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Stuart McGill

👤 Person
897 total appearances

Appearances Over Time

Podcast Appearances

Huberman Lab
Dr. Stuart McGill: Build a Strong, Pain-Proof Back

that are going to make a difference to enable them to have the ability to meet those specific demands that we've identified. So do you see how it's a long-winded answer, but I know how to get there to know how to train them. So now that we've recognized the very specific nature of their pain pathway, and it may be something that's going through the linkage.

Huberman Lab
Dr. Stuart McGill: Build a Strong, Pain-Proof Back

that are going to make a difference to enable them to have the ability to meet those specific demands that we've identified. So do you see how it's a long-winded answer, but I know how to get there to know how to train them. So now that we've recognized the very specific nature of their pain pathway, and it may be something that's going through the linkage.

Huberman Lab
Dr. Stuart McGill: Build a Strong, Pain-Proof Back

that are going to make a difference to enable them to have the ability to meet those specific demands that we've identified. So do you see how it's a long-winded answer, but I know how to get there to know how to train them. So now that we've recognized the very specific nature of their pain pathway, and it may be something that's going through the linkage.

Huberman Lab
Dr. Stuart McGill: Build a Strong, Pain-Proof Back

In other words, when they run, I could give you an example of if we put a group of Canadian hockey players on an elliptical trainer, they don't do very well because typical of the sport, the hockey players tend to get stiffer in the hips. It's the way they are. They skate a little bit flexed and they carry all the heavy skates and heavy equipment down the legs. They get stiffer in the hips.

Huberman Lab
Dr. Stuart McGill: Build a Strong, Pain-Proof Back

In other words, when they run, I could give you an example of if we put a group of Canadian hockey players on an elliptical trainer, they don't do very well because typical of the sport, the hockey players tend to get stiffer in the hips. It's the way they are. They skate a little bit flexed and they carry all the heavy skates and heavy equipment down the legs. They get stiffer in the hips.

Huberman Lab
Dr. Stuart McGill: Build a Strong, Pain-Proof Back

In other words, when they run, I could give you an example of if we put a group of Canadian hockey players on an elliptical trainer, they don't do very well because typical of the sport, the hockey players tend to get stiffer in the hips. It's the way they are. They skate a little bit flexed and they carry all the heavy skates and heavy equipment down the legs. They get stiffer in the hips.

Huberman Lab
Dr. Stuart McGill: Build a Strong, Pain-Proof Back

When they go on the elliptical, their hips don't have the range of motion and their spine and pelvis gyrates with every rotation on the elliptical trainer. The elliptical gives them back pain if they already have motion triggered back pain. We take another group who has mobile hips. They do very well on elliptical trainers. The stress doesn't go into their backs.

Huberman Lab
Dr. Stuart McGill: Build a Strong, Pain-Proof Back

When they go on the elliptical, their hips don't have the range of motion and their spine and pelvis gyrates with every rotation on the elliptical trainer. The elliptical gives them back pain if they already have motion triggered back pain. We take another group who has mobile hips. They do very well on elliptical trainers. The stress doesn't go into their backs.

Huberman Lab
Dr. Stuart McGill: Build a Strong, Pain-Proof Back

When they go on the elliptical, their hips don't have the range of motion and their spine and pelvis gyrates with every rotation on the elliptical trainer. The elliptical gives them back pain if they already have motion triggered back pain. We take another group who has mobile hips. They do very well on elliptical trainers. The stress doesn't go into their backs.

Huberman Lab
Dr. Stuart McGill: Build a Strong, Pain-Proof Back

So now do you see why I know why one group does well with ellipticals, the other group does not? I know why one group who they, I'll give them a lateral shear test, which is basically a bear hug. I pull their pelvis towards me as I hook down their shoulder in my armpit. So I'm shearing their spine laterally. If that triggers their pain, exactly. I had a...

Huberman Lab
Dr. Stuart McGill: Build a Strong, Pain-Proof Back

So now do you see why I know why one group does well with ellipticals, the other group does not? I know why one group who they, I'll give them a lateral shear test, which is basically a bear hug. I pull their pelvis towards me as I hook down their shoulder in my armpit. So I'm shearing their spine laterally. If that triggers their pain, exactly. I had a...

Huberman Lab
Dr. Stuart McGill: Build a Strong, Pain-Proof Back

So now do you see why I know why one group does well with ellipticals, the other group does not? I know why one group who they, I'll give them a lateral shear test, which is basically a bear hug. I pull their pelvis towards me as I hook down their shoulder in my armpit. So I'm shearing their spine laterally. If that triggers their pain, exactly. I had a...

Huberman Lab
Dr. Stuart McGill: Build a Strong, Pain-Proof Back

pro hockey player the other day, I gave him the lateral shear test and he had a right-sided flash of pain going around his right flank. It exactly replicated the pain. I just found with precision the mechanism. Okay, what's the antidote? I put my fingers into his oblique muscles and I said, push my fingers out. And he did it too hard. And he says, oh no, that hurts even more.

Huberman Lab
Dr. Stuart McGill: Build a Strong, Pain-Proof Back

pro hockey player the other day, I gave him the lateral shear test and he had a right-sided flash of pain going around his right flank. It exactly replicated the pain. I just found with precision the mechanism. Okay, what's the antidote? I put my fingers into his oblique muscles and I said, push my fingers out. And he did it too hard. And he says, oh no, that hurts even more.

Huberman Lab
Dr. Stuart McGill: Build a Strong, Pain-Proof Back

pro hockey player the other day, I gave him the lateral shear test and he had a right-sided flash of pain going around his right flank. It exactly replicated the pain. I just found with precision the mechanism. Okay, what's the antidote? I put my fingers into his oblique muscles and I said, push my fingers out. And he did it too hard. And he says, oh no, that hurts even more.

Huberman Lab
Dr. Stuart McGill: Build a Strong, Pain-Proof Back

Okay, dial it back a bit. Tune what we're trying to achieve here. Fight me just a little bit. I repeated the formerly offensive test. The symptom was gone. So now I'm getting more precision on knowing what I need to do. he was doing the Palof Press. The Palof Press is a long lever exercise.

Huberman Lab
Dr. Stuart McGill: Build a Strong, Pain-Proof Back

Okay, dial it back a bit. Tune what we're trying to achieve here. Fight me just a little bit. I repeated the formerly offensive test. The symptom was gone. So now I'm getting more precision on knowing what I need to do. he was doing the Palof Press. The Palof Press is a long lever exercise.

Huberman Lab
Dr. Stuart McGill: Build a Strong, Pain-Proof Back

Okay, dial it back a bit. Tune what we're trying to achieve here. Fight me just a little bit. I repeated the formerly offensive test. The symptom was gone. So now I'm getting more precision on knowing what I need to do. he was doing the Palof Press. The Palof Press is a long lever exercise.

Huberman Lab
Dr. Stuart McGill: Build a Strong, Pain-Proof Back

So you take a load, usually with a cable or a band that's held laterally, and you increase the length of the lever, which you have to resist because it's trying to- So you punch it out from the body. Yeah, you try and, it's causing you to twist, but it also creates a tremendous sheer load on your spine. That was triggering his pain. So we took out the Palof Press, which for him right now,

Huberman Lab
Dr. Stuart McGill: Build a Strong, Pain-Proof Back

So you take a load, usually with a cable or a band that's held laterally, and you increase the length of the lever, which you have to resist because it's trying to- So you punch it out from the body. Yeah, you try and, it's causing you to twist, but it also creates a tremendous sheer load on your spine. That was triggering his pain. So we took out the Palof Press, which for him right now,