Love your answer to the ART massage question. I'm a Chiro who had a focus on ART and instrument assessed soft tissue treatment in my practice, but I've taken a more biopsychosocial approach and introduction to gradual load as tolerance increases. It is great to see you getting the word out. I feel that there is a lot of mis information on the topic. Quinn Henoch PT , Greg Leham DC PT , Adam Meakins also put out good information on this topic.
These guys are the absolute best. We need more physicians who don't have their heads up their assess. And understand the superior value of weight-training.
Jordan Feigenbaum I love watching your videos. Because I have a hard time learning in my college classes I went to just learning through videos because my attention tends to be more focused than reading things on my computer. I appreciate you guys alot. Keep it up.
Excellent stuff. I have watched both parts of the seminar and find the insights great. I am a huge fan of your approach to training and feel that if more people adopted these principles many of the musculoskeletal complaints prevalent in our culture may be greatly reduced. I am a physical therapist and agree totally with Austin's discussion on all passive modalities and their placebo/neurophysiological effects. There is some evidence, I stress the term SOME, to suggest joint manipulation may have mechanical effects. It is still passive (ugh) but I personally believe that the neurophysiological effects (of many if not all passive modalities delivered by a trusted therapist as Austin suggested) will have a large impact on a patient in the short term, perhaps greater than the mechanical effects. I was interested in some of the derision in the first part about "physical therapists leaving patients for dead." I am certain that the effects of ROM, mobility/gait training are crucial in the recovery of patients recovering from TKR, and I also understand that in certain circumstances passive modalities will benefit these patients greatly. Low cyclic loading in the early stages of recovery has strong evidence as to its efficacy. So yes, a stationary bike is beneficial for improving a patient's attributes and performance. Ultimately I am saddened by the lack of knowledge about my profession and a poor reputation propagated the practitioners (from my profession and others) that have sullied its substantial influence on the well being of so many people. But it is impossible for me to speak for all therapists on this matter; the truth is there are many in my profession who will perform ineffective, rubber-stamped, and non-individualized treatments on their patients. Regardless of presentation or the unique characteristics of a patient, even ones as remarkable as your father (seriously 285 after TKR is impressive and I wish more people had that drive) some therapists will perform the same methods on all patients walking into their clinic. I personally believe that individualized functional movement training-assisted when indicated by barbell movements, and yes, even passive modalities-is the gold standard for our profession. Thanks for taking the time to read my verbose response, I certainly hope it starts a dialogue. Once again, thank you for your insightful videos!
What would you suggest to someone who doesnt feel "centred" during the squat. One of feet tend to travel forward when i get in the stance, when i bring it in line with the other one i feel like im standing wrong(?) Or unbalanced. Thanks! Loving the content guys
with regard to fascia release etc.. is there any merit to improving blood flow, "warming up" the fascia, possibly making it more pliable, and doing that over a long period of time say 1-2 years, possibly leading to long term structural changes?
Jordan or Austin, I suffered a spiral fracture of my left humerus (distal end) at the end of July. Surgery to repair, approx. 5" metal plate and 9 screws, was a "clean fracture" and the ortho surgeon was very pleased with how well it went back together. I am currently doing PT to help regain mobility in the elbow and shoulder, and doing machine work in the gym for my right chest, back, arm, shoulder, and machine squats all to help keep me in shape and to minimize overall strength loss and atrophy. What is you guys opinion on my long term recovery---should I be able to get back to where I was or even close to before the injury? How long ballpark should I expect before I can grab a barbell with confidence to begin real training again?I'm a 43 y/o male, and was at approx. 275 3x5 bench, 165 3x5 press, 405 3x5 deadlift, and 415 3 x 5 squat. Appreciate you guys material, and as an educated health care professional, I also try to spread the word on the value of strength training for all, esp as we get older.
Just a heads up for folks watching for the cardio advice. They no longer believe the 8 Mets is enough bit. There's a linear dose dependent response between cardio and all cause mortality. The more you do the better off you'll be and there's no minimum to benefit.
How do you balance both your career and being a trainer? How did you take care of your studies while building Barbell Medicine? I am an engineering student and highly curious about how to take two things I love and possibly work on them concurrently.
Can we get any names or info of the PTs of which Austin spoke? Ones who recognize the importance of strength training? I am a prospective DPT student so finding more like-minded individuals in the field would be great.
Great DPT can bridge the gap. My passive modality is a PVC pipe showing no trunk movement during changes in position. Understanding how the spine is different than the hip or knee is key. The spine needs to be a lever arm like the femur. Move it and it will absorb resistance. My PPT is ready.
