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We're back. Strength and Knowledge is back. I'm John Allenen.
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In this episode, doctor Hector Wang and I discuss all
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things combat sports, specifically, we dive into the complexity of
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combat sports, importance of fatigue, resistance in rehab, and how
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to apply the start framework to difficult conversations with athletes.
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Without further ado, let's get into it, Doctor Hector Wang
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aka muy Thai Physio where physics meets performance. Welcome to
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the podcast. If the viewers look through your Instagram, which
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I highly recommend they do, people will see how detail
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oriented you are when it comes to translating physics to performance,
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especially in combat sports. For the viewers who are unfamiliar,
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give us a brief introduction into where your passion comes
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from and how to apply your knowledge to your patients
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and clients.
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Hey, dude, it's so good to be on here. My
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name is Hector. I've been I've been treating combat sports athletes,
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specifically Muyti fighters, because that's you know, that's very, very
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close to my heart. I've been treating fighters probably since
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I was in PT school and it just kind of
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the passion just kind of stay into after I've been
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doing quite a little bit of online education through just
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short form short form social media like Instagram and TikTok,
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but hopefully I start doing a little bit more long form.
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It's it's been really fun at just educating people and
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trying to bridge the gap of scientific principles as well
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as the actual applicable things we see in combat sports
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and Disney and fighting.
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Yeah.
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I just moved to San Diego and it's trying to
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build a in person clinic down here, and so far
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everything is super going, super.
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Well, awesome, Thanks for the introduction. Let's let's get right
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into it. So, I think their first talking point we
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want to get into is kind of what differentiates combat
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sports from other sports to you, I know you talked
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a little b about the passion of for muay Thai,
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but let's just kind of dive into like the complexity
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of what combat sports kind of requires from from an athlete,
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but also from like the rehab perspective as well.
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Yeah, I think I think I always like to think
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about combat sports. Number one is it's a big umbrella term.
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It include variety of different sports, different striking arts, grappling arts,
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with just vast majority of demands the end of the day,
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we're talking about competitive sports.
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So I think one thing that doesn't change from combas
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sport to field sport to core spoard is that the
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competitive nature and the fact that we value winning, or
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you know, most people should the value winning more than
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in some way physical health, right Like, there's a there's
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a very very very seldom dynamic there. So so I
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think in that nature it's the same. What really makes
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combas sport different, I think has to be the mentality
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of the fighters, of the athletes. They are so used
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to pay, and they have just a fundamental different relationship
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with paying, I think, compared to other sports athletes, because
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you know, the doesn't matter which compass for you are doing.
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The whole objective is to inflate pain on your opponents
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so that they won unquote give up. And I think
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sometimes when you know, my job as a rehab professional
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kind of goes into that, you can kind of run
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into a little bit of a speed bump, because as
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you know, they're often I have a conversation with another
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fighter in regarding to should they fight, should they be training?
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The fighter side of me is seeing it's kind of
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agree with them. It's said that okay, the fire side
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of me think they should push sue, but the pt
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side of me think they should pull back. And there's
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always a little bit of dynamic make and quite a
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little bit quite a bit of decision making that needs
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to happen at such an individual level, you know, regarding
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not just injury, but where the person is in their
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fighting career, where the person is in their you know,
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quote unquote season, and to make those things and that
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decision making is probably the most fun for me.
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When you're making a decision for like maybe any other sport,
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like more field sport, court sport, I feel like the
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risk is always based on the individual. And what I
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mean by that is like it's their kind of like
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their reinjury that they're that that's the only thing that's
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really holding them back, is like that field sport that
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courts for whatever, that challenge is putting them at risk.
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But then you add the combat sports where there's also
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at a factor like you said, like the goal is
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to inflict pain. So not only are the what the
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performance side of the athlete is is risky, but then
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also you add that like death man mentality from the
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opposite fighter, and that just definitely plays a huge role
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into like the education the complexity of that decision. So
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that's that's awesome. Something that kind of came to mind
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is like pain neuroscience. Do you find yourself educating spending
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more time with your combat athletes on like kind of
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the neuroscience of pain or is it just kind of
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just something that you know, that mentality is the mentality
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and you just kind of got to treat them as
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they are.
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Yeah, it's so I don't particularly go into, you know,
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the mechanism behind pain or the neuroscience part of it.
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But the way I think about it is that they
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live in their bodies. They know paying from you know, training,
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pain from getting hit, getting pin and there's part of
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like paying from injury. And often I try to spend
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time to educate what is quote unquote okay pain and
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what is the pain we need to pull back from.
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And a lot of education is trying to get to
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understand not all discomfort created equal, because it's such a
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mentality to shove all pain in the back of the head.
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But when it comes to you know, reintegrate back to training.
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When someone's coming off like a bad injury or surgery,
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we obviously want to monitor if our training load, is
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you know, too much, too little? And and a lot
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of times it's more educating the nature of pain, like,
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you know, does it cause stiffness? Does it does it
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actually affect the joint range of motion? Is it actually lingering?
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What is some different characteristic between you know, the the
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quoe unquote a joint pain that we don't want to
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stretch out versus what is quote unquote normal just from
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just from training and practicing. It's definitely a learning curve,
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no matter like how how experienced the fighter is. I
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find the first couple of times it's always be a
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little bit new or concept to talk about what is
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a you know, okay pay what is not?
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Yeah, I'm just curious, what's like your average age of
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those clients that you're kind of training versus rehabbing as well?
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Like where would you say most of the age ranges.
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So for fighters as young as fifteen year olds competitive
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you know, semi competitive fighter to as old as like
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who are still like really competitive, really eager to train,
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probably up to like fifty. And I've also liked a
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good amount of like martial artists where people we are
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interesting martial arts who don't necessarily want to compete in
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fighting like that can range all the way up to
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like seventy eighty years old, and that's that's pretty fascinating,
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Like people are like still really getting after it at
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those ages. But like I was say, like the middle
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of the bell curve is probably somewhere between twenty to
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thirty five. Yeah.
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Yeah, I think that answer kind of really hammers home
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the point that I was trying to make is and
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we were trying to make as about the complexity. It's
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just like either so many different factors that go into
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to combat sports as a whole, Like you said, different
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demands of each unique combat sports age, training age, as
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well as just the mentality of like I'm going out
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there to inflict pain and I know I might be
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at risk for more pain. So I think, like I
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just wanted you to kind of clarify and really hammer
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home that point of the true complexity of combat sports.
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We're gonna transition right into some of the unique demands
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of combat sports, and we're gonna go drive right into
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like what changes when an athlete is truly in a
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training camp phase for a competition. How do you kind
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of manage the demands of rehab and how where do
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you fit into that continuum of the interprofessional training.
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So you were talking about if a if someone is
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training but they also have an active injury that's going on.
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Correct, Yep, They're they're in pain, they're coming to see you,
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but they're also have an end goal of a certain competition.
