The Back Pain Podcast

The Back Pain Podcast

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The Back Pain Podcast episodes

  • Core Bracing, Pelvic Tilts and Massage Guns – Ask Us Anything

    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’

      

    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

    The Back Pain Podcast recommended products affiliate link

    Our Rode Mixer https://amzn.to/3waU8bx

    Our Microphones https://amzn.to/3rzSZ9Z

    Second Microphone https://amzn.to/2ObKMeA

    XLR Cable https://amzn.to/3rBL8ZB

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

    Laptophttps://amzn.to/3dhfafT

    Our webcam https://amzn.to/31uUefQ 

     

    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 [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

    13 min
  • What Everyone Should Know About Back Pain - Part 3

    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’

     

    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
    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 [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

    12 min
  • Sticks and Stones, How Language and Words Can Influence Your Pain

    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’

     

    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

    The Back Pain Podcast recommended products affiliate link

    Our Rode Mixer https://amzn.to/3waU8bx

    Our Microphones https://amzn.to/3rzSZ9Z

    Second Microphone https://amzn.to/2ObKMeA

    XLR Cable https://amzn.to/3rBL8ZB

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

    Laptophttps://amzn.to/3dhfafT

    Our webcam https://amzn.to/31uUefQ 

     

    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 [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

    56 min
  • Everyone’s an Individual

    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/

     

    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

    Second Microphone https://amzn.to/2ObKMeA

    XLR Cable https://amzn.to/3rBL8ZB

    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

    17 min
  • What's the Best Sleep Position to Avoid Back Pain?

    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

    https://thebackpainpodcast.com/index.php/members-map/

     

    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

    Second Microphone https://amzn.to/2ObKMeA

    XLR Cable https://amzn.to/3rBL8ZB

    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

    14 min
  • What Everyone Should Know About Back Pain - Part 2

    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’ 

     

    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

    The Back Pain Podcast recommended products affiliate link

    Our Rode Mixer https://amzn.to/3waU8bx

    Our Microphones https://amzn.to/3rzSZ9Z

    Second Microphone https://amzn.to/2ObKMeA

    XLR Cable https://amzn.to/3rBL8ZB

    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

    26 min
  • Acceptance and Commitment Therapy for Chronic Pain - Laura Rathbone

    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’

     

    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

    The Back Pain Podcast recommended products affiliate link

    Our Rode Mixer https://amzn.to/3waU8bx

    Our Microphones https://amzn.to/3rzSZ9Z

    Second Microphone https://amzn.to/2ObKMeA

    XLR Cable https://amzn.to/3rBL8ZB

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

    Laptophttps://amzn.to/3dhfafT

    Our webcam https://amzn.to/31uUefQ 

     

    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 [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

    55 min
  • Spinal Stenosis - What is it and How to Manage it - Adam Dobson

    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

    https://thebackpainpodcast.com/index.php/members-map/

     

    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

    Second Microphone https://amzn.to/2ObKMeA

    XLR Cable https://amzn.to/3rBL8ZB

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

    Laptophttps://amzn.to/3dhfafT

    Our webcam https://amzn.to/31uUefQ 

     

    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 [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

    51 min
  • Why are Opiates no Longer Recommended for Chronic Back Pain? - Diarmuid Denneny

    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

     

    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

    The Back Pain Podcast recommended products affiliate link

    Our Rode Mixer https://amzn.to/3waU8bx

    Our Microphones https://amzn.to/3rzSZ9Z

    Second Microphone https://amzn.to/2ObKMeA

    XLR Cable https://amzn.to/3rBL8ZB

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

    Laptophttps://amzn.to/3dhfafT

    Our webcam https://amzn.to/31uUefQ 

     

    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 [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

    43 min
  • Flexion, Extension, Radicular Pain & Disc Pathology with Adam Meakins and Dr Mark Laslett

    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’

     

    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

    The Back Pain Podcast recommended products affiliate link

    Our Rode Mixer https://amzn.to/3waU8bx

    Our Microphones https://amzn.to/3rzSZ9Z

    Second Microphone https://amzn.to/2ObKMeA

    XLR Cable https://amzn.to/3rBL8ZB

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

    Laptophttps://amzn.to/3dhfafT

    Our webcam https://amzn.to/31uUefQ 

     

    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 [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

    1 hr 39 min

About The Back Pain Podcast

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Welcome to the Back Pain Podcast with Rob and Dave!

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