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Comfy Fleece Sweater
Apr 2, 2013

You see, but you do not observe.

hosed up my back again somehow lol

still deadlifted, not sure if I made it worse or better. It's fine if I'm erect, walking, sitting, or laying down. But it hurts in any position in between. The slightest bend is like a knife through my lower lumbars.

OH WELL

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JFairfax
Oct 23, 2008

by FactsAreUseless



i must own this

Harriet Carker
Jun 2, 2009

Comfy Fleece Sweater posted:

hosed up my back again somehow lol

still deadlifted, not sure if I made it worse or better.

You made it worse you big dummy

Dum Cumpster
Sep 12, 2003

*pozes your neghole*

MarcusSA posted:

This absolutely needs to be the thread theme song.

It’s pretty amazing and there are some deep truths in it.

Uh, Rocksolid?

https://www.youtube.com/watch?v=ZnhqgcuXzxQ&t=23s

Inept
Jul 8, 2003

Comfy Fleece Sweater posted:

hosed up my back again somehow lol

still deadlifted, not sure if I made it worse or better. It's fine if I'm erect, walking, sitting, or laying down. But it hurts in any position in between. The slightest bend is like a knife through my lower lumbars.

OH WELL

keep deadlifting until you feel better or have to be taken away on a stretcher imo

MarcusSA
Sep 23, 2007


Ok that’s good but honestly the other one is better.

He just needs an hour or two of pumping iron to get his mind right.

JFairfax posted:



i must own this

Oh poo poo that’s awesome. I definitely need that as well.

turd in my singlet
Jul 5, 2008

DO ALL DA WORK

WIT YA NECK

*heavy metal music playing*
Nap Ghost

Comfy Fleece Sweater posted:

hosed up my back again somehow lol

still deadlifted, not sure if I made it worse or better. It's fine if I'm erect, walking, sitting, or laying down. But it hurts in any position in between. The slightest bend is like a knife through my lower lumbars.

OH WELL

https://youtu.be/ZhOQCwJvwlo
https://youtu.be/riq-DfDDimc

feelix
Nov 27, 2016
THE ONLY EXERCISE I AM UNFAMILIAR WITH IS EXERCISING MY ABILITY TO MAKE A POST PEOPLE WANT TO READ
Hm

One one hand, I'm hesitant to trust obnoxious Starting Strength beard guy about something as serious as back pain

On the other hand, maybe this is precisely the prejudice he's talking about. After all, myself and probably many other people here to know that total rest is absolutely the incorrect way to recover from other lifting injuries (shoulder, elbow, knee pain etc.), so why should the spine be special?

Comfy Fleece Sweater
Apr 2, 2013

You see, but you do not observe.

I’m just gonna relax and maybe do yoga for back pain and try again in a week or two. I can probably do my chest/back workouts. And I need to do more cardio anyway, I’m out right fat

If it’s not better at all I’ll check with some rehabilitation specialist or something.

Life is pain :11tea:

MarcusSA
Sep 23, 2007

The only thing I know about the back is that you don’t gently caress with the back.

Like you really gotta walk for the rest of your life.

feelix
Nov 27, 2016
THE ONLY EXERCISE I AM UNFAMILIAR WITH IS EXERCISING MY ABILITY TO MAKE A POST PEOPLE WANT TO READ

MarcusSA posted:

The only thing I know about the back is that you don’t gently caress with the back.

Like you really gotta walk for the rest of your life.

Alan Thrall's videos have a point though

You're not actually gonna break a vertebra or tear your spinal cord deadlifting

Maybe you'll herniate a disc but guess what, Chad Wesley Smith has two herniated disks and is one of the top 10 strongest PLers in the world. I don't think that Alan Thrall or HIS STARTING STRENGTH COACH AUSTIN BARAKI are geniuses or anything, but I think it's highly probable that mainstream medicine is loving retarded when it comes to back pain

feelix
Nov 27, 2016
THE ONLY EXERCISE I AM UNFAMILIAR WITH IS EXERCISING MY ABILITY TO MAKE A POST PEOPLE WANT TO READ
Especially considering how much money there is to be made in treating back pain as invasively and expensively as possible

Mustached Demon
Nov 12, 2016

feelix posted:

Especially considering how much money there is to be made in treating back pain as invasively and expensively as possible

When I was an EHS officer, we basically told accounting to accrue 100-200k for any back injury. It was a good way to get them to support safety initiatives.

ovenboy
Nov 16, 2014

feelix posted:

Alan Thrall's videos have a point though

You're not actually gonna break a vertebra or tear your spinal cord deadlifting

Maybe you'll herniate a disc but guess what, Chad Wesley Smith has two herniated disks and is one of the top 10 strongest PLers in the world. I don't think that Alan Thrall or HIS STARTING STRENGTH COACH AUSTIN BARAKI are geniuses or anything, but I think it's highly probable that mainstream medicine is loving retarded when it comes to back pain

Neither Thrall nor Baraki are with Starting Strength, if that makes a difference.