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Yeah. I think. I think it's often a bit of
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a layer approach. I try. I try to start from
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the from the ground up, right, I kind of know
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what the end goal is. The end goal is to
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you know, compete whatever whatever that looks like what means
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to them. But often the first layer I'm always trying
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to establish is is their current training actively making them worse?
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Actively like worse seeing the injury? Right? Are they just
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having flir up after injury but get back to baseline
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session after session like being a status quo? Or is
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this week actively worse than last week? If their status quo,
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I feel good about kind of proceeding with my business.
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If they're not, then I you know, it depends on
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who are the stockholders involved, Whether there's you know, there's
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a head coach for their you know, perspective sport and
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they're sometimes there is also a strength conditioning coach sometimes
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there's not, but it's really just to talk with the
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coaches to understand what are demands you know, that plays
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on the quote unquote injured joint or injured body part,
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and how can we pull that back so that at
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least we can maintain a status quo in their training,
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so that they're not making anything worse. That give me
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room to actually add more things to to provide a rehabbing,
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a healing stimulus. And often if someone's actively in camp,
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especially if they have a body mind, the approach I'm
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often trying to take is starting with a minimum factor dosage.
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Sometimes often just look like one to two exercise two
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three times a week for the first week, just to
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kind of see if we can make some progress, if
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we can reduce the irritability at certain activities, at certain positions,
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and from there once we can establish that I tend
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to go fairly high frequency. Yeah, frequency is the right word.
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I tend to go fairly high frequency. Depends on how
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bad they want a competition, because the way the way
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I look at it is that there is there is
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often you know, we kind of know for for rehab
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to happen, you need a stimulus and need recovery, but
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how much a stimulus it can tolerate and how long
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a recovery that they need to to be able to
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tolerate that stimulus. Again, that's all dependent on individual factors.
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And my first week is often trying to play with
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the safest approach and trying to see okay and they
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all at least tolerate some level stimulus and get some
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data on how many days they need in between. Are
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they getting sources that affecting their training? Are we making
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progress in just a week or two week? And from
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there really trying to put them through, you know, with
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the data I'm getting back from from those recovery and
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from iriability and my best educated guests, what is a
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maximum tolerated dosage they can get from a specific rehab exercise.
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It doesn't really contribute to, you know, total fatigue. They'll
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add onto the already like full camp. I don't know
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if the answer the question I feel I answered kind
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of abstractedly.
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Yeah, no, that answer what I was looking for. I
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think you hit it on the head. That last point
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there is, like we know, fatigue resistance is one of
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those like biggest buckets for competition, right, Endurance is a
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crazy thing for any combat sport. And I was again,
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I'll just kind of follow up question was like, how
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much are you you doing like active fatigue resistance in
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your like sessions or are you relying primarily on like
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the head coach and strength and conditioning coach to kind
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of build that fatigue resistance, build that engine for competition.
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Truthfully, it kind of depends. The way I think about
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it is that you know, the way we have works
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is that there's no there's no certain standard I have
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that I say, if you pass this, you're one hundred
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percent okay. But they're just a continuum standard that will
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continue to rule things out. Right, Like if someone say
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hurt the shoulder and that couldn't even move the shoulder,
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we obviously needed to move their shoulder. They will obviously
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them to move with shoulder was you know, a lot
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of force involved, then we obviously need to move the
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shoulder with a lot of lost involved. And the last
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step to me is that, okay, now we need to
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move your shoulder with a lot of lost involved. But
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also at the same time, in the repeating nature fatigue
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resistance such a such a lost stage type of deal
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where there are oftentimes many times I couldn't even get
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even close to that, and they still want to compete.
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Then we just you know, informed them the risks of competing,
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the possible outcomes, and kind of row with it. But
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if I have a lot of time, if I have
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all the time in the world, if there's no competition
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in mind, they just want to take care of this
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thing as as far as they can, then I want
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to be the person who's doing quote unquote quality control.
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Right.
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I want to make sure this structure, that rehab, whether
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it's or rotator, cuff, tendon, right, achilles, MCL, whatever you
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want to name it, I want to make sure at
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least under my control, it can tolerate a lot of
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stress and on the very high velocity and like very
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vulnerable positions and sometimes in repeatabouts and they still feel okay.
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If if they get there, then then obviously they're fine
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with sports. But they're fine was like, you know, back
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to training and competition. But this is the way I
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picture these things often like I just kind of see
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how many how many step we can go up, and
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their times will just never end up being on that
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top step, and that's okay. And there are times where
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have plenty of times where then you know, I like
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to control everything.
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I'm sure your experience with fighting helps a lot with
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with that end stage. I feel like that's a unique
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skill of yours and a unique skill of people that
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have done combat sports to really understand how much repetitive
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nature that is required in fighting. And you mentioned like
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the Achilles and like people probably don't even think too
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much about like how much load go through the Achilles
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every single kick, every single step, every single punch, but
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I would imagine you see it probably a lot of
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Achilles ten anopathies in your in your field. So yeah,
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I think it's it's very important for the repetitive nature,
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very important for people to understand how demanding that sport is,
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and obviously the best rehab has to match that demand. Again,
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this transitions nicely into the end stage, like we were
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kind of just talking about as like I know you
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said you don't have any like true great tests to
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test like true priorities and true readiness for a return
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to sport, but like kind of what's your thought process of, like, hey,
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this person is good to be discharged from my plan
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of care, Like what are exactly are you're looking at?
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And I'll leave this up in general, but if you
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want to take it to more of like a specific joint,
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you're free to go out.
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Yeah, I tend to think about this. I think about
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you know what I think, especially as we get to
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the endpoint, and you know, I define point very differently.
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I think a lot of times when people are no
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longer having pay in their day to day training or
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day to day activities, oftentimes they're probably not really close
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to the endpoint. Right there. Is when we talk about endpoint,
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we talked about like a maximum maximum able to tolerate
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like a like a very very very high out of
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like force and velocity, and those are type of things
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that very rarely we experience in you know, just day
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to day training, or at least you hope they don't
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experience in day to day training. But often for people
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to get back to you know, paying free to the
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to the training, in my head, they're like, okay, we're
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maybe seventy to ninety percent done, but what really is
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going to make for me to make that decision? Make
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me to you know, write a perfect scorecard is something
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that's a lot more I think on specific to fighting,
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but more specific to the structure itself. What I mean
305
00:17:50.039 --> 00:17:52.039
by that is, you know, when I'm thinking about a
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what's a good example like a rotator cup tender right
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like for for let's say internal rotators right for subscaps
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or for you know, long headed bicep tendon. It doesn't
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matter if this guy is a multi fighter, a volleyball player,
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or a wrestler. We know the vulnerable position for subscap
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tendon is at the n range of you know, external rotation,
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where my arm is ninety ninety the super vulnerable position.
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And for me, this position in itself might not be
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you know, really fight specific or sports specific, but to
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an injured subscract subscrip, that's an injury specific position. The
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ability to still produce force, ability to resist really high
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velocity add that quote unquote very vulnerable position to me
318
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is the gold standard of subscrip tendon injury rehab. And
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00:19:06.119 --> 00:19:08.319
that's you know, a kind of cross different sport. Maybe
320
00:19:08.359 --> 00:19:12.519
we'll have like tiny bid variation talk about volleyball versus wrestling.
