This is a OPEN AI summary of the Tim Ferriss Podcast #685- visit www.TinyTim.blog for more AI summaries, or www.Tim.blog for the official Tim Ferriss Podcasts.

In this episode, Tim Ferriss interviews Shirley A. Sahrmann, PT, PhD, a legend in the physical therapy world. They discuss low-back pain and the anatomy involved in movement and diagnosis.

The TFL is a muscle used for balancing the pelvis and for abducting (moving away from the midline) or adducting (moving towards the midline) the hip. The psoas major is a large muscle that connects the upper and lower body and can contribute to lower back pain. Stenosis is an abnormal narrowing of a space in the body, and supine refers to lying on the back while prone refers to lying on the stomach.

Dr. Shirley Sahrmann is a physical therapist with over 60 years of experience. In her book, Diagnosis and Treatment of Movement Impairment Syndromes, she discusses how movement can induce pathology and outlines diagnostic categories for physical therapy treatment. This book has been influential for many in the field, including Eric Cressey, a well-known performance coach.

In this interview, Dr. Shirley Sahrmann discusses the importance of lifestyle in relation to health outcomes. She describes low back pain as a symptom, not a diagnosis, and explains that physical therapists can help identify the movement that is causing or exacerbating the problem.

The individual has a back issue that is causing pain. The pain is aggravated by standing and slow walking. Imaging has shown some stenosis around the L4 and L5 vertebrae, but the pain feels to be localized around the SI joint. Relief has been found from traction provided by a chiropractor.

1. Dr. Shirley Sahrmann is an expert on musculoskeletal disorders. 2. Tim Ferriss has had some relief from his back pain, but it still bothers him when he stands, walks slowly, or sits on hard surfaces. 3. Dr. Sahrmann suggests that Tim try separating his feet when he stands to see if it relieves his symptoms, as this can help with asymmetry. 4. Tim Ferriss also finds relief by having someone work on his iliacus and adductors.

Dr. Shirley Sahrmann discusses the importance of the movement system, and how it can be used to help treat various issues. She recommends doing exercises in a quadruped position and in prone face down to help with asymmetry of the iliac crest.

In this excerpt, Dr. Shirley Sahrmann and Tim Ferriss discuss the importance of movement and how it can impact our overall health. Dr. Sahrmann emphasizes the need for specificity and attention when learning new movement patterns, and notes that it takes time to develop these new habits. She also stresses the importance of being aware of how we move in our everyday activities in order to make lasting changes.

Dr. Shirley Sahrmann discusses the role of the psoas major muscle in relation to back pain. She explains that the psoas attaches to the lumbar vertebrae and intervertebral disc, and is constantly pulling on the back. The iliac is attached to the pelvis and does not directly act on the vertebrae. In people with a herniated disc, she recommends minimizing use of the iliopsoas. Other repeating culprits that she sees contributing to low back pain include hip flexors and femoroacetabular impingement.

In this excerpt, Tim Ferriss and Dr. Shirley Sahrmann discuss Ferriss' breathing and posture problems. Dr. Sahrmann explains that Ferriss' rib cage does not expand because his abdominals are too taut, and she recommends stretches to elongate the abdominals. She also advises Ferriss to be aware of his axis of rotation when stretching, to avoid making his symptoms worse.

In this excerpt, Tim Ferriss and Dr. Shirley Sahrmann discuss the importance of movement and how the body follows the path of least resistance. Dr. Sahrmann emphasizes that it is important to make sure that problematic motion is not occurring during all activities in order to prevent further injury.

In this excerpt, Tim Ferriss interviews Dr. Shirley Sahrmann about lower back pain. Dr. Sahrmann explains that one way to reduce back pain is to do exercises that engage the muscles that tend to flatten the back. She also advises against doing exercises that require holding the legs up in a position where the iliopsoas is active, as this can lead to further back pain.

In this excerpt, Dr. Shirley Sahrmann discusses how to diagnose someone with chronic pain. She explains that the first step is to simply observe the person's alignment and range of motion. She then has the person perform various movements to see which ones cause pain. By doing this, she is able to identify the source of the pain and develop a treatment plan accordingly.

