Betterbacks&knees Intro
Betterbacks&knees Intro
Please review the following User Agreement carefully before using the
“DVRT Better Back, Knees, and Shoulders”. The author of this e-book
strongly recommends that you consult with your physician before beginning
any exercise program. You should be in good physical condition and be able
to participate in the exercise.
Innovative Fitness Solutions, LLC is not a licensed medical care provider and
represents that it has no expertise in diagnosing, examining, or treating med-
ical conditions of any kind, or in determining the effect of any specific exer-
cise on a medical condition.
Jessica graduated with her Masters in Physical Therapy from Wayne State University in Detroit
Michigan, back in 2006. Since then has worked in every aspect of physical therapy, including
sports rehab, in-patient neuro, and even geriatric populations in the home setting making sure to
broaden her skills as a therapist. She has obtained serval certifications including SFMA Level I,
Total Body Kinesiotaping, Spinal Manipulation, and many more. She as written for various pub-
lications including Breaking Muscle, PT on the Net, & Weck Method and her works have been
translated for publication in several different languages.
Jessica is also the director of operations for Innovative Fitness Solutions and Ultimate Sandbag
Training, she heads up the educational programs for Dynamic Variable Resistance Training. Jes-
sica has had the opportunity to travel all over the world helping spread the DVRT educational
system and shedding new light on what functional training really is and what it can be.
Jessica can be reached at jessica@ultimatesandbagtraining.com
As a child I was always involved in sports and athletics. I loved the feeling that sports provided.
Not just the competition (although I have been known to be more than a bit competitive), but
how the movements that most sports required gave a real feeling of empowerment. The grace,
agility, speed, were all things that really spoke to me. After a few years of playing a lot of differ-
ent sports, I found my true calling. Swimming just came very natural to me, it was love at first
sight. It was my true passion and my world for over 10 years. That is until shoulder injuries de-
railed my pursuit of going to the Olympics or even swimming for a college team.
What was definitely a devastating series of injuries were also a blessing in disguise. My injuries
led me to my first introduction to the world of physical therapy. Up until my swimming injuries,
I had no experience with such a world. Of course every athlete would prefer they never do, but I
had a feeling of invincibility with swimming. However, the reality of athletics can teach harsh
lessons.
I’m happy for those experiences because they would bring me to a whole different world that I
would fall in love with. I spent quite a bit of time in physical therapy rehabbing both my shoul-
ders due to rotator cuff injuries and tears. I was really intrigued with the work. In many ways it
reminded me of the world of athletics, but seeing how it could impact all types of people made a
strong impression to me. Watching people of all walks of life try to overcome various challenges
and show courage in different ways, definitely inspired me.
Since I knew my years as a competitive athlete were pretty much behind me, there was a new
chapter I was going to have to write it my life. I volunteered at local physical therapy clinics in
high school and soon found work as a technician in a sports orthopedic clinic. The work of a
technician isn’t glamorous, but I quickly fell in love with the idea of helping people re-gain the
life that they lost. I loved it so much I would continue to work at even through college.
Absolutely loving the the field of physical therapy I decided, that would be what I would purse in
college. I was accepted at Wayne State University in Detroit Michigan and graduated with my
Masters in Physical Therapy back in 2006. I think looking back that would be one of the hardest
things I would ever do or accomplish. The intensity of the work, the dedication of time, it took
my all to get through the challenging program. As they say though, nothing worth having is ever
easy. Not only did I learn a ton from the school work itself, but the lessons of hard work and ded-
ication were equally as impactful.
In the end though, I am grateful that was able to complete the schooling and be apart of such an
amazing field.
Yet, there was one more lesson for me to learn in school. It had nothing to do with anatomy, it
wasn’t any rehab techniques. It became life changing itself and I wouldn’t really understand till
years later how much so!
While in physical therapy school I developed a SEVERE low back injury. Ironic right? Some-
times we are paying such close attention we forget to be the best models of our techniques.
While I believe it to be an older injury form completive sports, it really became a BIG issue after
I lifted a patient trying to transfer them from one area to another. This wasn’t a sore back with
some muscle spasms. Instead, I suffered multiple disc herniations with severe nerve pain. I spent
most of my classes standing in the back of the room since I could not sit without excruciating
pain and discomfort!
I found myself back receiving physical therapy treatment and trying everything in the books. Af-
ter all, what no better test than helping yourself become better! A great trial by fire with all the
material that I studied so hard in school. Eventually the acute pain subsided but chronic pain still
lingered. I could function and perform day to day tasks but I really still had pain and was limited
with some physical activity.