321
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But you know what, when I'm trying to when I'm
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trying to decide if I'm good to discharge, then often
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what I'm trying to do is really trying to find
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or design sometimes a test or a activity, a position
325
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is that put not only a lot of load, but
326
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also sometimes very high velocity, add a very very tough
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position off the certain joint and off the certain body part.
328
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You know, the subscap is a good example. Another good
329
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example sometimes is like a you know, like a good
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amount of meniscus strain, good amount of MCL strain happened
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was you know, fighting just because there's so much twisting
332
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motion of the knee for those things, something that you know,
333
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end stage, I really want to look at an activity
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00:20:02.480 --> 00:20:07.000
that give them a tons of vulgus force, right, something
335
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like a Copenhagen where there's literally your whole body word
336
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body work, a body weight on that MCL, or something
337
00:20:15.319 --> 00:20:18.759
like a single like hot but for from lateral to
338
00:20:18.960 --> 00:20:26.079
medial medial direction where each landing there is a high
339
00:20:26.160 --> 00:20:30.200
level of vugus force kind of go into MCL. Typically.
340
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That's kind of way I make those decisions, trying to
341
00:20:33.519 --> 00:20:36.319
almost just make up tests and kind of see, you know,
342
00:20:36.400 --> 00:20:39.799
in my mind, how I process it. Okay, I soo
343
00:20:40.759 --> 00:20:44.680
in isolated fat manner. How can I almost try to
344
00:20:45.839 --> 00:20:50.200
layer up this joint, this body part and I'm going
345
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to try to do that, and if I can actually
346
00:20:52.160 --> 00:20:55.799
flit them up, then my job is not done.
347
00:20:56.359 --> 00:21:00.240
Yeah, that's also very easy to translate into a lot
348
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of clinics. Is not everyone's privileged enough to have all
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this important technology that we have out and like not
350
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every clinic has it, especially if you're starting out a clinic.
351
00:21:09.200 --> 00:21:13.200
Like it's Yes, it's very very nice to have those numbers,
352
00:21:13.279 --> 00:21:15.839
and obviously I rely on those numbers a lot and
353
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with end stage, but like if they can't, like you said,
354
00:21:18.720 --> 00:21:21.640
if they can't produce an isolated movement and end range,
355
00:21:22.039 --> 00:21:25.079
it's very likely that they will be back in for
356
00:21:25.200 --> 00:21:27.839
some other sort of injury due to like a non
357
00:21:27.880 --> 00:21:31.240
negotiable compensation that they probor are experiencing with these more
358
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global return to testing stuff. So that's a that's a
359
00:21:34.480 --> 00:21:36.400
great point that you make. Anything else you wanted to
360
00:21:36.400 --> 00:21:37.400
touch on on that.
361
00:21:37.319 --> 00:21:43.039
Point, Yeah, yeah, I guess. I guess sometimes when I
362
00:21:43.079 --> 00:21:45.279
think about these things. Obviously it's going to have a
363
00:21:45.440 --> 00:21:53.039
dynamometer to have a force played and and able to
364
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like actually have an objective number that we can we
365
00:21:55.519 --> 00:21:58.720
can put it on, put it on the paper and compare.
366
00:21:58.839 --> 00:22:03.319
But a lot of time times I feel like simply
367
00:22:04.359 --> 00:22:07.480
having a good understanding of what type of activity, put
368
00:22:08.640 --> 00:22:12.119
what force through what structure and have an understanding that
369
00:22:12.240 --> 00:22:16.920
you know, you know, MCL resists vugus force. Right, it's
370
00:22:17.000 --> 00:22:18.519
kind of a big thing. Does how can we put
371
00:22:18.519 --> 00:22:20.799
a lot of august force in a safe manner and
372
00:22:21.039 --> 00:22:24.160
you know, without flaring them up and then that being
373
00:22:24.839 --> 00:22:27.799
a good for a good you know QSA track for
374
00:22:27.839 --> 00:22:30.279
me to say, all right, they're done. They probably can
375
00:22:30.799 --> 00:22:36.519
go back to tolerate a uh, the fighting or whatever
376
00:22:36.559 --> 00:22:38.920
the sport they get back at. But I think a
377
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big point I want to kind of hammer again, double
378
00:22:42.279 --> 00:22:47.559
click again. It's really that the end stage task, if
379
00:22:47.599 --> 00:22:53.680
we're really talking about discharge discharge, then the intensity of
380
00:22:53.720 --> 00:22:57.039
that task should in nature be a lot higher than
381
00:22:57.160 --> 00:23:00.000
anything they have to go through day to day because
382
00:23:00.839 --> 00:23:04.240
if if they have a lot of times this will
383
00:23:04.279 --> 00:23:06.480
be true that you know, they don't have pain on
384
00:23:06.519 --> 00:23:08.279
the day to day step, they don't have pain on
385
00:23:08.319 --> 00:23:11.160
their their day to day training. But you notice this
386
00:23:11.359 --> 00:23:14.640
major deficits to that side, then we know for a fact,
387
00:23:14.920 --> 00:23:17.240
Number one, they're probably running, like you said, some sort
388
00:23:17.279 --> 00:23:20.799
of conversation to avoid that. Number two is we know
389
00:23:21.160 --> 00:23:25.160
they're probably liking moving strategy that really utilize that body
390
00:23:25.160 --> 00:23:29.640
parts and that you know, despite like without like too
391
00:23:29.680 --> 00:23:33.200
much research backing, we can I feel pretty comfortable to
392
00:23:33.880 --> 00:23:38.480
assume that is something that not only affective performance but
393
00:23:38.519 --> 00:23:39.759
also future injury risk.
394
00:23:40.359 --> 00:23:42.960
Thanks for doubling back on that. It definitely is important
395
00:23:43.000 --> 00:23:45.680
to differentiate that. And uh yeah, I think you've made
396
00:23:45.720 --> 00:23:48.039
a great point of like pain is is definitely not
397
00:23:48.160 --> 00:23:51.279
the end stage, right pain is is it non negotiable
398
00:23:51.279 --> 00:23:53.519
to get out in the in like maybe phase two,
399
00:23:53.680 --> 00:23:56.519
early phase one or early phase two or late phase one,
400
00:23:56.559 --> 00:23:58.680
And that's just the that's just the beginning of the rehab.
401
00:23:58.720 --> 00:24:01.160
And that's to me, that's the became the fun part, right,
402
00:24:01.240 --> 00:24:03.680
we don't know how to calm down the system. Now
403
00:24:03.680 --> 00:24:05.559
we get to get into more of like the functional,
404
00:24:06.079 --> 00:24:08.839
more demanding tasks. So so I appreciate you you hitting
405
00:24:08.839 --> 00:24:12.240
that home. Anything else you want to just kind of
406
00:24:12.279 --> 00:24:14.200
say to wrap up? I think we hit on some
407
00:24:14.200 --> 00:24:16.519
some great stuff today. I think the audience will benefit
408
00:24:16.559 --> 00:24:18.200
a lot from here in this conversation. But is there
409
00:24:18.240 --> 00:24:20.240
anything else any of the questions we kind of talked
410
00:24:20.240 --> 00:24:22.319
about today that that you want to double back on.