Comfy Fleece Sweater
Apr 2, 2013

You see, but you do not observe.

MarcusSA posted:

The only thing I know about the back is that you don’t gently caress with the back.

Like you really gotta walk for the rest of your life.

I don’t need my back to shitpost :blastu:

Hahaha

HAHAHAHAHAHA *tears begin streaming*

feelix
Nov 27, 2016
THE ONLY EXERCISE I AM UNFAMILIAR WITH IS EXERCISING MY ABILITY TO MAKE A POST PEOPLE WANT TO READ

ovenboy posted:

Neither Thrall nor Baraki are with Starting Strength, if that makes a difference.

Yeah I know that Barbell Medicine cut ties with Starting Strength as Rippetoe continues to burn every bridge around him. They all seem like fine people (except for Mark Rippetoe).

Gaz2k21
Sep 1, 2006

MEGALA---WHO??!!??

Amazing Thankyou!!!

Drunk Driver Dad
Feb 18, 2005

Comfy Fleece Sweater posted:

hosed up my back again somehow lol

still deadlifted, not sure if I made it worse or better. It's fine if I'm erect, walking, sitting, or laying down. But it hurts in any position in between. The slightest bend is like a knife through my lower lumbars.

OH WELL

https://www.youtube.com/watch?v=8xT47c4axK4&t=18s

Wutang-Yutani CORP
Sep 25, 2005

CORPORATIONS
RULE
EVERYTHING
AROUND
ME

feelix posted:

Yeah I know that Barbell Medicine cut ties with Starting Strength as Rippetoe continues to burn every bridge around him. They all seem like fine people (except for Mark Rippetoe).

What did rippetoe do?

Guyver
Dec 5, 2006

In public it was a difference in training philosophy after the initial novice LP. Feigenbaum wrote an article why he doesn't like Texas Method and has said the 4 day version isn't much better, he doesn't like HLM either. Him and Baraki are also adherents to the house of Tuchscherer so there's the whole RPE thing too which Rippetoe took a real disliking to in the past few years.

My own conjecture though is that Barbell Medicine is a direct competitor of SS Online and saying texas method sucks, which is what they're going to put you on after SS, also cuts into their business. There's also the fact that both the doctors are fairly liberal leaning and Rippetoe is... not.

I don't think Rippetoe is crazy though. I think he's old and want's to live comfortably. He's found a niche and is exploiting the gently caress out of it. I mean he's started to sell a plain wood (no pad) and angle iron bench for like $250 and the thing sold out.

turd in my singlet
Jul 5, 2008

DO ALL DA WORK

WIT YA NECK

*heavy metal music playing*
Nap Ghost

feelix posted:

Alan Thrall's videos have a point though

You're not actually gonna break a vertebra or tear your spinal cord deadlifting

This. Pain is extremely poorly correlated with actual physical injury, and the human body is much more resilient that people (especially orthos/PTs/chiropractors) give it credit for. I'm reading a book by pain researchers Ronald Melzack and Patrick Wall and they mentioned that a full 25% of people walking into emergency rooms with major injuries (lacerations, broken bones, fingers removed) experienced zero pain at the time they were evaluated. And of course there are plenty of conditions where people experience severe pain in the absence of any kind of injury (fibromyalgia, non-specific low back pain). Pain is a perception, and like all perceptions it occurs in the brain after sensory data is analyzed and compared to previous experience, and like all perceptions it is susceptible to distortion and misevaluation. If you have ideas like this running around in your head when you feel some back tightness and soreness that are stronger than you expected:

quote:

The only thing I know about the back is that you don’t gently caress with the back.