No matter what I tried, I just couldn’t get 100% relief from the low back pain and nerve pain that
was still present. It was extremely frustrating to think I was a physical therapist but yet couldn’t
fix myself. I would wake up each day needing time to just get out of bed due to the pain, how
defeating such a feeling.
Fast forward about three years out of school and working as a physical therapist, I was intro-
duced to Josh Henkin and DVRT and Ultimate Sandbag Training. Still suffering from low back
pain which had been lingering now for about 8 years, I wasn’t really thinking it would be any-
thing different. I would never be SO happy to be wrong!
While I had been working out doing what I could and what I had learned in school I sadly
couldn’t even perform a body weight squat without pain. I will admit that it wasn’t a pretty look-
ing squat either! After a few years of training with Josh and DVRT I can perform in my opinion,
one beautiful squat. Not only can I squat well, I can do it with strength and best of all with no
pain!
What made this so different then anything I had tried in the past with all my knowledge of rehab?
It taught me how to move again and to move correctly, I learned movement from a whole differ-
ent perspective. People often say how they
learn something and it is the “next best”
thing, but this was truly life changing. When
you have to remember how the pain felt,
when you can do the things you use to hesi-
tate, when you can wake-up and not be de-
pressed by the pain you fight, that truly is life
changing.
I am hoping with this program you can see and feel what the system did for me.
The Person Behind the Pain
80% of all Americans will experience low back pain some time in their life
Low back pain is the single leading cause of disability worldwide, according to the Global Bur-
den of Disease 2010.
Back pain is one of the most common reasons for missed work. In fact, back pain is the second
most common reason for visits to the doctor’s office, outnumbered only by upper-respiratory in-
fections.
One-half of all working Americans admit to having back pain symptoms each year.
Most cases of back pain are mechanical or non-organic—meaning they are not caused by serious
conditions, such as inflammatory arthritis, infection, fracture or cancer.
Americans spend at least $50 billion each year on back pain—and that’s just for the more easily
identified costs.
When you put low back pain such greater terms, it would almost seem as an epidemic! Not only
does it cause people physical pain, it causes them emotional distress and often financial costs.
Anyone that has experienced or deals with low back pain knows that there isn’t just a physical
component.
Why do I bring up depression and low back pain? Too far times as an industry do we tend to treat
the problem and not the person. I’ll admit, this was an early mistake of mine and over time I
have learned how to be more about the individual than the condition. In relationship to exercise it
means we need to find the ways to make people successful, progressive, and minimize their risk
of experiencing higher levels of pain. We are dealing with people, not injuries!
Causes of Low Back Pain
The back is a complicated structure of bones, joints, ligaments and muscles. You can sprain lig-
aments, strain muscles, rupture disks, and irritate joints, all of which can lead to back pain. In
other words, the actual cause of a low back injury can be a combination of many different fac-
tors.
Trust me, I have heard plenty of people diagnose themselves with “piriformis syndrome”, “her-
niated discs”, and much more. While these could all play a role in pain, typically they are an end
result of a larger issue.
While sports injuries or accidents can cause back pain, sometimes the simplest of movements—
for example, picking up a pencil from the floor— can have painful results. This is due to a larger
issue than the action itself.
There are additional points to consider such as arthritis, poor posture, obesity, and psychological
stress can cause or complicate back pain. Believe or not, the above issues can be greatly en-
hanced by a smart fitness program. Yes, even something like arthritis.
According to the Mayo Clinic, “Though you might think exercise will aggravate your joint pain
and stiffness, that's not the case. Lack of exercise actually can make your joints even more
painful and stiff. That's because keeping your muscles and surrounding tissue strong is crucial to
maintaining support for your bones. Not exercising weakens those supporting muscles, creating
more stress on your joints.”
Back pain can also directly result from disease of the internal organs, such as kidney stones, kid-
ney infections, blood clots, or bone loss. While exercise may be able to help some organ func-
tion, this IS why having a nutritious program is important. Decreasing inflammation and improve
organ function will go a long way in helping our progress in reducing pain and aches.
Bone loss though is something that exercise and fitness can help decrease. The key will not to
have too much impact to the joints, but still stimulate that bone density improvement. Once
again, why progression will be key to many of these concepts.
I feel though that the majority of people possible fall in to three categories of cause:
These will be the cornerstones of what we address in the actual workout programs.
References:
2. Vallfors B. Acute, Subacute and Chronic Low Back Pain: Clinical Symptoms, Absenteeism
and Working Environment. Scan J Rehab Med Suppl 1985; 11: 1-98.
3. In Project Briefs: Back Pain Patient Outcomes Assessment Team (BOAT). In MEDTEP Up-
date, Vol. 1 Issue 1, Agency for Health Care Policy and Research, Rockville, MD.
