Injury Prevention

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Courtney Conley is an internationally renowned foot and gait specialist. In this episode, Courtney delves into the intricate world of foot anatomy and functionality. She explores the complexities of the foot, discussing its anatomy, common injuries, and the importance of understanding its structure in preventing issues. She covers a range of foot ailments, factors contributing to them, treatment options, and prevention strategies. She delves into the significance of loading, balance, range of motion, and posture, emphasizing the crucial role of strength in preventing both injuries and falls. Additionally, she sheds light on the interconnectedness of the kinetic chain, from the leg muscles down to the foot, and how issues within this chain can cascade downstream, leading to various injuries and pathologies. Additionally, she provides a comprehensive overview of footwear, discussing suitable options for both adults and children to promote foot health and mitigate potential problems.

In addition to this interview, Courtney also recorded a series of videos to better explain a number of the concepts discussed such as diagnostic tests that are used to determine mobility and strength and the exercises one should perform to improve the outcomes based on the diagnostics. The interview will be available to everyone while the videos from the gym will only be available to paid subscribers (found at the end of the show notes page).

We discuss:

• Why Courtney chose to specialize in the foot [3:30];
• The vital role of foot strength, function, and health in human movement and well-being [6:15];
• Anatomy of the rear foot and midfoot [10:15];
• The development of flat feet, the impact of footwear, and the benefits of going barefoot [19:45];
• Anatomy of the forefoot, common injuries, and why most injuries occur in the forefoot [23:15];
• Foot musculature and its role in maintaining foot stability and preventing deformities like bunions and hammer toes [30:15];
• The intrinsic musculature of the foot, plantar fasciitis, footwear, and more [39:00];
• Plantar fasciitis: diagnosis, causes, and treatment [51:30];
• Posterior leg muscles: strength assessment methods, role in ACL injuries, and more [59:15];
• Lateral and medial muscles: ankle stability, arch support, big toe stabilization, and exercises to strengthen and prevent injuries [1:04:15];
• Importance of strength of lower leg muscles for gait and preventing shin splints, stress injuries, and more [1:08:15];
• Tendinopathies and other common pathologies related to the anterior and lateral compartments of the foot [1:13:00];
• The importance of midfoot integrity, ankle dorsiflexion, and a discussion of gait alterations [1:19:45];
• Proximal stability and its implications for posture and movement patterns [1:27:00];
• The age-related decline in foot sensation and strength [1:32:45];
• Common toe injuries, treatment, and how to prevent further progression of the injury [1:36:30];
• Preventing falls and managing arthritis with proactive foot care and exercises [1:46:45];
• Footwear: advice for picking shoes that promote foot health [1:54:45];
• Footwear for runners [2:05:30];
• The importance of prioritizing footwear that promotes natural foot movement and strength while considering individual comfort and foot health needs [2:09:30]; and
• More.

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Brought to you by Momentous high-quality supplements, Nordic Naturals Ultimate Omega fish oil, and AG1 all-in-one nutritional supplement.

Andy Galpin (@DrAndyGalpin) is a tenured, full professor at California State University, Fullerton, where he is also co-director of the Center for Sport Performance and founder/director of the Biochemistry and Molecular Exercise Physiology Laboratory. He is a human performance scientist with a PhD in human bioenergetics and more than 100 peer-reviewed publications and presentations.

This year, Andy is teaming up with Huberman Lab to launch a podcast of his own, called Perform with Dr. Andy Galpin.

Dr. Galpin has worked with elite athletes (including All-Stars, All-Pros, and MVPs; Cy Young and Major winners; Olympic Gold medalists; and World titlists and contenders) across the UFC, MLB, NBA, PGA, NFL, Olympics, boxing, military/special forces, and more.

He is also a co-founder of BioMolecular Athlete, Vitality Blueprint, Absolute Rest, and RAPID Health & Performance.

Please enjoy!

Resources from this episode: https://tim.blog/2024/01/17/andy-galpin/

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This episode is brought to you by AG1! I get asked all the time, “If you could use only one supplement, what would it be?” My answer is usually AG1, my all-in-one nutritional insurance. I recommended it in The 4-Hour Body in 2010 and did not get paid to do so. I do my best with nutrient-dense meals, of course, but AG1 further covers my bases with vitamins, minerals, and whole-food-sourced micronutrients that support gut health and the immune system. 

