Home Posts tagged "Foam Roller" (Page 2)

Groin Strain? Get Manual Therapy.

If you've had a groin strain (or adductor strain, for the anatomy geeks like me in the crowd) - or would like to prevent one in the first place - read on. Those of you who check out this website regularly probably already know that I'm a huge advocate of good manual therapy - especially disciplines like Graston and Active Release.  One area where we constantly see athletes really "gritty" is the hip adductors (groin muscles) - and it's one reason why we see so many groin strains in the general population.  Note that treatments DON'T have to be this aggressive to yield favorable outcomes; it's just an extreme example of someone with a pale skin tone that makes it even more prominent:

Soccer and hockey players really overuse the adductors during the kicking motion and skating stride, respectively.  And, even outside athletic populations, you'll see a lot of people who don't activate the gluteus maximum well as a hip extension - so you have the adductor magnus taking over to help out with this important task.  The only problem is that the adductor magnus internally rotates and adducts the hip, whereas the glute max externally rotates and abducts the hip.  Movements get altered, one muscle gets overworked and all fibrotic, and the next thing you know you've got a nasty "tweak" just south of the frank and beans (or female equivalent). Really, that's not the issue, though.  Nobody is denying that groin strains occur - but there are different treatment approaches to dealing with this issue on the rehabilitation side of things.  Some professionals use manual therapy during their treatments, while others don't.  Can you guess which school of thought gets my backing? Well, it turns out that the "include manual therapy" side of the argument gets the backing of Weir et al in light of some new research they just published.  These researchers found that athletes with groin strains returned to sports 4.5 weeks sooner when they received manual therapy plus stretching and a return to running program as compared to an exercise therapy and return to running program only.  It took the average time lost down from 17.3 weeks to 12.8 weeks in those with good long-term outcomes! For a bit more information on the manual therapy discipline utilized in this particular study, check out this abstract. Need a quick tutorial on how to come back from a groin strain? 1. Find a good physical therapist who does manual therapy. 2. Listen to and do everything he/she says. 3. If anything hurts in the gym, don't do it.  In most cases, deadlifting variations are okay, but single-leg work will really exacerbate the pain.  Squatting is usually a problem at first, and then gets better over time.  It really depends on which of the adductors you strained. 4. When you are cleared for return to full function, keep hammering on glute activation and hip mobility as outlined in Assess & Correct.

5. Make sure you're continuing to foam roll the area and getting the occasional treatment on them with that same manual therapy you had during your rehabilitation.  Here's a great self myofascial release option with the foam roller:

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Assess and Correct Now Available!

Today's a really exciting day for Mike Robertson, Bill Hartman, and I - and hopefully for you, too! You see, after months of planning, filming, and editing, our new product, Assess and Correct, is now available at www.AssessAndCorrect.com.  And, for the first week ONLY, we're making the product available for $30 off what will be the normal retail price.

Layout 1 Assess and Correct is the first resource that empowers you with not only a series of self-assessments to identify your own flexibility and stability limitations, but also exercise progressions to correct those inefficiencies.  In the process, you'll take your athletic performance to all new levels and prevent injuries from creeping up on you - whether you're a high-level athlete or someone who sits at a desk too much. With 27 self-assessments and 78 corresponding exercises, you'll cover virtually everything you need to feel and perform well. And, you'll have plenty of variety to use for many years to come!  And, while the DVDs alone are really comprehensive, the bonuses we've added to this really sweeten the deal.  Included in this package are:

