Ep.18: Why does your back still hurt?
ฝัง
- เผยแพร่เมื่อ 26 มิ.ย. 2022
- In this episode Dr. Spina discusses the management of low back pain and what may be missing from your treatment and/or rehabilitation strategy. Topics include the evolutionary anatomy of the spine, the importance of re-establishing segmental spinal motion, the misunderstandings regarding neutral spine, the need for specificity in treatment and training inputs, and more.
Whether you are a therapist, S&C coach, or patient, this podcast will shed light on some of the most common issues in dealing with both acute and chronic low back pain cases, as well as provide ideas to improve long term clinical outcomes.
Disclaimer: This podcast does not provide medical advice and it is intended for informational purposes only. It is not a substitute for professional medical advice, diagnosis or treatment. For more information or to seek out an FRS provider in your area, please visit our website.
Can't believe this quality of education is free. Thank you for the collective input of spreading true science. Yew!
It would be great to have you and Dr. Stuart McGill discuss lower back pain on an episode. It sounds like you have opposing views.
Wow, wonderful to understand the rehab process. Thank you so much.
To heal the damaged tissues in the back, we need to move specific areas.
Steps
-- Brain and muscle tissue connection -- manual bio-feedback
-- Train the tissues to the direction of injury took place
Yes & I appreciate the explanation on why PT hasn’t worked for me and others. Currently in PT. Had 1 session and also PT diagnosed spinal stenosis. Gave me 2 exercises. On all 4 alternate leg extensions & floor pelvic lifts. Gave me 2 stretches. Spine, bend knees to chest to stretch lower back & sitting in a chair with forward flexion. I haven’t been to PT for a long time because it hasn’t been helpful and seems to not have changed in my lifetime for me. I live in a area that doesn’t have a lot of options for FRC. I canceled and am scheduling an appointment with a FRC practitioner.
Thank you for this educational episode. The quality and level of detail is amazing. Science!
Thank you for this information, finally something that make sense 👏 🙌 🙏
This is extremely illuminating and important. There is so much nonsense around this topic.
So eyes opening! Big thank you for this knowledge!
Great lecture. Thank you.
Good discussion Dr. Spina!
Freeing the spine begins at laughter
It is very good to see you back at the podcast! It was a fantastic presentation of the problem and I'd love to see more about it concerning the psoas or the rehab exercises that you mentioned.
I don't know if you are aware of it, but the Spinal Waves course of Jon Yuen I think provides a very detailed protocol to learn to segment and move the spine.
Best regards,
Pau.
Thank you so much for this episode. Incredibly insightful. Best regards from Germany! :)
Good stuff! Always good hearing you speak #FRC
Can you provide some sort of exercises that tackle this problem?
Hope yr certification seminar would be in Asia soon!
Hello Dr. Spina
I am very curious how you see my perspective of the good sides that THE CONCEPT of neutral spine may bring to people and how I use It personally.
Of course I cannot agree more that the spine(s) should be able to move one at the time, at least that is the only way that can bring you comfortable spine.
What I am referring to as an advantage of "neutral spine" is that people overuse their lower back and pretend they move through their hips. I mean literally, probably because of all the sendetary lifestyle people find their area of stability, anti-gravitational support in their lowerbacks flexed, when sitting and extended when in standing or walking.
I see that when you ask your patient to in any way achieve this imaginative shape of the neutral spine, and from there keep it the same and do not move while for example reaching, raising shoulders or hinging,
then feeling, sensing what's holding you there - it may be really beneficial to re-structure the neural connections with the basic human movements.
And at the top of it, you should also teach the segmental motion of the spine. But just with that approach it seems easy to show people where are the hips and how the motion of acetabular moving on femur feels like. And with time and training they may leave the habit of using excessively their spine to support themselves every time they "fall". And will start using ALSO their hips more counciousely and freely.
How do you see it? I have much respect to your wisdom and knowledge, thank you for the episode!
Dr. Spina,
How would you approach this with people who have had lumbar fusion? How would you rehab someone who CANT move this spinal segments / muscles in a "normal" range. Do you address working with pre and post surgical clients in your FRS courses?
I would like to hear more about this, too. Once “healed” from lumbar fusion surgery, how to properly and safely train spinal motion around the fusion? As a layperson with a daily Kinstretch practice but no professional or medical background, access to this kind of in-depth information is greatly appreciated. Thank you very much Dr. Spina and thanks for your comment, Amy!
Anyone know what this software is?
Doctor Spina: What program are you using to show the anatomy? I would like to have this for patient education purposes (the 1970 posters on the wall aren't working anymore! Ha Ha)
Clinical Anatomy 5 by Elsevier