WEBVTT
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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 thanks for
listening. In our last episode,
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we discussed common submission and takedown techniques
in the world of mixed martial arts,
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and our guest instructor, doctor Nate
Stequist, gave an in depth overview of
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the injuries that can occur in these
scenarios. We also discussed fighter evaluation and
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rehab strategies, ways to manage pain
and inflammation, and strategies for a storing
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range of motion post injury. In
today's episode, doctor Nate will talk more
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about ways to manage pain and inflammation, strategies for cross training, and the
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importance of incorporating strength and conditioning programs
for these unique athletes. We will also
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discuss the best methods for optimizing recovery
and talk through ways to track progress and
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athletic development. Let's cue the intro
music and dive in. Then we'll go
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to the lower half. Straight ankle
goes into plants are reflection and inversion.
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It's going to stress the atfl and
red an aculum and other structures around here.
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A lot could fracture an ankle,
sprain strain the surrounding structures. That's
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okay for poll hard enough if you
rotate it enough. Do some look at
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an instability tarsar tunnel. I'm experiencing
a little bit of that right now.
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It's not great, but it's when
you see what it is. I kind
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of treat it kind of like an
ankle sprain, like just a typical ankle
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sprain, like if someone was coming
in after just playing basketball. It's similar
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mechanism. And then you can take
that protocol and that experience that you have
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with those type of injuries and apply
to this. We use the compression of
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the Boodha, floss factor, flaws, whatever you have for this to restore
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the range of motion and response really
well to that and then to add resistance
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to ankle could be a little challenging
at times. If you have like a
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rocker wobble board, that's that's pretty
good. Kettlebells with shifting weight with the
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knee overtow that works pretty well.
We have the monkey fee here. If
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anybody's tried the monkey feed's amazing.
It's really really simple to incorporate the weight
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through the range of motion and then
I have them do this is called shots
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Basically you want to have them try
to lean the knee all the way over
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the toe and then explode off of
it. There you go. This is
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also one of the more important aspects
of president jiu jitsu. It's got to
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be able to take them down.
Knee bar are similar to arm bar,
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but for the knee is about nice
kneeestension zero to about fifteen degrees, So
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when you have to lock it out
and hip up, that's usually the end
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of that. Think of knee hyper
extension injuries like in football and stuff,
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you're going to think of ACL.
Other collateral cruisie ligaments can be involved.
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Ligaments, and I check out the
hamstrings as well, just because it's in
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the lengthened position. So a lot
of times if ACL MCL, like all
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the ligaments are fine and stuff,
but they feel some pain around the knee
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and stuff, maybe it could be
like a hamstring tear or some kind of
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like nerve and tratment around that area. You can do so chronic can get
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knee barret a bunch and stuff.
You can get some instability over time.
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Hampshirem mobility just in general and stuff. Just look they to look out for.
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Let's use the venom around the knee
helps out greatly with a lot of
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things, especially involving the knee,
just helps get it warm up, get
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it ready for motion. TRX is
really good in the early stages that we'd
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like to do because it helps take
the body weight or take any extra weight
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and strain off of it. It'll
get the range of motion back to where
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it needs to be. And then
after that you add your resistance. Bodyweight
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squads good place to start, monkey
feet, key Vita grate for nearly any
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lower body one. I can add
in the Hampshire curls and quad extensions,
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anything else that you can find with
that Bulgarian splits, and then Nordics.
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With Nordics, I would recommend starting
at the most regressed, so start off
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at about maybe like fifteen, eventually
building up the tolerance to get it full
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if that's one that's bothering them.
And then for the grappling, striking drills
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and stuff. If they utilize a
lot of kicks them just start kicking,
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kicking the heavy bag just lightly and
stuff, building up, building that tolerance
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back up, getting used the takedowns
again, seeing if they can roll around
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and fight off submissions, and then
positioning and doing the technical get up as
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Lucas demstrat you're right there, and
then you return them. Peel hook.
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I'm going to spend about a few
minutes on this one just because it is
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very prevalent and it's probably one of
the more devastating injuries. It's pretty controversial
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with a lot of people. And
what happens is you're going to isolate the
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lower leg. You're going to clamp
onto the upper part of the femur so
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you can extremely rotate the lower part
of the leg around either internal or external
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rotation. And what it does is
it simultaneously attacks both the ankle and the
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knee joint. So you can look
up on YouTube peel hook injury. It's
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not for the squeamish because it can
be particularly the devastating. In a lot
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of places, it's been outlawed and
a lot of schools won't teach it to
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their lower level. You got to
be at least probably like a purple belt
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or above. Just depends on where
you go, just because of the potential
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for serious damage. There's other organizations
and other competition boards that outlawed, so
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if you try, you're immediately disqualified. So but it's it is good to
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know about it because the ones that
do allow it as typically a no g
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one. People go for it because
it's it's one of the quickest ways to
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win because as you'll see, one
of the first things to go is the
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accrusian collateral ligaments of the knee,
because once you isolate the knee joint,
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there's no real defense for it.
And what they say is you're good until
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you're not, so you're not gonna
feel anything. It's gonna feel fine,
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like, Okay, I can fight
this off, fight this off, fight
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this off, and then boom there's
there goes a ligament, or boom there
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goes a meniscus tear or whatever happens. And a lot of the times if
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they're fighting it off, the tibia
can create a viral fracture as well.
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It's just it's nasty little submission and
it can be very devastating take people out
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for a very long time. We
have considerations if I do have pretty extensive
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injury, might want to opt for
a ORTHO consult before you get started.
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But if you can similar concepts compression, heat, elevate, control pain,
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inflammation, restart the range of motion
slowly it's going to be typically a long,
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very long recovery with that. Add
to resistance, build back up with
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balance issues or strength issues, whatever
else that comes from it. Incorporate the
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grappling and striking, and then return
to practice. Typically, anybody that gets
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caught in a really bad heel hook, it's going to be at least almost
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a year, just because I've seen
how devastating that is. I always get
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a little nervous whenever I see people
do that in competition, and I'm doing
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coverage here. So then we'll go
into the blood and airway chokes. These
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are some of them. Obviously,
these aren't all the ones that we can
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do. I would be here for
four or five hours with you, but
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a lot of them will have similar
presentations. So we'll just kind of motor
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through the mechanisms and then we'll go
to how to recover from them afterwards.
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First one I'll talk about is guillotine
choke. It involves the compression of the
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carotid arteries, but latterly, and
you can see with a little bit of
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cervical reflexion to the affected side it
is not pleasant to be in. From
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personal experience. It can be performed
standing or in guard either way does not
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feel good. The potential injuries.
Loss of consciousness is the first thing.
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Typically they say it takes about ten
seconds of compression to cause the loss of
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consciousness, and then anything from thirty
seconds to four minsk and induce some brain
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damage. So if you're training with
someone and you don't pay close attention,
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you have them holding on to a
choke for too long, don't realize that
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they're out and stuff, you can
cause some damage. So I would have
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the athletes be sure that they pay
attention to what they're doing out there.
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Cervical's brain strain. This is typically
from trying to pull your head out of
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the attack. If you're holding on
for trying to get out for dear life,
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and a guy's holding on for you, you can definitely I see a
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lot of cervical and upper back strain
that goes along with that tracheal damage.
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Basically bruising, just feeling like you've
been compressed because a lot of the force
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goes through from the forearm when you're
locking your hands on the opposite side like
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that TMJ damage I've experienced. I
had a black belt and I attempted to
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get out of a guillotine. He
proceeded to squeeze down on my jaw and
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I felt it to detach for a
second, so that was fun. I
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had a nice little headache for a
few days after that. So that's also
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a possibility if they come in with
that nerve irritation, just check your check
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your nerve roots and see if there's
anything referring down into the arms. Were
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a naked choke. This is one
of the most popular ones. This compression
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of the crowd arteries in trachea.
People that go for the back typically want
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to go for this one mma.
This is one of the most effective ways
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to end a fight because once you
slap on one of these and it's tight,
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it's almost impossible to get out of
so lots of consciousness Trakil's brain strain
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and cerveral strain TMJ. The initial
way to block the rear naked is to
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duck your chin like such, so
if someone comes along with their arm covers
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that and pu's enough pressure on it, you can aggravate the tmjjoint pretty easily
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as well. Darsh choke compression crowdit
arteri is assistant from the opponent's arm,
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kind of similar and set up to
the rare naked, but this is going
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to be from side control. You
get an arm trapped, con press it
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down through there, similar potential injuries. Next shoulder TMJ triangle choke. You
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can do a head an arm or
from guard with the legs, similar mechanism,
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similar injury, and then the rehab
is going to be similar. You're
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going to control the pain, inflammation, restore the range of motion. Traction
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can help if it's more of a
chronic issue than an acute issue. We
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use the iron neck a lot here, especially with all our grapplers, just
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because it's great for injury prevention.
Having a strong neck in general will never
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hurt anybody. We put the iron
neck into and doing drills such as sprawls,
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any type of shoots and stuff just
adds a nice little layer to rehab
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and we see a lot of good
results with that. Parpland grappling and striking
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drills, shadow boxing, just something
to get the head off off midline.
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Make sure that they can defend themselves. Light submission defense. Just hold them,
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don't like, crank down on them
if you want positioning transitions, and
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then let them loose after that.
Striking injuries real quick, pretty self resplanatory.
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I mean, if you've ever stubbed
your shin on like a bedpost or
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anything like that, imagine that coming
at you about fifty miles per hour,
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gonna have the potential to fracture some
bones. Concussions a big one. You
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get knocked out and stuff back of
your head hits the mat, fractured ribs.
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People that throw kicks and stuff,
they'll be targeting the liver and spleen,
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so you can get some internal organ
damage, hematomas, especially on the
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face and stuff. You can see
people with huge knots after, especially if
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it's a long fight. Bone bruises, fractured teeth people, especially like if
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someone's fighting, say like a movie
tie heavy person holding onto the head,
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getting a knee right underneath the mouthguard
can only handle so much. Can fracture
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a jaw. I have some teeth
knocked out. It's pretty pretty nasty when
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that happens. Fractured tip fib if
someone is checking a kick. I've seen
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an uptick of it over the last
couple of years. I think last pert
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like Connor McGregor was one of them. He checked the kick and then tip
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fib fracture. Anderson Silva one of
the best fighters of all time. He's
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had it, Chris Widman's had it. So it's just that too much force
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and the bone does not adapt to
it, so it breaks and pretty nasty
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lacerations to the face. That's pretty
easy over time. Stuff you take enough
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punches, your TMJ chronic pain in
that postconcussive symptoms. Make sure they're still
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experience in it. Hold them out
of practice and have them see a neuro
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and get the all clear from that. These you don't want to have the
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double impact. Any potential of that
hand injuries is a big one. Punching
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someone in the face, you'll have
a chance of getting a boxers fracture any
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of the metacarpals really, but typically
it's going to be the fifth metacarpal,
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the DP, so you distal and
your proximal inter paryngeal joints. So why
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people will the old school jiu jitsu
people will tape up their fingers is up
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beforehand, just to add a little
bit extra because when you're gripping, especially
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on gee's and stuff, it's really
high intensity, a lot of speed,
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velocity and strength that goes behind it. Really easy to hurt your fingers that
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way. You can do some grip
strengthening there. They've got equipment out there
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for grip strengthens. You can have
them grip rice just get back to normal
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activities. Grip strength is really kind
of an underrated but a very important part
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of martial arts too. So if
they're experiencing that, that's another bit of
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advice you can give to them.
