reactive changes in their hip.”
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
“Correct. Basically, using the molars of the back to rotate. That's exactly it. And you get into trouble when you bang those big segments off of one another. You can wind up with a collection of different issues. And, I mean, Stu McGill has done some great stuff in his research where he's talked about spine range emotion, particularly lumbar spine range of motion being positively correlated with injury risk. It has to move, but it just can't move to such a 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
“So, if you look at how your spine is constructed as an example, look at your lumbar spline. They're very big vertebral segments. They're really conditioned much more for handling compression. They don't rotate nearly as much. And as you go further up your spine, you have substantially smaller segments that are way more equipped for rotational capacity. And I think that just speaks to our body's wonderful design is that we need to get a lot of rotation through our hips and a lot of rotation through our mid back, our thoracic mine, and certainly our cervical spine as well. And we don't necessarily have it. Sometimes we go to the wrong places to get it. And that's why some people will wind up with back pain.”
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
“Just an abbreviation for the pattern that they talk about. But basically, that's the way they define it, and you will see it very commonly if you go to any major league baseball game, you'll see every shortstop standing between pitches, like in the exact same position. They'll be stuck in their right hip with a low right shoulder. And their mindset has always been that we'd rather breathe well and move poorly than move well and not be able to breathe. It's a survival instinct. And to some degree, these patterns that we account for are how we maintain our line of sight and our ability to breathe the way that we want to. These are normal asymmetries, right? We have a heart and we have a Vena cave on one side and a liver on the other side. But when we get into trouble is where these things may become excessive. And we load on top of them and we lose the variability that we count on to have long-term successful movement. And I think that's what leads kind of to my second point is that when we talk about poor hip rotation, poor thoracic my mobility.”
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
“Lower back pain. I can't remember when I wrote that, but it's good to find in the archives. I think the big things that I would say is all those things come back to probably two things. It's loading aberrant patterns. So, you know, the example of the left AIC, right BC patterning that speaks to the posture restoration institute. And they talk about a very predictable pattern of asymmetry, you know, right hips that are shifted out, low right shoulders, and so there can be some compensatory things when we start to load 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
“for sure and i think the the crude fms has done a good job and the selective functional movement assessment is kind of a little bit more of a clinical add on to that that i think they've done a good job with that if you walk in and look at our screen it's really a collection of different philosophies all melded together so i think my response would probably be very different for people in the health and human performance industries asking versus like a general population folk with that said i know kelly and juliette starrett in their new book have kind of talked about some stuff he was a recent guest just you know things that people should be able to accomplish in terms of activities of day living and tasks i do think that's maybe a good proactive screen that people could use”
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
“Assessment, yeah. And those are your gateways, right? In my world, those are sometimes just the things that I need to know on whether, hey, we need to refer this out. You're gonna have people that walk in with low back pain that just trained like idiots. They either choose the wrong exercises. Who are you calling me an idiot? Were they going the wrong patterns or whatever it is? So some people just need good coaching and maybe a little break. Maybe they need a discussion about like, hey, the volume in your program is just inappropriate. We need to find some different kind of variability for you. And then other people, they kind of scream, this is something much more clinical. We need to escalate this. We need to get it to the hands of somebody who could do some imaging for it and maybe get a better diagnosis or we may in-house do some kind of test retest where it's, hey, let's do some manual therapy here and let's see if they get some symptomatic resolution. And if we do create some kind of a transient change, whether it's in the context of their range of motion or in their reduction of symptoms, what are some things on the exercise side of things that we can do to follow it up to make those changes stick?”
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
“Some people we see in the structure of their hips, or could be a number of different things. But what you also have to do is have conversations with doctors, with physical therapists, to see if their symptoms actually correlate where that may take place. And that's something I should emphasize is that I work as part of a comprehensive team. I have physical therapists one door down and massage therapists, and we refer out to a lot of orthos on the regular. But once we've done that postural screen, for me, I will go into a collection of like, I guess, classic orthopedic range of motion tests. We may do some manual muscle testing. And then we actually get them up and move them around in more general screens, things like overhead squats, overhead lunge walks, push-ups, toe touches, shoulder abduction slash flexion, all these different screens that are, I guess, collectively general screens. So you want a collection of both general and specific screens that you're not necessarily missing things.”
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 mean, to your point, everybody's invincible until they're not, right? And I think that's a line I tend to use quite a bit. But you might have that conversation about, hey, I have a congenital variant in some way”
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 always go to a static postural assessment, and there's a lot of, I guess, debate over posture. And it doesn't perfectly predict injury or lack thereof, but it does give us some clues into where people at least start. And I know there are schools of thought that are heavily focused on alignment. The idea being if you're in a good alignment, it's going to increase the likelihood that you're going to be in a better position once you actually wind up somewhere else. I look at it much more as gravity working on this body? What are the shapes that they're in? It starts to give me some clues on, hey, if you've got really, really low shoulders, you got this downsloped shoulder bladed like crazy, and you have anterior shoulder pain. I'm probably thinking that when we get to movement, your scapular upward rotation, what's taking place when you take your arms overhead probably is going to be less than ideal just because you're starting 10 yards behind the starting race.”
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, that's one that's been discussed for sure. So it just speaks to you always have to dig deeper on it, and people really tend to underreport pharmacological interventions. They underreport previous musculoskeletal injuries. And I think they also underreport what they might not know. Do you know if this person is wildly deficient in vitamin D or they have adequate magnesium levels? There can be so many different places where things can kind of go off the rails systemically that I think it's just so important to always start with a conversation and also get a feel for their history with exercise. And in some cases, rehabilitation, what's worked, what hasn't, what's made you feel better. All right, you felt great with dry needling, but not with something else. Those are all things that can kind of give a clue into the clinical puzzle, so to speak.”
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, that is one that we, if there's one we see the most commonly, particularly because of our work with young athletes is see athletes that are taking acne medication and don't necessarily want to report it. It's a sensitive subject, right? And oftentimes you do a postural screen, they take their shirt off, and they have significant acne that's readily apparent. But, you know, some of that stuff can stay in your system for a while. And there can be some pronounced musculoskeletal side effects in terms of joint pain and things like that. So we've seen a number of athletes over the years that have done well as they've gotten away from it. But we've also seen scenarios where they didn't report it. And, you know, we floundered with kind of the wrong approaches for three or four months before it finally just came up in conversation. You know, in the general population, certainly there's concerns. You guys spoke on your podcast about stat and use. Some people do have really significant muscle soreness with that. We've seen certain antibiotics that may make people more susceptible to tend injuries 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
“First thing I'll say is it always starts with a conversation. And I think that's really, really overlooked, unfortunately, nowadays. Because if there's one thing I've learned over the course of my career, it's that people always underreport, even if you look at like facial manipulation, which is a prominent soft tissue intervention right now. They'll dig deep on, hey, did you break your ankle when you were younger? Anything like that? So it can really open some eyes for you. And I've had several times in my career where I've been burned by not digging deeper. You look at a guy and he's like, yeah, it just doesn't make sense. And yeah, I captured my, I fractured my scapula on a car accident 10 years ago.”
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 proud of it, but it's like looking at your business, right? And you had one employee that had a bad day showed up late for work or something like that, and you immediately like, oh, think, oh my God, my business is falling apart. In reality, it's one little entity. You might be wildly profitable and a million things are going right. So you have to be careful about honing in on one aspect of that diagnostic equation. So I talk a lot more about not just having a medical diagnosis. But also having a movement diagnosis, having an ability to relate how you move to what's actually taking place in the context of your symptoms.”
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