Jordan, you guys briefly mentioned diabetes. I really wish you all would put out some content in regards to training and diet with type 1 diabetes. My girlfriend started training with me this year and is type 1 and it has been very challenging at times. Her insulin spikes sometimes unpredictably and she has trouble losing weight despite being around 1300 to 1500 cal per day and weight training 3 to 4x a week plus cardio. There is very little trustworthy material on the internet about this subject. Thanks.
Thank you to everyone involved in this. Quick question about sourcing information: Any thoughts on the textbook "Krause's Food & Nutrition Therapy" by L. Kathleen Mahan and Sylvia Escott-Stump?
It was our college textbook back in '05-'07 for our B.S. in Culinary Nutrition at Johnson & Wales University. We were then able to go into Dietetic Residency (if thats what it is called, been awhile) The knowledge in it is similar to your viewpoints on lifestyle, exercise, nutrition, etc. Thanks for the response. Just curious.
Top information. What body weight do you recommend for 6'2" height if I want to be very strong without getting fat. At the moment my BW is 190lb and I'm lean but my squat, deadlift and press are stall.
Myofascial release is an effective mechanism to relieve some symptoms of pain. The fascia has been shown to not only carry nerves but also highly suspected to contain proprioceptors.
It may be tempting to lump osteopathic manipulative treatment (OMT) into the same category as non-research driven modalities (chiropractic medicine, massage, homeopathy, etc). However, I would caution you from doing this, as the research would appear to disagree with the assumption that these treatments are leveraging a placebo effect. I don't mean to sound condescending, but as an IM resident it may be of interest to you to have a further understanding of OMT. I'm sure many of your future colleagues will be D.O.'s (especially given the combined ACGME for residents), and roughly 1 in 4 US medical students are graduating as osteopathic physicians, so I'm sure your patients will have some level of exposure to these techniques as well. If you are interested, I've attached a link to a page which gives a synopsis of several research articles in the field of OMT (the treatment on non-musculoskeletal pathology is of particular interest, I think). Also, for a more physiological prospective I'd suggest taking a look into the research of Dr. I.M. Korr, if you're interested of course. www.westernupcc.com/docs/omm_scientific_evidence.pdf Anyway, I'm a big fan of yourself, Dr. Baraki, and Barbell Medicine. I absolutely agree with your use of functional barbell movements to bring about general health and aid in the resolution of various pathology. It's good to see you two pioneering the field, so to speak. Looking forward to more great content!
Mike H reading these studies makes me believe in OMT even less. Most were not sham controlled. The ones that were, the data either showed that it didn’t do better than sham (#2 under infections I believe) or the results were purposefully reported poorly to not show results compared to sham. Conclusion: OMT > care as usual for a host of reasons that likely has nothing to do with the uniqueness of OMT. The placebo effect is real.
Hey, you should add some elements to the "home" section on your channel. Even though you have lots of videos, the home page says you don't have any content and that could mislead some new viewers.
Jordan Feigenbaum let's say there has actually structural damage, then only going through the range of motion would help it heal? And all types of massages won't do anything? And what about sauna, hot tub, and even ems?
Depends on where it is. There's no context at all here, but no- massages, sauna, contrast therapy, compex/e-stim, paleo unethical supplements, bone broth, etc. won't do a damn thing to it. It might feel better regardless of the structural damage, but again there's no context here at all...
Jordan and Austin are pioneers for sure but I doubt they will see their goal ("More Barbell Training " Prescription) realised in our lifetime. It will happen one day though I'm certain, just not this next couple generations.
What if I want to drop the bench from my programming completely. Replaced with overhead press. After years of benching, I have developed "bench tits" (no roids). And I see this in many others too. Is the OHP better? I believe it to be so. For many performance reasons but also to avoid the dreaded bench tits.
You basically said texas doesnt have enough volume,intensity and freq,which has to be higher than beginner program.My question is is that a good program for a trainee that does 2-3 times of gpp work during the week (such as med ball throw ,sprinting etc)now,is it,enough stress for a intermediate trainee?
I think their referring to stress with the main lifts, i.e. Monday 5x5 squats Wednesday 2x5 squats at 90% of monday and 1x5RM squat. So the monday 5x5 doesn't produce enough stress to drive progress on the friday. Running texas method myself I found that the upper body just doesn't get enough volume at a high enough intensity to really drive progress. The gpp work your talking about won't strengthen you barbell movements, med ball throws probably won't have a noticeable effect on your bench press just because they're so far removed in terms of movement pattern and weight. From my understanding gpp serves to improve work capacity so you can get through sets with less rest and recover better to make your time in the gym more productive. So what you'd want is more stress with the main lifts, so maybe competition bench on one day, then a variation or some kind of bench assistance on your other training days. Rather than one volume day, a recovery day where your not driving any progress and an intensity day where again your not driving progress just testing if the Volume day is working. That's just my take as someone who's ran the texas method.
