Latest / Hurdle with Emily Abbate / #HURDLEMOMENT: Essential Lessons From 3 Months Of Attending Regular Physical Therapy
Transcript
- 0:00Speaker 1: As a physical therapist. It's got physical in the name.
- 0:03Speaker 1: But my goal is to change the way you think.
- 0:05Speaker 1: And I actually really approach it that way because if
- 0:09Speaker 1: you had a physical problem and you didn't need help
- 0:13Speaker 1: or to change the way you think about it, you
- 0:15Speaker 1: wouldn't be at physical therapy. You'd be on your own
- 0:18Speaker 1: with it going away because it was just a physical thing.
- 0:20Speaker 1: But now you need to You've come to an m
- 0:22Speaker 1: pass right whereas something needs to change, and I think
- 0:25Speaker 1: actually often the rules need to change and how you
- 0:27Speaker 1: think needs to change.
- 0:42Speaker 2: What's going on? Everybody, Emily a body Here. You are
- 0:45Speaker 2: listening to another installment of Hurdle Moment from Hurdle, a
- 0:49Speaker 2: wellness focused podcast. Reconnect with everyone from your favorite athletes
- 0:53Speaker 2: to top experts and industry CEOs about their highest highs,
- 0:56Speaker 2: toughest moments, and everything in between. We all go through
- 1:00Speaker 2: hurdles in life, and my goal through these discussions is
- 1:03Speaker 2: to empower you to better navigate yours and move with
- 1:06Speaker 2: intention so that you can stride towards your own big
- 1:09Speaker 2: potential and of course have some fun along the way.
- 1:14Speaker 2: For today's episode, I am amped to bring you my
- 1:18Speaker 2: conversation with the guy that has been my saving grease
- 1:23Speaker 2: over the last three months, my physical therapist, Luke Greenberg.
- 1:28Speaker 2: Luke is the co founder of a Motive, which is
- 1:31Speaker 2: a physical therapy studio over in Nolita here in New
- 1:35Speaker 2: York City. They offer coaching, a programming, and recovery, and
- 1:39Speaker 2: I would be lost without his guidance. I have navigated
- 1:44Speaker 2: a slew of I refer to it in the episode
- 1:48Speaker 2: as wonkiness from planter fasciitis being intense to kind of
- 1:53Speaker 2: feeling as though it disappeared to coming back some new
- 1:56Speaker 2: tendonitis in my left knee. We talked about it all
- 1:59Speaker 2: in today's episode, but the meat and potatoes of today's
- 2:02Speaker 2: episode is really addressing the biggest takeaways I have from
- 2:06Speaker 2: working regularly for the first time ever during a marathon
- 2:10Speaker 2: training cycle with a physical therapist. It has been helpful
- 2:14Speaker 2: in so many ways, all of which we talk about
- 2:18Speaker 2: in today's episode. For anyone who has ever had questions
- 2:21Speaker 2: about what they should look for in a physical therapist,
- 2:24Speaker 2: how to navigate the costs of this sort of treatment,
- 2:27Speaker 2: and how to know if you are working with the
- 2:29Speaker 2: right person. While this episode is entirely for you, Luke
- 2:34Speaker 2: and I talk about the benefits of physical therapy that
- 2:37Speaker 2: might not be something you see outlined on the website,
- 2:41Speaker 2: including the mental benefits of having a coach in your corner,
- 2:45Speaker 2: what it means to have awareness in your body, and
- 2:48Speaker 2: a super popular topic in my DMS, how to know
- 2:52Speaker 2: if you should run through the pain or stop moving
- 2:56Speaker 2: all together. This episode is not exclusively for runners. There
- 3:01Speaker 2: are so many helpful takeaways in here regardless of what
- 3:04Speaker 2: your go to way to move is. Luke is so
- 3:08Speaker 2: so knowledgeable. The team at Motive is absolutely excellent and
- 3:11Speaker 2: I cannot thank him enough for all of his help
- 3:15Speaker 2: in gearing up for this marathon. Also, Motive is offering
- 3:20Speaker 2: all of you something special. They are giving you access
- 3:24Speaker 2: to their digital Mobility Library absolutely free. This is only
- 3:29Speaker 2: for hurdle listeners. In the Mobility Library, you'll get access
- 3:33Speaker 2: to a bunch of good stuff to help you move better,
- 3:35Speaker 2: including everything grub standalone courses including intro to Hit Mobility,
- 3:39Speaker 2: a ten day shoulder reset and kettlebell tutorials, plus kin
- 3:44Speaker 2: stretch classes and other mobility must have otherwise twenty five
- 3:48Speaker 2: dollars a month. This is a freebie that you do
- 3:51Speaker 2: not want to miss out on. To get access to it,
- 3:54Speaker 2: click the link in the show notes, or head to
- 3:56Speaker 2: courses dot motive Andy dot com. That's m otiv ny
- 4:03Speaker 2: dot com and use the Golden Hurdle at checkout to
- 4:06Speaker 2: get a free month of the Mobility Library. Make sure
- 4:09Speaker 2: you're following at Hurdle podcast. I'm over at Emily a
- 4:12Speaker 2: Body and with that, let's get to hurdling. Today. I'm
- 4:24Speaker 2: sitting down with Luke Greenberg. He is my physical therapist.
- 4:27Speaker 2: How are you doing today?
- 4:29Speaker 1: Wonderful day, beautiful Monday. I think we're hitting seventy today,
- 4:32Speaker 1: which feels like it's like still summer ish.
- 4:35Speaker 3: So that's good.
- 4:36Speaker 2: It's a treat. Yeah, I know, even though I'm already
- 4:38Speaker 2: in long pants and long sleeves. Yeah, I'm just prepping
- 4:43Speaker 2: for that London weather.
- 4:44Speaker 1: Scary, scary, yeah, I know. So Lucas is actually rain
- 4:47Speaker 1: a lot in London. I never actually know if that's
- 4:49Speaker 1: a rumor.
- 4:49Speaker 2: No, it's not a rumor, it's fact. Okay, it will
- 4:52Speaker 2: knocks on dusk next to me. It will not be
- 4:54Speaker 2: raining this weekend. Luke and I are recording this on Monday.
- 4:57Speaker 2: I leave on Thursday, and I run a marathon on Sunday,
- 5:04Speaker 2: and so it felt only right to finally have Luke
- 5:08Speaker 2: in the Hurdle studio to talk about the things that
- 5:11Speaker 2: I've learned spending an abundant amount of time with you
- 5:15Speaker 2: over the last three months.
- 5:16Speaker 1: What's your last minute band aids to make sure that
- 5:18Speaker 1: you can survive a marathon? Right?
- 5:21Speaker 2: Exactly? I figure if I asked you to come in here,
- 5:24Speaker 2: I would get more bang for my buck. Yeah, because
- 5:27Speaker 2: we could just talk about my body for the next
- 5:30Speaker 2: thirty minutes with relevant takeaways for everyone that's listening to this.
- 5:34Speaker 2: And then I'll also see you on Wednesday, and then
- 5:36Speaker 2: I'm off.
- 5:37Speaker 3: Good plan, Good plan.
- 5:38Speaker 2: Cool. So a little background, I would say, I what
- 5:44Speaker 2: would you say? It was the first time I came
- 5:45Speaker 2: to PET probably like actually.
- 5:47Speaker 3: About two years ago at first.
- 5:49Speaker 2: Okay, so Luke and I met about two years ago.
- 5:51Speaker 2: I started going to him sporadically at best for PT
- 5:56Speaker 2: about two years ago, and this marathon training cycle was
- 5:59Speaker 2: the first time that I committed to going to PT
- 6:03Speaker 2: weekly unless coached. Otherwise. There was a point in there
- 6:07Speaker 2: where I had in every other week, your body's doing
- 6:10Speaker 2: really well, cadence. If only that moment was right now.
- 6:15Speaker 1: Just a little bit of volume related challenges, nothing too unusual,
- 6:19Speaker 1: I think.
- 6:19Speaker 2: Nothing too unusual. So upon going to PT for the
- 6:24Speaker 2: last three months, I definitely learned a lot, and that
- 6:26Speaker 2: is what Luke and I are going to get into
- 6:29Speaker 2: talking about today. First and foremost. I think the lesson
- 6:33Speaker 2: that really rings the loudest for me is that I
- 6:38Speaker 2: have a new found awareness of what's going on in
- 6:44Speaker 2: my body. Let's talk a little bit about why awareness
- 6:48Speaker 2: is really beneficial, especially if you're going to push yourself
- 6:52Speaker 2: toward really any athletic goal.