4. Time to recognize value of chiropractic care? Science and patient satisfaction surveys cite use-
fulness of spinal manipulation. Orthopedics Today 2003 Feb; 23(2):14-15.
5. Bigos S, Bowyer O, Braen G, et al. Acute Low Back Problems in Adults. Clinical Practice
Guideline No.14. AHCPR Publication No. 95-0642. Rockville, MD: Agency for Health Care
Policy and Research, Public Health Service, U.S. Department of Health and Human Services,
December, 1994.
6. Chou R, Hoyt Huffman LH. Nonpharmacologic therapies for acute and chronic low back pain:
a review of the evidence for an American Pain Society/American College of Physicians Clinical
Practice Guideline. Ann of Internal Med 2 Oct. 2007;147(7):492-504.
7. Bronfort G, Haas M, Evans R, et al. Evidence-informed management of chronic low back pain
with spinal manipulation and mobilization. Spine. 2008;8(1)213-225.
The shoulder joint actually has the greatest motion in the greatest number of directions than an-
other joint in the body. Due to this, the shoulder joint is one of the least stable joints in the body
and one that is commonly injured and susceptible chronic pain issues.
I can’t tell you have many times I am contacted by people telling me that they just can’t go over-
head. This isn’t just a case of not being physically active. You might be very surprised how many
fitness pros tell me they just can’t do something because of their shoulders.
The National Center for Health Statistics reports that each year more then 13 million Americans
seek treatment for shoulder problems. Now with that being said, understand that shoulder prob-
lems can and most often are associated with the cervical spine as that is why we were focusing
not only on shoulders but backs and knees. Everything is connected and we need to make sure
we cover as much as we can to prevent these statistics and injuries from occurring.
When people say they have “bad shoulders” they typically have bad thoracic mobility. Picture
that most people sit most of their day if they are working in an office, most to the time staring at
a computer screen, such as I am doing right now with the worst posture possible as I do more
often than not. People tend to get fixed in this forward flexed posture, with rounded shoulders
and back. This just places the joint in such a compromised position so we will address how to get
that posture back and work on the rang of motion deficits.
If you think, “I don’t sit all day, I workout!” well, you could still have poor thoracic mobility.
Past bad training habits, injury, etc. could have caused this, but to understand the impact, try this.
Slouch your chest, try to raise your arms up as high as you can. You feel your shoulders hit an
end point rather fast? Now, try to stand tall and look what happens to your arms. Do they point
much higher towards the sky? That is what altered thoracic spine posture can cause, you shoul-
ders to try to bear load from bad positions.
Core stability wouldn’t automatically jump out at people as a cause for bad shoulders, but it
could be a big reason why! Many times tight thoracic spine and bad core stability go hand in
hand. When people can’t move well in their mid-back and shoulders, they try to compensate by
moving through their low back. This gives the artificial appearance that you have good shoulder
range of motion.
Unfortunately, this position makes it very difficult to brace through the core and just causes a
host of problems. If you want a more scientific way of thinking about it, spinal expert, Dr. Stuart
McGill says it well!
“Consider the pectoralis major muscle – it attaches the rib cage at its proximal end, crosses the
shoulder joint, and attaches to the humerus of the upper arm at its distal end. When muscles con-
tract they try to shorten. Consider the specific action here – the arm flexes around the shoulder
joint moving the arm from muscle shortening at the distal end. But the same shortening also
bends the rib cage towards the arm at the proximal end of the muscle. Thus simply using the pec
muscle would not result in a fast nor forceful punch. Now stiffen the proximal end of pec muscle
attachment – meaning stiffen the core and ribcage so it can’t move. Now, 100% of pec muscle
shortening is directed to action at its distal end producing fast and forceful motion in the arm. In
the same way a stiffened core locks down the proximal ends of the hip muscles producing faster
leg motion. A loss of core stiffness causes the torso to bend when sprinting, and a loss of speed –
some force was robbed that should have been expressed in leg velocity. Thus, a universal law of
human movement is illustrated – "proximal stiffness enhances distal mobility and athleticism”."
Then the muscle imbalance dilemma. Believe it or not there are those that like to go against
rather common sense science and claim that muscle balance really doesn’t really do anything in
preventing injury.
According to the founder of the world renown sports performance mecca, EXOS, Mark Versta-
gen estimates 65% of injuries can be traced back to the “use of joints that are rendered dysfunc-
tional by muscular imbalances” Since we tend to be a more “flexor” dominant culture (we like
to do curls, bench, etc.) the anterior muscles are typically stronger than the muscles of the back.
When the body performs an action one side is the accelerator and the other is the decelerator.
