E64: How To Sit In The Car With Back Pain

E64: How to sit in a car with back pain

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Have you been dealing with back pain, stenosis, disc herniations, pinched nerve sciatica, or Fasset syndrome, there’s lots of different reasons for back pain, but what we often times don’t know is that they can often get a lot better, if we identify pain triggers in rehab, the torso properly, I’m having an interview today with Doctor Stuart McGill, who is one of the world’s leading experts on back conditions and how to rehab them, this is a video version of the podcast, don’t forget to subscribe, share with friends, and like this video, here we go. This is session number 67 of the Performance Place Sports Care podcast.

– [Dr Stuart McGill] Well hello to all your listenership, and to you Doctor Gonzales.
– [Dr Sebastian Gonzales] Well thanks for coming on, I’ve really, really wanted to have you on for a long time, and not until, do you know Doctor Seth Meyers, he’s in Idaho, or Kansas?
– [Dr Stuart McGill] I know of him, absolutely.
– [Dr Sebastian Gonzales] He is actually on right before you on the podcast, so he spoke about a lot of your stuff, and I thought we should just have the master on right here. So I thought we would go over today some of the questions that first-time patients have on back pain, because from a healthcare site, or a clinical side, we see a lot of patients who don’t really understand back pain, and they are very emotional at the time, and I think sometimes explaining something logically and mechanically to someone who is a little bit emotional, sometimes we have to get really in-depth into education, I thought we go through these questions which we as healthcare providers get all the time, sound good?
– [Dr Sebastian Gonzales] Yes. So, first off is all low back pain created equal?
– [Dr Stuart McGill]You’re starting with the big philosophical questions first, well I’m going to give you probably a big answer on this, with maybe three levels, some logic, some examples. Let me reverse that a tiny bit and say well have you ever heard of non-specific head pain or leg pain, is leg pain created equal, I mean we don’t even put up with such a notion, it could be torn knee ligaments, vascular complaint, a cut or whatever, so this notion of back pain, it is so non-homogeneous, and what I mean by that is one person might have back pain because they’ve got a disc bulge, the next person might have it for an entirely different reason, so starting out with that logic and setpoint, all back pain has a cause, and if we can obtain a specific and precise diagnosis of the pain mechanism, then we can address it appropriately, so is it created equal, right off the top three contrasting examples of back pain come to mind, think of a person who is in their mid-20s, 30s, 40s, say they work sitting at a computer eight hours a day, sitting at the computer for 20 minutes gives them back pain, and yet they can stand up and go for a three or four mile walk and that would be therapeutic, now let’s take the next person who is newly retired, and they have more of a stenosis or arthritic mechanism to their back pain, and interestingly enough the precise opposite occurs, walking starts to cause back pain, and sitting down is relieving, and then I can give a third example, let’s take a young athletic team, you can take a football team or a baseball team, and when you study the back pain patterns you will see that they form cluster groups, for example one team might have four stress fractures on their roster, in their back, and those stressed fractures were not caused by baseball, it was caused by the strength and conditioning coach, who was getting them to do full range of motion loaded rotations, and eventually caused a spondylitic fracture, and maybe full-blown spondylolisthesis, so each one of those would have a different time course, a different symptom pattern, and really a very different strategy to address them, and as you know in my books.

#HowToSitInTheCarWithBackPain #california

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How about one on how to put on your underwear? Is it just me or is this really hard to do, especially first thing in the morning, without rounding the lumbar region? I really appreciate the amount of time and thought you put into all your videos. they are an amazing resource. If I lived in your neck of the woods I'd definitely be a client!