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Answering Your Questions

3

Filed Under (Fitness, General) by Rick Kaselj



Of late, I have had a lot of great questions on EFI.

I thought it would be best if I replied to them all in one spot so here you go.

Pain when I do Your Recommended Lats Stretches

This a question that came from the Upper Lats Stretches post.

Rick,

When doing the first two stretches and only when bending to the left I feel an intense pulling pain from my scapula all the way down to my hip on the right side of my body. The pain in more intense closer to the hip than the shoulder. Should I continue with this stretch or will this continue to aggregate a couple areas I already have trouble with?

Thank you,
LaDonna Davies

Hey LaDonna,

Thank you for the questions.

If you feel intense pain, I would recommend discontinuing the exercise or make sure you are doing the exercise correctly.

Please watch the video again and make sure you follow the instructions that I mention.

One common mistake that I find people make is they do too intense of a stretch. What I recommend is side bending from the thoracic spine to a point where you feel a light stretch.

This is not your end range of motion but the point where your muscle is lengthened and you feel a stretch.

I hope that helps.

What to Do About an Inner Quad Tear and Squatting?

I had a inner quad tear about a 18 months ago, and although is it a lot better now I still feel uncomfortable squatting, Which of your excercise programs should I purchase? My Ankle’s Pronate, when I hurt my knee the kneecap would click evertime I took a step especially going downstairs, this has now stopped for the most part. But Squatting still makes me nervous. Mind you I learned to do Clean & Jerk, Snatch and had no trouble with 150lb+, while with a simple 45lb bar back squat I feel uncomfortable

F

I am not sure what an “inner quad tear” is.

It could be a vastus medialis or adductor longus tear.

When it comes to a tear, I am not sure the severity of it as well. Did you need surgery? Did you miss any training? What could you do or not do after it happened? etc.

When it comes to the Clean & Jerk and back squat: The C&J has more of a focus as a hip dominant exercise compared to the squat.  Plus the exercise is more dynamic so you move through the movements quicker than you do with a back squat.

I would recommend working on improving tissue quality to start off.  Take the time to find the stretches that target your injured area and the foam rolling that target these areas.  Invest the time to fix this area.

Focus in on hip dominant exercises for now and work on technique and low load quad dominant exercises.

Since you have injured the area round your knee, a dynamic warm up in this area prior to your leg focused workout is even more important.

When it comes to which program to get, I would wait until Fix My Knee Pain is released. It will be coming out in March.

~ Rick

What About Knee Braces for Squatting?

What about using a knee brace for 90 degree squats for relatively light weight–15-20 reps?

Olaf

Olaf,

I am not sure what kind of knee brace you are referring to. There are numerous types out there and the second question that I would ask is why you are wearing it.

You can wear a patellofemoral pain syndrome type brace to help with patellar tracking and to provide procioceptive feedback on where the knee is within space.

You can wear more of a collateral ligament brace to helps provide stability to the knee side to side (front plane).

You can wear a cruciate ligament brace to improve stability in the sagital plane and protect the ligament.

There is more we could talk about.

My take on braces is they are temporary solution to help with recovery or for a max or heavy lifting situation but for an every day, every workout, forever solution, I would not advise it.

~ Rick

What is the Best Trunk Position to Decrease the Stress on the ACL?

This is a question that came from the knee pain research review that I did.

This article also states “Squatting and lunging with a forward trunk tilt tend to decrease ACL loading, likely due to increased hamstrings activity.”

I wonder what the approximate degree of “trunk tilt” may be used to be effective in decreasing ACL Loading… ?

Hollis

Hollis,

Excellent question.

Now if you like all this research review stuff, every day I put up new research when it comes to injuries and pain on Exercises For Injuries Facebook Fan Page.

This article is amazing.

I read through the article and on page 214 they talk about the answer.

They looked at a trunk position of 10 to 15 degrees versus 30 to 40 degrees. They found 30 degrees to be ideal for high recruitment of hamstring and minimizing ACL loading. As trunk load was increased, there was an increase in hamstring activity and a decrease in quadriceps activity. This applies to the bilateral squat.

Let’s look at the single leg squat. A forward trunk position of 30 to 40 degrees, compared to 10 to 15 degree angle position had “resulted in a 24% decrease in ACL tensile force and a 16% decrease in ACL strain, which was suggested to be primarily due to a 35% increase in hamstrings force” (Escamilla 2012).

Very cool stuff.

Thank you for everyone that asked a question on the blog.

I am sorry if I was not able to answer your question.

Rick Kaselj, MS

A few reminders.

Dan John Seminar

Early registration for the Dan John seminar ends this Friday. After Friday, it goes up another $50. You can get details here.

This Month’s Injury of the Month

Watch for the IOTM which will be coming out later this week. You picked it, it is on Thoracic Outlet Syndrome.

Thoracic-Outlet-Syndrome-Solved

 

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Facebook comments:

Comments posted (3)

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The last question about trunk position was a REALLY good one. Read twice. Good stuff that can be applied in the real world. Getting those hamstrings More involved can go along say to decrease knee problems and injury risk. Thanks!

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I have a problem I would like your advice on Rick. I am experiencing a trigger finger. It has been coming on for a while but after my car accident (rear-ended) it has seemed to accelerate the problem. May be just coincidence but not sure. Is there anything you can suggest or should I make a Doctors appt.

Thank you. I enjoy reading all your comments and emails.

Anne Schmidt

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Rick,
I am not a trainer, but I am someone who just have back surgery. I saw the ad for Lumbar Fusion exercises,Based on the surgery, would those be the exercises for me?

I had a laminectomy, and he removed an osteophyte (bone spur). Then he performed a posterior lumbar interbody fusion and posterolateral arthrodesis, which means he fused L5 and L4 vertebrae using two small metal boxes and some screws (using what is called a pedicle screw fixation).

Thanks,
Jeff

[Reply]

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