That is why a lot of throwing athletes work on their back side. If those muscles aren’t able to de-
celerate the arm we see a lot of issues like rotator cuff tears. Additionally, the body may struggle
to produce optimal levels of strength when there is a great imbalance as a means to protect itself.
Imbalances don’t only mean muscular though. We can have movement “imbalances” or just is-
sues with how we are performing specific movements. When we teach people how to push and
pull correctly and not just use the upper body, but the core and lower body too, everything
changes!
That means you are going to see crossover. A “back” drill may also be a “shoulder” drill, and as
you can guess, also a “knee” drill. Once you correct movement patterns you will be shocked at
how many issues clear themselves up!
It Has Ended Many Careers
While I was working in orthopedic settings I sadly saw knees end the careers of several athletes
and most of all kept people from doing the activities they loved so much. Knee pain can be debil-
itating and yet, it rarely is the cause, but rather the end result of an issue.
Now the the knees are not the most intelligent joint in the body…they kind of play follow the
leader in a sense. They really just do what the hip and ankle tell it to do, the knees are along for
the ride.
According to a study from Gallup-Healthways shows that 26% of people have some sort of leg
or knee condition.
So what does having pain in the knees really mean? Well, it means that most people experiencing
knee pain probably fall into three categories of why:
So all three of these issues we will address when it comes to knee pain. Fortunately, what you are
going to see throughout our “Better Backs, Knees, and Shoulders” program, is that an exercise
doesn’t work just one area of the body, but typically all three at once.
If we improve your foot/ankle issues, will your knees get better? Probably. Will your hips get
better? More than likely. Will it improve your shoulders? Surprisingly, I would say I’d put money
on it. Yes! Even your shoulders!
That is because when the foot strikes the ground it impacts the entire chain of our body. Remem-
ber, often times the pain you feel is not the cause, but the end result of dysfunction somewhere
else. So, when you are performing these drills don’t just think of the knees, or back, or even
shoulders. Think about how they work together.
A great example is the role of the posterior chain. Most will tell you that the posterior chain is the
coordinated effort of the glutes and hamstrings. However, if you study the work of innovative
people like Thomas Myers, you will see that the connection goes basically from head to toe. Lit-
erally!
That is because we can’t just think in terms of muscles or joints, but fascia and the nervous sys-
tem play a huge role in how we move and coordinate movement. Fascia is connective tissue that
encapsulates muscle and helps transmit information through the body and coordinates the mo-
tions we take for granted. Moral of the story, you can’t improve your body by just addressing the
site of pain. Get ready to feel and perform your best!
How To Use This Program
I designed the following DVRT programs to be used three days a week. For many people this is a
reasonable amount of time to dedicate to improving their movement and fitness goals. I would
recommend you begin with this schedule before you begin adding in any additional training. If
you do add more training sessions (which is possible), I would ask you to monitor your recovery
from training. How would this work?
If you find that your training of the three core workouts of the week that are contained in this
program are suffering, you may be doing too much. If you find yourself having to reduce the
volume significantly, or missing workouts, these could be signs that you are not recovering. If
you are not making progress in getting better during the warm-up series, you might be doing too
much. Don’t be afraid to do less and sometimes add in some of the workouts in this program as a
means to accelerate your recovery during off days.
What size of Ultimate Sandbag should you use? Most of the drills are going to involve our Core
and Power Ultimate Sandbag. Of course having access to a larger Ultimate Sandbag like a
Strength will be helpful. For women, I would recommend a Core and Strength, Men I would rec-
ommend a Power and Strength.
How much weight? I would recommend Core USBs to be filled at 10-15 pounds and Strengths to
40 pounds for women. For the guys, a Power to 20-25 pounds and a Strength loaded to 50
pounds. These are starting recommendations and you can begin to modify as you go through the
program. You can use coupon code “save15” at our store to pick-up another Ultimate Sandbag if
you are looking to do so HERE
The workouts are designed that you work through ALL 12 workouts before repeating. You
should repeat these workouts from 4-6 times so that can be anywhere from four to six months
worth of training.
Each workout has a warm-up and core workout aspect. Do NOT skip the warm-up, they are es-
sential for the success of this program. The warm-ups are designed to be done as a circuit and
prep your body for the core workout. You shouldn’t be too wiped from performing the warm-up,
but rather invigorated.
The main workout has letters and numbers by each exercise. The exercises with the same letter
are to be done together in a supersetting or circuit manner The numbers refer to the order in
which they are to be performed. Now, that you are ready, let’s jump start into the workout. If you
have more questions though drop us a line at info@ultimatesandbagtraining.com
Workout 1
Warm-up
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Workout
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