Recovery/Mobility/Prehab/Rehab

Just would like to add in a few things for some people here.

Kelly Staretts books to read:
Becoming a supple leopard (everyone who's serious about lifting heavy weight should read this)
Desk bound (if you have a physical job you can skip this one but if you're an accountant or sitting all day it's a must)
Ready to run (it really helps with lower body mechanics, so don't think running think better squat mobility)

A pretty good lower body warm up system is the limber 11 outlined here:
Limber 11: The Only Lower-Body Warm-Up You'll Ever Need!

For upper body you can use the simple 6 outlined here:
http://www.leanbodiesconsulting.com/joe-defrancos-simple-six-upper-body-warm-up/

I recommend always having some form of stretching goal, just like wanting to hit a 5lb PR short term and hitting a 600lb deadlift long term you're stretching goals should have both long and short term goals to keep you consistent. Ex: be able to touch my toes with flat back no rounding in the lumbar for short term, being able to sit in the splits without discomfort for long term. For upper body I always go off of how close I can get my hands together on a PVC pipe while doing shoulder dislocations.
 
Interesting article about trigger points. It was suggested to me today to read this article and look into getting the books. I might just use my GI Bill to get certified in this area.

Trigger Point 101
 
Powerdot, expensive as hell but hands down the best purchase I’ve ever made for sports reasons. I’d rather this then any piece of equipment except maybe my graston tool from sidekicktool just because that was 40 bucks and made a massive difference in my ability to recover as well and fix issues. The powerdot is an at home tense machine that has the most comprehensive app it has workout programs for the stimulation or recovery or even potential programs which I’m super pumped to try, basically preps your muscles for huge recruitment so you can fire more fibres during a heavy lift
 
I'm an MMA guy, so I'm always getting bent and twisted. And I've also recovered from a broken back. One of my absolute favorite things to do that is not only amazing for recovery, but also extraordinarily good at seemingly triggering endorphins.

How?
Bridging.

Specifically, bridging by using a swiss ball. I'll find something to watch on YouTube that's about 12-15 minutes long, and just get in that bridge position on the ball; then roll off. And at that roll off, not only does your back feel amazing, but so does your entire torso; you'll feel stretched, and very very good because it seems to release endorphins.

It's easy to roll into bed after this.
 
Found this on *edit, Loadedlifting* and as I have been having tendon issues thought it was a good read and made some sense.


Why your shoulders, elbows and everything else hurts (and 5 Tips to stop it)

0 comments / Posted on July 05, 2019 by Andrew Jansen





Powerlifting and strength sports have a close relationship with injuries and pain management. If you have been lifting for some time, you have had a sore joint, and a fear that pain will never go away.

So why do your joints hurt? Here are some obvious things:

  1. Muscles grow faster than tendons
  2. What is optimal for muscular growth is not optimal for tendon regeneration
  3. What is optimal for tendon regeneration, is not optimal for muscular growth
If you have a program that is based around strength, it will largely cater to increased muscular growth and increase neural recruitment. It would be doubtful you have a program based around tendon strength.



WHY GO STRAIGHT TO TENDONS? HOW DO WE KNOW THAT’S THE ISSUE?
Because it’s the most common overuse or repetitive use injury. The nature of powerlifting is three lift specific, so your movements are repetitive (leaning toward overuse).

ALL force goes through our tendons. Tendons connect muscles to bone. All force goes into tendons as well. So if you jump, when you hit the stretch at the bottom of the loading phase, you stretch the tendon, then muscular force goes through the tendon (you land, and your poor tendon gets smashed again).

Tendons are built to be robust, but we are not programming to optimise tendon regeneration.

20181114-DSC_0307_large.jpg


ANATOMY AND TENDON BASICS
  1. Tendons are mostly collagen (similar to ligaments and fascia)
  2. Ligaments connect bone to bone
  3. Fascia connect muscle to muscle
  4. Tendons connect muscle to bone
  5. All force goes through tendons (muscular force)
  6. Tendons have elastic properties
download_large.png




HAPPY AND SAD TENDONS
Happy tendons are a series of parallel collagen fibrils. They are all chilling, together, and able to take muscular force. The opposite to happy tendons is ‘tendinopathy’, which means a bunch of micro-tears in the formerly happy collagen fibrils. Sad tendons.

A sad tendon is when ‘degradation exceeds regeneration’. Basically, you are messing up your tendon with repeated efforts before it can heal. Once that area is inflamed, its generally called tendonitis.

Tendonitis is part of the process. Tendon degradation, repair, and at times, inflammation is all part of the circle of life. The issue is when this becomes chronic, or when the repair is sub-optimal.



