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
But that right knee flaring up told me, okay, there's something going on at either her feet or her pelvis that's not in sync because she essentially with her mileage overloaded that right knee and created a repetitive stress injury. So that's why I was saying earlier, injuries don't just show up for fun, right? The great almighty above didn't say, Jillatia, right knee pain today.
And so whenever you see a story like that, and then you do the evaluation, and the way her pelvis was rotating, the way her core and her spine were set up, and also the way that left hamstring was affecting her motion, she was basically dumping into that right knee over and over. 10 miles for someone like her, no big deal.
You stack up two marathons pretty close with that much mileage, all of a sudden that right knee really flares up. And so the right knee flare up was actually an indicator of something else going on functionally. And it wasn't only about making her knee better, which is what traditional medicine does is like, okay, rest it, ice it, meloxicam, treatment, rehab, chiro, whatever.
And then the knee's better. And then traditionally those people go run again and three or five months later, it comes back. So we need to look at these asymmetries everywhere else, not just the side of pain.
Yeah, great question. I think demographically, a lot of middle-aged women, it's getting way better, but don't strength train, number one. So the health of their tendons and the muscle fibers and the mass of the muscles just aren't normally as high and as strong as someone else, especially if they're an endurance athlete.
Runners nowadays know that they need a cross train, but how they're doing it and what it looks like is still a big gap in my opinion. So using the word cause is always tricky in biomechanics because it's always kind of like the snake eats the tail, like they're all kind of intertwined.
But the most simple way of describing it is that tendon overuse, what we found out with her MRI is that she had a true tendinopathy damage to that proximal hamstring tendon, as well as one of the hip rotators that inserts on the same site next to that hamstring had a little damage and irritation.
That area was a byproduct of the way she was rotating through her pelvis and the way that spinal counter rotation was happening. Jill has a tiny bit of scoliosis, which sets her up for that asymmetry. And so her brain subconsciously was basically forced with the decision of, do I jam my right low back or do I really try to pull with that left hamstring?
And that combination over time created a little fraying in the tendon.
I could definitely see that. And I think a lot of women feel that way. My wife had the same experience. I think one of the biggest crimes in modern medicine today is that a running back, if we blow an ACL, we know exactly what to do. And there's a protocol and everyone's like, okay, in eight months, this athlete will be back. But women, everyone cares about the baby.
The baby's born, even the mom cares about the baby. They sacrifice their own body just to make sure this little creature grows up and gets everything it needs. And so this focus on what women need the first year after is very lacking, in my opinion.
The complexity of what they deal with is fascinating because not only do they just add weight by adding this human, the relaxin hormone creates areas of stress and laxity that will shorten up and tighten up over time, but it affects different women differently. Some women's feet change in that environment of more relaxin and carrying more weight, the arch and the foot gets affected.
And so in a way I always look at it as like, okay, all these areas suffered a little bit of what you might call as an injury, but let's look at it like, okay, it's a natural process, but how do we account for all these layers? No one out there is telling women to do foot strengthening when they're two months pregnant, but they should be. I wouldn't have thought of it until you just said it now.
Yeah. Literally, women, just like we did for your shoulder, if you find out you're pregnant, you should start doing some foot strengthening things, some core stability stuff. There's a ton of things you could do. Prehab, Then after, obviously, God willing, see how it goes and get the baby good, but then you start trying to strengthen the right way.
Oh, yeah. One of my favorite orthopedic surgeons in town, he called me and he's a hip ortho, great guy. And he's like, hey, you got to help me out here. My wife has the same issue. And she's been doing traditional PT for like eight months and it's no better. And she's about to fire me. She's like, what are you doing? But it's a very common thing. And that's what's been really cool for me to see.
These pelvic floor specialists that are arising, it's really cool field, ton of expertise with it. I am not an expert in pelvic floor by any means, but you touched on the pelvic floor is very much a big player in how we pressurize our intra-abdominal stability. It's basically the flooring of that whole canister that we're supposed to create with proximal stability.
And so if the diaphragm or the pelvic floor isn't doing its job, then our body's going to immediately start to compensate and create rotations and tilts around things.
I think that's the starting point that I wish everyone could automatically understand is that if you have a really prominent rectus abdominis, that six pack, that has nothing to do with how you stabilize your trunk. especially if I'm doing things in multi-planes like tilting and rotating.
So it's not just your obliques either, but it's the deep stabilization system that not only pressurizes with our diaphragm, the pelvic floor, but it's also all the small muscles up and down my spine, including like multifidi. Do all those muscles kick on and create stiffness in the right way at the right time?
I think a lot of times people are accidentally overcoached into thinking they only need stiffness because the second step to that is, okay, now I can activate that deep stabilization system. I have that bracing. I'm pressurized. I'm using my transverse abdominus, all these other structures down there. Now, can I do that with motion?
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