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This episode is also brought to you by Momentous high-quality supplements! Momentous offers high-quality supplements and products across a broad spectrum of categories, and I’ve been testing their products for months now. I’ve been using their magnesium threonate, apigenin, and L-theanine daily, all of which have helped me improve the onset, quality, and duration of my sleep. I’ve also been using Momentous creatine, and while it certainly helps physical performance, including poundage or wattage in sports, I use it primarily for mental performance (short-term memory, etc.).

Their products are third-party tested (Informed-Sport and/or NSF certified), so you can trust that what is on the label is in the bottle and nothing else. If you want to try Momentous for yourself, you can use code Tim for 20% off your one-time purchase at LiveMomentous.com/Tim. And not to worry, my non-US friends, Momentous ships internationally and has you covered. 

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This episode is also brought to you by Nordic Naturals, the #1-selling fish-oil brand in the US! More than 80% of Americans don’t get enough omega-3 fats from their diet. That is a problem because the body can’t produce omega-3s, an important nutrient for cell structure and function. Nordic Naturals solves that problem with their doctor-recommended Ultimate Omega fish-oil formula for heart health, brain function, immune support, and more. Ultimate Omega is made exclusively from 100% wild-caught sardines and anchovies. It’s incredibly pure and fresh with no fishy aftertaste. All Nordic Naturals’ fish-oil products are offered in the triglyceride molecular form—the form naturally found in fish, and the form your body most easily absorbs.

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[08:46] Doubling testosterone by changing the path of a morning walk.

[12:03] Curing a lifelong sleep disorder in five minutes for under $100.

[14:09] Training priority.

[26:26] Building Tim 4.0.

[31:37] Insights provided by tracking respiratory rate.

[38:23] Tracking device options and accuracy.

[44:49] Physiology recognizes patterns.

[46:33] Physiology is personal.

[50:32] Two to seven minutes of quiet darkness.

[57:04] Sleep banking/extension.

[1:02:54] Options for optimizing sleep quality.

[1:12:19] Caffeine and sleep.

[1:19:40] Hydration.

[1:25:13] Hyperhydrated? Dehydrated? Albumin knows.

[1:29:26] Cultivating better hydration habits.

[1:35:50] Sweat testing.

[1:37:28] Consequences of top-tier sweating in the sauna.

[1:45:23] Maximizing electrolyte efficacy.

[1:49:56] Nutrition for optimal feeling and performance on the slopes.

[1:53:35] Supplementation.

[1:56:10] The three Rs of recovery: repair, replenish, and rehydrate.

[1:59:20] Getting enough protein.

[2:02:23] Getting enough carbs.

[2:07:37] Salt and electrolytes.

[2:08:11] Fruits and veggies.

[2:09:06] Creatine.

[2:10:35] Vitamin D and omega-3.

[2:11:55] Ashwagandha and rhodiola.

[2:17:10] Accelerating acclimation to altitude.

[2:22:57] Letting physiology do what it wants to do.

[2:24:52] Andy’s current projects and parting thoughts.

[2:29:14] Minimizing risk for injury while training on the slopes.

[2:45:32] Meditation, breathwork, and Bas Rutten’s O2 Trainer.

[2:51:15] Low-volume strength work and high-velocity eccentric control.

[2:54:42] Fatigue and recovery.

[2:56:29] Global torso.

[2:57:53] Leg training.

[2:59:14] A holistic approach to movement.

[2:59:58] The three-to-five method.

[3:01:07] What a week of full training might look like.

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For show notes and past guests on The Tim Ferriss Show, please visit tim.blog/podcast.

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Joe sits down with Sean Brady, a professional mixed martial artist currently competing in the Welterweight division of the Ultimate Fighting Championship.

www.ufc.com/athlete/sean-brady

Episode 74 has given me the privilege of sitting with Dr. Scott Liptzin, a legend in the Long Island P.T. scene.

We dove in discussing our personal struggle of transition from being solo practitioners to business owners, including the challenges of running a physical therapy practice and the tricky return on investment ratio of a physical therapy education. This episode is a trip down memory lane, marked with personal anecdotes, professional insights, and a healthy dose of laughter.