And then certain techniques can just be more
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devastating than others. There's an oblique
kick which basically causes extreme hyper extension of
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the leg valgas stress hits to the
back of the head. They're a lot
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of these are largely illegal for that, but they do happen sometimes, so
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just allow sufficient time for it to
heal and referralt as needed. So this
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is a question. I'll let everyone
answer that if they feel like answering,
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and it's going to be one of
the most commonly diagnosed ailment of mm athletes.
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This is what people actually go to
see their primary care or see a
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doctor for. Okay, someone said
headaches. I imagine head and neck is
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probably going to be going to be
up there at the top lascerations. All
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right, so yeah, headaches and
lacerations, that's pretty good. But Okay,
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I was going to wait for one
more, so glad we got one
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more here, all right. Skin
infections, so staph mersa ringworm. This
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is rampants. It can be very
rampant once someone gets it in the gym.
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Maybe they don't realize that they have
it, but just the nature of
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the beast here and the environment mma
gyms are hot, sweaty, not a
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lot of ventilation, and you're grappling
and you're in close contact for a long
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period of time. So it's pretty
nasty. It can get pretty bad.
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It can be. Yeah, those
keys don't watch themselves, that's right.
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Yeah, absolutely, yeah. Approximately
seventeen percent of all collegiate wrestling injuries involved
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skin infections, so that's all injuries, is all. It's pretty bad and
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it can be spread through cuts,
blisters, or exposed skins. So that's
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why if someone has a cut,
if someone has an open wound and stuff,
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we largely tell them to wait till
he heals before you get back because
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you naturally have staff MRSA all that
stuff on your skin. If you have
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like an increase of it, you
have that open it's just an easy portal
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in and the stuff can can spread
even with antibiotics and aggressive treatment. It
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could still cause some devastating injuries and
can potentially be fatal if and then treat
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it appropriately. So if you see
that on someone, someone has this big
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boil, it's hot and just looks
off, just send them to the primary
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care, have them make sure you
wash down everything that was in contact with
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it, and tell them to stay
off practice till they get that taken care
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of all. Right. Case study. This is the one that with permission
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from the athlete. This is the
one that I've been training her for years
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now. In March of twenty twenty
two, she had a particularly devastating injury.
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This was just a practice, This
was it even during a competition,
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But she called me up late at
night she said that she hurt her knee
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and she can barely walk down.
I was like, oh, well,
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I'll come into the gym tomorrow and
we'll see what's going on. And when
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I got there, she was not
crutches, So I knew it was bad.
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Because she's really really tough two way
class champion, amateur champion, so
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this has to be pretty devastating if
it's causing her to do this modern decrease
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in inflection and extension with pain positive
McMurray's with noticeable click and bogginess along the
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lateral aspect. All her collateral and
crucial ligaments were intact, so I didn't
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really think it was acl or anything
that we'd have to go immediately into like
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a surgical consult or anything like that. But she had some strength deficits,
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no numb mistingling just to the side
of the injury. But I was figuring
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she probably tore her risks pretty good. Got the MRI several weeks later bucanhal
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tear left lateral you see right here, this little break. So I told
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her that let's just let's rehab you
and if you want to get surgery later,
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you can always opt for that,
but let's get you upright so you
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don't get deconditioned too much and see
if you can stay at least semi stay
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practicing for at least a little bit
while we get everything else figured out.
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So we just wanted to focused a
lot on pain mitigation and light resistance,
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just getting her able to try to
get to as much full extension and get
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it as strong as we could.
I had her on the exercise bike,
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just adding up a little by little
over the first couple of weeks. By
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week three she was pretty quick healer, so she was able to do a
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little bit more. We started light
jogging for just a couple of minutes at
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a time, just to test the
tolerance, some agility drills BTJ ground mobility
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such as like shrimping, doing her
get ups and stuff, and by week
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four instance, she was able to
stay up and support her weight and do
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a little bit more as the days
went on. Obviously, we did some
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light judo drills at her do some
takedowns, very light, probably about forty
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fifty percent of competition speed, and
she was able to do it, and
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we had her doing drilling up to
hers. When it came to this,
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we were able to give her a
protocol and give her her standard that she
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could exercise and train her to her
tolerance, and really helped. After week
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seven and stuff, I saw her
semi regular basis going forward, just to
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keep track and make sure there's no
regressions. She went to the arthroscopic several
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months later, and she continues today
and she actually has a first fight over
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about fourteen months this Saturday, so
I'll be excited to see her go after
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that. So it's really good.
It's really enriching, especially when you see
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if you can be like a small
part of these people's journeys and stuff,
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it's really enriching. Then it's a
very fun way to use your license.
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All right, Last a little bit
for a little bit of advice. If
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fighters come up to you and they
just want to ask stuff, I always
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tell them, tap early, tap
often it's not worth Yeah, it's not
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worth taking off a year of your
life just to try and fight out of
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something. In practice, make it
make at least one day a week for
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recovery. A lot of people,
a lot of fighters want to go every
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single day and stuff, and eventually, eventually something's going to break down.
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So try to make time to recover, hydrate, eat, clean, wash
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your geys, wash your equipment,
wash yourself, especially after being in contact
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with people. Outsleep the competition.
Sleep is highly underrated, and when it
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comes to recovery, if you don't
sleep good, everything else kind of just
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falls apart. Minimize the outside distractions. There's a lot of information out there,
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not all of it's great. So
they'll come up to you and ask
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you about certain stuff that might seem
a little silly, but just kind of
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put them in the right direction,
and then be safe and be good to
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00:20:45.079 --> 00:20:51.200
your partners. Not nobody wants to
go out and hurt anyone, so just
272
00:20:52.200 --> 00:20:56.480
be safe with it and have fun. Are you a youth sports coach or
273
00:20:56.519 --> 00:21:02.440
team administrator that's tired of juggling endless
paperwork and struggling to keep track of player
274
00:21:02.480 --> 00:21:07.440
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00:21:18.359 --> 00:21:22.799
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00:21:27.799 --> 00:21:32.039
dot com today to learn more and
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280
00:21:32.400 --> 00:21:37.200
That's nlit sports dot com to learn
more and book a free demo with a
281
00:21:37.240 --> 00:21:41.400
member of our team. We can't
wait to meet you. Always remember to
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00:21:41.400 --> 00:21:45.920
provide thirough examination your movement screenings and
correlate the finans with the fighter style and
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00:21:45.960 --> 00:21:51.000
treat accordingly. That's they said principle, and then provide support and reassurance.
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That's it. So yeah, I
was hopefully not to information laden. Hopefully
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everyone got a little bit about that. Now we'll open it up to questions.
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Awesome, thank you so much,
doctor Nate. You've talked a minute
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ago about kind of how you encourage
rest and recovery. Could you expand a
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little bit on how you help your
athletes come up with a system or a
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schedule for rest and recovery in between
their practices and then any matches they have.
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There's there's not really like a specific
one. Everyone's going to have different
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needs, depending a lot on their
personal schedule. As some people, like
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I said, some people have jobs. Some people have more time to give
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to recovery. But I know people
that are are fighters and then they work,
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they're a bonser at a nightclub and
night so they could sleep like four
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or five hours. So like if
they can only sleep a little bit during
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the night, not maybe like up
to about like maybe a seven or eight
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hours, that would be ideal.
I tell them to try to get a
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nap in after practice, to try
to like get these little bits and pieces
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of recovery as they can as opposed
to just one large one. But it'll
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come down to it'll come down to
the specific athlete and kind of like what
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they what else they have the out
side factors that they have going on in
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their life. Absolutely, and I
think that's that's definitely key. There is
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kind of individualizing that to each patient
and their needs. Another question that came
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in someone was asking about if you
have any standard recommendations for an amateur fighter
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that's training several days a week,
how do you kind of balance their soft
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tissue therapy, their injury prevention weekly
or bi weekly. They come in,
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they have a really rigorous training schedule. How are you balancing in their sessions
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with you and their rehab amongst all
of that. Yeah, so this will
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come down to basically with their infight
camp or if they're not their infight camp,
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I like to see them at least
once a week just to kind of
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make sure that they're on schedule.
No, nothing new pops up that we
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can kind of get a jump on
if they're outside of fight weekend, just
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want to like recover stuff, use
like cold plunge or sauna, you get
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adjusted soft tiste, sho therapy,
whatever like that, typically like every other
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week if they can swing it.
If not, once a month is fine
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too. But for fight camp.
Yeah, we try to see them at
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least weekly, keep them on track, make sure there's no there's nothing that
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wouldn't keep them from performing their best
during the fights. That's a really big
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that's a big opportunity for you and
the fighter to like kind of bridge that
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relationship. If you go out and
they're feeling one hundred percent and they go
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as far as they want with their
career, that's one of the more enriching
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parts of the job. It's less
frequency when they're not in a fight,
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I would say, But again it'll
come down to if they have like a
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chronic issue, like if they have
chronic deficits. I see a lot of
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boxers with like rotator cuff syndrome,
because if they're volume punchers, meaning like
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they're not knocking people out in one
fight, they're not doing Mike Tyson type
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work and stuff, they're going to
absorb all that force throughout the matches and
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practices into their rotator cuffs, So
they might need one a little bit more
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frequently than someone that's just doing jiu
jitsu or someone that is not as reliant
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on the striking. So it helps
to be familiar with your with your fighters
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type of style as well. Absolutely, are there any things that have been
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surprising to you that you've seen in
terms of interventions and things that you might
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work on rehabbing that make a big
difference. So, for example, a
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lot of sports stops will talk about
how looking at things like breathing dynamics can
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make a huge difference for their powerlifters, which isn't something that you would necessarily
336
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think intuitively, like, hey,
I need to look at their breathing first.
