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In today's episode, we will begin Chapter 8 and our discussion of the Thoracic spine. This will include a discussion about the unique aspects of the Thoracic spine and how it differs from both the Lumbar and Cervical spine.
Qué Temas Quieres Escuchar Toca y Hablemos. TE LEO.#DolorDeEspalda #Ciática #DolorCrónicoVivir con dolor de espalda, ciática u hormigueo en los pies es algo que muchas personas normalizan, asumiendo que no tiene solución o que la única salida son los medicamentos para siempre. Pero el origen de estos dolores suele ser distinto a lo que se piensa, y entender qué los provoca puede cambiar por completo la forma de abordarlos.En este episodio recopilatorio de Cómo Curar, reunimos algunos de los momentos más interesantes de distintas entrevistas con especialistas para hablar sobre el desgaste de los discos y la ciática, la diferencia entre neuropatía y dolor de columna, la subluxación y el ajuste quiropráctico, la acupuntura y la homeopatía como apoyo para el dolor crónico, y los hábitos de alimentación que pueden favorecer la inflamación.En este episodio conversamos sobre:● Por qué el desgaste de los discos y la pérdida de altura entre ellos puede generar dolor de espalda, ciática y hormigueo en las piernas.● Cómo diferenciar un dolor de columna de una neuropatía, y por qué muchos diagnósticos de neuropatía no lo son en realidad.● Qué es una subluxación y cómo un ajuste quiropráctico ayuda a liberar la presión sobre los nervios.● Cómo la acupuntura y la homeopatía se utilizan como apoyo para el dolor crónico, más allá de los antiinflamatorios.● Qué hábitos de alimentación conviene evitar para no favorecer la inflamación y el dolor.Disfruta de este episodio y de muchos más en ComoCurar.com, en tu plataforma de podcast favorita o en YouTube, en el canal Cocó March N.M.D.#CocóMarch #TipsCocóMarch #DolorDeEspalda #Ciática #DolorCrónico #Quiropráctica #Acupuntura #BienestarFemenino #Longevidad #ComoCurarConsigue mis fórmulas en USA y México: https://store.dracocomarch.com/es/Consigue mis fórmulas en Europa:https://vitatiendaeuropa.com/es/Visita mi Podcast:https://comocurar.com/Sígueme en redes:https://www.facebook.com/CocoMarchNMDhttps://www.instagram.com/cocomarch.nmd/https://www.youtube.com/@CocoMarchNMDhttps://www.tiktok.com/@coco.march.nmd Aprende de mi blog:https://blog.dracocomarch.com
In today's episode, we will finish up the last few side posture adjustments and then turn our attention to lumbar corrections on the knee chest table.
Back and neck pain have become increasingly common in the digital age. Many of us spend hours each day sitting at desks, working on computers, or looking down at our phones, often without realizing the impact these habits can have on our spine. In this episode of Health Matters, host Courtney Allison speaks with Dr. Joseph Lombardi, an orthopedic spine surgeon at Och Spine at NewYork-Presbyterian, about why posture matters and what happens when poor positioning places excess strain on the neck and back. Dr. Lombardi explains the mechanics of the spine and how spinal discs function as shock absorbers between the vertebrae. He discusses the phenomenon known as "tech neck" or "text neck," describing how tilting the head forward dramatically increases stress on the cervical spine and may contribute to disc degeneration over time. The conversation also covers practical ways to support spinal health. Dr. Lombardi shares tips for setting up an ergonomic workstation, explains why sitting and slouching increase pressure on the lower back, and discusses the importance of taking movement breaks throughout the day. Finally, he highlights exercises that can strengthen the core and support better posture and outlines warning signs that may indicate a more serious spinal condition requiring medical attention. Chapters 00:00 – Tech Neck and the Hidden Stress on Your Spine How looking down at phones and computers increases strain on the neck and what happens to spinal discs over time 03:58 – Why Posture Matters for Long-Term Spine Health The connection between poor posture, disc degeneration, sciatica, and age-related changes in the spine 06:30 – Ergonomics, Sitting, and Building Better Habits Simple workstation adjustments, standing desks, movement