Hi Sir, Hope you're keeping well. Lunges cause severe back pain to me as you said torsional force and isometric exercise are responsible for back pain. Would you be able to show some exercise which you did for other patient. Thanking you ahead. Good bless. Regards, Aslam.
I did the whole assessment. No pain was provoked, but some discomfort on prone laying. I think I have muscle pain and spasm felt in whole back, but tenderness pain near psis.
Considering how bad and inaccurate most of if not all orthopedic and structural testing is, even if we were to scan for any tissue as nociceptive drivers, we could never really find out. So why even bother? Rule out malignancy or injury, help staying active and implement symptom modification if necessary. Regression to the mean and natural history are gonna do the trick most of the times.
One big NOCEBO video, love how he simplefies the mechanisms that have no scientific proof at all LMAO. Just keep telling people how weak our back is that just drives the costs of healthcare up
He relies extensively on his vast research, clinical experience, and long list of successful cases. The trend of therapists relying on poor mechanical assessment skills and hiding behind the shield of biopsychosocial model to explain why they can't heal back is far more worrying and costly to health care in my opinion (LMAO). I have a place for both in my practice, but I will be damned in 8/10 times the mechanical cause isn't contributing to nervous sensitivity. Our backs aren't weak, but like any material, have limits to how much they can be stressed.
Well said. The trend of physios that can't actually help people using singular studies to pretend pain is a magical anomaly, especially in the athletic population, is somewhat farcical considering the extensive list of published works by McGill et all. It's not the whole story, but to pretend biomechanics don't exist is a bit silly.