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Kyler Brown

👀 Person
536 total appearances

Appearances Over Time

Podcast Appearances

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

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.

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

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.

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

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.

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

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.

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

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.

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

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.

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

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.

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

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.

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

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.

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

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.

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

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.

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

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.

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

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.

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

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.

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

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.

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

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.

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

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.

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

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.

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

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.

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

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.