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Written on April 30, 2008 at 10:56 am, by Eric Cressey
Did you ever see a caveman wear orthotics?
And, did the cavewomen ever rock high heels?
Written on April 29, 2008 at 8:47 am, by Eric Cressey
Q: I’ve developed some issues with my right shoulder due mostly to pitching in baseball. I’ve had an MRI done recently and I’ve been working with an ART specialist as well. So here’s the email I just received from my chiropractor:
I just got your MRI results in, it shows tendonitis of the supraspinatus tendon and a small “hot spot” on the anterior/superior aspect of the glenoid labrum, which might represent a small tear. The radiologist has recommended an arthrogram, which is an MRI with contrast injected directly into the joint capsule instead of intravenously.
You have two options: We could try some more ART and more laser treatments. If your pain decreased after one treatment, than I think it would definitely help. Option two is referral to an orthopedist. He would in turn probably refer you for 4-6 weeks of physical therapy. In any event, the possibility of a major labral tear is slim as a large tear should have been visible on the MRI.
Based on the MRI results what do you recommend as far as the options he layed out for me? The ART has helped some but it is still very painful to throw hard. I have no clue what to do and I’m afraid of getting in over my head with medical bills and still having a hurt shoulder.
A: Congratulations! You have the same MRI that every pitcher I’ve ever seen has ever had!
I can pretty much tell you that your labrum is frayed regardless of whether or not you get the MRI. According to the research, the main difference between those in pain and those not in pain is internal rotation ROM.
Get the PT – and bring this list with you:
1. Scapular stability
Tell them that you want to address each of these 10 factors (in this order) in your rehab.
In particular, tell them to check internal rotation ROM, and even print this out for them, if need be: http://www.jaaos.org/cgi/content/full/14/5/265/JA0008404FIG9
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Written on April 26, 2008 at 8:38 am, by Eric Cressey
Q: There have been a few quadriceps pulls in MLB this year. Have you seen these before in baseball players? What gives?
A: This is why I love baseball; it’s probably one of the most at-risk sports you’ll ever see (particularly in pitchers). Here’s a little excerpt from a slide in a recent presentation I gave on training for overhead athletes:
-Very Long Competitive Season
-Unilateral Dominance/Handedness Patterns
-The best pitchers – with a few exceptions – are the tallest ones. The longer the spine, the tougher it is to stabilize.
-Short off-season + Long in-season w/daily games = tough to build/maintain strength, power, flexibility, and optimal soft tissue quality
Specific to the quad pulls, I’d add to this list that baseball guys rarely hit top speed; all of their sprint work is done in acceleration, where the quads are dominant. Factor in that they spend a lot of time sitting on airplanes/buses, and it’s no surprise that they’d get tight anteriorly. It’s why it’s so important to really hammer on hip mobility in any population that sits a lot.
The stop and go nature of the sport also dictates that strains would be common, whether they are groins, hip flexors, hamstrings, or quads (likely rectus femoris, which is a hip flexor that can get overactive, particularly alongside poor psoas function).
So, all that said, before anyone jumps to conclusions and tries to criticize some strength coach, it’s important to consider:
a) the certain amount of happenstance that occurs with any baseball player due to the nature of the game and the season
b) what that athlete does on his own in the off-season
In terms of “b,” I’ve seen some pretty bad stuff, unfortunately. For many guys, it becomes a leg extensions and curls off-season if they’re on their own – or they do nothing.
I’d like to think that our success in working with baseball guys is not just in the fact that we’ve made the programming good, but also in the fact that we’ve changed the culture a bit in our guys: they appreciate what lifting is doing for them and look forward to getting after it in the gym.
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Written on April 24, 2008 at 7:59 am, by Eric Cressey
I have a confession to make: I’m an ex-Ironman. Sure, in late July, 2006, in Lake Placid, NY, I crossed the line following a 140.6 mile endurance event, but, following that race, mental weakness prevailed. This story shouldn’t take away from the accomplishments of those who have tried and missed, succeeded once, or succeeded many, it’s a lesson I learned from the heart of sport (not just triathlon). You see, training for any event takes many successfully repeated steps, over a long period of time; nothing of merit can be accomplished in short bursts of over-enthused effort. The mental divide between these two approaches is immeasurable.
– Jon Boyle
Is your plan structured for long-term success? LearnThe Art of The Deload
Written on April 22, 2008 at 12:43 pm, by Eric Cressey
Just came across this excellent article:
Written on April 21, 2008 at 8:51 am, by Eric Cressey
Written on April 16, 2008 at 6:50 pm, by Eric Cressey
Q: Another guy from my favorite basketball team went on the injured list with plantar fasciitis this week. What can be done to prevent this?
A: Welcome to professional basketball!
