Dear @hubermanlab,
Back pain is not caused by weakness.
Back pain is not caused by posture.
Back pain is complex & not so simple.
Your recent podcast is misleading, potentially harmful for many listeners, and disregards the overwhelming evidence on managing back pain.
You need to do better.
@Dizzy_DPT_Dad@AaronLeBauer Imo it’s a misconception that cash based PT is a superior product. It can turn our profession into the Wild West with no governing bodies. Plus, I struggle with models where your paycheck is directly related to how much you charge for certain services/how many patients you see..
It’s far more important THAT you lift weights compared to HOW you lift weights. Most folks know that lifting weights is good for them, but fear of injury during exercise is a major barrier to actually doing it. Is this a legitimate fear, and if so, what should we do about it?
@PaulBliton I have discussions like this with my colleagues. We spend a lot of time looking at average data instead of recognizing it’s still a bell curve with individual data points. It’s okay to acknowledge what may be best practice for the masses while still learning the unique scenarios.
High heart rates are normal during intense exercise. It’s a problem if your heart rate is ALWAYS that high.
“Compensatory” movement is normal when you push the intensity. It’s your body’s most efficient strategy.
It’s a problem if you’re ALWAYS that way
@EricCressey What is “movement quality” and what is is the standard for this term? The underlying assumption that more aesthetic biomechanics leads to less “negative outcomes” is quite the leap.
@PTPintcast We’re compensated well for what we ACTUALLY do/provide imo. The reason “low salary” is a continued topic is because of the debt to income ratio we suffer from the profession insisting on an unnecessary doctoral degree. Given the service we actually provide, we do fine.
Getting 2 cavities filled at the dentist tomorrow. Anyone have research on if cavities actually cause/lead to pain? Or do we treat cavities like OA in MSK imaging? @GregLehman got anything that can get me out of this appointment?!
With persistent pain conditions, I believe it’s important physios strongly consider focusing on rehabbing movements instead of rehabbing muscles and structures, which is what’s classically trained in University. Some Sunday physio/philosophy thoughts 👇🏻
No resources/studies cited for support on this one. Just a big brain dump of my current biases that will probably change in a few months from now. And as always I’m happy to have my mind changed if you feel otherwise. Happy Sunday.
Need movement specific rehab ideas? Parts of MDT, CFT, MSI, SSMP, etc. are all great resources. Just keep in mind to watch your narrative as to WHY a movement may improve. Very easy to jump to the “magic muscle” reasoning which isn’t always necessary. Very patient need dependent.