The Back Pain Podcast: Recent Episodes
Rob Beaven & Dave Elliott
Welcome to the Back Pain Podcast with Rob and Dave!
We are researching the facts about back pain and bringing them to you in easy to understand format.
We are two Chiropractors who spend every day looking after people with back pain. It has become our mission to talk to the best in the business to get the facts that you need to hear. We interview everyone from surgeons, GPs, Physios, Chiropractors, consultants and more so that we can get you the answers to your questions, as well as actionable tips you can take away from each episode to start feeling better/regain your health/get back to life...
This episode takes a look at scans, why scans might be needed and how they can help
Scan.com was founded to make scanning accessible for clients and support earlier diagnosis making a positive difference in patient journeys and recovery
Hear about the clinical pathway for getting a scan with Scan.com and why their process supports accurate and clear information along with the next steps through an integrated system and pathways that support the patient journey
KEY TAKEAWAYS
- There is a clinical pathway that is followed alongside the option to be referred for scanning if appropriate
- We use each process depending on the clinical situation, but the scans are complementary to each other
- The patient won’t know necessarily know what the most appropriate scan will be, and when you have been screened you will be directed to the most appropriate appointment
- With a scan, it’s important that it’s carried out as part of a process with a clinician
- You can be a clinician and make a referral on the platform
- Ultrasounds are an important scan for peripheral muscular-skeletal conditions
BEST MOMENTS‘We now offer MRI, ultrasounds, X-rays and CTs’‘Lots of reports can be so confusing for patients and we make sure the patients understand and know what’s relevant’There’s a whole package on offer’
RESOURCES FOR THIS EPISODEhttps://uk.scan.com/
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ABOUT THE HOSTSDave ElliottDave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
-Instagram
Rob BeavenRob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
-Instagram
-Twitter
SOCIAL MEDIA LINKSInstagram
Twitter
Facebook
Support the show: https://thebackpainpodcast.com
This show was brought to you by Progressive Media
Angela Jackson, specialist paediatric muscular skeletal physiotherapist joins the podcast again to talk about all things spondy
Spondylolysis is one of the most common back pain injuries seen in child athletes and although common it's vitally important that these injuries are picked up and The Back Pain Podcast is helping to raise awareness with Angela explaining how a stress fracture is very different to a full fracture and how they can be picked up along with the actions that need to be taken
KEY TAKEAWAYS
- Lower back pain in a young athlete is an inconvenience that needs sorting out but the majority go back to sport without any problems
- These injuries don’t occur in the non-athlete population. Whatever level it’s at, it needs checking
- If you have an experienced clinician they should be able to manage it without imaging
- A graduated return to activities is what’s required, we want to have an adult athlete who can withstand the demands of adult sport
- We need to help them to see good credible role models who have come back from this injury
- Working in phases helps young people see what the journey is back to health
- It’s about getting them back into sport layer by layer, making them stronger and educating them
BEST MOMENTS‘It’s not that kids are doing too much, it’s that they are doing too much too soon’‘We only get this opportunity to make you stronger once’‘Find a hero in their sport that you know has come back from this injury, loads of people have gone through this’
RESOURCES FOR THIS EPISODEhttps://kidsback2sport.com/
https://angelajacksonphysio.com/
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Our webcam https://amzn.to/31uUefQ
ABOUT THE HOSTSDave ElliottDave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
-Instagram
Rob BeavenRob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
-Instagram
-Twitter
SOCIAL MEDIA LINKSInstagram
Twitter
Facebook
Support the show: https://thebackpainpodcast.com
This show was brought to you by Progressive Media
The sacroiliac joint is an area that remains contentious despite all of the research that’s taken place and in this episode, we are chatting to Wilfried Simon, an osteopath and physio from Belgium about the misconceptions, if it can be a cause of pain and what to do if it is
KEY TAKEAWAYS
- It’s a connection point but there isn’t much movement, only 3 degrees and its deep within the spine
- If you want the patient to be able to treat themselves and achieve autonomy they have to understand what’s wrong
- When you have manipulation it’s about what it creates overall including how the person thinks about it
- Identify the movement that is painful and work with the patient to make the movement less sensitive through changing the axis of the movement and building the confidence of the patient to complete movements
- Trust the future and the process, not very day is the same, not every day is pain free but that’s what make the patient stronger and you stronger
BEST MOMENTS
‘It’s important to treat the person not the problem’
‘There is aways a combination of what’s happening mechanically to the joint and how the patient perceives and feels about what’s happening’
RESOURCES FOR THIS EPISODE
https://www.instagram.com/the.spine.physio/?hl=en
THE BACK PAIN PODCAST PROVIDER MAP - FINDING SOMEONE TO HELP YOU WITH YOUR BACK PAIN
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The Back Pain Podcast
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Our webcam https://amzn.to/31uUefQ
ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
Support the show: https://thebackpainpodcast.com
This show was brought to you by Progressive Media
Adam Dobson, physiotherapist, returns to the podcast to talk about the Back to Health Programme, a residential rehabilitation programme for people suffering from persistent back pain
In this episode hear not only from Adam but also from Rebecca whose experience on the programme changed her life. They discuss the challenges of being told many different things, medication and why the programme is life-changing
KEY TAKEAWAYS
- You can go to various physiotherapists and be told many different things, it can become a shopping list given to patients without any real idea of what it means to manage the problem
- I was pushed out of my comfort zone in many different ways but I was in an environment with people who understood and shared their experiences, it was enlightening in many ways and restored my faith in human nature
- In the first days of the course there will be many accounts of the shopping list of problems people have been told about their bodies
- When a professional tells you something you believe them because they are the expert in that area.
- The programme has taken on a lot of feedback and has evolved, with lots of previous patients contributing to the programme
- It should be a front-ended option for people with persistent pain who want to learn deeply to take control and get happy again
- To know with confidence that doing things isn’t going to cause any more damage has made me stronger than I’ve ever been
- The course gives you the confidence to understand how the body is working, what it's telling you and what’s dangerous and what isn’t
BEST MOMENTS‘There wasn’t one thing that was important, the whole course is important every aspect of it is important’‘Everyone’s experiences had put them in a dark place’‘He led us through those grotty times and showed us where we could be today’‘It’s given me back my confidence and I do more than I’ve ever done before,'I no longer believe the pain is causing damage’
THE BACK PAIN PODCAST PROVIDER MAP - FINDING SOMEONE TO HELP YOU WITH YOUR BACK PAINhttps://thebackpainpodcast.com/index.php/members-map/
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ABOUT THE HOSTSDave ElliottDave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob BeavenRob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
-Instagram
-Twitter
SOCIAL MEDIA LINKSInstagram
Twitter
Facebook
Support the show: https://thebackpainpodcast.com
This show was brought to you by Progressive Media
Dave and Rob are having a behind the treatment room door chat about their working week as chiropractors
They discuss the importance of exercise plans and how increasing functional capacity is an important element of any treatment plan and share a great analogy to help understanding
KEY TAKEAWAYS
- Any conservative or passive care doesn’t necessarily decrease pain from issues such as osteoarthritis
- People assume massage is aimed at reducing pain but its about increasing functional capacity
- If we improve the capacity of someone’s knee health then it means they can do more
- Exercise increases the capacity and your threshold so you are increasing functional capacity
- You have to look at the bigger picture, if you knee or back is stopping you doing the things you want in life then surgery may be the option to consider
- If you are utilising exercise as part of your treatment plan you need to look at usage and function as well as lessening pain levels
- Having an expectation of no pain can result in less resilience
BEST MOMENTS
‘You may be able to do more with the same amount of pain’
‘Pain is a very normal aspect of society’
‘We can usually increase your capacity but this may not lessen the level of pain’
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ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Dave and Rob are talking about diagnostic labels and particularly those for lower back pain
Lower back pain is a complex and multifactorial condition and a specific diagnosis may not reflect the underlying causes or mechanisms for the pain so does a specific label help or hinder?
This is a learning episode where the discussion is a great opportunity to carefully consider what you do as a clinician with the evolution of diagnostic labelling
KEY TAKEAWAYS
- The research is now saying a diagnostic label is not as important as previously thought
- There is back pain that needs a specific diagnosis but this is not the case for the majority of non-specific back pain
- With non-specific back pain we know it’s nothing sinister or serious and what’s left is a combination of other things
- Many things can be contributing to the pain and the treatments and outcomes are similar for non-specific back pain
- Understanding the multifactorial and compounding aspect of non-specific back pain means there are a multitude of things you can do to help yourself
- The vast majority of patients will be better in 12 weeks
- It makes sense for us to stop using these labels and be better at explaining
BEST MOMENTS
‘Our previous notion of a single answer to find is a bit immature’
‘A more holistic approach may lead to better outcomes’
‘This is evolving and changing our diagnostic labelling in line with current research’
THE BACK PAIN PODCAST PROVIDER MAP - FINDING SOMEONE TO HELP YOU WITH YOUR BACK PAIN
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The Back Pain Podcast
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ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
In this episode, Rob is with Dr Sophie Newton talking about the medication both prescribed and over the counter that is used to treat back pain
What is appropriate for one person may not be the right thing for another but this is an opportunity to find out more about how different types of medication work and the reasons why specific treatments are used
KEY TAKEAWAYS
- Short-term, acute pain treatments include anti-inflammatory medication which works on damping down the inflammation
- Milder opioids like codeine are often given in conjunction with co-codamol
- Opiates work on opioid receptors that trigger the pain response
- Medications can be very effective but they do have side effects and it’s important that people know about these
- People need to become active to repair the back and it’s about the medication that can help support this
- Antidepressants are now recommended for chronic pain because they work on neurotransmitters
- The topical gels and patches do really work and for many people, it’s a much better option as the side effects profile is less
BEST MOMENTS
‘The smallest dose is the best dose’
‘We need you to get moving and you need pain relief onboard to get moving because this is what will be the biggest help’
‘GPs are always assessing the risk and the benefits of any medication’
RESOURCES FOR THIS EPISODE
Dr Sophie Newton:
Youtube Channel
https://www.youtube.com/channel/UCEUJz86eCtUsXBMssYoC6pA
https://www.instagram.com/drsophiegp/?hl=en
https://twitter.com/drsophiegp?lang=en
THE BACK PAIN PODCAST PROVIDER MAP - FINDING SOMEONE TO HELP YOU WITH YOUR BACK PAIN
https://thebackpainpodcast.com/index.php/members-map/
VALUABLE RESOURCES
The Back Pain Podcast
The Back Pain Podcast website
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Studio Headphones https://amzn.to/3u082LE
Laptophttps://amzn.to/3dhfafT
Our webcam https://amzn.to/31uUefQ
ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
In this episode, Dave shares a detailed lower back pain case history and takes specific questions from the audience in the journey to a diagnosis
This is a fascinating insight into the approach that begins from the moment the clinician meets the patient through to the treatment journey and the factors that influence recovery
KEY TAKEAWAYS
- Whatever your discipline the tenets are the same when you talking about pain
- As osteopaths and chiropractors, we are talking the same words just in a different language
- A disc doesn’t have to present with radicular symptoms initially
- Back or cervical disc issues have to be considered
- When the range of motion is restricted isolating the areas and specific groups of muscles, joints and nerves can help with the diagnosis
- If the specific pain is on a full extension this is a classic sign of a set joint irritation
- If you experience pain over a period of time fear avoidance can become a part of the individual's experience
- The biggest test can be the basic test of ‘poking it’
- Everything is testing and a provocative test can be seeing the patient coming into the room
- A test doesn’t have to have a name and make it onto your notes
BEST MOMENTS
‘The basic tenets of good care should be what you are going by’
‘Identifying which one is the head honcho and ruling the show is what we are looking for’
‘Your provocative test starts when you greet that patient’
THE BACK PAIN PODCAST PROVIDER MAP - FINDING SOMEONE TO HELP YOU WITH YOUR BACK PAIN
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VALUABLE RESOURCES
The Back Pain Podcast
The Back Pain Podcast website
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Studio Headphones https://amzn.to/3u082LE
Laptophttps://amzn.to/3dhfafT
Our webcam https://amzn.to/31uUefQ
ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Ian Gatt is a physiotherapist with extensive experience and expertise and is an upper limb injury specialist.
In this episode Ian shares advice on tennis and golfers' elbow from the symptoms to the causes and what you can do to be able to get on with your life in the way you want to.
KEY TAKEAWAYS
- It’s something that affects a tendon and it impacts daily activities
- Tennis elbow tends to be on the outside and golfers the inside of the elbow
- It can be linked to who you are as a person and the environment you are in
- Having a conversation and understanding how the person feels is important and the first step
- You can be chasing a diagnosis but understanding the function of the person is vital so you know what they need to do and can do
- It’s not posture, it's technique and the repetition of a technique can cause the issue
- It’s about planning, taking a step back when you experience the symptoms and doing things in a different way
- If you are feeling something, listen to your body and give yourself a breather
BEST MOMENTS
‘It’s important to understand the nature of the symptoms’
‘We just need to understand what the person can and can’t do with the focus on the can’
‘I use the formula of prognosis equals diagnosis plus function’
RESOURCES FOR THIS EPISODE
Ian Gatt Instagram
THE BACK PAIN PODCAST PROVIDER MAP - FINDING SOMEONE TO HELP YOU WITH YOUR BACK PAIN
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VALUABLE RESOURCES
The Back Pain Podcast
The Back Pain Podcast website
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Studio Headphones https://amzn.to/3u082LE
Laptophttps://amzn.to/3dhfafT
Our webcam https://amzn.to/31uUefQ
ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Jack March aka the rheumatology physio returns to talking about PMR and the treatment route
He explains what the symptoms are and how its diagnosed and discusses the treatment pathway along with measures that can be taken to improve the symptoms
KEY TAKEAWAYS
- PMR occurs 3x more in women than it does in men and a typical onset is a pain and stiffness in the shoulders when you wake up in the morning
- There is an overlap of rheumatology conditions which can make diagnosis challenging
- There is a risk of it developing into rheumatoid arthritis and the difficulties that brings
- High levels of inflammation can cause problems with your cardiovascular system
- It is almost exclusively treated with steroids and the results are seen very quickly
- Steroids can affect bone density, muscle bulk and your lymphatic system
- Measures to protect bone density need to be put in place and loading can be an effective approach
BEST MOMENTS
‘It’s about understanding the individual in front of you’
‘People need to understand what they are doing and why they are doing it’
‘A healthy diet, and exercise can help improve the symptoms’
RESOURCES FOR THIS EPISODE
www.rheumatology.physio
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Studio Headphones https://amzn.to/3u082LE
Laptophttps://amzn.to/3dhfafT
Our webcam https://amzn.to/31uUefQ
ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Dr Clodagh Dugdale Consultant in Sports and Exercise Medicine working at the Spire hospital in Cambridge discusses relative energy deficiency in sport
Learn what RED-S actually is, the signs to look out for and how it’s a syndrome that affects not only elite athletes but also recreational athletes and other cohorts
This is a must-listen for anyone from professionals to weekend warriors in understanding the symptoms of RED-S and raising awareness
KEY TAKEAWAYS
- It’s a mismatch of energy intake and energy expended, it’s a low energy availability status
- There is a normalisation of certain symptoms such as a lack of periods and rates of depression and anxiety are much higher in those who have RED-S
- Coaches and trainers are the key because they see people every week and would see the changes
- A lack of periods can be an early sign of RED-S and should be investigated
- It’s can be about both the workload and the dietary intake and a multi-disciplinary approach is the most effective way to treat RED-S
- People with RED-S are often post viral most of the time and low in iron
- Currently, it's about raising awareness about it with training and education
- Any treatment must be bespoke as the time and types of food are also factors in taking in enough energy
- There are many external factors as well as internal factors that need to be taken into account
BEST MOMENTS
‘We need to raise awareness of all the symptoms throughout all levels of sport’
‘If someone has reduced periods they should go and see someone as its most likely a result of low energy availability’
‘There are a lot of doctors who don’t know about this’
RESOURCES FOR THIS EPISODE
Dr Clodagh Dugdale Profile - https://www.spirehealthcare.com/consultant-profiles/dr-clodagh-dugdale-c3088423/
Project Red-S - https://red-s.com/
Clinical Assessment Tool for Red-S https://bjsm.bmj.com/content/bjsports/49/7/421.full.pdf
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ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
In this episode, Angela Jackson specialist paediatric physio shares great content about the common conditions and injuries for children and the best treatments
It’s the art of the therapist to help educate young people on how the journey to recovery will look and what they can do to increase their level of robustness and movement competency and Angela shares great advice
KEY TAKEAWAYS
- In loads of different ways, kids aren’t adults until they are in their early twenties
- My first question is always ‘what’s changed’ when I’m treating children
- A massive part of the therapy role is helping young people to understand what contributes such as diet, sleep and exercise
- Girls skeletally mature around two years earlier than boys
- There is a finite window around when these conditions occur
- With the right management and knowledge you can stop the recurrence of the condition
- There is a role for soft tissue therapy and building the muscles up so that the child is more robust
- They need to develop movement and physical literacy, the confidence to move
BEST MOMENTS
‘Growth in the foot moves to growth in the shin and then in the thigh’
‘It’s not just about the pulling and pushing it’s also about the squashing’
‘To make them more robust and resilient you need to keep them doing as much as they can to keep the muscles strong’
RESOURCES FOR THIS EPISODE
https://angelajacksonphysio.com/
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ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
In this episode hear top tips from chiropractors across the UK
With each professional sharing their own top tip this is an episode packed with amazing content and practical actions because as Amy shares ‘when you listen to your body when it whispers you don’t have to hear it scream’
KEY TAKEAWAYS
- If you can, don’t stress about it and keep moving
- Learn how to push out your tummy to stabilise your back when walking
- Pain is multifactorial and sleep is for healing
- Do what you love because it will make you feel better
- There is no best exercise for back pain only the exercise that you will consistently do
- Find a practitioner who is willing to listen to your story
- Find something that you like to do that keeps you moving and do it every day to minimise the chance of back pain
- Listen to your body, don’t do what aggravates your back do what reduces your symptoms
BEST MOMENTS
‘Use a bin bag on your feet to help swivel in and out of the car’
‘Don’t let anyone tell you, you won’t be able to do anything ever again’
‘Motion is lotion so keep moving’
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ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Anisha Joshi, co-founder of Osteo Allies and award winning osteopath talks with Rob about how communication and empowerment are key in a holistic approach to osteopathy
She talks about what you should expect when you see an osteopath and why it’s a process that should be empowering with actions that are manageable and achievable for the patient supporting them in feeling better in all areas
KEY TAKEAWAYS
- It's about the person in front of you getting the best level of care
- People should leave feeling empowered, positive, and ready to move forward
- It's understanding people’s aims and goals and helping them to reach them
- If you see an osteopath there will be hands-on manual therapy to understand what’s happening and help to make things manageable
- It’s about the patient feeling that they can do it and that it's manageable in their life
- Pain is multifactorial and helping patients to understand this is key
- What is said is of vital importance for the clinician and the patient
- It's about looking at all elements and empowering the patient to feel better across all areas
BEST MOMENTS
‘You are the expert of your body so it’s important your osteopath listens to you’
‘It's rewarding to empower people in the right way’
‘The body needs direction, we are helping to signpost the right direction’
RESOURCES FOR THIS EPISODE
https://osteoanisha.com/
https://osteoallies.co.uk/
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ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
THE BACK PAIN PODCAST PROVIDER MAP - FINDING SOMEONE TO HELP YOU WITH YOUR BACK PAIN
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The Back Pain Podcast
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ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Rob and Dave are joined for a panel discussion by four other chiropractors who are all working in elite sport
They discuss the role of chiropractors in multi-disciplinary teams and the vital role they play in making sure the needs of very diverse athletes are effectively met
The discussion also covers the ways chiropractors can develop their networks and become part of the teams supporting athletes at global events, listen in and enjoy
KEY TAKEAWAYS
- Athletes have a greater understating of their bodies and are able to adapt more quickly
- With athletes it’s the level you’re trying to get them back to, it’s a much higher level
- Its impact exercises in a controlled environment leading up to full contact outcomes
- Its graded exposure through looking at what an individual can do
- Your body adapts to a specific sport
- You never know who you are going to meet on the journey and you will be increasing your skillset and network
- The best practitioners work at their craft, get mentored and make connections
- Specific strength training for young children could support them in high impact sport in the future
- COPS - chiropractor, osteopathy, physical therapy and sports massage is providing a multi-disciplinary team that can meet the diverse needs of the athletes
- Each profession grows as it's exposed to other professional identities
- We should have core skills and reach out from that point
BEST MOMENTS
‘Athletes are invested in getting better and will do what is needed’
‘Now decision-makers want a diverse muscular skeletal workforce
‘It’s our differences and working together that makes us better
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ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
This week Rob is talking about the worst advice he sees given for back pain and is explaining why you definitely shouldn’t be following it
He looks at abdominal bracing, stopping sports and activities and why movement is exactly what we should be doing supported by a skilled clinician to make sure the movement is what works for you, listen in and hear more
KEY TAKEAWAYS
- You actually only need to use around 2% of your abdominal muscles for everyday activity so there is no need for extra bracing
- People are under the assumption that their core needs to be active all the time
- Move from the spine, that’s what it’s meant for
- Pain is multifactorial and there is rarely a single cause
- A skilled clinician can work out what’s the best exercise for someone at a particular time
- The exercise is the one that’s best for you and one you enjoy, so you will do it
BEST MOMENTS
‘Since the nineties, the core has been blamed for just about everything’
‘We are meant to move our spines’
‘Pain is a warning sign from the body it doesn’t mean damage’
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ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate with thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
In today’s episode, Dave is talking gym, CrossFit and getting back into exercise in response to questions from across the Back Pain Podcast community and socials
Dave takes a look at the role of deconstructing and building towards a particular movement and why even if you have a wonky squat its ok because everyone is different
KEY TAKEAWAYS
- Full body movements are done in a group setting at high intensity
- Often cornerstone exercises are done and act as a marker for the level of fitness
- All exercises are positive if done well. It’s not the exercise that’s wrong it’s the narrative around it
- Humans are not all the same We are all different so we should act like it. We won't all conform to the same baseline
- Deconstruct the exercise into its components and work at it as long as you are building and progressing you can be ok with what you are achieving
- It's better to be fighting towards the next level even if you don't ever get there
- Human movement has a bell curve and you may be an outlier
BEST MOMENTS
‘People who do CrossFit bloody love what they do’
‘Never stop aiming for the perfect movement but be ok with it if it never comes’
‘Some people just do have a bit of a wonky squat’
RESOURCES FOR THIS EPISODE
Episode 11 CrossFit and Back Pain
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ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
-Instagram
-Twitter
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hello@thebackpainpodcast.com
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Continuing the journey to look at and explore wider muscular sketelal injuries, Dave today shares valuable content on a rare cause of shoulder pain – Parsonage Turner Syndrome also known as brachial neuritis is charaterised by very intense shoulder pain
KEY TAKEAWAYSIts characterised by intense shoulder pain that after it fades away is replaced by muscle wasting and weakness
It can last for around two years
It’s thought to be an inflammatory auto immune response to a environmental trigger
Treatment is focused on pain management
Most people gain around 80- 90% of function
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ABOUT THE HOSTSDave ElliottDave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob BeavenRob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
-Instagram
-Twitter
SOCIAL MEDIA LINKSInstagram
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Facebook
CONTACT UShello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
In this episode, Rob reflects on the things he wished he’d known sooner and shares great content about what’s important when you have lower back pain
Listen in to hear great information on how there are many factors that contribute to back pain and why exercise and self-management are key
KEY TAKEAWAYS
- Pain is multifactorial and there are many factors that contribute to back pain
- Stress, anxiety, worry, sleep patterns, exercise and expectations can be contributing factors
- We are looking for ways to decrease and calm the pain and then build the body back up again improving strength
- Scans don’t correlate with pain, it’s a snapshot in time of your spine
- When we look at a scan there are many other things to take into account
- Any exercise and movement is good and the most important exercise is the one that people do
- Exercise is usually safe for people with back pain, pain doesn’t equal damage it’s about finding a level that’s right for you
- Take pain killers if this helps to drop the level of pain so that you can do things
BEST MOMENTS
‘There are so, so many reasons that contribute to why someone has back pain’
‘It allows you to have an element of control over your pain’
‘We don’t need to always specifically know the reason’
THE BACK PAIN PODCAST PROVIDER MAP - FINDING SOMEONE TO HELP YOU WITH YOUR BACK PAIN
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ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
In this episode physio, Andrew Goodall goes through ACL tears from how you are likely to injure your anterior cruciate ligament through the likely treatments and the phases of recovery and rehabilitation
As one of the major ligaments inside the knee, it plays an important role in stabilising the knee joint and helps to control the movement of the lower leg but is a common sports injury and Andrew shares great informative content that will help anyone to know what to expect from recovery and how to make sure their treatment is the right one for them
KEY TAKEAWAYS
- The mechanism, force and speed at which ASL happens means it’s likely there will also be other damage
- Calming the knee down means that it’s possible to get a good quality image and reduce the pain
- Getting the quadricep thigh muscles working efficiently as quickly as possible will bring stability
- Initially, it’s about doing less but maintaining strength and function
- For most surgery is part of the process and in the UK 80% of people have surgery
- Taking a section of the hamstring tendon and using it as an ASL graft is the most common approach in the UK
- It’s bespoke surgery for your needs, your situation and taking into account the factors that have predisposed you to being injured
- Rehab is likely to be around a year with anything less being exceptional progress
- Phase one is calming down, phase two is the building of load and phase three will be moving closer to training
- The final phase is preventative activities and a return to training
BEST MOMENTS
‘In some sports movements, the rotation through the leg translates as an inwards movement of the knee’
‘I’m essentially trying to come out of the session with a diagnosis and a plan’
‘If you can rapidly reduce swelling and pain the person is more likely to be able to use the knee and keep muscle function’
