Thank you! I just had the same injury in July (and have worked with a PT, spine specialist, lots of others) and to hear a PT - particularly an intelligent and thoughtful one - talking about the same pain, frustration, fear, etc... is so valuable.
I had a similar experience and it also happened in between the lockdowns. I had been dieting for 12 weeks, training hard and doing cardio by walking on a treadmill at a high incline. The way I'm built, that put an extra pressure on my lower back. When I finished with the diet, I was just doing various exercises at the gym just to have fun. I did some RDLs with a pretty light weight for me, 80kgs, and felt that sharp jolt in my back. I forced myself to get through the pain, so I moved on to leg presses and managed to finish the workout. But later, I fell of a chair, had little feeling in my left leg. I managed to walk but had what they call flappy left foot. Later, I didn't feel much pain, just no strength in my left leg. I couldn't even do body weight lunges; I'd fall to the side. It took a few months, but my condition had improved a lot. I never went back to doing any powerlifting movements and I backed off doing anything heavy. I think my age, late 40s, wear and tear, genetics, all played a role. I have had an MRI done, I have scoliosis and disc herniation L1-L5 with radiculopathy. Things were great for about a year. Then last fall, I began to feel severe lower back pain. Some days, it was hard to get out of bed. This must be due to me putting on some weight, and as I was doing it, I was stupid for running to compensate for the extra calories. I think that just made the whole thing worse. These days, I am doing stretches, the half-cobra and cat-cow stretches seem to do the trick. I sleep with one of those flexible lifting weights on, it seems to decompress my spine a bit. And I'm working on losing some weight. I can walk, but I find that after 20 minutes, I feel a bit of a nerve pain in my buttocks. I've also bought a stationary bike. Pain meds also help. Just sharing my story, hoping it might help someone.
This content is really helpful, I’m 24 and this just happened to me for the 6th time. The one brightside is that each time you learn and get better and better at recovering
I had a cervical injury in my c5-c7 that caused nerve issues and pain. I got an mri a year later because i wanted to be sure I wasn't ignoring anything serious. I have 2 broad based herniated discs. One on c5-c6 and one on c6-c7 My neck has slowly calmed down over the last year. Its not 100% but its pretty darn good. I just have to rest it when it's inflamed. When i over use it it wont make progress. I am being referred to a specialist but i will likely refuse surgery. But had i not had a year to see that it slowly heals i would have had surgery. I expect a near full recovery in the long run. I may have to listen more closely to my body like i should but i can do a 12 hour truck ride with almost zero discomfort now. Just thought i would share to give hope. I am a fit vegetarian. I do cardio multiple times a week. But i cut trees for a living.
I admire and appreciate your honesty and documentation of your injury and recovery. I have kind of a more fundamental question. As you get older and more prone to injury (I'm over 50 now), is the benefit of doing low rep training really worth the risk? Can't you get the same results doing medium (8-12) rep training with lower weight? While I think we can all agree that aesthetics is important at any age, I feel that you can still get good aesthetic results while reducing the risk and making the training more functional and safer. For example, you could argue that when picking something up in real life you don't usually use a stance akin to deadlifting (in my opinion a technically difficult lift to execute properly), but maybe something more akin to a sumo deadlift or a landmine deadlift. Just throwing it out there for your opinion. Thank you.
I don't think you're looking for my response but I'm going to give it anyway. From an aesthetic perspective there is really no benefit to working in these very low rep ranges. You will get all the same benefit from working in the 8-12+ range, aesthetically speaking. However, if you need to be good at a skill, like deadlifting a heavy weight, then you need to practice that skill I.e. do heavy lifting. Obviously, it also depends on what you enjoy doing. Finally, for most people's general needs you can build great levels of strength working in the 8-12 range. Lower work will help improve the skill of moving more weight but how often do most people use that day to day?
@@thomast6823 just to add to this, from a hypertrophy POV there’s no real obvious advantage of 8-12 reps over 15-25 either, and you’ll get more CV benefits from the higher rep range. So for the average joe looking to prolong his years with a high QoL you could make a case for almost exclusively training in at 15+ reps/set.