breaks, and ways to reduce pressure on the spine 09:00 – Exercises, Prevention, and When to See a Doctor Core-strengthening exercises, healthy movement habits, warning signs of serious spinal issues, and practical tips for lifelong spine health Key Topics Covered Posture and spine health Tech neck and text neck Neck pain Back pain Disc degeneration Spinal discs and biomechanics Ergonomic workstations Standing desks Sitting posture Slouching and spinal stress Core strength Lumbar support Bird dog exercise Planks and core stability Sciatica Cervical spine health Lower back pain Sedentary lifestyles Healthy aging and the spine Physical therapy Spine injury prevention Orthopedic spine surgery Workplace ergonomics Musculoskeletal health Key Takeaway Good posture is about more than standing up straight. Everyday habits like looking down at a phone, slouching at a desk, and sitting for long periods can place significant stress on the spine and contribute to pain and disc degeneration over time. By improving workstation ergonomics, staying active, strengthening the core, and addressing symptoms early, people can take meaningful steps to protect their spine and support long-term musculoskeletal health. Doctor Bio Dr. Joseph Lombardi is an orthopedic spine surgeon specializing in the operative management of spinal disorders in adult and adolescent patients. His practice is focused on minimally invasive surgical treatments for both common and complex spinal conditions, including disc herniation, spinal stenosis, spondylolisthesis, and spinal deformity. Dr. Lombardi leverages the latest surgical technology – robotics, guided navigation, and advanced instrumentation – to provide patients with tailored surgical procedures, accelerated recovery times, and superior outcomes. After receiving his undergraduate and medical degrees from The George Washington University in Washington, DC, Dr. Lombardi went on to complete his post-doctoral residency training in orthopedic surgery at NewYork-Presbyterian/Columbia University Irving Medical Center where he served as chief resident. Dr. Lombardi remained at Columbia and Och Spine at NewYork-Presbyterian for fellowship training in advanced adult and pediatric spine surgery. In addition to his clinical practice, Dr. Lombardi is involved in training future surgeons as an assistant professor and vice chair of clinical research for Columbia University's Department of Orthopedic Surgery. As vice chair, Dr. Lombardi works closely with the orthopedic surgery research leadership team, as well as all faculty, residents and administration to further clinical research. His research interests focus on the application of new technologies to complex spinal conditions with the goal of improving patient outcomes. To date, Dr. Lombardi has published over 20 book chapters, authored over 100 peer-reviewed journal articles, and has received numerous academic awards, including: the Alpha Omega Alpha honors society, Julius S. Neviaser Award in Orthopedic Surgery, Harold M. Dick Award for Excellence in Orthopedic Surgery, and the Alexander Garcia Award for Excellence in Clinical Orthopedic Surgery. In his free time, Dr. Lombardi enjoys hiking, jogging, fishing and traveling.
In today's episode, we will begin by discussing AP radiography of the Lumbar spine and conclude by discussing the exact procedure for correcting certain listings in the lumbar spine.
Lumbar spinal stenosis only means one of the holes in your spine is smaller than it should be — which is a symptom, not the whole story of why your back hurts.If you've been diagnosed with lumbar spinal stenosis at L4/L5 or L5/S1 and told that's the explanation, this session unpacks what the diagnosis actually says — and what it leaves out. Stenosis simply means a narrowing: either the central canal or the small exit holes at the side. It doesn't tell you what's causing the narrowing, and that's the part that matters. Because the answer to "what do I actually do about it?" turns out to be the same either way.
Links: AquaTru.com use promo code BIRTHHOUR for 20% off. Know Your Options Online Childbirth Course - use code 100OFF for $100 off. Beyond the First Latch Course (comes free with KYO course) Support The Birth Hour via Patreon! You can now gift memberships to Patreon here!
