The E3 Rehab Podcast 210. Low Back Pain: A Practical Guide w/ Marc Surdyka and Chris Hughen
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Jul 22, 2025 Marc Surdyka, a Doctor of Physical Therapy specializing in rehabilitation, joins Chris Hughen to shed light on low back pain. They discuss various types of low back pain and the often-overrated role of diagnosis and imaging. Surdyka challenges common beliefs about posture and core strength, emphasizing the need for individualized approaches to pain management. The conversation includes practical rehabilitation strategies and realistic views on preventing and coping with low back pain, aiming to empower listeners with knowledge and actionable advice.
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Understanding Non-Specific Low Back Pain
- Non-specific low back pain means the exact irritated structure is hard to identify, not that it lacks a cause.
- Identifying the structure doesn't always change physical therapy management, which is presentation based.
You Are More Than Your Diagnosis
- Diagnosis guides rehab but patient history and presentation matter more.
- Same diagnosis can have vastly different symptoms and responses; rehab must be individualized.
Imaging and Low Back Pain Misinterpretation
- Imaging findings like disc bulges often exist in asymptomatic people.
- Imaging degree doesn't correlate with pain; imaging rarely changes initial management of low back pain.