If you're lifting something from the ground outside of a barbell deadlift you definitely shouldn't use a deadlift technique, because you aren't going to be lifting something shaped like a barbell. In a deadlift your feet are parallel, when lifting something like a dumbell, you'd naturally place one foot ahead of the other to give you stability, which is also what basic manual handling training teaches. I guess you could use that kind of stance in a hexbar if it's wide enough.
@@Pentagathusosaurus I think that might be difficult with a hex bar, but I could definitely see that technique being used with a landmine deadlift👍 . I think a hex bar is more akin to a squat than a deadlift tbh.
Hi, thank you for informative videos on various issues. I have severe pinched nerve problem in between area of right shoulder blade and spinal chord. Can you please provide long term and effective solution? Any repetitive work for continuous 10-15 minutes using right hand give me lot of pain at this particular spot. Please help
18:10 My pain was so unbearable that I was literally screaming. I couldn't sit, couldn't stand, couldn't walk and couldn't sleep. I fel relief only after I started receiving injections of dexamethasone from my wife.
Love how much this guys ruffles feathers just because he poses some counter arguments to long-standing beliefs that have no real evidence to back them up. Maybe it’s just because he’s a bit of a smart ass 😂 good on yah Adam
Didn't stretch properly before.. How was that not on the list of reasons... I'm being slightly facetious but also not really. The I issue with deadlifts is the lumbar spine muscles are working isometrically right. What are isometrics good at? Building strength in that single position. With deadlifts ppl have the same technique for 80%+ of their training then with the heaviest weight.. Technique changes. lumbar flexion increases. I don't care if you're in the lumbar flexion is ok camp, if you train isometrically in one position, then change position as the load hits max, you're essentially dramatically increasing load to structures in a very (relatively )unfamiliar position. Like deciding to put weightlifting shoes on for the top set only. As one strength training physio to another I applaud meakins. I can't respect a physio fully unless they're pushing themselves to the limit with exercise. Preferably strength training cause let's be frank, it's unbeatable.
This guy is showing so much cognitive dissonance I find it incredible. It’s either that or he is so dishonest , he can’t come out and admit that deadlifting is a high risk, dangerous exercise due to the amount of compressive shear force it exerts through the lumbar spine at the top of the movement. And the reason he won’t do that is because he lacks the intellectual honesty due to the fact he’s spent his whole career telling patients that deadlifting is perfectly safe and great for you despite almost everyone who does it regularly becomes injured from it at some point. He’d have to admit he was wrong but is simply too arrogant. The guy said himself he was rolling around the floor in agony and yet didn’t stop to consider first principles but instead blamed it on the lockdown or that he wasn’t wearing his lucky socks. As a physio it astounds me how people look up to this guy. He is a grifter and a snake oil salesman and I look forward to him posting videos of him doing heavy deadlifts in the future to prove he still does them and they’re completely safe
NEVER DO DEADLIFT IF you have lower back problems. i have spinal stenosis and 1diots tell me deadlifts help your back, NO THEY DONT THEY WORSEN IT. me and this guy are living proof. i feel better when i dont even do deadlift or squats or goodmornings. happened 3x weni deadlift but im 30yr old so recover was faster liek a few days. yup for 2 to 5 mintues you cant do anything but lay down. go ahead and do deadlift if you think it will help with lowerback but it will ake it worse, have fun being in pain when you get older. STOP DOING DEADLIFT EVEN IF YOU DONR HAVE BACK PAIN. you will have them later
We always appreciate people sharing their experiences, but your individual experience does not generalize to the entire population. As we discussed in this video, there are many reasons why Adam may have experienced pain during this particular deadlifting session. The conclusion isn't that deadlifts are bad.
