Understanding Low Back Pain and Movement

This chapter introduces a renowned physical therapist and delves into the complexities of low back pain while explaining essential anatomical concepts. The discussion focuses on key muscles related to hip movement and the importance of understanding anatomy for effective communication in healthcare.

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Resources from this episode: https://tim.blog/2023/08/04/dr-shirley-sahrmann/

Shirley A. Sahrmann, PT, PhD, is Professor Emerita of Physical Therapy at Washington University School of Medicine in St. Louis, Missouri. She received her bachelor’s degree in physical therapy and her masters and doctorate degrees in neurobiology from Washington University, where she joined the physical therapy faculty and became the first director of their PhD program in movement science.

Shirley became a Catherine Worthingham Fellow of the American Physical Therapy Association in 1986 and in 1998 was selected to receive the Mary McMillan Award, the Association’s highest honor. She is a recipient of the Association’s Marion Williams Research Award, the Lucy Blair Service Award, the Kendall Practice Award, and the Inaugural John H.P. Maley Lecturer Award.

She has also received Washington University's Distinguished Faculty Award, the Distinguished Alumni Award, the School of Medicine’s Inaugural Distinguished Clinician Award, and an honorary doctorate from the University of Indianapolis. She has also received the Bowling-Erhard Orthopedic Clinical Practice Award from the Orthopaedic Academy of the APTA. She has served on the APTA Board of Directors and as president of the Missouri Chapter.

Her first book, Diagnosis and Treatment of Movement Impairment Syndromes, has been translated into seven languages. Her second book, Movement System Impairment Syndromes of the Extremities, Cervical and Thoracic Spines, has been equally influential in promoting movement diagnoses.

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[07:12] A brief terminology primer.

[13:00] Why Shirley's first book is so influential among physical therapists.

[15:54] The correlation between lifestyle and health hasn't always been obvious.

[18:16] Low back pain: not a diagnosis, but a symptom.

[20:41] The trouble with overdeveloped abdominals.

[22:32] What's my problem?

[30:14] The Movement Systems Syndromes (MSS) approach.

[31:29] The wrong walk home.

[33:01] Correcting bad habits.

[35:00] Psoas it goes.

[37:03] Other commonly repeating culprits.

[40:36] Pump handle and bucket handle.