AM @ MobilityFit
15:00 Assault bike
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dry needling of death
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4 sets:
earthquake bar
5 x 0:30 isometric internal rotation hold, hand pressing into anterior hip and elbow as forward as possible
internal rotation with purple Crossover symmetry band
walking backwards with green Crossover symmetry band in isometric internal rotation position from above
PM
A. Safety bar squat, 5-3-1+ @ 180-205-225; 3:00 rest
B1. Glute-ham raises, 3 x 6 weighted; :10 rest
B2. Hip extensions, 3 x 9 weighted; :10 rest
B3. Death march, 3 x 12 steps heavier than last week; 2:00 rest
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3 sets:
:35 Assault Bike @ highest possible effort that's sustainable within & across all 3 sets... goal is very little, if any, drop-off
4:25 Assault Bike spin
A. complete, 6 @ 225
B1/B2/B3. +10, +20, +20, subbed 0:30 Sorenson hold for the death march
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complete, 79-80 RPMs, still faded just a little on the last one (77 in the last 0:05)
Squats felt super heavy today - it was a long weekend, and I'm feeling it.
Low back got lit up on B, shocker.
Shoulder behaved slightly better on the plane last night - no swelling like Friday - but woke up with it extremely uncomfortable today. Literally everything had seized up, and it was the worst dry needling session, by far. Drew hit every single muscle, anterior and posterior, and every single spot he hit was awful. I think he felt bad because of how terrible it was.
Got the debrief on his conversation with Tim last week. I had a complex labral tear from the 3:00 to 8:00 position, and he used two anchors, one at 5:00 and one at 7:00, to re-attach. Tim didn't see anything in the anterior capsule, ligament or otherwise, when he was in there. They came up with a plan to hammer internal rotation strength over the next 2 weeks and see if that makes a difference, while cutting pretty much everything else, and if there's not significant improvement at the 12 week mark, Tim will order an MRI.
Drew thinks that the apprehension/relocation test that Tim did in the office 2 weeks ago was the straw that broke the camel's back, and because of the increased pain since then, it's likely that something's torn. It's completely unknown at this point if it's a new problem, one that was missed in the scope, or a failure of the repair. Drew was adamant that it really wasn't Tim's fault though - it was a test that he has to do as a surgical follow-up, with a "1 in 900 chance of causing damage." I should go to Vegas.
Drew advised cutting the deadlifts and Farmer's walks, at least for the next 2 weeks, just to remove as many variables as possible...