411
00:24:23.079 --> 00:24:24.200
Are we good to wrap it up.
412
00:24:24.400 --> 00:24:26.759
Yeah, dude, there's there's like I feel there's a level
413
00:24:26.759 --> 00:24:30.599
of decision making that kind of goes into it that
414
00:24:30.599 --> 00:24:33.359
that can make me. I'm getting better on like being
415
00:24:33.400 --> 00:24:36.480
on being able to on both sides a little bit. Now,
416
00:24:37.519 --> 00:24:41.319
is you ever heard of a start start framework. It's
417
00:24:41.359 --> 00:24:46.200
a return to sports framework on just basical decision making.
418
00:24:46.279 --> 00:24:48.799
Big part of it. I like, I like the return
419
00:24:48.839 --> 00:24:50.319
of sports. I spent a lot of the time just
420
00:24:50.400 --> 00:24:52.839
kind of merding this out, and a big part of
421
00:24:52.960 --> 00:24:55.200
what I learned that I've been using kind of every
422
00:24:55.319 --> 00:25:00.480
day is to like have the informed like consent with
423
00:25:00.680 --> 00:25:04.359
athletes on like it's not like sometimes like whether they
424
00:25:04.400 --> 00:25:08.200
can or cannot go back, it's how dire the consequences, right,
425
00:25:08.240 --> 00:25:13.119
Like if if like going back have like a fifty
426
00:25:13.160 --> 00:25:15.200
to fifty chance at flare up, but flare up just
427
00:25:15.240 --> 00:25:17.200
meaning the new will be swollen for like a day
428
00:25:17.279 --> 00:25:21.359
or two, that's something we can't take. I'm like, even
429
00:25:21.440 --> 00:25:23.400
with like pretty high chance flare up, it was like, dude,
430
00:25:23.440 --> 00:25:27.559
try it out. But there are cases where you go,
431
00:25:27.680 --> 00:25:31.160
especially return to lifestyle, there's like you know, ninety ten percent,
432
00:25:31.200 --> 00:25:33.359
there's not only ten percent chance something bad happened. But
433
00:25:33.440 --> 00:25:36.920
if something bad happened, it's gonna be something catastrophical, and
434
00:25:36.960 --> 00:25:39.200
it's like, you know, I won't let you know that.
435
00:25:39.279 --> 00:25:45.880
It's people are gonna end up making decisions differently even
436
00:25:45.920 --> 00:25:49.240
with the same information, same risk. But I find it
437
00:25:49.400 --> 00:25:53.200
just like if I just make my make my point educating,
438
00:25:53.200 --> 00:25:57.079
it's like a it's like what is a you know,
439
00:25:57.119 --> 00:25:59.920
what is a chance something actually goes souths and would
440
00:26:00.200 --> 00:26:03.759
solves actually look like those two piece of information get together,
441
00:26:04.319 --> 00:26:07.079
they typically would have a pretty good understanding. It's like
442
00:26:07.319 --> 00:26:09.200
if I really don't want them to like go back,
443
00:26:09.799 --> 00:26:12.799
why is that? Or like if they don't feel comfortable
444
00:26:12.880 --> 00:26:16.079
sometimes I like, I like, do try it out? And
445
00:26:16.200 --> 00:26:18.599
why is that? I feel that's like an easy way
446
00:26:18.640 --> 00:26:23.039
that eye counters like I feel comfortable being a PT
447
00:26:23.240 --> 00:26:27.160
and being like a peer, and that people actually have
448
00:26:27.319 --> 00:26:30.200
pretty good, pretty good understanding to it.
449
00:26:31.000 --> 00:26:33.559
Yeah, that's a great framework. I think it definitely applies
450
00:26:33.559 --> 00:26:37.079
to a lot of places, especially sports, especially like you said,
451
00:26:37.119 --> 00:26:38.960
just return to lifestyle. I think it does a good
452
00:26:39.039 --> 00:26:43.160
job of of really highlighting and making it pretty pretty
453
00:26:43.160 --> 00:26:46.079
easy for the PT to follow and educate on on
454
00:26:46.319 --> 00:26:49.599
like hey, this is this is the worst case scenario
455
00:26:49.759 --> 00:26:52.559
if you did X, Y and Z and then yeah,
456
00:26:52.799 --> 00:26:56.559
well we'll treat you. Treat you because at the end
457
00:26:56.559 --> 00:26:57.680
of the day, I'm not going to be there hole
458
00:26:57.720 --> 00:26:59.000
in your hand. You're going to be the one making
459
00:26:59.000 --> 00:27:01.680
the decision. And and that's the beauty of our field.
460
00:27:01.680 --> 00:27:03.200
As we got to roll with the punches, just like
461
00:27:03.240 --> 00:27:05.119
a combat athlete does.
462
00:27:06.119 --> 00:27:09.079
Yeah, I know, you know, it's a long day for you.
463
00:27:09.160 --> 00:27:11.480
Just like this lot thought in my head, like I
464
00:27:11.759 --> 00:27:15.960
turned a girl a vulnable player back to like back
465
00:27:16.039 --> 00:27:20.680
to court on like six months was like a quad
466
00:27:20.799 --> 00:27:24.160
on a little bit over to Newton meter per kilo
467
00:27:24.200 --> 00:27:27.200
grim like you know in any book, right you'll be like,
468
00:27:27.240 --> 00:27:30.359
don't do that, Like that's that's not smart. Well, it's
469
00:27:30.440 --> 00:27:32.799
like you know the when you put all the like
470
00:27:32.839 --> 00:27:36.720
the personal constraint and you're like, okay, we're talking about
471
00:27:36.720 --> 00:27:40.079
like this, you know, high school girl senior year not
472
00:27:40.160 --> 00:27:44.079
being able to play super depressed team captain. She's a
473
00:27:44.200 --> 00:27:47.599
setter and can like kind of just kind of said
474
00:27:49.079 --> 00:27:52.400
I kind of just pull back, And there's like so
475
00:27:52.480 --> 00:27:56.079
many things like considerings like okay, there there's actually a
476
00:27:56.079 --> 00:27:58.200
pretty solid case for me to make to say, like
477
00:27:58.279 --> 00:28:00.839
if we play our cards right, really limited a couple
478
00:28:01.000 --> 00:28:04.000
couple of things to do on court, like you can't
479
00:28:04.000 --> 00:28:07.000
go back with like half a quad and it's like
480
00:28:07.440 --> 00:28:10.039
safe for you. But I wouldn't recommend this to literally
481
00:28:10.079 --> 00:28:13.200
any any anyone else. And I feel like I just
482
00:28:13.279 --> 00:28:16.000
make a lot more of those decisions in fighting because
483
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the other sports you tell them it is like no,
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they're like pretty good out knowing fighting somebody is really
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like you make a like when it matters a lot
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for them, Like there's quite a little bit like a
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mental gymnastic of trying to make things happen.
