Danny Camargo on the Dark Days of Coaching Mattie Rogers – The Barbell Life 231

In my opinion, Danny Camargo is one of the best (if not THE best) coach in American weightlifting.

I’ve had the privilege of talking with him often at major meets – so I’ve seen firsthand the way he coaches and the way his athletes perform. And of course he is most known for coaching the super popular Mattie Rogers.

Danny and Mattie

Now while Danny and Mattie have a great relationship now as coach and athlete… it wasn’t always that way. And in this episode, Danny opens up and tells us all about the struggles they went through. But he also tells us how they made it through – and what he’s learned along the way.
 

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LISTEN IN TO TODAY’S PODCAST AS WE TALK ABOUT:

  • Why the backroom is where weightlifting REALLY happens
  • How to tell if you need time off or if you’re just being lazy
  • Why Mattie calls the shots in training, and he calls the shots in competitions
  • How CrossFit made some ugly changes
  • Why he had a “bad breakup” with weightlifting… and how you can avoid it
  • and more…

Hip Thrusts Are Bad? The Safety Squat Bar Is Bad?

Hip thrusts are bad? Safety squat bar squats are bad? Stop with the absolutes!

When will the absolutes end? Scrolling through social media, I saw two of my respected peers tossing around absolutes as if N.A.S.A. were backing them. However, their accusations about two of my favorite movements were made with no scientific backing at all.

Look, I don’t care if you don’t like a movement. Maybe you don’t believe an exercise works. That’s ok. You don’t have to use it, and you don’t have to prescribe it to your athletes. But when you get on social media or take to your blog and claim that a certain exercise doesn’t work without any research to back up your claim, you could be keeping someone from the very exercise they need to break through a plateau.

HIP THRUSTS ARE SOFT?

A lot of people who I consider colleagues (and some I even consider friends) constantly hate on the hip thrust made famous by my friend Bret Contreras. Glutes are important for just about everything that’s awesome in sports. If you want to sprint fast or jump high, strong glutes are a must. If you want to snatch big weight or squat monstrous loads, powerful hip extension is a must. Have any of you yanked a big deadlift off of the floor only to have it stall right at lockout? It’s happened to me, and I’ve watched it happen to others. Glute bridges are the obvious choice.

But wait! Is this simply my opinion? Am I simply doing the exact opposite of the coaches screaming that hip thrusts don’t work? Well luckily I can back up my statements with mounds of research stating that hip thrusts are superior when it comes to strengthening the glutes. I just now did a quick search of the web, and I saw a few rants from coaches who want to seem smart. My articles aren’t written to convince you guys that I am smart and everyone else is dumb. My thoughts and systems are backed up with the results of my athletes.

The information I pass on to you guys and gals is either proven by research or proven by the results of my athletes. I don’t pass on my random thoughts. I don’t look at an exercise and cast judgment without looking at the data. I don’t look at what someone else is doing and then write an article explaining why they’re wrong. I am interested in facts. I am interested in what works.

There is one more thing I want to say to my powerlifting brethren who are constantly criticizing the hip thrusts or making fun of it as a soft exercise. I was inspired to write this article when I saw a video of Stefi Cohen performing the hip thrust to improve her deadlift lockout. Of course she is y’all! It’s targeted hip extension, which is the lockout of the deadlift. Duh!

I prescribe hip thrusts to my Olympic hopeful weightlifters, champion powerlifters, and to my NFL Football Players. Are my athletes soft? If my athletes are soft, there are a lot of really soft athletes out there since we are beating most everyone else. Guys, I want you to look at the research and just think about it for a bit. If you want better hip extension, then find a way to load your hip extension.

WESTSIDE BARBELL METHODS IN WEIGHTLIFTING?

COACH TRAVIS MASH GETS INSIDE THE MIND OF LOUIE SIMMONS

World champion and world-class coach Travis Mash takes a look at Louie Simmons's Westside Barbell strength principles and applies them tom the world of Olympic weightlifting.

