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Hi guys, Welcome to another episode
of The Factor podcast. I'm your host,
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Jessica Riddle. Welcome and thank you
for listening. Today we kick off
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a new two part training on the
common conditions and rehab techniques for the mixed
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martial artist with doctor Nate Steagwiz.
Mixed martial arts has experienced a huge popularity
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spike over the past decade, and
with that comes more opportunities for rehab based
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professionals to enhance and prolong the careers
of these special athletes. And in the
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world of mixed martial arts, or
MMA as it's commonly referred to, injuries
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are as inevitable as they are complex. Understanding the various forces and mechanisms involved
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with combat sport and knowing the proper
methods for evaluation and screening will help ensure
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that your patient is well equipped to
perform at their best on and off the
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mat. And who better to tackle
this topic no pun intended than doctor Nate
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Stegwist's. Doctor Stegwis's passion for MMA
was ignited prior to completing his chiropractic degree
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during his military service, where he
trained in the Modern Army Combative's program.
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After enduring a severe lower back injury. Doctor Stegwis found that conservative care and
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grappling were pivotal in stabilizing his condition
and improving the quality of his everyday life.
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Today, Doctor Nate actively practices Brazilian
jiu jitsu, striking, and judo
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three to four days a week.
This hands on involvement in MMA allows him
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to deeply understand the unique needs of
his patients and effectively translate those needs into
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his treatment. In part one of
this two episode series, doctor Nate will
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provide us with an overview of common
submission and takedown techniques in the world of
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MMA. He also discusses the injuries
that can occur in these scenarios. We'll
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talk more about fighter evaluation and rehab
strategies, ways to manage pain and inflammation,
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as well as some strategies for restoring
range of motion post injury, and
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how to develop a training and recovery
plan that is both sports specific and tailored
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to the individual athlete. It is
a jam packed episode today, so be
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sure to take notes. Let's get
started, all right, Thank you Jess
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for having me, Doctor Nate.
I practice here at APEX Performance down in
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Orlando, and since I have started
my career down here about four years ago.
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One of the biggest group of patients
that I've seen is with miss Martial
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Artists, and we'll go through it
and see how I can use the facts,
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protocols and everything else with CAIRO.
Whether your k practor of physical therapists
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or just want to learn a little
bit more, Hopefully you'll get some good
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information out of this one. So
we'll start off disclaim everything is for educational
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purposes only, practice within your state
scope and research and went in doubt refer
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out as needed. We'll start here's
my bio CCSPPS, missed Martial Arts,
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Conditioning Specialists and factor protocols. I
like to blend a little bit of everything
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into what I see and the people
that come in, and we've noticed some
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pretty good results with everything alongside.
That is in addition to practicing myself,
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and I've also had been given the
experience to be ringside medical provider for several
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president Jiu Jitsu tournaments MMA Taekwondo.
I've seen a lot of injury, some
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interesting ones, some pretty intense stuff
and the more I'm around it, the
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better I understand it, and I
feel like the better care I can provide
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to my patients and everybody else that
comes in. And I made this presentation
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basically I want to just introduce some
of the different disciplines that people may not
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be totally aware of. Maybe just
want like a little bit more clarity how
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different attacks that people utilize and can
result in some of these injuries that might
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come through your door, and how
we introduce the factory rehabilitation protocols and everything
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else to provide the best care possible. There's some vocabulary that will kind of
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go through if anybody is not familiar
with it, I'll give you a chance
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to write all this down top of
the basic ones. The fighter is the
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athlete or combatant that we'll be talking
about miss martial artists. It boils down
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to having both the stand up and
a ground game. The stand up provides
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multiple disciplines such as boxing, kickboxing, mooi tie kickboxing which involves a lot
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of elbows and knees as well as
kicks, punches, taekwondo. If people
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have that background, they can use
that too. I've seen people use that
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in MMA to pretty good effect.
Boxing stand up basically mostly with the hands,
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and kickboxing utilizing kicks as well.
Ground game is or grappling if you
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want to refer to it basically revolves
trying to get people on the ground and
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then utilizing our attacks that way.
Wrestling Brazilian jiu jitsu is really good.
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Sambo judo all involves kind of similar
approaches and stuff, but with different nuances
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to it and involves trying to get
the victory by holding people down submitting utilizing
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your offense that way. The submissions
that we'll talk about later will include the
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blood or airway chokes, and joint
locks. They'll have different injuries, different
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potential dysfunctions and stuff that come after
submitting an opponent. Take a look at
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that. A tap which is the
simulus submission, which is what people do
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if they don't go unconscious or they
don't something doesn't break. Typically this is
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just summing. We're showing that they
would like to quit because they're fear of
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grave injury anyway. Koko knockout or
a technical knockout, So if an opponent
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gets punched and it gets knocked out
of the ground, that's a way to
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win. If they getting punched necessarily
getting knocked out, but are can't defend
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themselves, the referee typically step in
qualify or if they get hit and something
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breaks that's also can't be considered a
technical knockout, then that's another way to
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stop the fight. And then we'll
talk about with Brazilian jiu jitsu, gi
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and nogi, which a gee is
the traditional uniform worn with belt. We'll
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go over the belt system and all
that. This is to utilize the clothing
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grips that go along with the offense. Nogi is similarly without the use of
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the uniform, so grips are involved, but in a different way, and
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we'll kind of go over that as
we go too. All right, So
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my story, I first got introduced
to martial arts when I went through basic
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training for Baning, Georgia two thousand
and eight. It was probably the second
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or third day. I had seen
a little bit of mma in the past,
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but I haven't ever had an opportunity
to try it out. So in
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the first couple of days we went
up against each other and when I got
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to the drill sergeants and got thrown
around, got punched, and a lot
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of injuries happened, especially to the
people that were new to it. And
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that's kind of like when the whole
becoming enamored with that sport kind of came
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out because it was a lot of
fun and even though starting off you have
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your grown pains at first, it
gets better the more you practice it and
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you'll notice a lot of benefits as
long as you keep up with it.
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Towards the end of my enlistment,
I suffered a very serious back injury after
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a tour overseas, and a bunch
of other injuries that I sustained throughout the
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years caused me to develop stenosis within
my L four five. Still deal with
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that to this day. Just injured
my back the other day again, so
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go through that right now. And
what I've found is like by using some
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of these factor protocols, been on
the decompression, doing soft tissue therapy,
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doing weightlifting to kind of help for
the process, along and doing jiu jitsu,
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doing martial arts and stuff helps kind
of stabilize my back. So I
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feel like if I could stay in
the game by doing this, I can
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help other people and see that these
protocols really do work and they give everybody
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the best chance of care possible.
Some background information before we pop in.
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These are some popular MMA promotions UFC. Everyone knows every UFC is everywhere now.
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It was the most popular one,
especially during the pandemic when all of
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this sports shut down. UFC was
on every weekend. We got a big,
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really big boost and revenue. They
had over three hundred and sixty million
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dollars in profit this past year.
Just because how popular is getting. It's
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everywhere and I can't kind of at
bell to our PFL. Those are other
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ones that are popular gaining promotion.
You'll have your local state promotions as well,
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depending where you're at. It's really
popular down in Orlando. There's amateur
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fights all the time pretty much you're
around and a lot of people. More
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and more athletes are getting into it
every day, so you figure that out
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as we go. Some other things
to consider. All matches start on the
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feet, so everyone that does want
to get into Miss Martial Arts should have
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in understanding of a good ground and
starting on the sorry stand up game.