Like you really gotta walk for the rest of your life.

of course you're going to freak out and start avoiding movement and being hypervigilant about your back. Unfortunately, as Alan quoted in one of the videos I linked, these attitudes and subsequent behaviors actually make the pain and disability experienced WORSE and last longer. An interesting thing neurologists have found about sensory perception is that the brain and spinal cord are capable of sending signals downwards to change how the sensory nervous system works, called descending modulation. Avoiding movements that have previously caused pain and being hyper-aware of the region you felt the pain in will increase the perception of threat in your brain, which will then increase the sensitivity of the sensory nerves in that region, which then leads to a feedback loop of increasingly small movements triggering the pain and increasing fear of damage to that part of the back.



feelix posted:

Maybe you'll herniate a disc but guess what, Chad Wesley Smith has two herniated disks and is one of the top 10 strongest PLers in the world.

http://www.greglehman.ca/blog/2018/4/2/reconciling-spinal-flexion-and-pain-we-are-all-doomed-to-failure-but-perhaps-it-doesnt-matter

quote:

Meaning, the in-vitro spine models COULD be valid. Spinal flexion could be risk factor for disc damage. But, there might be little point in being concerned about it because it is impossible to avoid and hold on...disc degeneration is an absolutely normal and unavoidable part of being a human and is poorly related to pain! Meaning we get worried about disc degeneration contributing to pain but it might be just a tiny drop in the pain cup (not irrelevant but just kindling for a fire. ). Thus, don't worry about that little drop in the cup but worry about all the other factors that might be more important.

feelix posted:

I think it's highly probable that mainstream medicine is loving retarded when it comes to back pain

https://startingstrength.com/article/aches-and-pains

quote:

My absolute biggest problem with everything I’ve discussed so far, the thing that really pisses me off as a physician, is the fact that a desperate, anxious patient could present to every single one of these practitioners and potentially receive a different diagnosis. The inter-rater reliability is so bad that this often occurs even among practitioners of the same field.[1,54-59] They won’t agree on what specific structure needs adjusting, release, strengthening, stabilizing, or whatever other intervention is fashionable.

Regardless of this, they’ll still provide a confident, complex, scientific-sounding explanation for their diagnosis, which will always lie squarely within their scope of practice and which needs their specific treatment. It’s a frustrating combination of hubris, confirmation bias, and (sometimes) greed all rolled into one. This is wrong, regardless of whether or not their treatments ultimately provide any pain relief. Selling the placebo effect as advanced therapy is unethical and is not a long-term solution. Admittedly, this article presents generalized views of practice patterns in each field, and of course there are exceptions out there, practitioners who do good for their patients (some of whom are therapists I deeply respect), but they remain few and far between.




Core exercise is a great accessory for improving your bracing in the squat and deadlift (maintaining a neutral spine helps achieve better leverages), but core stability exercises have been shown to not have any specific pain or injury reducing effects versus general exercise.

https://www.bettermovement.org/blog/2010/back-pain-myths-posture-core-strength-bulging-discs

quote:

Here's another quick reality check before moving on to some research: ever noticed a heavily muscled person with massive core strength who has lots of back pain? Or a skinny weak person with none?

Now let's look at some research. One study showed that core strengthening exercises for pain free persons identified as having a weak core do not reduce the future likelihood of back pain. Numerous studies have been performed to test whether core strength exercises reduce back pain. The thrust of these studies is clear – although core exercise can improve low back outcomes, it is no better than general exercise. The obvious conclusion is that if core strengthening has benefit, it works because of the generally beneficial effects of exercise (or as a placebo), not because lack of core strength or poor firing patterns are a major cause of of back pain. In other words, despite what we are told over and over, the current evidence states that there is nothing magic about core strength as means to prevent or reduce back pain.
also
https://www.painscience.com/biblio/8-weeks-of-core-strengthening-coordination-exercise-for-chronic-low-back-pain.html
https://www.painscience.com/biblio/education-not-core-exercise-reduces-back-pain-incidence-in-soldiers.html
https://www.painscience.com/biblio/special-core-strengthening-prevents-no-more-injuries-than-ordinary-sit-ups.html


Guyver posted:

In public it was a difference in training philosophy after the initial novice LP. Feigenbaum wrote an article why he doesn't like Texas Method and has said the 4 day version isn't much better, he doesn't like HLM either. Him and Baraki are also adherents to the house of Tuchscherer so there's the whole RPE thing too which Rippetoe took a real disliking to in the past few years.

My own conjecture though is that Barbell Medicine is a direct competitor of SS Online and saying texas method sucks, which is what they're going to put you on after SS, also cuts into their business. There's also the fact that both the doctors are fairly liberal leaning and Rippetoe is... not.

I don't think Rippetoe is crazy though. I think he's old and want's to live comfortably. He's found a niche and is exploiting the gently caress out of it. I mean he's started to sell a plain wood (no pad) and angle iron bench for like $250 and the thing sold out.

