The Mechanics of Injury For Lumbar Disk Herniations and Extrusions
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- เผยแพร่เมื่อ 3 ก.ค. 2024
- In the February issue of ‘The American Chiropractor’, William Morgan, DC conducted a conversation with the preeminent lumbar spine researcher, Stuart McGill, Ph.D. This is one of five video segments from that interview. You can find Stuart McGill, Ph.D.'s website at www.backfitpro.com/ .
Thank you for referencing our models. We are truly honoured.
@@backfru zero
I bought one of your models and its very interesting . When the disc gets thinner , the two vertebral bodies come closer or they fall in love with each other . So , thats why you cant extend the spine , because remember " in love there is no going back , otherweis it pains" .Flamur Bedrolli
Can you explain underhooked nerve and what to do about it
When they reference students stretching hamstrings and it’s actually a bulging disc, I wanted to die inside (although at least I am not alone, it seems).
Such a beneficial conversation to be able to access; Stuart McGill is indeed a beast.
In 2010 as a bodybuilder who never used deadlifts,I started doing them. I emphasized expanding my abs so much it was hard to grasp the bar,I shortened my range. I never got back pain. But fast forward to to 2015 when I started practicing the Snatch, when I tried to make my back hypermobile, I started to feel back pain.I started many mobility drills , which made it easier to be more mobile without pain . Surprisingly when I returned to deadlifting I found that it was much harder to reach the bar. I thought it was lack of flexibility,but little did I know it was my discs wearing out preventing them from bending. My lesson is that never flex and extend the spine under load,it is better to hold the spine statically when it is under load. Actually as a bodybuilder I always trained that way,and had pain free back, untill I started Olympic lifting and falsely thinking that lifting through a greater range of motion was better,a d made your muscles stronger. It does not,it only wears out the spinal discs.
Thanx for the info. Helpful.
You know Dr. McGill is such a beast when he goes "well, we studied that about 25 years ago." The master of the spine.
And why the algorithm doesn't recommend these channels?
I’ve searched extensively throughout TH-cam on info regarding herniated and the guy on the right seems to really know what he’s talking about
Outstanding conversation
Stu is maybe the only 'thing' in the strength training world that all the top people agree on is the best 👌🏼
This dr is great. Thank you
Great explanation, Awesome info
Thank you! The fabric analogy is excellent!
This was so informative thank you
I have been watching, applying and using Stuart’s knowledge since 1998 when Prof Sahrmann mentioned him. The McGill methods works with elegant simplicity. Back mechanic methodology makes things simple but not simpler: the rationale and research that underpins the method demands focused learning.
On back mechanic it says if the nerve is underhooked to see a clinician. On the sit test extension of the next causes symptoms. That mean the nerve is underhooked. What is a person to do in that situation.
hank you so much for posting this you both are great
Stuart's voice and Canadian accent are so soothing for some reason and its mesmerizing when he uses those models... maybe its just me but its almost hypnotic.... I love how he says "paaah-terns"
Same. Very calming to listen to him.
AmaZing video
Always extremely interesting to listen to Dr McGill. One always learns something new. Great speaker.
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I stupidly lost my login password. I appreciate any assistance you can offer me
@Clayton Eden instablaster =)
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@Clayton Eden Glad I could help :D
My spine hurts just by listeing to this hahaha
#itdepends
This was informative. Probably helps to explain all the hamstring injuries in MLB.
How are you reading my mind? You're incredible.
Nobody’s better than McGill on backs
I'm subbing any channel this guy goes to.
Great video segment. A must see for low back pain patients.
Thank you Kai!
ParkerSeminars can u tell me if someone who has a disc herniation L4/5 should be doing donkey kicks
@@DESIGNER707 That question can not be answered with just one data point.
@@DESIGNER707 good question im in the same boat
Finally!
Who new Mr McFeely was also a world renowned back expert.
Thank you, very interesting! What about ice hockey - does it require mobility or strength?
Wow.. I drive for a living an this hit home ... I see a chiropractor twice a month an still get back pain ..
Save your money
You have to stop for every hour, walk for a min, getting back your spine viscosity and put your arms up and deep inhale and hold for 10 sec
I drove Uber for 3.5 years no breaks and got a herniated disc wish I could go back and immediately quit
I have had herniated discs for 8 years now, although they are more bulges now, l4 l5 has resorpted, but I still have pain and I don’t know what to do, I have much less pain but I don’t know if I can actually lift weights anymore that is what a love to do, truly depressing
Forward Look into Louie Simmons reverse hyperextensions and work on hips and glutes
Belt squat, isolation workouts like leg extensions and hamstring curls. Take your back out of it as much as possible.
Do body weight only it's the best and results are their
Start with Back Mechanic
How are you getting on now? I had L5 surgery 6 months ago.. pain is pretty much gone but iv some symptoms still in my hamstring but things are much better than they were
21:45 .... i would like to see solution for that (instead of Piriformis stretching ) .... thanks for the hint .... i did the same unfortunately . And i feel stinging pain right side spine L5 /S1 .
Talk about L5-s1 fusions
Wow this whole time I was doing a lot of deadlifts and over stretching all the time thinking it will help
He looks older than his age !! But great Doc !!
How do I find Dr Magil
What is the foot exercise Dr. McGill mentions at 24:12?
IMHO: fixation on the site of the pain (a symptom that the skeleton is out of alignment) diverts attention away from the underlying source (cause) of the pain.
I have back pain since 2019 i think once you get it doesn’t go away
Buy Back Mechanic and read it. Implement 3 daily walks and big 3.
Start from there. It's a long process and it takes a lot of effort. You have to aquire soldier like discipline to get rid of it
@@kadijaish I’ll take a look thank you
Yea, pretty much I have a very minor bulge and it's not impinging the nerves yet somehow suffering from it for a year until now.
@@abdrnasr i have the same thing but in my upper back and also in the lower back both happened in 2019 by making a lot of mistakes every started for me when i bought a super soft mattress that weak my back and i was very active with gym and warehouse job the pain has reduced over a year
@@JuniorPsuarez wish you relief. from experience, its really debilitating to live with it.
How can I contact you???
Wish you dug a bit deeper on what to do about the tight nerve on S1 related to tight hamstrings mention at 21:47. Is there any more info on that?
Did you figure it out?
The thing that helps with pinched nerve is to maintain neutral posture throughout the day as much as you can, use bracing when you are bending( learn proper lifting mechanics), brushing teeth, going out of the car...
Do interval daily walks etc
In short, buy Back Mechanic video enhanced version and you will get the idea
@@kadijaish So basically not a normal life.
@@Yeomannn You could argue that modern lifestyles of sitting all day with poor posture are not "normal life". We are made to move throughout the day.
@@willie2235 Thanx dor the perspective
I just want to be training and improving and be competitive in my sport. I dont want to be slowing down and doing less.
This is such a great talk. I had a spinal fusion for scoliosis, rods fused to L3. Below my fusion are my L4-5 disc herniations. I have battled sciatica and low back pain and the BEST thing that helped was getting lean and working out with weights. However, if I sit in a particular position for two long I have suffered with very tense low back and extreme pain in my left leg. I do sports photography sometimes and suffer for days after. Do you have any advice as to why some positions can trigger intense pain? Thanks.
Are you better now?
What about now
Thanks all. Much better now. I think it was the inflammation from certain foods possibly. I’m also now taking BPC 157 and this helps a lot with healing and recovery.
@@MrGflanI am glad you feel better. May I ask how long ago did you have the fusion done, and how many years after did the pain start? Also, may I ask how long have you been taking the BPC 157, and at what dose daily? Thank you, and hope you continue to be pain free. -- My Daughter had spinal fusion for scoliosis when she was 12 and now she is 37. Some pain in upper back. She keeps her weight low, hikes, and does Pilates regularly but she is a producer in the film industry so is on her feet many times for 14 hours.
@@camillemousse sorry for the late response. I had the fusion in 1998. Since then there are much more flexible rods available I’ve been told. I was fused to L3 so below it got herniated but seems a lot better now from stretching, losing a lot of weight (I’m a lean bodybuilder now) and gaining muscle helped. The surgery is necessary in some cases and it sounds like your daughter is close to my age of 41, and I wonder if she had Harrington rods put in also? Yes hiking helps a lot and exercise, just taking it easy as well.
BPC is amazing. I take one 500mcg pill near bed at night and it helps with sleep, with my tendonits from weights, also serves as mild antidepressant, just all around a great thing and very safe. Look up dr Timmermans videos on it. I spoke to him many times and he is a real doctor also on Instagram and he knows a lot about BPC. I also take powdered Kratom for the pain and it works very well. It’s a plant from Indonesia and it’s been used for energy and healing. I love it, but it can be habit forming so you have to be careful. Although it’s in the coffee family it has pain killing effects (well so does caffeine too). Interesting, I have a masters in film and I tried to live out in LA in the film business as well, but chose a different path. If you are on Instagram feel free to look me up for my bird photography at Gary michael flanagan wildlife. That’s a huge passion of mine. Nice chatting!!
Which right side toe???
Does someone know what he graduated from? Very curious to know, but I can only find info that he is a researcher, scientist, professor emeritus... want to know where he started from!
Have a look at the interview he did with Chris Duffin, I think he mentions it on there.
I can't remember myself, but he got into his specialty by chance while there.
You can look up his background on Wikipedia.
So deadlifts are a bit of a danger zone. It seems like it’s possible to do it safely, but it’s risky.
But what about back extensions, weighted or not weighted. Do those pose the same risk?