The average NBA player has very little dorsiflexion range of motion (ankle). The only way the epidemic of plantar fasciitis, Achilles tendinosis, high ankle sprains, and patellofemoral pain is going to stop is if the players quite wearing 10-pound high top sneakers and taping their ankles.
Or, at the very least, lose the tape and focus on barefoot training, low-top shoes off the court, and plenty of ankle mobility work.
Just ask Shaun Livingston:
Written on April 13, 2008 at 9:33 pm, by Eric Cressey
Written on April 8, 2008 at 7:30 pm, by Eric Cressey
Warning: this is as political as I will ever get in a blog or newsletter.
Today, I read this article about Hillary Clinton advocating a partial boycott of the 2008 Beijing Olympics by the U.S. in light of China’s “reaction to recent protests in Tibet and its lack of action in the troubling Darfur region of the Sudan.” Frankly, this gesture from Clinton made me want to puke in my mouth.
You see, I interact with Olympic hopefuls on a daily basis. These are people that sacrifice everything for the sports they love – and the opportunity to compete in the single-most prestigious sporting event the world has ever seen.
They often struggle to make ends meet financially as their hectic training schedules compete with real jobs and school.
They leave their spouses for months at a time to travel all over creation to train and compete.
Meanwhile, Bill and Hillary Clinton’s 2000-2006 tax returns report that they earned a “not-so-financially-stricken” $109 million during that time period. I have a hard time believing that the Clintons have even the slightest semblance of a clue to realize what a huge deal an Olympic appearance means to someone who is making the sacrifices to which I alluded above.
Don’t get me wrong; I am all for human rights and sincerely hope that these issues are resolved quickly and peaceably – and I know that she was just recommending a partial boycott. However, Mrs. Clinton, if you need to make a political statement, stop wearing clothes that were made in China. Don’t buy cars of Chinese origin. Or, stop ordering Chinese takeout; take up your beef with General Tso.
But, DO NOT even attempt to use a political spectacle to compromise anything for which all these athletes have devoted their lives. They deserve every bit of glory that comes to them.
Written on April 5, 2008 at 10:34 am, by Eric Cressey
This morning, my girlfriend turned on Regis and Kelly. Now, before you start giving me a hard time, I’ll make it known that a) it was her choice and b) I was checking my emails, and my computer happens to be in the neighborhood of my television.
My attention shifted from emails to the TV when I saw that they were featuring a transformation contest where a bunch of ordinary weekend warriors went to different personal trainers to get “toned” (I knew I was in for it when I heard that word).
In the minutes that followed, I heard the word “core” mentioned approximately 487 times as trainers put clients through all sorts of stuff:
1. interval jogging on a treadmill (nearly made me vomit in my mouth)
Incidentally, this third trainer was featured with some hardcore Kelly Clarkson blaring in the background. I not only got dumber (and angry) by watching this segment; I also realized that if I ever go nuts and decide to write my suicide note, you’ll hear “SINCE YOU’VE BEEN GONE!!!!” blaring in the background as I sob over my pen and paper.
Normally, my reaction wouldn’t have been so pronounced, but after this weekend, I was all about REAL “core stability.” You see, I got to catch up with my buddy, Jim Smith (of Diesel Crew fame), while in Pittsburgh to give a seminar. “Smitty” and Jedd Johnson gave an awesome presentation outlining their innovative and effective methods on everything from sled dragging to grip work – and most specific to the discussion at hand, they both raved about how much they love Kelly Clarkson! Plus, they’re HUGE Regis and Kelly fans.
Okay, so that last little bit wasn’t entirely accurate; I’m pretty sure that these guys would have Hatebreed or some other angry, belligerent, “my-mother-didn’t love me” music blaring in the background when they finally get their moment in the spotlight on Regis and Kelly. Anyway, they DO know a ton about non-traditional means of training “core stability.”
In addition to watching a great presentation, on the plane ride home, I finally got a chance to read through Smitty’s new e-book, Combat Core: Advanced Torso Training for Explosive Strength and Power. To say that I was impressed would be the understatement of the year.
You see, I spend a ton of money each year on seminars, books, DVDs, etc. – and if I can take away even one little thing from each of them, I’m thrilled. In many cases, it’s “same-old, same-old.” Smitty has quickly built a reputation for overdelivering, and this resource was no exception. In the 133 pages of photos and descriptions of loads of exercises you’ve surely never seen, I found:
-13 sweet modifications to exercises I’m already doing
So, to put it bluntly, I think it’s an awesome read – and well worth every penny, especially when you factor in all the bonuses he’s incorporated (including lifetime updates to keep you up to speed on his latest bits of insanity). If you’re interested in some effective, fun, innovative ways to enhance TRUE core stability, definitely check it out: