Podcasts > The Tim Ferriss Show > #835: Ben Patrick (KneesOverToesGuy) — 20-Minute Workouts That Produce Wild Results, From Chronic Knee Pain to Dunking Basketballs, Lessons from Charles Poliquin, Bulletproofing the Lower Body, and More

#835: Ben Patrick (KneesOverToesGuy) — 20-Minute Workouts That Produce Wild Results, From Chronic Knee Pain to Dunking Basketballs, Lessons from Charles Poliquin, Bulletproofing the Lower Body, and More

By Tim Ferriss: Bestselling Author, Human Guinea Pig

On The Tim Ferriss Show, Ben Patrick (KneesOverToesGuy) shares his path from chronic knee pain and multiple surgeries to athletic success through an unconventional approach to leg training. After discovering research on knees-over-toes exercises, Patrick developed techniques centered on backward sled pulling and full-depth squats, which helped him overcome his dependence on painkillers and transform his athletic capabilities.

The episode explores Patrick's training philosophy, which challenges traditional fitness advice about knee positioning during exercises. Patrick explains his three core principles of mobility, stability, and full-range strength, and describes how he achieves results with minimal time investment. He also discusses his bottom-up approach to training and shares examples of success stories, including his 71-year-old mother's improved athletic performance.

#835: Ben Patrick (KneesOverToesGuy) — 20-Minute Workouts That Produce Wild Results, From Chronic Knee Pain to Dunking Basketballs, Lessons from Charles Poliquin, Bulletproofing the Lower Body, and More

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#835: Ben Patrick (KneesOverToesGuy) — 20-Minute Workouts That Produce Wild Results, From Chronic Knee Pain to Dunking Basketballs, Lessons from Charles Poliquin, Bulletproofing the Lower Body, and More

1-Page Summary

Ben Patrick's Journey Overcoming Knee and Leg Injuries

Ben Patrick's remarkable journey from chronic knee pain to athletic success began at age 12. After enduring multiple surgeries, including a partial kneecap replacement and meniscus transplant by age 18, Patrick found himself dependent on painkillers as his right knee pain worsened post-surgery. His breakthrough came when he discovered Charles Poliquin's research on knees-over-toes exercises, leading him to experiment with backward walking as a warm-up. This discovery transformed him from being known as the "old man" in high school to becoming the "Knees Over Toes Guy."

Benefits and Mechanics of "Knees Over Toes" Exercises

Patrick's rehabilitation centered on backward sled pulling and full-depth squats, techniques he learned from Poliquin's work with Olympic athletes. These exercises allowed him to load his knees without pain and eventually eliminate his need for painkillers. Contrary to traditional fitness advice, Patrick demonstrated that allowing knees to move beyond vertical shins during exercises like split squats is crucial for stability and pain-free mobility. The effectiveness of his method is evidenced by his mother's improved sprinting abilities at age 71, and Tim Ferriss's endorsement of controlled, slow-paced exercises for injury prevention.

Ben's Training Principles for Balanced, Injury-Resistant Fitness

Patrick's training philosophy revolves around three key principles: mobility, stability, and full-range strength. He advocates for bidirectional training through forward and backward resisted movements, emphasizing a bottom-up approach from lower to upper legs. Despite his busy schedule with toddlers and business, Patrick maintains an efficient, minimalistic approach, achieving impressive results with just two 45-minute sessions per week. His method focuses on quality over quantity, promoting consistent gains through controlled, full-range motion exercises without risking overtraining or injury.