We explore the importance of maintaining our human touch in the fast-paced digital era, the trials and tribulations of owning a pet, and the bold decision to leave a steady job for the uncertainty of starting a new business. We talk about our experiences of treating athletes, the challenges we faced, and the joy we experienced seeing our clients succeed. Hear our personal stories and glean insights from our professional journeys.

As we navigate through the hustle and bustle of life, we also discuss the need to create a boundary between our work-life and personal life. From the struggles of having an open phone number to the challenges of moving houses and setting up new offices, tune in as we share about the importance of work-life balance. Along with these discussions, we'll address the misconceptions in the field of physical therapy and reinforce the importance of hands-on treatment. So sit back, relax and join us on this enlightening journey.

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View the Show Notes Page for This Episode

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In this special episode filmed live in front of readers of Outlive, Peter answers questions revolving around his concept of the centenarian decathlon. He starts by defining the “marginal decade” and how that shapes his training for the events and activities that make up his personal centenarian decathlon. Peter explains how he coaches patients through the challenges of customizing their own list and building out a training plan, including how to set fitness goals early in life in preparation for the marginal decade. From there, he dives into training within the four pillars (zone 2, VO2 max, stability, and strength), including the minimum effective dose, how to split your time, his personal protocols, and other considerations. Additionally, he touches on bone mineral density, female-specific considerations, working through injuries, and the profound impact training can have on the overall quality of life.

We discuss:

• The best interventions for longevity [2:15];
• The marginal decade and the centenarian decathlon [4:45];
• Peter’s personal list of events for his “centenarian decathlon” and how he helps patients create their own list [8:00];
• Determining your fitness goals early in life in preparation for the marginal decade, metrics to track, and more [15:00];
• How does playing sports like tennis, basketball, or golf fit into training for the centenarian decathlon? [24:15];
• Training within the four pillars: minimum effect dose, how to split your time, and other considerations [27:45];
• Advice for the older person and why it’s never too late to start [33:45];
• Bone mineral density and other female-specific concerns and considerations [36:15];
• Training advice for those with minimal access to a gym or equipment [39:30];
• Injuries: prevention and working through existing conditions [41:00];
• Cardiorespiratory training: how to split time between zone 2 and VO2 max training, and different modalities for a true zone 2 workout [44:15];
• VO2 max training: modalities, Peter’s protocol, and how to monitor progress [54:45];
• The profound impact training can have on the overall quality of life [58:15]; and
• More.

Connect With Peter on Twitter, Instagram, Facebook and YouTube

Please vote for Everyday Positivity

In this episode, we discuss how Cassandra’s childhood interest in orthopedic surgery evolved into her passion for public health and injury and violence prevention, the different ways her doctoral experience at Johns Hopkins prepared her for her current work on gun violence prevention, and her take on the importance of stopping to evaluate the “so what” behind our work.

Hosted by Lois Dankwa

To connect with Cassandra and to learn more about her story, visit her page on the PHutures #100AlumniVoices Project website.

There are some people who absolutely love running, and others who flee screaming from it. They hate how it feels, and they think it's a poor form of exercise because it overly stresses the body, causes tons of injuries, and doesn't even help you lose weight. Right?
Are these objections accurate? Today I talk with competitive runner Jason Fitzgerald to get his answers. Jason is a USA Track and Field certified coach and has finished in first place in marathons and obstacle course races across the country. He’s also the owner of Strength Running.
Today on the podcast, Jason and I discuss some of the myths about long-distance running that keep people away from the sport, why runners often neglect strength training (but shouldn't), and what programming should look like when first starting out with running, as well as when you want to get more competitive.

If you lift weights, you're going to love this episode. (And even if you don't, you'll get something out of it!) A few months ago, I had powerlifter Chris Duffin on the show to discuss his inspiring story of overcoming childhood poverty to become one of the strongest men on earth. I've brought him back on to talk about his recently released Kabuki Movement System. Utilizing the brightest body mechanics minds on the planet, he's developed a training system that makes the most of one's body, as well as reduces injury risk.

This week I talk to strength training expert and author Mark Rippetoe about barbell training. We discuss why a man should be strong, the benefits of barbell training over machines, old-time strongmen, the importance of form in barbell training, the main lifts every man should be doing and much, much more. In next week's episode I field questions to Mark that AoM readers had for him.