Austin killed that pain topic. Can't help but love folks that follow the science.
He sure did. That part is stellar
It is his bread and butter, his lectures and articles on Pain Science are must see/reads also!
"Just do more barbell training."
- Jordan Feigenbaum
Dr.*
19:24 - "I don't know if the baby's back was rounded?".... My favorite part of the seminar.
You can just feel Baraki’s passion for pain science and actually helping people overcome their obstacles. Love it!
Thanks for clearing up your views on myofascial release. I respect your guys' philosophy a ton and will continue watching. Good stuff
3:47 - YO! this would be awesome! Only just came across you guys thanks to Alan Thrall but love what you guys stand for :)
Thanks!
Keep uploading please! I love these articulations!
Love your answer to the ART massage question. I'm a Chiro who had a focus on ART and instrument assessed soft tissue treatment in my practice, but I've taken a more biopsychosocial approach and introduction to gradual load as tolerance increases. It is great to see you getting the word out. I feel that there is a lot of mis information on the topic.
Quinn Henoch PT , Greg Leham DC PT , Adam Meakins also put out good information on this topic.
These guys are the absolute best. We need more physicians who don't have their heads up their assess. And understand the superior value of weight-training.
You men remind me that their are people who believe in things I do. Thank you for the quality info. No acting. This is true and real. I love this shii
Thanks, man!
Jordan Feigenbaum I love watching your videos. Because I have a hard time learning in my college classes I went to just learning through videos because my attention tends to be more focused than reading things on my computer. I appreciate you guys alot. Keep it up.
Thanks for sharing this info 👍
That intro is classy af. Austin looks very heroic
Jordan looks nuanced.
Grizzlyman MeinTeil Fucking LOL
Be great if you guys could hook up with the VA, and teach your form of medicine. This is some of the best information I've ever heard.
Excellent stuff. I have watched both parts of the seminar and find the insights great. I am a huge fan of your approach to training and feel that if more people adopted these principles many of the musculoskeletal complaints prevalent in our culture may be greatly reduced. I am a physical therapist and agree totally with Austin's discussion on all passive modalities and their placebo/neurophysiological effects. There is some evidence, I stress the term SOME, to suggest joint manipulation may have mechanical effects. It is still passive (ugh) but I personally believe that the neurophysiological effects (of many if not all passive modalities delivered by a trusted therapist as Austin suggested) will have a large impact on a patient in the short term, perhaps greater than the mechanical effects. I was interested in some of the derision in the first part about "physical therapists leaving patients for dead." I am certain that the effects of ROM, mobility/gait training are crucial in the recovery of patients recovering from TKR, and I also understand that in certain circumstances passive modalities will benefit these patients greatly. Low cyclic loading in the early stages of recovery has strong evidence as to its efficacy. So yes, a stationary bike is beneficial for improving a patient's attributes and performance. Ultimately I am saddened by the lack of knowledge about my profession and a poor reputation propagated the practitioners (from my profession and others) that have sullied its substantial influence on the well being of so many people. But it is impossible for me to speak for all therapists on this matter; the truth is there are many in my profession who will perform ineffective, rubber-stamped, and non-individualized treatments on their patients. Regardless of presentation or the unique characteristics of a patient, even ones as remarkable as your father (seriously 285 after TKR is impressive and I wish more people had that drive) some therapists will perform the same methods on all patients walking into their clinic. I
personally believe that individualized functional movement training-assisted when indicated by barbell movements, and yes, even passive modalities-is the gold standard for our profession. Thanks for taking the time to read my verbose response, I certainly hope it starts a dialogue. Once again, thank you for your insightful videos!
Excellent.
Strong content, thanks. Enjoy the newsletter too, any East Coast Seminars in the next 12 months?
What would you suggest to someone who doesnt feel "centred" during the squat. One of feet tend to travel forward when i get in the stance, when i bring it in line with the other one i feel like im standing wrong(?) Or unbalanced. Thanks! Loving the content guys
with regard to fascia release etc.. is there any merit to improving blood flow, "warming up" the fascia, possibly making it more pliable, and doing that over a long period of time say 1-2 years, possibly leading to long term structural changes?
