Dr. Kelly Starrett

And that shoulder coming forward suddenly asks that question.

deltoid biceps to work really hard the deltoids like working like a seat belt trying to squeeze you back that's potentially the mechanism of injury for biceps tears for labral tears puts my rotator cuff at a huge disadvantage and what we can say is it's not necessarily bad because you have pain it's less effective if you're trying to access all the wonderful things that your shoulder should be able to do so now when we give people a few quick tests you can be like oh i'm

This must be my internal rotation.

And oftentimes when you just restore these fundamental shapes, pain mitigation, we get in the background, right?

But more importantly, what can we measure?

Power, wattage, poundage.

Those are the things that we really keep our eyes on.

I'm so glad you brought that up.

So one of the things that our industry, physical therapy, everyone all did dirty by women for a long time is we did not recognize what Dr. Vonda Wright calls the musculoskeletal syndrome of menopause.

And that when we suddenly see women in their 40s and 50s who show up with some weird occult tendon thing, got a weird hot tendon, I want everyone to ask the fundamental question, hmm, I wonder if this is related to my gonads, right?

Which is my ovaries and testes.

What is happening?

Is there some fundamental change in my biology that has left me – because you're doing everything the same.

Nutrition is the same.

But all of a sudden I woke up and this new body, absolutely we should be asking that question.

Does this have a hormonal component?

Yes.

And we can also work on restoring your range of motion.

We could also get blood flow and we could move slower so that it doesn't hurt while simultaneously maybe we run that down.

I would say that for generations, we didn't fix the hormone problem for as long as we've been humans.