‘Stability is dynamic and controlled by lots of systems, it’s the integrity of the ligament that is crucial’
RESOURCES FOR THIS EPISODE
https://www.instagram.com/sportskneephysio/?hl=en
https://www.instagram.com/puresportsmed/?hl=en
https://www.completeaclrehabcourse.com/
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ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Rob looks at the methodology of calming down and building up and explains how this approach to treatment works when you have non-specific back pain
He shares some of the different ways pain can be effectively calmed down and how the next step is to build things up both physically and mentally in the treatment journey
KEY TAKEAWAYS
- Patients are looking for a cause but often there isn’t a specific reason
- Pain is very real whenever you are experiencing it
- Non-specific back pain means treatment targets are aimed at the whole back or whole body
- Calming things done is about understanding the movement of activity that aggravates the pain
- There are many ways to calm back pain down including heat, ice and understanding the role of non-physical stressors
- Building your back up may include learning to cope with the pain in a better way and understanding the physical exercise that can be completed
BEST MOMENTS
‘You might want to have a scan to show something that you can blame the pain on’
‘You want to see a problem so that you know why you are suffering so much’
‘Reassurance is so important in recovery’
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ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
There are lots of different things that patients think are causes of sciatica and it’s the role of the health care professional to explain when it is sciatica, what it is, what it is not and what you can do about it
In this episode, Rob discusses vascular claudication, a less common cause of leg pain but due to its risk factors, it's one that healthcare professionals stay alert to. He shares the diagnosis of intermittent vascular claudication with a patient and explains the crucial indicators that led to the diagnosis along with the treatment
KEY TAKEAWAYS
- Intermittent pain in both legs can have several causes
- Intermittent peripheral arterial disease is to do with the blood supply. When you are walking muscles in the legs require more blood supply and can't get it
- Patients often describe a cramping or burning sensation in the thighs
- Vascular risk factors including smoking, weight, diabetes and age increase the likelihood of intermittent peripheral arterial disease
- What he told us about the pain was crucial in making a clinical decision. The type and duration of the pain was an important indicator
- High blood pressure raises the likelihood of it being vascular
- A significant reduction in blood flow in the legs will be an indicator of a vascular issue
- Patients with vascular claudication have a much higher risk factor for an acute vascular episode
BEST MOMENTS
‘As health professionals, we often provoke pain to understand the source’
‘Changes can take time but will make a difference’
‘It’s one we have to stay alert for as health care professionals’
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ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Rob takes a look at not only the role of the chiropractor but the elements that any good healthcare professional will be offering to their patients
He also looks in detail at the ways the words chosen and used by professionals can impact not only on recovery but also have long-term implications and explores what a good professional and patient relationship looks like and how it facilitates positive recovery, listen in and hear more
KEY TAKEAWAYS
- Around one-third of the population will suffer from lower back pain
- How we explain back pain is a vital part of the process
- The approach of different professionals should be similar and quality care should include pain education and activity advice
- A package of care will focus on cognitive care and manual intervention and a good assessment should include a detailed history
- Patients want is a good connection with their health care practitioner and a choice in the treatment to get better
- The words we chose to use can impact recovery and have far-reaching implications
- We want patients to leave the treatment room feeling positive not damaged broken and fragile
- Understanding what the patient wants to achieve is a vital element in a positive recovery journey
- Patients want a choice so understanding their expectations is crucial in creating treatment options that will work for them
BEST MOMENTS
‘No matter what the profession we should be hitting the same high points when it comes to managing lower back pain
‘As health care professionals we are in a hugely powerful position’
‘We need to show our patients they are resilient, robust and strong not weak, fragile and broken’
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ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Rob and Dave use a real-life example to explore how they would treat and manage a patient who comes to them having already experienced conflicting advice
They go through the steps that are covered in an initial appointment and discuss the points at which a scan is the right choice along with what sorts of manual therapy can be a good choice
Practitioners approach patients in different ways but you should always expect a very individualised treatment plan and this is a great opportunity to find out about what you should expect and why
KEY TAKEAWAYS The first step should be taking a really detailed history and the patient's thoughts and beliefs are a vital part of the conversation It provides insight and an understanding that helps with building a personalised plan It’s the two-way conversation between the practitioner and the patient With sciatica, it’s about calming down the most aggravated part first Sometimes over testing can make it more difficult to assess, move up to the pain, it’s not about aggravating it Patients can be fearful and avoid particular movements but it can be used as part of the methodology of building toward graded exposure The most important exercise is the one the patient does You need to look at an individual patient's tolerance to pain and make any exercise personalised A lot of changes seen on a scan are perfectly normal It's about focusing on the structural pathology There are always the red flag questions that result in a scan being the right approach Manual therapy provides a window of opportunity to feel better
BEST MOMENTS
‘People who are fearful and worried about their pain tend to have longer term back pain’
‘If a patient believes something should be done it’s important to explore it’
‘If something is painful it doesn’t mean it's being damaged’
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Laptophttps://amzn.to/3dhfafT
Our webcam https://amzn.to/31uUefQ
ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Rob and Dave are both seeing patients every day in their clinics and in this episode they take a look at how things have changed over the last 10 years
They share the learning that has changed how they work with their patients and discuss the vital importance of movement and how evolving to work with patients as someone who is supporting that individual’s journey to recovery, not the hero clinician builds positive and productive relationships
Listen in to hear Rob and Dave reflect on how their practice has evolved and why it’s always important to stay on top of new developments if you want to be a great clinician
KEY TAKEAWAYS It’s important to take a considered approach and look at emerging clinical research and trends. It's updating, evolving, and staying on top of it Worry and anxiety about your posture is only going to potentially exacerbate your back pain It’s not the specific exercises that make a difference it’s about keeping the movement going We start with the basics of good quality movement and then fine tune Some movement is important it doesn’t have to be a specific granular program Conversations in the clinic have changed from ‘I’m the therapist here to save you’ The clinician is no longer the hero fixing you, the patient is now the hero with the clinic providing a helping hand It’s not about waiting for someone else to do it for you, it’s about taking responsibility for yourself and your recovery supported by the clinician You will have a much better long-term relationship if you are happy to give the praise away to the patient Having difficult conversations is a skill that needs to be developed Talking to patients about their fears is a crucial element in building a relationship and understanding the patient
BEST MOMENTS
‘We can’t be blinkered we need to be looking for the newest research and turning points in the science
‘When they are as knowledgeable as possible that’s when the magic happens’
‘I understand now the power of better movement and communication’
RESOURCES FROM THIS EPISODE
https://podcasts.apple.com/gb/podcast/what-is-cauda-equina-syndrome-rob-tyer/id1511515312?i=1000506119396
https://www.cpdo.net/Lederman_The_fall_of_the_postural-structural-biomechanical_model.pdf
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ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Rob and Dave are looking at some of the most frequently asked questions from the communities they work with and in this episode share great content in answer to a question on the difference between chronic and acute
They also discuss what Kinesio tape and foam rolling actually do and what part of the routine where Kinesio tape and foam rollers are used is really important, listen in and hear the answers
KEY TAKEAWAYS Acute and chronic are used to refer to the time frame, the amount of time you have had the pain Chronic refers to pain for over 3 months anything under that is described as acute The skill of any practitioner is going from medical language to patient language Part of our journey as healthcare practitioners is understanding the impact of the language we use Tape changes the sensation from a painful area to a non-painful one giving your brain something else to focus on There are lots of claims about what foam rollers can do but they are in reality a way to self-massage The action of getting up and moving to complete physical actions is what’s important Warming up is a vital part of the exercise you are Walking increases blood flow far more than rolling around on a Victorian torture device
BEST MOMENTS
‘It’s elasticated tape at the end of the day, it doesn’t do anything magical
‘I will warm up for the session doing squats, I won’t spend twenty minutes flapping around on a foam roller and getting into weird positions’
‘Never do anything that actively causes pain’
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ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Rob and Dave talk with Martin Christensen, a physiotherapist who joins them from Norway
Martin has gained a huge following for his Friday Physio Confessions and in this episode talks about the importance of building relationships and discusses why it’s vital that patients understand that physios are human and like all humans will make mistakes. If you want to know what a good clinician and patient relationship can be like, listen in and find out more
KEY TAKEAWAYS A good healthcare professional makes the experience of the time matter more A patient should feel listened to and that their concerns are taken seriously There needs to be a rapport between the patient and the healthcare professional The healthcare professional and patient need to communicate effectively and honestly about what the goals are Asking the right questions is a crucial element in building rapport A great practitioner can bridge the gap and build rapport with any patient, making the patient feel comfortable by adapting to them and meeting them on their individual level We need to acknowledge that professionals are not machines but human Because practitioners are human, like all humans they will make mistakes Being authentic and being honest is about sometimes saying we need to wait and see Building a relationship with a patient means it’s possible to say when you make a mistake
BEST MOMENTS
‘It’s the dynamics of the relationship between two people, getting along and finding out what works’
‘A good healthcare professional is someone who treats you like a person’
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RESOURCES FOR THIS EPISODE
Friday Physio Confessions - @Martin_nekkolai
ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Dave and Rob are joined by Adam Dobson regular on the podcast and Annina Schmid, physiotherapist and neuroscience researcher who leads the Neuromusculoskeletal Health and Science Lab at the University of Oxford.
They discuss in detail radiculopathy, what it is and how it is diagnosed. With the neurological examination a key clinical diagnosis this is a great opportunity to hear about how Annina effectively uses sensory examination and what the results mean. Learn about radiculopathy and the sensory exam with great content in this informative episode
KEY TAKEAWAYS Nerve related pain is usually a radiating pain, not a pain that can be pinpointed to one spot Always compare left and right talking to the patient about how the affected side feels compared to the other side We need to establish a normative area, you cannot just compare left and right because you may miss a sensory deficit Test sensation using something neutral like tissue or cotton wool The key to neurological examination is understanding single items in isolation have no relevant value it's putting together the pieces You have to make the pieces fit together to understand the picture Studies use the reference testing of MRI imaging or inter surgical findings which don’t tell us anything about the loss of function, the definition of radiculopathy Radiculopathy is a clinical diagnosis that includes the neurological examination The reference standard should be the clinical diagnosis because that’s what radiculopathy is For a nerve to be affected it doesn’t need something to be directly encroaching or deforming it We are imaging macro structure but a nerve can be affected on the inside so we should be looking further are the inside of the nerve Severe motor deficit or progressive motor deficit will be a referral We do not need to be specialists but we do need an awareness of what can masquerade as radiculopathy and refer to the right professional
BEST MOMENTS
‘If the patient has lower back pain and it radiates into the buttock it’s enough for me to do an examination’
‘With radiculopathy, the reference standard should be the neurological examination’
‘If there is a pain and it radiates this would trigger a neurological examination’
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RESOURCES FOR THIS EPISODE
Annina Twitter https://twitter.com/AnninaBSchmid
Annina Website http://www.neuro-research.ch/
ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Dave is going solo and shares the advice and reminders that everyone venturing back out into the garden really needs to hear because it’s this time of the year that many clinicians are seeing a very specific patient – the gardener
There's lots you can do from strength work throughout the year through to changing it up with different tasks and knowing when to stop
As the sun starts to shine listening to this is a great way to get back into the garden the best way- without back pain
KEY TAKEAWAYS It’s a seasonal activity so not doing anything and then doing lots can be challenging Gardening doesn’t have a graded exposure mentality Lightweight activities completed over an extended time period may not be ideal Gardening is weather dependant and this can lead to excessive activity load in a short time frame There is a steep exposure when you get back into gardening in the spring Repetitive exercise over the year can help as graded exposure activity making you better prepared for gardening Switch up your tasks to break up long term exposure, break the activities down into manageable chunks Set yourself specific targets and monitor how you feel building before extending the task target
BEST MOMENTS
‘That 20kg bag of compost still weighs 20kg and you may not have been maintaining your 20kg lifting muscles over the winter
‘Stay active and strong throughout the year’
Don’t fall into the ‘just a little bit more trap’
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ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Rob is a guest on the Knowledge Exchange podcast talking about misconnections and what good quality care looks like
He discusses the power of the words and language used by practitioners and explains why he is an advocate for clear and simple communication with patients. Practitioners need to understand where patients are coming from and acknowledge their beliefs working with them to support them in achieving their goals. Being a high-level communicator and sharing strengths is crucial for success for any practitioner who is working with patients
KEY TAKEAWAYS MRIs are a valuable tool the challenges are in the reporting An MRI shows everything, they need to be explained carefully and used in conjunction with your medical history and consultation Posture is ingrained in our culture but can be misunderstood The problem isn’t the position you sit in it’s the movement you make Postural devices don’t help with posture Communication is key and we always want to communicate with patients in a clear and easily understood way A summary at the end of consultation can really help to make sure the patient leaves with the right information and understanding Acknowledge the patient's beliefs and work with them to change the narrative Building trust with the patient and understanding their goals and beliefs is crucial As healthcare professionals, we have a responsibility to make sure we are sharing correct and factual information We have the opportunity to educate and inform people, we are primarily patient-facing and want to put out clear simple information for people We want patients to know what to expect when they meet with their healthcare practitioner Having groups means we can understand more about what people are going through and is the opportunity to share and signpost potential support Passive care is when something is done to the patient and active care is something the patient does for themselves
BEST MOMENTS
‘MRIs don’t cause back pain, it’s about the reporting
‘For patients, it’s their story’
‘You have to meet patients where they are at and begin from there’
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The Knowledge Exchange Podcast
ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
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As they reach the milestone hundredth episode of The Back Pain Podcast, hosts Dave and Rob reflect on their guests and how the knowledge they have shared has impacted their own learning and professional practice
They look back at some of their favourite and most significant episodes and share some great moments of advice and learning that will help anyone to understand more about mindset, the brain and how it perceives pain, cumulative load, modulation, and the journey to recovery. Listen in, celebrate, learn, and hear about Dave and Robs exciting plans for the future of The Back Pain Podcast as it moves forward
KEY TAKEAWAYS Communication is a critical element and Jared Hall talked about being able to talk to people using the right analogies to help them understand on their level All of our job is about communication and being able to explain things in a way that’s easily understood is vital Nick Metcalf, talked about moderation of activity based on stressors in the previous days. You can effectively use modulation in your everyday life and adapt to take into account changes Julia Gover talked about pain, why things hurt and how pain is related to threat and shared a great analogy about snakes, sticks and how the brain processes pain The brain uses past experiences and can both increase and dampen experiences of pain but pain doesn’t mean you have to stop and do nothing Tom Jesson, physio, and sciatica expert explained how nerves can take time to heal and become less irritated. Recovery is not a linear journey, think about your recovery on a week to week basis Frequent guest Adam Dobson talked in detail about the value of MRIs when they are used in conjunction with your medical history and consultation The skill with MRIs is the correct reporting and clear explanation to the patient Learning a better language to explain back pain can make a significant impact on the patient Donald Robertson discussed the ways your mindset plays a pivotal role in pain and how you perceive and manage it
BEST MOMENTS
‘This podcast over the last two years has probably changed my practice more so than anything else I’ve done in the last ten years’
‘Little things add up and a sudden change or spike in load can be a trigger for pain or injury
‘It's recognising the cumulative load and understanding the factors that are impacting’
‘At the end of a consultation, a recap can be really helpful for the client’
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RESOURCES FOR THIS EPISODE
Episode 89 Sticks and Stones, How Language and Words Can influence your Pain- Jarod Hall
Episode 65 - Why be Resilient, When You Can be Anti-fragile
Episode 53 – The Biggest Myth in Back Pain -Julia Gover
Episode 40 - What is Cauda Equina? Rob Tyer
Episode 33 – Chronic Pain, CBT, Stoicism and Marcus Aurelius - Donald Robertson
Episode 31 – Do I Need an MRI for My Back Pain - Adam Dobson
Episode 28 - Laura Finucane – Is Your Back Pain Serious
Episode 15 – What Is Sciatica? - Tom Jesson
Episode 5 – Back Pain in Professional Sports, A Chiropractors Opinion - Nick Metcalf
ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Dave explains why it’s important that your recovery is not just measured by an improvement in your pain levels but also by progress in the function and movement you want to achieve from being able to run a marathon through to being able to pick up your child
Pain maybe the tipping point that led to you seeking intervention but your ‘why’ the motivation and goals you have are crucial in your journey to recovery and the function and movement that matters to you
KEY TAKEAWAYS Understanding the motivation of the patient and their goals for health and movement is vital Everyone wants to get out of their pain Pain is a major motivator – no one wants to be in pain and its often the first thing that’s mentioned What function and movement do you want to have when you are pain-free? Pain is easily measured and quantified as you progress but shouldn’t be the only measure Pain and recovery are not linear so if pain is the only measure seeing progress clearly can be challenging Pain may remain in the background and is very subjective. It’s felt differently depending on many variables Let your clinician know your goals and the activities you want to return to Function goals can be hugely positive in the journey of recovery Additional data about what you want to do means your rehabilitation plan can be very specific
BEST MOMENTS
‘A real and personal goal can be the motivator you need’
‘Pain can be the tipping point ‘
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ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Elizabeth Huzzey who has over 30 years of clinical experience specialises in headache disorders and in this episode discusses the development and increasing knowledge about different types of headaches that can be experienced
Understanding your headache is vital so that you can choose how to manage your headaches and seek help from the right professional
Elizabeth shares informative content on the various types of headaches and discusses some of the ways headaches can be managed effectively, listen in, and find out more
KEY TAKEAWAYS 99% of the time headaches are not something to worry about but if you have a sudden onset ,severe headache you should seek immediate help There are three hundred different types of headaches and they are divided into two types – primary and secondary Primary headaches are divided into 3 categories, tension, migraines, and TAC Most of us will have a tension-type headache at some time A migraine is a neurological event that you are generally genetically predisposed to A migraine with aura begins with a small electrical wave going through the outer part of the brain. It’s a sign your migraine is about to happen The typical migraine headache is one-sided, unilateral, and generally over the eye and side of the head When experiencing a migraine headache, it is difficult to function Activation of the nervous system causes an expression of a neuropeptide and the protein creates a sensitivity in part of the brain Triptans stop the pain of the headache because they stop the dilation of blood vessels if taken in time CGRP blocks the neuropeptide and can stop the headache from beginning TAC headaches are always on one side and the extreme pain can result in people feeling very agitated The hypothalamus is involved in cluster headaches so the headaches can often happen seasonally at the same time of the day
BEST MOMENTS
‘Visual auras are very common’
‘Most people will need to find a quiet dark room and wait for the storm to pass’
‘When you have experienced an aura repeatedly it becomes a familiar sign that a migraine is beginning’
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Watford Osteopaths
ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
In this episode, Dr Louis Howe researcher and strength and conditioning coach discusses lumbar spine flexion and getting out of neutral
He explains the current research and how in real life spinal flexion can’t be stopped but can be managed with the right strategies to avoid end range motion
This is a fascinating episode for both professional practitioners and individuals who want to understand more about spinal flexion and what getting out of neutral really means
KEY TAKEAWAYS Neutral alignment is seen as being optimal in sharing the load The research indicates that the spine flexes away from the neutral posture Whilst flexion can’t be stopped there are strategies that can be used to avoid end range motion and lower or increase those values When you perform lifting you are flexing and moving out of neutral We see more flexion occurring at the lower lumbar spine than at the upper lumbar spine When you are lifting the spine is both flexing and being exposed to compressive load Flexion has the potential to result in pathologies of the spine All of the tissues in our bodies can adapt to loading There is potential for managing the position of the spine and affecting injury risk Avoiding end range position and flexion can be important in training Coaching can encourage kinesthetics awareness to help avoid end range positions Programming strategies and the way overload is created in exercise is valuable as an injury risk management tool Years of strength training will bring architectural changes and spinal flexion can put muscles in a better position for lifting
BEST MOMENTS
‘The concept of neutral is attractive to practitioners because it puts the spine in a position where the load is spread’
‘It’s a variable that we can manipulate’
‘When they perform the tasks they do it in such a way that they are able to cope with the loads they are exposed to’
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RESOURCES FROM THIS EPISODE
Getting Out of Neutral: the risks and rewards of lumbar spine flexion during lifting exercises - Louis Howe with Greg Lehman
ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Rob is going solo this week with a great episode about exercise, when to do and what it can help you to achieve
He explains the vital role exercise plays and how he works with his patients to build movement that can improve experiences of pain
Exercise is a positive way to self-manage back pain and there are a multitude of ways to exercise, listen in and get started
KEY TAKEAWAYS Exercises are usually designed to improve the movement of the body You can challenge your body with gentle load through exercising People think they are in pain because they are weak but this isn’t true Strengthening exercises apply load to the tissues increasing their capacity to cope with daily activities Exercises can help with daily activities Pain comes when you do too much, too often after doing too little for too long A clinician can calm pain through techniques such as advice, medication, or hands-on treatment Get prepared for doing tasks Don’t wait until you are in pain, plan in movement breaks throughout your day
BEST MOMENTS
‘There shouldn’t be any barriers to how you exercise so if you enjoy it and it doesn’t make your pain worse then do it’
‘The aim is to improve pain’
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ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Dave talks with Tracey ‘The Sleep Coach’ about what leads to poor sleep and insomnia along with how you can change things to achieve good sleep
A good night’s sleep is the foundation for feeling good and being able to do what you want to do during the day so good sleep is always important
Tracey shares practical tips on what you can do to optimise your sleep so that the sleep you get during the night is ‘a good night’s sleep’ making you feel good and able to do what you need and want to do during the day
KEY TAKEAWAYS Sleep is very individual; some people require more sleep than others Optimise your sleep by creating the right environment There is no need to try to ‘catch up’ on missed sleep It’s important to keep doing the good things in life to take your attention away from any sleep issues A relaxed approach to sleep is the best way to achieve it An uncluttered room, a comfortable bed, a cooler environment, and a good wind-down routine are the starting points for good sleep Good sleepers can’t tell you how they sleep they just go to bed and sleep well Tracking sleep patterns only gives you information to hang anxiety on so stop clock watching your sleep and ditch the wearables There is not one position that is preferable for sleeping, it’s very individual and depends on several factors Sleep is an emotional process as well as a physical one and it’s not always linear Sometimes we lose our connection or get in the way of it but you can reconnect with your natural ability to sleep it’s something we never lose CBTi gives you a set of skills mental, emotional, and behavioural that you can use for the rest of your life
BEST MOMENTS
‘When you stop worrying about sleep it lowers your arousal level and you will experience better sleep’
‘There isn’t a return for trying to get more sleep than you need‘
‘Accepting that you may not sleep well takes the anxiety away’
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RESOURCES FOR THIS EPISODE
Tracey The Sleep Coach
Tracy The Sleep Coach Instagram
Sound Sleep Strategies Group Facebook
ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Rob and Dave are sharing invaluable content today as they explain some common imaging findings and how they would discuss them with their own patients
Having someone explain your scan to you is really important because, as Rob and Dave explain any diagnosis is made from a combining of the information from your medical history, your physical examination alongside any imaging
There are normal age-related changes that happen to everyone and the skill of the clinician is working out which changes are normal and what may be contributing to or causing your pain, listen in and find out more
KEY TAKEAWAYS The diagnosis your clinician makes is based on a combination of your medical history, a physical examination and this is then combined with your imaging An MRI, X-ray or CT scan can’t see your pain, they are a snapshot of how you look at that point in time Back pain is very common without there being any changes on a scan Interventions can be about modulating and reducing the pain If your scan comes back as normal it doesn’t mean you don’t have pain It’s a win and a great starting block if your scan comes back as normal Normal age-related changes (NARC) happen to everyone and are expected over time If you’ve been told you have a degenerative disc disorder it doesn’t mean your pain will get worse Focusing on incidental findings can mean focusing on the wrong areas, and not achieving the proper outcome Changes happen to everyone with or without pain. It’s working out if the changes are relevant or irrelevant Disc bulges can occur without pain and often it’s the location that’s more important Disc bulges happen very slowly over time and the disc doesn’t have to go back in for the pain to go away A scan is just a snapshot in time to be used alongside other information to discover the likely cause of your pain
BEST MOMENTS
‘The job of a good clinician is to describe the changes and explain them to you’
‘A scan is another tool in the arsenal to finally land on the conclusion’
‘There are often words in reports that can make you think the worst when not understood in the right context’
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ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Should I stop bending over?