Learn how to fix your pain with our “Centralization Process” here! https://rebrand.ly/ytpainfreeSubmit an application to work with us 1:1 and learn how to fix your low back! www.therehabfix.com/low-back-programTo view hundreds of free low back videos please follow us on instagram at @rehabfix www.instagram.com/rehabfixLow back pain relief starts with the right movements, not endless stretching. If you wake up stiff, feel tight in your lower back, struggle with mobility, or deal with recurring back pain, this simple 2-minute low back pain routine can help restore movement in your hips and spine.In this video, I show you a quick lower back pain relief routine designed to improve mobility, reduce stiffness, and help you move better without needing any equipment.Many people with low back pain, disc herniation, or sciatica spend hours stretching their hamstrings and back, but the real problem is often a lack of the right movement. Limited hip rotation, poor spinal extension, and restricted mobility can force your lower back to compensate and create more discomfort.This 2-minute routine targets the key areas that influence your lower back:✅ Hip mobility✅ Lumbar spine movement✅ Spinal rotation✅ Hip extension✅ Lower back stiffness
Learn how to fix your pain with our “Centralization Process” here! https://rebrand.ly/ytpainfreeSubmit an application to work with us 1:1 and learn how to fix your low back! www.therehabfix.com/low-back-programTo view hundreds of free low back videos please follow us on instagram at @rehabfix www.instagram.com/rehabfixTired of nagging lower back pain? You don't need expensive equipment or a gym membership to find relief. In this video, I'm sharing a simple, 5-minute back pain relief routine you can do anywhere. All you need is a chair!.Most people think back pain is caused by one thing. But in reality, low back pain is often a movement problem involving multiple areas at once — tight hips, restricted hip flexors, poor thoracic mobility, stiff piriformis muscles, limited hip rotation, and too much time spent sitting in flexion.And the longer those movement restrictions build up… the more stress gets dumped into your lower back and discs.Inside this video, I'll walk you through:
What if one of pediatrics' most common emergency procedures hasn't meaningfully evolved in over a century? In this episode of Med Tech Gurus, we sit down with Bob Cooper, CEO of SMoLTAP, to explore how a simple but powerful positioning innovation is transforming infant lumbar punctures. For decades, pediatric spinal taps have relied on manual restraint, inconsistent positioning, and high failure rates—often leading to repeat attempts, unnecessary hospital admissions, and increased stress for clinicians and families. SMoLTAP's positioning cradle stabilizes infants in a consistent seated posture, improving first-stick success rates, reducing procedural time, and minimizing the need for sedation. Bob shares the origin story—from a frustrating clinical moment at Brown University to adoption in over 100 hospitals—and dives into the realities of pediatric medical device commercialization. We explore specialty distribution strategies, navigating value analysis committees, building ROI calculators, and scaling capital-efficiently in a challenging healthcare market. This episode is a powerful example of how human-centered design, operational insight, and disciplined execution can change the standard of care.
The Evidence Based Chiropractor- Chiropractic Marketing and Research
Today, we dive into a brand new research study examining analgesic use before and after chiropractic care for patients with lumbar spinal stenosis. You'll discover pragmatic insights and actionable clinical pearls on how non-pharmacological care, including chiropractic, can play a critical role in reducing reliance on medication among patients—especially older adults facing everyday spine-related challenges.Research: Use of prescribed analgesics before and after a standardised chiropractic care programme among patients with lumbar spinal stenosis: a nationwide cohort studySpecial Offers for Listeners: Learn more about Diabetes Reversal Group and become a licenseeTURN YOUR CHIROPRACTIC PRACTICE INTO A 7-FIGURE REVENUE MACHINE: The 'Hybrid Practice Model' That Helps Chiropractors & PTs Generate $40K-$200K Per Month While Taking FEWER AppointmentsSave $500 and Get a Free Cart- Learn more at Shockwave Center of America Today!Leander Tables- Save $1,000 on the Series 950 Table using the code EBC2025 — their most advanced flexion-distraction tableNovoPulse OA Recovery Program- learn more herePatient Pilot by The Smart Chiropractor is the fastest, easiest to generate weekly patient reactivations on autopilot…without spending any money on advertising. Click here to schedule a call with our team.Our members use research to GROW their practice. Are you interested in increasing your referrals? Discover the best chiropractic marketing you aren't currently using right here!