If you hurt your hamstring you will probably have to do Nordics or RDls to strengthen the hamstring eventually. I'd you hurt your knee you will probably have to do knee extensions and squats to strengthen the knee. The back is no different. If you hurt it you're going to have to load it again at some point. And no you don't HAVE to do deadlifts for it but if prescribed correctly deadlifts can do a lot for people with back pain. Problem is they often aren't prescribed correctly
@@E3Rehab The problem with deadlifts is that the hip extension muscles will always be stronger than the isometric strength of the erector spinae so as you increase the load, the low back will eventually give out. Everyone I know who pushed heavy on the deadlift has injured their low back at some point.
None of that is empirically factual and anecdotes dont serve in place of evidence. Stop noceboing people. Hilarious how you say deadlifting is bad for your back but then wilfully ignore it strengthens your back including connective tissue, ligaments etc. Not to mention studies that say it overwhelmingly helps people with LBP. Also notice how every powerlifter or Olympic weightlifter or anyone who does heavy pulls/deadlifts isnt in a wheelchair or in constant pain? Which brings me to to..... If you're getting pain from deadlifting you need to look at your tissue capacity, see: shit load management (including inefficiency of how you're performing the lift itself), your nutrition aka not eating like a child, horrendous recovery habits inc sleep and other external psychosocial stressors that contribute to pain and injury such as work stress etc. Hint: its not the lift thats the problem.
This channel is a jewel like a glass of water in the middle of the desert. Scientific based information and proper quotation. Excellent channel guys!
Thank you, Sebastian!
Thank you! I just had the same injury in July (and have worked with a PT, spine specialist, lots of others) and to hear a PT - particularly an intelligent and thoughtful one - talking about the same pain, frustration, fear, etc... is so valuable.
I had a similar experience and it also happened in between the lockdowns. I had been dieting for 12 weeks, training hard and doing cardio by walking on a treadmill at a high incline. The way I'm built, that put an extra pressure on my lower back. When I finished with the diet, I was just doing various exercises at the gym just to have fun. I did some RDLs with a pretty light weight for me, 80kgs, and felt that sharp jolt in my back. I forced myself to get through the pain, so I moved on to leg presses and managed to finish the workout. But later, I fell of a chair, had little feeling in my left leg. I managed to walk but had what they call flappy left foot. Later, I didn't feel much pain, just no strength in my left leg. I couldn't even do body weight lunges; I'd fall to the side. It took a few months, but my condition had improved a lot. I never went back to doing any powerlifting movements and I backed off doing anything heavy. I think my age, late 40s, wear and tear, genetics, all played a role. I have had an MRI done, I have scoliosis and disc herniation L1-L5 with radiculopathy. Things were great for about a year. Then last fall, I began to feel severe lower back pain. Some days, it was hard to get out of bed. This must be due to me putting on some weight, and as I was doing it, I was stupid for running to compensate for the extra calories. I think that just made the whole thing worse. These days, I am doing stretches, the half-cobra and cat-cow stretches seem to do the trick. I sleep with one of those flexible lifting weights on, it seems to decompress my spine a bit. And I'm working on losing some weight. I can walk, but I find that after 20 minutes, I feel a bit of a nerve pain in my buttocks. I've also bought a stationary bike. Pain meds also help. Just sharing my story, hoping it might help someone.
Thank you for this podcast, I experienced exactly the same symptoms and this podcast has actually helped me understand so many things
I've been follow adam's back pain diary for a month on twiter. Thankyou E3 rehab for bring him in your podcast. This is really helpful.
love it, we all know those feeling and insecurity when injured, thanks for sharing
This content is really helpful, I’m 24 and this just happened to me for the 6th time. The one brightside is that each time you learn and get better and better at recovering
I had a cervical injury in my c5-c7 that caused nerve issues and pain. I got an mri a year later because i wanted to be sure I wasn't ignoring anything serious. I have 2 broad based herniated discs. One on c5-c6 and one on c6-c7 My neck has slowly calmed down over the last year. Its not 100% but its pretty darn good. I just have to rest it when it's inflamed. When i over use it it wont make progress. I am being referred to a specialist but i will likely refuse surgery. But had i not had a year to see that it slowly heals i would have had surgery. I expect a near full recovery in the long run. I may have to listen more closely to my body like i should but i can do a 12 hour truck ride with almost zero discomfort now. Just thought i would share to give hope. I am a fit vegetarian. I do cardio multiple times a week. But i cut trees for a living.