Safety Squat Bars

I had never heard anyone say a negative word about the safety squat bar squat until recently. A good friend of mine was answering questions on his Instagram story the other night. (By the way this is a good way to connect with your followers.) Anyway, he was asked if using a safety squat bar for squatting was a good idea for weightlifting. My friend replied that it absolutely was not – unless you or your athlete are injured. Once again, a colleague of mine is using an absolute without any basis (research) for his statement.

In Olympic weightlifting, a back squat isn’t specific to the snatch or the clean and jerk other than the angle of the torso, which is true with using a safety squat bar. Either movement is simply a way of building strength to get better at the sport of weightlifting. If you’re a powerlifter, one could make an argument around specificity – especially when getting close to a meet. But in either sport, the safety squat bar provides one major benefit. The safety squat bar increases the length of the spinal flexor moment.

As I explained in Squat Science, the spinal flexor moment depends on two factors: 1) the load on the bar and 2) the horizontal distance in the sagittal plan relative to the torso between the bar and any intervertebral joint.

There are three ways to increase the spinal flexor moment: 1) move the bar higher on the back or in front of the body, 2) increase the load, and 3) incline the body more (which increases the distance of the load horizontally to the floor from any intervertebral joint).

So here’s the point I want to make – the safety squat bar moves the weight toward the front of the body. The part of the bar that holds the weight is bent toward the front of the body.

Some bars displace the weight farther in front of the body than others. The more the weights are displaced toward the front of the body will equal a greater demand on the spinal extensor muscles. The front squat is also great for strengthening the muscle groups responsible for spinal extension. However, the front squat is limited by the shoulder’s ability to remain protracted and elevated – not to mention the rack position in general. Since the safety squat bar is still secured behind your neck, you can normally handle a bit more weight than in the front squat. Depending on the bend of the bar, you should be able to place more of a load on the spinal extensors. This is a great way to get the back strong while strengthening the hip and knee extensors as well.

FORGET OPINIONS ON THE SQUAT. HERE'S THE SCIENCE.

TRAVIS MASH'S SQUAT SCIENCE

After combing through the research and interviewing the experts, the result is a guide that will refine your technique and boost your squat in a safe and effective manner.

The weightlifters and the powerlifters on my team use the safety squat bar for this very reason: to strengthen the back. For a lot of weightlifters, they lack the strength in the back (mainly referring to the groups of muscles responsible for spinal extension) to maintain a good angle of the torso during the pull. Some lack the ability to maintain a neutral spine during the catch phase of a clean. Have you ever seen a weightlifter’s elbows drop and thoracic spine round during the catch? I know that I have. If this is you or one of your lifters, the safety squat bar is a great tool.

USES

I’m all about specificity, but sometimes weightlifters can take this too far. Let’s think about it for just a minute. I’m only going to refer to my own weightlifters right now. We snatch and clean and jerk at least three times per week on each of these. We back squat with a straight bar one to two times. We front squat one to two times. We perform snatch and clean pulls. Do you really think that adding in safety squat bar squats is going to somehow mess up your technique? If that’s true, aren’t you at risk of messing up your technique when you perform any assistance movement outside of simply snatching, clean and jerking, front squatting, and pulling? I think we are all a little too overboard with specificity.

Besides a simple safety squat bar squat, there are a couple of more movements with the safety squat bar that I recommend. I am a fan of safety squat bar goodmornings (and all variations like seated, chain suspended, off pins, etc.) and safety squat bar box squats (I know, I know… this is taboo).

Safety squat bar goodmornings are my absolute favorite for strengthening the spine – especially when a hip hinge is involved like during a pull of any sorts. With my weightlifters, I normally stick to a regular goodmorning, but there are several variations you can try, such as wide stance, suspended from a chain, off pins, seated, and with bands or chains. (This sounds like a chance for another article.)

Depending on the variation, you will be working specific weaknesses. For example, a goodmorning that starts lower on pins will more closely mimic starting in a more static position – like a pull with an initial concentric contraction. This will focus on performing a concentric contraction without the advantage of the stored kinetic energy you gain from a typical eccentric contraction. Once again, I am working on an article fully dedicated to variations of the goodmorning.