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Well, awesome, man, thank you very much for your time.
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I think that was a great, great conversation.
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All right, thank you so much. Thank you for reaching out.
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This is really fun, of course, man, keep killing it.
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We're back. Strength and Knowledge is back. I'm John Allenen.
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In this episode, doctor Hector Wang and I discuss all
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things combat sports, specifically, we dive into the complexity of
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combat sports, importance of fatigue, resistance in rehab, and how
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to apply the start framework to difficult conversations with athletes.
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Without further ado, let's get into it, Doctor Hector Wang
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aka muy Thai Physio where physics meets performance. Welcome to
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the podcast. If the viewers look through your Instagram, which
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I highly recommend they do, people will see how detail
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oriented you are when it comes to translating physics to performance,
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especially in combat sports. For the viewers who are unfamiliar,
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give us a brief introduction into where your passion comes
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from and how to apply your knowledge to your patients
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and clients.
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Hey, dude, it's so good to be on here. My
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name is Hector. I've been I've been treating combat sports athletes,
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specifically Muyti fighters, because that's you know, that's very, very
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close to my heart. I've been treating fighters probably since
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I was in PT school and it just kind of
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the passion just kind of stay into after I've been
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doing quite a little bit of online education through just
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short form short form social media like Instagram and TikTok,
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but hopefully I start doing a little bit more long form.
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It's it's been really fun at just educating people and
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trying to bridge the gap of scientific principles as well
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as the actual applicable things we see in combat sports
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and Disney and fighting.
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Yeah.
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I just moved to San Diego and it's trying to
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build a in person clinic down here, and so far
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everything is super going, super.
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Well, awesome, Thanks for the introduction. Let's let's get right
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into it. So, I think their first talking point we
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want to get into is kind of what differentiates combat
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sports from other sports to you, I know you talked
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a little b about the passion of for muay Thai,
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but let's just kind of dive into like the complexity
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of what combat sports kind of requires from from an athlete,
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but also from like the rehab perspective as well.
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Yeah, I think I think I always like to think
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about combat sports. Number one is it's a big umbrella term.
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It include variety of different sports, different striking arts, grappling arts,
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with just vast majority of demands the end of the day,
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we're talking about competitive sports.
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So I think one thing that doesn't change from combas
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sport to field sport to core spoard is that the
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competitive nature and the fact that we value winning, or
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you know, most people should the value winning more than
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in some way physical health, right Like, there's a there's
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a very very very seldom dynamic there. So so I
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think in that nature it's the same. What really makes
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combas sport different, I think has to be the mentality
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of the fighters, of the athletes. They are so used
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to pay, and they have just a fundamental different relationship
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with paying, I think, compared to other sports athletes, because
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you know, the doesn't matter which compass for you are doing.
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The whole objective is to inflate pain on your opponents
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so that they won unquote give up. And I think
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sometimes when you know, my job as a rehab professional
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kind of goes into that, you can kind of run
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into a little bit of a speed bump, because as
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you know, they're often I have a conversation with another
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fighter in regarding to should they fight, should they be training?
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The fighter side of me is seeing it's kind of
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agree with them. It's said that okay, the fire side
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of me think they should push sue, but the pt
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side of me think they should pull back. And there's
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always a little bit of dynamic make and quite a
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little bit quite a bit of decision making that needs
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to happen at such an individual level, you know, regarding
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not just injury, but where the person is in their
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fighting career, where the person is in their you know,
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quote unquote season, and to make those things and that
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decision making is probably the most fun for me.
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When you're making a decision for like maybe any other sport,
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like more field sport, court sport, I feel like the
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risk is always based on the individual. And what I
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mean by that is like it's their kind of like
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their reinjury that they're that that's the only thing that's
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really holding them back, is like that field sport that
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courts for whatever, that challenge is putting them at risk.
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But then you add the combat sports where there's also
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at a factor like you said, like the goal is
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to inflict pain. So not only are the what the
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performance side of the athlete is is risky, but then
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also you add that like death man mentality from the
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opposite fighter, and that just definitely plays a huge role
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into like the education the complexity of that decision. So
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that's that's awesome. Something that kind of came to mind
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is like pain neuroscience. Do you find yourself educating spending
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more time with your combat athletes on like kind of
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the neuroscience of pain or is it just kind of
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just something that you know, that mentality is the mentality
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and you just kind of got to treat them as
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they are.
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Yeah, it's so I don't particularly go into, you know,
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the mechanism behind pain or the neuroscience part of it.
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But the way I think about it is that they
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live in their bodies. They know paying from you know, training,
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pain from getting hit, getting pin and there's part of
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like paying from injury. And often I try to spend
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time to educate what is quote unquote okay pain and
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what is the pain we need to pull back from.
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And a lot of education is trying to get to
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understand not all discomfort created equal, because it's such a
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mentality to shove all pain in the back of the head.
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But when it comes to you know, reintegrate back to training.
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When someone's coming off like a bad injury or surgery,
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we obviously want to monitor if our training load, is
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you know, too much, too little? And and a lot
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of times it's more educating the nature of pain, like,
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you know, does it cause stiffness? Does it does it
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actually affect the joint range of motion? Is it actually lingering?
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What is some different characteristic between you know, the the
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quoe unquote a joint pain that we don't want to
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stretch out versus what is quote unquote normal just from
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just from training and practicing. It's definitely a learning curve,
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no matter like how how experienced the fighter is. I
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find the first couple of times it's always be a
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little bit new or concept to talk about what is
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a you know, okay pay what is not?
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Yeah, I'm just curious, what's like your average age of
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those clients that you're kind of training versus rehabbing as well?
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Like where would you say most of the age ranges.
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So for fighters as young as fifteen year olds competitive
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you know, semi competitive fighter to as old as like
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who are still like really competitive, really eager to train,
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probably up to like fifty. And I've also liked a
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good amount of like martial artists where people we are
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interesting martial arts who don't necessarily want to compete in
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fighting like that can range all the way up to
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like seventy eighty years old, and that's that's pretty fascinating,
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Like people are like still really getting after it at
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those ages. But like I was say, like the middle
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of the bell curve is probably somewhere between twenty to
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thirty five. Yeah.
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Yeah, I think that answer kind of really hammers home
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the point that I was trying to make is and
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we were trying to make as about the complexity. It's
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just like either so many different factors that go into
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to combat sports as a whole, Like you said, different
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demands of each unique combat sports age, training age, as
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well as just the mentality of like I'm going out
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there to inflict pain and I know I might be
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at risk for more pain. So I think, like I
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just wanted you to kind of clarify and really hammer
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home that point of the true complexity of combat sports.
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We're gonna transition right into some of the unique demands
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of combat sports, and we're gonna go drive right into
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like what changes when an athlete is truly in a
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training camp phase for a competition. How do you kind
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of manage the demands of rehab and how where do
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you fit into that continuum of the interprofessional training.