Having spent a fortune on PTs and killing myself in the gym, ( with the idea of making myself as strong as possible for long term fitness and strength), I now realize, too late that I was given poor, even dangerous advice and I am suffering the consequences
I wanna know what i need to get better i have a heirnated disc spinal stenosis and extrusion and ur right i havent got thr right treatment im still waiting on physical therapy for now im Trying to get better shoes a better bed topper and mattress and lose a good 30 pounds for starters also taking turmeric gelatin etc im gonna look into swimming but i been like this over a year and just when i was gettinh better i had back spasms come back hard
Hope u get good, spine problems are really debilitating.
@@abdrnasr I know tell me bout it
@@gerrygizzygarcia2572 how are you feeling now?
What do you think about people that have no pain or symptoms but do have disc bulges or herniated discs?
U should be thankful. My life has been disabled since a year because of disc pain.
@@abdrnasr I’m in pain too for seven years
@@jonaugspurger3716 wish everyone recovery. It can get really debilitating sometimes.
how u doing now?
@@abdrnasr
In back mechanic it says if the nerve is underhooked to see a clinician. On the sit test extension of the neck causes symptoms. That means the nerve is underhooked. What is a person to do in that situation.
You literally just said:
"It says in back mechanic that if X is the case, you need to see a clinician."
Then you go on to say:
"X is the case...what do I do?"
Is it clear what you need to do based on what you yourself have said?
@@DiogenesNephew I thought maybe this individual knew about it. They are a clinician.
14:35 OH THAT'S Why my back murders me in the morning! And I have to walk around for an hour for the back pain to subside! I'm slowly "Deflating" my lumbar disks!
Amazing interview. But I cannot understand what's a point for Mr. McGill to demonstrate anything on the spine models, if the operator anyways would try to switch to Mr. Morgan's head top instead of focusing on the demonstration model during very important details Mr. McGill accented on? And even when the cameras did point towards the models in the hands of Mr. McGill, the models either were not clearly visible, being partially covered by the hands, or the scale was too little to see the exact places Mr. McGill pointed on, but was enough to confirm the both men were sitting in the very same room. Could be very rich and useful information for those, who are trying to figure out what probably happens with their spines, but I do find it to be very limited in terms of the ways of visualization. Although, I am more glad to find the interview than disappointed by its presentation.
Thank you for the feedback.
So, to avoid herniations i need to get my collagen rings to get strong and stiff or mobile and soft?
It depends. Lol
One thing i gleaned out of this *1of 5 videos* is that on na table for MRI the spine is static. Then a teck looks at it and interprets. I feel my unstable neck. I did PT and felt my unstable L/S. The demo showed in flexing how disk may get the blue gel part pushing and leaking out, which can hit a nerve at that time. So MRI a start or not? Interpreting a static spine mimics bed, not real world movement. Thank you!! Gonna watch again. Plus other 4 presentations. I call this functional treatment. Functional Medicine. PT damaging 4 me by that PT.ist.
I have a question - but perhaps given that's 12 months since the video was uploaded it won't be answered. Anyway, I sit at a desk all day and have just started doing some weight-training in the evening's, including the Deadlift exercise. I'm a 51 year old who's pretty athletic and in good shape, though a little weak. Should I be avoiding the Deadlift given my sedentary job and selecting exercises that are less of a risk to my back?
Unless you’re planning to compete, there are probably better options. Spending all day in flexion and then going to the gym and doing a technical lift that involves (potentially) flexion under load isn’t ideal. Trap bar deadlifts might be an ok alternative.
Marcus, there is no reason why you can't deadlift. Just be sure to program your workouts appropriately using load management www.physio-pedia.com/Load_Management
Start with low weights
@@kevindold7322 Thanks
@@PiyushBhatnagarFitness Thanks
Wonder what he would say about mtn biking. Im thinking flexibly and strength are important so somewhere in the middle.
And I always thought sprouts were good for you?
19
Hip
Hamstring
Big grip steanght
Core
10:45
14:37
They were to talk about Olympic weighlifting and they didn't.
So if you are obese, wouldnt you be always "under load"?
Michael Jordan of the back salvation=Stuart McGill!
Just tell us what to do and stop talking what we don’t want to listen
Stu McGill puts this schlep Bill Morgan to shame. I'm sorry but Dr. McGill sounds wayyyy more knowledgeable.. idk maybe he can articulate it better than Billy boy or maybe Bill was just in complete awe that he has the honor of talking with such a respected doctor. Anyway great discussion
Stu McGill puts EVERYONE else to shame, lol. Doesn't make Bill Morgan a schlep--he's one of the few that can keep up with the science Dr. McGill covers, and, like any good interviewer, he's listening, not expounding.
Blah blah blah, give me the solution dammit
When the disc gets thinner , the two vertebral bodies come closer or they fall in love with each other . So , thats why you cant extend the spine , because remember " in love there is no going back , otherwise it pains" .Flamur ⁸