Matt sits down with Charley Meade, manager of our Independence and Dry Ridge locations to discuss Lumbar Motor Control. With new research in hand that describes the best way to test and also measure over time to track improvement. Learn how the six Item test can help even predict potential people who could have issues with Low Back Pain. Get the articles discussed here: Validity of a 6-item movement control test battery for evaluation of movement control impairment in the lumbar spine | PLOS One and Components of Standardized Motor Control and Movement Quality Measures in Low Back Pain: A Framework-Based Scoping Review | JOSPT MethodsDid you know that you don't need a doctor's prescription to receive physical therapy? You can schedule here . The laws of Direct Access allow you to receive physical therapy without a referral and still use your insurance benefits! Learn more on how Direct Access can help YOU! Our website: https://www.oxfordphysicaltherapy.com/
The Evidence Based Chiropractor- Chiropractic Marketing and Research
This week, we explore a groundbreaking study comparing different lumbar fusion surgical approaches and what they can teach us as chiropractors about pain relief, patient recovery, and having better conversations with those facing spine surgery. Many patients come to us pre- or post-surgery, uncertain about what terms like "minimally invasive" really mean for their outcomes.Research: Comparative analysis of acute postoperative pain and opioid use between lateral transpsoas, anterior, and transforaminal lumbar inter body fusionsSpecial Offers for Listeners: Learn more about Diabetes Reversal Group and become a licenseeTURN YOUR CHIROPRACTIC PRACTICE INTO A 7-FIGURE REVENUE MACHINE: The 'Hybrid Practice Model' That Helps Chiropractors & PTs Generate $40K-$200K Per Month While Taking FEWER AppointmentsSave $500 and Get a Free Cart- Learn more at Shockwave Center of America Today!Leander Tables- Save $1,000 on the Series 950 Table using the code EBC2025 — their most advanced flexion-distraction tableNovoPulse OA Recovery Program- learn more herePatient Pilot by The Smart Chiropractor is the fastest, easiest to generate weekly patient reactivations on autopilot…without spending any money on advertising. Click here to schedule a call with our team.Our members use research to GROW their practice. Are you interested in increasing your referrals? Discover the best chiropractic marketing you aren't currently using right here!
Learn how to fix your pain with our “Centralization Process” here! https://rebrand.ly/ytpainfreeSubmit an application to work with us 1:1 and learn how to fix your low back! www.therehabfix.com/low-back-programTo view hundreds of free low back videos please follow us on instagram at @rehabfix www.instagram.com/rehabfixIf your low back keeps getting tight, sore, or injured… you might be missing one critical thing:
Dr Brett Burstein and Dr Nathan Kuppermann visit the studio as we consider febrile neonates ≤28 days of age. Can we skip the lumbar puncture in low-risk babies? What constitutes low risk? And how can we employ shared decision-making with parents of these infants? Tune in for this important conversation!
