Friday, July 23, 2010

Is Lower Back Pain Tying a Knot in Your Movement - Joint Mobility vs Stability vs Power

It's been a while since I've had a chance to blog about little more than letting you know that I'm in or out of town or announcing some other random developments in the RKC or FMS worlds.

While those two things are always happening (and as I head out of town tomorrow for Danville, VA to see my mentor - Gray Cook), ideal training ISN'T always happening.

For some reason, there's a whole slew of people that think that as long as they buy the next cool tool or shiny, new toy, they'll get better performance out of their bodies....as if simply having the new kettlebell or TRX technology under your roof will osmotically make you a better athlete or decrease your pain or help you lose the stubborn fat around your midsection... as if simply buying the highest quality nutritional supplements like Shakeology without regularly using them will dramatically transform your state of health.

WHO ARE YOU KIDDING OTHER THAN YOURSELF?

Higher reps with heavier weight DOES NOT necessarily mean that you're moving better.

And now for the smasher...

Moving without pain DOES NOT necesssarily mean that you're moving better either!

Moving WELL, with biomechanically advantageous patterns REFLEXIVELY and without pain, means that you're moving better. Once you've established that as your BASELINE, then adding sets & reps makes for a better, stronger, more sound body.

That said, what's one of the easiest ways for you to trash your body (aside from picking a fight with an angry Beast)?

Let's make it an even easier question. Suppose the human body's like a car (not that I know jack$h!t about cars). Let's think of what we might do to destroy a car without actually crashing it into something deliberately. There are 2 main ways of destroying a car in a non-contact fashion:

1. operating the car when the fluid levels are far too low, or
2. driving the car too rough when there is some mechanical impediment.

Operating the car when the fluid levels are too low is an obvious one. Start driving in a car without brake fluid, with a leaking radiator, or without sufficient motor oil. Breakdown is imminent. It's not a question of if, but when the car will seize up either in rush hour traffic, or while you're speeding down the interstate.


No, that ain't my car!

Driving the car with a mechanical impediment goes back to what Pavel calls "driving with the parking brake on". I think we've all done it at some point or another, but the hard part is to realize BEFORE we put the car into drive that the brake is still on. For some of us, that takes a long time. We fumble about with recurrent injuries that seem to get better and then get reaggravated.

The lower back is a common site of pain, injury, reinjury, and eventually debility for some. Now while it's easy to focus on alleviating the pain at its most painful location, the "brakes" might still be locked down elsewhere in the vehicle.

Studies have shown a high correlation between hip movement dysfunction and lower back pain. So let's think about this by defining 3 terms and seeing how they might apply in lower back rehab:
- Mobility is the unfettered ability to move a joint through an optimal range of motion without pain.
- Stability is the ability to hold a joint in a given position or shortened range of motion.
- Power is the ability to recruit muscular contraction for the purpose of bearing or moving a load through a given range of motion.

There are many ways of approaching the hip dysfunction, which is paining the lower back.
1. You can stretch or treat the living hell out of the lower back in an attempt to "decompress" and restore range of motion. This is focusing on mobility at the site of pain.
2. You can do crunches and ab exercises until the cows come home in order to create more stability for the lumbar spine.
3. Or you can try to power your way through to hip extension by clenching your glutes so hard that even Jean-Claude Van Damme would be jealous.


Looks like pretty mobile hips to me, but what are we missing?

Gray Cook's mantra has always been to focus on mobility FIRST. But sometimes, trying to pry movement out of a stuck joint without taking the brakes off first is easier said than done.

The trick is sometimes to encourage the reflexive action of the weakened "accelerator" muscles while simultaneously training the hyperactive "parking brake" muscles to turn off. In this case, that would mean strengthening hip extensors, such as the glutes, while stretching hip flexors, such as the psoas, iliacus, and rectus femoris.

Pavel's long been too kind in complementing me publicly on my form with the Front Squat, and it's something I never really paid attention to until after he had me demonstrating some sort of horse stance drill at the Feb 2010 RKC II. I couldn't appreciate the drill at the time, and I'm still investigating its worth from a movement quality standpoint, but the Boss's comments still made me question what I'd been missing.

