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Dr. Peter Attia

👤 Speaker
11186 total appearances

Appearances Over Time

Podcast Appearances

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

Yeah, and it's actually been yet another benefit of this experience is the ability I now have to help my patients. If you just look at the population and understand the ubiquity and frequency of lower back pain and you realize I don't remember the numbers, but let's say a third of people are going to go through some bout of lower back pain in their life.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

Yeah, and it's actually been yet another benefit of this experience is the ability I now have to help my patients. If you just look at the population and understand the ubiquity and frequency of lower back pain and you realize I don't remember the numbers, but let's say a third of people are going to go through some bout of lower back pain in their life.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

A number of my patients have also been in the loop of chronic lower back pain. For these patients, one of the most powerful messages I can deliver to them is learning that a setback is not permanent. So part of the journey, because remember, it's not like in the nine months after this injury got better, I never had another setback.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

A number of my patients have also been in the loop of chronic lower back pain. For these patients, one of the most powerful messages I can deliver to them is learning that a setback is not permanent. So part of the journey, because remember, it's not like in the nine months after this injury got better, I never had another setback.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

No, within that period of time, I would have days where I felt bad again. Now, fortunately, I never went back to laying on the floor for days. I never experienced that level of discomfort again. But there were many days when I was very uncomfortable, and it would wax and wane. But over time, and with every time that I would recover from one of those cycles, my confidence would go up.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

No, within that period of time, I would have days where I felt bad again. Now, fortunately, I never went back to laying on the floor for days. I never experienced that level of discomfort again. But there were many days when I was very uncomfortable, and it would wax and wane. But over time, and with every time that I would recover from one of those cycles, my confidence would go up.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

The ability to know that this is going to pass, and I'm going to have to make some adjustments... and I'm going to have to not sit, and I'm going to have to change the way I lay, and I'm going to have to do these exercises a little bit more, that's okay. This will pass. I actually just got an email from a former patient. He's not even my patient anymore.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

The ability to know that this is going to pass, and I'm going to have to make some adjustments... and I'm going to have to not sit, and I'm going to have to change the way I lay, and I'm going to have to do these exercises a little bit more, that's okay. This will pass. I actually just got an email from a former patient. He's not even my patient anymore.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

He said to me, hey, Peter, just want to let you know, man, I have never forgotten what you said about this. I just had a big setback last week, and this would have normally taken me down the spiral to hell And I hear your words telling me, it's okay. This will pass. And he's like, you know what? It's a week later. I'm already on the mend. So there's no difference. It's not impacting physiology.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

He said to me, hey, Peter, just want to let you know, man, I have never forgotten what you said about this. I just had a big setback last week, and this would have normally taken me down the spiral to hell And I hear your words telling me, it's okay. This will pass. And he's like, you know what? It's a week later. I'm already on the mend. So there's no difference. It's not impacting physiology.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

It's impacting the psychology. And the psychology is what goes on to impact the physiology. So again, I think of that as I tell patients, this is not going to be a monotonic improvement. it's going to look more like the S&P 500, where if you step back 30 years, yes, it's monotonically going up. Look at it for a given week, not at all. It can go down. It's quite volatile.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

It's impacting the psychology. And the psychology is what goes on to impact the physiology. So again, I think of that as I tell patients, this is not going to be a monotonic improvement. it's going to look more like the S&P 500, where if you step back 30 years, yes, it's monotonically going up. Look at it for a given week, not at all. It can go down. It's quite volatile.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

Now, the volatility will decrease over time, but it never goes to zero.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

Now, the volatility will decrease over time, but it never goes to zero.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

How are they treated now?

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

How are they treated now?

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

How many people get these? What percent of the population?

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

How many people get these? What percent of the population?

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

But less prevalent than migraines?

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

But less prevalent than migraines?