We are taught early on about how bending or lifting must be done in a particular way to protect our backs but is there a right way to do it and is bending a trigger for back pain?
In this episode, Rob shares great content and the answers to the questions people are always asking about bending and its connection to stress and pain. He also explains how to build and prepare your body to help it adapt, listen in, and find out more
KEY TAKEAWAYS People often blame bending as a trigger for their back pain Your back can be hurt in the same way as any other part of your body It can be easy to become fearful about hurting your back There are always many factors to consider if you have back pain There is not a correct way to lift, although there may be an optimum Apply the rule of twos - Are you lifting too much too often after lifting too little for too long Bodies are amazing at adapting to stresses if they are prepared Stress is how the body grows and adapts It's all about building your body to cope with increased load
BEST MOMENTS
‘Our bodies really don’t like sudden change’
‘If you never bend from your back you can’t expect to be great at bending from your back, you have to prepare’
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ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Dave and Rob discuss a topic that reoccurs often in their Facebook community – MRI scans when to have them when they are not needed and using the right language to discuss them
This episode is a great reminder about the importance of explanation and the right language around MRI’s and how they are an amazing tool but only one piece of the puzzle when it comes to the diagnosis of back pain. Listen in and hear great informative information
KEY TAKEAWAYS Patients can often expect that an MRI is going to show them where their pain is An MRI shows everything that is happening under your skin A clear and skilful explanation of an MRI is vital Language is really important when talking to patients about their pathway to recovery Changes on your spine seen on an MRI do not corollate with pain and your spine deteriorating over time There are a thousand different reasons why back pain can flare up An MRI is looked at along with your medical history, pain, examination, and all other information An MRI is just another piece of the puzzle It’s a very good tool but not something that needs to be used as the first step with back pain unless there are red flags
BEST MOMENTS
‘An MRI works really well when used with the right patient at the right time’
‘MRIs are seriously cool and some of the best diagnostic imaging we have’
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ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
In this ‘ask us anything’ episode hear about pelvic tilt, asymmetry, and the answers to whether massage guns help and if core bracing is beneficial
Rob shares great content and clear explanations about what actions will make a difference and discusses the importance of movement in this informative episode
KEY TAKEAWAYS Pelvic tilt is commonly blamed by people for their pain Asymmetry is perfectly normal in the human body and doesn’t correlate with increased pain The body adapts best to being outside of neutral comfort zones Our bodies are designed to bend, lift, stretch and twist moving beyond the neutral zone The back benefits from load and this can reduce pain Massage guns help you to undertake soft tissue work Soft tissue work can help reduce pain for some people changing the input from a painful area of the brain If you want to increase blood flow to an area moving is the most effective way to achieve this is by moving Often core bracing is used in the short term Bracing for the first few days is fine but you should be exploring movement Often patients with back pain think they have a weak core but in reality, patients with back pain have an overactive core Deep breathing and movement can help with relaxing the core
BEST MOMENTS
‘Sometimes bracing your core can help you to initially achieve a movement with less pain’
‘What people have been avoiding can be the key to unlocking recovery and improvement’
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RESOURCES FOR THIS EPISODE
Adam Meakins Blog - Leg Length Differences
https://www.thesports.physio/the-long-and-short-of-leg-length-differences/
Mehmet Gem - Twitter - LLD and Pelvic Tilts
https://twitter.com/thehipphysio/status/1483178257319174145?s=21
Greg Lehman - Core Stability Episode
https://podcasts.apple.com/gb/podcast/the-back-pain-podcast/id1511515312?i=1000500403667
ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Rob Beaven goes solo this week and shares more great tips about changes you can make that will have a cumulative positive impact on your pain
He discusses why building resilience and becoming more anti-fragile really can make the difference and how making changes to your sleep environment and recognising the role stress plays in your pain can change your journey to recovery
KEY TAKEAWAYS A lack of sleep can have a negative influence on your pain and the quality of your sleep influences your body’s ability to repair Remove any electronic devices and make your bedroom your sanctuary Melatonin is responsible for controlling your sleep weight cycle and artificial light can cause disruption to this hormone Excess stress can be a trigger for pain Stressing or worrying about an injury can cause patients to experience pain There are many ways to relieve stress including walking, meditation, and yoga The fear of doing a certain movement because it’s painful can lead to fear avoidance and worry which can make the pain worse Avoiding a certain movement for a short while can help but graded return to the movement is important in recovery Pain is multifactorial there are many factors that lead to an episode of pain
BEST MOMENT
‘Poor sleep equals poor repair’
‘We sleep far better in colder darker rooms’
‘It’s incredibly common for our patients to experience pain around a time of extreme stress’
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The Back Pain Podcast The Back Pain Podcast website The Back Pain Podcast recommended products affiliate link Our Rode Mixer https://amzn.to/3waU8bx Our Microphones https://amzn.to/3rzSZ9 Second Microphone https://amzn.to/2ObKMeA XLR Cable https://amzn.to/3rBL8ZB Studio Headphones https://amzn.to/3u082LE Laptop https://amzn.to/3dhfafT Our webcam https://amzn.to/31uUefQ
RESOURCES FOR THIS EPISODE
Greg Lehman Article http://www.greglehman.ca/blog/2018/5/1/do-our-patients-need-fixing
ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
-Instagram -Twitter
SOCIAL MEDIA LINKS
Instagram Twitter Facebook
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Communication isn’t just words, it affects the way we think and feel and in this, not to be missed, episode Jarod Hall, physical therapist, and co-author of ‘Making Sense of Pain’ talks with Dave and Rob about the importance of communication and the way it impacts on us all differently according to our personal history, experiences and beliefs
He shares great content for clinicians about the ways to explain injuries and symptoms effectively and empathetically, along with great advice for patients about understanding more about their pain and personal journey of recovery.
KEY TAKEAWAYS Human beings are a social species and we communicate both verbally and in other ways When we use language we convey a lot of information Language and the way we speak to people has a huge impact on the way they feel Your physiology can change according to the words being used towards you You should communicate in a way that is helpful, not harmful Your thoughts affect your physiology and what people say to you affects the way your body functions and in turn the way you feel Exposure to painful stimuli and building over time with graded exposure can lessen the pain Clinicians need varied anecdotes to help different patients understand the processes of recovery Everyone is different and every interaction between clinician and patient means each person is bringing their experience and history and expectations to that individual situation It’s about working out the best way to interact with each other in the intersubjective space to achieve the goals Clinicians need to be able to assess when people are ready to hear what they have to say It doesn’t matter how great your stories are if you don’t have an open and respectful dialogue You need to ask permission to share your explanations as a clinician
BEST MOMENTS
‘When we communicate with someone in pain we need to be even more aware of the language we use’
‘As we age we all get wrinkles on the inside’
‘His book looks at many of the analogies and stories surrounding pain and how the language used impacts’
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RESOURCES FOR THIS EPISODE
Jarod's Book - Making Sense of Pain (Sticks and Stones)
https://amzn.to/3JKSjc0
Jarod Instagram
https://www.instagram.com/drjarodhalldpt/?hl=en
Modern Pain Care
https://modernpaincare.com/?doing_wp_cron=1641367942.7520160675048828125000
ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
In this special New Year’s episode, Rob and Dave say a huge thank you and reflect on some of their favourite bits from the last 12 months discussing back pain with the world’s foremost experts.
It’s been a successful year for the podcast because of the people who have reached out and asked the questions that have formed the basis for the episodes so if there is something you want to hear about back pain get in touch and help shape the episodes for the New Year
KEY TAKEAWAYS Everyone is an individual it’s about finding what works for you There are a range of styles of treatment Humans and their pain is not simple, pain is multifactorial and what you experience is based on many factors Individuality in pain should not be overlooked, you need to find the right combination for you Your body changes and something that doesn’t work at the moment may work in the future Therapists need to help patients to have self-management skills You should have self-management tools that mean you can help yourself Ask your practitioner what tools you need to self-manage when your back pain wakes you at 3 am in the morning
BEST MOMENTS
‘Humans are messy, not linear or cookie-cutter what works for someone else may not work for you’
‘If something doesn’t work for you it doesn’t mean your body is broken’
‘You need the tools to be able to help yourself to get better’
THE BACK PAIN PODCAST PROVIDER MAP - FINDING SOMEONE TO HELP YOU WITH YOUR BACK PAIN
https://thebackpainpodcast.com/index.php/members-map/
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The Back Pain Podcast
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ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Rob and Dave take a look at the question of the best sleep position to avoid back pain and explain what everyone can do to get the best quality of sleep
Ultimately good quality sleep plays an important role in any recovery so this should be the focus, getting the sleep is always more important than how you sleep, listen in and hear more
KEY TAKEAWAYS The best position to sleep in is the one that doesn’t cause you pain There is not a best position to sleep in to avoid back pain long term There is no evidence that adopting a specific position will help to improve back pain A big factor in any recovery is the quality of sleep You don’t often wake up in the same position as when you went to sleep because you move during the night If a position causes you discomfort then changing it for a short period can help A big factor in recovery is good quality sleep It’s all dependant on you and what’s comfortable for you as an individual Clinicians should be helping people to self-manage Your preferences may change over time in the same way your anatomy will change over time If you are thinking about a new mattress try out firm and soft toppers to find what works for you
BEST MOMENTS
‘Whatever makes you comfortable is the position for you’
‘Sleep is more important than how you sleep’
‘Find what’s comfortable for you whether it's firm, soft, hay, straw or rocks!’
THE BACK PAIN PODCAST PROVIDER MAP - FINDING SOMEONE TO HELP YOU WITH YOUR BACK PAIN
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The Back Pain Podcast
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Laptophttps://amzn.to/3dhfafT
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ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Rob and Dave continue their discussion around what they talk most about with patients on a daily basis.
In this episode, they bust the myths and misconceptions about whether your back is fragile and weak and look at the narrative around ‘putting your back out’
They share great information and content in a way that is easy to understand and explain how they work with their clients towards successful recovery building strength, resilience and adaptability
KEY TAKEAWAYS Your back isn’t fragile, the back is one of the strongest parts of the body Pain back can be some of the worst pain experienced so people become fearful of hurting their backs Our backs put up with a huge amount of stress on a daily basis The type of stress we put our backs through is a good thing The stress we place on our bodies is how we grow and get stronger, our muscles and joints require stress and work to grow Your back will become weak if you don’t use it at all because you won’t be exposing it to anything new Exposure to load is a really important part of recovery Breaking down a movement that is a trigger for back pain into small parts is part of effective recovery You gradually expose the spine and body combining the movements and adding load and as a result, get stronger Your back and body are inherently strong and adaptable if you put gradual and increasing stress on them False beliefs and misconceptions can mean that people become afraid of doing certain movements because they think it will put their back out Clinicians and therapists should be helping clients to improve their resilience and helping them to achieve improvement
BEST MOMENTS
‘We are strong, resilient and adaptable and put up with stresses very well on a day to day basis’
‘The stress and work we go through is what helps our backs to recover from injury’
‘It’s become a common narrative in our culture to see the back as being weak’
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The Back Pain Podcast
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Our webcam https://amzn.to/31uUefQ
ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Join your host Rob and Laura Rathbone, a pain specialist and clinician who in this episode talks about what it’s like to have chronic pain and how Acceptance and Commitment therapy can play an important role in being able to move forward.
There isn’t universal biology for pain, it’s a nuanced experience created in the individual. Pain has psychological experiences within it along with biological processes and physical experiences. Acceptance and Commitment therapy offers an approach that is focused on acknowledging the struggle and looking at changing a dimension of the experience. Listen in and learn more to find out if it may be the approach you need to help with your pain
KEY TAKEAWAYS You recognise the expertise of the person experiencing pain, they know their pain It’s about looking at the complete landscape of evidence to see if there is anything that can be used to help them with their pain The first conversation is a discovery session and beginning the process of working collaboratively Acceptance and Commitment therapy is developed as a third way of CBT and is a compassion-focused process-based therapy ACT is about acknowledging the struggle and looking at changing a dimension of the experience Pain has psychological experiences within it along with biological processes and physical experiences ACT has a structure and uses a person’s ability to self-observe their present moment, recognise where there are obstacles and take action We are using ACT to see if there is a way to create room for change It’s focusing on the principle of rehabilitation and moving flexibly with what life offers and staying connected to what’s important ACT is inviting people on a journey of exploration setting their own boundaries as to how they want to live well with the experience of pain and understanding that the pain may remain It’s about being willing to have the feeling to get to the stuff you want ACT is about trying to stay true to someone’s value-based action and stay in that moment of turning towards it An ACT informed approach to physical therapy is using the principle of rehabilitation in the moment with the added skill of managing the emotional distress
BEST MOMENTS
‘They know their pain more than I can ever know their pain’
‘I’m an MSK trained therapist looking to use psychological perspectives and skillsets within my therapy’
‘Pain is changeable it’s just by how much and how it is done’
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RESOURCES FROM THIS EPISODE
Laura Rathbone website
Pain Geeks
ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Dave and Rob are joined again by specialist back pain physiotherapist, Adam Dobson and are discussing spinal stenosis
They talk about what lumber spinal stenosis is and why for some it creates no problems and for others, it will mean treatment to alleviate symptoms and improve quality of life
Adam shares great information and advice on what to do if it does cause you problems and explains how exercise therapy and surgical decompression are used based on clinical assessment. This is a must-listen with great answers for people with lumbar spinal stenosis
KEY TAKEAWAYS Lumbar spinal stenosis refers to the lower back. The symptoms are defined as being positionally influenced or exertionally influenced Three-quarters of people over the age of forty are expected to have some degree of spinal space narrowing 11% of the population present with these problems but it’s not a sign of the body wearing out Some masquerading problems may not be related to the back at all Walking even with a degree of leg pain is not harmful if it's tolerable Bending the back for therapeutic effect should be encouraged There can be forms of general exercise, sleep and weight management that can help For most people, lumbar spinal stenosis is a long term problem The focus should be on quality of life function and exercise is a good first-line treatment It’s not about trying to change the tunnel narrowing it's about influencing the biology, how things feel and inflammation around the nerve roots. If the pain is acceptable then it’s fine to continue and working with a clinician can help to establish your personal baseline Surgery is often reserved for those with high degrees of disability and those who have already been through physiotherapy, it's rarely essential so preference plays an important role
BEST MOMENTS
‘There will be softer signs for spinal stenosis’
‘Narrowing doesn’t mean you will have problems’
‘I’m a big advocate of getting the back bending’
‘We are trying to make things feel better and improve the condition’
THE BACK PAIN PODCAST PROVIDER MAP - FINDING SOMEONE TO HELP YOU WITH YOUR BACK PAIN
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The Back Pain Podcast
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RESOURCES FROM THIS EPISODE
Spinal Stenosis Booklet
https://www.southtees.nhs.uk/content/uploads/Lumbar-Spinal-Stenosis-Booklet.pdf
South Tees NHS patient information booklets
https://www.southtees.nhs.uk/services/back-pain-triage-and-treat/patient-information-educational-resources/
Adams Twitter
https://twitter.com/adamdobson123
ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Rob talks with Diarmuid Denneny a lead physiotherapist, Chair of the Physiotherapist Pain Association, and member of the guideline development committee for the NICE chronic pain guidelines in an episode that shares great informative content about the topic that is currently very high profile – the recommendations around prescribing opioids for back pain.
Diarmuid explains what the recommendations are and discusses with Rob the vital elements of a collaborative approach and informed decisions along with alternative strategies in the effective treatment of pain where it’s all about starting small and building
KEY TAKEAWAYS The NICE guidelines are evidence-based recommendations for health and care The advice is to not initiate a prescription for opioid medication for chronic pain Opioids have a place in the treatment of shorter-term pain and for end of life care It’s about making sure that people who are taking opioids are fully aware of the potential side effects If someone is taking opioids at a low dose and is seeing benefits it’s about a shared care plan and the individual being fully aware of the risks It’s about informed choice and shared decision making with the prescribing professional There are many factors to consider and the conversation with the clinician at the beginning is key in a personalised approach It’s important to consider alternative strategies It’s always a collaborative approach between the patient and the prescribing clinician A range of strategies should be considered around the pain being experienced and what the individual wants to achieve There are factors that influence pain that are beyond your control such as the environment Pain is complex and there are elements we are aware of and many that we are less aware of and have less control over It’s about medication helping with the management and augmentation of pain
BEST MOMENTS
‘People expect that because they are called painkillers they will stop the pain but for most it’s a reduction in pain’
It’s not about stopping opioids for everyone
‘It’s starting small and building gradually
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RESOURCES FROM THIS EPISODE
Opioids Aware
Live Well With Pain
Footsteps Festival 2021 Facebook
ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Dr Mark Laslett is a specialist Musculoskeletal physiotherapist based in New Zealand with a particular interest in predicting the structure that is the source of pain. Adam Meakins is a physiotherapist and co-founder of the educational company ‘The Better Clinician Project’
In this much-anticipated discussion they talk at length about low back pain, Adam’s back injury, his recovery, deadlifting and spinal flexion along with lots, lots more
This is an episode with great content that you will want to listen to more than once
KEY TAKEAWAYS Our ability to assess and diagnose specific structures is challenging An injury with an acute phase, followed by easing off of pain and then the development of radicular pain syndrome is a common picture You manipulate the probability based on other factors Your diagnosis can change as you receive more information from the patient and as symptoms change The question is whether sometimes self-management should be augmented There could be another reason why someone has a mechanical restriction in a certain direction other than having a disc pathology I had differential diagnosis’s that were changing in the acute stages with it becoming more certain as time evolved You can’t get the extension back unless you correct the shift Using the mechanism of injury as a treatment is about strengthening those areas through exposure to the forces and stimuli that you will experience Flexion will temporarily reduce the amount of bulging but if you continue the bulging will increase When discs are hydrated there is a greater risk of herniation Flexion has not been seen consistently to be a causative factor to disc structure deterioration You cannot live a life without flexion and you have to restore it as part of your rehab
BEST MOMENTS
‘The evidence shows that on average people are 75% better in 3 to 6 months’
‘You should start flexion when it’s safe to do so’
‘Sometimes things need time just to calm down’
‘Sedentariness is a risk for disc deterioration’
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RESOURCES FROM THIS EPISODE
Adam Meakins
Website - https://www.thesports.physio/
Twitter - https://twitter.com/AdamMeakins
Instagram - https://www.instagram.com/adammeakins/
Mark Laslett
Twitter - https://twitter.com/marklaslett_NZ
ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Lots more questions from the community and more great answers in this episode from -
‘Everyone keeps telling me to move but it just causes me more pain?’ through to how to achieve more resilience and an explanation of the difference between chronic and acute pain
This is a chance to hear the answers to some of the most frequently asked questions and move forward in your recovery
KEY TAKEAWAYS If exercise for you is very high impact and intense it may be hard to go straight back into it at the same level You may need to break down your exercise activity into smaller steps A gradual increase over time means your body can adapt Break your chosen exercise down into pain-free components and start off small Graded exposure is key If you haven’t exercised for a long length of time then you may need to start back at the beginning Reduce the load on your body through time, range of movement and weight and build back up Graded exposure to stressful stimuli will develop your resilience Physical stimuli is about allowing your body to adapt and grow through increased exposure Increasing mental resilience about being able to go through the tough times and coming out the other side Engaging in exercise creates an abundance of mental resilience Acute conditions are sudden in onset while chronic is about the duration
BEST MOMENTS
‘You may need to take your exercise movement back to basics’
‘Graded exposure will get you there
‘The best exercise for back pain is something you want to do and will enjoy’
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RESOURCES FROM THIS EPISODE
Build Your Resilience by Donald Robertson
The Obstacle Is The Way by Ryan Holiday
Can't Hurt Me by David Goggins
ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
In this Q and A episode, Rob and Dave look at a question from their Facebook community about when you should return to work if you have back pain
They have great information about graded exposure to practise movement and help the back to adapt before you return to the workplace and they also share great tips on how to balance and vary your movement activities when you are at work so that your body can cope successfully with the demands you are making on it
KEY TAKEAWAYS If you first experience back pain at work you can associate it with being the cause of the pain The spine is designed to bend and lift Movement avoidance can result in fear around making any movement Short term avoidance can be beneficial for initial relief but it’s vital to get back to movement as soon as possible Bending is unavoidable as a part of everyday life You have to practise movement unloaded before you do the movement loaded You need to use graded exposure before you return to work or activities – slowly pushing the body and allowing it to adapt to the stresses Work out what the trigger movements are and change your movement to let your body adapt Choose a movement activity from work that you are hesitant about and trial doing it at home before you return to work You need to slowly retrain the body to cope with the demands of work Walking is a good way to start with weight-bearing on the spine
BEST MOMENTS
‘Use those joints that’s what they were made for’
‘You should practise movements’
‘It’s training your body to cope with the demands you put on it’
‘Sometimes the fear of movement can lead people to avoid movement’
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ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Rob looks at disc bulges and explains why for some there is little or no pain whilst others experience pain that impacts every aspect of their daily lives.
He discusses the key questions that can help in understanding an individual’s experience of pain and explains how slow and subtle changes to the body are perceived very differently from sudden changes, which can be interpreted as a threat and experienced as pain
This is a hugely informative episode that will help anyone understand more about their disc bulge, experience of pain and successful recovery
KEY TAKEAWAYS The pain can have taken over your daily life Having a discussion with your clinician about imaging findings is a key part of the recovery process A clinician may ask about fears, beliefs and understanding around pain to help them understand more A good opening question is ‘what do you think is the cause of your pain?’ Do you believe this pain will ever go away? The conversation and approach with a patient will vary according to how this question is answered Most people walking around have disc bulges, some have no pain some have lots of pain When load is experienced as too quick, too strong, or too often, the brain can interpret this as a threat and pain can be experienced If the stresses are applied gradually the joints and tissues have the chance to adapt and get stronger
BEST MOMENTS
‘People who have been in pain for a long time may believe it will never go away’
‘There are many factors that impact on someone’s experience of pain
‘Two MRI scans can look identical but one person is in agony and the other has never suffered from back pain’
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ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
This is a patient story with a twist because the patient is practitioner Dr Jacob Harden, a chiropractor based in Florida
He shares a unique insight into his journey living with and recovering from sciatica and discusses managing pain and the impact on his mental health.
There are lots of great takeaways from this episode with great advice on how to track your progress and get back to daily routines and activities a step at a time, if you have sciatica this is a great reminder that recovery is a journey and reducing provocative behaviours can make a huge difference
KEY TAKEAWAYS The neurological symptoms were an indication that this was not going to be a quick fix Any MRI is just one piece in the jigsaw and any scan needs to be carefully explained I’ve got better little by little and overall, I’ve come a long way List all the daily activities you are struggling with and work on achieving them Work with the tolerance of your body at the time to expand your capabilities Regulate on a day by day basis and moderate and adapt when needed Accept that pain is part of the process and that it will improve over time, your role is to control the process Changing your mindset and tracking the small wins can impact positively on recovery Pain reduction may not be a reflection of the progress being made Objective markers and finding a metric outside of pain numbers can really help with understanding how you’ve come Mood affects outcomes and pain can be the catalyst for emotional distress Pain is part of it and understanding how it’s impacting on living your life can help with moving forward Take it step by step if you are progressing, you are moving in the right direction, it’s an evolving process
BEST MOMENTS
‘Every time I shifted from one side to another there was pain’
‘Self-reflection and recognising where you are and how you are feeling about the pain can help in moving forward’
‘An MRI is just a single snapshot of a moment in time’
‘Take time to talk to others about how you are feeling’
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RESOURCES FOR THIS EPISODE
Dr Jacob Harden Facebook
Dr Jacob Harden Instagram
ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
In this episode, Jared Powell host of ‘On the Shoulders of Giants’ YouTube channel oversees a fascinating discussion with Greg Lehman and Andrew Lock who are debating lifting techniques and lower back pain
Both hold strong opinions and share great insights into their personal position and why they hold the opinions they do in this insightful and absorbing discussion
Whether you are lifting a box or lifting weights this is a discussion worth listening to before you make up your own mind.
KEY TAKEAWAYS The research done to date doesn’t really answer the question Very few injuries are the result of a single event, it’s accumulated micro trauma Movement is neurological skill acquisition and rehabilitation is teaching the skill to move efficiently and effectively There are a set of noble principles with variables that can be used to produce a safe lifting technique When we lift we are using we are using our body levers to move load and doing it as efficiently as possible We have bodies that vary and principles need to be applied to the individual, strength is specific and lifting is specific to the task All coaches say they work on best technique according to the individual We can all recognise that we are different and can look at the research and come to different conclusions Lifting is about the hip axis and you need to maximise the torque Get into the position where the hips are in the primary focus When people compare different spine models there is an issue because the biomechanics disagree You have to earn the right to change the position Transference of movement beyond the gym is an important aspect of biomechanical function Strength is a skill and skill comes from practise, perfect practise produces perfect skills that can be transferred into daily life Biomechanical injury is not random, it’s observable, it’s assessable and predictable Physics governs us all You need to learn to move in the best fit pattern for your body
BEST MOMENTS
‘This debate has never been settled’
‘There cannot be one lifting position it’s preposterous’
‘Spinal flexion is a beautiful thing
‘That there is only one best lifting position is said by no one’
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RESOURCES FOR THIS EPISODE
Find Greg on Twitter and Instagram @greglehman
Find Andrew on Instagram @andrew_lock_strength
Link to the debate on YouTube
https://www.youtube.com/watch?v=ciCDko6JGaQ
Jared Powell - Shoulder of Giants YouTube Channel
https://www.youtube.com/channel/UC9WC27yg4Y8gAwLI64cilug
ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Rob and Dave are joined by Dr Ollie Thomson and one of his patients, Paul, who shares his experience of complex back pain and his journey to recovery.