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Is there something like that that you've
seen across the board with your fighters
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that you're like, every single time
when I have a new patient come in
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that I know is involved in MMA, this is something I look to every
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single time, and if we can
make this change and fix this, it
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makes a huge difference. Yeah,
there's a couple. One of the more
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interesting ones that I found was what's
called your frames. Basically, have them
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put their hands up and then I'll
test to see if they can hold it.
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And a lot of times they'll have
one arm or even both arms.
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Sometimes that just you can slap them
down right away and they just can't hold
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that position. So we can work
on some upper core strength and stability.
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If they have inability like doing the
netflection tests and stuff. We can go
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for cervical stability with that, Like
the iron neck is great for that,
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planks overhead dead bugs. With the
ball, you can get creative with it.
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But yeah, I've seen especially with
it because like being able to hold
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your opponent off is such like a
vital part of your offense and defense,
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and sometimes some of you guys just
can't do it, Like maybe they weren't
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even they didn't even notice that they
weren't able to or something. But once
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we shore that up and stuff,
they say that they typically feel a big
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difference, not only in pain and
function wise, but definitely in performance as
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well. So if people have a
movement screen that they do and stuff,
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and then they can find that and
correlate that to the fighters preference and stuff,
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that's great. I like to do
something really specific to them, like
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when it comes to like holding their
frames or seeing if they can hold their
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punches, like seeing how much force
that they can generate behind it, and
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then just kind of reverse engineering from
that, attacking that tissue, restoring that
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mobility, strengthening up that area,
whatever, So that typically yields pretty good
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results. Absolutely. The next question
that came in is specifically regarding Brazilian jiu
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jitsu athlete. Okay, with experienced
fighters increasing their volume and experience that are
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00:27:38.440 --> 00:27:44.960
experiencing hand soreness, would you suggest
more grip strength training or is there a
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00:27:45.039 --> 00:27:49.519
more worthwhile intervention for that? I
think that would depend if they're having difficulty
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like the was it the froments?
Yeah, if they're having like difficulty like
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holding that, you can look up
the chain, see if there's a nerve
369
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n treatment somewhere, release that and
then doing some grip strength training. I
370
00:28:00.400 --> 00:28:04.400
don't think it ever hurts someone to
get strong in a certain area, especially
371
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with grip strength, because it's you
so often. But I would definitely test
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the muscles and see if there's any
nerve kind of dysfunction going on there and
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then apply that and then see if
that helps with improving the grip. And
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if you want to go for strength, I like to have people do more
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endurance based so lower waight, just
higher reps. Maybe that would help more
376
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than just trying to pull it up
as much weight as possible when it comes
377
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to the grips. Absolutely. The
next question here is regarding hyper mobility.
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The first part of the question is
do you always test your fighters to see
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first if they are hyper mobile,
so that you know if that's a consider
380
00:28:44.440 --> 00:28:48.079
consideration to look at. The Second
piece of that question is if you encounter
381
00:28:48.200 --> 00:28:53.799
an athlete that is hyper mobile,
are there specific taping jobs that you're doing
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00:28:53.839 --> 00:28:59.200
for that when you know they're preparing
for a fight. Are there specific ways
383
00:28:59.240 --> 00:29:03.960
that you kind of cater your rehab
to help strengthen those areas where they may
384
00:29:03.000 --> 00:29:08.759
be experiencing a lot of that hypermobility, especially your grappling athlete with that and
385
00:29:08.759 --> 00:29:11.440
stuff, tipic might not be allowed
in some of the competitions and stuff,
386
00:29:11.440 --> 00:29:15.200
So I try not to have them
reliance upon that. If they're going to
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00:29:15.279 --> 00:29:18.359
stay in here for like a long
rehab session, then I might utilize that.
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00:29:18.559 --> 00:29:21.920
It depends on the Athletic Commission and
if they allow for people to be
389
00:29:21.960 --> 00:29:25.160
taped, because I don't want them
to be like reliant on it and then
390
00:29:25.200 --> 00:29:27.519
not use it and then feel off
and stuff. When it comes to that
391
00:29:27.920 --> 00:29:33.400
hyper mobile people and stuff like,
I will do my passive active stuff if
392
00:29:33.440 --> 00:29:38.799
they're off the charts with that,
obviously, I know I'm not gonna waste
393
00:29:38.839 --> 00:29:41.480
too much time on trying to restore
the motion. I'm just going to go
394
00:29:41.519 --> 00:29:45.839
down the chain and start to find
the weaknesses. Typically if they're hypermobile,
395
00:29:45.079 --> 00:29:48.640
like say, for instance, I
had a fighter the other day and her
396
00:29:48.799 --> 00:29:53.319
hip internal rotation was like off the
charts. I'd never seen as much internal
397
00:29:53.400 --> 00:29:57.519
rotation as a but when I tried
to have her resist me and stuff,
398
00:29:57.559 --> 00:30:02.000
she couldn't hold it. So all
that mobility is great and all if you're
399
00:30:02.119 --> 00:30:07.440
like throwing kicks, but eventually it's
gonna it can eventually cost some issue.
400
00:30:07.480 --> 00:30:11.640
So I was more focused on strengthening
up with that range than trying to get
401
00:30:11.799 --> 00:30:15.119
as much mobility as I can out
of it. It actually works, it
402
00:30:15.160 --> 00:30:18.359
works pretty well in jiu jitsu,
but if you can't hold the position,
403
00:30:19.119 --> 00:30:23.200
especially with like hip mobility, hip
strength and stuff, they can't hold that,
404
00:30:23.880 --> 00:30:26.480
then how are they gonna hold someone
in guard for a while. So
405
00:30:26.960 --> 00:30:33.279
it's something that you can relate to
them to kind of let the light bulbs
406
00:30:33.279 --> 00:30:36.480
turn on, Like, okay,
we can set you up with a program
407
00:30:36.839 --> 00:30:40.519
straight the conditioning program. I hand
him out to Luke out there. He's
408
00:30:40.559 --> 00:30:45.759
an MMA fighter as well, so
he knows the program and we just kind
409
00:30:45.799 --> 00:30:48.359
of rinse and repeat until we get
the desired result, and typically they respond
410
00:30:48.400 --> 00:30:52.000
really quickly because a lot of a
lot of these athletes have never heard I
411
00:30:52.039 --> 00:30:56.039
don't really know all this concept.
I think they didn't really realize that they
412
00:30:56.079 --> 00:30:59.680
were weak in a certain area and
that has something to do with jiu jitsu.
413
00:30:59.799 --> 00:31:03.079
So it can definitely help all up. Wonderful. Another question here,
414
00:31:03.240 --> 00:31:07.759
someone was saying that a lot of
professional teams and collegiate teams have training rooms
415
00:31:07.759 --> 00:31:12.880
and open access to care that amateur
fighters don't. How do you create the
416
00:31:12.960 --> 00:31:18.319
relationships with athletes that benefit them.
Do you do memberships, standard treatment times,
417
00:31:18.440 --> 00:31:22.920
direct care, or fight camp offerings. If I can't bufferings and memberships
418
00:31:22.920 --> 00:31:27.119
here, I do like monthly,
like month to month because we understand,
419
00:31:27.200 --> 00:31:32.079
like fighters will have certain financial restrictions
as well as timing restrictions and stuff.
420
00:31:32.079 --> 00:31:34.839
They can't always make it in.
But ones that are like really dedicated and
421
00:31:34.839 --> 00:31:40.200
are able to and stuff, they'll
come in and we'll have programs for them.
422
00:31:40.480 --> 00:31:44.000
They can come in and use the
recovery stuff, the cold plunge,
423
00:31:44.200 --> 00:31:48.519
the oppression sleeves, red light stawna, weightlifting, whatever they want. If
424
00:31:48.519 --> 00:31:51.759
they need soft tissue, them would
go from there too. A big way
425
00:31:51.799 --> 00:31:55.839
to open that realm to the access
of care too, is just to go
426
00:31:55.880 --> 00:32:00.519
to the gym and start practicing,
because, like I've made so many connections
427
00:32:00.519 --> 00:32:02.359
is off with athletes and stuff.
Just by going there and practicing with them,
428
00:32:02.400 --> 00:32:07.519
it's a great time for both physical
and mental health. Jiu Jitsu and
429
00:32:07.519 --> 00:32:10.519
miss martial arts has been one of
the best things for many, many people
430
00:32:10.519 --> 00:32:15.519
that I've talked, But it's good
to overall health and to get a better
431
00:32:15.599 --> 00:32:21.359
understanding of what they're going through,
and that'll help to gain rapport with them
432
00:32:21.839 --> 00:32:25.319
and help give them better treatment.
Do you have specific guidelines that you give
433
00:32:25.359 --> 00:32:30.319
your athletes when it comes to frequency
of practice during rehab. Let's say someone
434
00:32:30.359 --> 00:32:37.000
comes in to you with a rather
acute injury. Obviously you have your rehab
435
00:32:37.039 --> 00:32:39.400
schedule that you're putting them on for
when they come see you. How do
436
00:32:39.480 --> 00:32:45.480
you have that conversation with them about
type of practice, type of workout,
437
00:32:45.559 --> 00:32:49.599
like, what do they need to
do while they're still in that acute phase.
438
00:32:50.160 --> 00:32:52.359
How do you get them to tap
the brakes a little bit on their
439
00:32:52.359 --> 00:32:55.000
typical training schedule. That's easier said
than done, because a lot of them,
440
00:32:55.359 --> 00:32:58.519
a lot of them like to go
one hundred miles per hour at all
441
00:32:58.599 --> 00:33:02.559
time. So it's just really good
to kind of reiterate the importance of your
442
00:33:02.599 --> 00:33:07.680
recommendations. And it helps to know
the head coach. Head coach is typically
443
00:33:07.720 --> 00:33:09.279
the owner of the gym. If
you can get in good with them and
444
00:33:09.359 --> 00:33:15.319
the athlete doesn't mind you discussing the
case with them, you can also correlate
445
00:33:15.440 --> 00:33:19.559
with that, like coordinate, see
how it is. Typically, if there's
446
00:33:19.559 --> 00:33:22.279
an injury during fight camp, like
a specific one, they'll probably just pull
447
00:33:22.319 --> 00:33:27.480
them out, so you don't have
to worry too much about altering that.
448
00:33:27.839 --> 00:33:30.160
But if it's just like an everyday
one in someone, if you don't think
449
00:33:30.240 --> 00:33:35.200
they're good to go grapple like five
rounds intensely and stuff, you could just
450
00:33:35.240 --> 00:33:37.519
be like, hey, just go
have speed for like one or two and
451
00:33:37.519 --> 00:33:38.920
stuff. See how it is and
stuff. Build back up your tolerance and
452
00:33:38.920 --> 00:33:45.119
then over time you can relate them
to full activity. But open communication is
453
00:33:45.200 --> 00:33:49.839
just and just stressing the importance of
it is highly important. And one last
454
00:33:49.880 --> 00:33:53.599
question here someone was asking for your
top five recovery tools that you use in
455
00:33:53.640 --> 00:33:59.640
practice. We use a lot of
the venom, I would say, ah,
456
00:33:59.720 --> 00:34:01.359
boy, what else we use?