- 6:54Speaker 1: I mean, if we start immediately in the example of runners,
- 6:57Speaker 1: like when I as a therapy encounter person, it's impossible
- 7:03Speaker 1: to interpret exactly what's going on in their body just
- 7:05Speaker 1: by you know, even just putting your hands on them
- 7:07Speaker 1: or watching them move. You need to get some information
- 7:12Speaker 1: from that person of how they're experiencing training, what they
- 7:15Speaker 1: think they're trying to do when they run, what they
- 7:17Speaker 1: think they're trying to do when they stretch right, and
- 7:19Speaker 1: those I think a lot of times the art of
- 7:22Speaker 1: therapy is putting a match to what you are perceiving
- 7:25Speaker 1: or testing of that person with what they are perceiving
- 7:29Speaker 1: or testing in themselves. And it turns out that a
- 7:32Speaker 1: lot of clients are not actually readily perceiving or testing anything,
- 7:36Speaker 1: and they're kind of just you know, rolling down the
- 7:38Speaker 1: hill of a training program, or maybe even not that
- 7:42Speaker 1: they're maybe just kind of running when they feel like
- 7:44Speaker 1: they have the time. So I think that, to me
- 7:47Speaker 1: is the most interesting thing about working with people and
- 7:51Speaker 1: how I really enjoy like kind of thinking that therapists
- 7:54Speaker 1: that motive become a part of that person's life and
- 7:56Speaker 1: then like understanding what they're trying to get done.
- 7:59Speaker 2: Right right, So it's bigger than just it's bigger than
- 8:03Speaker 2: just like come in, put a band aaon on this thing.
- 8:06Speaker 2: Not get an understanding about who this person is, what
- 8:08Speaker 2: their goals are. To get a holistic idea of how
- 8:11Speaker 2: you can help that person is the best way to
- 8:13Speaker 2: help that person.
- 8:15Speaker 1: Yeah, And I think that you need to put your
- 8:18Speaker 1: mind inside of multiple facets of their life. And if
- 8:20Speaker 1: you just you know, put your hands on them only
- 8:23Speaker 1: and that's your perception, that's not going to help them
- 8:26Speaker 1: necessarily correct or understand what they're doing with themselves. As
- 8:31Speaker 1: a side quick story, I had a client once that
- 8:34Speaker 1: I knew as a friend and was working with them
- 8:37Speaker 1: on weightlifting stuff, and then all of a sudden, this
- 8:39Speaker 1: person had a running injury pop up, and I hadn't
- 8:41Speaker 1: been thinking about running in the context of that athlete,
- 8:44Speaker 1: if you will, never really watched them run. So they
- 8:47Speaker 1: went through like a bout of therapy for like six
- 8:49Speaker 1: or eight weeks. Things were kind of the same, and
- 8:52Speaker 1: then one day, for I don't know why, reshifting my attention, decided, Hey,
- 8:56Speaker 1: we should look at running.
- 8:57Speaker 3: I don't know why we.
- 8:58Speaker 1: Didn't do that, sorry, And then in that one session
- 9:00Speaker 1: we identified something that they were doing unintentionally intentionally if
- 9:05Speaker 1: you will, that was sort of sabotaging and then problem solved. Right,
- 9:09Speaker 1: So if you kind of just apply traditional application, you
- 9:13Speaker 1: can run into problems I think more often, or lack
- 9:16Speaker 1: of success, if you will.
- 9:18Speaker 2: So then let's circle back to that concept of awareness.
- 9:22Speaker 2: What does it mean to have an awareness over your body?
- 9:27Speaker 1: To me, I think it's using your mind consciously and
- 9:32Speaker 1: the activities you're doing to try to put attention into
- 9:36Speaker 1: multiple places of your body or multiple intentions or activities.
- 9:40Speaker 1: I think we tend to get too focused on the result,
- 9:43Speaker 1: which is Emily ran the Chicago Marathon in three hours,
- 9:47Speaker 1: twenty eight minutes and eight seconds. Okay, great, that's true.
- 9:50Speaker 1: That happened we all agree that that happened, but if
- 9:53Speaker 1: you could, you should try to have some awareness to
- 9:57Speaker 1: how your movements are changing, how your breathing is changing,
- 10:00Speaker 1: how those changes in breathing are affecting how tense you are,
- 10:03Speaker 1: and all of those things can be factors in injuries.
- 10:06Speaker 1: And we've found like a high level of success with
- 10:09Speaker 1: people starting to put their head in that space. And
- 10:12Speaker 1: I think, to apply specifically to sport, that's a really
- 10:14Speaker 1: good way to think of awareness, and it starts with
- 10:18Speaker 1: just mindful trying and then hopefully coached and guided of
- 10:23Speaker 1: you know, again, making that match right. So, I think
- 10:27Speaker 1: when you and I started working together on this bat
- 10:29Speaker 1: of therapy, I don't know how much you want to
- 10:32Speaker 1: talk about specifically what had been going on, but I
- 10:35Speaker 1: think there was a stark difference from the previous time
- 10:38Speaker 1: that we had worked together, where you were really engaged
- 10:40Speaker 1: with making routine changes and behavioral changes and looking at
- 10:47Speaker 1: yourself while doing training in a way that you hadn't before.
- 10:51Speaker 1: Maybe because like plantar fasciatus as a thing was really
- 10:53Speaker 1: more running scary. I don't know, maybe that raised the stakes,
- 10:57Speaker 1: or maybe it was just timing, but I think maybe
- 11:00Speaker 1: that was a big change from the previous time I
- 11:03Speaker 1: had done therapy, where it was a little bit more okay,
- 11:06Speaker 1: I got my drills. Kind of doing my drills, it
- 11:08Speaker 1: got better, got better, and that, you know, if that
- 11:11Speaker 1: makes sort of sense.
- 11:12Speaker 2: Yeah. Yeah, it's so interesting for me because, like you
- 11:16Speaker 2: and I've spoken about, I'm grateful for the awareness, but
- 11:19Speaker 2: at times it feels like a double edged sword, Like
- 11:22Speaker 2: sometimes I feel that I'm so aware in my body
- 11:25Speaker 2: now that the second something starts to feel off, I
- 11:29Speaker 2: turn into Emily the athletic hypochondriac instead. I would say,
- 11:35Speaker 2: at least briefly, I have this moment where I'm like, oh,
- 11:38Speaker 2: what is this? What's this a sign of am I
- 11:40Speaker 2: doing something that was part of the plan in a
- 11:43Speaker 2: way that maybe that's a little off. So that's why
- 11:45Speaker 2: this new thing is arising. So genuinely, it has been
- 11:49Speaker 2: really interesting for me to understand more about my body,
- 11:54Speaker 2: but then also pull back on that like tendency to
- 11:58Speaker 2: go hypochondriac, knowing that every little thing doesn't mean that
- 12:02Speaker 2: the world is collapsing around me.
- 12:04Speaker 3: Yeah.
- 12:04Speaker 1: Yeah, I think that if you know that personality type
- 12:07Speaker 1: about yourself, that you're a person who would respond really
- 12:11Speaker 1: well to being coached more actively than maybe being completely independent.
- 12:16Speaker 1: You know, I think that probably really stabilizes the mindset.
- 12:21Speaker 1: And creating boundaries, I think is a really interesting way
- 12:24Speaker 1: to think about it. And boundaries can be kind of
- 12:26Speaker 1: positive and negative, so you shouldn't always think of them
- 12:30Speaker 1: as negative, right, So you can actually push yourself to
- 12:32Speaker 1: that boundary, and if you've done things in an intelligent manner,
- 12:35Speaker 1: you've created a step wise, you know, further wider boundary
- 12:39Speaker 1: that you're now approaching. Right. So when we started working
- 12:41Speaker 1: with planterfesciitis, it was like, okay, runs are what three
- 12:45Speaker 1: minutes at a time?
- 12:46Speaker 3: Run? Walk, and then okay, we.
- 12:49Speaker 1: Need to change really specific things about how your body
- 12:53Speaker 1: thinks it's doing the things it's doing. Built on that tolerance,
- 12:56Speaker 1: and then you're doing five k runs, then you're doing
- 12:59Speaker 1: four mile runs. Boundary is expanding, and that gives you
- 13:01Speaker 1: confidence and the ability to start to understand what you
- 13:04Speaker 1: are normal at that point in time kind of feels
- 13:07Speaker 1: like I think.