Following back surgery, Paul experienced chronic pain resulting in him seeing a number of different practitioners in his quest to successfully recover but as he explains in this fascinating episode it was working with, Dr Ollie Thomson, a professional who helped him to understand the mental aspect of his pain that changed his mind set and finally put him on the road to successful recovery.
KEY TAKEAWAYS Persistent pain can become part of your identity and this is especially true of back pain Everything comes from your back and you think if your back is strong you are strong I was looking for a magic fix because I felt there was something fundamentally wrong As a professional, using movement to explore fears, beliefs and threats means you are in a better position to create positive new habits with the patient I needed to be in the right place to understand that I needed to work at it to successfully recover It felt like I had a team that made me accountable but also cared and thought I would get better Thinking about it differently and being focused is what got me out of the situation and a shift in my mindset played a huge part in my recovery You can be very low and feel considerable pain but you can come back from it It’s a constellation of experiences and factors that create someone’s pain experience and situation Overly medicalising back pain and giving it strong anatomical connotations makes people more fearful Trying to make sense of backpain through autonomy and structure can change how people behave It’s about how practitioners communicate with patients to understand their pain experience It’s vital to take the time to listen and speak with the patient, taking a therapeutic approach It’s the role of the professional to guide patients to being able to self-manage their pain and their recovery themselves
BEST MOMENTS
‘Providing positive explanations can help with looking at things from a different perspective
‘The mental aspect of having a back issue was really difficult to deal with
‘I was doing a lot of nothing because my belief was that my back was weak because of the pain’
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ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Rob and Dave are talking with Rebecca host of the ‘Better Doctor Project’ podcast about misinformation and how getting the right information can be life-changing
They discuss some of the misinformation they encounter most frequently and how to move forward from it
Pain equals damage and the human body being fragile are common misconceptions that can result in people stopping activities and movement but Dave, Rob and Rebecca share great advice and content about the information you should be listening to in this informative episode
KEY TAKEAWAYS The most misleading information is that pain equals damage but this is not true Because people are worried they stop moving You can have immense pain and little damage and immense damage with very little or no pain Pain is a warning sign but doesn’t mean there is damage Its misinformation that the human body is very fragile but we should continue to move and develop strength It’s a misconception that during pregnancy you should stop exercising. Exercising during pregnancy is a positive People seek out the narrative to support their bias, whatever that may be It’s important that professionals keep their knowledge and continuing professional development updated You can never attack or degrade another practitioner when you speak with a client you are getting the information third or fourth hand Your approach may be different to the previous practitioner but it’s vital the client is on board You need to meet the client where they are at currently and never devalue any previous experience Add in good advice and treatment instead of starting again
BEST MOMENTS
‘Society has led us to have preconceived misconceptions’
‘Just because you have thirty years’ experience doesn’t mean you have something better to offer than the young practitioner’
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RESOURCES FOR THIS EPISODE
Better Doctor Project Podcast
ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Dave Skolnik, Doctor of Physical Therapy and co-host of ‘The Essential Strength’ podcast discusses if lifting could actually be good for our backs and how to build resilience
As Dave says in reality “lifting is a non-optional part of the human experience so you might as well get good at it” and in this episode, he shares how you can use exercise to prepare your body for life both physically and mentally and how to take the right steps to becoming more healthy
Get started with purposeful movement and you will be on track to discover what strength means for you and how you can build functional reserve and a healthier life
KEY TAKEAWAYS Lifting within your personal strength is not bad for your back People see lifting as an optional activity but lifting things is an inescapable part of human life Exposing yourself to strength training reduces the risk of injuring yourself in other areas of life When you have grade exposure you build your functional reserve, your res Most of the time people hurt themselves on their maximal effort point, they surpass what they are capable of For each individual person, there is an anatomically ideal way for them to perform a lift Finding your optimal form and building strength will help to reduce the risk of injury Strength training in multiple planes of motion is overlooked but can make a huge difference Exposure to lateral movement is important There is increasing research about the protective benefits of physical fitness and the neuroprotective benefits of resistance training to achieve optimal ageing The person who is twisting, stretching, bending, and flexing is at less risk than the sedentary person who is sitting as their pelvic floor weakens It’s not bending over that is harmful, it’s bending over when you are not prepared If you want to get started with moving find a good coach With the right intention, you can use your own body weight to effectively train at home Reduce the barriers by starting with small movements that you can then build-up
BEST MOMENTS
‘Lifting weights is optional, lifting things is obligatory you are going to have to bend over and pick something up at some point’
‘Bending and lifting and twisting is what the back is designed to do’
‘Now is the time to start exercising, create some early stage, not perfect but done movement and you are exercising’
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Dr David Skolnik Instagram
The Essential Strength Podcast
Stronger in Motion website
ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
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CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
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Dave and Rob answer questions from their communities and in this episode look at what it means when your practitioner says, ‘It’s all in your head’ and share great advice on how pain works and the individual response to it
If you are concerned about your posture and think it’s contributing to your back pain will a posture correction device help? Dave has great advice and a clear explanation of what you can do to positively influence back pain
They also answer a frequently asked question about sciatica and sex, listen in and find out more
KEY TAKEAWAYS It’s the brain’s job to decide if something is painful or not and technically all pain is in your head Your pain is real for you and it’s important that it’s validated You can’t fail physiotherapy or other professions it just means you need to look for a different approach Movement is a positive influence on back pain, movement is key from a neurological, physiological, and chemical point of view Gentle movement is what makes the difference It’s normal to have symptoms after surgery because the nerves still need to heal When a nerve is irritated it changes its state so it takes time to return to being healthy Nerve healing is different for every individual but diet and systemic health play an important part in optimum recovery Your interpretation and reaction to pain will influence your healing time If you can take a ‘top down’ approach and view yourself then you can influence your healing Sciatica does not mean you can’t have sex there it’s about whatever is most comfortable There is no particular position, it’s about finding the position that works best for you Any sexual dysfunction can be a sign of cauda equina and you should seek medical help
BEST MOMENTS
‘Freedom to fidget – you should be moving as much as possible
‘Nerves take time to return to their resilient structure’
‘Everyone has different rates of healing
‘Grab a Karma Sutra and work your way through’
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ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
This is the third instalment of the mini-series covering everything Rob and Dave think everyone should know about back pain and looks at what you should expect from a good consultation. Adam Dobson, specialist physiotherapist discusses the five things you should expect from any good consultation from being listened to through to a comprehensive recap. There is lots of great advice to take away and make great practical use of if you are attending a consultation so this is a must-listen
KEY TAKEAWAYS
The clinician should invite you to tell you your story- they will want to understand what’s important to you, the impact of your problem and what your current understanding is
The clinician should create a space where you can feel listened to
You should be asked what your expectations are and through discussion, goals should be established and agreed
The patient and the clinician should be on the same page
When someone has a belief about something for a long time this has to be recognised
The conversation should be sufficiently challenging but not make you feel uncomfortable
A lot of information is gained from taking a detailed history
The clinician will want to examine the body part with the issue and also undertake a movement examination
There may also be specific tests relevant to particular tissues and nerves
The clinician should do a recap including the nature of the problem, why it’s hurting and biologizing what’s going on
It’s about the collaboration between the knowledge of the patient and the knowledge of the clinician
BEST MOMENTS
‘A good clinician should be a good listener’
‘You should be developing a rapport and be on the same page as your clinician’
‘A good clinician will explain any findings as they go along’
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RESOURCES FOR THIS EPISODE
Patrick Carroll blog: oldquaterphysio.ie
Adam Twitter: adamdobson123.
Adams Website: NHS South Tees
https://www.southtees.nhs.uk/services/back-pain-triage-and-treat/patient-information-educational-resources/
Greg Lehman “Bigger Cup” analogy blog post http://www.greglehman.ca/blog/2018/5/1/do-our-patients-need-fixing
ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Rob is joined by Jack March as they discuss Osteoporosis and its impact on back pain.
https://rheumatology.physio/
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ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
People are now thinking about holidays and you might be worried that your back is going to slow you down before you even get there so Dave shares great tips and advice for those with back pain who are travelling
If you plan ahead and use Dave’s super simple tips for pain-free travel you can reach your destination in better shape and with less pain
KEY TAKEAWAYS Plan ahead - if you know that sitting in one position aggravates your back pain then plan to move around at points during your journey If you are flying or travelling by train try and choose an aisle seat so you can stretch and move Keep muscle action going by moving every thirty minutes if you can If you are driving take regular stops to walk around The more you can move stretch move and wiggle in your seat the better you will feel at the end of the journey Finding a comfortable position that suits you is key It’s your pain and how your body best rests to avoid it. Go with what your body tells you Make sure you hydrate and keep your body’s systems running at optimum If you are travelling with others, don’t suffer in silence tell them what you can and can’t do. Let people know you have back pain so you can get as much help as possible through your travel plans
BEST MOMENTS
‘For some, the thought of sitting for an extended period during travel can cause anxiety
‘Don’t stagnate in your seat if you know it will cause you aggravation’
‘Walk, lunge, waddle and prance your way up the aisle if you can do so’
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ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Rob goes solo in this episode and is talking about fear avoidance behaviour – when you avoid certain movements due to pain and how it can be overcome.
He discusses how it’s possible for fear-avoidance behaviours over an extended period of time can ultimately lead to increased sensitivity and pain and how to break the cycle
Fear-avoidance behaviours are often seen with lower back pain so this is an episode many will resonant with and is packed with great content on how to move forward successfully.
KEY TAKEAWAYS Fear-avoidance behaviour is avoiding a certain movement because it hurts Avoiding a movement because it hurts is part of the body’s protective mechanism It’s natural to think that resting and avoiding the movement will help with recovery but the opposite is true Long-term avoiding the movement can mean you become even more sensitive to the movement and this can result in increased pain You can become trapped in a vicious circle and this is especially common in lower back pain When a movement is avoided for an extended amount of time then the brain can become conditioned to create pain based on thoughts, fears and belief If you haven’t completed a specific movement in a very long time there can be a significant amount of anxiety around making that movement Breaking the cycle of fear-avoidance behaviour is very important as it can lead to anxiety, depression, a decreased quality of life and persistent pain Graded exposure therapy is about slowly exposing someone to something It involves gradually and repeatedly exposing the mind and body to painful stimuli to retrain the brain
BEST MOMENTS
‘When a movement hurts, we avoid it and its totally normal’
‘Understanding the movement is normal and that the spine is meant to bend and lift is vital’
‘You need to understand what pain is and that the body can generate pain in response to a perceived threat’
THE BACK PAIN PODCAST PROVIDER MAP - FINDING SOMEONE TO HELP YOU WITH YOUR BACK PAIN
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The Back Pain Podcast
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ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Rob and Dave talk about all things MRIs in this episode and share great information on the role and importance of MRIs as part of the medical diagnostic toolkit for back pain
They also discuss why it’s the reporting and lack of presentation that can be the problem and how this information must be used in correlation with other symptoms for a working diagnosis.
If you have ever wondered why, you weren’t offered an MRI, refused one when you asked or want to understand more about MRI’s and back pain then this is the episode for you
KEY TAKEAWAYS An MRI is a fantastic diagnostic tool it’s the reporting or lack of reporting that can be the problem An MRI shows everything that is under the skin and most people will have something that can be blamed for the pain Standardising the regular use of MRI’s can potentially lead to attributing some normal age-related factors with pain and going down the wrong route It’s about the correlation with your other symptoms and looking at the overall picture of presentation It’s important to make sure that information is carefully shared so there is an understanding MRIs are an incredibly important part of the medical diagnostic team but it’s about being careful about how the information is disseminated Therapists know from the assessments they complete what the red flags are and what they are looking for A ‘just in case’ MRI can be confusing because it shows everything With an MRI you must take into account all the other diagnostic information A red flag raises the suspicion that there may be something else going on, but it doesn’t mean there actually is anything to be concerned about If you do self-refer for an MRI, then take the report to your professional
BEST MOMENTS
‘It’s the presentation or lack of proper presentation to the patient that is the problem’
‘We know pain is multifactorial’
‘Therapists are really good at knowing what the red flags are’
‘Words and presentation have to be chosen carefully’
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ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
In the first episode of this mini-series, Rob and Dave begin the discussion about what everyone should know about back pain by looking at pain.
Pain is real for anyone who is suffering with it but Dave and Rob explain why it doesn’t always mean damage and how the brain can both up-regulate and down-regulate the experience of pain. Listen in and learn how your experience of pain is impacted by your prior experience and attitude and how to make positive changes.
KEY TAKEAWAYS People equate pain with damage but this is not necessarily the case The definition of pain is an unpleasant sensory or emotional experience in relation to actual or potential tissue damage When your brain perceives a potential threat the only way it can tell you is by creating pain Pain is totally controlled by the brain and your brain can up-regulate and down-regulate pain signals The brain takes into account many factors including previous experiences Your brain can override if it has something else it’s focusing on We all have the ability to reduce pain we just have to learn how to harness it There are many different nerves in the body and they are activated by different stimulus. All information from your nerves is sent to the brain where it is decoded Having pain doesn’t mean there is any damage The brain can up-regulate or down-regulate what you experience, based on your experience, outlook and attitude Pain can have many, many triggers but the pain is real and the experience of it is the same You can manage pain and there are lots of ways to do this.
BEST MOMENTS
‘Your pain is real, if you are feeling pain it is real’
‘You are able to influence how you react to and manage your pain’
‘Pain is real for anybody who is suffering from it
EPISODE RESOURCES
Monty Lymans Book - The Painful Truth Link
https://amzn.to/3j0lHhZ
Sticks and stones book
http://www.therapteuticalliance.com/store/p2/sticksandstones.html
FINDING SOMEONE TO HELP YOU WITH YOUR BACK PAIN
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The Back Pain Podcast
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Studio Headphones https://amzn.to/3u082LE
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Our webcam https://amzn.to/31uUefQ
ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
SOCIAL MEDIA LINKS
CONTACT US
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Any treatment plan needs to be one that works and in this episode, Dave and Rob
share a great overview of what to look for to get the best therapist for you as an individual.
Because we are all completely unique and individual every good therapist will create a personalised treatment plan, designed to achieve the goals and outcomes you have discussed together.
Listen in and hear about the key things to look for so that you get the therapist that is the right one for you
KEY TAKEAWAYS Every treatment is different and can take different amounts of time and may have different responses because everyone is individual You should leave every session feeling better in your movement, pain and outlook Is your therapist installing a positive outlook about your pain and your outcome? Have an agreed goal with your therapist, an end goal that you are both working towards Any therapist should give you the time to ask questions and answers may change the treatment plan Whatever the treatment the therapist should be able to tell you the reasons why they are doing it The opportunity to speak and talk is vital A therapist must listen carefully to what you are saying and actively focus on what you, the patient, are saying Building rapport and a relationship between the patient and the therapist is vital There needs to be an active component to any care along with the passive care The active care is the things you can do yourself; the passive care is what is done to you. Your practitioner should be giving you the tools and educating you about your condition and treatment
BEST MOMENTS
‘If they pass our tests chances are they are able to provide the best quality care that works for you’
‘Optimism and outlook are as important as treating the function and the pain’
‘We want to update and bring you into the treatment because we know that’s what works’
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ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Anti-fragility is the next level in resilience and creating robustness, it’s about not only bouncing back but bouncing back better and stronger.
Rob and Dave explain the concept of anti-fragility and why it can make the difference for back pain with graded exposure to stressors helping you to develop better adaptation to the unknown stressors we all face each day and brings growth on the other side of stress.
This look at a philosophical concept is a great reminder about the importance of both the mental and physical aspects of recovery.
KEY TAKEAWAYS Improving resilience is about improving your response to stress You need to develop more resilience and become more adaptable You get stronger when you stress your muscles during exercise If resilience is about your ability to resist stressors and being able to remain the same in response to stress Anti-fragility is the ability to get better in response to stress The daily stressors that we face are unknown so we need to get better at adapting to them Anti-fragility is about growing and getting better through adaptation to stressors It’s about growing on the other side of the stress If responses to stress make us stronger then the opposite is true with a lack of stressors meaning we get weaker Graded exposure to stressors is vital in becoming stronger Your adaptation doesn’t just have to be cellular it can be mental as well Graded exposure to pain through repeated movement can be very helpful The mental model of anti-fragile can be applied across all areas of life It’s about moving better and being able to bounce back better and stronger
BEST MOMENTS
‘The back pain podcast is sneaking in some philosophy’
‘The mental side is as important and sometimes more important than the physicality’
VALUABLE RESOURCES
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Antifragile: Things that Gain from Disorder - Nassim Nicholas Taleb
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Physiotherapist Adam Meakins gets into the detail about what good exercise is and how the right exercise can help individuals to build strength
In today’s society, humans move less but it’s really important to move more - that’s what humans are designed to do and Adam explains how exercise exposes you to effort, challenge and difficulty and means you are more robust and resilient to all challenges in this focused and informative look at why exercise really does make the difference
KEY TAKEAWAYS Exercise is anything that is effortful and challenging and physical activity is something that is not effortful The world health organisation guidelines recommend a minimum of 300 minutes of exercise per week The sessions of exercise need to last for longer than ten minutes The recommendation is for at least two sessions of resistance-based exercise weekly covering all muscle groups in the body Resistance can be applied by an external force or the body Exercise makes things better by initially making things worse When we exercise we cause adverse reactions - blood pressure rises, stress increases hormones are released and micro-damage to muscle tissue is caused. Exercise triggers processes that are positive responses and means our bodies super compensate Exercise helps to reduce a multitude of pain even though we don’t fully understand how You can’t avoid pain but you can reduce your risk through exercise Exercise exposes you to effort, challenge and difficulty and this means you are more robust and resilient to all challenges Exercise helps people both physically and psychologically There is no such thing as a bad exercise only those that are poorly prescribed Attaching meaningful goals to exercise can be motivating Any movement is a dynamical system and all human movement is dynamical
BEST MOMENTS
‘What exercise is can be defined by being effortful’
‘Exercise helps to repair our DNA’
‘Good exercise is something that makes you feel good’
VALUABLE RESOURCES
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The NAF Physio podcast
The Sports Physio
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Zoe Clark, osteopath and educator with a special interest in Axial SpA talks about the condition and how although it affects around 1 in 200 people in the UK currently the average time frame from getting symptoms to diagnosis is eight and half years.
As a professional treating patients Zoe is also someone with Axial SpA and in this episode offers great advice and information on this condition, a common cause of non -specific back pain and discusses both the symptoms that can be indicators and the possible reasons there is such a lack of awareness leading to the very extended diagnostic timeframe.
As always with The Back Pain Podcast, there is great content that will help anyone increase their understanding
KEY TAKEAWAYS Axial SpA is a type of inflammatory arthritis and is generally inflammation in the body One of the first symptoms can be back pain and it affects 1 in 200 people in the UK Axial SpA is the umbrella term and MRI scans now help identify the specifics With inflammatory back pain, the symptoms usually get worse when you are still and better when you move Axial SpA can affect different areas of the body including the skin and the digestive system Putting your shoes and socks on can be the point when you experience pain Blood tests combined with symptoms and X rays all help with diagnosis The average time, in the UK from getting symptoms to diagnosis, is eight and half years A combination of factors contribute to the extended diagnostic timeframe It’s a common condition in the general public but there is a lack of awareness with people putting their symptoms down to injury Most people take anti-inflammatory medication Exercise and movement are the best things you can do. Find something you love and do it regularly Lots of people find manual therapy really helpful Stopping smoking will make a huge difference Smoking increases the risk of joint changes and other health conditions and the effectiveness of medications Give yourself time to process and accept the diagnosis
BEST MOMENTS
‘Most people manage with anti-inflammatory medication combined with exercise’
‘If there is one thing you should do with Axial Spa it is to stop smoking
‘NASS is a great source of information and resources for anyone with Axial SpA’
VALUABLE RESOURCES
The Back Pain Podcast
The Back Pain Podcast website
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NASS website
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Rob is a guest on the ‘Sports Therapy Association podcast’ and discusses the five most common misconceptions connected with lower back pain.
Rob discusses posture, manual therapy, MRI’s and whether pain always equals damage along with the language used in the consulting room and the importance of building the right narrative.
He also shares great content and information about the range of tools available for recovery and the importance of building a relationship with the patient.
This is a great listen and anyone listening will learn something new.
KEY TAKEAWAYS There is a misconception around the role of chiropractors A chiropractor has a myriad of tools at their disposal Your identity is what you do on a regular basis Chiropractors have evolved in what they do You must never ignore the patient narrative Lower back pain is usually multi factual and is rarely done to a single structure Our job as therapists is to encourage the narrative that you are strong and stable It’s vital to build rapport with the patient and you need to have this skill as a therapist. The vast majority of lower back pain is non-specific this doesn’t mean we don’t know the cause more that we can’t identify the specific structure So many factors influence the brain’s role in pain Addressing back pain has to be a multi factual approach Posture -it’s not the position it’s the lack of movement that causes the problem The problem isn’t with MRI’s is the poor reporting to clients. An MRI is a snapshot of what’s happening at that moment and results should be shared correctly with the patient. Previous beliefs can impact hugely on the journey of recovery
BEST MOMENTS
‘We wanted to get the voice of the patients out there’
‘All the tools are very valuable’
‘People who spend time thinking about posture are more likely to suffer from backpain’
VALUABLE RESOURCES
The Back Pain Podcast
The Back Pain Podcast website
The Back Pain Podcast recommended products affiliate link
Our Rode Mixer https://amzn.to/3waU8bx
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Our webcam https://amzn.to/31uUefQ
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
If you have been told you have failed physiotherapy what does it mean and what can you do about it?
Dave and Rob share great content about the many different tools that help with recovery and why everyone needs an individualised approach to support effective recovery. It can take repetition, trial and error to find the right combination and your therapist should be talking to you to understand what the right approach is for you because - can a patient fail manual therapy…absolutely not, can a manual therapist fail a patient …definitely.
KEY TAKEAWAYS It’s not a condition or diagnosis to say you’ve failed it’s a confusion between professions and treatment Professions use lots of different things to help with recovery. They are your teacher and guide to getting better The physiotherapy techniques that have been used haven’t been utilised effectively It’s not that the patient has failed it’s that the technique hasn’t worked at that time There are a myriad of different approaches and there has to be an individualised approach If a patient is given a label it can become part of their identity It’s a multitude of different things working that stack up to make recovery successful and it can take repetition trial and error to find the right combination. If a clinic is taking a ‘cookie cutter’ approach with the same treatment for every patient it’s a red flag Every therapist should talk with you to understand what the right approach is for you.
BEST MOMENTS
‘It’s quite a shocking statement to read’
‘As humans, we all need different things to get to the end goal’
‘Different people with the same treatment will all have different outcomes because what works for one person may not work for another’
VALUABLE RESOURCES
The Back Pain Podcast
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Laptophttps://amzn.to/3dhfafT
Our webcam https://amzn.to/31uUefQ
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Clare joins Rob and Dave and discusses her own journey of treatment and learning around sciatica
She explains how trial and error is a vital part of recovery and why mindset and belief play an important role in getting well.
This is a journey that many will resonant with and Clare shares some key points that altered her thinking, impacted positively on her recovery and have led to success.
KEY TAKEAWAYS My stoic attitude helped because it was a routine but battling through and just putting up with the pain was detrimental I’ve been the one who has made all the discoveries because nobody told me anything If you are changing how you think about things you are changing the neural pathways You have to have an open mind and consider everything I discovered my body didn’t move in the way it should do, years of pain had led to overcompensation and I was stuck in a vicious cycle of pain Exercise and movement are two of the most important things for pain My brain said to certain areas of my body don’t move because it will hurt creating internal fear avoidance I’m now tricking my brain to make myself believe I’m well and healthy and to calm my central nervous system We are all unique and individual and this is the same with the pain we experience Engaging people around you and helping them to understand will help you Everything matters when it comes to pain because of how it impacts People can get well; it is possible to recover but people need to understand that their pain is their responsibility
BEST MOMENTS
‘It’s all been about me being curious and wanting to find out about my body’
‘When people keep telling you there is nothing wrong it makes you want to scream’
‘You have to try things, trial and error is a massive thing’
VALUABLE RESOURCES
The Back Pain Podcast
The Back Pain Podcast website
The Back Pain Podcast recommended products affiliate link
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ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Rob and Dave talk with Chad about aspects of manual therapy techniques covering everything from massage through to joint based techniques.
