StrongFirst Podcast Episode – 03
In this episode Craig and Scott interview Dr. Travis Jewett about what it means to move right and to be strong at the same time.
00:55 Dr. Travis Jewett is a chiropractor, Beast Tamer, SFL and SFG. He teaches the Mobility WOD courses and runs the StrongFirst for Clinicians course. He runs a chiropractic practice in Cherokee, Iowa. About Dr. Travis’s background as a clinician:
- He’s been practicing for almost eleven years.
- Graduated from Palmer College of Chiropractic.
- Was an exercise physiology major at Iowa State.
- He started training relatively young, since he was 12.
- His goal with everything is to take what he’s learned through the years and make sense of how to apply all of it to the people he’s working with.
04:00 How do you integrate moving a load into your clinic and with athletes?
- Most of the people you work with are there for a reason.
- A lot of issues can be traced back to strength capacity issues.
- It has a lot to do with how they move about during their regular day.
04:32 Is movement assessment different than clinical assessment?
- You have to assess whether someone has the flexibility and mobility to do strength movements.
- Most of his assessing people is based around how they’re moving and different ways he can block their behavior.
07:33 What tools do you use in your assessments?
- It depends on the person who’s there.
- He uses whatever tools he needs to do an appropriate assessment.
- A lot of people try to get too specific with what they’re doing.
09:44 What would you say to a patient who is there for a supraspinatus tendonitis, do you avoid a diagnostic description?
- From his standpoint, it’s difficult to make a hard-line diagnosis anyway – you need an imaging correlation.
- All he can tell the person is what he sees in his evaluation.
- Most injuries can be resolved through manual work and strengthening.
12:13 In your practice are you doing more rehab or pre-habilitation?
- People are in your office because the wheels have come off.
- Once the fire is out, they can talk about what it takes to keep moving the needle the right way.
13:45 Talk about common strength training applications in the clinic.
- It all starts from the kettlebell, it’s approachable, the barbell is intimidating.
- Most people he works with are not athletes and that’s not their goal.
- Deadlifts are big, they do a lot of kettlebell deadlifts, and carries.
- For shoulders – floor presses and isometrics.
- A lot of people can’t load overhead, so they begin with isometrics and then arm bars and pieces of the get up to force them to manage the load.
16:50 Talk about isometrics and explain what you’re doing.
- The first part of the get up is laying on the ground and pressing the kettlebell up.
- Isometrics are holding the joint in one position against some sort of external resistance.
- Isometrics can be somewhat pain relieving.
20:15 Explain more about deadlifts for back pain.
- It’s likely that people have put themselves in a compromised position for a long time before they injured.
- It teaches people how to brace around the load and get their whole body tight, you can start to activate and retrain deep reflexive muscles around the spine.
- A lot of people are dealing with chronic or acute pain around the back.
- Putting the spine together before it’s loaded keeps it from being irritated.
- It shows people a better way.
- When someone can hinge without pain, they can perform a deadlift.
- You have to understand that you have to give them exercises and work to do that doesn’t bother them.
28:30 What’s the purpose of bodybuilding flexing?
- If nothing else, it’s fun and training should be enjoyable.
- Flexing is a key component to maintaining muscular health.
- The importance is learning to maintain those sustained isometric contractions.
31:10 Talk more about the Strongman work.
- He and a group are doing a Strongman competition, but the value is moving big loads.
- If you really want to be effective, the farmer walks have to be pretty heavy.
- He teaches people how to pick up sandbags and do tension around them.
- It creates squeezing strength through your trunk musculature.
32:55 Do you have a recent case study you can think of and how you used kettlebells with them?
- A lady with Parkinson’s and the doctors want to do back surgery.
- When disc bulges become a problem, they have to figure out how to get the back to stop hurting.
- They started doing basic kettlebell deadlifts and goblet squats.
- They started doing some sled work.
- Her back is still painful and the degree is way down but more manageable.
- This woman has avoided pain injections and surgery just with three exercises.
36:10 Where do people start who are hearing your message?
- People have to have a whole paradigm shift in how they approach working with other people.
- You have to be willing to explain to your patient base that they don’t need you as much as they think they do.
- Listen to the guys who came before him.
39:27 What is the next step for clinicians?
- StrongFirst for Clinician‘s course offered by StrongFirst is essential.
- The course is to help refine someone who already has a strength background and to elevate the clinician who doesn’t have that background.
42:04 What’s the next step for the non-clinician to prevent injury?
- Get with a clinician who has an understanding of what you’re trying to do – before you have problems.
- Learn about where your bottlenecks might be and how to apply knowledge to your volunteer training.
- Sign up for a workshop, get with a certified instructor, pick up the book Simple & Sinister by Pavel.
45:36 Any closing advice or thoughts?
- If you’re in the world of strength and conditioning, you need to sleep enough.
- We have to get away from labeling people because that can set up their own road blocks to improvement. - Travis Jewett. Click To Tweet
- The original reason someone is seeing you is because they’re on fire, not to prevent injury. - Travis Jewett. Click To Tweet
- The most important part of the rehabilitation process is pain-free movement. - Travis Jewett. Click To Tweet
Simple & Sinister book by Pavel Tsatsouline
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