Episode #86: Pain and Rehab Q/A from Reno 2020

Barbell Medicine Podcast

Barbell Medicine

Health & Fitness

4.8 • 1.3K Ratings

🗓️ 25 January 2020

⏱️ 51 minutes

🔗️ Recording | iTunes | RSS

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Summary

This Q/A was recorded at the Barbell Medicine Pain and Rehab Seminar in Reno, Nevada with Drs. Derek Miles and Michael Ray. For more information about upcoming seminars, click here: www.barbellmedicine.com/seminars/ Last Q/A https://soundcloud.com/user-344313169/episode-75-boston-pain-and-rehab-seminar-qa 0:55 What is your approach for someone so pain focused that they cannot give activity-based goals because they only care about decreasing pain? 05:19 Challenging your own biases 08:54 How to approach constraints given by a patient’s physician? 11:28 What do you mean by heavy, slow, resistance training with respect to “slow”? 13:21 What papers, books, or resources do you recommend to improve “soft” skills? 17:22 Biggest disagreement between Derek and Mike? 21:10 Acute on Chronic Workload application 23:44 Unnecessary imaging 27:19 Communicating multifactorial nature of pain to patients 29:09 How to explain phantom limb pain? 34:35 Utility of words such as tightness, weakness, etc 40:21 Self-care for low back pain 42:15 Return to sport criteria by sport 44:18 Time spent reading For more of our stuff: Podcasts: goo.gl/X4H4z8 Website: www.barbellmedicine.com Instagram: @austin_barbellmedicine @jordan_barbellmedicine @leah_barbellmedicine @vaness_barbellmedicine @untamedstrength @michael_barbellmedicine @derek_barbellmedicine @hassan_barbellmedicine @amato_barbellmedicine @charlie_barbellmedicine @alex_barbellmedicine @tomcampitelli Email: info@barbellmedicine.com Supplements/Templates/Seminars/Apparel: www.barbellmedicine.com/shop/ Forum: forum.barbellmedicine.com/ Newsletter: eepurl.com/cpqB3n Our Sponsors: * Check out Chilipad and use my code sleep.me/BBM for a great deal: https://sleep.me * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com * Check out Factor and use my code factormeals.com/bbm50off for a great deal: https://www.factor75.com * Check out Quince and use my code quince.com/bbm for a great deal: https://www.quince.com Advertising Inquiries: https://redcircle.com/brands

Transcript

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0:00.0	Welcome back to the Barbell Medicine Podcast, where we bring Modern Medicine to strength and
0:11.8	strength and conditioning to Modern Medicine.
0:13.3	I'm your host Dr. Jordan Weigenbaum. This is the second Barbell Medicine pain and rehab
0:18.3	seminar's question and answer session. So we had Dr. Michael Ray and Dr. Derek Miles. They were in Reno, Nevada, with the rest of the
0:25.8	Barball Medicine crew, Sans Me, I know everyone was sad. And they recorded this Q&A all by themselves.
0:30.9	I'm so proud of the audio that they got. It's high quality. We've got
0:34.7	time stamps that are in the description below. If you want to listen to the first
0:38.6	Barbo Medicine Pain and Rehab Seminar, Q&A, I've also linked that in the
0:41.9	description below so you can check that out either before or after you
0:45.6	check this one out. So without any further ado, is your approach to someone so pain focus they can't give
0:58.6	activity-based goals because they only care about decreasing pain.
1:03.0	How do you find meaningful activities?
1:05.0	It's a good question.
1:08.0	So they're just highly focused on decreasing their pain.
1:11.0	I think the part that I would address on this is pretty easy is
1:14.2	meaningful activities would be directed by them, right? Like they're seeing me
1:18.6	because they're probably suffering that's related to the pain that they're
1:21.1	experiencing which is mitigating them from wanting to engage activity that they're experiencing, which is mitigating them from wanting to engage
1:24.0	activity that they value. So part of the job would be what are they wanting to be
1:27.9	able to do and how can I help facilitate that? And maybe that's as simple as just
1:32.2	me educating. I mean I do one-off
1:34.4	consultations for low back pain pretty regularly and if that works then that's good. I
	...

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