Graded Exposure and Movement Sensitivity

Graded Exposure and Movement Sensitivity

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Why the sudden change? He started easy and grooved a pattern. His brain understood that the movement being performed was not a threat and downgraded the pain or fear response. I’m this particular case, pain was his brain’s fear to novel or previously avoided movement.
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Pretzel Stretch For Maximal Flexibility

Pretzel Stretch For Maximal Flexibility

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This combination of both spinal rotation, side bending as well as offsetting hip extension/flexion helps lock the pelvis in one position and allows for a nice anchoring point for the stretch to take hold headed up the back to the thoracic vertebrae, an oft forgotten region.

Hip extension VS Back extension

Hip extension VS Back extension

With these cues, he was able to properly activate his glutes and begin the process of decreasing the reliance on the lumbar erectors in squatting and deadlifting!

Weak or tight knee? Challenge it!

Weak or tight knee? Challenge it!

A lot of the times my patients want to take it easy on the count of their knees or joints being a bit “inflamed,” weak or tight. There are a myriad of reason you may have a knee that feels this way and I would highly suggest that you see a qualified physical therapist before making any sudden decisions regarding that knee.

Before I move on though and in relation to the point above, there is one thing most people forget:

We are meant to move.

Do Push-Ups for Shoulder Health: Why Having Your Shoulder Blades Free to Move Is So Important

Do Push-Ups for Shoulder Health: Why Having Your Shoulder Blades Free to Move Is So Important

Miami's fitness scene can be hard on your shoulders. Whether you're crushing waves on South Beach or tackling weight racks at Elev8tion Fitness, aches and pains can sideline your workout goals. But what if the key to relief isn't just in your shoulders, but in the silent partners holding them up - your scapulae (those winged things on your back)?

Testimonial Tuesdays: Yadila's Neck Pain

Testimonial Tuesdays: Yadila's Neck Pain

Yadila came in with a quick burst of neck pain that was unrelenting. Being the manager of a boxing gym, she needed to be able to move around to assist in the clean up, intake and other duties associated with running a 200+ member club. After a only a few brief contacts, Yadila recovered greatly. She started in agony and finished like sshe never had an issue at all. It was a pleasure working with her from day one and I hope she continues her incredible progress.

What’s the Best Way to Mobilize Your Post-surgical Scars?

What’s the Best Way to Mobilize Your Post-surgical Scars?

…both of these techniques are effective ways to mobilize skin tissue surrounding a “sticky” or adhered scar. Invoking them early and often (as long as your wound is closed in the areas you are treating) can help aid in range of motion and decreased appearance of these fugly incision marks!

Will Lifting Weights Make Women Look Masculine?

Will Lifting Weights Make Women Look Masculine?

Women are capable of performing any fitness routine a man can do. That’s obvious. But, sometimes personal trainers and fitness media outlets like to frame females as if they are incapable of doing, or should not be doing, the same types of exercises a man should. Now, I understand that women and men, on the whole, tend to have different goals, but I don’t think it’s really necessary to completely overhaul the tenants of what effective training is to achieve these goals. 

Pain in the Front of Your Shoulder RIGHT THERE? Try this!

Pain in the Front of Your Shoulder RIGHT THERE? Try this!

Think of the rotator cuff as the dynamic core of your shoulder, providing intricate control and movement. But just like a strong core relies on balanced supporting muscles, the rotator cuff needs its own "wingman." Enter the serratus anterior, often dubbed the "forgotten muscle" of the shoulder.

Prolonged Rounded Spine (Desk Work Posture) CORRECTOR 🙆🏽‍♂️

Prolonged Rounded Spine (Desk Work Posture) CORRECTOR 🙆🏽‍♂️

Try these prone exercises during your lunch break, or even every couple of hours of continued desk work, 🙇🏽‍♂️ in order to reverse that painful and leverage annihilating posture you can develop with your desk job!
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Incline Curls: Using Angles to Bias Different Heads of Your Biceps (YouTube Video)

Incline Curls: Using Angles to Bias Different Heads of Your Biceps (YouTube Video)

Neglecting the long head is a common pitfall. The long head of your bicep is a huge stabilizer of the shoulder joint in general (see photo below to check out how it is right up in there with the rotator cuff tendons). This can lead to shoulder imbalances and potential injuries. By incorporating different arm positions, you ensure both heads contribute equally, promoting well-rounded bicep development and shoulder stability.

