Get out there and MOVE.
If you look up all the national and international guidelines for management of osteoarthritis, the first thing is EXERCISE.
That is all. Have a great day!
Many Many Many people have a meniscal tear and don’t even know about it.
Similarly, many people who have knee pain, who receive an MRI often find out they have a meniscal tear.
In the USA we perform TONS of unnecessary meniscectomies (removal of portions of the meniscus) and I’ve seen way too many botched meniscetomies to ever recommend this, UNLESS there is mechanical locking of the knee which is not spending to non operative management.
There have been a few great research studies now documenting how surgery vs. sham surgery (fake surgery) have the same outcomes when it comes to menisectomies.
I’d highly recommend the clinicalathlete podcast, particularly he episode which talks about meniscal tears and surgery outcomes.
What are your thoughts? Ever had a meniscectomy?
There is a lot of fear which surrounds back pain.
Much of this is likely due to societal norms and the acceptance of false narratives pertaining to lower back pain.
If we know that 95%+ of lower back pain is not dangerous, then why do we have such a large swath of the population suffering with chronic lower back pain issues?
This is not to say that there are not some genetic predispositions for developing lower back pain, however how much CONTRIBUTION is biological vs. environmental?
Some of you reading this might be dealing with chronic issues and what I am not saying is that it’s all in your head, or, that you should just suck it up and get better.
Chronic pain is incredibly challenging to deal with and the best thing we know to do with this is to focus on meaningful activities, improve sleep patterns, manage stress, improve exercise habits, and potentially pharmacological management in more challenging cases.
What are your thoughts on this, anything to add?
If you’ve been following me for a while you’ll know what my position is on back pain and surgery.
It’s not that surgery is never an option, in fact, it can be very helpful for some individuals with specific symptoms that are not getting better with conservative management.
My problem with our current system is that people are still rushed into getting an X-ray or MRI when it is not indicated.
Patients, you also have a role to play in this as I’ve met MANY who demand they absolutely need an MRI to “find out the root cause.”
It’s not that simple and often may lead to worse outcomes if you get the imaging early due to various beliefs that may come out of receiving this imaging.
What questions do you have for me? Anything I missed?
These are a bit more advanced and if you're having a lot of shoulder pain, these probably aren't the place to start.
These are great as a warm up or finisher type movement.
Have you ever done these? Do you have another type of plyo that you like to do?
Leave a comment and let me know!
There is tons of misinformation out there about back pain. It seems that no matter how much good information that is put out, we need an order of magnitude much greater to fight the BS. Our lumbar spine is actually quite durable. Lower back pain is very common and something that can be treated conservatively and non-operatively in most cases. These infographics synthesize the information written in "Should You Fear Lumbar Flexion," by Dr. Sam Spinelli, PT and posted on the site strongerbyscience.com and "Revisiting The Spinal Flexion Debate: Prepare For Doubt" by Greg Lehman, BKIN, MSC, DC, MSCPT.
Another relevant article by Greg Lehman is "Reconciling Spinal Flexion And Pain: We Are All Doomed For Failure But Perhaps It Doesn't Matter."
Rotator cuff tear?
What do you all of these things have in common? They can typically be treated non-operatively. In another blog post physical-therapy-its-much-more-than-exercise-and-massage-santa-cruz-ca.html, I wrote about what physical therapy is, and, I added a portion which talked about how rotator cuff tears can respond really well to non-operative management. Like, really well!!
I write about pain, wellness, positivity, our healthcare system, and sprinkle in a few rants.