The Back Pain Podcast

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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RESOURCES FOR THIS EPISODE

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 [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

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 [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

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 [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

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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RESOURCES FROM THIS EPISODE

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 [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

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 [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 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 [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

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 [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 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 [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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Twitter

Facebook

CONTACT US

[email protected]    

Support the show: https://thebackpainpodcast.com

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

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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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Support the show: https://thebackpainpodcast.com

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 [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