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Competitors come in all shapes and sizes. They have you unique skill sets.
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As you look on the left,
this is Joel ra Marrow. This is
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probably taking ten years ago, but
he looks pretty much similar today. Is
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defying the defying age right now and
then I'm the guy on the right is
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Daniel Cormier two weight division champion,
one of the obviously like one of the
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greatest of all time when you look
at all his accolades. I know from
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EXPERI it's like wrestling. Some people
that versus are more lean versus the more
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rotun people that can go. It's
a lot more difficult to submit someone like
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that. So it's the interesting part
of all the sports is all these people
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have different strengths and weaknesses and stuff
that come on to it. So the
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training caps that they do go through
are extremely rigorous and often do not have
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an adequate recovery routine. It's because
these guys are going two three times a
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day to practice, they be lifting
other stuff, and they might not have
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the resources available or the know how
to do an adequate recovery routine. It
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just depends on where they're at and
they have available to them, and the
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familiarity with it. So it goes
into the barriers here, familiar with the
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treatments and stuff they might not know
about factor, they might not know about
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chiropractors. They might know about PT
and what it can do. So it's
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good to get out in front of
them, strike up conversations, do some
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training yourself, get like in that
realm and let them know what you can
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do to help them. Financial aspects, a lot of fighters are broke.
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You'll run into that a lot,
especially the amateur ones people coming up that
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want to make it pro level.
It's just it's hard. If you put
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in all your time and effort into
it, but there's no money to start
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off with. That can be a
big bearer to want it to come and
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get the necessary treatment. A lot
of them just choose to power through and
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then time. If they're don't have
a lot of money but they need to
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feed themselves or pay rents or anything
like that, they'll have a job and
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in addition to training all the time, so they might not be able to
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make it in. And then different
competitions have different rule sets that goes by
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the state commission, local and about
the promotion because different ones have different rule
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sets, so you can get familiarized
with that. Here's state level. Here's
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some concepts to recall that will kind
of touch on as we go along through
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everything. Wolfson Davis Law. This
will be with the kind of like the
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repetitive trauma and stuff that fighters take, whether it be through competition or just
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training, very rigorous, and I've
noticed a lot. One of the recent
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ones that was more stigning to me
that I saw and kind of made sense.
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There was a presentait to black belt
came in. He's been training for
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twenty years. That's an mailble discomfort. So I asked him to show me
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his range of motion and stuff and
extension. It was probably stuck with about
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a thirty degree deficit and that was
as much as he could get. So
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I'm like, this guy's been fighting
off armbars for twenty years. Obviously you're
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gonna get those tight tendons, tight
ligaments. Probably some versidi is going on
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in there, and just that's how
it is. So you gotta figure out
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how to work around that and see
what the limitations of the treatment is and
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set realistic expectations and then specific adaptation
to old post demands. So if someone's
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more of a striker, I'm going
to formulate their treatment and recovery along someone
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of a striker versus a grappler.
And it's more of that here in a
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00:13:00.879 --> 00:13:05.799
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Fighterway Classes is just a couple of examples.
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As you can see, it varies
greatly. Everyone out here jumps up
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ten pounds of patill you get from
lightweight to welterweight. The maximum weight for
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championship is on the right hand side
if they're fighting. If it's not a
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championship, they can go one pound
over. But as you can see,
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some people might walk around at a
heavier weight, say like one eighty five,
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but they want to fight at like
one seventy or one fifty five,
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So that'll go into a lot of
the recovery aspect that we talked about later,
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rise to hydration, and just overall
healthier belt categories. I'm sure everyone's
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heard of black belts, brown belt, all that stuff. There's five basic
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one or five major ones in Brazilian
jiu jitsu. For the adult categories.
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Everyone starts out as a white belt, then you move on to blue,
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purple brown, and then eventually get
your black belt after everyone's course is different.
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Some people might get there faster than
others. Typically it takes at least
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a few years to get your blue
belt, and then, however consistent people
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are, that's when they can move
up to purple, brown and black.
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All right, that's a photo of
me over at the present jiu jitsu submission
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only competition. I got to do
medical at and that was that was pretty
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fun. I got to do that
a couple of times, and recently I
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did the taekwondo. Event gets pretty
intense, so I got to keep you
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on your toes and it's a lot
of fun. If you ever get a
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chance to do it, if it's
within your scope, definitely try and get
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in there. So overall, let's
start just from the beginning and what actually
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is most martial arts. So it
went up a little bit taller, but
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I'll just read off of it.
I'll let everybody live us here for a
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minute. If you want to write
it down. This is just original quote
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for myself. Combat as utilize multiple
disciplines of martial arts. It has been
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not limited to boxing, wrestling,
present jiu jitsu, and judu, amongst
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others. Competition last until an opponent
is incapacitated or time has elapsed in all
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rounds basically hand to hand combat and
a legal organized manner. So all right,
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fighter styles. So the ones that
come in, once you talk to
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them, they'll kind of give you
a rundown and like whether sport is what
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their background is. And for the
most part, it comes on like a
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spectrum. You have a person that's
really grappled heavy on one side. You'll
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have a striker on another side,
so someone that utilizes more stand up than
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grappling in their game. And then
in the middle you have the people that
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utilize a little bit of both.
Just depends on their skill level, depends
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on their preference and their backgrounds.
One of the left here is one of
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the famous more famous grapplers of all
time. Rona Rousey. Everyone should know
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this one is she's a former Olympian
and judo. She took the world by
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storm. She was twelve and zero
before her first loss. With all finishes.
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Nine of us finishes were some missions, six of them by arm bars,
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all of them by armbars rather,
and six of them came in under
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a minute, so everyone knew.
Everyone knew what she was doing, and
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she just put it on them anyway
and got it people out there until she
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ran to a fighter that could stuff
for daytowns and she couldn't utilize her offense,
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and eventually she lost her belt in
that one. And then on the
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opposite end a spectrum. One of
the best strikers of all time, Connor
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McGregor. Everyone should know him too. Left hand was knocking people out left
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and right for many many years.
He was the first two way class champion
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in the UFC, one of the
most famous richest athletes modern history. Here
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and then he ran into Habib Democa
Madoff, which is probably one of the
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best grapplers of all time, couldn't
get the strike, ended up losing his
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career. He's still fighting now,
but it's hasn't been to that level since,
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and then we go around to the
all arounder George Saint Pierre on the
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shortlist of Greatest miss Martial Artists of
all Time twenty six and two. He's
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won multiple weight class championships. He
utilizes his black belt in both karate and
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Brazilian jiu jitsu, as well as
wrestling and other disciplines of martial arts that
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he's it was really really good at
and so he went up against someone that
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was really grapple heavy, he would
stand a strike with him. Put on
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a clinic there filming was really strike
heavy, he would go back to his
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wrestling and present jiu jitsu, And
this is one of the guys that I
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grew up watching and it was always
a treat to watch him put on a
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clinic, and so you'll see a
little bit of one of the other.