Safety squat bar box squats are great for strengthening the spinal and hip extensors. Now I agree that this movement isn’t specific to a squat necessary in weightlifting, so I only use it sparingly and in the off-season (at least eight or more weeks out from a competition). I only use this movement once per week and in conjunction with at least two to four other straight bar squat sessions. The most non-specific part of this movement is that I have the athlete sit back. I want them on the box with a vertical shin and a more horizontal torso. This movement is designed to strengthen the pull more so than the squat portion of the lift. However, you will reap the rewards of strengthened hips and back muscles.

Obviously this isn’t a great movement to strengthen the quads because the range of motion at the knees is minimal. However, the range of motion at the hip is maximal or near maximal depending on the height of the box. The demand of the internal spinal extensor moment is now through the roof because 1) you’re using a safety squat bar with the weight is distributed in front of the body and 2) your torso is inclined.

This movement is excellent for strengthening the pull especially at position two (when the bar is at or slightly below the knee) when the shins are vertical. The box will teach the body to fire the proper muscles from a static position with the advantage of stored kinetic energy produced by the eccentric phase of the lift. This movement is still great for strengthening the parts of the body required for squatting (back and hips), but it’s not a replacement for high bar back squats and front squats. I consider this more of an accessory movement, whereas back squats and front squats are primary strength movements for Olympic weightlifting.

Once again, the moral of this entire article is to relax with the absolutes. Unless science has proven that a particular movement won’t work or is dangerous, there’s probably a time and a place in training that it will help a lifter. Specificity is key especially in the sport of Olympic weightlifting, but let’s not go overboard. One of Hunter Elam’s biggest competitors is Mary Peck, and she uses low bar back squats in her training. With a 211kg total at 64kg bodyweight, I’d say that the low bar back squat isn’t interfering with the specificity of her lifts at all.

As long as we stay true to specificity the majority of the time, some variation is a good thing. Of course, it’s key to know your athletes. Some athletes respond really well to variation, and some don’t respond well at all. It depends on the individual’s overall athleticism. Athletes that grew up playing multiple sports are normally better with variation. Once again, as a coach you have to know your individual athletes. The big takeaway is to not throw away the baby with the bath water. Almost all movements have a time and place that’s up to us as coaches to determine.

Swede Burns on the 5th Set Methodology – The Barbell Life 230

He’s the creator of the 5th Set Methodology, and he was named Powerlifting Coach of the Year.

I can see why. He’s not only a strong lifter himself, but he’s knowledgable about programming – and most of all he has a powerful desire to help people. It’s common in the powerlifting world for coaches and lifters to be… well, terrible people. I wasn’t the nicest a lot of times when I was on my way to a world championship. But Swede is a rare breed.

Burns

So listen in to this podcast because we hit hard on something that lifters don’t think about… but it is crucial to their success. In fact, it may very well be the most important aspect of being a powerlifter. And of course we talk a ton on this podcast about programming – so get ready!
 

A World Class Coach's Guide to Building Muscle

Hypertrophy for Strength, Performance, and Aesthetics.

World champion and world-class coach Travis Mash has combined the latest research with his decades of practical experience to bring you an amazing resource on muscle hypertrophy.

 

LISTEN IN TO TODAY’S PODCAST AS WE TALK ABOUT:

  • The absolute best assistance exercise for the bench press
  • Why there’s really only one way to determine proper sets, reps, and percentages
  • Racking up the 2000 lb totals
  • What is the most important factor in a competitor reaching their potential
  • Why he went raw when everyone else was equipped
  • and more…

How to Use Olympic Lifts for Strength and Conditioning

Which weightlifting movements should coaches use for athletic performance? Are they even necessary?

This is one of my favorite debates because it can go on and on. Some coaches feel that the Olympic lifts have to be used in a strength and conditioning program for a program to be legit. Other coaches feel that the snatch and clean and jerk are too hard to teach and carry too much risk of injury. So who’s right?

The easy answer is that a program can be successful using just about any choice of movements. If you don’t agree, all you have to do is look around the country. Programs have been successful using the Olympic lifts, and programs have been successful without the Olympic lifts. The real key is choosing movements the strength coach and his or her staff feel comfortable and proficient teaching to their athletes.

