Injuries are funny. The narrative that gets spun around injuries that people don’t really understand…Right now, the common paradigm built around injuries…”An injury is applied force greater that tissue tolerance.”
That could be a laceration. If you get stabbed, the applied force of the knife was greater than the tissue tolerance of the skin. That’s getting stabbed. Applied force greater than tissue tolerance is how a lot of PTs and rehab and not licensed [inaudible 24:18] , whatever the fucks, are addressing injuries. “
All we’re going to do is we’re going to do load management, and then we’re going to do tempo work and isolation and all this stuff.” Can someone please ask the question of why we’re applying so much force to this particular area to begin with?
That’s when you start to ask biomechanical questions. That’s when you start to ask sophisticated questions and go, “OK, obviously we’re overloading that knee extensor moment and there’s too much knee flexion extension going through the quad.”
Would you have scathed on that if you were doing low bar and chucks or something like that, rather than your [inaudible 24:56] Olympic background higher front in heels?
Right now, there has to be a shift, or at least the other side of the equation. I know a lot of people who low bar squat and heels have torn their quad. I tore part of my right VMO. Half of my quad doing a three by three of 300 kilos. Not fun. Other than torn pack, it’s the worst pain ever.
It’s more proof of concept to me that the dysfunction likely wasn’t through the sagittal plane. It wasn’t through flexion extension. It was the convergence or maybe the cumulation of dysfunction through all three planes of movement. Frontal, transverse, sagittal, or X, Y, and Z, or however you want to look at it, getting funneled only through flexion extension.
What’s going to extend the knee? Quad. Applied force. It has nothing to do with the tissue tolerance of the quad. I could load up any fucking leg extension in the city of New York right now. We could both go and both top it out. The tissue tolerance of the quad is not on trial.
When people are doing rehab with these isometrics and they’re just going light, light, light, then heavier, heavier, heavier…Hold on a sec. That grim reaper of applied force is going to be somewhere at a number now.
It might be greater, because we’re worrying about the tissue tolerance, but if we’re not worrying about…Why did the other quad tear? There’s obviously a convergence of applied force going through this particular tissue for some reason.
No, you go ahead. You do your isometrics. You go do your nihilistic rehab crap where all you’re doing is attenuating load and just worrying about scaling exercise selection. You go ahead. You let me know what happens.
Because that quad’s going to reflect…It might be a bigger number, because the tissues are more tolerant, but you’re going to load that convergence. All they do is look at the physics of it. Physics and biomechanics are two separate fields. Our body, it’s like lightning. It’s a path of least resistance.
Look at a picture of a neuron and look at a picture of a lightning bolt hitting something. Tell me there’s literally any difference at all. Our body transmits force the same way lightning transmits force.
Every time I see some sagittal fucking plane squat analysis, “My angle of my hip is here because my femurs are so long so my chest has to be kind of on my knees.” It’s like, “Right. Then where in this equation are you herniating three discs in your lower back?”
We don’t factor in where stability exists through that rotational plane, because we’re just looking at two fucking dimensions in the sagittal plane. It doesn’t make any sense. That’s where biomechanics lives. That’s where stability lives.
Look at the fiber orientation of your rotator cuff. Look at the fiber orientation of your transverse abdominals. Look at the fiber orientation of your [inaudible 27:20] . Everything that stabilizes your body goes around the rotational plane.
It’s a one place we don’t look. That’s the side of the equation that’s going to indicate where force starts to go. Tissue tolerance is almost a moot point. [exhales] It makes me so mad. So mad.