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Typically, the fighters on the come
up have one way that they sway and
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then eventually the more experience they get, they come out and to be well
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rounded. Go right. This some
personal predictive equipment that we utilize here in
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our gym. We have boxing gloves
down here, the shin guards for practice
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and even amateur fights they have shin
guards because bump confusions and injuries to the
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lower leg can be very, very
devastating. As we'll see, mouthpieces guard
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up the jaw and teeth. Headgear
is optional, a lot of people should
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be wearing it, especially if they're
sparring a lot, just to keep that
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repetitive trauma from get into the head, concussions, all that protect the ears
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from getting cauliflower ear. There's pretty
much the basis right there, and the
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wrestling mats that we have back here
as well. So injury prevalence, there's
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different studies out there that'll have different
ones for different values for different different types
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of different venues basically, but what
it boils down to is roughly about seventy
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eight to eighty percent of everyone that
practices or competes in mixed martial arts is
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going to sustain an injury at some
time. And think that number is low
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because I think pretty much everybody's going
to sustain at least some form of injury
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at some point because of just the
demand and the nature of the sport.
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You got punches, submissions, over
usage, like a whole bunch. There's
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just so many ways to get injured, and it's good to be able to
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recognize that and get the appropriate treatment. These are injuries that we're gonna discuss.
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I'm gonna touch you over a cute
versus chronic when it comes to the
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submissions and striking, and then simple
verse complex for introduce you is one of
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the ones that I'm most familiar with. We're gonna just start with some of
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the basics and then we're gonna go
from there. So basic positioning that you
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start off with this guard man on
the bottom trying to control man on top.
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You can set up some of your
submissions from there, but this is
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basically just kind of like a safe
haven if you are just holding them there,
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or if you want to start an
offense. This is one of the
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most basic positions that you can start
off with side control. There's five different
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positions that I'll control or I'll fall
under side control, but basically you're just
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holding some someone down, putting the
top pressure on with the chest as you
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can see up there, hold in. This is almost getting like a cross
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face going right there, just another
way of controlling them. You're gonna move
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around this, and a lot of
the times it's just segues into other positions,
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such as the mount. The mount
is the most advantageous the most dominant
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position in grappling. Let you see, you can set up chokes from here
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by miss martial arts. If you
get them ount, you're gonna be raining
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down shots, punches, elbows,
whatever. It's Typically when you get down
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here, it's the other guys in
some pretty big trouble. But if they
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can get out of mount, typically
the rollover and then they give you your
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back. This is another very dominant
position for the attacker. You see right
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here, you can do a lot
here. You can attack the neck,
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tack the arm, hold them down. It's a very tough day for the
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guy of being attacked. So now
we're gonna get into the the meat of
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the presentation. Here, we're going
to look at some of the attacks submissions
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that can go on, visually the
blood choke in the joint lock how we
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discussed earlier. The first one is
the Americana and how it's kind of the
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format of this is We're going to
have like the name of the submission,
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I'm gonna show like how it's executed, basically, like the mechanism of injury
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they can go on, and then
we'll go into the potential injuries to the
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soft tissue and that can occur to
that and then how to go about treating
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them with the fighter protocols. So
the Americana is you're going to hold down,
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00:22:40.079 --> 00:22:44.240
isolate one of the arms as such, You're going to put a your
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grip on there, and then you're
gonna externally rotate the shoulder joint u till
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you feel the break. Typically about
after ninety degrees and stuff, you'll start
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to feel the joint capsule tightened up
and by then they guy should be tapping.
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If not, then he's probably gonna
get it hurt pretty bad. But
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00:23:00.480 --> 00:23:04.160
nine times out of ten they're gonna
tap a lot further sooner than that.
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Some of the potential injuries in the
acute is rotatar a cuff sprain strained.
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You're putting so much tension to all
the muscles and ligaments of the rotator cuff.
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When you do that, same with
the capsular damage, capsules get irritated,
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00:23:18.559 --> 00:23:22.079
get inflamed, cause some decrease range
of motion, labor tear put enough
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00:23:22.480 --> 00:23:26.960
put enough rotation and put enough force
into that you'll definitely can tear up some
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00:23:27.079 --> 00:23:33.839
labors and then fractured. Humorous if
you are seeing someone that's fighting out of
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00:23:33.880 --> 00:23:37.279
it a lot enough kunter of pressure. You'll see this in a lot of
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other soessions as well. Sometimes some
of the injuries don't come just from the
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00:23:40.680 --> 00:23:44.759
person's from the guy trying to escape
out of it, and maybe they put
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00:23:44.759 --> 00:23:48.799
a little bit too much counter pressure
into it and spiral fracture long them pretty
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00:23:48.799 --> 00:23:53.279
easily chronic injuries. So if they
fought out of it, felt hurt but
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didn't go and get it treated,
or I wasn't noticing the whole lot of
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00:23:59.240 --> 00:24:03.119
deficit but it came back later.
Frozen shoulder can occur some presisis and instability
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00:24:03.759 --> 00:24:10.319
basically just inflammation over time and repetitive
trauma decrease the range of motion, and
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00:24:10.359 --> 00:24:14.000
then you just keep going on it
for a while and typically people will show
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00:24:14.079 --> 00:24:18.000
up say it's been boting it for
months or even years and stuff, and
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00:24:18.000 --> 00:24:19.279
then it's like, well, you
got a lot of work to do after
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that. So just some of the
things to look out for rehabilitation protocols.
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So basically from the factor doctor real
presentation that he shared with us, we
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go from it too dynamic with controlling
the inflammation and pain. You can use
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whatever methods that you like to do
with that. We really like to do.
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Start off with venom, a little
bit of dry needle, maybe taping
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my fashion release restore the range of
motion we do. I like to incorporate
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a lot of PBC pipe wh it
comes to shoulder nice, simple, easily
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obsessed for a lot of people.
If they're not have PBC pipe at home,
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you can have them use a towel, you can use a broomstick,
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whatever else can kind of mimic that
wallwalks, wall angels, passive external rotation,
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you can use bands whatever they have
available to them adding resistance to the
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range of motion with the shoulder.
You can do medicine balls rotation, their
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standard bands, internal eesternal rotation.
We have sledge hammers, you can use
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maces, anything. Just go simple
to compound when it comes to the resistance
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in that range, and then incorporate
some grappling, striking drills if they injured
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it with. They're more of a
boxing type of stuff. If you want
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to have them do like some jabs, you can have them punch. To
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have a bag at home, or
if you have a bag in your gym.
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We have several bags and a striking
dummies here. We have the bob
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here, so we just have them
do the regular ones, build up that
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tolerance in there, eventually up it
up, and then return to practice once
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you feel like it's necessary. Typically
just depends on the athlete and how quick
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they recover. So this would be
like kind of our recurring pattern that we'll
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see in all these other ones,
but we've noticed some pretty good results utilizing
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this protocol. Next one will go
Kamara, similar to the Americana, but
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instead of the externally rotation, we're
intally rotating the glenna humeral joint. After
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00:26:26.880 --> 00:26:30.519
about seventy to ninety degrees, you'll
start to notice it. It adds a
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00:26:30.559 --> 00:26:36.319
little bit of extra torque towards the
back when it gets into intron rotation that
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00:26:36.480 --> 00:26:40.799
pretty quickly. It can do this
from several spots. One of the main
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00:26:40.839 --> 00:26:44.240
ones is from guard. People typically
fight out of that pretty good. You
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can also do it from side control. Injuries include the rotator cuff sprain,
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strain, shoulder dislocation, humoral fracture. Again someone's trying to fight out of
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it. You'll have that counter shear. I'm seeing it happen in the UFC
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several times. Several fighters have been
trying to fight out of mirrors. Everything
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seems good until it doesn't and then
all of a sudden you have a broken
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arm on your hand ac joint sprain. This is lower on the spectrum things,
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but it's not all the realm possibility
of the things that could happen.