  • DVD #1: Your Comprehensive Guide to Self-Assessment
  • DVD #2: Your Individualized Corrective Exercise Progressions
  • Bonus #1: The Assess and Correct Assessment E-Manual, which is a guide to which you can refer to in conjunction with DVD #1.
  • Bonus #2: The Assess and Correct E-Manual, which includes written cues and photos for each recommended drill in DVD #2 so that you'll have a resource you can take to the gym with you.
  • Bonus #3: "The Great Eight Static Stretches" E-Manual, which shows you eight additional flexibility drills that we use on a regular basis in addition to the drills featured in the DVDs.
  • Bonus #4: The "Optimal Self Myofascial Release" E-Manual, which shows you the soft tissue methods and techniques we use with our clients and athletes.
  • Bonus #5: "Warm-ups for Every Body" E-Manual, which is a collection of two sample warm-up templates for 19 different sports/scenarios.
Again, this introductory offer will end next Sunday, November 1 at midnight EST.  For now, though, I'd encourage you to head over to www.AssessAndCorrect.com to check out some of the sample videos from the DVDs - including the introduction in which we discuss our rationale for creating the product.
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Random Friday Thoughts: 5/8/09

1. It's going to be a quick one this week, as I'm doing some last minute preparations for this weekend's Perform Better Summit in Providence, RI.  To all the poor abandoned souls who count on my blog for companionship each Friday, I apologize for not giving our relationship the tender romance it deserves this week. 2. Congratulations to Cressey Performance athlete and Auburn High pitcher Tyler Beede, who threw a no-hitter on Wednesday.  Tyler struck out 15 in his complete game performance. 3. I contributed on the fourth installment of Mythbusters at T-Nation this week.  It also includes contributions from Chad Waterbury, Tony Gentilcore, and Christian Thibaudeau.  Noticeably absent from this esteemed crew of contributors is Mr. Celery - so I thought I'd give him some love.

4. For the foam rolling aficionados in the crowd, here's a great variation to use for those hard-to-reach grundle adductor region.  Thanks to Tony Gentilcore for the video:

This is a really important one for those of you in the crowd with a history of groin strains and sports hernias.  Hockey players, soccer players, and powerlifters should commit this one to memory.

5. It's official: Mike Robertson, Bill Hartman, and I are filming a new DVD on June 7th.  Lots to prepare before then!

Have a great weekend!

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Random Monday Thoughts: 3/2/09

1. There were no Random Friday Thoughts last week, as my girlfriend and I were in Fort Lauderdale for a quick 3-day "the guys are off to spring training, so Eric is going to regain his sanity" vacation.  As you read this, I'll have just returned to Boston (Sunday night), refreshed and ready to go for the last three weeks before the high school baseball season starts. 2. With almost all the guys done for the off-season, I figured that this was as good a time as any to send out some spring training well wishes to all the Cressey Performance pro baseball guys:
  1. Chad Rodgers (Braves)
  2. Will Inman (Padres)
  3. Tim Collins (Blue Jays)
  4. Tim Stronach (Mets)
  5. Shawn Haviland (A's)
  6. Nate Nelson (Blue Jays)
  7. Steffan Wilson (Brewers)
  8. Steve Hammond (Giants)
  9. CJ Retherford (White Sox)
  10. PJ Zocchi (Indians)
  11. Matt Morizio (Royals)
  12. Ryan Reid (Rays)
  13. Matt Kramer (Braves)
  14. Dave Wasylak (Nationals)
  15. Jason Lavorgna (free agent)
  16. Matt Cooney (free agent)
  17. Chris Gusha (free agent)
Good luck this season, fellas.  Thanks for all your hard work. 3. I often get asked what we do with folks who can't go right to foam rolling with the Foam Roller Plus (a more diesel version that is just foam on top of PVC).

foam-roller-plus

In these folks, we usually start them with a foam-only roller - and ideally one that has been "broken in."

1roller

Another option that Cressey Performance has pioneered is suited up in catcher's gear before rolling.  Safety first, folks.

4. Just wanted to give you a quick heads-up on an upcoming seminar (4/17-4/19) in Central Virginia with an outstanding line-up of speakers.  I'm bummed that I can't make it, but you should definitely check this out if you're in the area: Central Virginia Performance Seminar They have limited the event to 75 attendees, so be sure to register sooner than later. 5. My girlfriend had the Oscars on last weekend, and I couldn't help but wonder who the heck this guy is and what he did to Ferris Bueller!

broderick

Have a great weekend!