While teaching the RKC Squat back here in Los Angeles, I felt like my own form wasn't the same as what it was when I first started training with kettlebells. Keeping in mind the most common mistakes in the Front Squat (i.e., lumbar flexion, valgus collapse, etc.), I started looking at ways of optimizing necessary attributes for this particular movement pattern.

What I came up with revolved around this...

Yup... old-school Shaolin & Tai-Chi stance training. Just as with any field of endeavor, there are tons of ways to execute/perform anything. Sure, there are plenty of different versions of the horse stance floating around, and in my own martial arts studies, I've seen, learned, and taught more than one variation myself. But this isn't the time or place to get dogmatic, especially if you're not clear on context.

The earliest version of the horse stance that my father taught me revolved around achieving vertical alignment from the midfoot, the hip, the shoulder, and the center of the head when viewed from the side. When viewed from the front, this stance was referred to in Cantonese as "sei ping ma bo", meaning "four levels horse stance". The four levels referred to 4 perpendicular lines, as formed by the two lines from the knees to feet, and the lines from knee-to-knee & foot-to-foot.

To perform this stance correctly, the aforementioned alignments of leg and of spine must be achieved and maintained. But to achieve these alignments requires simultaneous mobility of the anterior portion of the hip joint with stability coming from the drive of the glutes in the posterior chain. Instead of doing the movement in strict Shaolin format, I took a modified version of it and drilled my students on it one Sunday morning.

Without exception, each one of them was shaking, sweating, and swearing while I had them perform very subtle movements, adjusting them slowly, yet thoroughly into the essential points of the stance. But at the finish of the exercise, everyone reported not only better hip mobility, but also a marked decrease in lower back stiffness.

Just as a knot is only as useful as it is secure under pressure and moveable enough to untie when offloading, the lumbar spine and hips must also be able to reflexively stabilize under load while able to move under load to create powerful movement. With the hip flexors and quads unbound enough to take the parking brakes off while the posterior chain keeps driving the pelvis forward, the entire spine can remain in neutral under a relaxed neck and a tall chest.

Wanna see & experience more of this and other correctives in high-detail? Get to Hard Style Ventura in November! In the meantime, read & re-read this post for the little details that can make or break your hips & back!

6 comments:

Mark Reifkind said...

Love this post! so glad to see you posting on your blog again. stay home more and write!lol, just kidding. can't wait to see you again my Brother.

Unknown said...

Thank you, Sir. I know I've been rather behind on blogging. So many people have been coming out with so much good stuff that I felt for a long time that I wanted to listen more than I wanted to be heard/read.

As always, I appreciate your support and brotherhood more than you can possibly know.

Mark Reifkind said...

Mark

no worries, I've been following your travel schedule and would rather crawl over broken glass than try to survive that. I'll see you soon.

Ian - HomeWorkoutBlog said...

Dr. Mark-

Very interesting how you used the horse stance to address hip mobility.

I always heard how holding a horse stance would somehow "remove the blockages" in a person's hips and shoulders, but have never heard HOW this occurs from the perspective of western physiology.

Would holding a horse stance also potentially free up the shoulder joints in a manner similar to the hips?

Thanks for your post,

Ian

Unknown said...

Thank you for your kind words, Ian.

I've studied many different martial arts and seen many different versions of the horse stance. The particular version I'm using was one I learned early on from my father in Tai-Chi, and again from my first Shaolin master during my college years.

To say that a horse stance (speaking generically) will remove blockages in the hips & shoulders is like saying that weight training makes you stronger. It's simply an inadequate statement.

Weight training with the proper form, proper technique, and done with proper density will make you stronger if you address your movement restrictions first.

So as you can see, there are a lot of qualifiers with that weight training statement. So it is with the horse stance. One of these days, I'm going to either take the time to blog out all of the fine points that I'd like people to know, understand, use, and apply with such corrective or preemptive exercises. But in the meantime, please trust that there are fine details in which all the "gold" lies.

Ian - HomeWorkoutBlog said...

Dr. Mark-

Thanks for your reply.

I get what you are saying with the analogy to weight training. I feel the same way about yoga. If someone were to ask, "Will yoga help my back?" it seems like the answer could really be anywhere from "Yes" to "No it will destroy it", depending on WHO is asking the question/WHAT their specific back issue is and WHO is teaching WHAT kind of yoga.

Anyways...

I am excited to check out your detailed analysis of a proper horse stance in the near future!

Take care,

Ian