Musculoskeletal

I think it's important to be open to learning from other coaches and to understand that coaching is both a science and an art. Communication, both verbally and non-verbally, is key to successful coaching.
 
Transcript: "Hey, Sergio, this is a phenomenal question and I'd like to answer it from a medical point of view. But also, I suppose, we all coach right whether I'm coaching a an athlete in rehab or strength and conditioning coaching is a science and an art and I think I blend both Durham and I think it's more of an art, understanding what the sciences and and putting it. Into a picture where the athlete will perform a masterpiece. And take, for instance, when I was at ncaa's, a couple of us, went to look at stew, McMillan work with some athletes high-level Runners, and I don't know anything about running to per se, but really got a lot out of this session and I think that's where I became creative. Of is stepping outside our wheelhouse and just being open to seeing how other people coach. I love getting on Deck with coaches and swimmers and also getting outside physical therapy and working with healthy athletes, strengthen conditioning and see how they interact with the athletes. I think it's really, really important. One of the biggest things I got away from Stu was he doesn't necessarily coach, he lets Is high-level athletes. He gives the workout and lets them do it. And then he will ask them information at the end or he will get them to give him feedback at the end. He doesn't do a lot of technical coaching as a running and doing all of that which I thought was kind of neat. So I wanted to try that with some of the athletes that I helped and it worked out quite well, so I really think getting out. Outside our typical environment and seeing how other people do and being open to, to learning. And that's what's so great about USA swimming. When you travel with the team, you have Mdz of chiropractors you've massage therapist or psychologist strength and conditioning coaches. And so you have all these perspectives and how to interact, and I think it really comes down to communication how we communicate, both verbally and non-verbally."

My favorite movie is Shawshank Redemption. What's your favorite movie?

My favorite movie is The Godfather.
 
Transcript: "Elena, my favorite movie is Shawshank Redemption. What's your favorite movie?"

To recover from tennis tendonitis, I recommend decreasing pain with ice and gentle stretching, performing soft tissue mobilizations, protecting the area with a brace at night, doing light strength training, and loading the area eccentrically. Finally, joint position sense and movement sense can be improved with proprioceptive training.
 
Transcript: "Hi Lane. The question is, what treatment do you recommend to recover from risk tendonitis? I'm a tennis player. So this is super common in tennis players and there's actually a number of approaches to managing this. And the first one that I always start with is to look and see if the player has recently increased the amount of time responding playing tennis. And also, if they've increased the amount of power they're using, if the plaintiff, Another strong player and how much backhands going on. So those are the first things I look at, I want to see if they're increasing dose to the tenants because that in itself is enough to cause problem. Assuming they're not where you even if they are the treatment can proceed with trying things that will in prove the inflammatory process that's going on. So people can use ice, of course, over a layer of cloth to the area that is painful. Gentle Ation. I try not to have people over stretch. Sometimes that can increase. The pain will investigate looking at some soft tissue therapies to mobilize in the area and sort of move inflammatory product out, possibly doing some kinesio types of taping. And then really important thing is to get into doing some strength training for this area and particularly eccentric contraction for the wrist extensors and the wrist flexors if it's really bad. The You need to be wearing a brace especially at night to prevent the wrist from being put in a really extreme position if they tend to sleep in the fetal position or the praying mantis pose. So those are some options without getting into a ton of detail but I tend to start with decreasing pain, move into mobilization move on to doing some types of soft tissue movable mobilization and protection. And then also doing Some strengthening and then finally some eccentric loading and then developing some joint position sense and movement sense with something called proprioceptive training. I hope this is helpful for a lien."

Visit a physical therapist or chiropractor to help identify what the protective spasms are and where your pain is coming from. This will help the most in the healing process.
 
Transcript: "What can be done to heal an injury? Tailbone After Fall? Sorry to hear that you had fallen. Hopefully, it wasn't too bad. There can be a lot done to help promote healing, go in and see a manual therapist. Either physical therapists are chiropractor. When you injure your tailbone, you'll get a compression up into the spine, which will cause some rotation or protective spasm would in your pelvis and throughout your spine. So a lot of your pain can be from the impact, but also from the protective spasm. So getting somebody to work to help to relieve and identify what the protections are and where your pain is coming from will help you the most. Hopefully, that helps, but going and get it seen. Don't it will not heal on its own, it will heal, but you'll have some issues in the sense that you'll continue to guard yourself and have limited limited motion. Hopefully that answers your question line going and let us know how it goes."

Runners knee and jumpers knee are both referring to a patellar tendinopathy, which is an inflammation of the tissue on top of the bone due to it being pulled on repeatedly. To help prevent this from occurring, it is important to address the reasons why the stress is accumulating so much in order to reduce the inflammation.
 
Transcript: "Set. That's a great question. And short answer is, they're essentially both the same runner's, knee jumpers knee. They both refer to what's commonly referred to as a patellar tendinopathy basically where your patella tendon attaches on the underside of your knee as that tendon constantly pulls on its attachment point of the bone. So if the tendon attaches here on my wrist, I'm going to throw my fist and it comes, I'm constantly pulling. And it's tugging at its attachment point. And eventually, he can irritate the actual tissue called periosteum. That is on top of the bone itself, creating inflammation and that sort of thing. Now, they're both the same. But what's important is addressing the reasons why that stress is accumulating to such a degree that the body, no longer can tolerate it. That's, we're seeing a somebody like, a physical therapist locally or whoever you have access to is a great solution."

My tips for Contracting are: 1) Teaching clients about different positions and how they affect the spine. 2) Using analogies such as slouching, having a cup filled with water to demonstrate balance postures and 3) Building tolerance for maintaining an upright position for longer periods of time.
 
Transcript: "What are my tips for Contracting? Poor posture first is teaching my clients, what different positions are and how they can affect your spine and how they can affect everything else. So I go over the analogy of slouching. So that's me slipping back being in a bamboo type of position and an arching off, when an arch my back and my chest. And then I tell people trying to get get into the middle part of that back off by about 20% and just sit on your butt bones, another analogy that I am get people to think about is have a cup filled with water. That's your balance posture and if you slouch, you're going to spill on yourself, okay? Or if you arch up, you're gonna spill the water up. So, what you want to try to do is try to be in this upright position as long as you can and if it means you only can be In there for two or three minutes that's fine then get up and move around but the more that you get tolerance for building and sitting in this position, the better that will be. Hopefully that answers your question Lane and look forward to getting some more questions from you. Take care. And bye bye."