1-Page Summary

Additional Materials

Counterarguments

  • While knees-over-toes exercises helped Ben Patrick, they may not be suitable for everyone, and individual biomechanics and injury history should be considered.
  • The effectiveness of backward sled pulling and full-depth squats for knee rehabilitation may not be universally applicable and should be approached with caution, especially for those with specific knee conditions.
  • The idea that knees moving beyond vertical shins is crucial for stability and mobility might be contested by some fitness professionals who advocate for maintaining the knees behind the toes to reduce stress on the knee joint.
  • Patrick's training principles, while effective for him, may not align with the goals or needs of all individuals, and a more personalized approach to fitness might be necessary for others.
  • Bidirectional training is beneficial, but it might not be the most efficient or necessary method for everyone, depending on their fitness levels, goals, and time constraints.
  • The minimalistic approach of two 45-minute sessions per week may not be sufficient for all athletes or individuals with specific fitness goals that require more frequent training.
  • The emphasis on quality over quantity is important, but some individuals may require a higher volume of training to achieve their desired results.
  • The claim of preventing overtraining and injury solely through controlled, full-range motion exercises may be overly simplistic, as injury prevention and training adaptation are multifactorial and can also depend on factors like nutrition, rest, and genetics.

Actionables

  • You can integrate reverse movement exercises into your daily routine to improve knee health. Start by walking backward in a safe, open space for a few minutes each day, gradually increasing the time as you become more comfortable. This simple activity can help mimic the benefits of backward sled pulling by engaging the muscles and joints in a similar manner without needing specialized equipment.
  • Create a habit of performing bodyweight squats with an emphasis on form and depth to build full-range strength. Begin by squatting as low as you can without pain, using a chair or counter for balance if needed. Focus on keeping your knees aligned and moving past your toes to encourage stability and mobility, as suggested by the principles of knees-over-toes exercises.
  • Schedule two dedicated 45-minute workout sessions per week that focus on quality movements over quantity. Use a timer to keep your workouts concise and efficient, selecting exercises that target mobility, stability, and strength within that timeframe. This approach ensures you're adhering to the efficient training method while preventing overtraining and injury.

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#835: Ben Patrick (KneesOverToesGuy) — 20-Minute Workouts That Produce Wild Results, From Chronic Knee Pain to Dunking Basketballs, Lessons from Charles Poliquin, Bulletproofing the Lower Body, and More

Ben Patrick's Journey Overcoming Knee and Leg Injuries

Ben Patrick's story of overcoming debilitating knee and shin pain is not only remarkable but also characteristic of resilience and determination. After years of agony and dependence on surgeries, he rebuilt his body and became an athletic phenomenon.

After Years of Knee and Shin Pain, Surgeries Included, Ben Rebuilt His Body to Overcome Injuries

Chronic Knee Pain Led to Surgeries, Including a Kneecap Replacement and Meniscus Transplant, By Age 18

Ben Patrick suffered from chronic knee pain from the young age of 12, which led him through a series of surgical procedures. These procedures were intensive and included a knee replacement and a meniscus transplant. Despite the hope that surgeries would alleviate his suffering, the reality was quite bleak. By the age of 14, Ben was plagued with chronic pains and stiffness, which culminated in surgeries at 18, one of which was a partial kneecap replacement.

Ben's Right Knee Hurt More Than Left Post-Surgery, Leading to Painkiller Dependence

Unfortunately, the outcome of these surgical interventions was far from satisfactory. In a twist of fate, his right knee began to hurt more than the left knee ever had, driving Ben Patrick into a downward spiral of excruciating pain and despair. It was a dark period marked by a growing dependence on painkillers.

Ben's Turning Point: Discovering Research on Knees Over Toes in Exercises

However, it was not all gloom for Ben Patrick. His turning point came when he encountered the unconventional research of Charles Poliquin. Poliquin advocated for training the knees over toes position — a method that starkly contradicted the prevailing fitness doctrines that warned against letting the knees pass over ...

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Ben Patrick's Journey Overcoming Knee and Leg Injuries

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Actionables

  • You can start a pain journal to track discomfort and identify patterns that may be contributing to knee pain. By noting down daily activities, exercises, and pain levels, you'll be able to pinpoint which actions alleviate or exacerbate your knee issues. For example, if you notice increased pain after sitting for long periods, you might incorporate more frequent breaks to walk around.
  • Consider consulting with a physical therapist to create a personalized knee-strengthening program. A professional can assess your specific condition and design a regimen that targets your weaknesses without causing further injury. They might include exercises that improve your range of motion, balance, and leg muscle strength, tailored just for you.
  • Explore low-impact exercise options that can help ...