SAD TENDONS ARE COMPLEX BEASTS
If left alone without stress, collagen fibrils don’t heal all nice a parallel as they started. They may take longer to heal without any stress at all.

If you overtrain the tendon, then you get MORE degradation that further outweighs the regeneration.

So, the key is enough input, but less than the regeneration process. Complex and needy those tendons.



THE TOP 5 TIPS TO AVOID PAIN (THANKS TO TOM AT SWITCH)
  1. Load management – adjust down until your pain subsides. This includes lower volume, or lower weight or lower frequency)
  2. Movement management – overuse injuries are caused by specific sequences. Move to high bar, widen your grip on deads, close your hands slightly on bench, minor incline or decline
  3. Strengthen the problem area (more below)
  4. Avoid rubbing the tendon. Tendons can get sore when they get overly compressed against bony prominences around the joint. Rubbing the tendon can cause further inflammation
  5. Use over the counter pain medication if needed (there is no science that says this slow anything down)


BUT I DON’T WANT TO GET WEAK (OR INJURED IN THE FIRST PLACE)
Tendons rely on adaption. More of less. More frequency, less overloading. Large acute spikes of load are what creates chronic issues.

Just because you decide you should bump you bench volume by 30%, doesn’t mean your elbows agree. This is especially true if you dump all the volume in one or two days.

Tendons (especially in rehab) respond to eccentric loading (the negative), which we love to ignore in powerlifting.

HERE ARE 5 TIPS TO REDUCE YOUR FUTURE TENDONITIS
  1. Slow negatives on accessories, like 5 seconds (you will notice your joints thank you in days)
  2. Stress your tendons from multiple angles. This does mean you should do curls and some tricep work. Do some lunges. Do a leg press. Multiple angels, slow negatives.
  3. The rotator cuff is a group of muscles and tendons that surround the shoulder joint, keeping the head of your upper arm bone firmly within the shallow socket of the shoulder. You need to load you rotator cuff from all angles, with slow negatives. Ignore this at your peril.
  4. Do some form of deadlift with a negative (even if you comp deads drop fast, put in RDLs as an accessory)
  5. Consider some level of kettlebell or club work, just because it will add stress/load but from multiple angels


PROGRAM OUT OF PAIN
For example (thanks again to Tom), if you had a rotator cuff issue that was expressed as tennis elbow or golf elbow (common for us benchers and low bar squatters)

If you this rotator cuff issue, you could

Stage 1

  1. Load up your rotator cuffs in isometrics
  2. Load with light load - I.e single arm kettlebell upright row into a overhead press
  3. Do wrist extension isometrics with a dumbbell to load areas in pain
Stage 2 (no pain)

  1. Ab roller to strengthen lats while rotator cuff under stress
  2. Upright rows into an overhead press with a kettlebell


WRAPPING UP
Lets put them in this into perspective. You can tell an acute injury – you messed up, something has snapped or stretched wrong. You feel in straight away. Tendonitis – literally means inflammation of a tendon, its what you feel the next day or dull pain into the night after training.

Tendon regeneration does not match muscular growth, and newbies and intermediates will become painfully aware of this if they don’t plan. Micro tears and trauma have ended a lot of PL careers before they even started.

Tendons adapt but require load. Those strands of collagen fibrils need weights or stress for adaption. Eccentric loading is an excellent tool to consider if you want long term gains.

Lastly, the more advanced you are, you need to differentiate between degeneration and inflammation. It's not likely you will get to a comp without some level of inflammation, but anything chronic, you may not get to the comp at all
 
Found this on *edit, Loadedlifting* and as I have been having tendon issues thought it was a good read and made some sense.


Why your shoulders, elbows and everything else hurts (and 5 Tips to stop it)

0 comments / Posted on July 05, 2019 by Andrew Jansen





Powerlifting and strength sports have a close relationship with injuries and pain management. If you have been lifting for some time, you have had a sore joint, and a fear that pain will never go away.

So why do your joints hurt? Here are some obvious things:

  1. Muscles grow faster than tendons
  2. What is optimal for muscular growth is not optimal for tendon regeneration
  3. What is optimal for tendon regeneration, is not optimal for muscular growth
If you have a program that is based around strength, it will largely cater to increased muscular growth and increase neural recruitment. It would be doubtful you have a program based around tendon strength.



WHY GO STRAIGHT TO TENDONS? HOW DO WE KNOW THAT’S THE ISSUE?
Because it’s the most common overuse or repetitive use injury. The nature of powerlifting is three lift specific, so your movements are repetitive (leaning toward overuse).

ALL force goes through our tendons. Tendons connect muscles to bone. All force goes into tendons as well. So if you jump, when you hit the stretch at the bottom of the loading phase, you stretch the tendon, then muscular force goes through the tendon (you land, and your poor tendon gets smashed again).

