The Back Pain Podcast

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 [email protected]   if you have any questions for him.

-Instagram 

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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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/

Severs Patient Booklet  

https://mailchi.mp/b2f6868c06a1/severs

Osgood Schlatters Patient Booklet 

https://mailchi.mp/600070290189/osgood-schlatters-patient-booklet

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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 [email protected]   if you have any questions for him.

-Instagram 

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

[email protected]

Support the show: https://thebackpainpodcast.com

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 [email protected]   if you have any questions for him.

-Instagram 

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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-Twitter

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CONTACT US

[email protected]   

Support the show: https://thebackpainpodcast.com

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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Studio Headphones https://amzn.to/3u082LE

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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 [email protected]   if you have any questions for him.

-Instagram 

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

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Facebook

CONTACT US

[email protected]    

Support the show: https://thebackpainpodcast.com

In this episode hear about the region Beta paradox  -the phenomenon that people can sometimes recover more quickly from a major incident and intensive pain than from mild pain or a less distressing experience

Rob also discusses the importance of explaining to your healthcare  professional why you have made an appointment and what you want to get back to doing to ensure the treatment plan is successful

KEY TAKEAWAYS

• People often mistakenly think it will take longer to recover from a major incident or intensive pain than when they have a mild pain or mild distressing experience
• We often only take action when the pain reaches a particular threshold
• When something isn’t too bad we may choose to ignore it
• When it’s awful we will do something about it taking action that makes it better faster
• As a patient it’s important to tell your practitioner why you have booked in now and what you want to get back to doing
• Explaining ‘why’ helps to inform the  direction of the treatment plan
• It's more than just making the pain better its getting you back to the activities you want to do

BEST MOMENTS

‘You may get stuck in region Beta where the less worse thing lasts longer than the worse thing’

‘If we don’t know what you want to get back to, we might not fully prepare you for the demands of it’

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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 [email protected]   if you have any questions for him.

-Instagram 

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

[email protected]    

Support the show: https://thebackpainpodcast.com

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 [email protected]   if you have any questions for him.

-Instagram 

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

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Facebook

CONTACT US

[email protected]

Support the show: https://thebackpainpodcast.com

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 [email protected]   if you have any questions for him.

-Instagram 

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.

-Instagram

-Twitter

SOCIAL MEDIA LINKS

Instagram

Twitter

Facebook

CONTACT US

[email protected]    

Support the show: https://thebackpainpodcast.com

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 [email protected]   if you have any questions for him.

-Instagram 

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
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Facebook

CONTACT US

[email protected]    

Support the show: https://thebackpainpodcast.com

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 TAKEAWAYS
Its 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 
BEST MOMENTS 
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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 [email protected]   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
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SOCIAL MEDIA LINKS
Instagram
Twitter
Facebook
CONTACT US
[email protected]    

Support the show: https://thebackpainpodcast.com

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’

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The Back Pain Podcast

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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 [email protected]   if you have any questions for him.

-Instagram 

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

[email protected] 

Support the show: https://thebackpainpodcast.com