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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Defining Low Back Pain Precisely
- Low back pain is defined by the region where pain is perceived, not by cause or source.
- It includes pain in the lumbar spine and sacroiliac regions, regardless of pain radiation.
Types and Classifications of Low Back Pain
- Low back pain can be acute or chronic and categorized by presentation or patho-anatomical diagnosis.
- Pain types include nociceptive, somatic referred, radicular pain, and radiculopathy, each with distinct mechanisms.
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.