- 13:08Speaker 2: And not judging or getting to a place where you
- 13:13Speaker 2: are less angry about the fluctuation of normal. That is
- 13:18Speaker 2: so important when it comes to managing any injury, right
- 13:22Speaker 2: because in that moment whatever your baseline is is probably
- 13:27Speaker 2: different than it was maybe a day, five days ago,
- 13:30Speaker 2: and can be different in five days, a week, two months,
- 13:34Speaker 2: as long as you have the grace to move that way,
- 13:36Speaker 2: to shift that way, which is challenging, especially when you're
- 13:40Speaker 2: in the heat of the moment, right like if you
- 13:41Speaker 2: have a goal and you're chasing a certain thing, like, yes,
- 13:44Speaker 2: you're going to be emotional about that. But to have
- 13:47Speaker 2: the self awareness to know, like this is just how
- 13:50Speaker 2: it is right now and move from there, it's critical.
- 13:54Speaker 2: It's absolutely critical.
- 13:56Speaker 1: Yeah. I think that often patients come in and they
- 13:58Speaker 1: tell you about what their normal is and like things
- 14:01Speaker 1: that they experience without realizing they're doing so, Like client
- 14:04Speaker 1: with back pain, for example, they might notice that their
- 14:07Speaker 1: back is worse because now they can't touch their toes
- 14:09Speaker 1: and two days ago they could. You know something like
- 14:12Speaker 1: that that you if you're a little bit more attuned
- 14:14Speaker 1: to yourself, you'll and then you think it matters because
- 14:17Speaker 1: you've looked at it, you can start to understand where
- 14:22Speaker 1: the boundaries are or when you've maybe pushed a little
- 14:24Speaker 1: too far and you need to step back that boundary
- 14:28Speaker 1: just slightly. And I think that to me, that's the
- 14:30Speaker 1: most powerful way for a person to become independent as
- 14:33Speaker 1: an athlete, and the people that are able to do
- 14:37Speaker 1: that are the people that have the least recurrent like
- 14:41Speaker 1: significant pains. People that train have nags. You know, it
- 14:45Speaker 1: just happens, but you can kind of temper that very
- 14:50Speaker 1: well if you're looking at things in this way.
- 14:52Speaker 2: And this definitely transitions to probably the next biggest lesson
- 14:56Speaker 2: that I've learned from my time working with you so
- 15:00Speaker 2: is that there are certain things that can happen, or
- 15:06Speaker 2: certain injuries or certain wonkiness, whatever word you want to use,
- 15:09Speaker 2: and some of them you can work through, and some
- 15:12Speaker 2: of them you need to give them time. Right. And
- 15:16Speaker 2: it goes back to that really emotional place, right, because
- 15:19Speaker 2: you don't work hard for something not to go as
- 15:22Speaker 2: you had originally planned. Right. But at times with our body,
- 15:27Speaker 2: when we want to think long term, sometimes deviating from
- 15:31Speaker 2: the plan is actually the thing that's going to empower
- 15:33Speaker 2: you to be able to do that thing that you
- 15:35Speaker 2: love for a longer period of time. And that training
- 15:39Speaker 2: for anything, it's really challenging lesson to learn. And I
- 15:43Speaker 2: mean that brings us back to last year when I
- 15:45Speaker 2: had the injury that I had to pull out of
- 15:47Speaker 2: the London Marathon versus maybe where I am right now,
- 15:50Speaker 2: where I'm learning how to manage the wonkiness that is
- 15:54Speaker 2: happening in my body in a way that's still going
- 15:56Speaker 2: to enable me to do the thing that I want
- 15:57Speaker 2: to do, but not do it in a way that
- 16:00Speaker 2: could really put me on the injured list for a
- 16:02Speaker 2: long time.
- 16:04Speaker 1: And I think the change of you speaking confidently to
- 16:06Speaker 1: even know that you could feel that way is really powerful, right,
- 16:10Speaker 1: Like if you put yourself in the mindset of when
- 16:13Speaker 1: you had planner faeschiet as pain like hardcore, it couldn't
- 16:16Speaker 1: really do any runs, you know, felt excluded from your
- 16:19Speaker 1: community right in certain ways, like that current headspace at
- 16:24Speaker 1: that time wouldn't have let you, you know, really take
- 16:27Speaker 1: that empowered sort of perspective in that way. And you know,
- 16:32Speaker 1: there have been training sessions that happened, but otherwise, like
- 16:35Speaker 1: not all that much really significantly changed in your life
- 16:38Speaker 1: and your body, right, So it's sort of like operationally
- 16:40Speaker 1: doing things different, mentally approaching things different, changing schedule I
- 16:45Speaker 1: think was a really big impact, right that people I
- 16:48Speaker 1: think don't really think enough about. Like I think, if
- 16:52Speaker 1: you just listen to this you'll know this is bad.
- 16:55Speaker 1: Right if I say, Emily ran eighteen miles on Monday,
- 16:59Speaker 1: Emily woke up Tuesday, Emily ran eighteen miles on Tuesday,
- 17:03Speaker 1: Emily woke up on Wednesday. Emily ran eighteen miles on Wednesday. Right,
- 17:07Speaker 1: you would expect that something was probably going poorly.
- 17:11Speaker 3: Right.
- 17:12Speaker 1: Where if you would have ran eighteen miles on Monday
- 17:14Speaker 1: and then you had tapered your training appropriately, you rant
- 17:17Speaker 1: eighteen miles or nineteen miles the following Monday, right Like that,
- 17:21Speaker 1: that schedule and just choosing intelligently in that way is
- 17:24Speaker 1: often enough to stop something that's like a little bit
- 17:28Speaker 1: inflamed and irritated from becoming a full on injury that
- 17:31Speaker 1: you're managing for months and months. Right, So sometimes it's
- 17:34Speaker 1: just like order operations and selecting differently.
- 17:36Speaker 2: Yeah, And this is definitely the I would say the
- 17:40Speaker 2: question that comes in most often when I share that
- 17:44Speaker 2: something is going on within my body, just the how
- 17:47Speaker 2: do I know when to train through it? And how
- 17:50Speaker 2: do I know when to completely pull back? And it's
- 17:52Speaker 2: a fine line depending on what you're navigating.
- 17:55Speaker 3: Right totally.
- 17:56Speaker 1: I mean talk about to the listeners, when how do
- 17:59Speaker 1: you know, oh that you shouldn't train through the plant pain,
- 18:03Speaker 1: but then you had some foot pain, like the impinging
- 18:06Speaker 1: on the top of your other foot right right? How
- 18:09Speaker 1: did you know that that was okay?
- 18:11Speaker 2: One didn't feel preventative to what I wanted to do.
- 18:15Speaker 2: So the type of pain that I was experiencing, it
- 18:18Speaker 2: would when I was experiencing some top of foot pain
- 18:21Speaker 2: in the middle of this training cycle, it would dissipate
- 18:25Speaker 2: and go away pretty quickly when I was done running,
- 18:27Speaker 2: whereas the planter fasci itis was something day in and
- 18:30Speaker 2: day out, and it got to a point at the
- 18:32Speaker 2: very beginning of this training cycle where I really did
- 18:34Speaker 2: need to adjust my plan because it didn't feel manageable.
- 18:37Speaker 2: It felt debilitating. It it didn't feel good, and I
- 18:41Speaker 2: knew that pushing through that was only going to put
- 18:43Speaker 2: me at a disadvantage.
- 18:44Speaker 1: Later, I seem to remember you being like, oh my god,
- 18:46Speaker 1: this is going to explode, isn't it, because you've kind
- 18:49Speaker 1: of had yourself in the pain headspace.
- 18:51Speaker 2: I was in the headspace because it was an unfamiliar
- 18:54Speaker 2: place for me to experience pain again, we're going back
- 18:58Speaker 2: to this hyper awareness thing. I was like, could this
- 19:00Speaker 2: be a bone thing? You looked at me and you
- 19:02Speaker 2: were like.
- 19:03Speaker 1: No, no, But then we were able to address what's
- 19:08Speaker 1: normal movement, address what's normal sensation, address what's normal mobility,
- 19:13Speaker 1: and then you know, rest just enough to let it
- 19:17Speaker 1: calm enough to test it again. And we did that
- 19:20Speaker 1: progressive test, and you know that whole time, I was
- 19:23Speaker 1: confident that you were fine with it, and because you
- 19:26Speaker 1: were also putting in work to fix the mechanics that
- 19:29Speaker 1: you were working on, and those things will happen, like
- 19:32Speaker 1: you'll change one thing and now you're changing the utility
- 19:36Speaker 1: of something else in your body, and it might speak
- 19:38Speaker 1: to you. And I think when you're in a pain headspace,
- 19:40Speaker 1: it's really easy to you know, kind of revert to
- 19:43Speaker 1: that as your normal. And maybe that's something that's really
- 19:46Speaker 1: powerful for people to just consider, is that even if
- 19:50Speaker 1: you're dealing with a significant injury right now, not every
- 19:53Speaker 1: other pain you're going to experience is debilitating and significant,
- 19:57Speaker 1: and you should kind of.