Teaching the lifts

KEY MOVEMENTS

Yesterday I asked a question on Twitter, “If you could only use five movement to train all of your athletes, what five movements would you choose?” The answers varied from person to person with a form of barbell squat (front or back) being the most common. Personally I would choose:

  • Clean and all variations. These deliver power production and velocity.
  • Back squat. Squats increase lower body strength and core stabilization. Not to mention the research states that vertical leap and improvements in speed are more closely related to the squat than any other movement in the gym.
  • Push press. The push press is the most functional way of demonstrating upper body strength because the power originates from the lower body. For example, a football player blocks their opponent with force originating from the hips ending with an explosive punch in the arms.
  • Deadlift. Just like the squat, the deadlift can be linked to improvements in athletic feats like the vertical leap and 40-yard dash. I also chose the deadlift to strengthen the posterior chain to promote symmetry when used with the back squat.
  • Barbell bent-over row. This was a hard choice between rows and pull-ups. However, it’s just a bit easier to load a row. A strong back is imperative for any athlete. The barbell row is particularly useful due to the stability component necessary of the spinal extensors to maintain the hinge position of the bent-over row.

One more thing I would like to note is the importance of spine stabilization from pretty much all of these movements. If you want to protect the spines of your athletes, you need to strengthen all of the muscles around the spine – especially all the muscles that extend the spine. The abdominals help, but it’s the spinal extensors that keep the spine locked in neutral. Deadlifts do a great job of strengthening the back, hips, legs, and neck. That’s what makes the deadlift the best bullet proofing movement in the gym (as Dan John says). Have you ever seen a good deadlifter with a small neck and traps? I haven’t.

WITHOUT THE OLYMPIC LIFTS

I love the Olympic lifts. Of course I do – I coach some of the best weightlifters in the country. But if someone isn’t proficient at teaching the movements, then they shouldn’t add those movements in their program no matter how good they are. A movement is only beneficial when used correctly. If I didn’t understand how to teach the Olympic lifts, I could still create a program that would deliver athletic improvement. I could use the following movements:

  • Squat variation
  • Deadlift variation
  • Push press
  • Bent-over rows
  • A type of carry (farmer’s walk, Zercher, overhead, etc.)
  • Squat jumps or another type of plyometric

I could use these movements along with a closer look at velocity, and I could cover every quality of strength required to maximally improve any athlete. With that being said, I want to talk about the use of the different variations of the Olympic lifts specifically: full lift variations, hang variations, power variations, and block variations.

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Full Variations

The full snatch and clean are great for total athleticism. You’re going to get power production, proprioception, balance, coordination, mobility, and force absorption. I’ve never seen a bad athlete complete a full snatch. When a person learns a snatch, they have learned to produce power, move their bodies through space, and move quickly (speed). They’ve also developed incredible mobility. All of these characteristics are important to athleticism.

There are challenges and maybe even some drawbacks to the full variations. For one, these movements take a bit longer to learn. They’re complex in nature, so they take a little extra time. And in the world of strength and conditioning, time is valuable. Remember we are talking about non-weightlifting athletes. Their sport isn’t Olympic weightlifting.

HANG VARIATIONS

This is probably my favorite because it mimics the countermovement of a vertical leap. You are going to receive a stretch reflex just like when you jump. Plus this is the one variation that begins with an eccentric contraction, which is great for hypertrophy and strengthening the movement. The range of motion involved in the hang variations is more specific to sprinting and jumping as well. Nowhere on the field (football, soccer, basketball, or baseball) are you asked to perform a full squat. I’m not saying that there aren’t benefits to a full squat catch, but the specificity of the hang movements will normally yield a higher return to sport specific requirements. When you catch the hang movements in a power position (above parallel), you have the most specific movement in the gym.

Hangs

POWER POSITIONS

This refers to the catch of the snatch and clean being above parallel. I already talked about this position regarding the hang movements. I like the power movements because they are a bit easier to teach. I also like the fact that they require the athlete to move faster. Everyone thinks that power movements are all about how high they pull the bar. I’ve got news for you. All you can control is the velocity of the bar. You pull it as hard and as fast as possible. When your hips extend, the height of the bar is already determined. There is nothing you can do to pull the bar any higher after the hips extend.