They discuss how manual therapies work as tools for the clinician with the mechanisms impacting both directly on the site and influencing the spinal cord and brain.
If you believe it and want it bringing this together with the mechanisms of manual therapies can improve outcomes and this informative episode will help anyone understand better how and why manual therapies can be part of the solution
KEY TAKEAWAYS Manual therapy involves the skilled use of the hands to decrease pain and increase the range of movement It can be a range of different techniques Joint based techniques, soft tissue techniques and nerve based techniques all makeup manual therapy The techniques have mechanisms directly impacting the site and also influence the spinal cord and the brain. You need to find the right clinician; it should be someone you trust Manipulation frees up endorphins that are associated with pain relief Following manipulation, the feeling of well-being is recognised as being from the endorphins and influence the brain and how it controls pain modulation Contextual factors also play a role in improving patient outcomes If you believe it and want it and really think it’s going to work its likely to work It’s about matching the expectations of the patient and working together towards the goals Manual therapy is recommended and in conjunction with other treatments, it can aid recovery. Research indicates that massage results in a large dopamine release along with serotonin.
BEST MOMENTS
‘Manual therapy is a lot of things and it has a bit of an identity crisis’
‘Shared decision making is finding a common joint belief that will help the patient’
‘As clinicians, we need to open the window of opportunity for manual therapies’
VALUABLE RESOURCES
The Back Pain Podcast
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Chad Cook Twitter
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Dave goes solo in this episode and discusses the long-held and widely shared idea that
your back pain, neck pain, headaches, hip pain whatever it is have been caused by your posture.
He delves into the question around what is and isn’t ‘good’ posture and looks at when posture plays a role and when it doesn’t.
Listen in to find out exactly how your posture affects your pain and what you can effectively do to help your pain.
KEY TAKEAWAYS The research says sitting up straight isn’t correlated with less back pain People who slouch are less likely to have back pain than those who are trying to sit up straight Posture is only significant when you are not able to change the position you are in when your position is fixed It’s the inability to move out of a fixed position that is likely to cause pain There is no evidence of a particular posture causing pain Posture is a lot about conforming to society norms Your body is designed to move so let it move If it is within your body’s pain-free movement let your body do its thing Your posture does not correlate with pain in the future The best advice for back pain is to move In the short term, position might be important but posture has been proven to not be the cause of pain.
BEST MOMENTS
‘Your posture is reflective of a particular moment in time’
‘Your position is not dependant on your pain outcome’
‘At some point, your posture may have been blamed for your pain’
VALUABLE RESOURCES
The Back Pain Podcast
The Back Pain Podcast website
The Back Pain Podcast recommended products affiliate link
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Studio Headphones https://amzn.to/3u082LE
Laptophttps://amzn.to/3dhfafT
Our webcam https://amzn.to/31uUefQ
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
This is the first of the ‘Ask Me Anything’ episodes and includes great questions from listeners covering diverse aspects around the subject of back pain.
Hear about red flags and how your clinician is trained to consider what the signs may be indicating whether you should be requesting a scan or surgical referral and what to do if your exercise is causing pain.
This is an episode packed with actionable content that is clear and concise helping anyone who is suffering from back pain understand more.
KEY TAKEAWAYS If a particular intervention isn’t harmful and gives you benefit even though the evidence says it doesn’t work you could continue to use it. We started this podcast because we love chatting about backpain and sharing information along with busting some myths. We wanted patients to be able to take the information and act on it A red flag is when something raises the index of suspicion It may require further investigation, a referral, deeper questioning Clinicians are trained to go down the rabbit holes and consider what the signs are indicating Scans are often used to rule out things Being referred to a surgeon doesn’t mean the outcome will be surgery Interventions are dependent on the individual patient Pain from exercise should be kept low, the exercise shouldn’t be causing pain or a flareup afterwards Sometimes exercise can change the pain and if repeated movements result in a positive change to the pain then you should be doing it A partner can help if you explain what you can or can’t do, it’s about good communication The Stand Up App is great for reminding you to keep moving throughout the day The Headspace App is a great App helping with mindfulness and meditation
BEST MOMENTS
‘We break down what is a hugely complex subject into more realistic language’
‘For my own learning the podcast, it’s been invaluable
‘Talk, talk, talk it’s so vital’
VALUABLE RESOURCES
The Back Pain Podcast
The Back Pain Podcast website
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Headspace
Stand Up!
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Previously Rob and Dave have shared great content on how to prepare yourself before visiting a professional such as a physiotherapist or chiropractor and this week it’s all about what questions you should be asking when you are in the consulting room with your clinician.
This is about getting the most from your consultation so that you can be involved in your recovery and have the tools to manage your pain and recovery outside of the consulting room.
KEY TAKEAWAYS Write down your questions before you go to your consultation, questions are an important part of your consultation. Asking your therapist what you can do to manage your pain is vital, you need tools that you can use when you are at home The clinician will explain why or why not you need a scan at a particular point. There has to be particular reasoning around having a scan The practitioner goes through a mental probability calculator when they are reviewing your history When you ask what’s happening you are asking to be let in and involved in your recovery If you open up to your practitioner then you can work together in partnership with them towards your successful recovery. Make sure you ask about what you should look out for to indicate things are becoming more serious At the end of a session, the professional should provide a summary so that you leave knowing what you need to do. Don’t take home any misbeliefs or misunderstandings
BEST MOMENTS
‘All clinicians are trained to assess whether you need a scan’
‘Knowing what it isn’t, is as important as knowing what it is’
‘As a practitioner, I love explaining to people what I’m doing’
VALUABLE RESOURCES
The Back Pain Podcast
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ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
If you are suffering from back pain this is the episode for you as Rob and Dave share great content about how to create a self-management protocol.
Self-management is everything that takes place outside of the treatment room and understanding what you can do to self-manage your pain to heal in the best way possible is a hugely valuable aspect of recovery.
This is a great opportunity to understand what you can do to help yourself and to hear about the key elements of a good self-management protocol.
KEY TAKEAWAYS Education around your problem and pain is vital, pain doesn’t necessarily equate to damage Pain although painful isn’t necessarily a bad thing Recognise the triggers for your back pain and you can incorporate activities to help throughout the day. Keeping a pain diary is an easy way to gain a macro view and the pattern of your pain You need to recognise that lifestyle, environment, diet and exercise are all possible factors in your pain Positive mental and physical stimulus impact your pain Movement and finding the early intervention movements that make a positive difference is beneficial in self-management of pain. You need to exercise throughout the day in the same way you drink water throughout the day Self-monitoring is about looking or the signs of change and recovery What can you do now that you couldn’t before? It can be easy to forget where you were when you started. You need to understand and enforce a positive mindset but also understand and identify when you are in a negative space. It’s normal to have both good and bad days, the journey to recovery will be up and down
BEST MOMENTS
‘People developing self-management skills is so important’
‘You can ask your therapist ‘what can I do to help myself?’
‘Reassurance that what is happening is normal is important’
VALUABLE RESOURCES
The Back Pain Podcast
The Back Pain Podcast website
The Back Pain Podcast recommended products affiliate link
Our Rode Mixer https://amzn.to/3waU8bx
Our Microphones https://amzn.to/3rzSZ9Z
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Studio Headphones https://amzn.to/3u082LE
Laptophttps://amzn.to/3dhfafT
Our webcam https://amzn.to/31uUefQ
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Benn Boshell, a podiatrist who is also known as the heel pain expert has a specialist interest in plantar fasciitis and shares great content in this episode about the condition of plantar fasciitis and the various treatments available.
This common condition affects around 10% of the population and for those who have it, the condition can have a huge impact on their lives.
This is an episode that provides accurate information that anyone suffering from plantar fasciitis needs to be able to make the right choices about treatment to ensure they get results.
KEY TAKEAWAYS The plantar fascia there to support the arch of your foot There are a number of different reasons why someone may develop plantar fasciitis Acute pain when you first stand up is a possible symptom of plantar fasciitis Palpation can help to diagnose which part of the plantar fasciitis is injured Taking a detailed history and information about the symptom pattern means other conditions can be ruled out. You need to treat the person, not the scan as every individual is different Initial treatment includes pain management and may mean taping the foot to offer more support The most common error patients make is not resting enough and not wearing footwear that supports the foot. Consistency is the key with any exercises, a difference only comes with consistent exercises A custom made orthotic can make a significant difference helping to support plantar fasciitis Shockwave therapy has gained popularity and the research indicates it is successful in treating plantar fasciitis Shockwave therapy is a high energy soundwave that can help stimulate the inflammatory cycle and enable the body to heal its self A steroid injection is a common treatment and provides relief in the short term and it masks the symptoms but doesn’t address the cause so shouldn’t be used as a stand-alone treatment
BEST MOMENTS
‘Don’t self-diagnose because the treatment is very dependent on correct diagnosis’
‘Palpation can help to diagnose which part of the plantar fascia is injured’
‘Around 10% of the population have this condition’
VALUABLE RESOURCES
The Heel Pain Expert
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ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Julie Gover is a Chiropractor with a special interest in pain and in this fascinating episode, she talks about what pain is and why some pain becomes chronic.
Whatever your pain experience it’s real and valid and a part of the protective mechanism in place.
As humans, we are designed to move and recovery is something our bodies can do so pain does not have to be permanent. Changing your perception of pain and changing your behaviours around pain can all help you to move forward.
KEY TAKEAWAYS That pain is a result of an injury such as tissue damage seems logical but it’s not supported by the science. You can have an injury with no pain and pain with no injury Pain is about protecting you and relates to the perceived threat by the brain Your back is designed to move and the more you move the better you will feel. Pain nerves do not have specific sensors, they react to everything but are high threshold nerves so when activated it’s a signal that a lot of something is happening The brain has to evaluate what’s going on and decide to output it as a pain experience Any time a pain experience is triggered it’s real and valid but doesn’t always mean what people think it means it’s part of a protective mechanism and doesn’t always mean tissue damage. It’s more than one thing that starts the experience of pain Repeated movement is good for your back and for your mental health You can recover and there is nothing to suggest pain has to be permanent because nerves change how they are wired all the time.
BEST MOMENTS
‘We are not fragile structures and we are designed to move’
‘It’s about finding the right combination of things to help with the pain’
‘Pain is an output from the brain’
VALUABLE RESOURCES
Flourish Chiropractor
The Back Pain Podcast
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ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Mehmet Gem is a specialist Hip Physiotherapist and in this episode, he discusses Hip Osteoarthritis, Femoroacetabular impingement (FAI) and Greater Trochanteric Pain Syndrome (GTPS) common conditions with three different demographics but all of which impact an individual’s ability to complete daily activities and on their daily lives.
He also shares why asking the right questions is key and how understanding the detail in a patients history is so important in the process of an accurate diagnosis
KEY TAKEAWAYS Much of the information a patient shares about their issue is communicated verbally but they may also indicate where they are experiencing pain. The hip joint is very unique and can present with groin and buttock pain. As a clinician you need to ask the right questions and understand what you want to know from your patients. The in-depth subjective questions are those which help with better differentiation and understanding of the issue. There is no one test that will give a definitive answer It’s about a combination of questions and understanding the history of the patient in detail. The differences in humans means effective diagnosis needs to be a cluster of approaches. There are no quick fixes and individual hip profiles are very different. Arthritis is one of the most common causes of hip pain in the adult population. It’s a process that can lead to a restricted range of movement and pain around the hip. It has an impact on daily life for those who have it. Femoroacetabular impingement (FAI) is a condition where there is a bony growth on the hip and it can restrict daily activities in the longer term it’s important to get treatment to support hip preservation Greater Trochanteric Pain Syndrome (GTPS) is a common condition that causes pain in the buttock and thigh area and presents in a very specific demographic.
BEST MOMENTS
‘It can be easy to fall into a pattern of these are the symptoms and these are the tests’
‘Patients need to empowered and feel confident’
‘Ultimately life isn’t there to be lived in pain’
VALUABLE RESOURCES
The Hip Physio
The Back Pain Podcast
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Dr Grimaldi’s Blog for patients https://hippainhelp.com
Dr Grimaldi's Blog for Clinician’s https://hippainhelp.com/dr-alison-grimaldi/
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Sciatica is an overarching term for pain down the back of the leg and is not your diagnosis it’s a symptom that will lead you, with your therapist, down the road to a diagnosis.
There are lots of things that can cause the pain and it’s important for the clinician to really understand the history and experience of the patient as part of the process of an accurate diagnosis.
This episode looks at some of the many conditions that have pain down the back of the leg
and why an individual accurate diagnosis based on the evidence is so important for the patient to ensure the best opportunity for recovery.
KEY TAKEAWAYS Sciatica is an umbrella term for pain down the back of the leg A good health care professional will begin by looking in-depth at your history and experience Specific questioning will help to rule out certain conditions and this will be followed by testing There is a therapeutic value in the professional explaining what they are doing when they are doing it. Radiculopathy is a change in function with pins and needles and a burning sensation Meralgia paresthetica is characterized by tingling, numbness and burning pain in the outer part of the thigh and is caused by compression of the nerves. If you have pain in the back of the legs and pain that intensifies when walking it could be peripheral artery disease. Arteries become narrow and the pressure of the blood causes pain. When you stop exercise, it should improve if you have sciatica the pain will be there constantly. The sacroiliac joint can give a similar pain to sciatica but it is quite rare. Referred pain is when the pain you feel in one part of the body is a result of pain in a different area. If you rapidly increase your running exercise regime you may experience specific pain at the top of the hamstring There are many crossover points between different conditions but all of the conditions have pain down the back of the leg in common Professionals should always be evidence-based and accurate so people have the best opportunity to recover. Giving the person control over their condition will help them to move forward with recovery
BEST MOMENTS
‘Sciatica means different things to different people’
‘It’s important your clinician explains what they are doing and why’
‘A good health care professional will let the patient tell their story’
VALUABLE RESOURCES
The Back Pain Podcast
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Dr Grimaldi’s Blog for patients https://hippainhelp.com
Dr Grimaldi's Blog for Clinician’s https://hippainhelp.com/dr-alison-grimaldi/
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Exactly what is piriformis, how is it diagnosed and what you can do about it if you think you have it?
All these questions and more are answered by Dr Alison Grimaldi, specialist hip and pelvic pain physiotherapist in this episode that focuses entirely on what piriformis is and how it can be treated.
There is lots of confusion about piriformis and the best forms of treatment so this is a great opportunity to understand more about what it is and is not and the best ways to identify the right treatment.
KEY TAKEAWAYS Piriformis is an irritation of the sciatic nerve which usually stems from compression of the nerve as it runs through the buttocks. Piriformis syndrome can be a result of anatomical setup or hypertrophy when the piriformis muscle becomes enlarged through working particularly hard. Signs that you have piriformis syndrome is pain in the mid-buttock area with the pain extending downwards through the leg. Changes in sensory awareness can be an indication of the syndrome Training efficient behaviour of the muscles combined gentle exercise to move the nerve, education and taking away some of the things that are irritating are part of an effective rehabilitation program. Different buttock muscles are affected in different ways by inactivity. A lack of loading on other muscles can change the behaviour of muscles resulting in overactivity by the piriformis muscle. If you are having a cortisol injection combine it with good rehabilitation to make the most of the pain relief and to ensure you have effective strategies in place. Surgery is a last resort option and surgical intervention is releasing the tendon where it joins into the back of the hip so the muscle retracts away from the bone Botox is increasingly being used for piriformis syndrome For most people, it’s around 3 to 6 months for recovery and there will usually be flare-ups along the way. It’s about re-education of muscle patterns and behaviours. Get a clear diagnosis and pair any injections with good rehabilitation.
BEST MOMENTS
‘Piriformis syndrome is often diagnosed for any sort of buttock pain’
‘Cortisol injections can be used as a treatment to give relief although this is usually short term’
‘Sometimes stretches can be part of the problem, not the solution’
VALUABLE RESOURCES
The Back Pain Podcast
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Dr Grimaldi’s Blog for patients https://hippainhelp.com
Dr Grimaldi's Blog for Clinician’s https://hippainhelp.com/dr-alison-grimaldi/
https://hippainhelp.com/recovering-from-piriformis-syndrome
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Many people talk about their hips and spines as being out of alignment, of having ‘slipped out’ and this emotive language has used for some time but this way of describing when something doesn’t feel right can lead to misunderstanding and potentially fear avoidance behaviours.
Rob and Dave explain why this language is not only outdated but also incorrect and how manipulation really works along with why it’s about empowering the patient to improve their resilience, have the right information and work in collaboration with their clinician to heal.
KEY TAKEAWAYS When you have pain and your body doesn’t feel right it can feel like something is out of place. Your spinal joints, hip joints and pelvic joints are some of the strongest joints in the body. For these strong joints to be out of place it would take significant trauma on the level of a car crash to cause this. Manipulation, the movement of two joints is equivalent to a mechanical pain killer Manipulation is about creating movement and can be helpful in supporting recovery it’s not about putting something back in place. False beliefs around treatments can lead to fear avoidance behaviour. Clinicians should be empowering the patient to improve their resilience and understand what they can do not what they can’t do. As human beings, we are incredibly resilient. A small change in the language you use can make a big difference
BEST MOMENTS
‘We are designed to move and heal ourselves’
‘Many people benefit from manipulation and it’s about movement’
VALUABLE RESOURCES
The Back Pain Podcast
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ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
This is a great episode focusing on how the right mindset can make a difference in recovery.
What you think and believe about your pain has a huge influence on your potential to recover and a recovery mindset is about managing what you say to yourself, your self-beliefs and updating your education about back pain.
If you fully understand what is happening to your body and have a growth mindset you can positively influence your recovery.
Look at the bigger picture and understand how to problem solve your way through recovery with a flexible growth mindset if you want to optimise your recovery journey.
KEY TAKEAWAYS You need to fully understand what is happening in your body when you are feeling good when you are feeling pain and what you have the capacity to do. Getting a base level of education is about self-reassurance Fear can be one component of pain-related anxiety Historically people think about their bodies in a mechanistic way but now it would be better to think about the human body as an adaptive and ever-changing biological mechanism You can’t separate the brain from the body it’s all one system and you need to think about things in a more multi-dimensional system. When you move away from ‘it’s one thing’ thinking and look at the bigger picture everything changes. If you have multifactorial back pain you need to be working on all the contributing factors. A fixed mindset is I can’t do that whilst a growth mindset is I can’t do that yet You need to understand the importance of problem-solving your way through recovery Using the 1% approach is about making small changes one at a time that over time make a big change. You should be able to look at things as a combination of approaches. To get into a pain recovery mindset you need to accept that you have pain and where you are starting from.
BEST MOMENTS
‘Update your education so you are empowered and understand the problem’
‘You need to be flexible in your approach things will go wrong so you have to be prepared to adapt and change’
‘You need to be optimistic that you can make a recovery’
VALUABLE RESOURCES
The Back Pain Podcast
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ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Mark Laslett is a specialist physiotherapist who has extensive expertise and experience.
He explains what the sacroiliac joint is, its function in the body and the varying ways the joint can become inflamed and a cause of pain.
He also shares great content on the treatments that are used and the difference between sacroiliac dysfunction and sacroiliac joint pain.
This episode is a great opportunity to understand more about the sacroiliac joint and how it can cause pain.
KEY TAKEAWAYS The sacroiliac joint is in the centre of the body between the bottom of the spine and the big bones associated with your buttocks. Its sacroiliac joint doesn’t have any muscles that move it, the muscles that affect it cause it to clamp together. It’s not primarily a movement joint it’s a joint that allows force to transferred from the limb to the spine with a shock-absorbing function. As you age the ability of the joint to move and absorb shock decreases as a normal part of the ageing process. There is a fundamental difference in the sacroiliac joint between male and female with women having more movement which increases during pregnancy. We don’t know what happens during pregnancy but there can be pain in the sacroiliac joint at this time. In the non-pregnant population, the sacroiliac joint almost never gets sprained except when you experience major trauma. There are certain inflammatory conditions that cause pain in the sacroiliac joint but there are good methods for treating these conditions. There is a difference between sacroiliac joint dysfunction and sacroiliac joint pain. If you have true sacroiliac joint pain then manipulation will not make the pain go away.
BEST MOMENTS
‘There is a role for stabilising exercise’
‘The sacroiliac joint has nerves and this can be a source of pain’
‘The diagnosis really matters’
VALUABLE RESOURCES
The Back Pain Podcast
The Back Pain Podcast recommended products affiliate link
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Ben Steele-Turner is a physiotherapist and associate nutritionist and in this episode discusses what a healthy diet consists of along with the impact of macro-nutrients and micro-nutrients in supporting the essential functions of the body.
When a recovery plan and a healthy eating plan are combined recovery is better supported and you are providing your body with the tools it needs to move forwards and Ben shares great content on what makes a healthy diet and why.
KEY TAKEAWAYS If you have a healthy diet then blood flow will be better. It’s about giving the body the tools it needs, are your cells happy, do they have what they need? The building blocks for a healthy diet are -
Macro-nutrients – proteins are needed for muscle, bone, haemoglobin and immune cells. Carbohydrates – energy and fuel for cells throughout the day. Dietary fats – for cell activity and hormone activity Micro-nutrients are the vitamins and minerals you need. It’s important to have enough of each micro-nutrient Healthy fats are essential for good health and can be split into saturated and unsaturated fats. Ideally, saturated fats should make up no one than 10% of your diet. Seeds, nuts and avocados are all sources of healthy unsaturated fats An Omega 3 supplement can be taken if you are eating less than the required amount of fruit and vegetables With chronic conditions moving to a more plant-based diet is important in conjunction with the avoidance of highly processed foods.
BEST MOMENTS
‘For your general health sugar intake should be limited’
‘It’s about everything being in harmony’
‘When you have exercise help and also have help with healthy eating you are in a better position to self-manage’
VALUABLE RESOURCES
The Back Pain Podcast
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Physiutrition Instagram
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Long Covid is a term that’s been adopted by those who have been struggling with a variety of symptoms having had an accurate Covid episode and is currently estimated to be experienced by 10% of the population.
Dr Deepak Ravindran explains what Long Covid is, the ways it is being treated and the preventative measures that can be taken.
Calming and supporting the immune system means re-evaluating your diet and assessing your levels of well-being to bring balance and in this episode packed with content you can find out how to get started.
KEY TAKEAWAYS People can suffer from fluctuating symptoms and fatigue is a common presentation. In the short term (3-6months) respiratory symptoms, cardiac symptoms, neurological symptoms and ENT symptoms are seen. Beyond this period fatigue, pain and psychical issues become dominant. There is a hyperactivity of the immune system and that activation seems to be something the body can’t control. On most occasions, the immune system achieves an equilibrium. There are a group of people whose immune systems don’t achieve the balance it stays overactive. Health in-equalities do seem to play a role along with social in-equalities in long Covid Currently, it’s estimated that 10% of the population are at risk of long Covid Preventative measures include good hydration, adequate levels of vitamin D and including zinc and selenium in your diet. Evaluating your diet and assessing your levels of well-being are proactive steps that can be implemented. Sleep and physical activity along with mindful activities all support the immune system and calming it down.
BEST MOMENTS
‘It is the exuberant immune system and the chemicals that it releases that are likely to cause damage’
‘Calming and reinforcing our immune systems is key’
‘You can bring a level of balance to your immune system through the actions and activities you undertake’
VALUABLE RESOURCES
The Back Pain Podcast
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Dr Deepak Ravindran Twitter
This is the powerful approach of The Pain-Free Mindset, where NHS pain consultant Dr Ravindran brings his 20 years of experience to offer you an effective set of techniques that will help you take back control and overcome your pain - https://amzn.to/2Zfp239
Book an appointment to see Dr Deepak Ravindran
https://www.berkshirepainclinic.co.uk/dr-deepak-ravindran.html
https://getbetteronline.co.uk/experts/dr-deepak-ravindran/
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
In this episode, Rob discusses and provides great advice on what you need to do to get the best from your consultation.
You need to look for a clinician or therapist who has a skill set that includes an active approach to care, someone who will tell you what you can do to get better and foster self-management, not resilience.
Rob shares key information that anyone attending a consultation can implement to make the experience productive and informative.
If you have back pain and are unsure about who you should see and what you should expect and ask in the consultation then this is the episode for you.
KEY TAKEAWAYS People who do manual therapy should be making it clear it is a symptomatic relief approach Seek someone who doesn’t undertake imaging as standard for lower back pain. Only a small percentage of people will require imaging and the disadvantages of imaging far outweigh the advantages. Look for someone who encourages self-management not resilience on them The working diagnosis is formed from the information the patient shares about pain and how they are managing. Your family medical history may be explored. You need to be able to explain what the pain is stopping you from doing along with what you want to be able to do. Before undertaking any treatment, you should be asking ’what are the benefits? What are the risks? What are the alternatives? and what will happen if I do nothing? Also, ask about the time frame and the expectations what do they think the outcomes will be for you. Be clear about the plan of action, the prognosis, any lifestyle changes you may need to make and the exercises you will need to undertake.