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And then we go back to euroes
and shoulder preside us nerve dysfunction. You
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have the the actualery nerve. It's
running through there, so you get some
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irritation in the surrounding tissues and stuff. They could feel pain discomfort in the
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rotator cuff. So just make sure
you I just address that. Protical rehabs
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considerations similar. We're gonna control pain
and inflammation, gonna restore the range of
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motion, added resistance. I use
a lot of sledgehammer as you can see
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right here. What we'll do is
have them hold it up towards the top.
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You have the weight. We have
them in eight, ten, fifteen
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pound increments and stuff. Start at
the low as you build up the tolerance,
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00:27:53.119 --> 00:27:56.640
start closest to the weight, have
them excellally rotate, bring it up
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and over to internal rotation and hold
it out. And after about three or
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four people usually are sweating pretty hard. Once I gets easy and stuff,
359
00:28:07.440 --> 00:28:12.440
you just move it down till about
halfway to halfway down the handle. That
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00:28:12.480 --> 00:28:18.079
will add a little bit more resistance, and then once that gets too easy
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for him, then you go up
and wait. Then after all that there's
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no more pain, you have full
function of it. Then you can go
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back and incorporate your grappling and striking
as needed, and then return to practice
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and come arm bars. Arm bars
are one of the first ones that I
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was taught. I'm sure it's one
of the first ones most people were taught.
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Is an attack that you can do
from pretty much anywhere, multiple positions
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that you can do, and if
you're caught in an arm bar, it's
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not pleasant. It hyper extends your
elbow and yeah, you'll definitely feel it
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for a little while after, especially
the ones that don't don't tap. You
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try to push through it. It
can go It goes south pretty quickly,
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but you only have so much play
in it. Once it locks out and
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they add the hyper extension and it's
it's over pretty quickly for him. All
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right in the acute can definitely tear
a ligament or attendant, definitely fracture an
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arm. Seeing that happen time or
two peck tear if you're trying to rotate
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away from it to try to create
space. A lot of pulling, a
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lot of tension especially goes up into
the anterior portion of the shoulder. You
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00:29:26.000 --> 00:29:30.160
can get a slap tear to a
lot of things can go wrong, chronic
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00:29:30.319 --> 00:29:36.000
tendonosis, tendinitis and presidas, nerve
and tratments. Maybe you'll get some pronator
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terry syndrome, even a little bit
distal to the elbow. And like I've
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said, like the people that have
been doing this for a long time,
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00:29:42.599 --> 00:29:48.039
they're typically gonna have some elbow dysfunction, some loss range of motion, and
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00:29:48.119 --> 00:29:52.359
some discomfort just because they've been fighting
these off for forever. We have considerations
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same thing. You're going to control
pain and inflammation. You're going to do
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00:29:56.200 --> 00:30:00.759
whatever selt tissue, whatever restorative range
of motion that you like to do.
385
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We like to add a little compression
flossing as well, and then add some
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00:30:04.839 --> 00:30:11.279
eccentric gloating as Lucas showing here with
one of the resistance bands. We try
387
00:30:11.279 --> 00:30:15.079
to get as much extension as we
can. You might not get it back
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00:30:15.079 --> 00:30:18.039
to normal, but if you can
return it back to paint free and functional,
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that's typically what you look for and
then you go back into your grapp
390
00:30:23.279 --> 00:30:27.119
plane striking drills. I like to
utilize technical get ups with this because it
391
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involves extending of the elbow. That's
one of the most important, one important
392
00:30:33.759 --> 00:30:36.960
aspects of jiu jitsu has been able
to if you're on the ground or a
393
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miss martial arts to get down and
get back up. So think of like
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00:30:40.799 --> 00:30:47.160
a Turkish get up but similar similar
mechanics, but this is more specific to
395
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miss martial arts in Brazil and jiu
jitsu. That's that's it for today's episode.
396
00:31:00.440 --> 00:31:03.920
Be sure to tune in for episode
eighty two, where Doctor Nate dives
397
00:31:03.960 --> 00:31:08.559
deeper into strategies for cross training,
the importance of incorporating warm ups, cool
398
00:31:08.599 --> 00:31:14.200
downs, and strength and conditioning programs
to prevent injury, as well as methods
399
00:31:14.240 --> 00:31:18.000
for optimizing recovery, and ways that
you can track progress and athletic development.
400
00:31:18.680 --> 00:31:22.079
You won't want to miss it.
Episode eighty two drops in two weeks.
401
00:31:23.160 --> 00:31:26.319
If you enjoy this content, please
be sure to like, download, and
402
00:31:26.359 --> 00:31:30.000
subscribe to the show and share the
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403
00:31:30.079 --> 00:31:36.039
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404
00:31:36.079 --> 00:31:40.279
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405
00:31:40.319 --> 00:31:45.480
recorded webinar replays, be sure to
check out our website at Factor podcast dot
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00:31:45.519 --> 00:31:52.160
com. That's fak trpodcast dot com. We are working on some exciting interview
407
00:31:52.160 --> 00:31:55.359
style Q and A episodes for the
future, so be sure to send us
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00:31:55.359 --> 00:31:57.720
any questions you have for Doctor Nate. When you visit the episode page on
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00:31:57.759 --> 00:32:01.640
our site. You can even click
a button and submit your questions through voice
410
00:32:01.640 --> 00:32:06.279
message, which I think is pretty
cool. We will be sure to cover
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00:32:06.359 --> 00:32:09.079
all of your Q and A submissions
in a future episode or on our YouTube
412
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channel. And finally, don't forget
to visit the show notes for links to
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the webinar replay from today's episode,
along with any special offers from our sponsors.
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We'll see you next time. Hey
guys, if you like what you
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00:32:23.359 --> 00:32:29.160
heard today, I encourage you to
visit our website at Factor hyphenstore dot com.
416
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That's spelled fak Tr hyphenstore dot com
to find out more information about all
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00:32:36.559 --> 00:32:38.839
that we have to offer. We
have a variety of online offerings as well
418
00:32:38.880 --> 00:32:44.039
as our hands on Factor Rehab System
course scheduled in cities around the globe.
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Be sure to also check out our
event calendar and bookmark any of these upcoming
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live webinar dates coming up in the
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And of course, the biggest compliment
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help us spread the word to your
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find all the important links as as
well as info about our sponsors in the
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show notes, so be sure to
check those out.
1
00:00:16.160 --> 00:00:20.039
Hi guys, Welcome to another episode
of The Factor podcast. I'm your host,
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00:00:20.120 --> 00:00:24.239
Jessica Riddle. Welcome and thank you
for listening. Today we kick off
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00:00:24.280 --> 00:00:28.199
a new two part training on the
common conditions and rehab techniques for the mixed
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martial artist with doctor Nate Steagwiz.