My understanding is that they developed an appreciation of evidence-based practice in medical school and started paying attention to the same research people like Greg Nuckols have been basing their advice on, but Rip had already decided "this is what SS is and it shall never change". Their recent podcast interviewing Nuckols goes over this a bit.

They're also extremely well versed in the science of pain and injury and AFAIK they're the only people combining this knowledge with powerlifting and strength exercise.

MA-Horus
Dec 3, 2006

I'm sorry, I can't hear you over the sound of how awesome I am.

That's a good effort post, thanks for that.

barkbell
Apr 14, 2006

woof
Good posting

turd in my singlet
Jul 5, 2008

DO ALL DA WORK

WIT YA NECK

*heavy metal music playing*
Nap Ghost
Thanks! I should probably point out that I'm not a medical professional and my posts shouldn't be taken as medical advice, but the gist of the science is that pain isn't necessarily a serious medical problem and can be worked through with an understanding of the principles involved.

As far as what to do once you have pain, the name of the game is "de-sensitization". If you lost your brace for a moment in a heavy set and your back flexed suddenly under a heavy load (for example) and your CNS decided that this was dangerous and decided to produce pain in that region, the next steps are to:

1. Don't panic! The human body is incredibly resilient. Your CNS is just trying to protect you from a perceived threat.
2. Stop doing the offensive exercise
3. Try to find a variation of the movement that doesn't provoke pain. Can you:

- reduce load
- reduce range of motion
- switch to an alternate version of the exercise

and perform the exercise with reduced pain? It doesn't have to be completely pain-free, just a 4/10 or less and doesn't get worse over time. One of the Alan Thrall videos I linked earlier demonstrates this process in action. Once you've found an amount of exercise that you can do without too much pain, the next step is:

4. Graded exposure: gradually exposing yourself to greater amounts of stress in the offending movement. Again, the Alan Thrall video is an excellent example of this in action.

As far as red flag symptoms go that suggest you DO have a significant medical issue that should be evaluated by a medical professional, my understanding is that you're looking for:

- significant numbness, tingling, or weakness down a limb or across a region of the body that doesn't get better with time
- severe pain that doesn't get better with time and graded exposure

Here's a BBM podcast that discusses pain and injury management with lifters: https://www.youtube.com/watch?v=zDurZ3SS8NE

And injury risk in athletes (mostly load and fatigue management): https://www.youtube.com/watch?v=V43mSQEjZY8

turd in my singlet fucked around with this message at 20:45 on Jan 16, 2019

Comfy Fleece Sweater
Apr 2, 2013

You see, but you do not observe.

Killing Loaf posted:

Thanks! I should probably point out that I'm not a medical professional and my posts shouldn't be taken as medical advice, but the gist of the science is that pain isn't necessarily a serious medical problem and can be worked through with an understanding of the principles involved.

As far as what to do once you have pain, the name of the game is "de-sensitization". If you lost your brace for a moment in a heavy set and your back flexed suddenly under a heavy load (for example) and your CNS decided that this was dangerous and decided to produce pain in that region, the next steps are to:

1. Don't panic! The human body is incredibly resilient. Your CNS is just trying to protect you from a perceived threat.
2. Stop doing the offensive exercise
3. Try to find a variation of the movement that doesn't provoke pain. Can you:

- reduce load
- reduce range of motion
- switch to an alternate version of the exercise

and perform the exercise with reduced pain? It doesn't have to be completely pain-free, just a 4/10 or less and doesn't get worse over time. One of the Alan Thrall videos I linked earlier demonstrates this process in action. Once you've found an amount of exercise that you can do without too much pain, the next step is:

4. Graded exposure: gradually exposing yourself to greater amounts of stress in the offending movement. Again, the Alan Thrall video is an excellent example of this in action.

As far as red flag symptoms go that suggest you DO have a significant medical issue that should be evaluated by a medical professional, my understanding is that you're looking for:

- significant numbness, tingling, or weakness down a limb or across a region of the body that doesn't get better with time
- severe pain that doesn't get better with time and graded exposure

Here's a BBM podcast that discusses pain and injury management with lifters: https://www.youtube.com/watch?v=zDurZ3SS8NE

And injury risk in athletes (mostly load and fatigue management): https://www.youtube.com/watch?v=V43mSQEjZY8

Awesome posts and thanks everyone for the videos being posted.

This back problem is not my first gym injury so I’m taking it easy, but not giving up.
I had an injured rib for weeks and still managed to work out the rest of the body with that (annoying because you can’t even breathe or sleep right)

Hanging from a bar feels amazing

nooneofconsequence
Oct 30, 2012

she had tiny Italian boobs.
Well that's my story.