BEST MOMENTS
‘Make sure they understand what you want to be able to get back to doing’
‘Any therapist should be fostering self-management’
‘Make sure they understand what you want to be able to get back to doing’
VALUABLE RESOURCES
The Back Pain Podcast
The Back Pain Podcast recommended products affiliate link
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
There are a variety of factors to be considered when deciding on ice or heat – personal preference, practitioner preference and the scientific data.
Rob and Dave share great content on the effects of ice and heat for differing back injuries and explain why people can use a combination along with the importance of early movement to aid positive recovery.
Understanding that hurt doesn’t equal harm and how exercise is vital on the journey to recovery along with an optimistic approach is key and in this episode, there is great advice on the best way to tackle the journey.
KEY TAKEAWAYS If its inflammatory or joint pain ice can be effective in keeping pain levels down and aiding movement. If the pain is mostly muscular then heat can be the process that is most effective. The back is different from other parts of the body with the majority of structures that can cause pain located deeper. Protect the injury by stopping the activity and de-loading on the area An excess of inflammation is when we start to experience pain. You don’t want to stop inflammation completely in acute injuries. You need to understand the importance of increasing load gradually. Severe pain does not necessarily mean severe damage Pain is a warning mechanism of the body and hurt doesn’t equal harm. There are psychological factors connected to injury and it’s important to be optimistic about recovery. Revascularisation can be improved through movement and there are huge benefits to early mobilisation.
BEST MOMENTS
‘Exercise is so important for good recovery’
‘A gradual increase in load and movement is what helps the body to recover’
‘You can try both ice and heat and see what works for you’
VALUABLE RESOURCES
The Back Pain Podcast
The Back Pain Podcast recommended products affiliate link
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
In this episode Physiotherapist and pelvic health specialist, Sarah Fellows talks about all things pregnancy, pelvic pain and back pain.
She discusses the types of pain that may be experienced and one of the biggest drivers for back pain during pregnancy – fear.
Training for motherhood is essential and this is a great opportunity to hear about the various factors that impact on back pain during pregnancy and what you can proactively do.
KEY TAKEAWAYS One of the biggest drivers for back pain during pregnancy is fear. Back pain will get better during pregnancy if it is treated well. During pregnancy, there are biomechanical changes with an increasing frontal load. This makes pregnant women more at risk of falling in later pregnancy. Making sure your body is able to move into and out of neutral postures is important. The more babies you have the more likely you are to experience back pain. There are a variety of factors that can contribute to back pain in subsequent pregnancies including nutrition, fear and insufficient rehabilitation from prior pregnancies transfer of load is not so efficient. There are many drivers to pain so a health professional needs to take a detailed history If you have had a traumatic birth then it’s important to take the time to talk to someone and process it. Make good use of the time after the birth from birth to twelve weeks to process and recover from what’s happened to your body. In pregnancy, structures can become more sensitised causing pain. If you experience transient pain or a decline in function then seek help from a physiotherapist. If you are stressed your breathing is altered and this will affect your pelvic floor. It’s a myth that you shouldn’t exercise when pregnant if you are healthy.
BEST MOMENTS
‘Posture is not an indicator for back pain’
‘We function on our feet so working out how to move better is key’
‘It’s important to be as active as you can, the more active you are the better it is for your baby’
VALUABLE RESOURCES
The Back Pain Podcast
The Back Pain Podcast recommended products affiliate link
Active Pregnancy Foundation
Sarah Fellows Instagram
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Rob and Dave talk Mr Alexander Montgomery, Consultant Orthopaedic Surgeon about Spinal Stenosis, a common condition responsible for much back, neck and arm pain.
They discuss what Spinal Stenosis is the symptoms that are experienced and hoe you can have it with no symptoms at all along with the various treatments and surgical options available.
Understanding what spinal stenosis is and what the best treatments are will ensure you know what to look for and how to seek the most effective treatment.
KEY TAKEAWAYS Spinal stenosis is the narrowing of the spinal canal where there are nerves. You can go for an extended amount of time with some compression and no symptoms and then an incident, such as a fall, can be the tipping point for more severe inflammation The most common areas are the lower lumber and half way up your neck The narrowing of the spine canal and degeneration is connected with aging. It vital to build strength and mobility as you get older Spinal stenosis can cause weakness and you may get Corda Equina symptoms. Symptoms of numbness around the groin area or loss of control need immediate treatment to relieve the pressure. Go to a hospital where there are spinal surgeons to avoid time wasted being transferred from a smaller hospital. For mild to moderate symptoms movement rehabilitation that offloads the pressure from the specific points will work. A steroid injection is an option but its effectiveness is dependent on the position of the narrowing. The size of the compression doesn’t necessarily match the level of pain. Most people don’t require surgery other treatments are successful. Any nerve compression relief usually has positive outcomes Surgery is very successful at relieving pain
BEST MOMENTS
‘Any nerve compression relief usually has positive outcomes’
‘The steroid injection is there to break the cycle to enable movement rehabilitation to take place’
‘When you have pain, you make adaptations to cope with it’
VALUABLE RESOURCES
The Back Pain Podcast
The Back Pain Podcast recommended products affiliate link
Mr Alexander Montgomary link
https://www.schoen-clinic.co.uk/alex-montgomery
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Cauda Equina is a condition many have heard of or been warned about it but what is it and what are the symptoms you need to look out for?
In this informative episode, Rob Tyer physiotherapist talks about everything cauda equina and explains what it is, the symptoms to be aware of and why if you have cauda equina treatment is time sensitive.
He also shares the types of questions you will be asked and how the answers will help professionals to decide on the right treatment pathway.
KEY TAKEAWAYS It’s a collection of syndromes in and around the function of the bowel, the bladder, skin between the legs, sexual function and pain around the back. You can have symptoms of cauda equina or radiographic cauda equina, in order to have cauda equine syndrome you have to have a combination of the two The symptoms are very varied but can be any changes in the function to the bladder usually in conjunction with changes in bowel movement. Numbness between the legs can also be a symptom along with sexual dysfunction. If you have symptoms you need to seek emergency care. You will need to provide a history and there will be an examination and possibly a scan. If you have cauda equine syndrome surgery is usually offered because of the time sensitivity. There is no treatment that can be done non surgically to take the pressure off of the nerve. Surgery is the only way to relieve the pressure.
BEST MOMENTS
‘Back pain and a change in bladder function doesn’t mean you have cauda equina’
‘Try not to be embarrassed about the symptoms’
VALUABLE RESOURCES
The Back Pain Podcast
The Back Pain Podcast recommended products affiliate link
https://clairepatella.com - Claire’s Blog for patients
https://clairepatella.com/category/patients/
Book an appointment to see Claire
https://wimbledonclinics.co.uk
Twitter- @clairepatella
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
In this week's show, Dave and Rob welcome physiotherapist, Mike James - AKA The Endurance Physio - to the show to discuss the enduring topic of what the differences are between a chiropractor, a physiotherapist, and an osteopath, and how to decide upon which might be the best for you?
KEY TAKEAWAYS All therapists and practitioners in the MSK realm offer something unique in terms of treatment, and so all should be considered for their own contribution. When looking for a therapist, we must search for the traits of a good one. These traits usually come down to how they communicate with you. A good therapist will always try to establish a good relationship with the client. The patient must remain at the core of every treatment. Good therapists will seek to collaborate with the patient in order to facilitate the path to the destination required. Research is everything. Look for good clinics, but also for good therapists within those clinics. Do not be afraid to raise questions.
BEST MOMENTS
'Ultimately they all offer something to patients in the MSK realm'
'People have taken many journeys and paths to get to the same place'
'The patient must be at the centre of the process'
'It doesn't matter about the therapist's background - it's the person and the way they work'
VALUABLE RESOURCES
Mike James Facebook - https://www.facebook.com/TheendurancePT
The Back Pain Podcast
The Back Pain Podcast recommended products affiliate link
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
People with back pain may also have other problems and in this episode hear all about knee pain, what the causes are and what you can do about it with expert Claire Robertson.
Claire specialises in Patellofemoral pain syndrome and shares great information about what is actually happening in your knee and some great analogies that mean it’s easy to understand how the causes can be different for different people. It’s usually not about a specific event or injury but about a gradual change over time.
Claire also explains how to be proactive in choosing the right exercise and movement so that you can build the strength that will make the difference.
KEY TAKEAWAYS Patellofemoral pain syndrome is an umbrella term used about the pain caused when the knee cap rests on the bottom of the femur. It can happen at all different ages for a range of different reasons It can be a vague pain that is aggravated by walking upstairs or an incline. Often it’s about highpoints of pressure rather than damage. It’s about looking at changes that may have affected the load and movement pattern of the knee. Calf tightness can a contributing factor and taking the time to stretch out muscles before walking can make a difference and building up the strength in the quadriceps can help. Treatment is very multifactual depending on the drivers. It’s important to get an accurate assessment and use this as a basis for treatment. If injections are used it creates a window of opportunity to build strength for the long term. It’s about making sure you are doing the right exercise and movement in the right way. Knees are strong and designed to facilitate movement but if you have any pain you should get it checked.
BEST MOMENTS
‘A change in lifestyle can be a factor’
‘The cause can be different for different people’
‘Normal knees crack and crunch during movement’
VALUABLE RESOURCES
The Back Pain Podcast
The Back Pain Podcast recommended products affiliate link
https://clairepatella.com - Claire’s Blog for patients
https://clairepatella.com/category/patients/
Book an appointment to see Claire
https://wimbledonclinics.co.uk
Twitter- @clairepatella
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
In this special New Year’s edition of the podcast, Rob and Dave are joined by
Tom white from Salford city chiropractic and Ricky Davis from Summit well-being in London.
They discuss some of the cases in clinic this week sharing great insights into their initial consultation process and how this lays the foundation for collaborative work between the therapist and patient on the journey to recovery.
It’s always about the formulation of a tailored approach that’s right for each patient that supports their physical and mental wellbeing as they make incremental steps towards their final goal.
KEY TAKEAWAYS When someone has pain and stops doing things then the body can get used to not moving You can use the examination to help patients to see what they can do. Even if you can’t do your chosen activity now you can move towards it. It’s all about the small wins and incremental progress towards your final goal. The definition of health and well-being is the physical, mental and social wellbeing of an individual. Even when you are in pain it’s about finding what movement you can do in the right way whilst the pain and injury heals to get you back to where you want to be. The goal of a therapist is to find things you can do that will develop strength and resilience People are good at self-healing but a therapist can offer expert advice and expertise. The first consultation session is about education, discussing what’s going on and that pain isn’t something to be feared. If you are having a consultation ask as many questions as you need. Know and understand exactly what the plan is It’s about a tailored approach that’s right for each patient. It’s a collaborative approach between the therapist and the patient.
BEST MOMENTS
‘To go from having back pain for 5 years to having a pain free walk in 6 weeks is very positive’
‘It’s meeting the patients and managing their thoughts, fears and expectations’
‘Movement is what is going to help’
VALUABLE RESOURCES
The Back Pain Podcast
The Back Pain Podcast recommended products affiliate link
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
In this very special edition of the Back Pain Podcast Rob and Dave reflect on beginning the podcast 10 months ago and the 35 episodes that they have already shared as the only patient-facing podcast about back pain.
Next year they will be expanding to include in-depth mini-series about specific issues and already have great guests and experts lined up to bring more of what you want on The Back Pain podcast
KEY TAKEAWAYS Thanks for joining us on the whirlwind journey this year, it’s been pretty incredible. We started in lockdown have been able to produce an episode every week since then. Thanks to everyone who has viewed and commented What you want to hear is what we want to put out and we are directly evolving as a result of what you are asking for. We are the only specific patient-facing podcast about back pain. We will be more wide-ranging next year translating information about a wider range of issues. We will continue to bring you the golden nuggets of information about back pain. We are here for you whatever the issue.
BEST MOMENTS
‘Be good and do your stretches over the holiday’
‘We get asked a lot of requests that aren’t directly connected to backpain’
‘Sometimes you have more than one thing going on at any time’
VALUABLE RESOURCES
The Back Pain Podcast
The Back Pain Podcast recommended products affiliate link
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Andy Dobinson had a significant and completely unexpected stroke in 2017. His stroke was cryptogenic, meaning the professionals didn’t know why it happened but in this episode, Andy explains not only the event but also his recovery and why he now can say it was the best thing that happened to him.
His stroke was a life-changing event for someone who thought they were too young to have a stroke and his recovery changed his perspective building a mindset that is all about the experience, adventure, appreciation and always celebrating the small wins.
KEY TAKEAWAYS
I had a cryptogenic stroke, meaning they didn’t know why it had happened.
In my mind, I was too young for a stroke and I was fit and healthy.
Following a stroke, you have to decide to not be a victim and get on with it.
My initial goals in my phase 1 recovery were small and incremental.
Phase 2 was about getting better and included hydrotherapy and counselling with my focus on getting back to normal.
I had to forge new pathways because part of my brain had died.
There is fear, anxiety and depression that has to be overcome during recovery.
Breaking everything down into small goals and celebrating the little wins is the way to move forward towards bigger goals.
The stroke has made me a more rounded human being Its made me appreciate people and things more.
If you have a stroke you just have to go with it and see where it takes you.
After a stroke, there is a different future for you so you need to go with it.
BEST MOMENTS
‘In my mind, I thought young people don’t get strokes’
‘You have to celebrate the small wins’
‘I was used to working and training hard so it was a case of applying that mindset in a different way’
VALUABLE RESOURCES
The Back Pain Podcast
The Back Pain Podcast recommended products affiliate link
Andy Instagram @andy_stroke_of_luck
NHS signs of stroke
https://www.nhs.uk/conditions/stroke/symptoms/
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Professor Kieran O’Sullivan co-author of ‘10 Facts Everyone Should Know About Back Pain’ goes through the key facts and explains how to not only deal with back pain but also some of the widely held myths about back pain in this informative episode.
Back pain continues to be held as different to pain that may be experienced elsewhere in the body and as a result, there are some widely held beliefs about what causes back pain and the ways in which it should be treated.
This is a great opportunity to hear about what the facts are and how to effectively cope with back pain and move forward positively into recovery.
KEY TAKEAWAYS Getting older is not a reason for back pain. It’s not an inevitable result of getting older Getting better is as achievable when you are older as when you are younger. Recovery is not about having no pain it’s about the impact it has on your life. The average time for recovery for back pain is around 6 weeks. Sometimes recovery is slower but it can take longer and the importance is in moving forward To make the body strong we now understand more about having to load to make it stronger Listen to your body and if you experience pain then adjust the exercise you don’t necessarily need to stop. Exercise can help to reset inflammation in the body. Exercise gives people confidence and can help them return to levels of fitness. It important that your level of fitness matches the job you are doing. All treatments have a cost to the individuals life in some way and it’s important all elements are considered before invasive treatment is decided on. For persistent back pain, the recommendation is to first use exercise and a healthy lifestyle before moving to prescribing drugs. Surgery is not always the best option, it’s important to understand best care can be a range of different options.
BEST MOMENTS
‘The body is pretty smart at healing’
‘It’s important that the patient is listened to’
‘Talk to your doctor in depth to make sure surgery is the right option’
THE TEN THINGS EVERYONE SHOULD KNOW
1 - 1.56- Back Pain is scary but rarely dangerous 2 - 6.06 Getting older is not a cause of lower back pain 3 - 14.23 - Pain is rarely Associated with Tissue damage 4 - 23.30 - Scans rarely show the cause of pain 5 - 24.04 - Back pain with Exercise and movement doesn’t mean you are causing harm 6 - 35.37 - Back Pain is not cause by poor posture 7 - 41.02 - Back Pain is not caused by a weak core 8 - 41.16 - Backs do no wear out with everyday bending and lifting 9 - 52.39 - Pain Flare-ups do not mean your are damaging your spine 10 - 60.26 - Injections, surgery and strong drugs aren’t usually a cure.
VALUABLE RESOURCES
The Back Pain Podcast
The Back Pain Podcast recommended products affiliate link
10 Facts Everyone Should Know About Back Pain – Article https://bjsm.bmj.com/content/54/12/698
Twitter; @kieranosull
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Donald Robertson is a Cognitive Behavioural psychotherapist and author of ‘How to Think Like a Roman Emperor and ‘Stoicism and the Art of Happiness’
He explains the origins of stoicism and its importance as a philosophy in the world today supporting emotional resilience.
As a hugely experienced and knowledgeable CBT psychotherapist Donald also explores cognitive theory and the separation of the emotional response and the physical experience of pain for those who suffer from chronic pain. This is an all-absorbing and fascinating insight into both stoicism and CBT and that has something for everyone who wants to understand more about the ways to take a problem-solving approach to their chronic pain.
KEY TAKEAWAYS Cognitive theory is all about the ways our values and beliefs shape our responses. if you can take greater responsibility and ownership for the things you can control then you will be more adaptive and healthier. The language used to describe emotions is very simplistic and this can prevent us from distinguishing between different elements of chronic pain. Thoughts and feelings are intertwined and when you are able to articulate your underlying beliefs and patterns of thinking you are able to begin to ask yourself is this actually true? When you recognise that feelings are thoughts something magical happens that means you can access a huge range of cognitive protocols. If you are focusing on and thinking about a particular pain it can seem amplified For those individuals who believe and are aligned with stoicism, it can offer clients something that CBT or any other type of psychotherapy can’t ever offer them Stoicism can offer something far bigger and far more radical to the individual, a philosophy for life. CBT is diagnosis-specific whilst stoicism approaches things in a more a generic way. In psychology, there is a distinction made between emotional coping and practical problem solving coping. You can either deal with the external problem or how you are responding to it. If you have to live with pain then you may as well learn to live with it wisely. Separating the emotional response is key in being able to problem-solve to cope with pain.
BEST MOMENTS
‘When talking to yourself about your pain being as objective and factual as possible is beneficial’
‘Stoicism is a philosophy but CBT is a therapy’
‘It’s amazing that this was thought about 2000 years ago and is being used now’
VALUABLE RESOURCES
The Back Pain Podcast
The Back Pain Podcast recommended products affiliate link
Donald website https://donaldrobertson.name
Donald’s Courses https://learn.donaldrobertson.name
All Donald’s Publications https://learn.donaldrobertson.name/p/publications/
HOW TO THINK LIKE A ROMAN EMPEROR
https://amzn.to/33k0Cbm
Stoicism and the Art of Happiness
https://amzn.to/3nXmSzA
The Philosophy of CBT https://amzn.to/3me8C5c
Twitter Donald Robertson Twitter
Instagram How to think like a Roman Emperor Instagram
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Dave talks to Greg Lehman, Physiotherapist, Chiropractor and Strength and Conditioning Specialist about core stability and the movement that matters in this episode.
They discuss what your core actually is and how you can optimise your exercise and movement patterns to maximise the outcomes that are the best for you
Greg also shares great information about our, often hidden, 6 packs the different ways in which we exercise them and how everyone has a good core.
This is a great chance to understand more about core stability, being human and movement that you enjoy.
KEY TAKEAWAYS Your core usually defined as your torso and hips and has many muscles. Exercise has multiple effects and exercise for lower back pain can be helpful but does not have to be very specific exercise. Pain doesn’t always mean you should stop movement but you need to move in a way that is best for you. We should move faultlessly and fearlessly; you shouldn’t have to think you should be able to trust your body. Pain is not just mechanical its influenced by many other factors such as fear and worry There isn’t a relationship between someone’s posture and them having back pain There are joints in your body that enable you to move in different ways so its important that you do just that. You can set yourself ‘goal’ exercises that you want to work towards. Exercise is important especially as we age for bone density and loss of muscle mass For returns on time and energy chose exercise that you enjoy doing so you keep doing it. It’s more about being a human and movement that you enjoy doing.
BEST MOMENTS
‘Do whatever makes you feel better because moving in as many different ways as possible will give you more options’
Most people have a 6 pack, you just can’t see it on everyone’
‘You should be able to move without thought’
VALUABLE RESOURCES
The Back Pain Podcast
The Back Pain Podcast recommended products affiliate link
OA Optimism website
Movement Optimism website
Greg Lehman Twitter
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Dave and Rob are with physiotherapist Adam Dobson discussing scans and in particular how MRI scans can and are used in connection with back pain.
Scans are important but only for a small number of patients with back pain and Adam explains in detail the pathway and context that may lead to a scan being done along with reasons why a detailed clinical diagnosis is so important in this episode packed with great information and content.
Its ultimately about the right scan at the right time and this is a great opportunity to find out more.
KEY TAKEAWAYS 90% of back problems are not diagnosable on a scan and a scan will only be important for a small number of patients with back-related problems. Scans can be used to rule something out such as a fracture, cancer or an infection and may open up a change of treatment plan. If there is a good quality working diagnosis then imaging can create a potential additional step before treatment begins. Patients should know what a scan is likely to show, the implications of the findings and what it might change. Scans are highly detailed and show lots of things that may not be relevant and are common in lots of the population. These things are not predictors for pain or function in the future. Patients should be prepared and educated to help them understand imaging. If you’ve had a problem for less than 6 weeks, the nerves are working and there are no indicators for serious pathology there is a high chance your problem will resolve itself over time. It’s about the right scan for the right person at the right time The picture can change - If you are told you don’t need a scan it doesn’t mean you will never need one. If you have persistent and disabling pain there is something wrong but it can be about the factors involved and where best to focus effort with therapy and support powerful options.
BEST MOMENTS
‘If it’s is unlikely to change the treatment plan and there is no evidence for serious pathology then there is a strong argument that imaging is not required’
‘An MRI scan can be used as a reassurance about what’s not there’
‘In collaborative working with the patient imaging is a malleable decision’
VALUABLE RESOURCES
The Back Pain Podcast
The Back Pain Podcast recommended products affiliate link
Adam Twitter https://twitter.com/adamdobson123
What is sciatica booklet https://www.southtees.nhs.uk/content/uploads/ST1112-Sciatica-Booklet.pdf
Handy information guides on back pain, sciatica, Cauda Equina, posture and more.
https://www.southtees.nhs.uk/services/back-pain-triage-and-treat/patient-information-educational-resources/
Brinjikji W, Luetmer PH, Comstock B, et al. Systematic literature review of imaging features of spinal degeneration in asymptomatic populations. AJNR Am J Neuroradiol. 2015;36(4):811-816. doi:10.3174/ajnr.A4173
Belavý, D. L., Quittner, M. J., Ridgers, N., Ling, Y., Connell, D., & Rantalainen, T. (2017). Running exercise strengthens the intervertebral disc. Scientific reports, 7, 45975. https://doi.org/10.1038/srep45975
Nature or nurture in low back pain? Results of a systematic review of studies based on twin samples P.H. FerreiraP.Beckenkamp C.G. Maher J.L. Hopper
The 'Lived Experience' of patients having a Cervical or Lumbar MRI scan Armitage, Annabelle; Harland, NicholasPain and Rehabilitation - the Journal of Physiotherapy Pain Association, Volume 2020, Number 49, July 2020, pp. 57-62(6) Physiotherapy Pain Association
Low back pain and sciatica in over 16s: assessment and management NICE guideline [NG59] Published date: 30 November 2016 Last updated: 22 September 2020
NHS website back pain website https://www.southtees.nhs.uk/services/back-pain-triage-and-treat/
National Low Back and Radicular Pain Pathway https://www.boa.ac.uk/uploads/assets/e26cc007-74c3-4b22-94e408dd54ac79da/spinal%20pathfinder.pdf
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Rob and Dave come together to share great advice on a question that they are frequently asked ‘is back pain stress-related?’
Currently, there are lots of reasons why people feel stressed and in this episode, Rob and Dave share a range of different things anyone can do to lower their levels of stress. If you are able to decrease your back pain you will be able to lower your stress and the first thing you can do is listen to the Back Pain Podcast, a great source of information, content and advice all of which will help you to understand, decrease and manage any back pain and in turn lower your levels of stress.
KEY TAKEAWAYS Exercise is a great way to relieve stress and vital if you want to lower your stress levels. Try and remove yourself from the situation or environment that is making you feel stressed. Getting outside and experiencing the natural world is a great way to de-stress. Organise your thoughts to lower overwhelm, write down everything you need to do so that you can prioritise, delegate and outsource. Take a step back and take a constructive overview, this can help to get things in perspective. If you have a big task to complete break it down into smaller chunks. Relieve your levels of stress through breathing – take 10 deep breaths slowly to calm yourself down. Helping someone else is a good stress reliever and will also make you feel better. Set yourself a challenge that can translate into a daily goal. If you learn how to decrease your back pain then you will be decreasing your stress.
BEST MOMENTS
‘Listen to the Back Pain Podcast and learn how to decrease your back pain and lower your stress’
‘There is a little bit of self-gain in undertaking some selfless activities’
‘Try and find activities at home that you enjoy’
VALUABLE RESOURCES
The Back Pain Podcast
The Back Pain Podcast recommended products affiliate link
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
David Poulter is a physical therapist working out of Minnesota in the United States and shares great information about how dynamic our interbody joints, our discs, are effectively adapting to movement and load.
He explains how discs are structured and work with the interbody joint getting its nutrition from loading and compression.
With his extensive expertise and experience, David provides an in-depth and comprehensive explanation of both the construction and function of these interbody joints and shares why the truth is that discs don’t slip.