Iron neck Yeah, iron neck,
457
00:34:01.480 --> 00:34:07.159
the venom, the monkey feed,
those are really specific tools which I like.
458
00:34:08.000 --> 00:34:12.440
I use the decompression table a lot. That helps for me, it
459
00:34:12.440 --> 00:34:15.960
helps for a lot of like the
more chronic people as well. And when
460
00:34:15.000 --> 00:34:17.960
we get the cold plunge in,
that'll be probably the one that a lot
461
00:34:17.960 --> 00:34:22.519
of people like to use the most. But like sauna and cold plunge definitely,
462
00:34:22.920 --> 00:34:25.519
especially because now it's it's a crazy
everywhere in the recovery world, so
463
00:34:25.920 --> 00:34:30.760
that helps out people get some good
benefit out of that. Wonderful Well,
464
00:34:30.760 --> 00:34:35.559
thanks again everyone. Okay, one
final question here from someone here in the
465
00:34:35.639 --> 00:34:39.039
chat. Do you have any specific
baseline testing that you do for concussions?
466
00:34:39.239 --> 00:34:44.320
How often are you doing concussion screening
with these athletes? Is that something you
467
00:34:44.400 --> 00:34:46.960
encounter a lot? So the new
one I think that came up with the
468
00:34:47.000 --> 00:34:52.159
SCATS six not too long ago.
You can reference that for concussions is SCOT
469
00:34:52.159 --> 00:34:55.679
five or SCOUTS. I think it's
Gout's six came out pretty But if you're
470
00:34:55.719 --> 00:35:00.760
at a competition, if you're the
only one, typically if you feel like
471
00:35:00.760 --> 00:35:02.760
they have a concussion, like I'm
just going to stop the fight or like
472
00:35:02.800 --> 00:35:08.480
keep them from competing anyway. I
would if there's a neuro and the what
473
00:35:08.519 --> 00:35:10.840
do you call it, and the
ring side, because a lot of the
474
00:35:10.920 --> 00:35:15.159
MMA ones they will require you to
be an MD or little crowd to be
475
00:35:15.239 --> 00:35:20.280
a neurologist. They'll have that.
So so that's typically I try to stay
476
00:35:20.280 --> 00:35:22.639
in my lane when it comes to
that. If they have like recurrent concussive
477
00:35:22.639 --> 00:35:24.559
symptoms, like they're experiencing like brain
fog, they have headaches constantly, they
478
00:35:24.559 --> 00:35:28.639
can't sleep, they have nausea and
stuff keep going, then I'll just refer
479
00:35:28.679 --> 00:35:30.559
them out. You can pretty much
know if someone's acting different and they just
480
00:35:30.639 --> 00:35:34.800
took a major blow to the head
like a headkick I knocked out and stuff,
481
00:35:34.800 --> 00:35:37.760
and then they're just feeling funky for
about a week and stuff, you
482
00:35:37.800 --> 00:35:39.519
can just send them up, send
them up the chain, practice within your
483
00:35:39.519 --> 00:35:44.519
scope and hope for the best.
Wonderful, Thank you so much. And
484
00:35:44.559 --> 00:35:47.119
obviously concussion is such an important thing
to look at with these athletes, as
485
00:35:47.159 --> 00:35:50.679
you mentioned, pull them out,
like stop the fight, pull them if
486
00:35:50.760 --> 00:35:53.559
if you have that suspicion for sure, And obviously you have to work within
487
00:35:53.599 --> 00:35:57.679
the constraints if your scope of practice, and then what you're allowed to do
488
00:35:57.760 --> 00:36:01.880
ringside. I know that's very important
across the board with different sports and different
489
00:36:02.000 --> 00:36:22.360
organizations in that regard. That's it
for today's episode. Be sure to tune
490
00:36:22.360 --> 00:36:25.679
in for episode eighty three, where
we feature a fascinating new training with doctor
491
00:36:25.760 --> 00:36:31.320
Navaz Habib on vegas nerve stimulation.
In this two part series, we will
492
00:36:31.360 --> 00:36:37.440
explore how the vegas nerves regulatory pathway
impacts inflammation, the role of a selcholine
493
00:36:37.519 --> 00:36:43.559
in modulating immune responses, and we'll
learn how these mechanisms can be leveraged to
494
00:36:43.599 --> 00:36:49.280
improve conditions such as autoimmune disorders,
neurological diseases, and more. You don't
495
00:36:49.320 --> 00:36:52.760
want to miss it. Episode eighty
three drops in two weeks. If you
496
00:36:52.880 --> 00:36:57.440
enjoy our content, please be sure
to like, download, and subscribe to
497
00:36:57.480 --> 00:37:00.719
the show and share a link with
a friend. Every share helps us fulfill
498
00:37:00.800 --> 00:37:06.800
our mission to provide world class free
education to help providers around the globe.
499
00:37:07.280 --> 00:37:10.960
If you're interested in listening to past
episodes and viewing all of our recorded webinar
500
00:37:12.119 --> 00:37:16.199
replays, be sure to visit our
website at Factor podcast dot com. We
501
00:37:16.280 --> 00:37:21.159
have a few exciting interview style Q
and A episodes planned for the future,
502
00:37:21.480 --> 00:37:24.039
so be sure to send us any
questions that you may have for today's instructor,
503
00:37:24.079 --> 00:37:29.079
Doctor Nate Steguis. When you visit
the episode page on our website,
504
00:37:29.440 --> 00:37:32.400
you can even click a button and
submit your questions through voice message, which
505
00:37:32.519 --> 00:37:36.679
I think is pretty cool. We'll
be sure to cover all of your Q
506
00:37:36.800 --> 00:37:40.360
and A submissions in a future episode
or on our YouTube channel. And finally,
507
00:37:40.559 --> 00:37:44.760
don't forget to check out our show
notes for any special offers, it
508
00:37:44.800 --> 00:37:51.639
discounts, or links from our sponsors. We'll see you next time. Hey
509
00:37:51.679 --> 00:37:53.360
guys, if you like what you
heard today, I encourage you to visit
510
00:37:53.400 --> 00:38:02.480
our website at Factor hyphenstore dot com
that's spelled Fakar hyphenstore dot com to find
511
00:38:02.480 --> 00:38:06.800
out more information about all that we
have to offer. We have a variety
512
00:38:06.800 --> 00:38:10.400
of online offerings as well as our
hands on Factor Rehab System course scheduled in
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00:38:10.440 --> 00:38:14.719
cities around the globe. Be sure
to also check out our event calendar and
514
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bookmark any of these upcoming live webinar
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receive is for you to help us
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and classmates. You'll find all the
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about our sponsors in the show notes, so be sure to check those out.
1
00:00:15.800 --> 00:00:20.079
Hi guys, Welcome to another episode
of The Factor podcast. I'm your host,
2
00:00:20.239 --> 00:00:24.719
Jessica Riddle. Welcome and thanks for
listening. In our last episode,
3
00:00:24.760 --> 00:00:29.519
we discussed common submission and takedown techniques
in the world of mixed martial arts,
4
00:00:29.839 --> 00:00:33.880
and our guest instructor, doctor Nate
Stequist, gave an in depth overview of
5
00:00:33.920 --> 00:00:39.039
the injuries that can occur in these
scenarios. We also discussed fighter evaluation and
6
00:00:39.079 --> 00:00:44.640
rehab strategies, ways to manage pain
and inflammation, and strategies for a storing
7
00:00:44.719 --> 00:00:49.320
range of motion post injury. In
today's episode, doctor Nate will talk more
8
00:00:49.359 --> 00:00:53.520
about ways to manage pain and inflammation, strategies for cross training, and the
9
00:00:53.520 --> 00:00:59.079
importance of incorporating strength and conditioning programs
for these unique athletes. We will also
10
00:00:59.159 --> 00:01:03.280
discuss the best methods for optimizing recovery
and talk through ways to track progress and
11
00:01:03.480 --> 00:01:19.319
athletic development. Let's cue the intro
music and dive in. Then we'll go
12
00:01:19.359 --> 00:01:23.519
to the lower half. Straight ankle
goes into plants are reflection and inversion.
13
00:01:25.359 --> 00:01:30.560
It's going to stress the atfl and
red an aculum and other structures around here.
14
00:01:30.599 --> 00:01:34.560
A lot could fracture an ankle,
sprain strain the surrounding structures. That's
15
00:01:34.560 --> 00:01:40.879
okay for poll hard enough if you
rotate it enough. Do some look at
16
00:01:40.879 --> 00:01:44.159
an instability tarsar tunnel. I'm experiencing
a little bit of that right now.
17
00:01:44.200 --> 00:01:49.400
It's not great, but it's when
you see what it is. I kind
18
00:01:49.400 --> 00:01:52.120
of treat it kind of like an
ankle sprain, like just a typical ankle
19
00:01:52.120 --> 00:01:56.079
sprain, like if someone was coming
in after just playing basketball. It's similar
20
00:01:56.079 --> 00:02:01.040
mechanism. And then you can take
that protocol and that experience that you have
21
00:02:01.079 --> 00:02:06.280
with those type of injuries and apply
to this. We use the compression of
22
00:02:06.280 --> 00:02:10.919
the Boodha, floss factor, flaws, whatever you have for this to restore
23
00:02:10.960 --> 00:02:16.199
the range of motion and response really
well to that and then to add resistance
24
00:02:16.240 --> 00:02:20.479
to ankle could be a little challenging
at times. If you have like a
25
00:02:20.560 --> 00:02:24.719
rocker wobble board, that's that's pretty
good. Kettlebells with shifting weight with the
26
00:02:24.800 --> 00:02:28.680
knee overtow that works pretty well.
We have the monkey fee here. If
27
00:02:28.680 --> 00:02:34.680
anybody's tried the monkey feed's amazing.
It's really really simple to incorporate the weight
28
00:02:34.719 --> 00:02:39.039
through the range of motion and then
I have them do this is called shots
29
00:02:40.000 --> 00:02:46.159
Basically you want to have them try
to lean the knee all the way over
30
00:02:46.159 --> 00:02:50.919
the toe and then explode off of
it. There you go. This is
31
00:02:50.960 --> 00:02:55.240
also one of the more important aspects
of president jiu jitsu. It's got to
32
00:02:55.240 --> 00:02:58.639
be able to take them down.
