Another great episode! As someone who has been listening everyday to your podcast for 8 weeks (since injury), it’s so wonderful. Referred to your podcasts by my Chiropractor. I think what might be helpful is an episode on timeframes? This information you discuss amazing, but when to apply it is hard to understand. 8 weeks from a moderate broad based disc buldge, moderate canal stenosis, bilateral recess stenosis an annular tear and other jargon that I’m not focusing on, it’s hard to know when I should realistically be doing forward bending again, jogging, even sex. :) Keep up the great work you guys, you’re helping people more than you know.
That was a great podcast, I understood relax core muscles with daily tasks, any movements and strengthening are important to treat or prevent low back pain. What about when we do the heavy lifting, weighted squat or deadlift? We shouldn't intentionally contract core muscle while we are doing those?
Contracting the abs only overloads/overworks the low back as there is a symbiosis there in the agonist/antagonist relationship. Instead learn to engage the core through diaphragmatic breathing. Go to squat university on TH-cam for detailed explanation.
Hi Peter. You say it's not worth training muscular activation. If you believe that the interaction of core muscles is not relevant, I hear it from the description of your own body experience and the patient, who keeps the abdominal wall permanently activated - then why do you recommend relaxing the back muscles? Isn't your recommendation subject to the same mechanism that you initially considered unhelpful? How about a different focus on back problems: There are people with pain originating from the anterior column (e.g. intervertebral disc, base and cover plate) who certainly benefit from extension (no abdominal wall activation to avoid segmental flexed posture). On the other hand, there are people with pain originating from the posterior column (e.g. spinal canal, facets) who tend to benefit from flexion (abdominal wall activation to avoid segmental extended posture). The structure that triggers the pain determines the necessary posture - although permanent activation is certainly not necessary, which I certainly agree with.
Can anyone comment on muscular imbalances in relation to LBP? Another myth? I’ve been told my L side erector spinae is smaller or atrophied compared to my left, possibly from an old injury resulting in neuro-mm shutdown .
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Dear Kevin I am a Physiotherapy student. Thanks for the amazing updated content. Greetings from Freiburg, Germany.
Glad you enjoy it!
Another great episode! As someone who has been listening everyday to your podcast for 8 weeks (since injury), it’s so wonderful. Referred to your podcasts by my Chiropractor.
I think what might be helpful is an episode on timeframes? This information you discuss amazing, but when to apply it is hard to understand. 8 weeks from a moderate broad based disc buldge, moderate canal stenosis, bilateral recess stenosis an annular tear and other jargon that I’m not focusing on, it’s hard to know when I should realistically be doing forward bending again, jogging, even sex. :)
Keep up the great work you guys, you’re helping people more than you know.
Thanks Dan, noted :) best of luck!
Would like to know what prof Pete thinks about McGill approach?
shite ,i would say
That was a great podcast, I understood relax core muscles with daily tasks, any movements and strengthening are important to treat or prevent low back pain. What about when we do the heavy lifting, weighted squat or deadlift? We shouldn't intentionally contract core muscle while we are doing those?
Contracting the abs only overloads/overworks the low back as there is a symbiosis there in the agonist/antagonist relationship. Instead learn to engage the core through diaphragmatic breathing. Go to squat university on TH-cam for detailed explanation.
Love this!!!❤❤
Peter you have inspired me to be better physio and thank you for sharing your story ❤
Huge fan here...💯💯💯
Loved it, wonderful job
Thank you! Cheers!
Fantastic!
Thank you! Cheers!
Hi Peter. You say it's not worth training muscular activation. If you believe that the interaction of core muscles is not relevant, I hear it from the description of your own body experience and the patient, who keeps the abdominal wall permanently activated - then why do you recommend relaxing the back muscles? Isn't your recommendation subject to the same mechanism that you initially considered unhelpful?
How about a different focus on back problems: There are people with pain originating from the anterior column (e.g. intervertebral disc, base and cover plate) who certainly benefit from extension (no abdominal wall activation to avoid segmental flexed posture). On the other hand, there are people with pain originating from the posterior column (e.g. spinal canal, facets) who tend to benefit from flexion (abdominal wall activation to avoid segmental extended posture). The structure that triggers the pain determines the necessary posture - although permanent activation is certainly not necessary, which I certainly agree with.
My physio sent me here
14:00 protecting back is counterprod.
Look at functional patterns results!
Can anyone comment on muscular imbalances in relation to LBP? Another myth? I’ve been told my L side erector spinae is smaller or atrophied compared to my left, possibly from an old injury resulting in neuro-mm shutdown .
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