KEY TAKEAWAYS The disc is the joint between 2 vertebrae. Where one vertebra joins another there are complicated structures. It’s the bulging of the material in the disc that causes people to think its slipping. The outer aspect of the disc conveys information about motion, position and space. In the centre of the disc, there are no nerves because it’s all about compression but there are pain structures on the outer layers of the disc structure. Injury can be caused by doing something too quickly or doing something for too long. Treatment should be based on the patient and their individual history. After an injury in rehab, you need to make sure you don’t back to something for too long, too strong or too quickly. Rehab should follow the process of unloading, temporary rest then progressive loading to return people to where they were before. Sitting, standing, bending are all normal and taking yourself away from your normal is more likely to result in harm to your discs. Discs are developing and dynamic as we grow and if you do something long and often and the disc will adapt.
BEST MOMENTS
‘Symptoms are a warning system to tell us to change what we are doing’
‘These are just joints and they need to be returned to graded function’
‘A disc gets its nutrition from movement and loading’
VALUABLE RESOURCES
The Back Pain Podcast
The Back Pain Podcast recommended products affiliate link
Retlouping twitter
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
In this episode, Rob and Dave talk to Laura Finucane and Sue Greenhalgh, consultant physiotherapists who are launching a video about when you should seek urgent help for your back pain.
The majority of back pain is not serious but it’s important to know what to look for, the red flags so that anything more serious is not overlooked and this episode has detailed advice on how and what to do and is an essential listen for anyone suffering from back pain.
KEY TAKEAWAYS Serious pathology for back pain is rare but it’s important to look for and identify early on The majority of back pain is not serious but it’s important to know what to look for so that anything more serious is not overlooked There are risk factors that will raise the concerns of professionals but its dependent on the context. If you experience back pain that is getting worse or you haven’t experienced before, pain that spreads from your back in a band around your body or odd feelings in your legs, feeling unsteady, pain that stops you sleeping or gets worse when you lie down then seek help immediately. Early identification for serious pathology makes the difference in recovery and quality of life. A change with the back pain progressing can mean it needs to be investigated. As a patient, it can be frustrating to answer lots of questions but the detailed questions are what help the clinician with the subtle signs that can be important in understanding what’s going on. Many people can present with worrying symptoms but it will turn out to be nothing to worry about.
BEST MOMENTS
‘If we can increase awareness people will get to the right place in a timely manner’
‘Our job is to put context around the questions being asked and empower patients to speak out about what’s going on for them’
‘The vast majority of back pain is nothing to worry about’
VALUABLE RESOURCES
The Back Pain Podcast
The Back Pain Podcast recommended products affiliate link
Musculoskeletal Association of Chartered Physiotherapists
ttps://www.macpweb.org
Link to MACP video Discussed
https://www.macpweb.org/Resources/86f5045c-3423-4f29-b21c-492a5f77e265
Cauda Equina Flash Cards
https://www.macpweb.org/Cauda-Equina-Information-cards
Illustrated and Edited by Laura Bassi from Fisio Camera:
http://www.youtube.com/c/FisioCamera
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Rob and Dave discuss one of the questions they are asked the most ‘I’ve got back pain should I use ice or heat?
There’s lots of conflicting information out there but the answer is it doesn’t matter, neither will cause you any harm it’s all about working out which one is best for you and will provide the relief you are looking for from your back pain.
Rob and Dave explain how often you should apply relief treatment in this reassuring episode that explains exactly how heat and ice work and why it’s all about working out which one is the one that works for you.
KEY TAKEAWAYS Whatever makes you feel better is the treatment to continue to use and if it stops providing relief then try the other. You should be trying either ice or heat to test it, moving about and continuing to use the relief treatment that is best for you. If someone is suffering with severe pain and cannot move the recommendation could be for ice first. Ice can help to numb pain and relieve sciatica if you apply it directly to the area. The relief treatment can be repeated for 10-15 minutes up to every hour whether its heat or ice. Topical heat from products can work but they will not have as much impact as ice and heat. Reusable ice and heat packs can be helpful when you are at work or away from your home.
BEST MOMENTS
‘Try ice and if it doesn’t help then try heat’
‘Each to their own it’s about whatever works for them’
‘You can interchange between ice and heat if it works for you’
VALUABLE RESOURCES
The Back Pain Podcast
The Back Pain Podcast recommended products affiliate link
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Many people (10% of the population) suffer from chronic widespread pain and in this episode, Rob and Dave share the best takeaways and nuggets of advice from previous interviews that they themselves use regularly.
Where there is pain there is inflamed tissue that is reacting and changing and you should be looking to find what is the best healing process for you. This a great opportunity to hear the best takeaways from a range of great professionals who have been guests on the podcast and shared great practical advice.
KEY TAKEAWAYS When there is pain in the back this is inflamed tissue that is reacting and changing in the same way as other tissues in your body. Even when the source of the irritation has been removed the tissue will continue to be inflamed and will take some time to settle down and reset. Work on stability and mobility to create the strongest back possible. You need to strengthen and work on movement in a controlled environment. It’s part of being human having to pick things up and you can practice a movement to develop strength. We rest, de-load then build movement back up again. Movement is key and a positive mindset will make a difference. Muscles need movement and bones and discs need loads. If something doesn’t work it just means you need a different approach and a different professional. Patients who are proactive in their recovery always recover better than those who are not. Thinking about the positives, what can you do now that you couldn’t last week? The small wins mean you are moving in a positive direction.
BEST MOMENTS
‘Calm sh#t down, build sh#t back up again’
‘There can be a mental disconnect between the back and the rest of the body’
‘Damaged, angry, hyper-sensitised tissue will produce pain even if the stimulus is not very much’
VALUABLE RESOURCES
The Back Pain Podcast
The Back Pain Podcast recommended products affiliate link
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
The Endurance Physio, Mike James joins Dave and Rob to look at how to avoid injury, train successfully for the events you want to take part in and share some myth-busting in this fascinating episode.
Mike explains how anyone can train for and take part in endurance events if they understand how to be consistent and what their starting point is.
He discusses the most common types of injuries and why it’s vital to put in the preparation and perfect each step of training consistently before reaching for the marginal gains along with great advice on exercises that will make the difference
KEY TAKEAWAYS You can be either a robust or fragile athlete. Those who are fragile athletes just need to be more consistent. People pick up the most injuries because they attempt to nail marginal gains before they have perfected the first 95% In endurance athletes 75% -85% of injuries will be lower limb, soft tissue non-traumatic and overuse, the other 25% will be traumatic, upper body associated with falls. With tissue it’s not the load, it’s the load you are not prepared for. People sometimes pick up injuries through doing something different. With endurance sport, any treatment will be about preparing for load. Sometimes you need to stop but it is usually about modifying the movement. Having a wide range of activities will benefit backpain. Every patient I see can go on and self-manage. Changing too quickly can cause overload for endurance athletes. Most problems with endurance athletes come from being too keen, to eager and naïve. Coaches can make a difference if you get a good coach with the right program for you. Cardio is king but the secret is the timing of training across the year. It’s about creating stability, robustness and different load through the tissues You can only benefit from the training you are resting from and you can improve recovery by making sure the training is of the right intensity.
BEST MOMENTS
‘Most people get injured through simple errors and lack of consistency’
‘People try to accelerate through their apprenticeships’
‘Endurance athletes have poor beliefs about it all being about the amount of time and miles they do in training’
VALUABLE RESOURCES
The Back Pain Podcast
The Back Pain Podcast recommended products affiliate link
Facebook - https://www.facebook.com/TheendurancePT
Twitter - https://twitter.com/theEndurancePT
https://www.instagram.com/the_endurance_physio/?hl=en
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
If you have regular back spasms what should you do?
This is frequently asked in clinic and in this episode, Rob and Dave explain what you should do and why initiating small movements that can be adapted through increased load and repetition are the key to improve your range of movement.
Pain or hurt doesn’t equal harm and it’s important to listen to your body and remember that the spine and body are designed to move so having a full range of movement and maintaining it is key for the human body. This episode includes some great advice on movements you can make that will make all the difference.
KEY TAKEAWAYS Someone who is in a back spasm with 10/10 pain and not able to walk should try to make small movements and increase them. It’s about initiating a movement that uses something else, such as the wall or the bed to take your weight and increasing the movement repetition by repetition. Just because you experience discomfort it doesn’t mean you should stop. Approach the point of pain, back off and you will find you will be able to achieve more with each movement. Little rotations and movements will make a difference. With gentle movement and motion, it’s not about a set number of repetitions, it’s about moving little and often If you undertake a movement that makes your body feel like it’s about to spasm you need to undertake a similar movement that puts the spine in a similar position without the load and potential threat. Pain or hurt doesn’t equal harm. The spine and body are meant to move so having the full range of movement is very important. Maintaining an active range of motion is vital.
BEST MOMENTS
‘Listen to your body it will tell you when it’s too much’
‘The first repetitions will be sore but they will become easier’
‘Gently, gently along with little and often’
VALUABLE RESOURCES
The Back Pain Podcast
The Back Pain Podcast recommended products affiliate link
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
When you experience pain during any activity you will question whether you should push through the pain or stop and in this episode, Rob and Dave share great advice on how to return to activities or exercise safely.
People’s pain threshold is subjective and movement is an important part of the journey to recovery but it’s about starting back in the right way and understanding when you are experiencing increased pain. This episode is a great opportunity to learn more about when and how you can get back to the activities you love.
KEY TAKEAWAYS Depending on your pain threshold you should never continue to exercise if the movement is causing increased pain. You have to be aware of the 24hour pain response. If you can still function and the pain is manageable then exercising could continue. Any indications of nerve pain will mean a reduction in activity. Everything is relative to your normal level of activity. If you are returning to sport or exercise it’s about building back up to previous levels. If you can’t run then do hill walking or have a plan to alternate between running and walking to begin the process and then build on this. Begin with a decrease in the load on the body either through time, physical weight or number of repetitions. Building resilience will increase your threshold. Rest is relative, when you are told to rest it’s about taking a rest from the aggravating activity, you should still be maintaining movement. Early movement is very important in the journey to recovery.
BEST MOMENTS
‘You have to return to any activity with common sense’
‘Activities such as gardening are weighted lower force and this is undertaken over a longer time so take regular breaks’
‘If you practice you can increase your tolerance and decrease the potential for problems in the future’
VALUABLE RESOURCES
The Back Pain Podcast
The Back Pain Podcast recommended products affiliate link
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
How can you get a decent night’s sleep when you have back pain or sciatica?
Dave and Rob provide some great tips and hacks to help anyone with back pain get through the night.
Any pain, including back pain and sciatica, can seem much worse at night when there is nothing else to focus on but there are things you can do and the easily followed advice in this episode will help you to achieve better sleep and good quality sleep always means better recovery.
KEY TAKEAWAYS If you are a side sleeper placing a pillow between your legs stops rotation of the spine. If you are a back sleeper place a pillow under your knees creating a bend and altering the angle of the spine. A long pregnancy pillow can help you to elevate and change your leg angle often relieving sciatica pain. Using a mindfulness and meditation app, like Headspace can help you to take your mind off the pain. If there is an activity you do that alleviates pain, complete it just before going to bed. Sometimes moving around in the night and then returning to bed can help you sleep. Don’t forget about pain killers – you can take them when you wake at night and there are painkillers available to take at night. The more good quality sleep you can get the better your recovery will be.
BEST MOMENTS
‘Sometimes that little mindfulness nudge can take your mind off the pain’
‘Often pain can seem worse at night because you have nothing else to focus on’
‘Don’t go to bed in a heightened pain state’
VALUABLE RESOURCES
Link to video here - https://www.youtube.com/watch?v=fj_RvcrMd8w
The Back Pain Podcast
The Back Pain Podcast recommended products affiliate link
Headspace App
Pregnancy Pillow
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Rob and Dave are with Prof. Stuart McGill a world-leading expert in spine and back pain.
He takes a different approach to other clinicians and through assessment and identifications of patterns is able to test very specifically to identify the problem.
People often think that back pain is something you have to live with but in this episode, Prof. McGill discusses why a detailed assessment and understanding lifestyle and the pain patterns is key in being able to make a precise diagnosis and create hacks that make the difference.
This is a fascinating and detailed insight into how Professor McGill works and why it’s so successful, with great content and value helping anyone to understand more about their backpain and the positive ways forward.
KEY TAKEAWAYS The primary cause of back pain is a stress concentration that exceeds the tolerance of that particular area. People create stress concentration by the repetitions of activities that they complete. If you have no load and no stress your body doesn’t thrive, you need an optimal amount of loading and stress but you cannot cross the tipping point We create a very precise understanding of the problem and then look to build hacks to get around the issue. We stop using the problem area to desensitise it then work to build it up to meet the required demand. The spine is a flexible rod but when we carry load on it the demand changes and its necessary to use the support of the three-dimensional muscle girdle. There are different layers of stability and there is always an appropriate stability for what you are doing. The key is to coach the client to achieve sub-clinical symptoms. Back pain changes as the tissues evolve and adapt.
BEST MOMENTS
‘Biology takes time for adaptation’
‘We use pattern recognition to converge on exactly what to test’
‘We investigate the person’s life to see if their body can meet the demands of their life’
VALUABLE RESOURCES
The Back Pain Podcast
Backfitpro website
The Back Mechanic - Stuart McGill
Ultimate Back Fitness and Performance - Stuart McGill
http://www.isaec.org/uploads/1/3/1/2/13123559/newsletter_11.pdf
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him @ hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
In this episode, Rob and Dave are with Tom White, Chiropractor and they are sharing
the best hacks that can be used on a regular basis for back pain.
These tips and tricks can be incorporated into your daily routine to help with the daily activities and routines that everyone has to complete.
These life hacks for back pain will help you to manage the pain and are the recommendations that Rob, Dave and Thom share most often with their own patients.
KEY TAKEAWAYS Using a bin bag on your car seat allows you to pivot on the car seat, means there is less friction on your lower back. Using a 90-degree angle when getting up from the bed will help alleviate back pain. Getting in early movement and steps will reduce stiffness and early morning back pain. When you are playing golf check what’s in your bag before you begin playing and only take what you actually need. If you are a golfer doing a reverse swing as part of your warm-up can help with stiffness. Change the position you sneeze in by arching your back. Use the wall to lean on when cleaning your teeth so that your hand reaching forward to the wall takes some of the strain. Bring your foot up towards your knee to help you put socks and shoes on. When standing in a queue adopt a split stance with your feet, one foot slightly in front of the other. Everyone is different and their back pain will be different so you need to do what is right for you.
BEST MOMENTS
‘Getting in and out of cars is a big deal if you suffer from back pain’
‘Listening to your body is very important’
‘Try and change the way you do the activity’
VALUABLE RESOURCES
The Back Pain Podcast
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him @ hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
In this short but sweet episode of The Back Pain Podcast, Rob and Dave debunk the myth of bed rest and explain why it's not the best form of recovery!
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him @ hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Rob and Dave are inside the treatment room in this episode discussing the most frequently asked questions about back pain and sharing great answers and advice.
‘Does carrying extra weight result in back pain?’
Hear about causation and correlation and why it’s not true that additional weight causes back pain but there is correlation and the changes made to positively impact on weight will also impact on back pain.
KEY TAKEAWAYS Correlation is two things happening at the same time. Causation is where one thing will directly affect another. Back pain is not caused by weight but back pain and weight gain often go hand in hand because of a lack of activity. Back pain can be the result of a lack of activity. Weight gain can be the result of a lack of activity. Back pain and weight gain have a correlation to each other. To reduce weight an individual can undertake movement activity and this will also positively impact on back pain. The two are linked by a common factor but they are not directly caused by one another.
BEST MOMENTS
‘Correlation is when it’s likely that two things will happen at the same time’
‘Being swallowed up by the sofa watching Netflix reruns will certainly aggravate your back but getting back to the gym will decrease back pain and your weight’
VALUABLE RESOURCES
The Back Pain Podcast
Free Sciatica guide: www.thebackpainpodcast.com
ABOUT THE HOSTS
Dave Elliot
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him @ hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
CONTACT METHOD
hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
In this episode, Rob and Dave are talking about back pain and strength with Dominic May, a strength and conditioning coach who has worked with sportspeople around the world and is currently best known as the Arsenal Academy’s strength and conditioning coach.
Dominic explains exactly why it’s vital to have balance in the body and how strength underpins every movement, enabling the individual to effectively hold a core position and complete all other actions and movements.
Dominic provides a fascinating insight into his work with athletes and shares his wealth of knowledge about how you can improve your strength and condition at home.
KEY TAKEAWAYS Strength underpins all athletic movement and athletic skills it allows you to hold a core position and then pivot, move and complete an action such as kicking The body works as a connected system what happens in the back impacts elsewhere. If there is an issue in a particular joint or muscle the body will compensate elsewhere. If a bone has too much load it can result in a stress injury so load management is crucial. We break down an athletes movement pattern into dicentric and concentric qualities. What is the force they can absorb and tolerate and what is the force they can produce? If you have a role that involves you working in an asymmetric way it’s important for long term health to undertake exercise to bring balance across the body. Core training should include;
-Moderate force endurance training designed to stabilise the spine
-High force static training
-High force transference training It’s all about multi-plane exercise – front, back and sides and anyone can use these principles to improve their strength.
BEST MOMENTS
‘Players are getting stronger and fitter every year’
We typically want asymmetric symmetry to be less than 10%
‘It’s vital to have balance in the body’
VALUABLE RESOURCES
The Back Pain Podcast Free Sciatica guide: www.thebackpainpodcast.com
Dominic May LinkedIn
ABOUT THE HOSTS
Dave Elliot Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him @ hello@thebackpainpodcast.com if you have any questions for him. -Instagram
RobBeaven Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better. -Instagram -Twitter
CONTACTMETHOD Instagram Twitter Facebook hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Note: In the episode Daniel is introduced as 'Assistant Professor',this is incorrect. His official title is 'Associate Professor Dr Daniel Belavy'. We aplologise for this innacuracy.
Dave and Rob are with Associate professor Daniel Belavy, one of the authors of a new paper recently published in the British Journal of Sports Medicine which addresses the ultimate question ‘What exercise should I be doing for my lower back pain?’
They discuss how network metanalysis was used to compare different types of exercise and the parameters that mean this research can be effectively used to understand which type of exercise should be undertaken by those with chronic back pain.
KEY TAKEAWAYS We used a methodology analysis called network metanalysis to compare different types of exercise. This research focused entirely on bringing together studies that were about exercise as a treatment for lower back pain. The mode of exercise varied from Pilates, stabilisation, to stretching and extension work. Active exercise therapies are likely to be the most beneficial for back pain Helping people to reduce their fear of movement is a big part of the journey to recovery. Building confidence is part of the process in the treatment of back pain. The analysis focused entirely on comparing active exercise treatment data in relation to chronic non-specific lower back pain. The results of the study indicate that modes of exercise such as Pilates, resistance, aerobic, and stabilisation are the best types of exercise to undertake for lower back pain.
BEST MOMENTS
‘People don’t realise what goes into studies of this scale’
‘There are no exercises that are harmful for the body’
‘Active exercise therapies are likely to be the most beneficial for back pain’
VALUABLE RESOURCES
The Back Pain Podcast Free Sciatica guide: www.thebackpainpodcast.com
Link to the paper described
https://bjsm.bmj.com/content/early/2020/06/15/bjsports-2020-102024
Free to download paper
http://bit.ly/BJSM-NMA
ABOUT THE HOSTS
Dave Elliot Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him @ hello@thebackpainpodcast.com if you have any questions for him. -Instagram
RobBeaven Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better. -Instagram -Twitter
CONTACTMETHOD Instagram Twitter Facebook hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Tom Jesson is a physio who has a particular interest in sciatica and in this episode, he explains exactly how your nervous system works and what sciatica is.
He chats to Rob and Dave about perceptions and what you can do if you have recent onset sciatica along with the possible ways forward for those who experience chronic sciatica. Tom shares detailed but very accessible information about sciatica and what to do in this episode packed with valuable content.
KEY TAKEAWAYS The Sciatic nerve is the large nerve that runs down the back of the leg and the term sciatica is used to describe any pain connected with this nerve. All the nerves in your body are connected in a network and are very strong but also very sensitive. Once a part of your nervous system is sensitive then a range of different things can cause pain. The pain that people experience can be very different. Radicular pain is a term used to describe nerve root pain. Radiculopathy refers to a problem with the nerve root that stops it working properly A nerve tells you what is going on in the world but if it is irritated or damaged it may not send the signal. It also sends signals down from your brain to activate functions in the body. Loss of function can be caused by damage to the nerve. If someone has recent onset sciatica then it’s important to be optimistic because the body will heal if you look after your general health. Movement is good for the body and nourishes through increased blood flow to all areas.
BEST MOMENTS
‘Even if you are in pain it’s important to keep moving’
‘It’s important that patients keep a journal so that success can be tracked over time’
‘Give your body the right environment to get better’
VALUABLE RESOURCES
The Back Pain Podcast Free Sciatica guide: www.thebackpainpodcast.com
Tom Jesson Twitter
Tom Jesson Sciatica Newsletter
ABOUT THE HOSTS
Dave Elliot Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him @ hello@thebackpainpodcast.com if you have any questions for him. -Instagram
RobBeaven Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better. -Instagram -Twitter
CONTACTMETHOD Instagram Twitter Facebook hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Sam Spinelli is a hugely experienced strength and conditioning therapist based in Canada and in this episode, Rob and Sam explore some of the commonly held myths about back pain and its causes as they discuss posture, position, flexion and stretching.
Sam shares some great practical tips about movement and exercises that will have a positive impact along with detailed information about the research and data behind the work that he undertakes with his clients.
KEY TAKEAWAYS Posture is multifactorial there are many reasons why you may be in a particular position or postures. Different positions and postures regulate the stress on different tissues. The times where stress exceeds the capacity of the tissues is the time when an individual experiences pain. Changing posture can be about relieving stress on tissues and as humans, our bodies thrive on changing posture frequently. In the workplace, there is no particular posture that is more likely to cause back pain. When you lift the effects are determined by your familiarity with the position and posture and how often you are in that posture. Your spine adapts to what you are doing. You have to bend and flex as part of daily movement so preparing to do it can be beneficial. Slow repeated movements can improve flexion. There are options that provide better results than static stretching. If you are looking to achieve a meaningful lengthening of muscle resistance training is the best option.
BEST MOMENTS
‘Start crushing life’
‘A static bent posture does not show a consistent relationship with more back pain’
‘Often there is a lot more to peoples posture than just a worry about back pain’
VALUABLE RESOURCES
The Back Pain Podcast Free Sciatica guide: www.thebackpainpodcast.com
Link to article here. https://www.strongerbyscience.com/lumbar-flexion/
Instagram handles @citizenathletics1 @dr.samspinelli
E3R3HAB
ABOUT THE HOSTS
Dave Elliot Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him @ hello@thebackpainpodcast.com if you have any questions for him. -Instagram
RobBeaven Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better. -Instagram -Twitter
CONTACTMETHOD Instagram Twitter Facebook hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
We chat to Jack March, a Specialist Rheumatology Physio about his role in practice as an Advanced Level Physio at Nuffield health, alongside that he is also Project lead of The Physio Matters Podcast and has lectured extensively on Rheumatology, arthritis and Inflammatory Back Pain.
In this episode, we chat about what Arthritis actually is and the ways in which exercise and lifestyle can help to optimise your body system.
It’s a huge topic and Jack shares some great advice about joint inflammation what any individual can do to optimise and access the right resources at the right time.
KEY TAKEAWAYS The term arthritis means joint inflammation, Osteoarthritis is the most common form with the joint ageing over time. Anything that increases the resting level of inflammation slightly to a higher level will then accelerate the age-related changes to your joints. Everyone’s joints deteriorate but it is individual in terms of when it happens and whether there is pain and osteoarthritis. Osteoarthritis isn’t about developing a disease it’s about altering the speed of the normal ageing experience. You have to take people on their individuality and if you have pain the treatment is the same as the treatment to reduce the risk of it happening. Your genetic component is linked to your predisposition and pain threshold response. If the issue isn’t keeping you awake at night and it isn’t reducing the distance you can walk to a great degree that is restrictive then a joint replacement is not the right solution. You need to optimise your body system and exercise is anti-inflammatory in its own right. The biggest change comes in changing the body system through exercise, dietary and lifestyle choices. Exercise has many beneficial effects including; the anti-inflammatory component, improvement of the joint and weight loss. The short term fixes don’t work whilst the longer-term fixes do work you just need to be consistent and persevere. If your symptoms are mild then seek early advice from a healthcare professional who can help you on the right path moving forwards
BEST MOMENTS
‘Some people can have a small change to the joint and lots of pain whilst others could have a large change to the joint and very little pain’
‘There are 5 types of different arthritis but hundreds of different conditions that can cause it’
‘It’s always about treating the person’
VALUABLE RESOURCES
The Back Pain Podcast Free Sciatica guide: www.thebackpainpodcast.com
https://rheumatology.physio
https://nass.co.uk
ABOUT THE HOSTS
Dave Elliot Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him @ hello@thebackpainpodcast.com if you have any questions for him. -Instagram
RobBeaven Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better. -Instagram -Twitter
CONTACTMETHOD Instagram Twitter Facebook hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
In this episode, Jack Barton, who works in construction and is also a CrossFit Coach shares his experience of surgery and recovery. After his back injury impacted on the movements he could make and he took the decision to have Microdiscectomy surgery to resolve the issue.
