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Stuart McGill

๐Ÿ‘ค Speaker
897 total appearances

Appearances Over Time

Podcast Appearances

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

And we should talk about whether the disc adapts or you have to manage it. But that's another very interesting topic to get into. But nonetheless. We are tuning their body with strategic mobility and stability, giving them core exercise, unleashing their hips and shoulders, et cetera. And we will have a reasonable level of success.

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

And we know, by the way, what our success is because uniquely we follow up with every patient we see to know if we were successful or not. But now we have that person, and I can think of many examples just to give a spectrum. Perhaps the person was in a car accident. They survived, but the person beside them who might've been their mother died.

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

And we know, by the way, what our success is because uniquely we follow up with every patient we see to know if we were successful or not. But now we have that person, and I can think of many examples just to give a spectrum. Perhaps the person was in a car accident. They survived, but the person beside them who might've been their mother died.

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

And we know, by the way, what our success is because uniquely we follow up with every patient we see to know if we were successful or not. But now we have that person, and I can think of many examples just to give a spectrum. Perhaps the person was in a car accident. They survived, but the person beside them who might've been their mother died.

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

So now they're carrying a hell of a lot of emotional trauma, guilt, trauma. Maybe they nodded off at the time of the accident they were driving. Tremendous psychological stress. Maybe they were sexually abused. or whatever, that rewires their brain. So now they come in and the pain pattern doesn't fit. We do physical stressing of their various tissues and the reactions, they change their variable.

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

So now they're carrying a hell of a lot of emotional trauma, guilt, trauma. Maybe they nodded off at the time of the accident they were driving. Tremendous psychological stress. Maybe they were sexually abused. or whatever, that rewires their brain. So now they come in and the pain pattern doesn't fit. We do physical stressing of their various tissues and the reactions, they change their variable.

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

So now they're carrying a hell of a lot of emotional trauma, guilt, trauma. Maybe they nodded off at the time of the accident they were driving. Tremendous psychological stress. Maybe they were sexually abused. or whatever, that rewires their brain. So now they come in and the pain pattern doesn't fit. We do physical stressing of their various tissues and the reactions, they change their variable.

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

They're not what they should be. The way that their brain perceives the pain has been rewired. If we give them the traditional approach of giving them more fitness and ability, it won't work. We can't break through that maladaptive response. We completely change. Now it might be just to desensitize them. You'll laugh at this. We might get a feather and brush it over their back.

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

They're not what they should be. The way that their brain perceives the pain has been rewired. If we give them the traditional approach of giving them more fitness and ability, it won't work. We can't break through that maladaptive response. We completely change. Now it might be just to desensitize them. You'll laugh at this. We might get a feather and brush it over their back.

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

They're not what they should be. The way that their brain perceives the pain has been rewired. If we give them the traditional approach of giving them more fitness and ability, it won't work. We can't break through that maladaptive response. We completely change. Now it might be just to desensitize them. You'll laugh at this. We might get a feather and brush it over their back.

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

And they'll say, oh, yeah, that triggers my pain. Really? Yes. Oh, now I'm getting a headache. Okay. So we have to come up with what can they do without triggering that maladaptive response. And it might be that. Simply, the most simple of movements where the afferent and efference, all the information going into that engram, which is formerly triggering pain, we now trigger.

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

And they'll say, oh, yeah, that triggers my pain. Really? Yes. Oh, now I'm getting a headache. Okay. So we have to come up with what can they do without triggering that maladaptive response. And it might be that. Simply, the most simple of movements where the afferent and efference, all the information going into that engram, which is formerly triggering pain, we now trigger.

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

And they'll say, oh, yeah, that triggers my pain. Really? Yes. Oh, now I'm getting a headache. Okay. So we have to come up with what can they do without triggering that maladaptive response. And it might be that. Simply, the most simple of movements where the afferent and efference, all the information going into that engram, which is formerly triggering pain, we now trigger.

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

figure out what it is that doesn't trigger pain, and then slowly desensitize it with repetition, never triggering pain, and then we expand that repertoire. So you've heard of fibromyalgia, which is a little bit of a catch-all term, but a flashing light surprising someone. They're walking down the street and someone comes out of a shop and surprises them somehow.

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

figure out what it is that doesn't trigger pain, and then slowly desensitize it with repetition, never triggering pain, and then we expand that repertoire. So you've heard of fibromyalgia, which is a little bit of a catch-all term, but a flashing light surprising someone. They're walking down the street and someone comes out of a shop and surprises them somehow.

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

figure out what it is that doesn't trigger pain, and then slowly desensitize it with repetition, never triggering pain, and then we expand that repertoire. So you've heard of fibromyalgia, which is a little bit of a catch-all term, but a flashing light surprising someone. They're walking down the street and someone comes out of a shop and surprises them somehow.

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

And that triggers off this massive pain response. We do that with very gentle love, doing the things that doesn't cause pain and try and slowly expand that engram into a pain-free one. There are those in what's called work hardening. It's usually funded by insurance companies. If you have intransigent back pain, we are now going to get you to do your job. We start out with an hour a day.

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

And that triggers off this massive pain response. We do that with very gentle love, doing the things that doesn't cause pain and try and slowly expand that engram into a pain-free one. There are those in what's called work hardening. It's usually funded by insurance companies. If you have intransigent back pain, we are now going to get you to do your job. We start out with an hour a day.

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

And that triggers off this massive pain response. We do that with very gentle love, doing the things that doesn't cause pain and try and slowly expand that engram into a pain-free one. There are those in what's called work hardening. It's usually funded by insurance companies. If you have intransigent back pain, we are now going to get you to do your job. We start out with an hour a day.

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

You're a bricklayer, you're going to lay bricks for an hour. Tomorrow, you're going to lay for an hour and a half. occasionally they have some success or they have some really miserable failures. And the person says, I cannot do another day of bricklaying for four hours, even though it's only a portion of my job. And so now they get kicked out of the program because they're called a non-compliant.