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The Cressey Performance Foam Roller Series

I've had a few questions about specifically what we do with the foam roller with our athletes, so figured I'd just video it for you with a voice-over. You can pick up a Foam Roller Plus like this at Perform Better. Sign up for our FREE Newsletter today and and receive this deadlift technique video!
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Frequency Deloading

Q: I recently purchased your e-book, The Art of the Deload, and really enjoyed it. You did a great job of outlining several different methods that I plan on using in the months to come. I did have one follow-up question on the "Exercise Reduction Week" deloading approach. You talked about making some modifications to go from four days per week to three days per week during the deloading period. Are there certain people for whom this work would better than others? A: Great question - and the answer is ABSOLUTELY! I like the frequency reduction deloading strategy for athletes in particular. Many of them already have a lot of training going on with lifting, conditioning, movement training, tactical work, and sport practice. Simply dropping volume of these sessions doesn't really "deload" their hectic schedules. Many of them would rather go to 2-3 full sessions per week than they would keep the four and do less volume in each appearance. However, for the ordinary weekend warrior for whom lifting is the only form of exercise he gets, I think the frequency is valuable. It favorably affects the endocrine, cardiovascular, and immune systems. Additionally, each time that lifter goes to the gym, it's a chance to do some mobility, activation, and foam roller work that can help to keep him healthy long-term. So, to recap, if you're a busy athlete, you can reduce your frequency. If you're lifting as your only form of exercise, keep the frequency up. Learn more about The Art of the Deload.
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Newsletter #6

Product Review: The Vertical Jump Development Bible by Kelly Baggett

It’s not often that I come across a product that really blows me away to the point of me not only saying “wow,” but also calling the author and complimenting him personally.  There aren’t many Kelly Baggetts in the world, though.

Kelly and I have both worked with a ton of high-level athletes, and I literally found myself nodding in approval with every paragraph I encountered in this book.  Simply put, Kelly is one of the few people in this industry who really “gets it;” he put into words so many things that go through my mind all the time.  This book won’t just teach you about improving an athlete’s vertical jump; it’ll teach you about improving an athlete period.  I’ve used the principles outlined in the book with athletes myself, and they’re tremendously effective and, just as importantly, related in a context that’s understandable for experienced coaches and novice lifters alike.  This book is more than just the “what;” it’s the why, how, when, and who as well.  If you work with athletes or are an athlete yourself, you need to pick up The Vertical Jump Development Bible.

If you need any further proof that Kelly has my highest endorsement, consider that he and I are actually co-authoring an e-book right now as well.  I’m about as picky as they come when it comes to joint ventures; I wouldn’t be pursuing this book if Kelly wasn’t the real deal.  Definitely check his stuff out.

Newsletter Subscriber-only Exclusive Q&A

The Q&A I did in last week’s newsletter was very well received, so I’ll be doing this more frequently.  Last week, I received a great question from an accomplished golfer from whom I am an online consultant, and it sparked a good ol’ fashioned Cressey tangent with plenty of rambling.  Hopefully, there will be something for everyone.

Q:

Having been lucky enough to spend time around some of the world’s best golfers (both pros and amateurs) over the years, the one question that comes up about conditioning for golf is “What gives you the biggest carryover to improving your performance?”  Over the years, I have talked to and asked many strength and performance specialist coaches and have gotten very different answers to what gives maximum results.  One well-known “guru” who has written a book on golf conditioning insists that because golf is a rotational movement, the best way to improve is to bang out lots of rotational movements.  I followed this with a trainer I had until he went and spent time with another world-renowned coach who told him that through his research with hundreds of athletes from multiple sports that rotational movements don’t carry over to rotational events.  I emailed this coach to ask about this and also what part Olympic lifts had for golf and he told me the carryover was not too good and that strong lats and a well integrated shoulder unit is what is required.  But then, to put another slant on this, a prominent Olympic lifting coach told me to snatch and clean, which made me curious to keep finding answers.