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So you were talking about if a if someone is
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training but they also have an active injury that's going on.
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Correct, Yep, They're they're in pain, they're coming to see you,
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but they're also have an end goal of a certain competition.
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Yeah. I think. I think it's often a bit of
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a layer approach. I try. I try to start from
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the from the ground up, right, I kind of know
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what the end goal is. The end goal is to
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you know, compete whatever whatever that looks like what means
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to them. But often the first layer I'm always trying
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to establish is is their current training actively making them worse?
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Actively like worse seeing the injury? Right? Are they just
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having flir up after injury but get back to baseline
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session after session like being a status quo? Or is
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this week actively worse than last week? If their status quo,
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I feel good about kind of proceeding with my business.
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If they're not, then I you know, it depends on
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who are the stockholders involved, Whether there's you know, there's
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a head coach for their you know, perspective sport and
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they're sometimes there is also a strength conditioning coach sometimes
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there's not, but it's really just to talk with the
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coaches to understand what are demands you know, that plays
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on the quote unquote injured joint or injured body part,
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and how can we pull that back so that at
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least we can maintain a status quo in their training,
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so that they're not making anything worse. That give me
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room to actually add more things to to provide a rehabbing,
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a healing stimulus. And often if someone's actively in camp,
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especially if they have a body mind, the approach I'm
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often trying to take is starting with a minimum factor dosage.
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Sometimes often just look like one to two exercise two
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three times a week for the first week, just to
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kind of see if we can make some progress, if
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we can reduce the irritability at certain activities, at certain positions,
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and from there once we can establish that I tend
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to go fairly high frequency. Yeah, frequency is the right word.
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I tend to go fairly high frequency. Depends on how
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bad they want a competition, because the way the way
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I look at it is that there is there is
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often you know, we kind of know for for rehab
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to happen, you need a stimulus and need recovery, but
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how much a stimulus it can tolerate and how long
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a recovery that they need to to be able to
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tolerate that stimulus. Again, that's all dependent on individual factors.
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And my first week is often trying to play with
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the safest approach and trying to see okay and they
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all at least tolerate some level stimulus and get some
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data on how many days they need in between. Are
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they getting sources that affecting their training? Are we making
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progress in just a week or two week? And from
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there really trying to put them through, you know, with
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the data I'm getting back from from those recovery and
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from iriability and my best educated guests, what is a
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maximum tolerated dosage they can get from a specific rehab exercise.
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It doesn't really contribute to, you know, total fatigue. They'll
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add onto the already like full camp. I don't know
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if the answer the question I feel I answered kind
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of abstractedly.
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Yeah, no, that answer what I was looking for. I
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think you hit it on the head. That last point
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there is, like we know, fatigue resistance is one of
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those like biggest buckets for competition, right, Endurance is a
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crazy thing for any combat sport. And I was again,
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I'll just kind of follow up question was like, how
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much are you you doing like active fatigue resistance in
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your like sessions or are you relying primarily on like
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the head coach and strength and conditioning coach to kind
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of build that fatigue resistance, build that engine for competition.
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Truthfully, it kind of depends. The way I think about
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it is that you know, the way we have works
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is that there's no there's no certain standard I have
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that I say, if you pass this, you're one hundred
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percent okay. But they're just a continuum standard that will
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continue to rule things out. Right, Like if someone say
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hurt the shoulder and that couldn't even move the shoulder,
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we obviously needed to move their shoulder. They will obviously
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them to move with shoulder was you know, a lot
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of force involved, then we obviously need to move the
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shoulder with a lot of lost involved. And the last
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step to me is that, okay, now we need to
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move your shoulder with a lot of lost involved. But
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also at the same time, in the repeating nature fatigue
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resistance such a such a lost stage type of deal
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where there are oftentimes many times I couldn't even get
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even close to that, and they still want to compete.
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Then we just you know, informed them the risks of competing,
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the possible outcomes, and kind of row with it. But
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if I have a lot of time, if I have
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all the time in the world, if there's no competition
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in mind, they just want to take care of this
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thing as as far as they can, then I want
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to be the person who's doing quote unquote quality control.
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Right.
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I want to make sure this structure, that rehab, whether
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it's or rotator, cuff, tendon, right, achilles, MCL, whatever you
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want to name it, I want to make sure at
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least under my control, it can tolerate a lot of
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stress and on the very high velocity and like very
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vulnerable positions and sometimes in repeatabouts and they still feel okay.
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If if they get there, then then obviously they're fine
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with sports. But they're fine was like, you know, back
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to training and competition. But this is the way I
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picture these things often like I just kind of see
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how many how many step we can go up, and
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their times will just never end up being on that
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top step, and that's okay. And there are times where
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have plenty of times where then you know, I like
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to control everything.
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I'm sure your experience with fighting helps a lot with
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with that end stage. I feel like that's a unique
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skill of yours and a unique skill of people that
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have done combat sports to really understand how much repetitive
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nature that is required in fighting. And you mentioned like
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the Achilles and like people probably don't even think too
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much about like how much load go through the Achilles
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every single kick, every single step, every single punch, but
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I would imagine you see it probably a lot of
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Achilles ten anopathies in your in your field. So yeah,
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I think it's it's very important for the repetitive nature,
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very important for people to understand how demanding that sport is,
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and obviously the best rehab has to match that demand. Again,
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this transitions nicely into the end stage, like we were
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kind of just talking about as like I know you
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said you don't have any like true great tests to
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test like true priorities and true readiness for a return
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to sport, but like kind of what's your thought process of, like, hey,
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this person is good to be discharged from my plan
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of care, Like what are exactly are you're looking at?
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And I'll leave this up in general, but if you
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want to take it to more of like a specific joint,
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you're free to go out.
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Yeah, I tend to think about this. I think about
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you know what I think, especially as we get to
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the endpoint, and you know, I define point very differently.
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I think a lot of times when people are no
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longer having pay in their day to day training or
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day to day activities, oftentimes they're probably not really close
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to the endpoint. Right there. Is when we talk about endpoint,
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we talked about like a maximum maximum able to tolerate
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like a like a very very very high out of
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like force and velocity, and those are type of things
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that very rarely we experience in you know, just day
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to day training, or at least you hope they don't
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experience in day to day training. But often for people
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to get back to you know, paying free to the
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to the training, in my head, they're like, okay, we're
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maybe seventy to ninety percent done, but what really is
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going to make for me to make that decision? Make
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me to you know, write a perfect scorecard is something
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that's a lot more I think on specific to fighting,
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but more specific to the structure itself. What I mean
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by that is, you know, when I'm thinking about a
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what's a good example like a rotator cup tender right
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like for for let's say internal rotators right for subscaps
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or for you know, long headed bicep tendon. It doesn't
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matter if this guy is a multi fighter, a volleyball player,
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or a wrestler. We know the vulnerable position for subscap
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tendon is at the n range of you know, external rotation,
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where my arm is ninety ninety the super vulnerable position.