- 19:58Speaker 3: Like charge your.
- 20:00Speaker 1: Ego up a little bit to be prepared to tolerate
- 20:04Speaker 1: any other pain.
- 20:04Speaker 3: Like, you know, you should be more durable.
- 20:07Speaker 1: Mentally than like, oh my big toe feels a little sore,
- 20:10Speaker 1: I'm exploding, I'm dying. I'm dying right because a lot
- 20:12Speaker 1: of us has probably been on that trend, right, because
- 20:15Speaker 1: that's the mentality you've been spending time in, and it's
- 20:18Speaker 1: not really that's not the reality. Like, the body doesn't
- 20:21Speaker 1: know that it doesn't work that way. So if you
- 20:24Speaker 1: know that your body doesn't work that way, you can
- 20:26Speaker 1: you know, assign different rules to different kinds of pain
- 20:30Speaker 1: and you know address them accordingly. Yeah.
- 20:32Speaker 2: Yeah, I mean if something genuinely really hurts you and
- 20:36Speaker 2: you choose to run through that, then you have to
- 20:39Speaker 2: accept that that could leave you with an undesirable result.
- 20:44Speaker 2: That's how I feel.
- 20:45Speaker 1: Yeah, and especially early in a training plan or low
- 20:48Speaker 1: in volume. So there's certain things that everybody should be
- 20:50Speaker 1: looking for. Right. If there's pain that pops up like
- 20:53Speaker 1: immediately and then only gets worse, hopefully, that should be
- 20:56Speaker 1: a pretty obvious sign that this is something that you
- 20:59Speaker 1: need to change your program around. And if you're going
- 21:02Speaker 1: to approach it from Okay, I wanted to stay with
- 21:06Speaker 1: the program. I have do three stretches and it'll go away. Like,
- 21:09Speaker 1: the chances are not very high that that's happening, right,
- 21:12Speaker 1: But if you have something that you increase your volume,
- 21:15Speaker 1: it kind of comes up slowly, it never gets too intense,
- 21:19Speaker 1: and then it fades away shortly after a run. Okay,
- 21:22Speaker 1: so there's something clearly more duration intensity fatigue oriented there,
- 21:28Speaker 1: and if you can be attuned to that, you can
- 21:30Speaker 1: know where to draw the line, and then that's something
- 21:33Speaker 1: you can often train through as long as you respect
- 21:35Speaker 1: it on the other side where you need to rest
- 21:37Speaker 1: and recover.
- 21:38Speaker 2: I did have a question that came in that I
- 21:39Speaker 2: think is really relevant to right here, which is someone
- 21:42Speaker 2: that says that something new kind of pops up within
- 21:45Speaker 2: a week or two weeks two if they have a
- 21:47Speaker 2: big race. How did they know in that instance? Is
- 21:51Speaker 2: this something that I can run through? I feel like
- 21:53Speaker 2: it's kind of echoing everything that we're talking about. But
- 21:56Speaker 2: I guess my first piece of advice would probably be
- 21:59Speaker 2: go talk to someone right off the bat, as soon
- 22:01Speaker 2: as you can get in hit someone to put their
- 22:03Speaker 2: hands on you and talk through exactly what you're experiencing
- 22:06Speaker 2: and kind of suss out your options.
- 22:09Speaker 1: It's peculiar to me that so many people want to
- 22:11Speaker 1: do these like high investment activities but don't want to
- 22:16Speaker 1: invest in coaching at all. You know, like independence is
- 22:20Speaker 1: fantastic but especially if you're not expert or you're not
- 22:24Speaker 1: experienced in whatever the activity is. Doesn't have to be running,
- 22:27Speaker 1: could be weightlifting, and could be skateboarding, could be whatever.
- 22:30Speaker 1: If you expect to just push threshold up, threshold up endurance, volume, frequency, intensity,
- 22:37Speaker 1: and then you expect to have a full time job,
- 22:38Speaker 1: you expect to have, you know, go out dating, you know,
- 22:42Speaker 1: expect to go to happy hours, go to dinners, and
- 22:44Speaker 1: you're going to balance all that intuitively as an inexperienced person,
- 22:47Speaker 1: I think it's a little bit naive, you know, And
- 22:49Speaker 1: I think the more that people would at least just
- 22:51Speaker 1: touch base, you know, at the beginning of a training program,
- 22:55Speaker 1: especially if it's going to be sixteen weeks of like
- 22:58Speaker 1: marathon training or something like that.
- 23:00Speaker 3: That way you get a little bit of a rule set. Hopefully.
- 23:04Speaker 1: There was another question that I can just answer about
- 23:06Speaker 1: if your physical therapist isn't helping you. Yeah, yeah, yeah,
- 23:09Speaker 1: I think that's an interesting way to get sure. Some
- 23:12Speaker 1: therapists might not be like giving you the advice you need,
- 23:15Speaker 1: but partially you need to be going into that encounter
- 23:18Speaker 1: with an idea of what you need to get out
- 23:20Speaker 1: of it. Right, So if you meet with a therapist.
- 23:24Speaker 1: They shouldn't just be touching your leg and giving you
- 23:27Speaker 1: stretches for your leg and then you leave.
- 23:30Speaker 3: Right.
- 23:30Speaker 1: There should be a lot of discussion about how you
- 23:32Speaker 1: do things, what you do, why you do it, what
- 23:34Speaker 1: you're feeling when you do it, when you don't do it.
- 23:37Speaker 1: You know, like understanding, like in that mutual perception of
- 23:41Speaker 1: what's happening, right, And if you can do that early
- 23:44Speaker 1: in a training plan, then you have the power to
- 23:46Speaker 1: know what is likely to pop up and what is
- 23:49Speaker 1: not likely to pop up. So you know, in your case,
- 23:53Speaker 1: we had the plant our thing, and is that likely
- 23:56Speaker 1: to speak to you in the process of a volume
- 24:00Speaker 1: marathon training. Sure, But if we know that, we know
- 24:04Speaker 1: a rule set around how we manage it, then we
- 24:07Speaker 1: can say, oh, well, like, you know, this doesn't seem
- 24:10Speaker 1: too swollen. It's only a two out of a ten.
- 24:13Speaker 1: It only happened on mile twenty two days later it
- 24:16Speaker 1: was gone right, and that would be a circumstance. It's
- 24:19Speaker 1: pretty easy to say, all right, we're not too afraid
- 24:22Speaker 1: of this, right versus something out of leftfield. My neck
- 24:27Speaker 1: hurts six out of ten pain, it's sharp, it hurts
- 24:31Speaker 1: all day, right, That would be very different. Right, that's unfamiliar.
- 24:34Speaker 1: That's something that you should be really trying to reorient
- 24:38Speaker 1: around and not just assume that it's going away right
- 24:41Speaker 1: in that way so that I don't I know that
- 24:43Speaker 1: that's not a running specific example, but you know something
- 24:46Speaker 1: of that, of that nature that's like, oh, like I
- 24:48Speaker 1: had no idea that there would be anything going on
- 24:50Speaker 1: in this part of my body. That is more Okay,
- 24:53Speaker 1: let's place a limit on this, right, and hopefully that's
- 24:56Speaker 1: you know, I think when you say it out loud,
- 24:57Speaker 1: it sounds pretty obvious, but this isn't how people are
- 25:01Speaker 1: operating I think very often.
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- 27:02Speaker 2: To go back to that question that someone had submitted
- 27:04Speaker 2: about I feel as though working with my PT isn't
- 27:07Speaker 2: helping me. There are also some things that are within
- 27:10Speaker 2: your control that you have to own up and take
- 27:13Speaker 2: control of, so if you are working with BT who's
- 27:16Speaker 2: giving you exercises, and you're not doing your exercises at
- 27:19Speaker 2: home to supplement the time that you're together, then that's
- 27:21Speaker 2: on you. Also if you aren't communicating in the way
- 27:25Speaker 2: that Luke just recommended, saying this is what I'm doing
- 27:27Speaker 2: with my day, this is what I am not doing
- 27:29Speaker 2: with my day. Maybe lately I am doing more of
- 27:32Speaker 2: X or why and I haven't mentioned that to you before. Like,
- 27:34Speaker 2: you have to be as upfront as possible with this
- 27:36Speaker 2: person so that they can help you alleviate, navigate whatever
- 27:40Speaker 2: it is that you're going through. And then the last
- 27:42Speaker 2: thing here really is at times working with a physical therapist,
- 27:46Speaker 2: think about how you feel when you work with a therapist.