Knee bar are similar to arm bar,
33
00:02:58.719 --> 00:03:04.479
but for the knee is about nice
kneeestension zero to about fifteen degrees, So
34
00:03:04.879 --> 00:03:07.240
when you have to lock it out
and hip up, that's usually the end
35
00:03:07.280 --> 00:03:12.560
of that. Think of knee hyper
extension injuries like in football and stuff,
36
00:03:12.560 --> 00:03:16.599
you're going to think of ACL.
Other collateral cruisie ligaments can be involved.
37
00:03:16.879 --> 00:03:21.759
Ligaments, and I check out the
hamstrings as well, just because it's in
38
00:03:21.759 --> 00:03:24.960
the lengthened position. So a lot
of times if ACL MCL, like all
39
00:03:25.000 --> 00:03:28.599
the ligaments are fine and stuff,
but they feel some pain around the knee
40
00:03:28.599 --> 00:03:30.199
and stuff, maybe it could be
like a hamstring tear or some kind of
41
00:03:30.280 --> 00:03:34.560
like nerve and tratment around that area. You can do so chronic can get
42
00:03:34.599 --> 00:03:37.400
knee barret a bunch and stuff.
You can get some instability over time.
43
00:03:37.840 --> 00:03:42.000
Hampshirem mobility just in general and stuff. Just look they to look out for.
44
00:03:42.280 --> 00:03:46.319
Let's use the venom around the knee
helps out greatly with a lot of
45
00:03:46.360 --> 00:03:49.000
things, especially involving the knee,
just helps get it warm up, get
46
00:03:49.000 --> 00:03:53.039
it ready for motion. TRX is
really good in the early stages that we'd
47
00:03:53.080 --> 00:03:58.639
like to do because it helps take
the body weight or take any extra weight
48
00:03:58.680 --> 00:04:02.759
and strain off of it. It'll
get the range of motion back to where
49
00:04:02.800 --> 00:04:06.000
it needs to be. And then
after that you add your resistance. Bodyweight
50
00:04:06.039 --> 00:04:11.960
squads good place to start, monkey
feet, key Vita grate for nearly any
51
00:04:12.080 --> 00:04:16.279
lower body one. I can add
in the Hampshire curls and quad extensions,
52
00:04:17.279 --> 00:04:20.800
anything else that you can find with
that Bulgarian splits, and then Nordics.
53
00:04:20.839 --> 00:04:25.959
With Nordics, I would recommend starting
at the most regressed, so start off
54
00:04:26.000 --> 00:04:30.120
at about maybe like fifteen, eventually
building up the tolerance to get it full
55
00:04:30.240 --> 00:04:39.040
if that's one that's bothering them.
And then for the grappling, striking drills
56
00:04:39.160 --> 00:04:43.839
and stuff. If they utilize a
lot of kicks them just start kicking,
57
00:04:44.720 --> 00:04:47.079
kicking the heavy bag just lightly and
stuff, building up, building that tolerance
58
00:04:47.120 --> 00:04:51.279
back up, getting used the takedowns
again, seeing if they can roll around
59
00:04:51.399 --> 00:04:56.639
and fight off submissions, and then
positioning and doing the technical get up as
60
00:04:56.720 --> 00:05:00.360
Lucas demstrat you're right there, and
then you return them. Peel hook.
61
00:05:00.360 --> 00:05:02.480
I'm going to spend about a few
minutes on this one just because it is
62
00:05:03.399 --> 00:05:09.920
very prevalent and it's probably one of
the more devastating injuries. It's pretty controversial
63
00:05:10.040 --> 00:05:14.959
with a lot of people. And
what happens is you're going to isolate the
64
00:05:15.120 --> 00:05:19.000
lower leg. You're going to clamp
onto the upper part of the femur so
65
00:05:19.360 --> 00:05:25.879
you can extremely rotate the lower part
of the leg around either internal or external
66
00:05:25.959 --> 00:05:30.399
rotation. And what it does is
it simultaneously attacks both the ankle and the
67
00:05:30.519 --> 00:05:36.360
knee joint. So you can look
up on YouTube peel hook injury. It's
68
00:05:36.480 --> 00:05:42.199
not for the squeamish because it can
be particularly the devastating. In a lot
69
00:05:42.199 --> 00:05:46.319
of places, it's been outlawed and
a lot of schools won't teach it to
70
00:05:46.439 --> 00:05:49.040
their lower level. You got to
be at least probably like a purple belt
71
00:05:49.120 --> 00:05:54.680
or above. Just depends on where
you go, just because of the potential
72
00:05:54.720 --> 00:06:00.959
for serious damage. There's other organizations
and other competition boards that outlawed, so
73
00:06:01.079 --> 00:06:05.680
if you try, you're immediately disqualified. So but it's it is good to
74
00:06:05.680 --> 00:06:11.879
know about it because the ones that
do allow it as typically a no g
75
00:06:12.079 --> 00:06:15.240
one. People go for it because
it's it's one of the quickest ways to
76
00:06:15.240 --> 00:06:19.800
win because as you'll see, one
of the first things to go is the
77
00:06:19.839 --> 00:06:24.920
accrusian collateral ligaments of the knee,
because once you isolate the knee joint,
78
00:06:25.079 --> 00:06:29.600
there's no real defense for it.
And what they say is you're good until
79
00:06:29.639 --> 00:06:32.759
you're not, so you're not gonna
feel anything. It's gonna feel fine,
80
00:06:33.040 --> 00:06:34.680
like, Okay, I can fight
this off, fight this off, fight
81
00:06:34.720 --> 00:06:38.879
this off, and then boom there's
there goes a ligament, or boom there
82
00:06:38.879 --> 00:06:45.720
goes a meniscus tear or whatever happens. And a lot of the times if
83
00:06:45.720 --> 00:06:48.000
they're fighting it off, the tibia
can create a viral fracture as well.
84
00:06:48.759 --> 00:06:55.839
It's just it's nasty little submission and
it can be very devastating take people out
85
00:06:55.879 --> 00:07:00.800
for a very long time. We
have considerations if I do have pretty extensive
86
00:07:00.839 --> 00:07:04.120
injury, might want to opt for
a ORTHO consult before you get started.
87
00:07:04.839 --> 00:07:11.079
But if you can similar concepts compression, heat, elevate, control pain,
88
00:07:11.160 --> 00:07:15.879
inflammation, restart the range of motion
slowly it's going to be typically a long,
89
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very long recovery with that. Add
to resistance, build back up with
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balance issues or strength issues, whatever
else that comes from it. Incorporate the
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grappling and striking, and then return
to practice. Typically, anybody that gets
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caught in a really bad heel hook, it's going to be at least almost
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a year, just because I've seen
how devastating that is. I always get
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a little nervous whenever I see people
do that in competition, and I'm doing
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coverage here. So then we'll go
into the blood and airway chokes. These
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are some of them. Obviously,
these aren't all the ones that we can
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do. I would be here for
four or five hours with you, but
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a lot of them will have similar
presentations. So we'll just kind of motor
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through the mechanisms and then we'll go
to how to recover from them afterwards.
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First one I'll talk about is guillotine
choke. It involves the compression of the
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carotid arteries, but latterly, and
you can see with a little bit of
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cervical reflexion to the affected side it
is not pleasant to be in. From
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personal experience. It can be performed
standing or in guard either way does not
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feel good. The potential injuries.
Loss of consciousness is the first thing.
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Typically they say it takes about ten
seconds of compression to cause the loss of
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consciousness, and then anything from thirty
seconds to four minsk and induce some brain
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damage. So if you're training with
someone and you don't pay close attention,
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you have them holding on to a
choke for too long, don't realize that
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they're out and stuff, you can
cause some damage. So I would have
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the athletes be sure that they pay
attention to what they're doing out there.
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Cervical's brain strain. This is typically
from trying to pull your head out of
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the attack. If you're holding on
for trying to get out for dear life,
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and a guy's holding on for you, you can definitely I see a
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lot of cervical and upper back strain
that goes along with that tracheal damage.
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Basically bruising, just feeling like you've
been compressed because a lot of the force
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goes through from the forearm when you're
locking your hands on the opposite side like
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that TMJ damage I've experienced. I
had a black belt and I attempted to
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get out of a guillotine. He
proceeded to squeeze down on my jaw and
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I felt it to detach for a
second, so that was fun. I
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had a nice little headache for a
few days after that. So that's also
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a possibility if they come in with
that nerve irritation, just check your check
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your nerve roots and see if there's
anything referring down into the arms. Were
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a naked choke. This is one
of the most popular ones. This compression
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of the crowd arteries in trachea.
People that go for the back typically want
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to go for this one mma.
This is one of the most effective ways
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to end a fight because once you
slap on one of these and it's tight,
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it's almost impossible to get out of
so lots of consciousness Trakil's brain strain
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and cerveral strain TMJ. The initial
way to block the rear naked is to
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duck your chin like such, so
if someone comes along with their arm covers
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that and pu's enough pressure on it, you can aggravate the tmjjoint pretty easily
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as well. Darsh choke compression crowdit
arteri is assistant from the opponent's arm,
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kind of similar and set up to
the rare naked, but this is going
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to be from side control. You
get an arm trapped, con press it
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down through there, similar potential injuries. Next shoulder TMJ triangle choke. You
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can do a head an arm or
from guard with the legs, similar mechanism,
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similar injury, and then the rehab
is going to be similar. You're
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going to control the pain, inflammation, restore the range of motion. Traction
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can help if it's more of a
chronic issue than an acute issue. We
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use the iron neck a lot here, especially with all our grapplers, just
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because it's great for injury prevention.
Having a strong neck in general will never
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hurt anybody. We put the iron
neck into and doing drills such as sprawls,
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any type of shoots and stuff just
adds a nice little layer to rehab
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and we see a lot of good
results with that. Parpland grappling and striking
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drills, shadow boxing, just something
to get the head off off midline.
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Make sure that they can defend themselves. Light submission defense. Just hold them,
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don't like, crank down on them
if you want positioning transitions, and
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then let them loose after that.
Striking injuries real quick, pretty self resplanatory.
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I mean, if you've ever stubbed
your shin on like a bedpost or
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anything like that, imagine that coming
at you about fifty miles per hour,
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gonna have the potential to fracture some
bones. Concussions a big one. You
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get knocked out and stuff back of
your head hits the mat, fractured ribs.