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And for me, this position in itself might not be
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you know, really fight specific or sports specific, but to
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an injured subscract subscrip, that's an injury specific position. The
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ability to still produce force, ability to resist really high
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velocity add that quote unquote very vulnerable position to me
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is the gold standard of subscrip tendon injury rehab. And
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that's you know, a kind of cross different sport. Maybe
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we'll have like tiny bid variation talk about volleyball versus wrestling.
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But you know what, when I'm trying to when I'm
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trying to decide if I'm good to discharge, then often
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what I'm trying to do is really trying to find
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or design sometimes a test or a activity, a position
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is that put not only a lot of load, but
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also sometimes very high velocity, add a very very tough
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position off the certain joint and off the certain body part.
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You know, the subscap is a good example. Another good
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example sometimes is like a you know, like a good
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amount of meniscus strain, good amount of MCL strain happened
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was you know, fighting just because there's so much twisting
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motion of the knee for those things, something that you know,
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end stage, I really want to look at an activity
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that give them a tons of vulgus force, right, something
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like a Copenhagen where there's literally your whole body word
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body work, a body weight on that MCL, or something
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00:20:15.319 --> 00:20:18.759
like a single like hot but for from lateral to
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medial medial direction where each landing there is a high
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00:20:26.160 --> 00:20:30.200
level of vugus force kind of go into MCL. Typically.
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That's kind of way I make those decisions, trying to
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almost just make up tests and kind of see, you know,
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in my mind, how I process it. Okay, I soo
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in isolated fat manner. How can I almost try to
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layer up this joint, this body part and I'm going
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to try to do that, and if I can actually
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flit them up, then my job is not done.
347
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Yeah, that's also very easy to translate into a lot
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of clinics. Is not everyone's privileged enough to have all
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this important technology that we have out and like not
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every clinic has it, especially if you're starting out a clinic.
351
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Like it's Yes, it's very very nice to have those numbers,
352
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and obviously I rely on those numbers a lot and
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with end stage, but like if they can't, like you said,
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if they can't produce an isolated movement and end range,
355
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it's very likely that they will be back in for
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some other sort of injury due to like a non
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negotiable compensation that they probor are experiencing with these more
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global return to testing stuff. So that's a that's a
359
00:21:34.480 --> 00:21:36.400
great point that you make. Anything else you wanted to
360
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touch on on that.
361
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Point, Yeah, yeah, I guess. I guess sometimes when I
362
00:21:43.079 --> 00:21:45.279
think about these things. Obviously it's going to have a
363
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dynamometer to have a force played and and able to
364
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like actually have an objective number that we can we
365
00:21:55.519 --> 00:21:58.720
can put it on, put it on the paper and compare.
366
00:21:58.839 --> 00:22:03.319
But a lot of time times I feel like simply
367
00:22:04.359 --> 00:22:07.480
having a good understanding of what type of activity, put
368
00:22:08.640 --> 00:22:12.119
what force through what structure and have an understanding that
369
00:22:12.240 --> 00:22:16.920
you know, you know, MCL resists vugus force. Right, it's
370
00:22:17.000 --> 00:22:18.519
kind of a big thing. Does how can we put
371
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a lot of august force in a safe manner and
372
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you know, without flaring them up and then that being
373
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a good for a good you know QSA track for
374
00:22:27.839 --> 00:22:30.279
me to say, all right, they're done. They probably can
375
00:22:30.799 --> 00:22:36.519
go back to tolerate a uh, the fighting or whatever
376
00:22:36.559 --> 00:22:38.920
the sport they get back at. But I think a
377
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big point I want to kind of hammer again, double
378
00:22:42.279 --> 00:22:47.559
click again. It's really that the end stage task, if
379
00:22:47.599 --> 00:22:53.680
we're really talking about discharge discharge, then the intensity of
380
00:22:53.720 --> 00:22:57.039
that task should in nature be a lot higher than
381
00:22:57.160 --> 00:23:00.000
anything they have to go through day to day because
382
00:23:00.839 --> 00:23:04.240
if if they have a lot of times this will
383
00:23:04.279 --> 00:23:06.480
be true that you know, they don't have pain on
384
00:23:06.519 --> 00:23:08.279
the day to day step, they don't have pain on
385
00:23:08.319 --> 00:23:11.160
their their day to day training. But you notice this
386
00:23:11.359 --> 00:23:14.640
major deficits to that side, then we know for a fact,
387
00:23:14.920 --> 00:23:17.240
Number one, they're probably running, like you said, some sort
388
00:23:17.279 --> 00:23:20.799
of conversation to avoid that. Number two is we know
389
00:23:21.160 --> 00:23:25.160
they're probably liking moving strategy that really utilize that body
390
00:23:25.160 --> 00:23:29.640
parts and that you know, despite like without like too
391
00:23:29.680 --> 00:23:33.200
much research backing, we can I feel pretty comfortable to
392
00:23:33.880 --> 00:23:38.480
assume that is something that not only affective performance but
393
00:23:38.519 --> 00:23:39.759
also future injury risk.
394
00:23:40.359 --> 00:23:42.960
Thanks for doubling back on that. It definitely is important
395
00:23:43.000 --> 00:23:45.680
to differentiate that. And uh yeah, I think you've made
396
00:23:45.720 --> 00:23:48.039
a great point of like pain is is definitely not
397
00:23:48.160 --> 00:23:51.279
the end stage, right pain is is it non negotiable
398
00:23:51.279 --> 00:23:53.519
to get out in the in like maybe phase two,
399
00:23:53.680 --> 00:23:56.519
early phase one or early phase two or late phase one,
400
00:23:56.559 --> 00:23:58.680
And that's just the that's just the beginning of the rehab.
401
00:23:58.720 --> 00:24:01.160
And that's to me, that's the became the fun part, right,
402
00:24:01.240 --> 00:24:03.680
we don't know how to calm down the system. Now
403
00:24:03.680 --> 00:24:05.559
we get to get into more of like the functional,
404
00:24:06.079 --> 00:24:08.839
more demanding tasks. So so I appreciate you you hitting
405
00:24:08.839 --> 00:24:12.240
that home. Anything else you want to just kind of
406
00:24:12.279 --> 00:24:14.200
say to wrap up? I think we hit on some
407
00:24:14.200 --> 00:24:16.519
some great stuff today. I think the audience will benefit
408
00:24:16.559 --> 00:24:18.200
a lot from here in this conversation. But is there
409
00:24:18.240 --> 00:24:20.240
anything else any of the questions we kind of talked
410
00:24:20.240 --> 00:24:22.319
about today that that you want to double back on.
411
00:24:23.079 --> 00:24:24.200
Are we good to wrap it up.
412
00:24:24.400 --> 00:24:26.759
Yeah, dude, there's there's like I feel there's a level
413
00:24:26.759 --> 00:24:30.599
of decision making that kind of goes into it that
414
00:24:30.599 --> 00:24:33.359
that can make me. I'm getting better on like being
415
00:24:33.400 --> 00:24:36.480
on being able to on both sides a little bit. Now,
416
00:24:37.519 --> 00:24:41.319
is you ever heard of a start start framework. It's
417
00:24:41.359 --> 00:24:46.200
a return to sports framework on just basical decision making.