Learn how to fix your pain with our “Centralization Process” here! https://rebrand.ly/ytpainfreeSubmit an application to work with us 1:1 and learn how to fix your low back! www.therehabfix.com/low-back-programTo view hundreds of free low back videos please follow us on instagram at @rehabfix www.instagram.com/rehabfixIf your lower back feels stiff, tight, and painful no matter how much you stretch or strengthen… you're likely missing the one thing that actually fixes it:
The 2026 MLB season is full of major moves and tough news! Top Stories: Travis Bazzana, the #1 overall pick in the 2024 MLB Draft, has officially been called up by the Cleveland Guardians. The Philadelphia Phillies have fired manager Rob Thompson. Don Mattingly takes over as manager (he previously managed Carl and Justin Crawford). Thompson was offered a role within the organization. (Note: Alex Cora was reportedly offered the job on Sunday before Thompson's firing on Tuesday.) Tarik Skubal underwent elbow surgery to remove loose bodies and is expected to miss 2-3 months. Week in Review: Dodgers acquire Tyler Fitzgerald from the Blue Jays for INF/OF depth. White Sox call up Jarred Kelenic. Tigers hire Kyle Hendricks as special assistant to the GM. Mets agree to a 2-year/$11.5 million extension with catcher Luis Torrens for 2027-2028. Griffin Canning activated by the Padres for Sunday's start. Giants call up top prospects Jesus Rodriguez and Bryce Eldridge. Reds call up Chase Petty. Yankees demote Anthony Volpe. Marlins promote Joe Mack and demote Agustin Ramirez. Sad news: Longtime Yankees radio voice John Sterling has passed away. Injury Updates: Kodai Senga – Lumbar spine inflammation Luis Robert Jr. – Lumbar spine disc herniation (7-10 day shutdown) Justin Steele – Setback in return from Tommy John Jonathan India – Season-ending shoulder surgery Garrett Crochet – Left shoulder inflammation Ryan Pepiot – Hip surgery (out for season) Ronald Acuna Jr. – Hamstring injury (extent unknown) Jacob Misiorowski left a no-hitter with hamstring injury Joe Ryan exited start after just 9 pitches Plus updates on Nico Hoerner, Javy Baez, Casey Mize, Trevor Rogers, Ryan Helsley, Brandon Woodruff, and more. We wrap up with our Player of the Day (POTD) poll! In This Video: Travis Bazzana debut call-up Phillies fire Rob Thompson, Don Mattingly new manager Tarik Skubal elbow surgery timeline Full week in review + major roster moves Comprehensive injury report Subscribe for daily MLB news, prospect call-ups, injury updates, and 2026 season coverage! Hit the bell for notifications. Comment below: Is Don Mattingly the right choice for the Phillies? How much will Skubal's absence hurt the Tigers? Drop your POTD vote!
If you're treating an adolescent athlete with low back pain, you aren't looking for a needle in a haystack—you're looking at a 50% statistical probability. In the youth sporting world, a 'spondy' isn't a rare occurrence; it is the leading cause of structural back pain, yet it remains one of the most mismanaged and missed diagnoses in sports medicine. The "nonspecific" low back pain becomes very specific when lumbar bone stress injuries (BSI) enter the conversation. We have to stop treating these athletes for 'strains' and start addressing the clinical reality of bone stress. If you aren't screening for a BSI from day one, you're missing the most prevalent injury in the game.In this episode of Strength in Knowledge, John Allan, DPT, sits down with Drs. Joey Scambia and Rayce Houser of Rehab Renaissance to dismantle the myths surrounding lumbar bone stress injuries. We dive into the shocking prevalence of spondys in youth sports and the proper progressions through the phases of rehab.We break down:The 50% Rule: Why a coin-flip mentality is necessary when screening adolescent back pain.The Loading Paradox: Why soft landings actually increase internal bone stress, and how to use short-coupled plyometrics as a safer entry point.KPIs: What to look for before introducing high-velocity movement patterns.Navigating the Setback: How to handle the tough conversations when symptoms predictably return and how to adjust the minimal effective dose.Whether you're a coach seeing a volume spike in your players, a parent navigating a confusing diagnosis, or a clinician tired of non-specific rehab, this episode provides the objective framework to bridge the gap between a stress reaction and a return to performance.Social Media:Rehab 2 PerformR2P AcademyRehab Renaissance
Learn how to fix your pain with our “Centralization Process” here! https://rebrand.ly/ytpainfreeSubmit an application to work with us 1:1 and learn how to fix your low back! www.therehabfix.com/low-back-programTo view hundreds of free low back videos please follow us on instagram at @rehabfix www.instagram.com/rehabfixIf you've been told your disc herniation won't heal and that surgery is your only option… that belief could be the exact thing keeping you stuck in pain.The truth is, up to 97% of disc herniations heal without surgery when you follow the right approach. But most people are doing the wrong things… and actually making their lower back pain worse.In this episode, I break down:
Send us Fan MailDr. Nathan Kupperman and Dr. Brett Bernstein, lead investigators on a landmark international pooled analysis published in JAMA, present the most comprehensive evidence to date on whether a lumbar puncture can be safely avoided in febrile infants under one month of age. Using a simple three-criteria rule — negative urinalysis, procalcitonin of 0.5 or below, and absolute neutrophil count of 4,000 or below — across more than 2,500 prospectively collected cases from multiple international cohorts, the rule did not miss a single case of bacterial meningitis. They explain what this means for shared decision-making with families, why the number needed to perform a lumbar puncture to identify one case of bacterial meningitis is now vanishingly close to infinity for low-risk infants, and why implementing this approach requires a multidisciplinary coalition across emergency medicine, infectious disease, and inpatient teams before any individual physician changes their practice.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!
