Adam Meakins and Mark Lastlett debate Low Back Pain, Deadlifting and Spinal Flexion

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Welcome to the much-anticipated debate between Adam Meakins and Mark Laslett.
This discussion came about following Adams recent low back pain episode where he documented his own recovery and self-management. His approach included deciding to self-manage, returning to deadlifting and incorporating spinal flexion movements as part of his early rehab. This was questioned by some others in the industry, including Mark for being different to what they would have done and different from what others would see as their usual management for low back and radicular pain.
We invited them on to discuss face to face, as 160 characters is never enough!
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Mark Laslett is a Physiotherapist from New Zealand who has been in practice for 50 years and taught extensively on the topics of low back pain. Adam Meakins is a physiotherapist and S&C coach based here in the UK, who is well known for standing up to nonsense and challenging woo/dogma and unsupported claims in the healthcare industry.
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Important Links
Adam Meakins
Website - www.thesports.physio/
Twitter - / adammeakins
Instagram - / adammeakins
Mark Laslett
Twitter - / marklaslett_nz
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You can also listen to this audio as a podcast
on Apple: piar.me/dxRKz
on Spotify: piar.me/DlDZR
or by see all the places where we are listed by visiting our website: www.thebackpainpodcast.com
If you are a clinician and would like to be listed on our provider map, send us a message via the website and we will be in touch with an application
thebackpainpodcast.com/index....
The Back Pain Podcast
Instagram: / thebackpainpodcast
Twitter: / thebackpainpod
Rob Beaven
Twitter: / rob_chiro
Massive thank you to the Podcast Coach for helping us to put this together. For all your podcasting needs, please visit
www.thepodcastcoach.co.uk/

Опубликовано:

10 ноя 2021

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Комментарии : 52

@OliverLaisen 2 года назад

Good job staying fairly composed Adam, greg must have taught you some tricks after his lockett talk

@thebackpainpodcast5061 2 года назад

Thanks for listening!

@alkautharharun9603 2 года назад

Kindly invite Stu Mc Gill for this kind of debate in the future..maybe stu vs adam/greg :)

@TheStizzel 2 года назад

@@Speedstrengthtv haha. 100% disagree

@alkautharharun9603 2 года назад

@@Speedstrengthtv really? I was thinking the other way around :)

@thebackpainpodcast5061 2 года назад

Check out episode 021 of the podcast, McGill was on that one!

@Lyndonandre 2 года назад

I've met Mark while in NZ he is such a nice person!

@emmamcpherson148 2 года назад

An interesting discussion - nice to have a discussion where people can disagree respectfully

@lorenzoattanasio8851 2 года назад

Thanks for the debate!!

@karthikshiva9801 2 года назад

Great podcast! 🙌

@aliyounes4687 2 года назад

These are excellent

@cometmekonen6286 2 года назад

Quality debate!

@GameOne1994 2 года назад

Mark reminds me a lot of my teachers in physio school who were sitting on their pedestal and weren’t ready to change their mind because they have been doing it for X amount of years.

@docblue8081 Год назад

Well Adam also gives this point every time when someone disagrees..

@doseofthought3922 Год назад

@@docblue8081 Except Adam tends to be right most of the time, if not all of the time, as his views generally line up with what the wider body of evidence suggests.

@Harry-ni7ys 2 года назад

Can we have a debate between Adam and Jeff cavalier please

@sayedanvar8672 2 года назад

Wow! Looking forward for such contents in future too!

@thebackpainpodcast5061 2 года назад

More to come!

@samoconnell6512 2 года назад

Excellent discussion. Great to see the mutual respect between you both. For me the thing that stands out the most is the estimated accuracy (Adam 10-20%, Mark 70-80%) of structural source of nociception from Ax findings, despite hearing that both seem to have reasonably similar objective methods of Lx spine assessment. Would be interesting to hear more about the specifics i.e. what collections/patterns of symptoms may relate to specific structures?

@iavinuezaf 2 года назад

I'm so happy to be a physiotherapist right know 🙌

@therealyanhuang 2 года назад

Hey, Love your videos and tips. ❤️ Yan

@FinPhysio 2 года назад

Excellent content. We need more of these!

@thebackpainpodcast5061 2 года назад

I agree. We have a whole back catalogue of podcast episodes with many fantastic guests. Including previous episodes with both of these two chaps

@FinPhysio 2 года назад

@@thebackpainpodcast5061 great. These live debates are very good because you can evaluate the arguments easily.

@LEMONS884 5 месяцев назад

@@thebackpainpodcast5061is this podcast active anymore

@360crichouse3 2 года назад

👏 nice podcast..

@thebackpainpodcast5061 2 года назад

Thanks for listening

@movementneverlies777 2 года назад

I love biomechanics, pathoanatomy and mechanical diagnosis. Although, I cannot understand how a clinician "with 50 years of experience" keeps talking and treating as if pain neuroscience and research papers that go against biomechanics and pathoanatomy biases don't exist. I do not belittle Dr Mark, it's just really weird for someone with his clinical and research experience to talk and act that manner. Great podcast though. Hope many more similar to come.