418
00:24:46.279 --> 00:24:48.799
Big part of it. I like, I like the return
419
00:24:48.839 --> 00:24:50.319
of sports. I spent a lot of the time just
420
00:24:50.400 --> 00:24:52.839
kind of merding this out, and a big part of
421
00:24:52.960 --> 00:24:55.200
what I learned that I've been using kind of every
422
00:24:55.319 --> 00:25:00.480
day is to like have the informed like consent with
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00:25:00.680 --> 00:25:04.359
athletes on like it's not like sometimes like whether they
424
00:25:04.400 --> 00:25:08.200
can or cannot go back, it's how dire the consequences, right,
425
00:25:08.240 --> 00:25:13.119
Like if if like going back have like a fifty
426
00:25:13.160 --> 00:25:15.200
to fifty chance at flare up, but flare up just
427
00:25:15.240 --> 00:25:17.200
meaning the new will be swollen for like a day
428
00:25:17.279 --> 00:25:21.359
or two, that's something we can't take. I'm like, even
429
00:25:21.440 --> 00:25:23.400
with like pretty high chance flare up, it was like, dude,
430
00:25:23.440 --> 00:25:27.559
try it out. But there are cases where you go,
431
00:25:27.680 --> 00:25:31.160
especially return to lifestyle, there's like you know, ninety ten percent,
432
00:25:31.200 --> 00:25:33.359
there's not only ten percent chance something bad happened. But
433
00:25:33.440 --> 00:25:36.920
if something bad happened, it's gonna be something catastrophical, and
434
00:25:36.960 --> 00:25:39.200
it's like, you know, I won't let you know that.
435
00:25:39.279 --> 00:25:45.880
It's people are gonna end up making decisions differently even
436
00:25:45.920 --> 00:25:49.240
with the same information, same risk. But I find it
437
00:25:49.400 --> 00:25:53.200
just like if I just make my make my point educating,
438
00:25:53.200 --> 00:25:57.079
it's like a it's like what is a you know,
439
00:25:57.119 --> 00:25:59.920
what is a chance something actually goes souths and would
440
00:26:00.200 --> 00:26:03.759
solves actually look like those two piece of information get together,
441
00:26:04.319 --> 00:26:07.079
they typically would have a pretty good understanding. It's like
442
00:26:07.319 --> 00:26:09.200
if I really don't want them to like go back,
443
00:26:09.799 --> 00:26:12.799
why is that? Or like if they don't feel comfortable
444
00:26:12.880 --> 00:26:16.079
sometimes I like, I like, do try it out? And
445
00:26:16.200 --> 00:26:18.599
why is that? I feel that's like an easy way
446
00:26:18.640 --> 00:26:23.039
that eye counters like I feel comfortable being a PT
447
00:26:23.240 --> 00:26:27.160
and being like a peer, and that people actually have
448
00:26:27.319 --> 00:26:30.200
pretty good, pretty good understanding to it.
449
00:26:31.000 --> 00:26:33.559
Yeah, that's a great framework. I think it definitely applies
450
00:26:33.559 --> 00:26:37.079
to a lot of places, especially sports, especially like you said,
451
00:26:37.119 --> 00:26:38.960
just return to lifestyle. I think it does a good
452
00:26:39.039 --> 00:26:43.160
job of of really highlighting and making it pretty pretty
453
00:26:43.160 --> 00:26:46.079
easy for the PT to follow and educate on on
454
00:26:46.319 --> 00:26:49.599
like hey, this is this is the worst case scenario
455
00:26:49.759 --> 00:26:52.559
if you did X, Y and Z and then yeah,
456
00:26:52.799 --> 00:26:56.559
well we'll treat you. Treat you because at the end
457
00:26:56.559 --> 00:26:57.680
of the day, I'm not going to be there hole
458
00:26:57.720 --> 00:26:59.000
in your hand. You're going to be the one making
459
00:26:59.000 --> 00:27:01.680
the decision. And and that's the beauty of our field.
460
00:27:01.680 --> 00:27:03.200
As we got to roll with the punches, just like
461
00:27:03.240 --> 00:27:05.119
a combat athlete does.
462
00:27:06.119 --> 00:27:09.079
Yeah, I know, you know, it's a long day for you.
463
00:27:09.160 --> 00:27:11.480
Just like this lot thought in my head, like I
464
00:27:11.759 --> 00:27:15.960
turned a girl a vulnable player back to like back
465
00:27:16.039 --> 00:27:20.680
to court on like six months was like a quad
466
00:27:20.799 --> 00:27:24.160
on a little bit over to Newton meter per kilo
467
00:27:24.200 --> 00:27:27.200
grim like you know in any book, right you'll be like,
468
00:27:27.240 --> 00:27:30.359
don't do that, Like that's that's not smart. Well, it's
469
00:27:30.440 --> 00:27:32.799
like you know the when you put all the like
470
00:27:32.839 --> 00:27:36.720
the personal constraint and you're like, okay, we're talking about
471
00:27:36.720 --> 00:27:40.079
like this, you know, high school girl senior year not
472
00:27:40.160 --> 00:27:44.079
being able to play super depressed team captain. She's a
473
00:27:44.200 --> 00:27:47.599
setter and can like kind of just kind of said
474
00:27:49.079 --> 00:27:52.400
I kind of just pull back, And there's like so
475
00:27:52.480 --> 00:27:56.079
many things like considerings like okay, there there's actually a
476
00:27:56.079 --> 00:27:58.200
pretty solid case for me to make to say, like
477
00:27:58.279 --> 00:28:00.839
if we play our cards right, really limited a couple
478
00:28:01.000 --> 00:28:04.000
couple of things to do on court, like you can't
479
00:28:04.000 --> 00:28:07.000
go back with like half a quad and it's like
480
00:28:07.440 --> 00:28:10.039
safe for you. But I wouldn't recommend this to literally
481
00:28:10.079 --> 00:28:13.200
any any anyone else. And I feel like I just
482
00:28:13.279 --> 00:28:16.000
make a lot more of those decisions in fighting because
483
00:28:16.000 --> 00:28:17.319
the other sports you tell them it is like no,
484
00:28:17.400 --> 00:28:19.559
they're like pretty good out knowing fighting somebody is really
485
00:28:19.599 --> 00:28:23.039
like you make a like when it matters a lot
486
00:28:23.079 --> 00:28:25.640
for them, Like there's quite a little bit like a
487
00:28:25.680 --> 00:28:29.279
mental gymnastic of trying to make things happen.
488
00:28:30.039 --> 00:28:31.720
Well, awesome, man, thank you very much for your time.
489
00:28:31.759 --> 00:28:33.759
I think that was a great, great conversation.
490
00:28:34.920 --> 00:28:37.319
All right, thank you so much. Thank you for reaching out.
491
00:28:37.319 --> 00:28:39.480
This is really fun, of course, man, keep killing it.