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People that throw kicks and stuff,
they'll be targeting the liver and spleen,
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so you can get some internal organ
damage, hematomas, especially on the
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face and stuff. You can see
people with huge knots after, especially if
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it's a long fight. Bone bruises, fractured teeth people, especially like if
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someone's fighting, say like a movie
tie heavy person holding onto the head,
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getting a knee right underneath the mouthguard
can only handle so much. Can fracture
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a jaw. I have some teeth
knocked out. It's pretty pretty nasty when
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that happens. Fractured tip fib if
someone is checking a kick. I've seen
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an uptick of it over the last
couple of years. I think last pert
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like Connor McGregor was one of them. He checked the kick and then tip
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fib fracture. Anderson Silva one of
the best fighters of all time. He's
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had it, Chris Widman's had it. So it's just that too much force
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and the bone does not adapt to
it, so it breaks and pretty nasty
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lacerations to the face. That's pretty
easy over time. Stuff you take enough
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punches, your TMJ chronic pain in
that postconcussive symptoms. Make sure they're still
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experience in it. Hold them out
of practice and have them see a neuro
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and get the all clear from that. These you don't want to have the
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double impact. Any potential of that
hand injuries is a big one. Punching
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someone in the face, you'll have
a chance of getting a boxers fracture any
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of the metacarpals really, but typically
it's going to be the fifth metacarpal,
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the DP, so you distal and
your proximal inter paryngeal joints. So why
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people will the old school jiu jitsu
people will tape up their fingers is up
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beforehand, just to add a little
bit extra because when you're gripping, especially
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on gee's and stuff, it's really
high intensity, a lot of speed,
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velocity and strength that goes behind it. Really easy to hurt your fingers that
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way. You can do some grip
strengthening there. They've got equipment out there
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for grip strengthens. You can have
them grip rice just get back to normal
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activities. Grip strength is really kind
of an underrated but a very important part
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of martial arts too. So if
they're experiencing that, that's another bit of
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advice you can give to them.
And then certain techniques can just be more
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devastating than others. There's an oblique
kick which basically causes extreme hyper extension of
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the leg valgas stress hits to the
back of the head. They're a lot
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of these are largely illegal for that, but they do happen sometimes, so
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just allow sufficient time for it to
heal and referralt as needed. So this
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is a question. I'll let everyone
answer that if they feel like answering,
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and it's going to be one of
the most commonly diagnosed ailment of mm athletes.
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This is what people actually go to
see their primary care or see a
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doctor for. Okay, someone said
headaches. I imagine head and neck is
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probably going to be going to be
up there at the top lascerations. All
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right, so yeah, headaches and
lacerations, that's pretty good. But Okay,
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I was going to wait for one
more, so glad we got one
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more here, all right. Skin
infections, so staph mersa ringworm. This
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is rampants. It can be very
rampant once someone gets it in the gym.
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Maybe they don't realize that they have
it, but just the nature of
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the beast here and the environment mma
gyms are hot, sweaty, not a
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00:15:22.559 --> 00:15:28.120
lot of ventilation, and you're grappling
and you're in close contact for a long
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period of time. So it's pretty
nasty. It can get pretty bad.
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It can be. Yeah, those
keys don't watch themselves, that's right.
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Yeah, absolutely, yeah. Approximately
seventeen percent of all collegiate wrestling injuries involved
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skin infections, so that's all injuries, is all. It's pretty bad and
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it can be spread through cuts,
blisters, or exposed skins. So that's
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why if someone has a cut,
if someone has an open wound and stuff,
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we largely tell them to wait till
he heals before you get back because
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you naturally have staff MRSA all that
stuff on your skin. If you have
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00:16:06.039 --> 00:16:10.279
like an increase of it, you
have that open it's just an easy portal
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in and the stuff can can spread
even with antibiotics and aggressive treatment. It
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could still cause some devastating injuries and
can potentially be fatal if and then treat
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it appropriately. So if you see
that on someone, someone has this big
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boil, it's hot and just looks
off, just send them to the primary
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care, have them make sure you
wash down everything that was in contact with
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it, and tell them to stay
off practice till they get that taken care
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of all. Right. Case study. This is the one that with permission
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from the athlete. This is the
one that I've been training her for years
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now. In March of twenty twenty
two, she had a particularly devastating injury.
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This was just a practice, This
was it even during a competition,
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But she called me up late at
night she said that she hurt her knee
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and she can barely walk down.
I was like, oh, well,
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I'll come into the gym tomorrow and
we'll see what's going on. And when
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I got there, she was not
crutches, So I knew it was bad.
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Because she's really really tough two way
class champion, amateur champion, so
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this has to be pretty devastating if
it's causing her to do this modern decrease
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in inflection and extension with pain positive
McMurray's with noticeable click and bogginess along the
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lateral aspect. All her collateral and
crucial ligaments were intact, so I didn't
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really think it was acl or anything
that we'd have to go immediately into like
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a surgical consult or anything like that. But she had some strength deficits,
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no numb mistingling just to the side
of the injury. But I was figuring
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she probably tore her risks pretty good. Got the MRI several weeks later bucanhal
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tear left lateral you see right here, this little break. So I told
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her that let's just let's rehab you
and if you want to get surgery later,
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you can always opt for that,
but let's get you upright so you
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don't get deconditioned too much and see
if you can stay at least semi stay
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practicing for at least a little bit
while we get everything else figured out.
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So we just wanted to focused a
lot on pain mitigation and light resistance,
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just getting her able to try to
get to as much full extension and get
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it as strong as we could.
I had her on the exercise bike,
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just adding up a little by little
over the first couple of weeks. By
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week three she was pretty quick healer, so she was able to do a
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00:18:30.839 --> 00:18:34.799
little bit more. We started light
jogging for just a couple of minutes at
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a time, just to test the
tolerance, some agility drills BTJ ground mobility
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such as like shrimping, doing her
get ups and stuff, and by week
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00:18:45.839 --> 00:18:53.559
four instance, she was able to
stay up and support her weight and do
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00:18:53.799 --> 00:18:57.319
a little bit more as the days
went on. Obviously, we did some
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light judo drills at her do some
takedowns, very light, probably about forty
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fifty percent of competition speed, and
she was able to do it, and
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we had her doing drilling up to
hers. When it came to this,
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we were able to give her a
protocol and give her her standard that she
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could exercise and train her to her
tolerance, and really helped. After week
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seven and stuff, I saw her
semi regular basis going forward, just to
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00:19:26.839 --> 00:19:30.440
keep track and make sure there's no
regressions. She went to the arthroscopic several
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00:19:30.440 --> 00:19:36.880
months later, and she continues today
and she actually has a first fight over
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00:19:36.920 --> 00:19:41.119
about fourteen months this Saturday, so
I'll be excited to see her go after
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that. So it's really good.
It's really enriching, especially when you see
254
00:19:45.200 --> 00:19:48.039
if you can be like a small
part of these people's journeys and stuff,
255
00:19:48.039 --> 00:19:51.599
it's really enriching. Then it's a
very fun way to use your license.
256
00:19:52.519 --> 00:19:55.279
All right, Last a little bit
for a little bit of advice. If
257
00:19:55.319 --> 00:19:57.039
fighters come up to you and they
just want to ask stuff, I always
258
00:19:57.039 --> 00:20:00.960
tell them, tap early, tap
often it's not worth Yeah, it's not
259
00:20:02.079 --> 00:20:04.759
worth taking off a year of your
life just to try and fight out of
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something. In practice, make it
make at least one day a week for
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00:20:07.920 --> 00:20:11.279
recovery. A lot of people,
a lot of fighters want to go every
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single day and stuff, and eventually, eventually something's going to break down.
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So try to make time to recover, hydrate, eat, clean, wash
264
00:20:19.599 --> 00:20:23.000
your geys, wash your equipment,
wash yourself, especially after being in contact
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00:20:23.000 --> 00:20:27.599
with people. Outsleep the competition.
Sleep is highly underrated, and when it
266
00:20:27.599 --> 00:20:30.279
comes to recovery, if you don't
sleep good, everything else kind of just
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falls apart. Minimize the outside distractions. There's a lot of information out there,
268
00:20:34.720 --> 00:20:38.039
not all of it's great. So
they'll come up to you and ask
269
00:20:38.079 --> 00:20:42.279
you about certain stuff that might seem
a little silly, but just kind of
270
00:20:42.279 --> 00:20:45.079
put them in the right direction,
and then be safe and be good to
271
00:20:45.079 --> 00:20:51.200
your partners. Not nobody wants to
go out and hurt anyone, so just
272
00:20:52.200 --> 00:20:56.480
be safe with it and have fun. Are you a youth sports coach or
273
00:20:56.519 --> 00:21:02.440
team administrator that's tired of juggling endless
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274
00:21:02.480 --> 00:21:07.440
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280
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That's nlit sports dot com to learn
more and book a free demo with a
281
00:21:37.240 --> 00:21:41.400
member of our team. We can't
wait to meet you. Always remember to
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00:21:41.400 --> 00:21:45.920
provide thirough examination your movement screenings and
correlate the finans with the fighter style and
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00:21:45.960 --> 00:21:51.000
treat accordingly. That's they said principle, and then provide support and reassurance.
284
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That's it. So yeah, I
was hopefully not to information laden. Hopefully
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00:21:55.920 --> 00:21:59.200
everyone got a little bit about that. Now we'll open it up to questions.
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Awesome, thank you so much,
doctor Nate. You've talked a minute
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ago about kind of how you encourage
rest and recovery. Could you expand a
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little bit on how you help your
athletes come up with a system or a
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schedule for rest and recovery in between
their practices and then any matches they have.
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There's there's not really like a specific
one. Everyone's going to have different
291
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needs, depending a lot on their
personal schedule. As some people, like
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I said, some people have jobs. Some people have more time to give
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to recovery. But I know people
that are are fighters and then they work,
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they're a bonser at a nightclub and
night so they could sleep like four
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or five hours. So like if
they can only sleep a little bit during
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the night, not maybe like up
to about like maybe a seven or eight
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hours, that would be ideal.
I tell them to try to get a
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nap in after practice, to try
to like get these little bits and pieces
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of recovery as they can as opposed
to just one large one. But it'll
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come down to it'll come down to
the specific athlete and kind of like what
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they what else they have the out
side factors that they have going on in
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their life. Absolutely, and I
think that's that's definitely key. There is
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kind of individualizing that to each patient
and their needs. Another question that came
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in someone was asking about if you
have any standard recommendations for an amateur fighter
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that's training several days a week,
how do you kind of balance their soft
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tissue therapy, their injury prevention weekly
or bi weekly. They come in,
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they have a really rigorous training schedule. How are you balancing in their sessions
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with you and their rehab amongst all
of that. Yeah, so this will
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come down to basically with their infight
camp or if they're not their infight camp,
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I like to see them at least
once a week just to kind of
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make sure that they're on schedule.
