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Office Hours (clients only) is happening in 3 days
26.2
13 ring muscle ups! How did everybody fair?
Case Discussion: Athlete With Multiple Injuries – SI Joint Pain Limiting Unilateral Work
Hi everyone, I’d appreciate some input on a case I’m about to start working with. I’m beginning with a new athlete. I completed the TTT Movement Course, so I plan to apply principles from the Fives model, but I’d also like to open this up for discussion and hear additional perspectives on approach and progressions. She is 45 years old, previously competed in CrossFit, and her goal for the coming year is simply to return to consistent, enjoyable training without pain. Current issues: • SI Joint inflammation (Sacroiliac Joint) – at one point there was even concern about possible arthritis• Partial labrum tear in the shoulder – no pain in internal rotation, but external rotation is painful Movement observations so far: • She can perform most bilateral lower-body movements until the load becomes painful• Unilateral lower-body work is currently not possible (split squats, lunges, SL RDL, SL hip thrusts)• Running is not currently an option due to pelvic pain During the initial assessment I tried to identify a pelvic imbalance, but didn’t see any major asymmetry in the 90/90 testing. The pain during unilateral work appears to be immediate during execution, rather than delayed soreness. Programming-wise, I’m fairly confident in the overall direction. The template will likely emphasize: • Freedom / Variability / Self-Mastery• Isometrics and tempo work• Extensive hip and ankle mobility• Very controlled, foundational strength work I still need to complete my full movement assessment battery, including the additional tests I incorporated after the TTT movement course. My main questions: 1. Why do you think unilateral work might currently be such a major limitation here? 2. How would you approach progressing it back in? 3. Is there anything else you would consider prioritizing in this situation? I already have a general structure in mind, but I’d really appreciate hearing how others might approach a case like this.
26.1 results
220 today! Super proud of my score. Who all is planning on redoing it, and if so, what are you changing?
Lower Back Pain
If its not the right topic for this community @Kyle Ruth , please let me know. Who struggles with lower back pain or has clients? So because i have lower back issues since almost 2 years, i read a lot. (L5 S1 protrusion) Had the niveau of an QF athlete, some Open workouts top 10% I think back pain is like shoulder pain. Many have it, but everbody's solution is different :D What i've noticed is, many pro athletes have/had lower back pain. And I ask myself what did they do to train healthy again? - emma lawson - alexis raptis - adrian mundwiler - katrin davidsdottir - tia Cause I messaged a lot with Adrian Mundwiler. He struggles for 5 years, had several injections, pain free for a couple of months, pain again, injection, etc. So he asked himself what is the real issue, cause he trained his back a lot. And for now it seems he has the solution - adductors Adductor stable --> Psoas calm - Pelvis neutral - L5/S1 relieved I know Paul Weber let me train jefferson curls (when he coached me for a couple of month), and clients of him felt better with this exercise. I did 26.1 and my back after this is super super tight (the day after). Some bending is painful. I know its a protection reaction and not another protrusion, but its really annoying cause i thaught with no pain i can train like i did to my best time. But honestly a did a lot of bodybuilding and no common CrossFit movements the last year or so. So my body couldn't adapt. In Adrians case for example he did a dumbbell snatch in training and booom back pain. So i asked myself whats the real problem? Tight hips over time and suddenly it could be any movement to blow it up again?! Its a mysterium for me... What lower back pain experiences do you have with yourself or your clients? Thank you!
Welcome to The Ruth Performance Lab!
I’ve created this as a community for athletes and coaches in the competitive fitness space to learn and collaborate. I’ll be sharing deep dives of training concepts, program design breakdowns, and inviting subject matter experts in everything from mental performance training and nutrition to niche topics like breathing and BFR. What to expect here: For my individual coaching clients: 1. Weekly Office Hours starting the first week after Thanksgiving 2. A full library of all Office Hours recordings 3. A resource library for everything training and performance related from the Competitors Manual, travel guidelines, pacing breakdowns, to nutrition and supplement guides. For everyone else: 1. Training education, system breakdowns, and long-form posts. 2. A place to ask questions and learn alongside other serious athletes and coaches. Thanks for being here, I’m excited to grow this alongside you!
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Ruth Performance Lab
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Ruth Performance Lab: Training principles and systems for athletes and coaches to think clearly, perform better, and develop long-term mastery.
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