@floetic 2 года назад

Repeated comments of 'in my experience' really highlight a problematic eminence-based approach. This podcast really demonstrates overconfidence and over-precision cognitive biases amongst clinicians. There also seems to be ignorance to the endless list of reasons why anecdotal observations in clinical practice cannot be taken as cause-and-effect, as well as just how much symptom presentation across the plurality of medicine has significant uncertainty when it comes to exact biological causation.

@LecreedTention 2 года назад

fantastic podcast nonetheless

@hamoudiholland5744 2 года назад

Nice video. How about an interview with stuart mcgill ?

@thebackpainpodcast5061 2 года назад

Already done, check out episode 21 of the podcast!

@slipknotgraffiti1 Год назад

Pain without nociception. What about the story of the man who had a nail go through his boot, was sedated in order to remove it only to find that the nail had passed between his toes?

@elliotfeldman4502 2 года назад

I have contemplated this for some time... Why can individuals reshape the idea that pain isn't pain when the cause is not something dangerous? I appreciated your question there Rob... brain freeze and pain while touching cold? Very true that it is a warning sign of potential danger and not tissue pathology... BUT it is still painful! Which proves your point, pain can present without damage, thus using pain to determine damage is not wholly accurate. BUT, because Mark can determine the cause as not tissue pathology, then it isn't PAIN? And that is why pain and tissue damage argument always leads (in the acute environment) to "We just haven't found it (the cause) yet". Stuart McGill said something similar at one point, that we just have searched deep enough for the mechanical cause. I wish there could be some reflection here to see that what matters is the conceptualization of the pain you are feeling. If you see that it is safe like in example of brain freeze, then you loss focus on it and go about your day. But when you don't know the cause or assume it is damage then all things and behavior changes.

@mobilesrock Год назад

Mark is frustratingly bad at presenting his own point in a consistent manner. He waffles back and forth on his statements, talks down to Adam, sets up strawmen in order to “be right” in his unwinnable argument, and is generally acting as the stereotypical “old practitioner” who believes what he’s always done to whatever effect is better than any new, clinical evidence would support.

@timothyvanpelt_cyclist Год назад

Same impression I had...

@timothyvanpelt_cyclist Год назад

Sorry but to me Mark seems mostly frustrated by his points not being immediately accepted by everyone, but questioned instead, and I actually found Adam to be relatively calm and much more reasonable during most of the conversation. They both make some fair points. I think Adam's more right about the uncertainty we have to admit to be dealing with relating to (back) pain. The only one being really calm was Rob though, haha, and the end was quite peaceful. Interesting discussion anyway, thanks for providing the platform and sharing it with us!

@mr.wildcat405 Год назад

“The art of medicine consists in amusing the patient, while nature cures the disease”-Voltaire

@brianbrummer918 2 года назад

I think Lorimer Mosely should have been in on this...

@digitalobserved 5 месяцев назад

I feel so sorry for Adam and all other clinicians who have to deal with stubborn individuals incapable of changing their minds in light of new information.

@marekmackiewicz6623 2 года назад

Adam you are a wise man but try not to be so emotional. Calmness always win. Peace and thanks for the podcast!

@06alepea1 2 года назад

I don't buy this "just stay calm". It's such an easy out for someone who's lost the argument. "Oh well you got all het up" is not a refutation of an argument.

@ryanlie6250 3 месяца назад

not sure what y'all on about how 'composed' adam was but he lost it a few times during this interview

@kabe6146 2 года назад

interesting discusiion i like Adam, but he need to show more respect to another speaker and do not interrupt. Host should pay more attention on culture of discussion.

@leeposton1664 2 года назад

Sorry, but Mark is Spot on!

@jorritb.9144 2 года назад

Adam did very great! i think Mark is to old for this XD

@darrellflinn7183 2 года назад

Are you kidding??? Mark was all over Adam in terms of experience and knowledge of the evidence.

@jorritb.9144 2 года назад

@@darrellflinn7183 this was not a comment on knowledge or who is right, but rather on the way of communicating with each other

@LecreedTention 2 года назад

the way adam loses his temper is quite a turnoff. As much as he argues that Mark is unwilling to listen, it also demonstrates his inability to accept other schools of thought

@sahand3083 2 года назад

Laslet speaks more from clinical experience and Adam speaks from possible scientifically proofed evidence.That tells us about the complexity of back pain.Both of them are right.Laslet experienced that from many years of practice and adam is following more scientifically approved hypothesis.Thats what this debate tells us in my opinion

@DavidEvansphd Год назад

Completely disagree. Laslett has a strong research background as well as clinical experience. It is very obvious that Laslett is the only expert on LBP of the two