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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

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

is replicating his symptoms. But if you're playing in the NHL, you should be able to do a palloff press. You follow? Yeah. Yeah. It's a requirement of the rigors of professional hockey, but he can't do it now. So this is informing the programming that we're going to do.

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

is replicating his symptoms. But if you're playing in the NHL, you should be able to do a palloff press. You follow? Yeah. Yeah. It's a requirement of the rigors of professional hockey, but he can't do it now. So this is informing the programming that we're going to do.

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

is replicating his symptoms. But if you're playing in the NHL, you should be able to do a palloff press. You follow? Yeah. Yeah. It's a requirement of the rigors of professional hockey, but he can't do it now. So this is informing the programming that we're going to do.

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

Every person that comes to us comes with back pain. So initially we avoid it. We can have a neurological discussion if you like. We can have a biomechanical discussion or we can have a psychological discussion. We can take it in the framework of any of those if we like. If the pain is causing a sensitization, I'm going to use the example here of stubbing your toe.

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

Every person that comes to us comes with back pain. So initially we avoid it. We can have a neurological discussion if you like. We can have a biomechanical discussion or we can have a psychological discussion. We can take it in the framework of any of those if we like. If the pain is causing a sensitization, I'm going to use the example here of stubbing your toe.

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

Every person that comes to us comes with back pain. So initially we avoid it. We can have a neurological discussion if you like. We can have a biomechanical discussion or we can have a psychological discussion. We can take it in the framework of any of those if we like. If the pain is causing a sensitization, I'm going to use the example here of stubbing your toe.

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

You stub your toe once, okay, well, it hurts a bit and the pain goes away fairly quickly. But if every day you stubbed your toe, you would increase the sensitivity so that you don't have to stub it anymore. All you have to do is lightly touch that sensitized toe and you are going to have a maladaptive heightened response. So if we keep creating pain on that toe, it will never get better.

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

You stub your toe once, okay, well, it hurts a bit and the pain goes away fairly quickly. But if every day you stubbed your toe, you would increase the sensitivity so that you don't have to stub it anymore. All you have to do is lightly touch that sensitized toe and you are going to have a maladaptive heightened response. So if we keep creating pain on that toe, it will never get better.

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

You stub your toe once, okay, well, it hurts a bit and the pain goes away fairly quickly. But if every day you stubbed your toe, you would increase the sensitivity so that you don't have to stub it anymore. All you have to do is lightly touch that sensitized toe and you are going to have a maladaptive heightened response. So if we keep creating pain on that toe, it will never get better.

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

So we have to start a desensitization wind down, which is tissue based, but it's also neurologically based as well. And so because everyone comes to us with pain, We work very hard to hack our way around it. So let's say sitting causes their pain. All right, we'll find out that when we do a sitting test, if they sit slouched, that causes their pain. When they sit upright, their pain goes away.

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

So we have to start a desensitization wind down, which is tissue based, but it's also neurologically based as well. And so because everyone comes to us with pain, We work very hard to hack our way around it. So let's say sitting causes their pain. All right, we'll find out that when we do a sitting test, if they sit slouched, that causes their pain. When they sit upright, their pain goes away.

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

So we have to start a desensitization wind down, which is tissue based, but it's also neurologically based as well. And so because everyone comes to us with pain, We work very hard to hack our way around it. So let's say sitting causes their pain. All right, we'll find out that when we do a sitting test, if they sit slouched, that causes their pain. When they sit upright, their pain goes away.

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

So I will give them a lumbar support, which I'm just happening to use now. I had to sit on an airplane for five hours yesterday coming to see you.

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

So I will give them a lumbar support, which I'm just happening to use now. I had to sit on an airplane for five hours yesterday coming to see you.

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

So I will give them a lumbar support, which I'm just happening to use now. I had to sit on an airplane for five hours yesterday coming to see you.

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

and this allows me to not get back pain on the airplane while I'm sitting because if I sit flexed for five hours, I will have a grumpy back, and I won't feel like when I get into the hotel to go for a walk and train a bit because that's what we have to do to create a stress below the tipping point to optimize health. So it's the same thing in putting together the program. First of all,

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

and this allows me to not get back pain on the airplane while I'm sitting because if I sit flexed for five hours, I will have a grumpy back, and I won't feel like when I get into the hotel to go for a walk and train a bit because that's what we have to do to create a stress below the tipping point to optimize health. So it's the same thing in putting together the program. First of all,

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

and this allows me to not get back pain on the airplane while I'm sitting because if I sit flexed for five hours, I will have a grumpy back, and I won't feel like when I get into the hotel to go for a walk and train a bit because that's what we have to do to create a stress below the tipping point to optimize health. So it's the same thing in putting together the program. First of all,

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

know the cause and try and eliminate it. So we'll teach them, you know, we spend a lot of time with spine hygiene. We teach them how to hip hinge or squat. We teach them how to lunge, how to get to the floor. We teach them how to roll without twisting their spine into pain, but using their ball and socket joints. We teach them how to do a baby's crawl.