Kyler Brown
speaker
274 appearances
2 recordings
2 series
first heard May 2025
last heard 24 Oct
Kyler Brown’s voice in public audio — every appearance, attributed to the second.
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recordings per month · last 12 monthsRecordings per month over the last 12 months — 1 in all, peaking in Oct 2025 with 1.
Appearances
If they're just doing it for money, they're going to do scale and they're going to do like the PT mill that there's four clients with one therapist and that therapist is probably doing the best they can, but they're just kind of outnumbered and they're not accounting for those four different people all at once. So first off, it has to be one-on-one.
You cannot tell me that you're rehabbing you the same way you could rehab my grandma who had a shoulder issue.
Yes. Oh yeah. Typically it's a very cookie cutter approach. Usually it's an insurance model thing where they know that these certain exercises and putting ice or stim is going to be reimbursed by the insurance company. So the PT clinic is going to do that on everybody regardless of what they need. So that's one of the biggest pitfalls is it's never one-on-one. It's not custom.
I mean, in the same way I've had pro athletes come in and we're supposed to do shoulder rehab that day and the night before they did a ton of stuff to their shoulder. So guess what? I'm not doing anything. They actually need to recover that day. It needs to be customized. To go back to your original question of how do people navigate this world?
I think your rehab clinic needs to do more than just offer services. They need to offer a plan. This idea that, okay, this is what I offer. I offer cupping or dry needling or whatever it could be. One service doesn't ever fix anyone and it definitely doesn't increase their capacity over time. The magic word of capacity is what it's all about. Are you building me back to what I want to do?
So if your rehab clinic is a bunch of passive modalities on tables and a bunch of techs doing ultrasound and stuff, that's a red flag for me because they're not going to build you to get stronger and stronger. Number two is the orthopedic needs to actually be hunting down that physical therapy.
So a lot of times what I see in the orthopedic world is they have to give their clients something for rehab guidance because they're not totally sure if their client's going to go do rehab. Can they afford one-on-one and all these other factors? So they give them this handout.
Well, a lot of times this handout is from 30 years ago and it's the same five or six cookie cutter exercises, but then there's no accountability. There's no nuance. So there's just a lot of holes in this path to try to get your shoulder or your back or your knee from it hurts. Do I need surgery or not built all the way back up to I can do whatever I want.
Still not. There's a lot of environmental problems. So one of the biggest issues with all these people, and I have friends that work with all these professional teams that are great. And they're handcuffed because they only have their athlete for so long.
So you all of a sudden get this multiple cooks in the kitchen problem where even if everyone has no ego and the best of intentions and they're most science-based people, they're still not sure, okay, what'd you do last week? What are we trying to do? Are you in a contract year? Like there's so many variables for a pro athlete. So in a weird way, professional sports is wellness upside down.
It's how can we get the most out of this athlete, this commodity for their contract? And that's not really a long-term play. What's been really interesting at 10 Squared is we've had some pro athletes approach us with this idea of, hey, can you guys be my reliable, you're invested in me only and be my oversight? Where are my gaps? Is this okay? Should I play through this pain?
Because there are times you play through pain, there's times you don't. But the most important thing is this idea of having one person driving the bus who knows all your variables. Because if someone comes to us and changes their centenary decathlon, like they want to change one item, like, hey, I really want to start doing jump rope every day. And then we look at their testing.
We're like, look, you're a high risk for Achilles. Let's bake into your program some really good articulate, smart strengthening to get you there rather than just hope it works out.
Yeah. Other than saying that she's a saint for having signed up with you. You want me to talk? Okay. Yeah. Jill's a really great example because she had some pain when she showed up. So my job immediately is evaluate that pain. Is that a structural insufficiency? Are we worried about a real injury here? Or is that just an annoying nuance?
Based on the testing I did, so I did my clinical exam, but way more detailed than I normally would in my private practice because at 10 Squared, we have the time. And we want to remove confirmation bias. So we don't want me to just say, oh, your hamstring hurts, let's order an MRI. Let's test it six ways and in a smart, conservative way.
And if all six of those indicate that, then we're going to do an MRI. So with Jill, we saw some proximal hamstring issues. She's, of course, like you mentioned, an endurance athlete. Her profile, her demographics, her running history all pointed to there might be a tendinopathy there. And then based on my testing, it reinforced that. So I said, let's get an MRI.
Let's really evaluate this tendon because we knew in the near term, within a year, she wanted to run Boston. And as an injury person, I saw this as, look, she's okay now, but it hurts. Once we start stacking up her mileage, that thing's going to get in the way.
Very much so. So that story perked my ears up, that history. And I saw her for knee pain and brief to get her through London and that kind of stuff. But the way runners move, a lot of people don't appreciate, but running, even though I'm moving straight ahead, it's technically a unilateral or single leg rotation propulsion drill. Explain what that means because it's counterintuitive.
It really is. So golfers are actually the same. Their single leg actually rotates to create that torque. So what happens is my favorite term that's out there right now is called the spinal engine, which really speaks to this reciprocal movement of the spine on top of the pelvis and then my feet through the ground. So those three domains, if you will, work in unison to propel me forward.
It's a lot like with sailing, like you put the sail relative to the wind and it points me in direction. All three of those domains have to work in sync. And so when I all of a sudden see an athlete like Jill, she wasn't new to running. She definitely added her volume in a short window, which is a great recipe for injury.
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