- 27:48Speaker 2: I don't know about you, but I have in my
- 27:51Speaker 2: therapy journey navigated or worked with a few different professionals
- 27:55Speaker 2: and knew at one point or another that maybe that
- 27:57Speaker 2: relationship wasn't right for me. Same opportunity when you're working
- 28:01Speaker 2: with a physical therapist. So just because someone is qualified
- 28:06Speaker 2: doesn't necessarily mean that they're going to be the right
- 28:08Speaker 2: professional for you. So be honest and upfront with what
- 28:11Speaker 2: it is that you need. If you feel like you guys,
- 28:13Speaker 2: click if you feel like you have a good working relationship,
- 28:15Speaker 2: because at the end of the day, not only is
- 28:17Speaker 2: this your body, but this is also your money, which
- 28:19Speaker 2: is something that will lead this conversation and do as
- 28:22Speaker 2: well because it is a big investment.
- 28:26Speaker 1: Yeah, I mean, definitely go shopping. Like even I have
- 28:29Speaker 1: clients that I've worked with that I don't think that
- 28:31Speaker 1: had necessarily bad experiences with me, but then they've seen
- 28:34Speaker 1: someone else at motive like filling in for me or whatever,
- 28:37Speaker 1: and they just really jibe and it works and it's
- 28:39Speaker 1: great and they just maybe understand each other a little
- 28:41Speaker 1: bit better then I had, you know, a fit with
- 28:44Speaker 1: that person on that day or those sessions, And if
- 28:48Speaker 1: that helps that person navigate their experience better, that's a win, right,
- 28:53Speaker 1: And like not all not all people are suited to
- 28:56Speaker 1: all people, right, I think like astrological signs, right, aren't
- 28:59Speaker 1: there one that are really bad?
- 29:01Speaker 2: Something like that? I'm not good. I'm not good with
- 29:03Speaker 2: astrology myself, but I feel that So Yeah, shopping around
- 29:07Speaker 2: is important. But then again to that topic of money,
- 29:09Speaker 2: I mean, thinking about coming to PT every week for
- 29:13Speaker 2: three months, Like you said earlier, it is an intelligent
- 29:17Speaker 2: decision if you were going to go after a goal
- 29:20Speaker 2: to invest in coaching. And I got to the point
- 29:22Speaker 2: with my body where I knew what my goal was
- 29:25Speaker 2: and I knew that in order to get to my goal,
- 29:27Speaker 2: I needed to invest in physical therapy like hard stop.
- 29:31Speaker 2: That's it. If you're a person that maybe doesn't have
- 29:34Speaker 2: like the issues that I had, or hasn't been navigating
- 29:40Speaker 2: I would say persistent injury, then I don't think anyone's
- 29:44Speaker 2: going to tell you that you need to pay to
- 29:46Speaker 2: go to physical therapy every week. But for me, in
- 29:49Speaker 2: pursuit of my goals, I had to make that commitment.
- 29:51Speaker 2: So it stopped becoming about I don't know if I
- 29:54Speaker 2: really want to do this. I don't know if it's
- 29:56Speaker 2: worth it to me. To this is worth it to me,
- 30:00Speaker 2: I'm going to allocate my budget to make this work
- 30:03Speaker 2: for me. And then in that allocation of my budget,
- 30:06Speaker 2: I didn't have like kind of like the negative feelings
- 30:08Speaker 2: or like the buyer's remorse that you could get when
- 30:10Speaker 2: you like spending a lot of money dedicated towards something.
- 30:12Speaker 2: It was like, no, this is a decision I already
- 30:13Speaker 2: made and I'm going to go with it. And also
- 30:17Speaker 2: on that note. I mean a lot of people listening
- 30:20Speaker 2: to this probably have like certain health insurance plans that
- 30:22Speaker 2: would cover physical therapy. So depending on what your insurance
- 30:25Speaker 2: plan is, you can find a therapist that takes your insurance,
- 30:28Speaker 2: hopefully so that when you show up it's only some
- 30:30Speaker 2: sort of a copay.
- 30:32Speaker 3: Yeah, I motive.
- 30:33Speaker 1: We let people send their insurance ahead of time, and
- 30:36Speaker 1: we tell them up front, like exactly what it'll cost
- 30:38Speaker 1: if they worked with somebody at our practice. Yeah, pretend
- 30:42Speaker 1: I wasn't here and talk about why you decided it
- 30:44Speaker 1: was worth it to do physical therapy.
- 30:46Speaker 2: If you weren't here, and I would tell you this
- 30:48Speaker 2: even if you were here. I'm very lucky that you
- 30:50Speaker 2: and I have this great relationship. I decided to do
- 30:54Speaker 2: physical therapy because, like I just said, I did not
- 30:57Speaker 2: think that I could get to my goal on my own.
- 30:59Speaker 2: I truly, truly believe that not only do coaches need coaches,
- 31:06Speaker 2: but also there were things that I just didn't have
- 31:09Speaker 2: the know how to do, and I needed to reach
- 31:12Speaker 2: out to someone who could educate me and help me.
- 31:18Speaker 1: What do you think, Yeah, I mean, I'm sure that's
- 31:20Speaker 1: part of it. What the other part I was wondering
- 31:22Speaker 1: if there was something like just more in your life
- 31:26Speaker 1: experience that that, you know, rather than so functional. You know,
- 31:29Speaker 1: like if you you decided you needed a physical therapy,
- 31:32Speaker 1: I'm saying this on your behalf.
- 31:34Speaker 2: Yeah, I'm here.
- 31:36Speaker 1: You decided you needed physical therapy because the newness of
- 31:41Speaker 1: certain things would make you anxious and you needed help
- 31:43Speaker 1: navigating that maybe, yeah, or you were frustrated that you
- 31:49Speaker 1: keep trying to have a certain goal and you're not
- 31:52Speaker 1: getting to it on your own, and you were angry
- 31:53Speaker 1: about it, and maybe I don't know, Like I guess
- 31:57Speaker 1: to me, like sometimes you know, reading your own emotions
- 32:00Speaker 1: is a good way to figure out like why you
- 32:03Speaker 1: want to invest in something or not.
- 32:05Speaker 3: You know.
- 32:05Speaker 1: Yeah, So if you if you bunked out of something
- 32:08Speaker 1: and you like really didn't care that much or like
- 32:11Speaker 1: didn't want to change your behavior because of how that happened,
- 32:13Speaker 1: and then like I would really question your own motivations
- 32:16Speaker 1: to be involved in that thing, you know, Like I think,
- 32:18Speaker 1: like if you failed at something and it really didn't
- 32:22Speaker 1: bother you in a way that you want to take action,
- 32:25Speaker 1: you think about that, right, And I think that this
- 32:28Speaker 1: time that seemed evident to me that It was not
- 32:32Speaker 1: a personality shift, but like it was like consciously like, oh,
- 32:35Speaker 1: like I'm not going that way that I went before.
- 32:38Speaker 1: I'm not going to do it that way.
- 32:40Speaker 2: Yeah, And last year I didn't work with a coach.
- 32:43Speaker 2: I came to you like when really I was down
- 32:46Speaker 2: and out already and I just decided that, like I
- 32:49Speaker 2: did not want to repeat I wouldn't even call it
- 32:52Speaker 2: a mistake, but I didn't want to repeat that again.
