Dr Jordan Feigenbaum of Barbell Medicine talks orthopaedic cost, getting healthy and specificity of training
Mar 1, 2024
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Dr. Jordan Feigenbaum discusses orthopedic costs of training, specificity in workouts, impact of excess body weight on health, and importance of healthy debate. Addressing technique, injury risk, exoskeleton technology, and debating evidence-based arguments
Specificity of exercise interventions varies based on pain nature; general vs. specific exercises for low back pain.
Healthy behaviors like exercise & diet can enhance well-being despite absence of weight loss.
Deep dives
Specificity in Exercise Intervention for Low Back Pain
When addressing low back pain, the specificity of exercise interventions depends on the nature of the pain. General loading and movement exercises are suitable for nonspecific low back pain. However, for issues like extension-related pain, specific exercises targeting the problematic movement pattern may be necessary for desensitization and habituation. The principle here is to match the specificity of the exercise intervention to the particular movement or pain pattern being addressed.
Benefits of General Health Promoting Behaviors
Engaging in general health-promoting behaviors, such as exercise and dietary improvements, can lead to overall health benefits, even if weight loss is not achieved. These behaviors contribute to improvements in strength, endurance, mobility, and inflammatory processes, enhancing overall well-being. While specific goals like weight loss are important, the holistic impact of healthy behaviors should not be overlooked.
Exploring Orthopedic Costs of Strength Training
The concept of orthopedic costs in strength training involves understanding the potential risks and trade-offs associated with loading muscles and joints during exercise. While loading does entail a cost in terms of physiological stress and strain, the actual impact on injury risk or long-term outcomes is debatable. Research is lacking in conclusively determining the extent to which strength training directly influences injury risk or musculoskeletal health.
Addressing Specificity in Recovery from Low Back Pain
In the context of low back pain recovery, the specificity of exercises and interventions plays a crucial role. While general loading exercises can benefit nonspecific low back pain, addressing pain patterns like extension-related discomfort may require targeted exercises to foster desensitization and functional improvement. Balancing the need for specificity with broader health-promoting behaviors is essential in optimizing recovery outcomes.
Dr Feigenbaum is a medical doctor, strength and conditioning coach, strong dude, wicked golfer and motocross expert. He co-runs Barbell Medicine catering to both health care professionals and clients.
We talk: technique and injury risk (duh)
the ideas behind the "orthopaedic cost" of lifting
the role of excess body weight on health and Osteoarthritis
the need for specificity of training
when we can forego specificity and be very general in our training
and the importance of healthy debate and clinical reasoning
This is another episode where we will definitely have a Part Two!
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