Why Do Our Backs Hurt Dr Stuart McGill Modern Wisdom Podcast 081


Video Creator’s Channel Chris Williamson

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I Ever Put A Persons Images Up On The

view box early in the consult. I really try and understand the person who they are their personality and and then I I assess them further physical pain triggers and only then will I look at the images and when I looked at the images. I was quite horrified. He’d split his sacrum front to back L5 was heavily fractured and the disks were if I used the word obliterated that would be quite accurate. So we started to talk and he was starting to move a little bit better and but he had to humble himself right back to getting the movement patterns right and some very very basic patterns athletic patterns and then he said in our conversation He said well do you think I’m gonna get out of pain because the surgeons I’ve I’ve said seen that they said I’m done I’m not even gonna get out of pain.

Ive Done So Much Damage To

my back and I said well. I don’t know but let’s let’s that here’s my best effort and my best suggestion on what to do well believe it or not he was out of pain in about three weeks just learning. how to avoid the the triggers, but he said something very curious to me. He said well. I’m gonna get out of pain and when I get out of pain.

I Want My World Record Back

and I said to him. I said well and obviously I’m a lot older than he was and I said well. If you were my son Bryan. I’d give you this advice. I said let’s work on getting you out of pain but I I would seriously consider doing something else with your life.

I Mean That This Is A

pretty compromise spine to build you back to set a world record again this but he said no I want to do that and I said alright well if we do it. We’ll write a book together so that was the story behind the book called Gift of Injury Ladies and gentlemen welcome back. This episode is brought to you by the protein works. I’m very happy to be supported by them again. For this episode they’re giving away over a hundred pounds of supplements this week and all that you need to do to enter is share This episode.

  • injury
  • pain
  • spine
  • spinal
  • fractured

Im Absolutely Certain Its Going To

be a massive help to a lot of people so find a friend that you think would be interested fire it in a group chat or feel free to post it on your social all you need to do is then send me a screenshot at Criswell X on whatever social media you want find me a screenshot or tag me in your share and I will pick someone over the next week and I’ll announce that before next Monday but on to today’s guest Dr. Stuart McGill. We are getting fully spinal today aren’t we how are you welcome to the show well? I’m well Chris how about you I’m fantastic thank you? I’ve been looking forward to this episode for as long as I can remember posted it in the Gym Facebook group asking if they had any questions so we’ve got crowd-sourced questions about spinal health is gonna be a good one today so first off I guess I posted in the group perfect example, posting the group and a lot of people had questions why is it that for people who take care of the health and fitness spines are so problematic well. I could go so many ways with that question. But I think it’s because it’s so difficult to do things without a robust back think of all the things we do they all involve the back so I I guess that’s.

Theyre Theyre Problematic But I Can

be a bit more specific and that is if we subcategorized spines and people. We would converge on common patterns and if we did a little bit of pattern recognition. We’d notice some real cause and effect. For example, athletic groups are really fun to study. There are certain leads in sport where they just clearly have an under-performing core.

They Spend A Lot Of Time

on other parts of their body, but the the demands on their spines simply outpace the foundation that they’ve built and they end up with either injury or pain or compromised performance or any of those but in the general public why our spines so problematic look at our lives. You You know I started as a professor 34 years ago Computers weren’t even invented yet we would spend time walking down halls meeting with our colleagues and and doing our clinic work in our lab work. Within those 32 years something happened. I became a computer operator. Students no longer wanted to come to office.

Hours They Would Send An Email

and I’d say I don’t do emails which he better come and we’ll have some hands-on but you know it was just I became a computer operator Now that is you know I had a good back but sitting all day gave me back pain. So this is why I think it’s problematic to use your words and then the solution became well. Now you’ve become a slave to your chair and your computer for eight or ten hours now you’re going to blow out all of the stress. hour at the gym so let’s compound the biological perturbation here and people would start treating their spinal joints because they were locked up all day at the computer like ball and socket joints, but they’re not biologically. They’re an adaptable fabric made of collagen strands held together with a ground substance and they follow different rules.

So You Know Theres All Kinds

of other downsides to sitting a lot. Your hips get stiff well mobile powerful hips are one of the secrets of skillful athletic performance and spine sparing strategies. So are our people undoing the chronic adaptations and stress in their hips. When they go to the gym sometimes they do the opposite I guess the final bit and and this is coming a bit randomly in in a thought pattern between my ears. Very few people these days get a competent and thorough assessment of the mechanism.