Now that I’m training with your programming, you have opened my eyes to a very complete way of training making sure to cure imbalances and develop all strength qualities as well as all factors of dynamic flexibility.  I am now convinced that this is the way to get max results when training for any sport and specializing is not the answer.  I hope you don’t mind me asking you about this, but what your opinions on so-called “sport-specific training?”

A:

Without going any further, the big answer will always be "biomechanically correct efficiency."  You can't have health and performance without it.  Teach the body to move efficiently, and you'll keep it healthy and performing at a high-level indefinitely.  My number one responsibility as a performance enhancement coach is to keep you healthy; you can’t perform if you’re injured.  If you’re inefficient, you’re asking for injury, so that needs to be addressed first and foremost.

However, that’s not to say that corrective training has to follow the lines of the foo-foo garbage so many personal trainers are promoting nowadays.  In fact, I’m speaking on “hardcore corrective training” at the Syracuse Strength Spectacular, and Mike Robertson and I will touch on the subject in great detail at our Building the Efficient Athlete seminar on July 22-23 in New York City.  Just because someone is a little out of kilter doesn’t mean that you have to treat him like he’s a geriatric hip replacement patient.  Here’s a quick example:

Let’s say that a right-handed golfer comes to me with an extension-rotation syndrome (very common) that’s giving him some left lower back pain.  I check him out and find that he’s got a super-tight right iliotibial band – tensor fascia latae complex, and his right rectus femoris is equally knotted up.  My knowledge of functional anatomy tells me that two of his hip flexors on that side are working crazy overtime, so there is a good chance that the psoas major (the only hip flexor active above 90-degrees of hip flexion – a range of motion that most people don’t encounter enough) might not be doing its job.  I test it, and there’s a deficit.  I know that the psoas major doesn’t just flex the femur; it also has the ability to rotate the lumbar spine.  If the right psoas is not firing, it’s not acting in rotation to counteract the rotational pull of the left psoas major.  Essentially, its stiffness relative to the opposite side is insufficient.  So, there’s my rotation.

I also know that the psoas major can pull the lumbar vertebrae anteriorly, so that can contribute to my extension problem.  Likewise, when I factor in the tightness and adhesions in the rectus femoris and TFL, it’s pretty clear that the pelvis is going to be anteriorly tilted (and rotated, most likely) and the gluteus maximus isn’t going to be firing due to reciprocal inhibition.  As such, the individual isn’t going to be able to get full hip extension – so he’ll have to hyperextend his lumbar spine to compensate for a lack of hip extension range of motion.  Likewise, with the overactive TFL, I can guarantee that his gluteus medius on that side isn’t going to be doing its job, so the hip will likely slip into adduction (think of the hip fallout you see in a newbie squatting).

This is really just a small piece of the puzzle in terms of what’s going on, as you’re going to have compensations up and down the entire the kinetic chain.  A knee could have gone first, or the individual might actually develop shoulder pain secondary to this lumbo-pelvis misalignment.  How do we treat it?  Well, definitely not with leg extensions, a little stationary cycling, and some unstable surface balancing!  Here’s what I’m going to do:

1. Really get after the TFL, rectus femoris, quadriceps, and adductors with a foam roller, “The Stick” and, if possible, Active Release®.

2. Static stretch the TFL and rectus femoris.

3. Do some activation work for the psoas major, gluteus medius, and gluteus maximus.

4. Progress to tightly supervised bodyweight-only mobility drills that don’t allow faulty compensation patterns.

5. Use a combination of bilateral and unilateral movements done CORRECTLY to teach proper initiation of the posterior chain.  In other words, I might do a rack pull or pull-through where I teach the individual to fire the glutes and pop the hips through at lockout instead of simply leaning back.  Controlled eccentrics and isometrics holds can be fantastic here.

6. We’re going to start with pure stabilization work for the lumbar spine, and over time, we’ll start to progress to rotational movements once I see that he can get the rotation in the right places.

7. I’ll discuss with the individual what can be done to avoid reinforcing this movement pattern in his daily life.  Maybe he’s always reaching to one side to answer the phone.  Or, more likely, he’s getting too much rotation at his spine with his golf swing because his hip rotators are too tight.

