ASIS tendonitis, older client. Clarification of protocols.

[Geoff Bischoff]

Coach;

Dad has developed what I'm confident is acute ASIS tendonitis. He has the same form struggles with knee slide and hip-break (meaning, not breaking hip-and-knee simultaneously, but reaching butt-back to start the movement) that I fight against in my own form; I guess I just manage to avoid the pain by virtue of not being 70.

Sounds like he's had chronic ASIS pain on the R side, according to Ma, but today he reported it felt good while down in the hole of the squat, but unbearable on descent/ascent after about 8 total reps. We bagged squats mid-warmup, and abandoned deadlift entirely. He was able to stand and unrack presses/complete presses without issue.

I'll mobilize resources (such as TUBOW and additional cues) to fix the form, as I've seen discussed elsewhere on the forums. What remains uncertain to me from forum answers:

1) Layoff: Yes or no?

1a) How long?

2) NSAID protocol as with muscle belly injuries?

3) Anything else?

Thanks coach.

[Mark Rippetoe]

Layoffs do not fix tendon inflammation. I wish they did, but they just don't. You have to fix his squat. You know what's wrong with it, and you just have to figure out how to coach him through it. No other way.

[Geoff Bischoff]

Yessir. He ended up having to take some time off right after this anyway, because it was "I can't even walk straight" level. He's back to baseline now.

His balance is poor. I greatly desire to train his balance with the squat, as I understand strength is itself a major component of balance. Right now I fear a fall, though, so on our one session back I've had him on the sled press.

Am I just being too soft on him because he's my pop?

[Mark Rippetoe]

Leg press him up to bodyweight for 10 and then put him back under the bar.