- 32:55Speaker 2: I am, you know, a certified run coach, but that
- 32:59Speaker 2: doesn't mean and I don't need help. Everyone needs help,
- 33:02Speaker 2: I believe firmly. And I had my run coach on
- 33:05Speaker 2: the show not all that long ago, Rebecca Stow, and
- 33:09Speaker 2: I decided that I was this time around a gonna
- 33:12Speaker 2: work with a run coach and be gonna work diligently
- 33:15Speaker 2: with a physical therapist, and like that was it. That
- 33:17Speaker 2: was the decision. And again I didn't question that decision,
- 33:21Speaker 2: and it empowered me and made me feel like to
- 33:25Speaker 2: your point that I could kind of like stop overthinking
- 33:29Speaker 2: and just like ask the questions that I needed to
- 33:32Speaker 2: ask sometimes without I'm already prone to being an anxious human,
- 33:36Speaker 2: so like to be able to like ask the question
- 33:38Speaker 2: and get an answer, and then like I put my
- 33:41Speaker 2: trust in you. Right. So this is probably the biggest,
- 33:45Speaker 2: the last big learning really, I mean, and there is
- 33:48Speaker 2: so much, but another big learning from our time together
- 33:51Speaker 2: is like I trust in you. Right. So if I
- 33:54Speaker 2: show up and I'm like the top middle part of
- 33:56Speaker 2: my foot is hurting, and you are like, I'm not
- 33:59Speaker 2: really concerned, and I in my gut, in my soul,
- 34:02Speaker 2: in the center of my chest, like I'm concerned. Well,
- 34:05Speaker 2: if you're not really concerned and you're the one that's
- 34:07Speaker 2: like touching the foot and feeling the foot and asking
- 34:09Speaker 2: me all the questions that you need to ask, and
- 34:11Speaker 2: you have all this education, then like, yes, I can
- 34:13Speaker 2: trust my gut, but really, like I trust in you
- 34:16Speaker 2: because you're the one who probably knows I can articulate
- 34:19Speaker 2: like what's going on, but you're the one who has
- 34:21Speaker 2: seen this before, You've worked with people before, and like
- 34:24Speaker 2: that is your role for me, someone who has been
- 34:27Speaker 2: traveling a lot, doing the best you can with all
- 34:29Speaker 2: this training. Like I needed people to like be in
- 34:32Speaker 2: my corner so that I could navigate the right way
- 34:35Speaker 2: to move forward when I knew that I wouldn't have
- 34:37Speaker 2: all the answers.
- 34:38Speaker 1: Yeah, And I think I try to in those situations
- 34:42Speaker 1: not just be the guy that knows the stuff, because I.
- 34:44Speaker 3: Think that that.
- 34:47Speaker 1: A can be very annoying, but b doesn't help the
- 34:49Speaker 1: person sort of be like comforted or self soothe, if
- 34:54Speaker 1: you will, yeah, wrapping their head around what's going on,
- 34:56Speaker 1: because if you talk to them instead about you know,
- 35:00Speaker 1: what you are not seeing, that would be concerning. Okay,
- 35:03Speaker 1: here are the reasons right here. If this was really
- 35:05Speaker 1: a problem, I would be expecting more of these type
- 35:07Speaker 1: of things, and talk to me about how you feel
- 35:09Speaker 1: about that, Are you noticing any of those things, and
- 35:11Speaker 1: really again, like conversational about it rather than just oh,
- 35:15Speaker 1: this bone seems fine, this muscle is tight, stretch it dumb, dumb,
- 35:19Speaker 1: you know, like, which I think is actually how some
- 35:22Speaker 1: encounters go down, right, and then God forbid that something
- 35:26Speaker 1: goes wrong. From that point, that person is now like
- 35:29Speaker 1: double damaged off of the experience, right, yeah, which I
- 35:32Speaker 1: think can be a bummer. So I think like, if
- 35:36Speaker 1: you're going to work with somebody, not just a physical therapist,
- 35:38Speaker 1: but a coach, should hopefully be somebody that's going to
- 35:41Speaker 1: be willing to communicate with you in a normal human way.
- 35:45Speaker 3: Regardless of the fact that.
- 35:46Speaker 1: They know more about a certain thing and you know
- 35:49Speaker 1: more about a certain something else, right. And I feel
- 35:53Speaker 1: like that's something that definitely took time for me to
- 35:56Speaker 1: figure out in my career because I think early in
- 35:57Speaker 1: my career I would just be like, don't this is obvious,
- 36:00Speaker 1: Just do these five exercises. It would be totally fine, right, like,
- 36:04Speaker 1: and you know, even though that theoretically would be true,
- 36:08Speaker 1: the outcome would never happen, you know. And it's like
- 36:10Speaker 1: sort of how you encounter and how you talk to people,
- 36:14Speaker 1: it makes a huge difference, especially depending on how they are,
- 36:17Speaker 1: so you know that person may not be a fit
- 36:19Speaker 1: to a certain communication. I have other clients that I
- 36:22Speaker 1: have to say, like, come on, man, you're being such
- 36:25Speaker 1: a baby about this, Like come on, like, don't just
- 36:28Speaker 1: damn do it, you know, And that's like the coaching
- 36:30Speaker 1: that they need.
- 36:32Speaker 2: But I don't think that's you, hopefully not hopefully not.
- 36:36Speaker 2: You know, you mentioned or equipped about going home and
- 36:39Speaker 2: like doing those five exercises. As a PT. I'm curious, like,
- 36:42Speaker 2: how often would you say that someone comes in for
- 36:45Speaker 2: PT and you give them homework and they don't do it.
- 36:49Speaker 3: I think that a motive.
- 36:51Speaker 1: We probably have a higher success rate of people doing
- 36:53Speaker 1: this stuff than a lot of places, but even at that,
- 36:56Speaker 1: it's probably fifty to fifty. Yeah, best, How can you
- 36:58Speaker 1: tell nothing changes? And there are physical cues to that
- 37:05Speaker 1: and psychological cues to that, and behavioral cues to that.
- 37:10Speaker 1: You know they keep making the same mistakes in their
- 37:13Speaker 1: training plan, then they're clearly not listening. They're not willing
- 37:16Speaker 1: to have a conversation in which the rules might need
- 37:18Speaker 1: to change. And if that's the case, it's unlikely that
- 37:21Speaker 1: things get better.
- 37:21Speaker 2: Right.
- 37:22Speaker 1: So I always tell people that as a physical therapist,
- 37:25Speaker 1: it's got physical in the name, but my goal is
- 37:28Speaker 1: to change the way you think. And I actually really
- 37:31Speaker 1: approach it that way because if you had a physical
- 37:35Speaker 1: problem and you didn't need help or to change the
- 37:38Speaker 1: way you think about it, you wouldn't be at physical therapy.
- 37:40Speaker 1: You would be on your own with it going away
- 37:43Speaker 1: because it was just a physical thing. But now you
- 37:45Speaker 1: need to You've come to an m pass right where
- 37:47Speaker 1: something needs to change, and I think actually often the
- 37:49Speaker 1: rules need to change and how you think needs to change.
- 37:52Speaker 1: I'll use exercises to get out a specific thing, because
- 37:56Speaker 1: technical things are real, but really the goal is for
- 37:59Speaker 1: you to understand, Oh, you know, you did that plio
- 38:02Speaker 1: exercise on your left foot and it felt like breezy
- 38:05Speaker 1: and simple, right, and you did on your right foot
- 38:06Speaker 1: and it's like, okay, what the hell, Like where's my leg?
- 38:09Speaker 1: You know, like what's going on with that? So it
- 38:12Speaker 1: didn't really matter what exercise per se if the you know,
- 38:17Speaker 1: the end goal was you realize that that's limitation and
- 38:19Speaker 1: understand how to change it.
- 38:21Speaker 2: Yeah. Yeah, you're making me sit here thinking about the
- 38:24Speaker 2: difference between my left and my right head. But that's sorry.
- 38:27Speaker 2: It's a conversation for another day. I before we jump
- 38:31Speaker 2: into a few listener questions, I have a question for you.
- 38:36Speaker 2: What would you say that you've learned working with me what.
- 38:43Speaker 3: I've learned working with you.
- 38:45Speaker 1: I think that it's been a good blend of working
- 38:47Speaker 1: with somebody that hasn't done coaching that much before and
- 38:53Speaker 1: now is fully engaging with it and not overdoing that
- 38:58Speaker 1: aspect of it. I think because you've got you picked
- 39:00Speaker 1: up a run coach, you picked up a physical therapist,
- 39:03Speaker 1: you picked up some recovery services that you've been like
- 39:06Speaker 1: pretty regularly making use of right And I think that
- 39:10Speaker 1: what I've learned.
- 39:12Speaker 3: To do better.
- 39:13Speaker 1: Maybe is make sure that she's like tempering the usage
- 39:17Speaker 1: of all these things. They were like applying appropriate importance
- 39:20Speaker 1: to those things, right, because sometimes I think in New
- 39:23Speaker 1: York we get really like I guess Type A is
- 39:26Speaker 1: like an easy way to describe that, like go get
- 39:28Speaker 1: her like do.
- 39:28Speaker 3: More, do more? Do more?
- 39:30Speaker 1: And is it easy to just suggest another thing to
- 39:33Speaker 1: go do and another thing to spend money on? Sure,
- 39:36Speaker 1: but that may not be like really the best solution.
- 39:39Speaker 1: And the way that you've been kind of actively engaging
- 39:43Speaker 1: with all these things kind of keeps me in check
- 39:46Speaker 1: with my thinking about like oh, like yeah, interesting suggestion,
- 39:50Speaker 1: Like what do I think about that? You know? So
- 39:52Speaker 1: I think that that sort of like active assessment of
- 39:55Speaker 1: that has been good.