All this said, without a doubt, the single-most important thing I’m going to do with this golfer is continue to treat him like an athlete.  I’ll give him challenges and test him just as I would a healthy athlete – just in a more controlled environment and with slightly modified exercises.  None of that sissy crap needed; it’s just going to make him so soft that training him once he’s healthy (if he ever does get healthy with that garbage) will be like pulling teeth.

Anyway, the take-home message is that you have to understand functional anatomy first and foremost.  Otherwise, you have no place telling people that you’re using “functional training” – especially if you don’t even know the true origins of the term.  I’ll step off my soapbox and get to your questions now…

I think the rotational idea has merit, but the fundamental problem with this is that most people get rotation in all the wrong places.  If you're getting lumbar rotation, you're on the fast track to lower back pain.  Get it at your hips, thoracic spine, and scapulae, though, and you'll be in a good position.  In this regard, one needs to learn to stabilize the lumbar spine (think “Super Stiffness,” as per Stuart McGill) and mobilize the hips, thoracic spine, and shoulder girdle.  That's what you've been doing, and it's paying dividends.  If I just send Average Joe out to train rotation all day, he'd be booking an appointment with his orthopedic back specialist in a matter of weeks (it's the same reason that so many golfers have back pain...remember extension-rotation syndrome secondary to tight hip lateral rotators and hip flexors?)

Let’s just say that I would love to see the peer-reviewed journal in which that “extensive research” was published; lats are important, no doubt, but still somewhat of a stretch as “most” important.  My experience tells me that they're most valuable in sports where you're actually hitting the ground with your swing (e.g. hockey), but not as important as rotational power in the golfing motion.  The effective shoulder model is definitely important, though, so he’s on track in that regard.  You need a perfect balance of stability and mobility for optimal health and performance.

As far as the snatch and clean recommendations are concerned, go to an Olympic lifter, and he's going to tell you to Olympic lift, you know?  Olympic lifting has merits, but two lifts aren't a magic bullet.  The reason this coach’s ideas are valuable is because he made you realize that the value of simplicity is highly overlooked.  However, if you've got imbalances like most golfers do, doing two compound lifts is just going to reinforce those imbalances.

I'm a firm believer in what Vladimir Zatsiorsky termed delayed transmutation (of nonspecific motor potential into sport performance results); it's defined as "the time period needed to transform acquired motor potential into athletic performance."  Basically, this holds that you build an athletic up in a general sense, and then he takes those general qualities and adapts them to his specific sport.  You can think of the training as "generally specific.”

With your program, I'm not tinkering with your golf swing directly, but I'm tinkering with your neuromuscular system, which governs that golf swing.  If it moves efficiently (via constant ingraining of those activation and mobility patterns), you're going to integrate that efficiency into your golf swing without even knowing it.  It's the same reason I can make someone run faster without actually making him run.  Would you believe that in biomechanics lab analysis, the best golfers swing 50% as hard as their poorly performing counterparts?  As long as they've got efficiency and ROM, they can get the job done without overswinging - which also throws things off because transfer of energy through the core is out of whack.

We train mobility where we need that, and stability where we need that.

We train power at all points along the speed-strength continuum for obvious reasons.

We train maximal strength because it can have a ceiling effect on power, especially in naturally reactive individuals.

We do rep work to iron out imbalances and attend to your "aside" goal of being more solid.  As long as you don't put on so much muscle mass that you lose ROM, we're golden.

We do low-intensity recovery work to allow you to bounce back and training again sooner and at a higher level of strength and speed.  Plus, it helps to repeat mobility and activation work on a daily basis.

What we will NEVER do is have you mimic the golf swing under loaded conditions or while standing on an unstable surface.  Crap like this is what makes so many modern "sport-specific" and "functional" training programs so useless.  From my thesis defense presentation:

“Willardson (2004) observed that two problems arise when one attempts to mimic sports skills while on an unstable surface.