If you want to get good at power cleans and snatches, the focus needs to be on:

  1. Timing
  2. Speed of the third pull
  3. Strong catch (force absorption)

To get good at power movements, timing is crucial. If you waste any time at the top, you will miss the peak of the bar. You will find yourself pulling under while the bar is on the way down. The biggest reason I prescribe power movements for my weightlifters is to get them better at timing. Timing is crucial to be good at the sport. Timing isn’t necessarily important for non-strength athletes, but it helps in being able to handle higher loads.

Obviously speed is important to all athletes. In a perfect world, the barbell should move faster throughout the movement – with the third pull (the pull underneath the bar) being the fastest. The power movements require athletes to move quickly, so it teaches speed without the athlete actually thinking about it.

The strong catch is the quality that transfers to athletes the most because it requires the athlete to absorb large amounts of force in an abrupt manner. When you think about football or rugby, it’s easy to see the benefit of power cleans and power snatches. When you add the velocity required for power movements to the force absorption, you have a very functional movement for just about any sport. Plus the catch height of the snatch and clean is at a position that is much more specific to other sports, such as softball, baseball, football (linebacker, running back, etc), or even soccer.

BLOCK VARIATIONS

I like variations from blocks for a lot of the same reasons as above, and they have one advantage regarding specificity. Block cleans and snatches begin from a dead start, which is specific to sprints. There isn’t a countermovement with sprinting. With block cleans and snatches, the movement begins from a dead stop. This teaches the athlete to generate force as quickly as possible and is a great way to improve the rate of force development. Let’s face it: sport is played at a fast pace. Athletes are asked to go from 0 to 100 as fast as possible. The athlete who can react and get to full speed at the fastest rate will end up being the best athlete. Blocks can be done from whatever height is the most specific or from the height that is the weakest.

For specificity reasons, I would say that hang powers and block powers are the best movements for directly affecting athletic performance. I recommend using hang powers to improve vertical leap and broad jumps. Hangs are also good for improving elasticity, strengthening position, and tendon strength. Block powers are great for improving sprinting times especially the start and acceleration portions.

THE REAL MUST-HAVES

There’s a place for all the Olympic variations, including the jerk. But if I had to choose two variations, I would use hang powers and powers from blocks. I hope this helps some of you strength and conditioning coaches decide which movements to use and when to use them. Remember, there isn’t a movement that is an absolute must-have for any program. Coach Mike Boyle has made a career out of getting athletes better without bilateral squats or cleans, so obviously you don’t have to use those movements. I recommend squats and cleans, but you don’t have to use them.

The only must-have I require of all my coaches is that they know the why for each and every movement they program. If you don’t know the reason for a movement, then drop it from your program. As a coach, you should be excited when one of your athletes asks you why you’ve programmed the way you have. It’s a chance to teach them and get buy-in. Coaches, do your homework and know the why behind your program.

Here's the key to unlocking even more gains in 2019...

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Dr. David Brown on Fat Loss, Youth Weightlifting, and More – The Barbell Life 229

Dr. David Brown just got back from coaching Team USA at the Youth Olympics in Buenos Aires

It was a great meet to say the least. His daughter, Peyton Brown, medalled – the first time in history that an American has medalled in weightlifting at the Youth Olympics.

So we talk all about that on today’s podcast – and we got to pick Dr. Brown’s brain on so many other issues.
 

Here's the key to unlocking even more gains in 2019...

Become a member of the Mash Mafia.

* Fully Customized Programming

* Unlimited Technique Analysis

* The Best Coaching in the World

 

LISTEN IN TO TODAY’S PODCAST AS WE TALK ABOUT:

  • What the science really says about getting stronger while losing weight
  • How he trains his daughter as a youth weightlifter
  • The problems with measuring body fat levels – and what Dr. Brown does
  • What he looks for in a good coach for youth
  • How you need to program differently for “shark week”
  • and more…

Hip Arthritis? Here Are Some Options

About the Author: Eric Bowman is a Registered Physiotherapist in Ontario, Canada who works in the areas of orthopedic physical therapy and exercise for people with chronic diseases. He’s also intermittently involved with the University of Waterloo Kinesiology program and the Western University Physical Therapy program. He also competes as a powerlifter in the Canadian Powerlifting Union and has completed the CPU Coaching Workshop & Seminar.