Tendons are built to be robust, but we are not programming to optimise tendon regeneration.

20181114-DSC_0307_large.jpg


ANATOMY AND TENDON BASICS
  1. Tendons are mostly collagen (similar to ligaments and fascia)
  2. Ligaments connect bone to bone
  3. Fascia connect muscle to muscle
  4. Tendons connect muscle to bone
  5. All force goes through tendons (muscular force)
  6. Tendons have elastic properties
download_large.png




HAPPY AND SAD TENDONS
Happy tendons are a series of parallel collagen fibrils. They are all chilling, together, and able to take muscular force. The opposite to happy tendons is ‘tendinopathy’, which means a bunch of micro-tears in the formerly happy collagen fibrils. Sad tendons.

A sad tendon is when ‘degradation exceeds regeneration’. Basically, you are messing up your tendon with repeated efforts before it can heal. Once that area is inflamed, its generally called tendonitis.

Tendonitis is part of the process. Tendon degradation, repair, and at times, inflammation is all part of the circle of life. The issue is when this becomes chronic, or when the repair is sub-optimal.



SAD TENDONS ARE COMPLEX BEASTS
If left alone without stress, collagen fibrils don’t heal all nice a parallel as they started. They may take longer to heal without any stress at all.

If you overtrain the tendon, then you get MORE degradation that further outweighs the regeneration.

So, the key is enough input, but less than the regeneration process. Complex and needy those tendons.



THE TOP 5 TIPS TO AVOID PAIN (THANKS TO TOM AT SWITCH)
  1. Load management – adjust down until your pain subsides. This includes lower volume, or lower weight or lower frequency)
  2. Movement management – overuse injuries are caused by specific sequences. Move to high bar, widen your grip on deads, close your hands slightly on bench, minor incline or decline
  3. Strengthen the problem area (more below)
  4. Avoid rubbing the tendon. Tendons can get sore when they get overly compressed against bony prominences around the joint. Rubbing the tendon can cause further inflammation
  5. Use over the counter pain medication if needed (there is no science that says this slow anything down)


BUT I DON’T WANT TO GET WEAK (OR INJURED IN THE FIRST PLACE)
Tendons rely on adaption. More of less. More frequency, less overloading. Large acute spikes of load are what creates chronic issues.

Just because you decide you should bump you bench volume by 30%, doesn’t mean your elbows agree. This is especially true if you dump all the volume in one or two days.

Tendons (especially in rehab) respond to eccentric loading (the negative), which we love to ignore in powerlifting.

HERE ARE 5 TIPS TO REDUCE YOUR FUTURE TENDONITIS
  1. Slow negatives on accessories, like 5 seconds (you will notice your joints thank you in days)
  2. Stress your tendons from multiple angles. This does mean you should do curls and some tricep work. Do some lunges. Do a leg press. Multiple angels, slow negatives.
  3. The rotator cuff is a group of muscles and tendons that surround the shoulder joint, keeping the head of your upper arm bone firmly within the shallow socket of the shoulder. You need to load you rotator cuff from all angles, with slow negatives. Ignore this at your peril.
  4. Do some form of deadlift with a negative (even if you comp deads drop fast, put in RDLs as an accessory)
  5. Consider some level of kettlebell or club work, just because it will add stress/load but from multiple angels


PROGRAM OUT OF PAIN
For example (thanks again to Tom), if you had a rotator cuff issue that was expressed as tennis elbow or golf elbow (common for us benchers and low bar squatters)

If you this rotator cuff issue, you could

Stage 1

  1. Load up your rotator cuffs in isometrics
  2. Load with light load - I.e single arm kettlebell upright row into a overhead press
  3. Do wrist extension isometrics with a dumbbell to load areas in pain
Stage 2 (no pain)

  1. Ab roller to strengthen lats while rotator cuff under stress
  2. Upright rows into an overhead press with a kettlebell


WRAPPING UP
Lets put them in this into perspective. You can tell an acute injury – you messed up, something has snapped or stretched wrong. You feel in straight away. Tendonitis – literally means inflammation of a tendon, its what you feel the next day or dull pain into the night after training.

Tendon regeneration does not match muscular growth, and newbies and intermediates will become painfully aware of this if they don’t plan. Micro tears and trauma have ended a lot of PL careers before they even started.

Tendons adapt but require load. Those strands of collagen fibrils need weights or stress for adaption. Eccentric loading is an excellent tool to consider if you want long term gains.

Lastly, the more advanced you are, you need to differentiate between degeneration and inflammation. It's not likely you will get to a comp without some level of inflammation, but anything chronic, you may not get to the comp at all
Great article, such a neck helped me when I broke my brush. Very good for injury recovery.
 

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