Jordan or Austin, I suffered a spiral fracture of my left humerus (distal end) at the end of July. Surgery to repair, approx. 5" metal plate and 9 screws, was a "clean fracture" and the ortho surgeon was very pleased with how well it went back together. I am currently doing PT to help regain mobility in the elbow and shoulder, and doing machine work in the gym for my right chest, back, arm, shoulder, and machine squats all to help keep me in shape and to minimize overall strength loss and atrophy. What is you guys opinion on my long term recovery---should I be able to get back to where I was or even close to before the injury? How long ballpark should I expect before I can grab a barbell with confidence to begin real training again?I'm a 43 y/o male, and was at approx. 275 3x5 bench, 165 3x5 press, 405 3x5 deadlift, and 415 3 x 5 squat. Appreciate you guys material, and as an educated health care professional, I also try to spread the word on the value of strength training for all, esp as we get older.
That pain speech sounds like it comes straight from Adriaan Louw. Great material in this Q and A.
Thanks!
So a lot of manual therapy just gives you confidence to return back to normal activity?
Just a heads up for folks watching for the cardio advice. They no longer believe the 8 Mets is enough bit. There's a linear dose dependent response between cardio and all cause mortality. The more you do the better off you'll be and there's no minimum to benefit.
I love you GuyzZz!!
How do you balance both your career and being a trainer? How did you take care of your studies while building Barbell Medicine? I am an engineering student and highly curious about how to take two things I love and possibly work on them concurrently.
Subscribing left and right all SS type of outlets but still short somewhere to get a "live" notice.
cool intro music
Uptodate? Impressive!
Can we get any names or info of the PTs of which Austin spoke? Ones who recognize the importance of strength training? I am a prospective DPT student so finding more like-minded individuals in the field would be great.
I'd start with Drs. John Petrizzo, Rori Alter, Nick D'agostino, and Darin Deaton.
Also - Derek Miles, Michael Ray, Quinn Henoch's newer stuff, Jarod Hall, Scotty Butcher
Thanks guys, I appreciate the feedback. Great info in the video as well, I'd expect nothing less from the two of you
Mixtape Dropping 101 with Jordan and Austin
Great DPT can bridge the gap. My passive modality is a PVC pipe showing no trunk movement during changes in position. Understanding how the spine is different than the hip or knee is key. The spine needs to be a lever arm like the femur. Move it and it will absorb resistance. My PPT is ready.
Robby Hoffmann nah dude
Jordan Feigenbaum thanks for the reply. Go cards.
Jordan, you guys briefly mentioned diabetes. I really wish you all would put out some content in regards to training and diet with type 1 diabetes. My girlfriend started training with me this year and is type 1 and it has been very challenging at times. Her insulin spikes sometimes unpredictably and she has trouble losing weight despite being around 1300 to 1500 cal per day and weight training 3 to 4x a week plus cardio. There is very little trustworthy material on the internet about this subject. Thanks.
Thank you to everyone involved in this. Quick question about sourcing information: Any thoughts on the textbook "Krause's Food & Nutrition Therapy" by L. Kathleen Mahan and Sylvia Escott-Stump?
Never read it.
It was our college textbook back in '05-'07 for our B.S. in Culinary Nutrition at Johnson & Wales University. We were then able to go into Dietetic Residency (if thats what it is called, been awhile) The knowledge in it is similar to your viewpoints on lifestyle, exercise, nutrition, etc. Thanks for the response. Just curious.
Top information.
What body weight do you recommend for 6'2" height if I want to be very strong without getting fat. At the moment my BW is 190lb and I'm lean but my squat, deadlift and press are stall.
Functional Physique 240-275.
I'm 6'2, 220 with abs still. (Natty)
My lifts are going up weekly, your body will be different from everyone. I really like 210-220 though.
Myofascial release is an effective mechanism to relieve some symptoms of pain. The fascia has been shown to not only carry nerves but also highly suspected to contain proprioceptors.
lol
Cool stuff, what's your opinion on chiropractic adjustments?
They're useless.
What about the efficacy of osteopathic techniques (HVLA, Muscle Energy, etc.)?
Same. Placebo effect being leveraged, so not necessarily a "bad" thing.
It may be tempting to lump osteopathic manipulative treatment (OMT) into the same category as non-research driven modalities (chiropractic medicine, massage, homeopathy, etc). However, I would caution you from doing this, as the research would appear to disagree with the assumption that these treatments are leveraging a placebo effect.
I don't mean to sound condescending, but as an IM resident it may be of interest to you to have a further understanding of OMT. I'm sure many of your future colleagues will be D.O.'s (especially given the combined ACGME for residents), and roughly 1 in 4 US medical students are graduating as osteopathic physicians, so I'm sure your patients will have some level of exposure to these techniques as well.