This past weekend (as of the time I’m writing this on a train to Toronto), Coach Travis Mash and I had a discussion regarding options for hip osteoarthritis (OA) and whether hip resurfacing, hip replacements, or stem cells would be the best option. It’s an understandable question given that OA is one of the two big musculoskeletal pain problems in today’s society (along with low back pain) and, given the aging of the baby boomers, it’s expected that these will rise.

Serious athletes aren’t immune from this either. A recent paper showed that competitive runners were actually at a higher risk of developing OA than sedentary individuals. Heavy athletes (such as powerlifters, strongman, football players and bodybuilders) are at a higher risk of OA even when generally healthy.

It’s impossible for me to make recommendations for each individual with hip pain and hip OA without assessing them and understanding their situation. That said – people need to know the risks and benefits of the different, more invasive, options for hip OA.

First Things First: Conservative Options

I’d be crazy if I didn’t first recommend the simple steps for helping with hip OA which can greatly improve symptoms and have considerably lower risk compared to the options which I will discuss later on the article. The more conservative options include:

  1. Losing weight: Increased body weight is a big risk factor for OA, and some research has shown that losing weight is associated with improved pain and symptoms. If you’re considerably overweight and unhealthy, working with a doctor and a certified exercise physiologist (through ACSM or CSEP) is a good start to improving your symptoms.
  2. General strengthening of the hip, thigh, and core muscles: Powerlifters and weightlifters are pretty good with strengthening the quads, hamstrings, and glute max muscles as they are the ones that contribute to success in the squat, deadlift, snatch, and clean and jerk. But in many weight training clientele I’ve worked with, the abductors (i.e. glutes medius & minimus), adductors, and hip rotator muscles tend to be neglected. Strength athletes (with the exception of strongman) tend to train only in one plane of motion. If you aren’t training all of your hip and your core muscles, that’s another vital step that may improve your symptoms. Worse comes to worse – you’re better off coming out of the surgery.
  3. Improving sleep: Poor sleep can be a risk factor for a lot of different musculoskeletal pain conditions and for chronic pain. Some simple steps you can to improve your sleep are:
    • Going to bed and getting up at the same time every night
    • Limiting (if not eliminating) caffeine and alcohol use after lunchtime
    • Minimizing screentime before bed (I’m a bit of a hypocrite and struggle with this part)
    • Making sure the environment is cool, dark, and quiet

    If you find these steps aren’t helping your quality of sleep, I recommend you get a sleep study – especially given the amount of bigger athletes who have sleep apnea and rely on CPAP machines.

  4. Managing psychosocial factors like stress, anxiety, and depression: these are major risk factors for chronic pain and poor recovery. I’m not a doctor (nor did I stay at a Holiday Inn Express last night) – but if simple steps such as eating right, exercising regularly, sleeping well, and better time management/organization aren’t helping … then it’s worth seeking out professional counseling or help to deal with these issues.

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Now with that out of the way, it’s time to answer Travis’s question: hip replacement vs hip resurfacing vs stem cell therapy – which is the best option?

Stem Cell Therapy

I could only find two human studies on PubMed which totaled 28 participants who were undergoing stem cell therapy for OA of the hip. These studies showed a slight improvement in pain with no complications.

As a disclaimer these studies were done in very small populations and research is needed to determine how long these effects last. My personal (anecdotal) bias and observations of any kind of cell injection are that many of them have shorter lasting effects in people.

Hip Resurfacing vs Hip Replacement

This area has been much more thoroughly researched and is an area I have considerably more experience with through doing a placement/internship at University Hospital in London, Canada. There I saw numerous clients post hip replacement (total hip arthroplasty) and resurfacing from surgery to discharge. I’ve seen the surgery done in person and have gotten to meet some of the surgeons involved in the practice guidelines surrounding THAs.