- 39:56Speaker 2: I'm glad to help you with my type aness. Okay,
- 39:59Speaker 2: we're going to break into a few hurdler questions here
- 40:02Speaker 2: because I would be remiss if I didn't take this
- 40:05Speaker 2: chance on their behalf with you in the hot seat. Here,
- 40:09Speaker 2: does Luke recommend foam rolling or massage guns to his clients?
- 40:15Speaker 1: So I will preface this is not a never do
- 40:19Speaker 1: this thing, but generally no. And the reason that I
- 40:22Speaker 1: say generally know is because I think a lot of
- 40:24Speaker 1: the time that time people are spending with that if
- 40:28Speaker 1: they were to do something specific to their own needs,
- 40:31Speaker 1: would be time better spent on that instead of the
- 40:34Speaker 1: foam rolling or the massage gun, which is really not
- 40:37Speaker 1: changing anything. It's kind of like a passive engagement, right,
- 40:42Speaker 1: and I like I just gravitate towards to things that
- 40:45Speaker 1: are more mentally engaging while physically engaging.
- 40:48Speaker 2: What I've learned from working with Luke is really like
- 40:51Speaker 2: everything comes back to foundational movement, right, So if you
- 40:55Speaker 2: can determine and examine perhaps the discrepancies between your side,
- 41:00Speaker 2: it's if you're having a certain issue or really home
- 41:04Speaker 2: in on a specific area that needs a little extra love,
- 41:08Speaker 2: then spending the time doing exercises to fix an issue
- 41:13Speaker 2: rather than band aid it via the use of whether
- 41:16Speaker 2: it be certain tools or creams or sprays, whatever it
- 41:20Speaker 2: might be, Like that will always be the goal from
- 41:23Speaker 2: most ptspov.
- 41:25Speaker 1: Yeah, and it's always what's the context as well, because
- 41:28Speaker 1: I think we like to train and work on increasing capacities,
- 41:34Speaker 1: not just like changing and stretching and exercising just because, right, So,
- 41:40Speaker 1: if you needed to have a certain amount of power
- 41:42Speaker 1: to run seven forty miles to get the marathon goal
- 41:45Speaker 1: you want. Okay, do we have the core competency to
- 41:48Speaker 1: actually do that? And where would the breakdown be likely
- 41:52Speaker 1: to occur if it were to break down? Right? That
- 41:54Speaker 1: I think is the way to be more reliably successful,
- 41:56Speaker 1: then to like just neurologically mash something with a massage
- 42:01Speaker 1: gun and then hope.
- 42:02Speaker 3: For the best.
- 42:02Speaker 2: Yeah, and you're you're reminding me of an important question
- 42:06Speaker 2: that comes in and it's related to perhaps the anxiety
- 42:08Speaker 2: that comes up with changing the plan that's already written
- 42:11Speaker 2: in pencil. And over the last few weeks, as I've
- 42:15Speaker 2: been navigating a little bit of new tendonitis in the
- 42:17Speaker 2: left knee leading up to the race on Sunday, we
- 42:21Speaker 2: pivoted and I started doing more cycling rather than running
- 42:24Speaker 2: to give this particular wonkiness like a little bit of
- 42:28Speaker 2: breathing room and perhaps time to heal a little bit better.
- 42:31Speaker 2: And as I did that, I got a lot of
- 42:32Speaker 2: questions that came in surrounding the idea of well, what's
- 42:36Speaker 2: going to happen to all my training? What's going to happen?
- 42:39Speaker 2: And you just said right now, you said, do you
- 42:41Speaker 2: have the capacity like there is a mutual understanding between
- 42:44Speaker 2: you and I that I have the capacity to run
- 42:47Speaker 2: a certain speed do a certain thing. I wouldn't have
- 42:50Speaker 2: that capacity if I drove my injury into a greater
- 42:54Speaker 2: place of discomfort and really angered it. Right, So let's
- 42:58Speaker 2: why can't you? Can you come on that for me?
- 43:00Speaker 2: Can you comment on the idea of like understanding that
- 43:04Speaker 2: a week off isn't going to negate what's going on
- 43:06Speaker 2: with your training?
- 43:07Speaker 3: Yeah?
- 43:07Speaker 1: Well, I mean I think understanding who you are as
- 43:10Speaker 1: an athlete is relevant as well. And I think that
- 43:12Speaker 1: I'm staring at the poster that says three twenty eight
- 43:14Speaker 1: oh eight, so we know that you have that capability
- 43:17Speaker 1: in you and you know, rate your training for that marathon.
- 43:20Speaker 2: Out of ten hard eight nine like really solid.
- 43:23Speaker 1: So that was like a really good effort for you, right,
- 43:25Speaker 1: And so we know that that capacity is there. So
- 43:28Speaker 1: if I put you in a box for two weeks,
- 43:31Speaker 1: you know, the day after that, and you hadn't run
- 43:32Speaker 1: another marathon, how far off of three twenty eight eight
- 43:35Speaker 1: do you think you would get.
- 43:36Speaker 2: If we had to pretend that I hadn't run the
- 43:38Speaker 2: first one and mix my legs, and I think I'd
- 43:40Speaker 2: still probably be pretty close to pretty close.
- 43:42Speaker 1: Right. So it's like if you have a certain capacity
- 43:44Speaker 1: and you know, understand yourself as an athlete, which is
- 43:47Speaker 1: easier when you're experience. It's harder when you're inexperience. Then
- 43:50Speaker 1: you kind of know, you know, if you're a pitcher,
- 43:53Speaker 1: you know you throw ninety seven miles an hour. You know,
- 43:55Speaker 1: on a bad day you throw ninety five miles an hour,
- 43:57Speaker 1: and like you kind of calibrate yourself to expectations that way.
- 44:00Speaker 1: And I think that in your case, as long as
- 44:03Speaker 1: we maintain some physical capacity and cardiovascular engagement, we can
- 44:08Speaker 1: be pretty confident that you're getting a good result if
- 44:10Speaker 1: you don't injure yourself before you get to the race, right.
- 44:13Speaker 2: Yeah.
- 44:13Speaker 3: Yeah, And that's like I said, harder for a new person.
- 44:16Speaker 1: So that's where I think coaching again and even more
- 44:19Speaker 1: of an.
- 44:19Speaker 2: Asset, Yeah, for sure. Another question that came in from
- 44:24Speaker 2: Chelsea I believe her name, is how to know when
- 44:26Speaker 2: you're ready to return for a run if you feel
- 44:29Speaker 2: as though, feel as though, I'll use those that in
- 44:32Speaker 2: air quotes here, you've healed.
- 44:36Speaker 1: The vagueness of what you're healing from is obviously conspicuous. Here,
- 44:41Speaker 1: I would say that you shouldn't be afraid to reintroduce
- 44:45Speaker 1: some amount of the activity that you're working with throughout
- 44:50Speaker 1: the healing process. So if you've expected to wait, be
- 44:53Speaker 1: healed and then do what you were doing before, bad policy.
- 44:57Speaker 1: Right in the process of healing, you should have been
- 45:00Speaker 1: able to involve some amount of the activity or training
- 45:04Speaker 1: related activities for the thing that you want to do.
- 45:07Speaker 1: And I feel like if I had to guess, the
- 45:09Speaker 1: headspace of that person is coming from where they're not
- 45:12Speaker 1: quite that place. They've been in the waiting and hoping place,
- 45:17Speaker 1: And I think that's a good opportunity for coaching.
- 45:20Speaker 2: And I also think here is a really good time
- 45:23Speaker 2: if this is a question that's relevant to running, to
- 45:26Speaker 2: reiterate the value and benefit to run walking. I over
- 45:31Speaker 2: the last two three years navigating different moments of injury,
- 45:36Speaker 2: all like I would say, three decently sized injuries that
- 45:40Speaker 2: I've come back from involved weeks of run walking. And
- 45:44Speaker 2: it was something that Emily, before working with coaches, may
- 45:48Speaker 2: have been resistant to and adopted that first mindset. It's like, oh,
- 45:51Speaker 2: it still hurts, not ready to run. Oh it's still hurts,
- 45:53Speaker 2: not ready to run, but now being able to build
- 45:56Speaker 2: up that resilience and build back to the capacity that
- 46:00Speaker 2: I knew that I had been previously capable of. That
- 46:03Speaker 2: reminded me and instilled in me the value of sacrificing
- 46:06Speaker 2: a little bit of what feels quote unquote normal to
- 46:09Speaker 2: get to where you want to be.