I cannot describe my feelings for you guys. May God give you whatever you want in life..
Thanks alot for useful information, comrades
I admire and appreciate your honesty and documentation of your injury and recovery. I have kind of a more fundamental question. As you get older and more prone to injury (I'm over 50 now), is the benefit of doing low rep training really worth the risk? Can't you get the same results doing medium (8-12) rep training with lower weight? While I think we can all agree that aesthetics is important at any age, I feel that you can still get good aesthetic results while reducing the risk and making the training more functional and safer. For example, you could argue that when picking something up in real life you don't usually use a stance akin to deadlifting (in my opinion a technically difficult lift to execute properly), but maybe something more akin to a sumo deadlift or a landmine deadlift. Just throwing it out there for your opinion. Thank you.
I don't think you're looking for my response but I'm going to give it anyway. From an aesthetic perspective there is really no benefit to working in these very low rep ranges. You will get all the same benefit from working in the 8-12+ range, aesthetically speaking. However, if you need to be good at a skill, like deadlifting a heavy weight, then you need to practice that skill I.e. do heavy lifting. Obviously, it also depends on what you enjoy doing. Finally, for most people's general needs you can build great levels of strength working in the 8-12 range. Lower work will help improve the skill of moving more weight but how often do most people use that day to day?
@@thomast6823 just to add to this, from a hypertrophy POV there’s no real obvious advantage of 8-12 reps over 15-25 either, and you’ll get more CV benefits from the higher rep range. So for the average joe looking to prolong his years with a high QoL you could make a case for almost exclusively training in at 15+ reps/set.
If you're lifting something from the ground outside of a barbell deadlift you definitely shouldn't use a deadlift technique, because you aren't going to be lifting something shaped like a barbell. In a deadlift your feet are parallel, when lifting something like a dumbell, you'd naturally place one foot ahead of the other to give you stability, which is also what basic manual handling training teaches.
I guess you could use that kind of stance in a hexbar if it's wide enough.
@@Pentagathusosaurus I think that might be difficult with a hex bar, but I could definitely see that technique being used with a landmine deadlift👍 . I think a hex bar is more akin to a squat than a deadlift tbh.
@@raeldor my gym doesn't have hexbars so I don't really know, but yeah I do use a landmine row with that stance.
Thanks for sharing this video. ❤️
This is such a great content. Thank you.
legit currently having almost the same problem he had: 1) intense LBP from deadlifts 2) intense pain in groin 3) knee extensor weakness
Hi, thank you for informative videos on various issues. I have severe pinched nerve problem in between area of right shoulder blade and spinal chord. Can you please provide long term and effective solution? Any repetitive work for continuous 10-15 minutes using right hand give me lot of pain at this particular spot. Please help
Is there video of the injury?
18:10 My pain was so unbearable that I was literally screaming. I couldn't sit, couldn't stand, couldn't walk and couldn't sleep. I fel relief only after I started receiving injections of dexamethasone from my wife.
did he post the video of the lift
Love how much this guys ruffles feathers just because he poses some counter arguments to long-standing beliefs that have no real evidence to back them up. Maybe it’s just because he’s a bit of a smart ass 😂 good on yah Adam
Wondering if you guys still accept an application for online coaching? Thank you!
Yes. You can fill out the form on our website.
@@E3Rehab beautiful! I have filled out the form yesterday. Looking forward to working with you guys!
Didn't stretch properly before.. How was that not on the list of reasons...
I'm being slightly facetious but also not really.