No, nothing new pops up that we
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can kind of get a jump on
if they're outside of fight weekend, just
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want to like recover stuff, use
like cold plunge or sauna, you get
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adjusted soft tiste, sho therapy,
whatever like that, typically like every other
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week if they can swing it.
If not, once a month is fine
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too. But for fight camp.
Yeah, we try to see them at
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least weekly, keep them on track, make sure there's no there's nothing that
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wouldn't keep them from performing their best
during the fights. That's a really big
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that's a big opportunity for you and
the fighter to like kind of bridge that
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relationship. If you go out and
they're feeling one hundred percent and they go
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as far as they want with their
career, that's one of the more enriching
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parts of the job. It's less
frequency when they're not in a fight,
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I would say, But again it'll
come down to if they have like a
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chronic issue, like if they have
chronic deficits. I see a lot of
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boxers with like rotator cuff syndrome,
because if they're volume punchers, meaning like
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they're not knocking people out in one
fight, they're not doing Mike Tyson type
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work and stuff, they're going to
absorb all that force throughout the matches and
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practices into their rotator cuffs, So
they might need one a little bit more
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frequently than someone that's just doing jiu
jitsu or someone that is not as reliant
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on the striking. So it helps
to be familiar with your with your fighters
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type of style as well. Absolutely, are there any things that have been
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surprising to you that you've seen in
terms of interventions and things that you might
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00:25:25.559 --> 00:25:27.799
work on rehabbing that make a big
difference. So, for example, a
334
00:25:27.799 --> 00:25:33.000
lot of sports stops will talk about
how looking at things like breathing dynamics can
335
00:25:33.079 --> 00:25:37.279
make a huge difference for their powerlifters, which isn't something that you would necessarily
336
00:25:37.319 --> 00:25:41.200
think intuitively, like, hey,
I need to look at their breathing first.
337
00:25:41.640 --> 00:25:44.640
Is there something like that that you've
seen across the board with your fighters
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00:25:44.640 --> 00:25:48.480
that you're like, every single time
when I have a new patient come in
339
00:25:48.559 --> 00:25:52.799
that I know is involved in MMA, this is something I look to every
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00:25:52.839 --> 00:25:56.559
single time, and if we can
make this change and fix this, it
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makes a huge difference. Yeah,
there's a couple. One of the more
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00:26:00.000 --> 00:26:03.759
interesting ones that I found was what's
called your frames. Basically, have them
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put their hands up and then I'll
test to see if they can hold it.
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00:26:07.480 --> 00:26:10.480
And a lot of times they'll have
one arm or even both arms.
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Sometimes that just you can slap them
down right away and they just can't hold
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that position. So we can work
on some upper core strength and stability.
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00:26:18.240 --> 00:26:22.599
If they have inability like doing the
netflection tests and stuff. We can go
348
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for cervical stability with that, Like
the iron neck is great for that,
349
00:26:26.319 --> 00:26:30.359
planks overhead dead bugs. With the
ball, you can get creative with it.
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00:26:30.799 --> 00:26:33.359
But yeah, I've seen especially with
it because like being able to hold
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00:26:33.359 --> 00:26:37.960
your opponent off is such like a
vital part of your offense and defense,
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00:26:37.640 --> 00:26:41.759
and sometimes some of you guys just
can't do it, Like maybe they weren't
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00:26:41.799 --> 00:26:45.680
even they didn't even notice that they
weren't able to or something. But once
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00:26:45.720 --> 00:26:48.720
we shore that up and stuff,
they say that they typically feel a big
355
00:26:48.759 --> 00:26:52.799
difference, not only in pain and
function wise, but definitely in performance as
356
00:26:52.839 --> 00:26:59.039
well. So if people have a
movement screen that they do and stuff,
357
00:26:59.160 --> 00:27:02.640
and then they can find that and
correlate that to the fighters preference and stuff,
358
00:27:02.640 --> 00:27:06.920
that's great. I like to do
something really specific to them, like
359
00:27:06.960 --> 00:27:11.559
when it comes to like holding their
frames or seeing if they can hold their
360
00:27:11.160 --> 00:27:15.960
punches, like seeing how much force
that they can generate behind it, and
361
00:27:15.000 --> 00:27:19.559
then just kind of reverse engineering from
that, attacking that tissue, restoring that
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00:27:19.799 --> 00:27:26.880
mobility, strengthening up that area,
whatever, So that typically yields pretty good
363
00:27:26.880 --> 00:27:33.440
results. Absolutely. The next question
that came in is specifically regarding Brazilian jiu
364
00:27:33.519 --> 00:27:38.400
jitsu athlete. Okay, with experienced
fighters increasing their volume and experience that are
365
00:27:38.440 --> 00:27:44.960
experiencing hand soreness, would you suggest
more grip strength training or is there a
366
00:27:45.039 --> 00:27:49.519
more worthwhile intervention for that? I
think that would depend if they're having difficulty
367
00:27:49.599 --> 00:27:53.240
like the was it the froments?
Yeah, if they're having like difficulty like
368
00:27:53.279 --> 00:27:56.799
holding that, you can look up
the chain, see if there's a nerve
369
00:27:56.839 --> 00:28:00.400
n treatment somewhere, release that and
then doing some grip strength training. I
370
00:28:00.400 --> 00:28:04.400
don't think it ever hurts someone to
get strong in a certain area, especially
371
00:28:04.400 --> 00:28:10.920
with grip strength, because it's you
so often. But I would definitely test
372
00:28:10.920 --> 00:28:15.000
the muscles and see if there's any
nerve kind of dysfunction going on there and
373
00:28:15.039 --> 00:28:18.839
then apply that and then see if
that helps with improving the grip. And
374
00:28:19.279 --> 00:28:22.519
if you want to go for strength, I like to have people do more
375
00:28:22.640 --> 00:28:26.559
endurance based so lower waight, just
higher reps. Maybe that would help more
376
00:28:26.799 --> 00:28:30.160
than just trying to pull it up
as much weight as possible when it comes
377
00:28:30.160 --> 00:28:36.160
to the grips. Absolutely. The
next question here is regarding hyper mobility.
378
00:28:37.400 --> 00:28:40.759
The first part of the question is
do you always test your fighters to see
379
00:28:40.799 --> 00:28:42.880
first if they are hyper mobile,
so that you know if that's a consider
380
00:28:44.440 --> 00:28:48.079
consideration to look at. The Second
piece of that question is if you encounter
381
00:28:48.200 --> 00:28:53.799
an athlete that is hyper mobile,
are there specific taping jobs that you're doing
382
00:28:53.839 --> 00:28:59.200
for that when you know they're preparing
for a fight. Are there specific ways
383
00:28:59.240 --> 00:29:03.960
that you kind of cater your rehab
to help strengthen those areas where they may
384
00:29:03.000 --> 00:29:08.759
be experiencing a lot of that hypermobility, especially your grappling athlete with that and
385
00:29:08.759 --> 00:29:11.440
stuff, tipic might not be allowed
in some of the competitions and stuff,
386
00:29:11.440 --> 00:29:15.200
So I try not to have them
reliance upon that. If they're going to
387
00:29:15.279 --> 00:29:18.359
stay in here for like a long
rehab session, then I might utilize that.
388
00:29:18.559 --> 00:29:21.920
It depends on the Athletic Commission and
if they allow for people to be
389
00:29:21.960 --> 00:29:25.160
taped, because I don't want them
to be like reliant on it and then
390
00:29:25.200 --> 00:29:27.519
not use it and then feel off
and stuff. When it comes to that
391
00:29:27.920 --> 00:29:33.400
hyper mobile people and stuff like,
I will do my passive active stuff if
392
00:29:33.440 --> 00:29:38.799
they're off the charts with that,
obviously, I know I'm not gonna waste
393
00:29:38.839 --> 00:29:41.480
too much time on trying to restore
the motion. I'm just going to go
394
00:29:41.519 --> 00:29:45.839
down the chain and start to find
the weaknesses. Typically if they're hypermobile,
395
00:29:45.079 --> 00:29:48.640
like say, for instance, I
had a fighter the other day and her
396
00:29:48.799 --> 00:29:53.319
hip internal rotation was like off the
charts. I'd never seen as much internal
397
00:29:53.400 --> 00:29:57.519
rotation as a but when I tried
to have her resist me and stuff,
398
00:29:57.559 --> 00:30:02.000
she couldn't hold it. So all
that mobility is great and all if you're
399
00:30:02.119 --> 00:30:07.440
like throwing kicks, but eventually it's
gonna it can eventually cost some issue.
400
00:30:07.480 --> 00:30:11.640
So I was more focused on strengthening
up with that range than trying to get
401
00:30:11.799 --> 00:30:15.119
as much mobility as I can out
of it. It actually works, it
402
00:30:15.160 --> 00:30:18.359
works pretty well in jiu jitsu,
but if you can't hold the position,
403
00:30:19.119 --> 00:30:23.200
especially with like hip mobility, hip
strength and stuff, they can't hold that,
404
00:30:23.880 --> 00:30:26.480
then how are they gonna hold someone
in guard for a while. So
405
00:30:26.960 --> 00:30:33.279
it's something that you can relate to
them to kind of let the light bulbs
406
00:30:33.279 --> 00:30:36.480
turn on, Like, okay,
we can set you up with a program
407
00:30:36.839 --> 00:30:40.519
straight the conditioning program. I hand
him out to Luke out there. He's
408
00:30:40.559 --> 00:30:45.759
an MMA fighter as well, so
he knows the program and we just kind
409
00:30:45.799 --> 00:30:48.359
of rinse and repeat until we get
the desired result, and typically they respond
410
00:30:48.400 --> 00:30:52.000
really quickly because a lot of a
lot of these athletes have never heard I
411
00:30:52.039 --> 00:30:56.039
don't really know all this concept.
I think they didn't really realize that they
412
00:30:56.079 --> 00:30:59.680
were weak in a certain area and
that has something to do with jiu jitsu.
413
00:30:59.799 --> 00:31:03.079
So it can definitely help all up. Wonderful. Another question here,
414
00:31:03.240 --> 00:31:07.759
someone was saying that a lot of
professional teams and collegiate teams have training rooms
415
00:31:07.759 --> 00:31:12.880
and open access to care that amateur
fighters don't. How do you create the
416
00:31:12.960 --> 00:31:18.319
relationships with athletes that benefit them.
Do you do memberships, standard treatment times,
417
00:31:18.440 --> 00:31:22.920
direct care, or fight camp offerings. If I can't bufferings and memberships
418
00:31:22.920 --> 00:31:27.119
here, I do like monthly,
like month to month because we understand,
419
00:31:27.200 --> 00:31:32.079
like fighters will have certain financial restrictions
as well as timing restrictions and stuff.