- 46:11Speaker 1: Yeah, you know what every person says that we look
- 46:16Speaker 1: at and then try to alter mechanics.
- 46:18Speaker 2: What do they say?
- 46:19Speaker 1: This is exhausting, right, They're like, they're like, you want
- 46:22Speaker 1: my niece to go?
- 46:23Speaker 3: How high?
- 46:23Speaker 1: You want my button? You want my heel to kick?
- 46:25Speaker 1: How far you want my arms to move? Like?
- 46:27Speaker 3: What you want me to do this? Cadence? You want
- 46:29Speaker 3: me to do this? You want my foot underneath me?
- 46:31Speaker 3: You want this? You want that?
- 46:32Speaker 1: And they're like it's exhausting, right, So why wouldn't you
- 46:36Speaker 1: give yourself the opportunity to be successful in a run
- 46:39Speaker 1: walk where you you know, say you start by running
- 46:41Speaker 1: for two minutes, walking for two minutes because you were
- 46:44Speaker 1: already exhausted doing it for forty seconds on the treadmill,
- 46:47Speaker 1: like you think you're gonna go out for ten miles
- 46:49Speaker 1: and sustain that, you know, like it's actually just it's
- 46:52Speaker 1: just good training, you know, give yourself the opportunity to
- 46:55Speaker 1: actually do the thing that you're trying to do.
- 46:57Speaker 2: Do the thing that you're trying to do. I feel
- 47:00Speaker 2: like a lot of the other questions that came through
- 47:02Speaker 2: are like specific. It would be like how to deal
- 47:05Speaker 2: with post your typical tibial foot pain, or how to
- 47:09Speaker 2: navigate tight quads. I will give one area specific question
- 47:12Speaker 2: to you because I know that this is a commonality
- 47:16Speaker 2: between amongst runners, is navigating tight hips? Is there anything
- 47:20Speaker 2: you would say to the general running population about navigating
- 47:24Speaker 2: tight hips?
- 47:25Speaker 1: Running, especially for endurance, long distances, long amounts of time,
- 47:31Speaker 1: or at very high speeds, is tiring for the hips,
- 47:35Speaker 1: and it will create neurological tension at a minimum and
- 47:38Speaker 1: then likely over time connective tissue and muscle tissue tension
- 47:42Speaker 1: over time. And if you're not addressing that in proportion
- 47:46Speaker 1: to the amount that you are engaging with activity, you
- 47:49Speaker 1: should expect those things to continue to increase. Right.
- 47:52Speaker 3: So, I think of a lot of things as like
- 47:53Speaker 3: a bank.
- 47:55Speaker 1: Right, if you put two hundred dollars in the bank
- 47:58Speaker 1: and your runt as one hundred dollar, like it was
- 48:01Speaker 1: nineteen sixty one, and you take out one hundred dollars.
- 48:04Speaker 1: You have one hundred dollars in the bank, right, and
- 48:06Speaker 1: you know one hundred dollars is coming out of your
- 48:07Speaker 1: bank every month, right, So your bank is replenishing at
- 48:12Speaker 1: a certain rate, and it's you know, being emptied at
- 48:15Speaker 1: a certain rate. And if the rates don't match, you're
- 48:18Speaker 1: going to have a problem. Right. So if you run
- 48:20Speaker 1: and you do one percent of the recovery that you
- 48:23Speaker 1: should do or one percent of the movement diversity, let's
- 48:26Speaker 1: say that you should so ninety nine percent of the
- 48:29Speaker 1: stress one percent of the recovery. How do we expect
- 48:31Speaker 1: that to accumulate over time? I think that's probably the
- 48:34Speaker 1: biggest thing is runners.
- 48:36Speaker 3: Like to run. They don't like to do the other stuff.
- 48:39Speaker 1: And if you think about the future and how much
- 48:42Speaker 1: you might want to run when you're fifty, when you're sixty,
- 48:45Speaker 1: if you still want to run, I think you should
- 48:47Speaker 1: probably put a lot more proportion into thinking about maintaining
- 48:51Speaker 1: your capacities and maintaining your normal which is like how
- 48:54Speaker 1: you can move, what range of motion you have, things
- 48:56Speaker 1: like that, things like that.
- 48:58Speaker 2: You know, the reason whyfer pfessional runners are professional runners
- 49:02Speaker 2: is not only because they run well, but because they
- 49:04Speaker 2: have now found more often than not, some sort of
- 49:08Speaker 2: sponsorship that enables them to put in the time to
- 49:10Speaker 2: do all the other things that they need to do
- 49:13Speaker 2: that they need to do to run well, whether that
- 49:15Speaker 2: be prioritize their nutrition, make time for all of this recovery,
- 49:19Speaker 2: like actively go and lift weights, Like there's so many
- 49:22Speaker 2: things that we don't see when we go and turn
- 49:25Speaker 2: on the TV and watch Kire Tomato or Kipchoge, like
- 49:28Speaker 2: crush at Berlin, and they crush because they put emphasis
- 49:32Speaker 2: on so many of the things that slowly recreational runners
- 49:36Speaker 2: often overlook. And again there's a reason why they're the
- 49:40Speaker 2: best in the world. It's because they focus on that.
- 49:43Speaker 1: And I think, think about what stress you have in
- 49:45Speaker 1: your life that's contributory to how you feel every day, right,
- 49:48Speaker 1: Like those people don't have, you know, sixty hour a week,
- 49:52Speaker 1: seventy hour week Goldman Sachs desk work to do. They're
- 49:56Speaker 1: not going to have a certain type of stress in
- 49:58Speaker 1: their body. Pretty much stand up all day for work.
- 50:02Speaker 1: I'm not going to have certain type of stress in
- 50:04Speaker 1: my body. You know someone else sits down all the time,
- 50:07Speaker 1: they will, you know, So don't expect to act like
- 50:10Speaker 1: a professional if most of your life is taken up
- 50:13Speaker 1: with being a professional of something else, right of.
- 50:16Speaker 2: Something else, of something else. I'm so excited that we
- 50:18Speaker 2: finally sat down and did this. Is there any other knowledge,
- 50:21Speaker 2: wisdom leucisms that you want to just spell on the
- 50:24Speaker 2: hurdlers before I let you go?
- 50:28Speaker 1: Knowledge and wisdom? I don't know, but I think move
- 50:33Speaker 1: more of your body more of the time. You know,
- 50:35Speaker 1: if you're interested in an activity, regardless of what it is,
- 50:38Speaker 1: chances are that it doesn't use a lot of your
- 50:41Speaker 1: body to do that. So if you think about running,
- 50:43Speaker 1: since we've been talking a lot about that today, this
- 50:45Speaker 1: very like forward motion sagital plane needs in arms forward
- 50:49Speaker 1: kind of motion. Right, A lot of us end up
- 50:51Speaker 1: lacking rotation, We lack movement side to side, we lack
- 50:56Speaker 1: core activity, we lack you know, diverse breathing. You know,
- 50:59Speaker 1: we only get engaged with moving that way, and that,
- 51:02Speaker 1: over time, is not what the human body really likes. So,
- 51:06Speaker 1: you know, whatever the activity is, do more with more
- 51:09Speaker 1: of your body, more of the time. And that doesn't
- 51:12Speaker 1: mean like bash your head into wall weightlifting. It doesn't
- 51:15Speaker 1: mean go to yoga nineteen times a week. It means
- 51:18Speaker 1: diversity right, and I think that that would help probably.
- 51:21Speaker 2: Everybody movement diversity for the When Luke so Happy you
- 51:25Speaker 2: came in? How did the hurdlers follow along with you?
- 51:28Speaker 2: What do they need to know about Motive? Give me
- 51:30Speaker 2: the details.
- 51:31Speaker 1: So Motive Motive n Why is a physical therapy and
- 51:35Speaker 1: wellness studio in Soho, New York. You can find us
- 51:38Speaker 1: at Motive NY dot com, m O t i v
- 51:41Speaker 1: n y dot com. Follow us on Instagram at m
- 51:44Speaker 1: O t i v n why. You can follow me
- 51:47Speaker 1: personally at Luke Motive l u k E m O
- 51:50Speaker 1: t i v I'll say, though, be prepared for predominantly
- 51:54Speaker 1: photos of my son, who is a side of like
- 51:58Speaker 1: exercise and physical therapy stuff.
- 52:01Speaker 2: Ten out of ten would recommend I'm over at Hurdle
- 52:04Speaker 2: Podcast and at Emily a Body Another Hurdle Conquered. Catch
- 52:08Speaker 2: you guys next time