Mixed martial arts has experienced a huge popularity
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spike over the past decade, and
with that comes more opportunities for rehab based
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00:00:38.840 --> 00:00:43.759
professionals to enhance and prolong the careers
of these special athletes. And in the
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00:00:43.799 --> 00:00:48.399
world of mixed martial arts, or
MMA as it's commonly referred to, injuries
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00:00:48.439 --> 00:00:54.000
are as inevitable as they are complex. Understanding the various forces and mechanisms involved
9
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with combat sport and knowing the proper
methods for evaluation and screening will help ensure
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00:00:59.280 --> 00:01:02.560
that your patient is well equipped to
perform at their best on and off the
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mat. And who better to tackle
this topic no pun intended than doctor Nate
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Stegwist's. Doctor Stegwis's passion for MMA
was ignited prior to completing his chiropractic degree
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during his military service, where he
trained in the Modern Army Combative's program.
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After enduring a severe lower back injury. Doctor Stegwis found that conservative care and
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grappling were pivotal in stabilizing his condition
and improving the quality of his everyday life.
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Today, Doctor Nate actively practices Brazilian
jiu jitsu, striking, and judo
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three to four days a week.
This hands on involvement in MMA allows him
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to deeply understand the unique needs of
his patients and effectively translate those needs into
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his treatment. In part one of
this two episode series, doctor Nate will
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provide us with an overview of common
submission and takedown techniques in the world of
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MMA. He also discusses the injuries
that can occur in these scenarios. We'll
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talk more about fighter evaluation and rehab
strategies, ways to manage pain and inflammation,
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00:02:06.760 --> 00:02:10.360
as well as some strategies for restoring
range of motion post injury, and
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how to develop a training and recovery
plan that is both sports specific and tailored
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to the individual athlete. It is
a jam packed episode today, so be
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sure to take notes. Let's get
started, all right, Thank you Jess
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for having me, Doctor Nate.
I practice here at APEX Performance down in
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Orlando, and since I have started
my career down here about four years ago.
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One of the biggest group of patients
that I've seen is with miss Martial
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Artists, and we'll go through it
and see how I can use the facts,
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protocols and everything else with CAIRO.
Whether your k practor of physical therapists
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or just want to learn a little
bit more, Hopefully you'll get some good
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information out of this one. So
we'll start off disclaim everything is for educational
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purposes only, practice within your state
scope and research and went in doubt refer
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out as needed. We'll start here's
my bio CCSPPS, missed Martial Arts,
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Conditioning Specialists and factor protocols. I
like to blend a little bit of everything
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into what I see and the people
that come in, and we've noticed some
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pretty good results with everything alongside.
That is in addition to practicing myself,
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and I've also had been given the
experience to be ringside medical provider for several
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president Jiu Jitsu tournaments MMA Taekwondo.
I've seen a lot of injury, some
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interesting ones, some pretty intense stuff
and the more I'm around it, the
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better I understand it, and I
feel like the better care I can provide
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to my patients and everybody else that
comes in. And I made this presentation
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basically I want to just introduce some
of the different disciplines that people may not
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be totally aware of. Maybe just
want like a little bit more clarity how
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different attacks that people utilize and can
result in some of these injuries that might
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come through your door, and how
we introduce the factory rehabilitation protocols and everything
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else to provide the best care possible. There's some vocabulary that will kind of
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go through if anybody is not familiar
with it, I'll give you a chance
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to write all this down top of
the basic ones. The fighter is the
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athlete or combatant that we'll be talking
about miss martial artists. It boils down
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to having both the stand up and
a ground game. The stand up provides
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multiple disciplines such as boxing, kickboxing, mooi tie kickboxing which involves a lot
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of elbows and knees as well as
kicks, punches, taekwondo. If people
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have that background, they can use
that too. I've seen people use that
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in MMA to pretty good effect.
Boxing stand up basically mostly with the hands,
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and kickboxing utilizing kicks as well.
Ground game is or grappling if you
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want to refer to it basically revolves
trying to get people on the ground and
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then utilizing our attacks that way.
Wrestling Brazilian jiu jitsu is really good.
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Sambo judo all involves kind of similar
approaches and stuff, but with different nuances
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to it and involves trying to get
the victory by holding people down submitting utilizing
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your offense that way. The submissions
that we'll talk about later will include the
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blood or airway chokes, and joint
locks. They'll have different injuries, different
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potential dysfunctions and stuff that come after
submitting an opponent. Take a look at
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that. A tap which is the
simulus submission, which is what people do
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if they don't go unconscious or they
don't something doesn't break. Typically this is
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just summing. We're showing that they
would like to quit because they're fear of
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grave injury anyway. Koko knockout or
a technical knockout, So if an opponent
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gets punched and it gets knocked out
of the ground, that's a way to
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win. If they getting punched necessarily
getting knocked out, but are can't defend
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themselves, the referee typically step in
qualify or if they get hit and something
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breaks that's also can't be considered a
technical knockout, then that's another way to
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stop the fight. And then we'll
talk about with Brazilian jiu jitsu, gi
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and nogi, which a gee is
the traditional uniform worn with belt. We'll
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go over the belt system and all
that. This is to utilize the clothing
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grips that go along with the offense. Nogi is similarly without the use of
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the uniform, so grips are involved, but in a different way, and
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we'll kind of go over that as
we go too. All right, So
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my story, I first got introduced
to martial arts when I went through basic
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training for Baning, Georgia two thousand
and eight. It was probably the second
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or third day. I had seen
a little bit of mma in the past,
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but I haven't ever had an opportunity
to try it out. So in
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the first couple of days we went
up against each other and when I got
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to the drill sergeants and got thrown
around, got punched, and a lot
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of injuries happened, especially to the
people that were new to it. And
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that's kind of like when the whole
becoming enamored with that sport kind of came
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out because it was a lot of
fun and even though starting off you have
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your grown pains at first, it
gets better the more you practice it and
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you'll notice a lot of benefits as
long as you keep up with it.
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Towards the end of my enlistment,
I suffered a very serious back injury after
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a tour overseas, and a bunch
of other injuries that I sustained throughout the
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years caused me to develop stenosis within
my L four five. Still deal with
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that to this day. Just injured
my back the other day again, so
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go through that right now. And
what I've found is like by using some
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of these factor protocols, been on
the decompression, doing soft tissue therapy,
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doing weightlifting to kind of help for
the process, along and doing jiu jitsu,
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doing martial arts and stuff helps kind
of stabilize my back. So I
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feel like if I could stay in
the game by doing this, I can
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help other people and see that these
protocols really do work and they give everybody
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the best chance of care possible.
Some background information before we pop in.
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These are some popular MMA promotions UFC. Everyone knows every UFC is everywhere now.
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It was the most popular one,
especially during the pandemic when all of
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this sports shut down. UFC was
on every weekend. We got a big,
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really big boost and revenue. They
had over three hundred and sixty million
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dollars in profit this past year.
Just because how popular is getting. It's
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everywhere and I can't kind of at
bell to our PFL. Those are other
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00:09:01.960 --> 00:09:07.639
ones that are popular gaining promotion.
You'll have your local state promotions as well,
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00:09:07.799 --> 00:09:13.639
depending where you're at. It's really
popular down in Orlando. There's amateur
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fights all the time pretty much you're
around and a lot of people. More
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and more athletes are getting into it
every day, so you figure that out
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as we go. Some other things
to consider. All matches start on the
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feet, so everyone that does want
to get into Miss Martial Arts should have
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in understanding of a good ground and
starting on the sorry stand up game.
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Competitors come in all shapes and sizes. They have you unique skill sets.