He discusses the process leading up to the decision and the surgery along with what it was like in the 6 week initial recovery period and beyond.
This is a good opportunity to hear from someone who has been through a surgery, undertaken the rehabilitation and returned to an exercise regime successfully.
KEY TAKEAWAYS CrossFit is functional based training and includes weights, gymnastics and metabolic conditioning so the movements are varied I tried physio and went through 2 rounds of injections which had little impact and were uncomfortable before deciding on surgery. It was challenging to accept the need to have surgery and know that as an active person I would have to go through a 6-week recovery period with a restricted exercise regime. The course of physio was based on stretches and as a fit person, I was able to successfully move through the recovery sequence fairly quickly. My biggest fear when I started to exercise again was that there would be a relapse. I took things slowly and benefitted because I was healthy and had a high level of fitness, I also understood my body and knew how to move. I’m 85% better than I was and if I could adhere daily to the stretching and other exercises I would be even better. Good body awareness makes a huge difference along with understanding how to move and stretch your body. If you are considering surgery you need to understand that the better you go into surgery the better you will come out of it.
BEST MOMENTS
‘I knew the difference between gym aches and pains and pain or an ache that is an indicator of something to worry about’
‘You don’t have to stop doing exercise you just have to vary what you are doing’
‘You have to go into surgery as strong as you can’
VALUABLE RESOURCES
The Back Pain Podcast Free Sciatica guide: www.thebackpainpodcast.com
ABOUT THE HOSTS
Dave Elliot Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him @ hello@thebackpainpodcast.com if you have any questions for him. -Instagram
RobBeaven Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better. -Instagram -Twitter
CONTACTMETHOD Instagram Twitter Facebook hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
In this episode, Rob Crowley Chiropractor and CrossFit Competitor talks about the value of CrossFit as both a fitness methodology and a competitive sport.
He shares what it means to an individual who trains in CrossFit in addition to their working week and how professional CrossFit elite athletes work towards their goals and how exposure to movement and load is the key to building resilience, strength and endurance.
Rob reflects and shares great advice from all angles - as a chiropractor, physiologist, CrossFit competitor and CrossFit coach. Cross fit can be hard to define and this is a great opportunity to understand more about how and why CrossFit continues to grow in popularity year on year.
KEY TAKEAWAYS Load, movement and variety of exercise is very important to decrease back pain and keep people healthy. CrossFit is designed to be constantly varying functional activity performed at high intensity across times and domains. CrossFit has moved from the domain of athletes to being within the reach of the average person and this brings unique challenges for those individuals in terms of mobility and what they can achieve early on. The ability to coach complex and varying movements is about scaling for the differing abilities and experience. You need to understand the phases and stages of each lift to successfully build the necessary skills. There is a difference between CrossFit as a fitness methodology and CrossFit as a competition sport. In CrossFit, there is a paradox with movements where your lower back needs to be very stable such as weight lifting but there are also gymnastic movements that require the lower back to be very mobile and they might be in the same workout. The same treatments work with athletes and the average person but often the average person doesn’t feel they need the level of care an athlete has. Bodies aren’t fragile there isn’t a bad movement it’s having the strength, endurance and skill to perform the movement.
BEST MOMENTS
‘I’ve never avoided loading my body and over the years this is what has made me resilient’
‘We need to not make people afraid of lifting things it’s what we are designed to do’
‘A CrossFit workout will always feel about the same, the amount you feel f#cked afterwards will change as you get fitter and recover quicker’
VALUABLE RESOURCES
The Back Pain Podcast Free Sciatica guide: www.thebackpainpodcast.com
Gain Recovery website
ABOUT THE HOSTS
Dave Elliot Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him @ hello@thebackpainpodcast.com if you have any questions for him. -Instagram
RobBeaven Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better. -Instagram -Twitter
CONTACTMETHOD Instagram Twitter Facebook hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
In this episode Shane Lawlor one of Europe’s leading golf performance therapists discusses the range of issues he sees repeatedly in his specialist area, golf and the solutions that he is able to offer.
With extensive expertise and experience in the treatment, screening and rehabilitation of golf injuries Shane has travelled the world with professional golfers and has worked with athletes at all levels.
He shares the methods and approaches that make a difference in physical performance and discusses what it really takes to build an athlete.
KEY TAKEAWAYS The pros get back problems because they hit too many balls at speed and the amateurs get problems because they don’t rotate in the right way. In the treatment room, a selection of movement screens are used to work out what the problem is. We know now even if you have back pain you need to be moving around. It’s about putting evidence and experience together. Back problems for amateur golfers are usually focused around hip mobility. Golf is a close chain movement where your feet are planted and then your hips are moving over them. The rotation should come from the hips but if this doesn’t happen then the strain is on the back. The type of disc and facets in the back can determine whether someone is suitable for a particular sport. When you are building a golfer, you are building an athlete. Early specialisation of sports can be a problem because you overload on a particular pattern very early on. If you can get the core working effectively then this lessens the strain on the back. Extra mobility doesn’t mean you are more stable it’s all about control. You can’t add length without adding strength and you are mobilised by strengthening it’s important to stay strong. It’s a very diverse sport and no 2 swings are the same so you should never try and copy someone else’s swing. What makes someone a pro is their ability to get around their own limitations.
BEST MOMENTS
‘If you build your mental game you can make it your reality’
‘If you can’t hit a ball 300 yards or more then you are at a significant disadvantage so young players are always chasing speed as this means more distance’
‘There is no best coach it’s the coach who best suits the person’
VALUABLE RESOURCES
The Back Pain Podcast Free Sciatica guide: www.thebackpainpodcast.com
The Golf Chiro website
Shane Lawlor LinkedIn
ABOUT THE HOSTS
Dave Elliot Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him @ hello@thebackpainpodcast.com if you have any questions for him. -Instagram
RobBeaven Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better. -Instagram -Twitter
CONTACTMETHOD Instagram Twitter Facebook hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Derek Griffin specialist musculoskeletal physiotherapist with expertise in chronic pain disorders is talking about chronic pain and how pain is understood on both an individual and societal level.
There are many factors that influence an individual’s experience of pain and Derek explains the importance of listening to the patient and bringing understanding to the narrative.
Everyone will seek to make sense of their pain and understanding the many factors that interact to not only influence the pain but determine the response can help in the management and treatment of individuals.
We are subject to many societal beliefs about back pain from early on in our lives but the narrative can be changed if we are prepared to listen.
KEY TAKEAWAYS Chronic pain is an umbrella term for a number of conditions so it’s important to recognise each individual and their story. Pain is a societal problem and people have beliefs about pain whether they are suffering it or not. Its widely believed that pain equals damage to tissues resulting in pain but there is not a 1 to 1 relationship between pain and damage. There are many factors that influence an individual’s experience of pain You can have damage and not have pain and also have pain without any obvious injury. There is a huge interaction between our beliefs, behaviours, how we cope with pain and how the nervous and immune systems respond which influence pain and its persistency If you can link key concepts to the patient’s story you can help them to reflect. Even when you can’t change someone’s life there are ways to help them improve their coping mechanisms. There has to be a blame-free narrative and there are many things are involved in the experience of pain. It’s always about listening to the individual and their story. There are lots of reasons around the societal beliefs about back pain and how it persists but it about shifting the beliefs at a population level to make change
BEST MOMENTS
‘No activity is too little’
‘It’s human nature to try and attribute something to a particular event because it brings control’
‘It’s about changing the narrative of pain’
VALUABLE RESOURCES
The Back Pain Podcast Free Sciatica guide: www.thebackpainpodcast.com
Derek Griffin Twitter
Derekgriffinphysio@gmail.com
ABOUT THE HOSTS
Dave Elliot Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him @ hello@thebackpainpodcast.com if you have any questions for him. -Instagram
RobBeaven Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better. -Instagram -Twitter
CONTACTMETHOD Instagram Twitter Facebook hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
In this episode, Brad Beer founding physiotherapist of Pogo Physio, host of ‘The Physical Performance Podcast and best-selling author of ‘You Can Run Pain Free’ discusses what it takes to keep running and the types of injuries that runners often encounter.
Moving and motion are important and the body adapts growing stronger so keeping in motion is key.
Brad and Rob discuss the ways to achieve optimum hip stability, understand your body type, training load and running technique in this informative episode.
KEY TAKEAWAYS 1 out 5 recreational runners will compete with a running injury at any one time. Most runners will have back pain at some point during their lifetime. The role of the pelvis for runners is integral to performance. If a runner can get stronger around the pelvis it will mitigate possible back pain. Moving and motion are important and the body adapts growing stronger. Back pain is often really poorly managed. The most powerful part of the consultation can be the client understanding that;
-They don’t have a bad back they have a normal back that’s currently sore
-Pain does not equal damage
-This pain will pass Achieving hip stability is key. Body type – having an awareness of how you are put together can help you streamline what you need to do to increase and sustain mobility. Running technique – over striding had been linked to heightened to increase joint forces 60% of injuries are caused by incorrect training loads Relative rest – the only training you are benefiting from is the training you are recovering from.
BEST MOMENTS
‘The best performers are those who are less rigid and adapt training to their bodies at different times’
‘You are getting fitter when you are absorbing the work’
‘I’m a student in my job everyday’
VALUABLE RESOURCES
The Back Pain Podcast Free Sciatica guide: www.thebackpainpodcast.com
Pogo Physio website
You Can Run Pain Free by Brad Beer
The Physical Performance Show podcast
ABOUT THE HOSTS
Dave Elliot Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him @ hello@thebackpainpodcast.com if you have any questions for him. -Instagram
RobBeaven Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better. -Instagram -Twitter
CONTACTMETHOD Instagram Twitter Facebook hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Discover today how your back pain when cycling can be eliminated with a simple bike fit. Today we are joined by Ricky Davis, chiropractor and bike fitter who explains the critical importance bike fitting can have on your comfort and performance on the bike whether you're a lifelong cyclist or just starting out. Ricky shares some key exercises for improving your strength in and out the saddle and why getting that fine balance is extremely important.
KEY TAKEAWAYS There’s a 50/50 split for acute trauma injuries on a bike e.g. falling off and fracturing something, and then the chronic overuse and pain. Disc overload or disk anti-pressure can often cause the sciatic nerve troubles close to that area and they can refer down and into the legs. Not only is there mechanical pressure in the saddle but also the lower back, making many people fear cycling. There are specific stretches and techniques for cycling and mobility. Certain yoga poses such as ‘Pigeon Pose’ whereby you stretch through your hips. As well as strengthening exercises like ‘Dead Bugs’ which are an amazing core exercise whilst in a peddling movement, coupled with one-legged glute exercises. The majority of the issues related to lower bike pain in connection with bike fitting is that somebody can be too low in terms of the front end of the bike meaning they’re putting excess stress onto the lower part of the back or they are too high on a road bike you have to have a balance between the two. If you are first getting into cycling, getting a bike fitted correctly to you will change your view on cycling. If you go cycling without this, and find it painful it will put you off. Pain is the biggest limiter of success on a bike as you are not able to do what you love to do. You can increase performance with a good bike fit. The reason you will be faster and perform is that if your muscles are in the right ranges then all your power from your glutes will be going into the pedal. If everything is working as it should, we can improve on things.
BEST MOMENTS
“People think that’s just a normal feeling, that is just cycling but it is not, you don’t need to be feeling this stuff.”
“These are going to be invaluable to strengthen you off of the bike as well.”
“Discomfort will be the thing that limits you the most.”
VALUABLE RESOURCES
The Back Pain Podcast Free Sciatica guide: www.thebackpainpodcast.com
John Thomson The McKenzie Institute website
Links To Exercises (valuable resources)
https://www.google.co.uk/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&ved=2ahUKEwjD6fOP5tjpAhWiVBUIHXpaDdwQFjASegQIAhAB&url=https%3A%2F%2Fwww.yogajournal.com%2Fpractice%2Fpigeon-pose&usg=AOvVaw1ZkTLlhHMLjt__eqJFXZsB
https://www.google.co.uk/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&ved=2ahUKEwjE95uc5tjpAhUOTRUIHQH_DjkQFjAYegQIAhAB&url=https%3A%2F%2Fwww.coachmag.co.uk%2Fabs-workouts%2F6384%2Fthe-dead-bug-exercise&usg=AOvVaw1rLBC515ZAVnvhY62ZGzsU
https://www.google.co.uk/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&ved=2ahUKEwiv7aio5tjpAhVQZxUIHVCABXsQwqsBMB96BAgLEAQ&url=https%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3Db9bHy3ojQWA&usg=AOvVaw2O3Ki5ZxGpAyeL1Lm3vPC5
ABOUT THE HOSTS
Dave Elliot Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him @ hello@thebackpainpodcast.com if you have any questions for him. -Instagram
RobBeaven Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better. -Instagram -Twitter
CONTACTMETHOD Instagram Twitter Facebook hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Nick is a Sport Chiropractor who has worked in the premiership for the last 3 years alongside a multidisciplinary team of physios, doctors and coaches.
We discuss how common injuries including back pain is in top-level athletes and how its managed in the elite sporting environment. As well as the challenges healthcare professionals face in dealing with the best of the best.
KEY TAKEAWAYS 49% of the population has suffered from back pain and individuals often identify sport as the cause. This can be because they don’t do anything, then do something intense increasing dramatically the load on the body. In football, both intrinsic load and external load are measured to give both indicators of potential injury and peaks in performance. As a sports chiropractor, you are looking for the characteristics of having flexibility, strength, stability and control in the right areas of the spine, then it can withstand a good amount of load. The type of back pain suffered by most people is mechanical back pain and this affects both athletes and weekend warrior sportspeople. When an athlete is coming back from injury they go through specific steps to reduce the risk of relapse. Those young people who do a range of different sports as they are growing up spread the load and this helps later on. It’s about an athlete having a set of tools that they can use to manage their own bodies and their mental well being A rest recovery cycle is important with sleep and the correct diet vital components. You need to take a holistic view of your life to ensure you are in the best possible state to take part in physical activities.
BEST MOMENTS
‘I’m looking to build a multi-disciplinary team who will be able to meet all the needs of the person’
‘Breaking down the components of the sport and testing the athlete over time to build back to 100% is vital’
‘It’s about have a training plan and building up the load gradually’
VALUABLE RESOURCES
The Back Pain Podcast Free Sciatica guide: www.thebackpainpodcast.com
Nick Metcalfe website
ABOUT THE HOSTS
Dave Elliot Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him @ hello@thebackpainpodcast.com if you have any questions for him. -Instagram
RobBeaven Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better. -Instagram -Twitter
CONTACTMETHOD Instagram Twitter Facebook hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Sarah Fellows is a chartered musculoskeletal and women's health Physiotherapist. She works alongside Rob at the Dyer St Clinic @dyerstclinic dyerstclinic.com in Cirencester.
Today’s episode focuses on one of Sarah’s passions, treating pregnant ladies, who as I’m sure you know, regularly suffer from back pain. We cover how to know if you back pain is serious, and the signs to look out for. What you can do if you are pregnant and have back pain, and tips to avoid it, if you are early on in your pregnancy or trying for the future.
Sarah is a fantastic guest and this was a great episode to be a part of! Enjoy.
KEY TAKEAWAYS Backpain can be more likely in subsequent pregnancies as the muscles have already been stretched The weight load on the front of the body can exacerbate back pain through the posture altering. A strong muscular structure during pregnancy supports the changes to the body and for those women who have weak muscular structure training and developing muscular strength is key A muscle strengthening program can be vital to help the body strengthen and adapt For any type of pain seek advice but it’s important to understand that your body is continually adapting during pregnancy All the changes are very normal and pain doesn’t equal harm it’s an alarm signal. Movement is your friend, even if you have pain It’s important to keep moving, pace yourself and move in short bursts Many women go through pregnancy without any back pain it’s all about how you look after yourself. Breathing is an important part of how we function and just changing your breathing can change your pain.
BEST MOMENTS
‘If you are planning on getting pregnant then you should train for it’
‘For the majority of women, backpain in pregnancy is caused by postural changes’
‘The stronger you are, especially in the pelvic area the better your pregnancy will be’
VALUABLE RESOURCES
The Back Pain Podcast Free Sciatica guide: www.thebackpainpodcast.com
Physio Sarah website
ABOUT THE HOSTS
Dave Elliot Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him @ hello@thebackpainpodcast.com if you have any questions for him. -Instagram
RobBeaven Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better. -Instagram -Twitter
CONTACTMETHOD Instagram Twitter Facebook hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Dr. Depak Ravindran is a Consultant Pain and MSK Specialist at Circle Rehabilitation. He is also lead consultant in pain medicine at the Royal Berkshire Hospital in Reading.
One of his key areas of interest is Fibromyalgia. A Chronic pain condition which not only causes a significant amount of back pain but also makes the pain from other conditions much worse!
We talk today about the widespread problem that is Fibromyalgia, how common it is and its relationship to other pain conditions. Deepak is a world-renowned expert on this topic, so some takeaways for sufferers as well as healthcare professionals.
KEY TAKEAWAYS Fibromyalgia is a chronic widespread pain condition characterised by sleep deprivation, memory loss, extreme fatigue and widespread pain throughout the body. Listening is an important part of a consultation and helps to build a detailed picture of people’s lives. Fibromyalgia affects around 3 million people in the UK Younger people are now being diagnosed with fibromyalgia and this has an impact on both society and the economy. It’s a dysfunction of the nervous system and the question is what are the changes for young people that are leading to this dysfunction? The immune system and the nervous system are tied tightly together and they can both be profoundly affected by stress If you look closely at what you eat you can potentially make a huge difference to fibromyalgia Pain is not a signal something is wrong it’s an alarm system and then the brain decides how dangerous it is ‘it’s a danger signal’ the brain makes a decision based on prior experience Some patients will have both fibromyalgia and back pain and it is likely they will have an amplification as the body is wired to be more sensitive. When you have a sensitive system it’s important to reinforce the message that it alright and therapies can make a difference
BEST MOMENTS
‘Hurt does not equal harm, this is an important message to understand’
‘Any treatment approach must be tailored to the individual and we need to find multiple ways to calm the nerves’
‘Once a diagnosis is made moderating your lifestyle and completing activities routinely that help your body are key’
VALUABLE RESOURCES
The Back Pain Podcast Free Sciatica guide: www.thebackpainpodcast.com
Circle Health website
The Berkshire Pain Clinic website
ABOUT THE HOSTS
Dave Elliot Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him @ hello@thebackpainpodcast.com if you have any questions for him. -Instagram
RobBeaven Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better. -Instagram -Twitter
CONTACTMETHOD Instagram Twitter Facebook hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Rath Sundaram is a Consultant Orthopaedic, Trauma and Spinal Surgeon at Gloucestershire Hospitals Foundation Trust and is the spinal lead for Gloucestershire Hospitals. As well as working in the NHS he has a large Private patient base.
The elective work he provides is mainly for sciatica, spinal stenosis, spondylolisthesis, scoliosis, cervical radiculopathy and myelopathy. All which are significant causes of back pain, and disability.
We go into detail about the different types of Spinal Surgeries for back pain, when they should be done, benefits and limitations of each, as well as tips on when it's appropriate to see a consultant spinal surgeon and much more.
So, if you have back pain and are worried about having surgery or if you are just exploring your options then this episode is for you!
KEY TAKEAWAYS The majority of diagnosis are made from the individual’s history and with an examination, a scan would be done to confirm this. Only 5% of individuals will require surgery because the majority who have spinal pain symptoms will heal over time. There is considerable research around the types of people who do well and are the right people to operate on. No two patients are the same it’s about relative anatomy and the way individuals are built. We treat the person, not the scan. The evidence shows that physical therapy can help things to settle down over time. If this doesn’t reduce pain then surgery can be considered. The more common operation is a lumbar discectomy procedure. Fusion surgery is done when there is instability and movement in the spine. The most common cause of this is spondylolisthesis With surgery people are usually home the next day. Your body will be tired and good therapy will help get you back to your normal state as quickly as possible. Decisions about treatment are based on the level of symptoms and the quality of life. It is about whether someone can live their everyday life.
BEST MOMENTS
‘The spine is a dynamic structure’
‘When you are in severe pain for a period of time it can be difficult to accept that it will get better in time’
‘It is reasonable to consider a scan after 6weeks if the treatment isn’t making a difference ’
VALUABLE RESOURCES
The Back Pain Podcast Free Sciatica guide: www.thebackpainpodcast.com
https://www.itsmyspine.co.uk
ABOUT THE HOSTS
Dave Elliot Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him @ hello@thebackpainpodcast.com if you have any questions for him. -Instagram
RobBeaven Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better. -Instagram -Twitter
CONTACTMETHOD Instagram Twitter Facebook hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
Axial Spondyloarthritis or AxSpA is an inflammatory arthritis where back pain is the main symptom. AxSpA is an umbrella term that includes AS or Ankylosing Spondylitis as well as Non-radiographic axial spondyloarthritis. Both can be crippling!
We chat to Jack March, a Specialist Rheumatology Physio about his role in practice as an Advanced Level Physio at Nuffield health, alongside that he is also Project lead of The Physio Matters Podcast and has lectured extensively on Rheumatology and Inflammatory Back Pain
In this episode, we will go over what to do if you think you have inflammatory back pain or AxSpA, tips if you have a diagnosis and some great resources to turn to for further information.
KEY TAKEAWAYS Axial Spondyloarthritis is an umbrella term for a number of conditions where the ligaments attached to the bone become inflamed. In AxSpA the immune system loses the ability to tell those cells that connect the ligaments to the bone as being a part of you. It is an alteration of the immune system so for most people its managed through inducing remission. Next steps will usually be an anti-inflammatory medication and for many, this will be sufficient to control the symptoms With AxSpA there are very specific pattern it is a younger person’s condition with onset usually being under 45 although it may not be diagnosed for a number of years. Classic symptoms include spinal stiffness for a period usually in excess of an hour and pain and stiffness that wakes people in the night, only alleviated by loosening through movement. If you are diagnosed early and treated early the best outcomes are achieved. When medication and pain management are under control, key lifestyle factors are avoiding smoking, keeping active and healthy eating. It’s about regular exercise, whatever that is for the individual, you should be aiming to lift your heart rate for 150mins a week.
BEST MOMENTS
‘There is nothing wrong with the tissue it’s the inflammation that is causing the pain’
‘Inflammation stimulates more inflammation so it’s about stopping the cycle’
‘It’s not a consequence of any damage to the spine’
VALUABLE RESOURCES
The Back Pain Podcast Free Sciatica guide: www.thebackpainpodcast.com
Rheumatology Physio
NASS website
ABOUT THE HOSTS
Dave Elliot Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him @ hello@thebackpainpodcast.com if you have any questions for him. -Instagram
RobBeaven Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better. -Instagram -Twitter
CONTACTMETHOD Instagram Twitter Facebook hello@thebackpainpodcast.com
Support the show: https://thebackpainpodcast.com
See omnystudio.com/listener for privacy information.
John Thompson is a physiotherapist and lead instructor for the McKenzie institutes in Europe.
This episode is dedicated to the McKenzie method for treating and solving lower back pain.
The McKenzie Method® of Mechanical Diagnosis and Therapy® (MDT) - MDT is a philosophy of active patient involvement and education which is trusted and used by practitioners and patients all over the world for back, neck and extremity problems. This approach continues to be one of the most researched physical therapy-based methods available.
KEY TAKEAWAYS The system is a complete system of assessment diagnosis and treatment. It aims to treat anyone for spinal pain or extremity pain that can be improved through movement. It aims to move the patient to the end of their movement range and monitor how their symptoms behave. The McKenzie system aims to identify recognised patterns. The 3 patterns seen the most are derangement, dysfunction and postural. Postural – pain when in a particular position for an extended amount of time – this is about education to change the movement that is causing the pain. Dysfunction – tight or shortened tissue always related to back or neck with the pain only happening when the tissue is stretched. Stretching out therapy encourages the tissue to loosen. Derangement – variable in presentation with a loss in the range of movement that is not consistent. You can achieve a rapid change through exercise. The diagnosis and classification is based on the symptoms shown by the patients. The McKenzie method uses therapist techniques during both assessment and treatment and for those patients who can’t move themselves it is an essential component.
BEST MOMENTS
‘I felt I should be able to do more for my patients’
‘If you are a patient who has had episodic pain and finds pain in completing certain tasks and activities then you should consider the McKenzie method’
VALUABLE RESOURCES
The Back Pain Podcast Free Sciatica guide: www.thebackpainpodcast.com
John Thomson The McKenzie Institute website
ABOUT THE HOSTS
Dave Elliot Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him @ hello@thebackpainpodcast.com if you have any questions for him. -Instagram
RobBeaven Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better. -Instagram -Twitter
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