Flexion, Extension, Radicular Pain & Disc Pathology with Adam Meakins and Dr Mark Laslett
The Back Pain Podcast
Reflections on Patient Care and Collaborative Insights
This chapter wraps up a discussion on pain management strategies, highlighting the vital role of collaboration in enhancing patient outcomes. It encourages further research and acknowledges differing viewpoints on acute versus chronic treatment methodologies.
Dr Mark Laslett is a specialist Musculoskeletal physiotherapist based in New Zealand with a particular interest in predicting the structure that is the source of pain. Adam Meakins is a physiotherapist and co-founder of the educational company ‘The Better Clinician Project’
In this much-anticipated discussion they talk at length about low back pain, Adam’s back injury, his recovery, deadlifting and spinal flexion along with lots, lots more
This is an episode with great content that you will want to listen to more than once
KEY TAKEAWAYS
- Our ability to assess and diagnose specific structures is challenging
- An injury with an acute phase, followed by easing off of pain and then the development of radicular pain syndrome is a common picture
- You manipulate the probability based on other factors
- Your diagnosis can change as you receive more information from the patient and as symptoms change
- The question is whether sometimes self-management should be augmented
- There could be another reason why someone has a mechanical restriction in a certain direction other than having a disc pathology
- I had differential diagnosis’s that were changing in the acute stages with it becoming more certain as time evolved
- You can’t get the extension back unless you correct the shift
- Using the mechanism of injury as a treatment is about strengthening those areas through exposure to the forces and stimuli that you will experience
- Flexion will temporarily reduce the amount of bulging but if you continue the bulging will increase
- When discs are hydrated there is a greater risk of herniation
- Flexion has not been seen consistently to be a causative factor to disc structure deterioration
- You cannot live a life without flexion and you have to restore it as part of your rehab
BEST MOMENTS
‘The evidence shows that on average people are 75% better in 3 to 6 months’
‘You should start flexion when it’s safe to do so’
‘Sometimes things need time just to calm down’
‘Sedentariness is a risk for disc deterioration’
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RESOURCES FROM THIS EPISODE
Adam Meakins
Website - https://www.thesports.physio/
Twitter - https://twitter.com/AdamMeakins
Instagram - https://www.instagram.com/adammeakins/
Mark Laslett
Twitter - https://twitter.com/marklaslett_NZ
ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
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