What is a Stinger? NFL Injury Breakdown

What is a Stinger? NFL Injury Breakdown

Playing linebacker in high school and a little bit in college, these were common occurrences. Stuffing a running back in the hole (something I did much more in high school 😄) or getting your arm caught up and a scrum would often lead to burning, tingling or even a dead arm.

Cupping

Cupping

It’s great for when people have restrictions across planes of movement: A lot of people benefit from cupping because the therapist can place them across an area of restriction and have the patient do active and passive movements which can free up some of the areas of perceived tightness across tissue planes that wouldn’t typically have that otherwise⠀⠀

Physio Explains: How to Properly Do the Cable Crunch

Cable Crunch: Don't Cheat Your Way to a Six-Pack, Bro

Dr. Rob's back, and today we're debunking your sh*%%^ form with a relatively common core exercise, the cable crunch. Cable crunches are an awesome way to sculpt your six-pack, but many folks fall into the trap of using momentum and hip flexors instead of firing up their abs. Let's break it down and make those crunches count!

Think About What You’re Actually Trying to Do

The cable crunch targets the rectus abdominis, the ONLY muscle behind that coveted six-pack. It works through an isotonic contraction, meaning the muscle lengthens and shortens as you pull the weight down. In, other words, no, your planks aren’t going to make the big difference here. The muscles want to work like any other that you train!

But here's the catch: people often rely too much on their hip flexors, those strong muscles connecting your upper thigh to your pelvis. They crank their torso down with minimal midsection movement, turning the exercise into a leg-powered pull.

Watch my video here before you read below to learn the technique

Ok, Let’s Discuss Form

Ditch the hip swing and anchor your upper body. Imagine locking your torso in a vice from the bottom of the sternum through your arms and neck, keeping the rope in your hands pressed against the top of your head like youre holding a charades card against your head. Now, focus on pulling your sternum (that's the bottom of your chest) towards your pelvis, initiating the crunch from your midsection, not your hips. This simple shift puts the spotlight on your rectus abdominis, maximizing muscle activation and building that six-pack definition.

Bonus Tip:

Master the Mind-Muscle Connection: Don't just let the weight pull you back up. As you slowly "un-crunch," actively feel your abdominal muscles stretch and lengthen. Imagine extending your stomach out towards the weight stack, resisting its pull until you reach the starting position. This slow, controlled return amplifies the muscle engagement and adds an extra burn to your workout.

FORM Over Everything…

Remember, perfect form trumps heavy weights every time. So ditch the momentum, embrace the controlled crunch, and let your mind-muscle connection be your guide. Your abs will thank you for it!

See you next time for more exercise breakdowns and valuable tips. Dr. Rob, always here to help you conquer your fitness goals!

Replaced Knee? Try The Weighted Knee Extension Stretch

Replaced Knee? Try The Weighted Knee Extension Stretch

BOOM! Easy way to elongate the posterior tissues of the knee after a replacement or injury. Things can be very tight, so it is wise to take it east and try not to bash too much of this exercise in a short window. Always keep the pain induced from this passive exercise below a 5/10 at first and slowly build up with increased time and weight as tolerated. Marathon, not a race...

Diaper Booty: A CrossFitter Case Study into Glute Firing

Diaper Booty: A CrossFitter Case Study into Glute Firing

Welcome to another installment of Recycled Instagram Posts. After all, these would probably go unnoticed if I didn’t shove them in your face again, like a dog being scolded for for going pee on the carpet. Enjoy this video and subsequent commentary on glute activation, timing and how you can improve your strength or decrease that low back ache/tiredness you get with hip extension tasks like we see in the gym!

Your Weak Core May NOT be The Reason Your Back Hurts: Try This Instead

Your Weak Core May NOT be The Reason Your Back Hurts: Try This Instead

Don't ditch core work entirely, though. A strong core acts like a support team, working alongside your back muscles for optimal spinal stability. But the next time low back pain strikes, remember: forget endless crunches, embrace back-building exercises, and give your lumbar spine the love it deserves!

Don't Fear The Push-up: Part 1

Don't Fear The Push-up: Part 1

"Damn I look good in a mirror. I’m definitely somewhere around 10-14% BF right now, but my chest is pretty damn big. And I know why it is. I do mad bench, like I'm hitting that flat bench, chest press, incline chest press and uh... oh, decline bench press. Like I’m hittin chest 2x/week but Im hitting it hard. Bench press, decline bench, incline bench, dumbbell flies. Yes it is nice to put up big numbers. Tuck those shoulders down and in, arch your back and puff out your chest. Get like 3 reps and feel those shredded meat slabs you call a chest burn baby burn."