Starting Strength Podcast | Physical Therapy Done Right with John Petrizzo

[Mark Rippetoe]

Starting Strength

[Steve Hill]

You put on your "Lit-ture-ah-ture" voice for the reading. Nice!

[Browndog]

Mark Rippetoe - "Master Thespian"

Mark, you made mention of the idea of putting together a video of how you rehabbed your shoulder. What a gift that would be to the general public! Hell, a series focused on rehabbing a knee reconstruction, a hip resurfacing would be worth $$$. Seriously, charge what ever you think appropriate. I know I would have bought the knee reconstruction piece and will sign up now for the hip piece.

[Les Hahn]

One of the best podcasts yet! Rip is also a Thespian, who knew? :-)

[tdood]

Great talk with the Brofessor! Good job John.

[spacediver]

Great stuff. John, if you're reading this, any chance of seeing the data you discussed that didn't get published? Are you planning on resubmitting or collecting more data? I can't imagine a reviewer rejecting it if the peak and/or average power numbers come back significantly different between the alignment conditions.

Also, proper mind fuck hearing rip doing an accent.

[wal]

Yes, as usual good stuff Mark.

There is no global warming up there so how come if it is that cold up there, blizzard conditions so called you folk sit around in T shirts?

You need to do that RMO rehab shoulder thing sometime, because I have had cortisone in both rotator cuffs years back and numerous physio sessions with the rubber band thing, however the left shoulder never really recovered until I started pressing and so on.

Is it possible that the actual strength training program is in itself its own rehab? Rehabilitation then is best handled in house if this is the case.

The whole Physiotherapy industry appears then to be based on the premise that any physical injury must have the intervention of a Physiotherapist. Mandatory over here for any work injury.

I remember when I injured my shoulder at work it became a compensation insurance claim, I kept six folk employed, for six weeks.

1. The insurance investigator.

2. Doctor

3. Physio

4. Consulting Physio

5. Employer's injury manager.

6. Local coordinator.

There is a lot of money involved in injury management and the outcomes are not always a full recovery.

[John Petrizzo]

Great talk with the Brofessor! Good job John.

Thanks, Tom.

Great stuff. John, if you're reading this, any chance of seeing the data you discussed that didn't get published? Are you planning on resubmitting or collecting more data? I can't imagine a reviewer rejecting it if the peak and/or average power numbers come back significantly different between the alignment conditions.

Thanks, spacedriver. I am actually submitting it to another journal right now. I should here back in 4-6 weeks whether or not the paper got accepted.

Is it possible that the actual strength training program is in itself its own rehab? Rehabilitation then is best handled in house if this is the case.

Recent research is actually finding that to be the case, Wal. As an example, exercise alone has been shown to work better than combinations of passive modalities in treating and preventing low back pain according to a recent meta-analysis:

JAMA Network | JAMA Internal Medicine | Prevention of Low Back Pain: A Systematic Review and Meta-analysis

[Aryah]

Great talk there. I'm a little way along into the process of applying Starting Strength (as far as is possible) to my wife who has severe scoliosis. We were at a second orthopedic specialist on Monday this week for another opinion on her situation. Surgery isn't an option, although my wife has in the past had spinal fusion (it was 30:16 in the video which made me think of this) and two Harrington rods. This second orthopedic professor warned against loading weight on or above my wife's shoulders as it will compress the spine. In that moment I saw your face with a sarcastic expression talking about sheer (and inadvertently compression) in an interview and saying that the back gets stronger to compensate for increased weight. She has also gone from an underweight 49kgs to a good 53kgs (so far), but the orthopedic professor warned against the weight gain given that it will load the skeleton further. On our way out my wife and I discussed how we had both in the that moment resolved to carry on with her strength training anyway, because we both knew its benefits from having done it. Her pain has decreased and she has suffered no injury from her training. As a whole she is doing much better in terms of quality of life.

Ripp you helped me previously recover from my lat insertion injury simply by training it. It recovered amazingly quickly by the way, from having severe pain for months to having no pain after about two or three weeks. Using the same principle, I rehabbed a hip muscle injury (didn't push my damn knees out enough in a squat) with the same protocols and it was good to go in no time at all.

With the above in mind, it blows my mind that the common physical therapy practice has reached this state of stagnation and uselessness when the solution is so simple.

[Gustafson]

I am currently in PT to rehab my shoulder. I'm 5 weeks out on decompression, Mumford and spur removal on my left shoulder. Would love to know how exactly you rehabbed.

The external rotation is taking the longest to come back.