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#835: Ben Patrick (KneesOverToesGuy) — 20-Minute Workouts That Produce Wild Results, From Chronic Knee Pain to Dunking Basketballs, Lessons from Charles Poliquin, Bulletproofing the Lower Body, and More

Benefits and Mechanics of "Knees Over Toes" Exercises

"Knees Over Toes" exercises have emerged as a revolutionary approach to knee health and rehabilitation, as demonstrated by Ben Patrick's recovery journey.

Backward Sled Pulling and Squats Key to Ben's Recovery

Ben Patrick, dedicated to overcoming knee pain, incorporated backward sled pulling and deep squats into his rehabilitation regimen with noteworthy results.

Ben Used Backward Sled Pulling to Load His Knees Pain-Free By Keeping Them Over His Toes

Ben discovered that backward sled pulling was immensely beneficial in alleviating knee pain. This exercise involved the knees tracking over the toes, akin to walking backward up a hill, which allowed him to load his knees without pain. He learned this technique from Charles Poliquin, who used it to rapidly rehabilitate an Olympic athlete who went on to success. Through consistent practice, Ben not only increased circulation in his knees and reduced pain but also built strength without putting undue stress on the knees, eventually leading him to stop using painkillers.

Full-Depth Squatting Aids Ben's Knee Strength and Motion Recovery

Full-range squatting became a critical element in Ben's recovery, promoting knee strength and range of motion. Contrasting with the traditional advice of avoiding deep squats in activities like basketball training, Ben proved that full-depth squats are not only safe but beneficial. He utilized heel elevation and holding a weight out in front to reduce knee pressure and coached people through over a hundred thousand sled pulls with no reported injuries.

Full Range of Motion Training For Function and Injury Prevention

Full-range motion training, which includes allowing the knees to extend beyond the vertical plane of the shins, emerged as a fundamental principle for developing stability and pain-free mobility.

Knee Movement Beyond Vertical Shins Key For Stability and Pain-Free Athletic Mobility

Ben's research and personal experience led him to the conclusion that permitting the knees to move past vertical shins is key for achieving stability and pain-free athletic movement. He incorporated exercises that allow for this range of motion, such as the front foot elevated split squats, into his regimen. Proper execution of these exercises, like the split squat, offered pain relief and improved knee function.

Progressi ...

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Benefits and Mechanics of "Knees Over Toes" Exercises

Additional Materials

Counterarguments

  • While "Knees Over Toes" exercises may be beneficial for some, they may not be suitable for everyone, especially those with specific knee conditions or injuries that could be exacerbated by such movements.
  • The safety and benefits of full-depth squats can be dependent on an individual's biomechanics, mobility, and existing conditions; what works for one person may not be appropriate for another.
  • The claim that backward sled pulling and deep squats are key to recovery could be overly simplistic, as knee rehabilitation often requires a multifaceted approach including physical therapy, proper nutrition, and sometimes medical intervention.
  • The idea that allowing knees to move past vertical shins is crucial for stability and pain-free athletic movement might not apply to all sports or activities, and some athletes may require different training regimens to prevent injury.
  • The anecdotal evidence provided by Ben's mother's improvements and Tim Ferriss's recognition does not substitute for comprehensive scientific studies that can validate the efficacy of "Knees Over Toes" exercises across a larger population.
  • The narrative may overemphasize the role of specific exercises in ...

Actionables

  • You can integrate reverse motion exercises into your daily routine to improve knee health. Start by walking backward in a safe, open space for a few minutes each day, gradually increasing the time as you become more comfortable. This can help mimic the benefits of backward sled pulling by engaging similar muscle groups and movement patterns without needing specialized equipment.
  • Incorporate isometric holds into your lower body workouts to build knee strength safely. For example, hold the bottom position of a squat or lunge for 20-30 seconds, focusing on keeping your knees over your toes. This can help you gain the benefits of full-depth squats and split squats by increasing time under tension and improving joint stability without adding dynamic movement.
  • Use common household items to create a DIY knee-strengthening circuit ...

