Kyler Brown

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?

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.

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.

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.

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.

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 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.

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.

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.

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.

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.

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.