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As you look on the left,
this is Joel ra Marrow. This is
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probably taking ten years ago, but
he looks pretty much similar today. Is
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defying the defying age right now and
then I'm the guy on the right is
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Daniel Cormier two weight division champion,
one of the obviously like one of the
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greatest of all time when you look
at all his accolades. I know from
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EXPERI it's like wrestling. Some people
that versus are more lean versus the more
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rotun people that can go. It's
a lot more difficult to submit someone like
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that. So it's the interesting part
of all the sports is all these people
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have different strengths and weaknesses and stuff
that come on to it. So the
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training caps that they do go through
are extremely rigorous and often do not have
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an adequate recovery routine. It's because
these guys are going two three times a
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00:10:26.039 --> 00:10:31.360
day to practice, they be lifting
other stuff, and they might not have
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00:10:31.440 --> 00:10:35.840
the resources available or the know how
to do an adequate recovery routine. It
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just depends on where they're at and
they have available to them, and the
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familiarity with it. So it goes
into the barriers here, familiar with the
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treatments and stuff they might not know
about factor, they might not know about
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00:10:48.960 --> 00:10:52.440
chiropractors. They might know about PT
and what it can do. So it's
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00:10:52.440 --> 00:10:54.919
good to get out in front of
them, strike up conversations, do some
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00:10:54.960 --> 00:10:58.519
training yourself, get like in that
realm and let them know what you can
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do to help them. Financial aspects, a lot of fighters are broke.
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00:11:01.120 --> 00:11:05.720
You'll run into that a lot,
especially the amateur ones people coming up that
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00:11:05.000 --> 00:11:09.720
want to make it pro level.
It's just it's hard. If you put
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00:11:09.759 --> 00:11:11.679
in all your time and effort into
it, but there's no money to start
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00:11:11.679 --> 00:11:15.759
off with. That can be a
big bearer to want it to come and
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00:11:15.960 --> 00:11:18.080
get the necessary treatment. A lot
of them just choose to power through and
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00:11:18.120 --> 00:11:22.559
then time. If they're don't have
a lot of money but they need to
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00:11:22.559 --> 00:11:26.039
feed themselves or pay rents or anything
like that, they'll have a job and
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00:11:26.799 --> 00:11:30.360
in addition to training all the time, so they might not be able to
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00:11:30.360 --> 00:11:33.159
make it in. And then different
competitions have different rule sets that goes by
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00:11:33.840 --> 00:11:39.039
the state commission, local and about
the promotion because different ones have different rule
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00:11:39.039 --> 00:11:43.960
sets, so you can get familiarized
with that. Here's state level. Here's
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00:11:43.960 --> 00:11:48.879
some concepts to recall that will kind
of touch on as we go along through
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00:11:48.919 --> 00:11:54.360
everything. Wolfson Davis Law. This
will be with the kind of like the
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00:11:54.360 --> 00:12:01.720
repetitive trauma and stuff that fighters take, whether it be through competition or just
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00:12:01.759 --> 00:12:07.799
training, very rigorous, and I've
noticed a lot. One of the recent
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00:12:07.840 --> 00:12:11.519
ones that was more stigning to me
that I saw and kind of made sense.
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00:12:11.600 --> 00:12:16.480
There was a presentait to black belt
came in. He's been training for
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00:12:16.519 --> 00:12:18.679
twenty years. That's an mailble discomfort. So I asked him to show me
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00:12:18.720 --> 00:12:24.320
his range of motion and stuff and
extension. It was probably stuck with about
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00:12:24.360 --> 00:12:26.279
a thirty degree deficit and that was
as much as he could get. So
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00:12:26.559 --> 00:12:31.399
I'm like, this guy's been fighting
off armbars for twenty years. Obviously you're
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00:12:31.399 --> 00:12:35.759
gonna get those tight tendons, tight
ligaments. Probably some versidi is going on
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00:12:35.840 --> 00:12:39.840
in there, and just that's how
it is. So you gotta figure out
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00:12:39.840 --> 00:12:43.360
how to work around that and see
what the limitations of the treatment is and
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00:12:43.519 --> 00:12:50.159
set realistic expectations and then specific adaptation
to old post demands. So if someone's
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00:12:50.200 --> 00:12:56.519
more of a striker, I'm going
to formulate their treatment and recovery along someone
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00:12:56.559 --> 00:13:00.879
of a striker versus a grappler.
And it's more of that here in a
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00:13:00.879 --> 00:13:05.799
little bit as well. Are you
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Fighterway Classes is just a couple of examples.
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As you can see, it varies
greatly. Everyone out here jumps up
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ten pounds of patill you get from
lightweight to welterweight. The maximum weight for
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00:14:03.120 --> 00:14:07.840
championship is on the right hand side
if they're fighting. If it's not a
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00:14:07.879 --> 00:14:09.879
championship, they can go one pound
over. But as you can see,
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00:14:09.919 --> 00:14:16.120
some people might walk around at a
heavier weight, say like one eighty five,
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00:14:16.200 --> 00:14:18.759
but they want to fight at like
one seventy or one fifty five,
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So that'll go into a lot of
the recovery aspect that we talked about later,
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rise to hydration, and just overall
healthier belt categories. I'm sure everyone's
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00:14:30.240 --> 00:14:33.679
heard of black belts, brown belt, all that stuff. There's five basic
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one or five major ones in Brazilian
jiu jitsu. For the adult categories.
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Everyone starts out as a white belt, then you move on to blue,
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purple brown, and then eventually get
your black belt after everyone's course is different.
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Some people might get there faster than
others. Typically it takes at least
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a few years to get your blue
belt, and then, however consistent people
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are, that's when they can move
up to purple, brown and black.
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All right, that's a photo of
me over at the present jiu jitsu submission
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only competition. I got to do
medical at and that was that was pretty
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fun. I got to do that
a couple of times, and recently I
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did the taekwondo. Event gets pretty
intense, so I got to keep you
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on your toes and it's a lot
of fun. If you ever get a
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chance to do it, if it's
within your scope, definitely try and get
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in there. So overall, let's
start just from the beginning and what actually
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is most martial arts. So it
went up a little bit taller, but
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I'll just read off of it.
I'll let everybody live us here for a
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minute. If you want to write
it down. This is just original quote
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for myself. Combat as utilize multiple
disciplines of martial arts. It has been
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not limited to boxing, wrestling,
present jiu jitsu, and judu, amongst
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others. Competition last until an opponent
is incapacitated or time has elapsed in all
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rounds basically hand to hand combat and
a legal organized manner. So all right,
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fighter styles. So the ones that
come in, once you talk to
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them, they'll kind of give you
a rundown and like whether sport is what
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their background is. And for the
most part, it comes on like a
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spectrum. You have a person that's
really grappled heavy on one side. You'll
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have a striker on another side,
so someone that utilizes more stand up than
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grappling in their game. And then
in the middle you have the people that
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utilize a little bit of both.
Just depends on their skill level, depends
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on their preference and their backgrounds.
One of the left here is one of
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the famous more famous grapplers of all
time. Rona Rousey. Everyone should know
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this one is she's a former Olympian
and judo. She took the world by
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storm. She was twelve and zero
before her first loss. With all finishes.
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Nine of us finishes were some missions, six of them by arm bars,
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all of them by armbars rather,
and six of them came in under
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a minute, so everyone knew.