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#835: Ben Patrick (KneesOverToesGuy) — 20-Minute Workouts That Produce Wild Results, From Chronic Knee Pain to Dunking Basketballs, Lessons from Charles Poliquin, Bulletproofing the Lower Body, and More

Ben's Training Principles for Balanced, Injury-Resistant Fitness

Ben Patrick emphasizes three training principles revolving around mobility, stability, and full-range strength, which are pivotal for a balanced, injury-resistant approach to fitness.

Ben's Training Principles: Mobility, Stability, and Full-Range Strength

Patrick articulates that his principles hinge on forward and backward resisted movement, a bottom-up approach from lower legs to upper legs, and strength through mobility. Patrick underscores the necessity of stability across all positions, and advocates for bidirectional training to cultivate balanced strength and stability. He promotes exercises like forward and backward resisted sled pulls and mentions the importance of balanced lower and upper body training.

Specifically, Patrick shares that his weekly routine consists of a one set to burn out of rows and pull-ups using gymnastics rings, indicating his dedication to ensuring a consistent balance between lower and upper body training. The use of exercises like front foot elevated split squats is a testament to his commitment to enhancing mobility and full-range strength, as exemplified by his mother's ability to sprint at the age of 71, a result of this meticulous approach to joint health.

Efficient, Minimalistic Training Approach Produces Dramatic Results

Ben Patrick's fitness ideology revolves around minimalism, aiming to achieve substantial results through efficient methods. His work out regime, adapted to his busy life with toddlers and business, comprises only two sessions a week; however, this has not hindered his impressive athletic performance, such as dunking. He maintains that a quality focus leads to consistent gains without the need for overtraining or incurring injur ...

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Ben's Training Principles for Balanced, Injury-Resistant Fitness

Additional Materials

Counterarguments

  • While Ben Patrick's principles may be effective for some, they may not be universally applicable, as individual fitness needs and goals can vary greatly.
  • The minimalistic approach of two sessions a week may not be sufficient for everyone, especially for those seeking to achieve higher levels of athletic performance or specific fitness goals that require more frequent training.
  • The focus on mobility, stability, and full-range strength, while important, might overlook other fitness components such as cardiovascular endurance, which are also crucial for overall health and performance.
  • Bidirectional training and balanced strength are beneficial, but some sports or activities may require specialized training that focuses more on specific movements or muscle groups.
  • The use of gymnastics rings and sled pulls may not be accessible or practical for everyone, especially those without the necessary equipment or space.
  • The claim that significant results can be achieved with minimal time investment might set unrealistic expectations for some individuals, as progress in fitness often requires time, consistency, and sometimes more frequent training.
  • The idea of one set to burn out may not align with some training philosophies that emphasize the importance of multiple sets for muscle growth and strength gains.
  • The anecdotal evidence provided, such as the fitness level of Patrick's mother, may not be sufficient to prove the effectiveness of the training principles for the general population.
  • Tim Ferriss's endorsement is valuable, but it is im ...

Actionables

  • You can create a simple tracking sheet to monitor your exercise progress, focusing on stability and full-range strength. Start by listing the exercises you do, noting the range of motion and stability you achieve with each. Over time, aim to increase the range or stability incrementally, ensuring you're not sacrificing one for the other. For example, if you're doing a squat, record how deep you can go while maintaining good form and stability, and then work to go a little deeper each week.
  • Incorporate resistance bands into your daily routine to simulate bidirectional training at home. Attach a resistance band to a sturdy object and perform exercises like chest presses and rows, moving both forward and backward against the resistance. This can help you develop balanced strength and stability without needing specialized equipment like sleds.
  • Experiment with time-efficient workouts by setti ...

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