Episode 20: Pain, Soft Tissue Work, and Nocebo
Barbell Medicine Podcast
Barbell Medicine
4.8 • 1.3K Ratings
🗓️ 27 November 2017
⏱️ 46 minutes
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| 0:00.0 | The Oh, All right, welcome back to the Barbell Medicine podcast. We're talking about pain and injury |
| 0:47.1 | management in the Lifter. All right, so specifically we've covered how to get a good history on like what's going on |
| 0:54.1 | pain-wise how to start coming up with a differential diagnosis all right like |
| 0:59.0 | potential issues that could be wrong and that will help you decide if we need a higher |
| 1:03.5 | level of care if we need to do the significantly adjust training or also even |
| 1:07.6 | how to ask a good question. So for instance you know a question is I have pain |
| 1:12.2 | on my hip. |
| 1:13.8 | That doesn't work. |
| 1:15.3 | You know, but, but, so because it's one, the hip's a big area too. |
| 1:19.0 | We don't know like how long it's been going. |
| 1:20.8 | We have no history, we have no context. But if I went on your |
| 1:24.0 | Instagram live and I was like, look, Austin, I have anterior hip pain at the base of my |
| 1:28.8 | inguinal ligament. It's been present for three days after a high volume squatting session. There was no there were no pops clicks tears or other mechanical deficits that occurred during this started 30 minutes after my session. It's painful to walk and but I have no noticeable |
| 1:49.4 | numbness, muscle weakness. It just hurts when I walk particularly with hip flexion it's better |
| 1:54.7 | when I'm laying down flat that gives that's I'm just given an example that is the |
| 1:59.3 | breath of like history needed to even attempt coming up with like |
| 2:03.7 | get close right with some sort of hey I think you might you might do this this would be a |
| 2:09.6 | better a good |
| 2:15.0 | and in that case you'd be like I think you need to go see a doctor. |
| 2:17.0 | Well seriously because at that point you're like you know there might be actually some serious |
| 2:21.0 | something seriously wrong as far as the tissue integrity is going and you |
| 2:26.8 | probably want to know if there was a specific physical exam finding that |
... |
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