Everyone knew what she was doing, and
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she just put it on them anyway
and got it people out there until she
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ran to a fighter that could stuff
for daytowns and she couldn't utilize her offense,
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and eventually she lost her belt in
that one. And then on the
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opposite end a spectrum. One of
the best strikers of all time, Connor
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McGregor. Everyone should know him too. Left hand was knocking people out left
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and right for many many years.
He was the first two way class champion
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in the UFC, one of the
most famous richest athletes modern history. Here
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and then he ran into Habib Democa
Madoff, which is probably one of the
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best grapplers of all time, couldn't
get the strike, ended up losing his
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career. He's still fighting now,
but it's hasn't been to that level since,
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and then we go around to the
all arounder George Saint Pierre on the
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shortlist of Greatest miss Martial Artists of
all Time twenty six and two. He's
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won multiple weight class championships. He
utilizes his black belt in both karate and
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Brazilian jiu jitsu, as well as
wrestling and other disciplines of martial arts that
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he's it was really really good at
and so he went up against someone that
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was really grapple heavy, he would
stand a strike with him. Put on
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a clinic there filming was really strike
heavy, he would go back to his
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wrestling and present jiu jitsu, And
this is one of the guys that I
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grew up watching and it was always
a treat to watch him put on a
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clinic, and so you'll see a
little bit of one of the other.
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Typically, the fighters on the come
up have one way that they sway and
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then eventually the more experience they get, they come out and to be well
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rounded. Go right. This some
personal predictive equipment that we utilize here in
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our gym. We have boxing gloves
down here, the shin guards for practice
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and even amateur fights they have shin
guards because bump confusions and injuries to the
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lower leg can be very, very
devastating. As we'll see, mouthpieces guard
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up the jaw and teeth. Headgear
is optional, a lot of people should
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be wearing it, especially if they're
sparring a lot, just to keep that
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repetitive trauma from get into the head, concussions, all that protect the ears
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from getting cauliflower ear. There's pretty
much the basis right there, and the
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wrestling mats that we have back here
as well. So injury prevalence, there's
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different studies out there that'll have different
ones for different values for different different types
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of different venues basically, but what
it boils down to is roughly about seventy
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eight to eighty percent of everyone that
practices or competes in mixed martial arts is
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going to sustain an injury at some
time. And think that number is low
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because I think pretty much everybody's going
to sustain at least some form of injury
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at some point because of just the
demand and the nature of the sport.
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You got punches, submissions, over
usage, like a whole bunch. There's
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just so many ways to get injured, and it's good to be able to
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recognize that and get the appropriate treatment. These are injuries that we're gonna discuss.
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I'm gonna touch you over a cute
versus chronic when it comes to the
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submissions and striking, and then simple
verse complex for introduce you is one of
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the ones that I'm most familiar with. We're gonna just start with some of
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the basics and then we're gonna go
from there. So basic positioning that you
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start off with this guard man on
the bottom trying to control man on top.
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You can set up some of your
submissions from there, but this is
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basically just kind of like a safe
haven if you are just holding them there,
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or if you want to start an
offense. This is one of the
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most basic positions that you can start
off with side control. There's five different
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positions that I'll control or I'll fall
under side control, but basically you're just
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holding some someone down, putting the
top pressure on with the chest as you
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can see up there, hold in. This is almost getting like a cross
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face going right there, just another
way of controlling them. You're gonna move
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around this, and a lot of
the times it's just segues into other positions,
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such as the mount. The mount
is the most advantageous the most dominant
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position in grappling. Let you see, you can set up chokes from here
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by miss martial arts. If you
get them ount, you're gonna be raining
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down shots, punches, elbows,
whatever. It's Typically when you get down
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here, it's the other guys in
some pretty big trouble. But if they
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can get out of mount, typically
the rollover and then they give you your
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back. This is another very dominant
position for the attacker. You see right
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here, you can do a lot
here. You can attack the neck,
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tack the arm, hold them down. It's a very tough day for the
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guy of being attacked. So now
we're gonna get into the the meat of
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the presentation. Here, we're going
to look at some of the attacks submissions
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that can go on, visually the
blood choke in the joint lock how we
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discussed earlier. The first one is
the Americana and how it's kind of the
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format of this is We're going to
have like the name of the submission,
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I'm gonna show like how it's executed, basically, like the mechanism of injury
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they can go on, and then
we'll go into the potential injuries to the
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soft tissue and that can occur to
that and then how to go about treating
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them with the fighter protocols. So
the Americana is you're going to hold down,
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isolate one of the arms as such, You're going to put a your
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grip on there, and then you're
gonna externally rotate the shoulder joint u till
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you feel the break. Typically about
after ninety degrees and stuff, you'll start
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to feel the joint capsule tightened up
and by then they guy should be tapping.
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If not, then he's probably gonna
get it hurt pretty bad. But
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nine times out of ten they're gonna
tap a lot further sooner than that.
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Some of the potential injuries in the
acute is rotatar a cuff sprain strained.
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You're putting so much tension to all
the muscles and ligaments of the rotator cuff.
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When you do that, same with
the capsular damage, capsules get irritated,
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get inflamed, cause some decrease range
of motion, labor tear put enough
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put enough rotation and put enough force
into that you'll definitely can tear up some
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labors and then fractured. Humorous if
you are seeing someone that's fighting out of
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it a lot enough kunter of pressure. You'll see this in a lot of
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other soessions as well. Sometimes some
of the injuries don't come just from the
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person's from the guy trying to escape
out of it, and maybe they put
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a little bit too much counter pressure
into it and spiral fracture long them pretty
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easily chronic injuries. So if they
fought out of it, felt hurt but
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didn't go and get it treated,
or I wasn't noticing the whole lot of
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deficit but it came back later.
Frozen shoulder can occur some presisis and instability
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basically just inflammation over time and repetitive
trauma decrease the range of motion, and
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then you just keep going on it
for a while and typically people will show
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up say it's been boting it for
months or even years and stuff, and
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then it's like, well, you
got a lot of work to do after
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that. So just some of the
things to look out for rehabilitation protocols.
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So basically from the factor doctor real
presentation that he shared with us, we
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go from it too dynamic with controlling
the inflammation and pain. You can use
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whatever methods that you like to do
with that. We really like to do.
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Start off with venom, a little
bit of dry needle, maybe taping
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my fashion release restore the range of
motion we do. I like to incorporate
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a lot of PBC pipe wh it
comes to shoulder nice, simple, easily
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obsessed for a lot of people.
If they're not have PBC pipe at home,
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you can have them use a towel, you can use a broomstick,
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whatever else can kind of mimic that
wallwalks, wall angels, passive external rotation,
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you can use bands whatever they have
available to them adding resistance to the
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range of motion with the shoulder.
You can do medicine balls rotation, their
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standard bands, internal eesternal rotation.
We have sledge hammers, you can use
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maces, anything. Just go simple
to compound when it comes to the resistance
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in that range, and then incorporate
some grappling, striking drills if they injured
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it with. They're more of a
boxing type of stuff. If you want
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to have them do like some jabs, you can have them punch. To
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have a bag at home, or
if you have a bag in your gym.