In terms of short term outcomes, some research has shown advantages of hip resurfacing over hip replacements, such as:

  • Less pain 24 hours post-surgery
  • Shorter hospital stay (by about 2 days on average)
  • Less blood loss and transfusions
  • Lower rate of hip dislocations

In terms of overall pain and functional outcomes, aside from a few odd questionnaires here
and there, the outcomes for pain and physical function are generally the same between the two
surgeries.

The big advantage of hip replacement over hip resurfacing is that the implements last longer and need less revision.

In my experience, and the research says this, the vast majority of people do quite well after a hip replacement … and the anterior hip replacement approach has good evidence when compared to the lateral and approaches. The people whom I see struggle are:

  • People who have let themselves go and are incredibly obese, weak, and/or inflexible heading into surgery.
  • Those who don’t do their exercises and/or are afraid of moving the operated hip for fear of pain or damage.
  • People who unfortunately suffer from central sensitization, a condition in which the entire nervous system and body is hypersensitive and produces excess levels of pain in response to stimuli. These are examples of people where a more generalized approach focusing not just on exercise or surgery but on general health (i.e. diet, sleep, stress, beliefs) can be necessary and essential.

Again – it’s impossible for me to make specific recommendations without knowing your situation, but I hope this provides some useful tips for future consideration. As always, thanks for reading.

References

Ortiz-Declet VR, Iacobelli DA, Yuen LC, Perets I, Chen AW, Domb BG. Birmingham Hip Resurfacing vs Total Hip Arthroplasty: A Matched-Pair Comparison of Clinical Outcomes. J Arthroplasty. 2017 Dec;32(12):3647-3651. doi: 10.1016/j.arth.2017.06.030. Epub 2017 Jun 23. PubMed PMID: 28711342.
Shimmin AJ, Baré JV. Comparison of functional results of hip resurfacing and total hip replacement: a review of the literature.Orthop Clin North Am. 2011 Apr;42(2):143-51, vii. doi: 10.1016/j.ocl.2010.12.007. Review. PubMed PMID: 21435490.

Alberta Hip Improvement Project., MacKenzie JR, O’Connor GJ, Marshall DA, Faris PD, Dort LC, Khong H, Parker RD, Werle JR, Beaupre LA, Frank CB. Functional outcomes for 2 years comparing hip resurfacing and total hip arthroplasty. J Arthroplasty. 2012 May;27(5):750-7.e2. doi: 10.1016/j.arth.2011.10.004. Epub 2012 Jan 28. PubMed PMID: 22285258.

Yoon RS, Geller JA, Nyce JD, Morrison TA, Macaulay W. Hip resurfacing is less painful at 24 hours than hip replacement.Orthop Clin North Am. 2012 Nov;43(5):e8-13. doi: 10.1016/j.ocl.2012.07.002. Epub 2012 Sep 8. PubMed PMID: 23102425.

Marshall DA, Pykerman K, Werle J, Lorenzetti D, Wasylak T, Noseworthy T, Dick DA, O’Connor G, Sundaram A, Heintzbergen S, Frank C. Hip resurfacing versus total hip arthroplasty: a systematic review comparing standardized outcomes. Clin Orthop Relat Res. 2014 Jul;472(7):2217-30. doi: 10.1007/s11999-014-3556-3. Epub 2014 Apr 4. Review. PubMed PMID: 24700446; PubMed Central PMCID: PMC4048407.

Emadedin M, Ghorbani Liastani M, Fazeli R, Mohseni F, Moghadasali R, Mardpour S, Hosseini SE, Niknejadi M, Moeininia F, Aghahossein Fanni A, Baghban Eslaminejhad R, Vosough Dizaji A, Labibzadeh N, Mirazimi Bafghi A, Baharvand H, Aghdami N. Long-Term Follow-up of Intra-articular Injection of Autologous Mesenchymal Stem Cells in Patients with Knee, Ankle, or Hip Osteoarthritis. Arch Iran Med. 2015 Jun;18(6):336-44. doi: 015186/AIM.003. PubMed PMID: 26058927.

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