Stuart McGill

Let me give context before I define it as tightly as I can for you. Back pain is a symptom. So let's just change the topic for a moment and talk about leg pain. Can you imagine asking someone, well, could you give me an exercise or a prevention strategy for leg pain? Okay, so that sets the stage a little bit.

Let me give context before I define it as tightly as I can for you. Back pain is a symptom. So let's just change the topic for a moment and talk about leg pain. Can you imagine asking someone, well, could you give me an exercise or a prevention strategy for leg pain? Okay, so that sets the stage a little bit.

Let me give context before I define it as tightly as I can for you. Back pain is a symptom. So let's just change the topic for a moment and talk about leg pain. Can you imagine asking someone, well, could you give me an exercise or a prevention strategy for leg pain? Okay, so that sets the stage a little bit.

We're talking about a symptom for which there's a hundred or more different pathways and mechanisms there. So we've got to have a fairly comprehensive assessment now and understanding. to focus on the type of back pain, and then matching an appropriate intervention. I was listening to your new podcast with Andy Galpin this morning. The Perform podcast. The Perform podcast, yeah.

We're talking about a symptom for which there's a hundred or more different pathways and mechanisms there. So we've got to have a fairly comprehensive assessment now and understanding. to focus on the type of back pain, and then matching an appropriate intervention. I was listening to your new podcast with Andy Galpin this morning. The Perform podcast. The Perform podcast, yeah.

We're talking about a symptom for which there's a hundred or more different pathways and mechanisms there. So we've got to have a fairly comprehensive assessment now and understanding. to focus on the type of back pain, and then matching an appropriate intervention. I was listening to your new podcast with Andy Galpin this morning. The Perform podcast. The Perform podcast, yeah.

And he said, I'm going to try and follow the three I's. And it was, I think, gather information, interpret the information, and then intervene. So it's the same kind of deal here. And of course, that's pan-intervention. medical condition, shall we say. So with that context, I'm going to answer it like this. What causes back pain?

And he said, I'm going to try and follow the three I's. And it was, I think, gather information, interpret the information, and then intervene. So it's the same kind of deal here. And of course, that's pan-intervention. medical condition, shall we say. So with that context, I'm going to answer it like this. What causes back pain?

And he said, I'm going to try and follow the three I's. And it was, I think, gather information, interpret the information, and then intervene. So it's the same kind of deal here. And of course, that's pan-intervention. medical condition, shall we say. So with that context, I'm going to answer it like this. What causes back pain?

Genetics loads the gun, exposure pulls the trigger, and then the psychosocial milieu around the individual influences how they respond to the pain. So there's a start. We can break it down in those three categories if you wish.

Genetics loads the gun, exposure pulls the trigger, and then the psychosocial milieu around the individual influences how they respond to the pain. So there's a start. We can break it down in those three categories if you wish.

Genetics loads the gun, exposure pulls the trigger, and then the psychosocial milieu around the individual influences how they respond to the pain. So there's a start. We can break it down in those three categories if you wish.

My thought would not go to one or the other, but it would go to both. And I'd start that conversation with this analogy. Let's talk about breeds of dogs. We both love dogs. If I said to you, we're gonna take two dogs and we're gonna train them for the Greyhound track. One's a Greyhound and one's a St. Bernard. How do you think you're going to make out? The St.

My thought would not go to one or the other, but it would go to both. And I'd start that conversation with this analogy. Let's talk about breeds of dogs. We both love dogs. If I said to you, we're gonna take two dogs and we're gonna train them for the Greyhound track. One's a Greyhound and one's a St. Bernard. How do you think you're going to make out? The St.

My thought would not go to one or the other, but it would go to both. And I'd start that conversation with this analogy. Let's talk about breeds of dogs. We both love dogs. If I said to you, we're gonna take two dogs and we're gonna train them for the Greyhound track. One's a Greyhound and one's a St. Bernard. How do you think you're going to make out? The St.

Bernard, no matter how you train it or condition it, will never make it to the performing on a Greyhound track. You're gonna end up with a broken St. Bernard. So there's a little bit of a start from my big perspective, but now let's drill down and talk about spines. It's interesting when you look at the basic anatomical structure of an individual. We just did that with dogs.

Bernard, no matter how you train it or condition it, will never make it to the performing on a Greyhound track. You're gonna end up with a broken St. Bernard. So there's a little bit of a start from my big perspective, but now let's drill down and talk about spines. It's interesting when you look at the basic anatomical structure of an individual. We just did that with dogs.

Bernard, no matter how you train it or condition it, will never make it to the performing on a Greyhound track. You're gonna end up with a broken St. Bernard. So there's a little bit of a start from my big perspective, but now let's drill down and talk about spines. It's interesting when you look at the basic anatomical structure of an individual. We just did that with dogs.

Imagine if I took a thin willow branch. I could bend that willow branch back and forth over and over and it wouldn't accumulate stress. But if I took that same willow branch and loaded it top to bottom like an I-beam, It would just bend and break. So it supports bending cycles, but it doesn't support compression. Now I'm going to change that willow branch into a thicker stick.

Imagine if I took a thin willow branch. I could bend that willow branch back and forth over and over and it wouldn't accumulate stress. But if I took that same willow branch and loaded it top to bottom like an I-beam, It would just bend and break. So it supports bending cycles, but it doesn't support compression. Now I'm going to change that willow branch into a thicker stick.