1) The individual may actually be mastering two separate motor patterns, as “the underlying neuromuscular recruitment patterns and proprioceptive feedback may be completely different” for the two exercises.

2) The incorporation of unfamiliar entities to a pre-existing neuromuscular recruitment pattern for a given activity may negatively impact performance of that skill.”

So, basically, trying too hard to mimic the golf swing will screw up your golf swing, but enhance your performance in this new environment.  If you want to add ten pounds to your clubs or play in the middle of an earthquake, you’ll be more than prepared.  Otherwise, I’d stick to “general specificity.”

Hopefully, all this makes sense.  I tend to ramble sometimes…

That’s all for this week; stay tuned for some great announcements and new material very shortly.  Have a great week!

EC

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Foam Rolling and Knee Clicking

Q: A PT recommended me to do foam rolling on the IT band for the clicking sound on my knee. I've been rolling for quite some time but the clicking hasn't gone yet. I read your article on the subject at T-Nation and figured you’d be a good person to ask.

Anyway, I have a question. A trainer on an online forum advised against rolling on painful areas. Instead, we should just put pressure on that area for 30 secs. Rolling would just make the tissues tighter. Is this true?

A: As always, the answer is: it depends. Pain tolerance is an individual thing. If you just have some minor discomfort – not a shooting pain or something that would lead you to believe that there are other issues at hand, it’s fine to work through it. If, however, the pain is so intense that you find yourself guarding, then you’re likely working against yourself.

The problem is that foam rolling alone won't fix the issues entirely; it just works on tissue quality (treating the symptoms). You likely need to look at ankle and hip mobility, glute activation, and soft tissue quality at several other joints. Footwear can be an issue, and the same can be said of activities of daily living and the rest of your training program.

Mike Robertson’s Bulletproof Knees Manual would be an excellent resource for you to pick up for more information.
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Advice for Sore Knees

Q: What advice do you have for sore knees? It might be from over use, squats, dead lifts, cardio, but I'm sure joggers run into this all the time. Do you cover it in you Mobility DVD? A: "Knee issues" is a very broad topic. You can have dysfunction at the ankle, hip, or knee itself - and that's just the tip of the iceberg. We most commonly see issues at the ankle, hip, or both, though. It could be mobility deficits, soft tissue restrictions, capsular issues, or even congenital issues (femoral-acetabular impingement, for instance). Issues like you describe can simply be a result of imbalanced training programs, too. Most people tend to be very quad dominant and do a lot more squatting work than hip-dominant exercises. With Magnificent Mobility, we've definitely had some excellent results in people with nagging knee issues. However, given that you have more of a "amorphous" issue, you'd be better off picking up a copy of Mike Robertson's Bulletproof Knees Manual. Mike goes into great depth on knee issues, their causes, and solutions - all while educating the reader in an easy-to-understand manner. Eric Cressey
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Enhancing Elite Runners

Q: I recently had an 'elite' runner come through the clinic where I work. I won't get into his injuries but he is jacked up. He does absolutely no strength, flexibility, or mobility work. His warm up consists of jogging about 5 minutes. I'm sure this is a familiar scenario. My question is before you created such an outstanding reputation as a strength/rehab/corrective coach, how did you get athletes to buy in to what you are telling them? It appears that my sales pitch is lacking. Do you have any tips/attention getters that you find useful when dealing with know it all but know nothing athletes? I know you are extremely busy, any advice would be helpful. A: Sell him on the easy stuff, first. Hop on a foam roller and show him that you're pain free, and then stick him on one and let him appreciate how much it hurts on his TFL/ITB. Do the same with a lacrosse ball on his butt and calves. That shows the soft tissue differences between the two of you. Start simple instead of trying to overhaul everything. Give him some supine bridges, birddogs, and a few more mobility exercises to improve hip rotation and extension. Next, add in some lifting and swap a distance session for a sprint session. Sit down with him and talk footwear as well. Runners love to buy new sneakers. Win him over bit by bit. Eric Cressey
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