Shirley Sahrmann is a physical therapist who specializes in assessing and treating movement disorders. She believes that many movement disorders are caused by everyday activities, and that it is possible to change these activities to improve symptoms. She also believes that muscles play an important role in supporting the spine, and that too much or too little muscle can lead to problems.

Dr. Shirley Sahrmann discusses the importance of having the right shoulder angle, and how weight training can often lead to shoulders that are sloped downward. She recommends exercises for the serratus anterior muscle in order to help correct this problem.

In her discussion with Tim Ferriss, Dr. Shirley Sahrmann talks about the importance of understanding what stretching does and how it can be misused. She explains that often, people are told to stretch a muscle because it is "too short," when in reality, the muscle may just be struggling against another muscle's tension. She also talks about how various forms of stretching should or should not be used in healthy and rehabilitating populations.

The relative stiffness problem refers to the fact that improving the stiffness of your abdominals will elongate your hip flexors. This is because the two muscles are interconnected, and lengthening one will help improve the other. However, it is important to note that simply stretching the hip flexors will not necessarily solve the problem, as there may be other factors at play that are causing the muscle to be shortened. Therefore, it is important to figure out what is causing the muscle to be shortened in the first place, in order to effectively solve the problem.

In this excerpt, Dr. Shirley Sahrmann is diagnosing Tim Ferriss's posture and giving him advice on how to improve it. She notes that he has an increased thoracic curve (kyphosis) and that this is likely due to his rectus abdominus pulling down on his thoracic spine. She recommends that he do the quadruped exercise to lengthen his rectus abdominus and improve his posture.

The gluteal muscles attach to the pelvis and posteriorly tilt it, but if the spine doesn't want to go along for the ride, it can cause pain shooting down the legs. Dr. Shirley Sahrmann recommends avoiding the temptation to do bridging exercises, which can cause this problem.

At 86 years old, Dr. Shirley Sahrmann is an expert in physical therapy and movement. She has advice for people of all ages about how to keep their bodies sharp and in shape. For young people, she recommends being physically active and playing sports. For older people, she recommends staying physically active and breaking family tendencies.

Dr. Shirley Sahrmann discusses how she became interested in musculoskeletal patients and how she applied her own ideas to herself. She talks about how she changed her posture and how it affected her bowling grip.

In this excerpt, Dr. Shirley Sahrmann describes her go-to exercises for maintaining good posture and alignment. These include quadruped rocking, modified pushups, and hip extension and abduction in prone and supine positions.

In this excerpt, Dr. Shirley Sahrmann discusses the importance of stretching for older adults, particularly those with kyphosis. She explains that the psoas muscle is a good muscle to use for flexing the hip, and that the tensor fasciae latae (TFL) is an evil muscle that can cause a lot of trouble. She demonstrates how to do a straight leg raise with one leg at a time, and explains how this helps to control rotation with the trunk.

Dr. Shirley Sahrmann talks to Tim Ferriss about the quadruped exercise and how it can help alleviate low back pain. She explains that when doing the quadruped exercise, it is important to slightly lateralize the hips to avoid medial rotation of the femur, which can lead to ACL tears.

Dr. Shirley Sahrmann is a physical therapist who specializes in the study of the human body and how it moves. In this excerpt, she discusses the importance of proper hip alignment and how incorrect alignment can lead to pain and injury. She recommends that people with femoral retroversion (a condition where the feet point outward when standing) should avoid standing with their feet straight ahead, as this puts pressure on the hips and can lead to knee or back problems.

In this conversation, Tim Ferriss and Dr. Shirley Sahrmann discuss kyphosis, a condition where the spine curves forward. Dr. Sahrmann explains that kyphosis is often caused by Scheuermann's disease, a condition where the thoracic spine is compressed. She advises Ferriss to work on elongating his spine and to not let the condition get worse.

In this conversation, Dr. Shirley Sahrmann discusses the importance of movement and exercise in maintaining a good quality of life. She emphasizes the need for individualized care and treatment, taking into account the variations in how people are. Dr. Sahrmann also shares her views on how the current healthcare system could be improved to better support people in maintaining their health and well-being.

https://tim.blog/2023/08/04/dr-shirley-sahrmann/