Of Their Back Pain, So They

willy-nilly try untargeted therapies and their spines remain problematic too to really answer your question. So if a person has a back issue and they have a thorough competent assessment, so they understand very precisely what the pain trigger or mechanism is. They then have a roadmap to guide a strategy to remove the cause and secondly to build a foundation to be pain-free and this functional and and fit as they want to be so it’s a bit of a long-winded answer but those are some random thoughts as to why spines are problematic well. I guess first and foremost spines are a complex system right there’s a lot going on with your spine. It runs for a lot of your body.

Theres A Lot Of Interactions Going On There,

so it wouldn’t ever be a single a single answer. One of the things definitely one of the questions I’ve got down what your views on workplace ergonomics? You know you’ve already touched on it the the sedentary nature of us being Sat is it simply that we’re sat for a long period of time, or is it that we’re stationary is a standing desk a solution for this what what your thoughts on the ergonomics of workplaces well. I have several thoughts. I wrote a an opinion piece quite a number of years ago for the journal called Ergonomics and think of the office where you can organize it in a way to reduce stress. You can adjust heights the way you sit and these kinds of things.

But Then I Would Say Well Is There

such a thing as an ideal posture and I think we would both converge that no there isn’t the ideal posture is one that frequently changes. Because you migrate stress concentrations in your body through posture change, so that that’s a little bit of a myth. There are many jobs by the way that he can’t do organ Ah Mcc’s with can you imagine a farmer, a forester, a fisherman, the lumber, Ivan, a bus driver a miner. Very few can do ergonomics. All they have is the skill to move their body in ways that do not create stress concentrations to the point of pain.

So I.

Ergonomics is limited in in in many jobs. For sure and even some of the foundational principles of ergonomics may not be appropriate for certain people in certain jobs in that there is no ideal. The ideal is is a moving target and that’s just the biological reality of it. If you were to prescribe a cadence of movement from seating to standing or from if someone was.

  • pain compromised performance general
  • said think gonna pain surgeons
  • physical pain triggers look images
  • built end injury pain
  • competent assessment understand precisely pain

To Potentially Be Able To Do

their work? What let’s say they were able to do some calls They were able to walk while they were on a call perhaps with a hands-free kit or something like that is moving as frequently as possible, whilst obviously not completely degrading here ability to do the work on your laptop or your or your computer is that optimal is it to move as much as possible and vary the vary the posture well you’re on the right track. No I would I think you’ve gone from one stream extreme to the other saying move as much as possible. But I would say move more absolutely so as great Cook who many of your listeners will know. I think he coined the phrase move well and moved often, and there’s a lot of wisdom to that now what is optimal will be very. to the person for sure their age their past injury history? All of these factors so there’s no note.

Theres No Substance.

You’ve got to get up out of the chair and move for you think of every system in the body and every single one of them thrives on movement for optimal health, but that optimum is between not too much and not too little so moving as often as possible you’re going to need to sit down to have a rest a few but you know what I mean but biology has a tipping point and there’s such a thing as too much just as there’s such a thing as too little. The trick of it all is to find that medium totally I certainly can appreciate and as you were saying earlier on the reason that I laughed at when you were talking about people trying to offset a sedentary work lifestyle with intense training is that that is the avatar of the person that I was for for quite a while. I presumed that a step counter was really the only only for like my mom my dad like I don’t need to bother myself with a step counter because I’m going into the gym and I’m knocking out a thousand calorie fifteen hundred calorie session in you know between an hour and two hours five six times a week and you know I’ll do a little bit of foam rolling before I start and nut that like I don’t need to bother about that like that will undo my. Any


Bryan had split his sacrum front to back L5 was heavily fractured and the disks were if I used the word obliterated that would be quite accurate . He said well do you think I’m gonna get out of pain because the surgeons I’ve I’ve said seen that they said I’m done I’m not even gonna get . Out of pain in about three weeks just learning how to avoid the the triggers, but he said well.& He said he wanted my world record back and I said to him.& I said alright well if we do it.& We’ll write a book together so that was the story behind the book called Gift of Injury . This episode is brought to you by the protein works. For this episode they’re giving away over a hundred pounds of supplements this week and all that you need to D.C. is giving away to Dwayne Anderson over a 100 pounds of nutrients this week at the bottom of the page . Back to Mail Online home. Back to the page you came from…. Click here to read more and watch the full video