I pulled an intercostal muscle or something. My lifts feel fine but putting on my belt is excruciating. It's the weirdest thing.

soy
Jul 7, 2003

by Jeffrey of YOSPOS
If I stopped training BJJ/lifting every time I had pain of some sort I'd basically have stopped after week 1. It's pretty evident once you've been at it for a while when something is actually broken.

feelix
Nov 27, 2016
THE ONLY EXERCISE I AM UNFAMILIAR WITH IS EXERCISING MY ABILITY TO MAKE A POST PEOPLE WANT TO READ
All of these are also congruent with all the Juggernaut Quinn Henoch stuff that says that for the majority of cases, deliberate warm up sets with perfect technique are all the prehab you need

HukHukHuk
Jun 27, 2011

I am the sound of cats and hairballs.
Broke my leg NYE and I can already feel my beefiness fade :(

feelix
Nov 27, 2016
THE ONLY EXERCISE I AM UNFAMILIAR WITH IS EXERCISING MY ABILITY TO MAKE A POST PEOPLE WANT TO READ

HukHukHuk posted:

Broke my leg NYE and I can already feel my beefiness fade :(

It's all in your head, resting is a mistake

feelix
Nov 27, 2016
THE ONLY EXERCISE I AM UNFAMILIAR WITH IS EXERCISING MY ABILITY TO MAKE A POST PEOPLE WANT TO READ
Also someone asked Mike Israetel on the Revive Stronger podcast "is drinking heavily once a month or so going to non-negligibly affect my gains" and his answer was "no, AS LONG AS YOU DON'T HURT YOURSELF DOING DUMB DRUNK poo poo"

is that what you did?

Winstons
Nov 9, 2009

feelix posted:

All of these are also congruent with all the Juggernaut Quinn Henoch stuff that says that for the majority of cases, deliberate warm up sets with perfect technique are all the prehab you need

Dr Henoch should be way more popular, everything he says is pretty great.

nooneofconsequence
Oct 30, 2012

she had tiny Italian boobs.
Well that's my story.

Shout out to the guy wearing $300 NOBULLs to the lovely, small-town Y that doesn't even have platforms. Living his best life.

MarcusSA
Sep 23, 2007

nooneofconsequence posted:

Shout out to the guy wearing $300 NOBULLs to the lovely, small-town Y that doesn't even have platforms. Living his best life.

I always thought they looked cool as poo poo but they are expensive as hell.

MikeCrotch
Nov 5, 2011

I AM UNJUSTIFIABLY PROUD OF MY SPAGHETTI BOLOGNESE RECIPE

YES, IT IS AN INCREDIBLY SIMPLE DISH

NO, IT IS NOT NORMAL TO USE A PEPPERAMI INSTEAD OF MINCED MEAT

YES, THERE IS TOO MUCH SALT IN MY RECIPE

NO, I WON'T STOP SHARING IT

more like BOLLOCKnese
I unfucked my deadlift technique and pulled my 1RM extremely easily. Rad.

awesmoe
Nov 30, 2005

Pillbug

MikeCrotch posted:

I unfucked my deadlift technique and pulled my 1RM extremely easily. Rad.

what is the secret

MikeCrotch
Nov 5, 2011

I AM UNJUSTIFIABLY PROUD OF MY SPAGHETTI BOLOGNESE RECIPE

YES, IT IS AN INCREDIBLY SIMPLE DISH

NO, IT IS NOT NORMAL TO USE A PEPPERAMI INSTEAD OF MINCED MEAT

YES, THERE IS TOO MUCH SALT IN MY RECIPE

NO, I WON'T STOP SHARING IT

more like BOLLOCKnese

awesmoe posted:

what is the secret

*leans in close to your ear*

*whispers*

scapular retraction

nooneofconsequence
Oct 30, 2012

she had tiny Italian boobs.
Well that's my story.

MarcusSA posted:

I always thought they looked cool as poo poo but they are expensive as hell.

Oh they look p. sweet they're just a little incongruous with a gym where they're worth more than all the barbells combined.

david carmichael
Oct 28, 2011
The guy at the LA fitness let me in for free becausw it was too much work to ring me up a day pass. Good dude.

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Chief McHeath
Apr 23, 2002

david carmichael posted:

The guy at the LA fitness let me in for free becausw it was too much work to ring me up a day pass. Good dude.

lol the way LA Fitness's sales and retention benchmarks are set up that guy's gonna lose his job if anyone finds out. Like the only reason they'll sell you a day pass is to get your phone number and email so they can call/text/email you relentlessly with promos.

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