The I issue with deadlifts is the lumbar spine muscles are working isometrically right. What are isometrics good at? Building strength in that single position. With deadlifts ppl have the same technique for 80%+ of their training then with the heaviest weight.. Technique changes. lumbar flexion increases. I don't care if you're in the lumbar flexion is ok camp, if you train isometrically in one position, then change position as the load hits max, you're essentially dramatically increasing load to structures in a very (relatively )unfamiliar position.
Like deciding to put weightlifting shoes on for the top set only.
As one strength training physio to another I applaud meakins. I can't respect a physio fully unless they're pushing themselves to the limit with exercise. Preferably strength training cause let's be frank, it's unbeatable.
Ajalas
I bet you American guys find Adam's accent amusing 😁
This guy is showing so much cognitive dissonance I find it incredible. It’s either that or he is so dishonest , he can’t come out and admit that deadlifting is a high risk, dangerous exercise due to the amount of compressive shear force it exerts through the lumbar spine at the top of the movement. And the reason he won’t do that is because he lacks the intellectual honesty due to the fact he’s spent his whole career telling patients that deadlifting is perfectly safe and great for you despite almost everyone who does it regularly becomes injured from it at some point.
He’d have to admit he was wrong but is simply too arrogant. The guy said himself he was rolling around the floor in agony and yet didn’t stop to consider first principles but instead blamed it on the lockdown or that he wasn’t wearing his lucky socks.
As a physio it astounds me how people look up to this guy. He is a grifter and a snake oil salesman and I look forward to him posting videos of him doing heavy deadlifts in the future to prove he still does them and they’re completely safe
Who you talking about
He's posted a lot of videos of him deadlifting again now, so what do you say?
NEVER DO DEADLIFT IF you have lower back problems. i have spinal stenosis and 1diots tell me deadlifts help your back, NO THEY DONT THEY WORSEN IT. me and this guy are living proof. i feel better when i dont even do deadlift or squats or goodmornings. happened 3x weni deadlift but im 30yr old so recover was faster liek a few days. yup for 2 to 5 mintues you cant do anything but lay down.
go ahead and do deadlift if you think it will help with lowerback but it will ake it worse, have fun being in pain when you get older.
STOP DOING DEADLIFT EVEN IF YOU DONR HAVE BACK PAIN. you will have them later
We always appreciate people sharing their experiences, but your individual experience does not generalize to the entire population. As we discussed in this video, there are many reasons why Adam may have experienced pain during this particular deadlifting session. The conclusion isn't that deadlifts are bad.
If you hurt your hamstring you will probably have to do Nordics or RDls to strengthen the hamstring eventually.
I'd you hurt your knee you will probably have to do knee extensions and squats to strengthen the knee.
The back is no different. If you hurt it you're going to have to load it again at some point. And no you don't HAVE to do deadlifts for it but if prescribed correctly deadlifts can do a lot for people with back pain. Problem is they often aren't prescribed correctly
@@E3Rehab The problem with deadlifts is that the hip extension muscles will always be stronger than the isometric strength of the erector spinae so as you increase the load, the low back will eventually give out. Everyone I know who pushed heavy on the deadlift has injured their low back at some point.
None of that is empirically factual and anecdotes dont serve in place of evidence. Stop noceboing people.
Hilarious how you say deadlifting is bad for your back but then wilfully ignore it strengthens your back including connective tissue, ligaments etc. Not to mention studies that say it overwhelmingly helps people with LBP. Also notice how every powerlifter or Olympic weightlifter or anyone who does heavy pulls/deadlifts isnt in a wheelchair or in constant pain?
Which brings me to to.....
If you're getting pain from deadlifting you need to look at your tissue capacity, see: shit load management (including inefficiency of how you're performing the lift itself), your nutrition aka not eating like a child, horrendous recovery habits inc sleep and other external psychosocial stressors that contribute to pain and injury such as work stress etc.
Hint: its not the lift thats the problem.
@@gothops2632 this Is false. Just straight misinformation the spinal errectors are not always weaker then the hamstrings
Thank you for sharing this video !!