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We have several bags and a striking
dummies here. We have the bob
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here, so we just have them
do the regular ones, build up that
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tolerance in there, eventually up it
up, and then return to practice once
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you feel like it's necessary. Typically
just depends on the athlete and how quick
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they recover. So this would be
like kind of our recurring pattern that we'll
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see in all these other ones,
but we've noticed some pretty good results utilizing
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this protocol. Next one will go
Kamara, similar to the Americana, but
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instead of the externally rotation, we're
intally rotating the glenna humeral joint. After
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about seventy to ninety degrees, you'll
start to notice it. It adds a
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00:26:30.559 --> 00:26:36.319
little bit of extra torque towards the
back when it gets into intron rotation that
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pretty quickly. It can do this
from several spots. One of the main
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ones is from guard. People typically
fight out of that pretty good. You
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can also do it from side control. Injuries include the rotator cuff sprain,
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strain, shoulder dislocation, humoral fracture. Again someone's trying to fight out of
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it. You'll have that counter shear. I'm seeing it happen in the UFC
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several times. Several fighters have been
trying to fight out of mirrors. Everything
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seems good until it doesn't and then
all of a sudden you have a broken
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arm on your hand ac joint sprain. This is lower on the spectrum things,
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but it's not all the realm possibility
of the things that could happen.
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And then we go back to euroes
and shoulder preside us nerve dysfunction. You
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have the the actualery nerve. It's
running through there, so you get some
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irritation in the surrounding tissues and stuff. They could feel pain discomfort in the
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rotator cuff. So just make sure
you I just address that. Protical rehabs
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considerations similar. We're gonna control pain
and inflammation, gonna restore the range of
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motion, added resistance. I use
a lot of sledgehammer as you can see
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right here. What we'll do is
have them hold it up towards the top.
354
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You have the weight. We have
them in eight, ten, fifteen
355
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pound increments and stuff. Start at
the low as you build up the tolerance,
356
00:27:53.119 --> 00:27:56.640
start closest to the weight, have
them excellally rotate, bring it up
357
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and over to internal rotation and hold
it out. And after about three or
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four people usually are sweating pretty hard. Once I gets easy and stuff,
359
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you just move it down till about
halfway to halfway down the handle. That
360
00:28:12.480 --> 00:28:18.079
will add a little bit more resistance, and then once that gets too easy
361
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for him, then you go up
and wait. Then after all that there's
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no more pain, you have full
function of it. Then you can go
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back and incorporate your grappling and striking
as needed, and then return to practice
364
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and come arm bars. Arm bars
are one of the first ones that I
365
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was taught. I'm sure it's one
of the first ones most people were taught.
366
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Is an attack that you can do
from pretty much anywhere, multiple positions
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that you can do, and if
you're caught in an arm bar, it's
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00:28:48.000 --> 00:28:53.559
not pleasant. It hyper extends your
elbow and yeah, you'll definitely feel it
369
00:28:53.599 --> 00:28:57.079
for a little while after, especially
the ones that don't don't tap. You
370
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try to push through it. It
can go It goes south pretty quickly,
371
00:29:00.240 --> 00:29:04.319
but you only have so much play
in it. Once it locks out and
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they add the hyper extension and it's
it's over pretty quickly for him. All
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right in the acute can definitely tear
a ligament or attendant, definitely fracture an
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arm. Seeing that happen time or
two peck tear if you're trying to rotate
375
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away from it to try to create
space. A lot of pulling, a
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lot of tension especially goes up into
the anterior portion of the shoulder. You
377
00:29:26.000 --> 00:29:30.160
can get a slap tear to a
lot of things can go wrong, chronic
378
00:29:30.319 --> 00:29:36.000
tendonosis, tendinitis and presidas, nerve
and tratments. Maybe you'll get some pronator
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terry syndrome, even a little bit
distal to the elbow. And like I've
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said, like the people that have
been doing this for a long time,
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00:29:42.599 --> 00:29:48.039
they're typically gonna have some elbow dysfunction, some loss range of motion, and
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some discomfort just because they've been fighting
these off for forever. We have considerations
383
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same thing. You're going to control
pain and inflammation. You're going to do
384
00:29:56.200 --> 00:30:00.759
whatever selt tissue, whatever restorative range
of motion that you like to do.
385
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We like to add a little compression
flossing as well, and then add some
386
00:30:04.839 --> 00:30:11.279
eccentric gloating as Lucas showing here with
one of the resistance bands. We try
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00:30:11.279 --> 00:30:15.079
to get as much extension as we
can. You might not get it back
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00:30:15.079 --> 00:30:18.039
to normal, but if you can
return it back to paint free and functional,
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00:30:18.200 --> 00:30:23.279
that's typically what you look for and
then you go back into your grapp
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00:30:23.279 --> 00:30:27.119
plane striking drills. I like to
utilize technical get ups with this because it
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00:30:27.559 --> 00:30:33.720
involves extending of the elbow. That's
one of the most important, one important
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00:30:33.759 --> 00:30:36.960
aspects of jiu jitsu has been able
to if you're on the ground or a
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00:30:37.000 --> 00:30:40.759
miss martial arts to get down and
get back up. So think of like
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00:30:40.799 --> 00:30:47.160
a Turkish get up but similar similar
mechanics, but this is more specific to
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00:30:47.599 --> 00:31:00.359
miss martial arts in Brazil and jiu
jitsu. That's that's it for today's episode.
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00:31:00.440 --> 00:31:03.920
Be sure to tune in for episode
eighty two, where Doctor Nate dives
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00:31:03.960 --> 00:31:08.559
deeper into strategies for cross training,
the importance of incorporating warm ups, cool
398
00:31:08.599 --> 00:31:14.200
downs, and strength and conditioning programs
to prevent injury, as well as methods
399
00:31:14.240 --> 00:31:18.000
for optimizing recovery, and ways that
you can track progress and athletic development.
400
00:31:18.680 --> 00:31:22.079
You won't want to miss it.
Episode eighty two drops in two weeks.
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00:31:23.160 --> 00:31:26.319
If you enjoy this content, please
be sure to like, download, and
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us fulfill our mission to provide world
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globe and If you're interested in listening
to past episodes and viewing all of our
405
00:31:40.319 --> 00:31:45.480
recorded webinar replays, be sure to
check out our website at Factor podcast dot
406
00:31:45.519 --> 00:31:52.160
com. That's fak trpodcast dot com. We are working on some exciting interview
407
00:31:52.160 --> 00:31:55.359
style Q and A episodes for the
future, so be sure to send us
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00:31:55.359 --> 00:31:57.720
any questions you have for Doctor Nate. When you visit the episode page on
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00:31:57.759 --> 00:32:01.640
our site. You can even click
a button and submit your questions through voice
410
00:32:01.640 --> 00:32:06.279
message, which I think is pretty
cool. We will be sure to cover
411
00:32:06.359 --> 00:32:09.079
all of your Q and A submissions
in a future episode or on our YouTube
412
00:32:09.160 --> 00:32:13.680
channel. And finally, don't forget
to visit the show notes for links to
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the webinar replay from today's episode,
along with any special offers from our sponsors.
414
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We'll see you next time. Hey
guys, if you like what you
415
00:32:23.359 --> 00:32:29.160
heard today, I encourage you to
visit our website at Factor hyphenstore dot com.
416
00:32:29.200 --> 00:32:36.559
That's spelled fak Tr hyphenstore dot com
to find out more information about all
417
00:32:36.559 --> 00:32:38.839
that we have to offer. We
have a variety of online offerings as well
418
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as our hands on Factor Rehab System
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Be sure to also check out our
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live webinar dates coming up in the
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And of course, the biggest compliment
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help us spread the word to your
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