420
00:31:32.079 --> 00:31:34.839
They can't always make it in.
But ones that are like really dedicated and
421
00:31:34.839 --> 00:31:40.200
are able to and stuff, they'll
come in and we'll have programs for them.
422
00:31:40.480 --> 00:31:44.000
They can come in and use the
recovery stuff, the cold plunge,
423
00:31:44.200 --> 00:31:48.519
the oppression sleeves, red light stawna, weightlifting, whatever they want. If
424
00:31:48.519 --> 00:31:51.759
they need soft tissue, them would
go from there too. A big way
425
00:31:51.799 --> 00:31:55.839
to open that realm to the access
of care too, is just to go
426
00:31:55.880 --> 00:32:00.519
to the gym and start practicing,
because, like I've made so many connections
427
00:32:00.519 --> 00:32:02.359
is off with athletes and stuff.
Just by going there and practicing with them,
428
00:32:02.400 --> 00:32:07.519
it's a great time for both physical
and mental health. Jiu Jitsu and
429
00:32:07.519 --> 00:32:10.519
miss martial arts has been one of
the best things for many, many people
430
00:32:10.519 --> 00:32:15.519
that I've talked, But it's good
to overall health and to get a better
431
00:32:15.599 --> 00:32:21.359
understanding of what they're going through,
and that'll help to gain rapport with them
432
00:32:21.839 --> 00:32:25.319
and help give them better treatment.
Do you have specific guidelines that you give
433
00:32:25.359 --> 00:32:30.319
your athletes when it comes to frequency
of practice during rehab. Let's say someone
434
00:32:30.359 --> 00:32:37.000
comes in to you with a rather
acute injury. Obviously you have your rehab
435
00:32:37.039 --> 00:32:39.400
schedule that you're putting them on for
when they come see you. How do
436
00:32:39.480 --> 00:32:45.480
you have that conversation with them about
type of practice, type of workout,
437
00:32:45.559 --> 00:32:49.599
like, what do they need to
do while they're still in that acute phase.
438
00:32:50.160 --> 00:32:52.359
How do you get them to tap
the brakes a little bit on their
439
00:32:52.359 --> 00:32:55.000
typical training schedule. That's easier said
than done, because a lot of them,
440
00:32:55.359 --> 00:32:58.519
a lot of them like to go
one hundred miles per hour at all
441
00:32:58.599 --> 00:33:02.559
time. So it's just really good
to kind of reiterate the importance of your
442
00:33:02.599 --> 00:33:07.680
recommendations. And it helps to know
the head coach. Head coach is typically
443
00:33:07.720 --> 00:33:09.279
the owner of the gym. If
you can get in good with them and
444
00:33:09.359 --> 00:33:15.319
the athlete doesn't mind you discussing the
case with them, you can also correlate
445
00:33:15.440 --> 00:33:19.559
with that, like coordinate, see
how it is. Typically, if there's
446
00:33:19.559 --> 00:33:22.279
an injury during fight camp, like
a specific one, they'll probably just pull
447
00:33:22.319 --> 00:33:27.480
them out, so you don't have
to worry too much about altering that.
448
00:33:27.839 --> 00:33:30.160
But if it's just like an everyday
one in someone, if you don't think
449
00:33:30.240 --> 00:33:35.200
they're good to go grapple like five
rounds intensely and stuff, you could just
450
00:33:35.240 --> 00:33:37.519
be like, hey, just go
have speed for like one or two and
451
00:33:37.519 --> 00:33:38.920
stuff. See how it is and
stuff. Build back up your tolerance and
452
00:33:38.920 --> 00:33:45.119
then over time you can relate them
to full activity. But open communication is
453
00:33:45.200 --> 00:33:49.839
just and just stressing the importance of
it is highly important. And one last
454
00:33:49.880 --> 00:33:53.599
question here someone was asking for your
top five recovery tools that you use in
455
00:33:53.640 --> 00:33:59.640
practice. We use a lot of
the venom, I would say, ah,
456
00:33:59.720 --> 00:34:01.359
boy, what else we use?
Iron neck Yeah, iron neck,
457
00:34:01.480 --> 00:34:07.159
the venom, the monkey feed,
those are really specific tools which I like.
458
00:34:08.000 --> 00:34:12.440
I use the decompression table a lot. That helps for me, it
459
00:34:12.440 --> 00:34:15.960
helps for a lot of like the
more chronic people as well. And when
460
00:34:15.000 --> 00:34:17.960
we get the cold plunge in,
that'll be probably the one that a lot
461
00:34:17.960 --> 00:34:22.519
of people like to use the most. But like sauna and cold plunge definitely,
462
00:34:22.920 --> 00:34:25.519
especially because now it's it's a crazy
everywhere in the recovery world, so
463
00:34:25.920 --> 00:34:30.760
that helps out people get some good
benefit out of that. Wonderful Well,
464
00:34:30.760 --> 00:34:35.559
thanks again everyone. Okay, one
final question here from someone here in the
465
00:34:35.639 --> 00:34:39.039
chat. Do you have any specific
baseline testing that you do for concussions?
466
00:34:39.239 --> 00:34:44.320
How often are you doing concussion screening
with these athletes? Is that something you
467
00:34:44.400 --> 00:34:46.960
encounter a lot? So the new
one I think that came up with the
468
00:34:47.000 --> 00:34:52.159
SCATS six not too long ago.
You can reference that for concussions is SCOT
469
00:34:52.159 --> 00:34:55.679
five or SCOUTS. I think it's
Gout's six came out pretty But if you're
470
00:34:55.719 --> 00:35:00.760
at a competition, if you're the
only one, typically if you feel like
471
00:35:00.760 --> 00:35:02.760
they have a concussion, like I'm
just going to stop the fight or like
472
00:35:02.800 --> 00:35:08.480
keep them from competing anyway. I
would if there's a neuro and the what
473
00:35:08.519 --> 00:35:10.840
do you call it, and the
ring side, because a lot of the
474
00:35:10.920 --> 00:35:15.159
MMA ones they will require you to
be an MD or little crowd to be
475
00:35:15.239 --> 00:35:20.280
a neurologist. They'll have that.
So so that's typically I try to stay
476
00:35:20.280 --> 00:35:22.639
in my lane when it comes to
that. If they have like recurrent concussive
477
00:35:22.639 --> 00:35:24.559
symptoms, like they're experiencing like brain
fog, they have headaches constantly, they
478
00:35:24.559 --> 00:35:28.639
can't sleep, they have nausea and
stuff keep going, then I'll just refer
479
00:35:28.679 --> 00:35:30.559
them out. You can pretty much
know if someone's acting different and they just
480
00:35:30.639 --> 00:35:34.800
took a major blow to the head
like a headkick I knocked out and stuff,
481
00:35:34.800 --> 00:35:37.760
and then they're just feeling funky for
about a week and stuff, you
482
00:35:37.800 --> 00:35:39.519
can just send them up, send
them up the chain, practice within your
483
00:35:39.519 --> 00:35:44.519
scope and hope for the best.
Wonderful, Thank you so much. And
484
00:35:44.559 --> 00:35:47.119
obviously concussion is such an important thing
to look at with these athletes, as
485
00:35:47.159 --> 00:35:50.679
you mentioned, pull them out,
like stop the fight, pull them if
486
00:35:50.760 --> 00:35:53.559
if you have that suspicion for sure, And obviously you have to work within
487
00:35:53.599 --> 00:35:57.679
the constraints if your scope of practice, and then what you're allowed to do
488
00:35:57.760 --> 00:36:01.880
ringside. I know that's very important
across the board with different sports and different
489
00:36:02.000 --> 00:36:22.360
organizations in that regard. That's it
for today's episode. Be sure to tune
490
00:36:22.360 --> 00:36:25.679
in for episode eighty three, where
we feature a fascinating new training with doctor
491
00:36:25.760 --> 00:36:31.320
Navaz Habib on vegas nerve stimulation.
In this two part series, we will
492
00:36:31.360 --> 00:36:37.440
explore how the vegas nerves regulatory pathway
impacts inflammation, the role of a selcholine
493
00:36:37.519 --> 00:36:43.559
in modulating immune responses, and we'll
learn how these mechanisms can be leveraged to
494
00:36:43.599 --> 00:36:49.280
improve conditions such as autoimmune disorders,
neurological diseases, and more. You don't
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00:36:49.320 --> 00:36:52.760
want to miss it. Episode eighty
three drops in two weeks. If you
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00:36:52.880 --> 00:36:57.440
enjoy our content, please be sure
to like, download, and subscribe to
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the show and share a link with
a friend. Every share helps us fulfill
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our mission to provide world class free
education to help providers around the globe.
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00:37:07.280 --> 00:37:10.960
If you're interested in listening to past
episodes and viewing all of our recorded webinar
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00:37:12.119 --> 00:37:16.199
replays, be sure to visit our
website at Factor podcast dot com. We
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00:37:16.280 --> 00:37:21.159
have a few exciting interview style Q
and A episodes planned for the future,
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00:37:21.480 --> 00:37:24.039
so be sure to send us any
questions that you may have for today's instructor,
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00:37:24.079 --> 00:37:29.079
Doctor Nate Steguis. When you visit
the episode page on our website,
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00:37:29.440 --> 00:37:32.400
you can even click a button and
submit your questions through voice message, which
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00:37:32.519 --> 00:37:36.679
I think is pretty cool. We'll
be sure to cover all of your Q
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00:37:36.800 --> 00:37:40.360
and A submissions in a future episode
or on our YouTube channel. And finally,
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00:37:40.559 --> 00:37:44.760
don't forget to check out our show
notes for any special offers, it
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00:37:44.800 --> 00:37:51.639
discounts, or links from our sponsors. We'll see you next time. Hey
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00:37:51.679 --> 00:37:53.360
guys, if you like what you
heard today, I encourage you to visit
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00:37:53.400 --> 00:38:02.480
our website at Factor hyphenstore dot com
that's spelled Fakar hyphenstore dot com to find
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00:38:02.480 --> 00:38:06.800
out more information about all that we
have to offer. We have a variety
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00:38:06.800 --> 00:38:10.400
of online offerings as well as our
hands on Factor Rehab System course scheduled in
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00:38:10.440 --> 00:38:14.719
cities around the globe. Be sure
to also check out our event calendar and
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bookmark any of these upcoming live webinar
dates coming up in the near future so
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you can join us live. And
of course, the biggest compliment we can
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receive is for you to help us
spread the word to your friends, colleagues,
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and classmates. You'll find all the
important links, as well as info
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about our sponsors in the show notes, so be sure to check those out.
