

Ep. 28: Managing the spine: Exploring blind spots in manual therapy and S&C.
41 snips Oct 24, 2023
Topics discussed include: back pain epidemiology, historic approaches to spine training, shortcomings of spinal literature, evolution of the bipedal spine, spinal anatomy and neurophysiology physiology, managing low back pain with a systematic approach, limitations of randomized controlled trials for clinical management, challenges in understanding and managing low back pain, effects of senescence on tissue health, continuum of movement quality in the spine, and the misconception of treating the spine as one entity.
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Unchanged Epidemiology
- The introductory epidemiology of spinal care hasn't changed much in 20 years.
- Millions are still wasted on compensation, and the prevalence of spinal problems remains high.
Low Back Pain Prevalence
- Dr. Chivers' patient asked about the most common injury in his non-traditional chiropractic practice.
- Low back pain remains the most prevalent issue, highlighting a blind spot in injury management.
Shortcomings of Spinal Literature
- Literature on spinal care often compares different therapies (manipulation, exercise, etc.) but lacks specifics within exercise therapy.
- The true value lies in how exercise is applied and assessed, which the literature often overlooks.