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Host Andy, a physical therapist, and co-host Andrew, an exercise physiologist, interview “San Diego Mike” about finally getting relief after about 13 years of recurrent flare-ups from an L5-S1 disc herniation. Mike describes an active lifestyle (basketball, surfing, climbing, tennis, beach volleyball) and years of cycling through multiple PT clinics, self-remedies, and frequent ibuprofen without understanding triggers or root causes; he recalls being told surgery would require disc replacement and he’d likely have to live with it. A recent PT helped him identify flexion-related and jerky-sport movements as flare triggers, adopt core bracing and hip-hinge strategies, and build sport-specific strength (RDLs, squats, band hips), allowing continued volleyball and fewer symptoms, with remaining fatigue and occasional leg sensations. The wrap-up highlights positive movement experiences, balancing passive and active care, pros/cons of rigid bracing versus relaxation, activity modification, and hypervigilance/fear in chronic pain.
00:00 Podcast Welcome
00:55 Meet San Diego Mike
01:35 Active Lifestyle Breakdown
04:42 Beach Volleyball Focus
05:36 PT Routine And Training
08:53 Trigger Movements Insight
12:16 Origin Of The Injury
14:01 Years Of Trial And Error
18:30 Symptoms And MRI Details 24:06 Breaking The Flare Up Cycle
26:36 Bracing In Sports And Walking
30:49 Daily Life Modifications
32:13 Guardrails and flareups
33:13 Fatigue cues and leg symptoms
35:42 Lifestyle factors and stress 3
7:45 Medical advice and surgery fears
41:44 Soreness vs pain confusion
44:31 Hypervigilance and deadlift trust
47:14 Parsing safe soreness
49:43 Goodbyes and episode close
50:54 Host recap key takeaways
54:20 Rigid trunk pros and cons
58:24 Relaxing the brace strategy
01:01:36 Fear and chronic pain wrap
In episode three of the 'Stabbed in the Back' podcast, host Andy, a physical therapist specializing in back pain, and his cohost Andrew, an exercise physiologist, share insights into managing and overcoming chronic back pain. With a special guest named Noah, who details his personal journey from experiencing debilitating back pain to finding effective management techniques. The episode dives into the complexities of back pain, the necessity of individualized approaches, and the various methods that can help, including the controversial but widely discussed McGill Big Three exercises. Noah's story emphasizes the importance of patience, avoiding triggers, and adopting a holistic perspective that incorporates biomechanics and psychosocial factors. The discussion also touches on the importance of adjusting one's mindset and not panicking in the face of pain, as well as the practical strategies for day-to-day management and long-term recovery.
Links:
00:00 Introduction to the Podcast
00:21 Understanding Back Pain
00:54 Guest Introduction: Noah's Story
01:58 Noah's Back Pain Journey
04:54 Rehabilitation and Recovery
09:00 Clinical Insights and Approaches
13:38 Working with a Coach
25:59 Exploring McGill's Methods
30:36 Challenges with McGill Big Three
31:26 Importance of Setting Rehab Goals
33:02 Time and Patience in Rehab
33:26 Avoiding Pain Triggers
35:18 Misinterpretations of McGill's Work
36:13 Personalizing Rehab Approaches
45:32 Psychosocial Aspects of Pain
52:57 Final Thoughts and Encouragement
Overcoming Chronic Back Pain: Kenza's Journey to Recovery
In this episode of the 'Stabbed in the Back' podcast, Andy, a physical therapist, and Andrew, an exercise physiologist, discuss the complex nature of chronic back pain.
They are joined by Kenza, who shares her inspiring story of overcoming back pain after months of physical therapy and a pivotal experience reading Alan Gordon's book, 'The Way Out.' Kenza talks about her journey from injury at her wedding to a full recovery, highlighting the role of neuroplastic pain and the importance of maintaining an open mind.
The episode explores the nuances of pain management, patient experiences, and the relevance of psychological factors in physical recovery.
Listeners are encouraged to have hope and consider diverse approaches to managing chronic pain.
Click Here for Alan Gordon's Book, The Way Out
Andy's Instagram & YouTube
Andrew's Instagram
00:00 Introduction to Stabbed in the Back Podcast
00:59 Meet Kenza: Overcoming Back Pain
02:14 The Wedding Incident: A Painful Beginning
05:00 Navigating the Medical System
14:20 The Turning Point: Discovering The Way Out
29:51 Understanding Pain and Healing
30:32 The Role of Context in Pain Perception
31:35 Pain Neuroscience and Misconceptions
32:17 Factors Influencing Pain Perception
33:27 Exploring Structural vs. Neuroplastic Pain
35:10 Combining Biomechanics and Neuroplasticity
38:44 Practical Strategies for Managing Pain
40:35 Patient Stories and Emotional Journaling
43:30 The Importance of Cognitive and Emotional Approaches 51:41 Final Thoughts and Encouragement
Andy's Instagram & YouTube
Andrew's Instagram
The true crime is how sometimes the medical system leaves you feeling lost, without answers, and hopeless.
Listen & Have Hope.
These are your back pain stories.
In this episode, we introduce our podcast 'Stabbed in the Back,' where hosts Andy, a physical therapist, and Andrew, an exercise physiologist, share their passion for helping people with chronic back pain.
They discuss the pitfalls of the medical system and the importance of narratives and self-management. The special guest Rachel shares her journey of battling and managing chronic back pain, highlighting the significance of finding the right support and maintaining hope.
Tune in for an insightful conversation filled with practical advice on overcoming back pain.
From the publisher's feed
Season 2: "The Motiv Method" Navigating Pain & Rehab with Dr. Andy Noel, Physical Therapist. A podcast for people who are confused on what they should be doing to address their pain concerns…
Andy presents his pain & rehab methods for achieving the best results including many ideas throughout the health and performance landscape.
Season 1: "Stabbed in the Back" with Andy Noel & Andrew Lai is not the true crime podcast you might think it is. The true crime is that sometimes the medical system leaves you feeling confused, lost without answers and hopeless regarding your chronic back pain.
These are your back pain stories.
Join your host Andy Noel, PT, DPT and co-host Andrew Lai exercise physiologist, both specializing in back pain and other persistent pain conditions as they bring on regular folks, just like you, who have overcome their back pain.
Listen & Have Hope.
Andy's Instagram & YouTube
Andrew's Instagram & YouTube