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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

If I move the nerve, so if I extend their leg at the same time, ask them to look up, it releases the whole spinal cord and all the nerve roots from above and it pulls it from below. In other words, it flosses it through. If that causes pain as they're doing it, they've got nerve friction. If they do it and it's tensile tension, then it's nerve tension.

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

So these are very different mechanisms of their pain and they require different approaches. So do you see why I'm still hedging on that next exercise that might be mobilizing the nerve, it might be giving them more thoracic spine extension through a thoracic. And now they've taken the load off when they sit and stand.

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

So these are very different mechanisms of their pain and they require different approaches. So do you see why I'm still hedging on that next exercise that might be mobilizing the nerve, it might be giving them more thoracic spine extension through a thoracic. And now they've taken the load off when they sit and stand.

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

So these are very different mechanisms of their pain and they require different approaches. So do you see why I'm still hedging on that next exercise that might be mobilizing the nerve, it might be giving them more thoracic spine extension through a thoracic. And now they've taken the load off when they sit and stand.

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

So you can imagine standing, you can palpate your erector spinae muscles and they might be relaxed. You poke your chin and those muscles come on. But the cramp was on one side and if it was muscular, that's probably not related to this. That's still a very discogenic sign. There's a bulge or there's something off that's mechanical that we will determine.

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

So you can imagine standing, you can palpate your erector spinae muscles and they might be relaxed. You poke your chin and those muscles come on. But the cramp was on one side and if it was muscular, that's probably not related to this. That's still a very discogenic sign. There's a bulge or there's something off that's mechanical that we will determine.

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

So you can imagine standing, you can palpate your erector spinae muscles and they might be relaxed. You poke your chin and those muscles come on. But the cramp was on one side and if it was muscular, that's probably not related to this. That's still a very discogenic sign. There's a bulge or there's something off that's mechanical that we will determine.

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

I might just say, walk more, but not in a single dose. And again, I've described all of this in Back Mechanic. Instead of walking an hour in one dose, have three 20 minute walks. Walking for an hour, Increase the risk of getting pain. Walking for 20 minutes, guaranteed you have no pain. So do it in three doses. You've just guaranteed success.

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

I might just say, walk more, but not in a single dose. And again, I've described all of this in Back Mechanic. Instead of walking an hour in one dose, have three 20 minute walks. Walking for an hour, Increase the risk of getting pain. Walking for 20 minutes, guaranteed you have no pain. So do it in three doses. You've just guaranteed success.

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

I might just say, walk more, but not in a single dose. And again, I've described all of this in Back Mechanic. Instead of walking an hour in one dose, have three 20 minute walks. Walking for an hour, Increase the risk of getting pain. Walking for 20 minutes, guaranteed you have no pain. So do it in three doses. You've just guaranteed success.

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

So I might add another exercise, but I might program it very strategically as well.

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

So I might add another exercise, but I might program it very strategically as well.

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

So I might add another exercise, but I might program it very strategically as well.

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

Right. Well, again, if you follow our work, we do do deloading of the spine through traction. It's usually applied by one of our trained clinicians. And the reason for that is let's take that younger person again, as you just described, maybe laying on their tummy.

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

Right. Well, again, if you follow our work, we do do deloading of the spine through traction. It's usually applied by one of our trained clinicians. And the reason for that is let's take that younger person again, as you just described, maybe laying on their tummy.

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

Right. Well, again, if you follow our work, we do do deloading of the spine through traction. It's usually applied by one of our trained clinicians. And the reason for that is let's take that younger person again, as you just described, maybe laying on their tummy.

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

As they exhale, they allow the low back to sink into the table, increasing the lordosis, which is, we measured this in the lab, if they have a posterior disc bulge with an open fissure, which is probably one of the more common ones, the... that maneuver vacuums in the disc bulge.

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

As they exhale, they allow the low back to sink into the table, increasing the lordosis, which is, we measured this in the lab, if they have a posterior disc bulge with an open fissure, which is probably one of the more common ones, the... that maneuver vacuums in the disc bulge.

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

As they exhale, they allow the low back to sink into the table, increasing the lordosis, which is, we measured this in the lab, if they have a posterior disc bulge with an open fissure, which is probably one of the more common ones, the... that maneuver vacuums in the disc bulge.

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

If that immediately reduces the pain down their leg, I would say lay prone and have someone pull on your legs along the plane of the table, five or six pounds per leg. Now, the next person comes in and say, oh, that hurts. Well, now we play what we call jazz. This is the art of therapy. I'm playing with how we're going to apply a twisting torque to their feet.