Random Thoughts from PRI’s Impingement and Instability

Posted: January 15, 2015 by dannytwoguns in 2015 Continuing Ed, Articles

I’m currently on the plane home from Lincoln, Nebraska where I had my first visit to the Postural Restoration Institute, my first secondary/advanced PRI course – Impingement and Instability as well as my first course instructed by PRI founder Ron Hruska.

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Very rarely these days do I get completely blown away by my continuing education pursuits. This was one of those times. Equipped with newfound information and also the ability to see things completely differently and do so without even trying.

The three ‘introductory’ PRI courses (Myokinematic Restoration, Postural Respiration and Pelvis Restoration) are only introductory in terms of introducing the PRI coursework and information, they are extraordinarily dense, rich in information and a lot of material to go through.

Those three in themselves are hard to write a blog that is centered toward fitness professionals, let alone one to those who aren’t and clients who just want to feel better, get out of pain and lose fat/sizes etc. An advanced PRI course is even harder to explain and virtually impossible without thoroughly covering the aforementioned courses and information so I’m not even going to try, for the aforementioned reasons but also because you don’t necessarily have to know every little interesting thing behind it, just how it can make you better.

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But I did want to write a little random thoughts post on the overall weekend and things that do apply.

Hammering the Need for Individuality

I talk quite often about how to get safe, effective and sustainable results for any goal, you need to be doing a fitness and training approach that is based of all the things that make you unique, mobility/flexibility, stability/core orientation, strength, injury history etc etc.

And how random workouts from the Internet and random in home workout DVDs actually make you worse because it has you doing things that are usually above your level, built to simply make you tired but always and most importantly not unique to you at all as an entirely and wholly unique individual.

But with PRI, it goes so much deeper than that.

How are your ribs oriented? Externally Rotated/flared?
Are they symmetrical?

How are your hips oriented?
Forward/Anteriorly?
Backwards/Posteriorly?
Are they asymmetrical? (If you are a human being, they are likely asymmetrical)

Bonus – If your ribs are externally rotated and pelvis Anteriorly tilted, your lower back pain is not a lower back issue, it is the position your ribs and pelvis are in that is creating undue pressure and torque on your lower back.

How is your pelvis/hip bones oriented on your femur aka bone that goes from knee to hip?

How is your femur oriented on your tibia aka the bone that connects knee to ankle?

What do your feet look like? This one was super interesting and one we overlook a lot.

With so many variables including patterns we are biased toward simply as human beings with organs that are asymmetrical already, among dozens and dozens of others, combined with the amount of knowledge, education and expertise there is out there for those desiring to learn it, it is irresponsible to not find ways or a professional to help you get better – safely, effectively and for the long term.

If there isn’t an assessment to see what you need, don’t do it.

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Finding Clarity

Even after either attending or doing the home study course of the three introductory courses for PRI, I had a good grasp of the information from a broad perspective, but a hard time both in finding ways to implement and also in how to build an integrative approach once it was implemented. Two things clarified that for me.

The first as explained by Ron Hruska, was that the three introductory courses are for the patients or clients ‘who fit the norm’ and are consistent with the patterns they usually see and address, for a lack of a better word, the phase 1 people. Then the two/three secondary courses are for the “pathological” people or those that ‘don’t fit the norm’ aka phase 2 people. Then there is a phase 3 but that is related to major traumas which is beyond our scope (which is a whole different kind of interesting as well).

But having the knowledge of how to deal with phase 1 people and seeing a lot of phase 2 people as I progressed, confused me. It actually seemed like all the people I was noticing these patterns on, were phase 2.

The second, builds on the first. I was used as a demonstration for the “hip impingement and instability section” because I am in Ron’s own words – ‘A case study anomaly that kind of makes sense’ or “a phase 2er plus one”. I couldn’t fully understand the PRI approach because I didn’t follow the standard situations, patterns and pathologies we normally see and couldn’t relate all of the in depth information to myself.

If you read my youth story blog, you got a glimpse into my injury history and throughout my fitness career, I have for the most part figured out how to ‘fix’ myself regardless or my injury history and random issues. This is why I gravitated so much toward the DVRT system. Standard approaches simply didnt work for me but I learned and learned until I could figure everything out…

Except for a nagging anterior/front left hip pain that is always a tolerable kind of there but given certain movements (specifically a kettlebell windmill performed on my right side, a deep lateral lunge to my left and a valslide mountain climber) that literally felt like getting stabbed with a serrated knife and could bring me to my knees.

It seems counterintuitive that to get a better grasp on the basics you don’t quite understand you do so by diving into deeper more advanced material but it completely applies and makes sense in this situation.

I got an approach to fix myself and now completely understand the process. And I look forward to implementing it. And it was even more indicative of the need for individual training, especially when he used me as the example. I was using nothing more than my bodyweight and then progressed to a walking stick and then to a very lightly tensioned mini band and in 15-20 minutes, which were mostly him assessing me and only part actual training I was a sweaty mess – all because he picked exactly the things that I was inefficient at, made the things that were too strong – weaker and made the things that were weak more efficient.

This is amazing for fat loss, move better, feel better, perform better – whatever. If we can provide high system loads that make the body work super hard with low absolute loads, we get results much faster and most importantly, safely, more effectively and more sustainably.

The only downfall to the PRI approach is how intensive and individual the process is of assessing, teaching and implementing the techniques. But once implemented they would be extremely powerful so I will be making a way to implement it into what we do at Twoguns Training Systems, likely with a PRI Assessment and Training “membership add on” type of thing. So stay tuned for that.

And lastly, on a still random thought but kind of off-topic from PRI thought… The people in Nebraska are incredibly friendly. And genuinely so. When I moved from NY to PA a main thing I noticed is how much friendlier people were in PA overall and Nebraska was even infinitely more so, so much so it was almost strange. Everything was positive and everything was friendly. It might have had something to do with there being a bright sun up in the sky there but it made me think to bring a little more positivity and a little more friendliness back with me to Erie.

Hope you enjoyed reading a little bit of a nerd post from me doing my best to simplify it. If you have any questions, concerns, curiosities, let me know in the facebook comments and if you haven’t already, check out the New Year New You. The amount of inquiries I’ve received from it have been immense and it will easily be our best yet.

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