If you are interested, I've attached a link to a page which gives a synopsis of several research articles in the field of OMT (the treatment on non-musculoskeletal pathology is of particular interest, I think). Also, for a more physiological prospective I'd suggest taking a look into the research of Dr. I.M. Korr, if you're interested of course.
www.westernupcc.com/docs/omm_scientific_evidence.pdf
Anyway, I'm a big fan of yourself, Dr. Baraki, and Barbell Medicine. I absolutely agree with your use of functional barbell movements to bring about general health and aid in the resolution of various pathology. It's good to see you two pioneering the field, so to speak. Looking forward to more great content!
Mike H reading these studies makes me believe in OMT even less. Most were not sham controlled. The ones that were, the data either showed that it didn’t do better than sham (#2 under infections I believe) or the results were purposefully reported poorly to not show results compared to sham. Conclusion: OMT > care as usual for a host of reasons that likely has nothing to do with the uniqueness of OMT. The placebo effect is real.
Hey, you should add some elements to the "home" section on your channel. Even though you have lots of videos, the home page says you don't have any content and that could mislead some new viewers.
Will Austin yup, happened to me when I looked for part 2 of this vid coming from Alan Thrall's page
Good advice. Thanks man!
Jordan where can I find the UpToDate article? Is it out yet?
Nowhere near being done yet, unfortunately. It's in progress.
then what would you recommend if the injuries/pain\problems are not going away?
Depends on the context.....
Jordan Feigenbaum let's say there has actually structural damage, then only going through the range of motion would help it heal? And all types of massages won't do anything? And what about sauna, hot tub, and even ems?
Depends on where it is. There's no context at all here, but no- massages, sauna, contrast therapy, compex/e-stim, paleo unethical supplements, bone broth, etc. won't do a damn thing to it. It might feel better regardless of the structural damage, but again there's no context here at all...
Does anyone know what they think about Strong Lifts 5x5
surprisinglyroomy yes
Dont do it
surprisinglyroomy volume is too high.
Alex Minor well it does switch to 3x5 after stalls
surprisinglyroomy Jordan said its TRASH on his IG live
Jordan and Austin are pioneers for sure but I doubt they will see their goal ("More Barbell Training " Prescription) realised in our lifetime.
It will happen one day though I'm certain, just not this next couple generations.
0:13 is that Nick lurking in the background?
What if I want to drop the bench from my programming completely. Replaced with overhead press. After years of benching, I have developed "bench tits" (no roids). And I see this in many others too. Is the OHP better? I believe it to be so. For many performance reasons but also to avoid the dreaded bench tits.
I haven't benched for a few weeks now, only pressed. Things are fine.
Loving all the content, guys. Hey, is there any evidence to the loading phase with creatine, or just start with the 5g/day? Thanks.
Robert Lehman 5g/d everyday
From what I've heard them say, loading phase is pointless because at the end of 30 days it's the same amount of muscle saturation
When will you two co-author a book together for Asgaard company?
We'd like to.
Jordan Feigenbaum I'd love to see it! been following your work on Allan thrall's channel and on Rippitoes.
@9:00 kept trying to wipe off austins neck mole thinking it was dirt on my phones screen
Wish I was there too bad I live in ohio
"a heavy set of 5" lmao
0:53 When you finally leave CA and can man spread again...
You basically said texas doesnt have enough volume,intensity and freq,which has to be higher than beginner program.My question is is that a good program for a trainee that does 2-3 times of gpp work during the week (such as med ball throw ,sprinting etc)now,is it,enough stress for a intermediate trainee?
I think their referring to stress with the main lifts, i.e. Monday 5x5 squats Wednesday 2x5 squats at 90% of monday and 1x5RM squat. So the monday 5x5 doesn't produce enough stress to drive progress on the friday. Running texas method myself I found that the upper body just doesn't get enough volume at a high enough intensity to really drive progress. The gpp work your talking about won't strengthen you barbell movements, med ball throws probably won't have a noticeable effect on your bench press just because they're so far removed in terms of movement pattern and weight. From my understanding gpp serves to improve work capacity so you can get through sets with less rest and recover better to make your time in the gym more productive. So what you'd want is more stress with the main lifts, so maybe competition bench on one day, then a variation or some kind of bench assistance on your other training days. Rather than one volume day, a recovery day where your not driving any progress and an intensity day where again your not driving progress just testing if the Volume day is working. That's just my take as someone who's ran the texas method.
Callum Simmons Spot on 👌👍
Aborpees...