Learn how to fix your pain with our “Centralization Process” here! https://rebrand.ly/ytpainfreeSubmit an application to work with us 1:1 and learn how to fix your low back! www.therehabfix.com/low-back-programTo view hundreds of free low back videos please follow us on instagram at @rehabfix www.instagram.com/rehabfixIf you're foam rolling your hamstrings for sciatica… you could be making your pain worse.Most people think sciatica is a hamstring problem — tight, stiff, or needing to be stretched. But that's not the real issue. Sciatica is a nerve problem coming from your lower back, and rolling or stretching an irritated nerve can increase tension, compression, and make your symptoms worse.In this episode, I'll break down exactly why foam rolling isn't working — and show you the right way to fix sciatica at the source.
In this episode, we review the high-yield topic of Lumbar Puncture from the Neurology section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
Caught between conservative care and a large spine surgery, the MILD procedure offers potential as the in-between. On this episode of the BackTable MSK Podcast, Interventional Radiologist Dr. Dana Dunleavy welcomes pain specialist Dr. Denis Patterson to explore the evidence, technique, and evolving role of Minimally Invasive Lumbar Decompression (MILD) procedure for lumbar spinal stenosis with neurogenic claudication. --- Get the BackTable apphttps://www.backtable.com/app --- This podcast is supported by Strykerhttps://www.stryker.com/us/en/interventional-spine/products/mild-procedure.html --- Timestamps 00:00 - Introduction04:22 - What is the MILD procedure?09:55 - Comparing Discogenic Pain to Neurogenic Claudication 19:20 - MILD Procedure Technique 22:54 - Toolbox and Workflow36:59 - MILD Makes a Difference in the Pain Management Field41:53 - Objectifying Pain Measurements and Setting Patient Expectations46:26 - Driving Mutual Understanding in Surgical Cohorts 01:00:53 - Collaboration Over Competition01:05:32 - Final Takeaways --- More about this episode Dr. Patterson explains the pathophysiology and diagnostic process, highlighting key insights from patient history and MRI findings. The physicians review technique evolution from multiple paramedian incisions and epidurograms to streamlined single midline incision access, and cross lateral oblique (CLO) fluoroscopic safety landmarks. The discussion also references the MiDAS and Cleveland Clinic studies showing pain and functional improvement with a complication rate similar to epidural steroid injections, along with promising long-term outcomes and reduced need for surgical re-intervention. This episode also tackles practical considerations, including the impact of Category I CPT codes on reimbursement, challenges in radiology reporting, privileging politics, and pathways for physician training and proctoring. --- Resources Dr. Denis Pattersonhttps://www.linkedin.com/in/denis-patterson-50ba0485/ MiDAS I (Mild Decompression Alternative to Open Surgery): a preliminary report of a prospective, multi-center clinical studyhttps://pubmed.ncbi.nlm.nih.gov/20648206/ The durability of Minimally Invasive Lumbar Decompression procedure in patients with symptomatic lumbar spinal stenosis: Long-term follow-uphttps://pubmed.ncbi.nlm.nih.gov/33942964/ Pacific Spine and Pain Societyhttps://pacificspineandpainsociety.com/ --- BackTable Musculoskeletal (MSK) is the go-to podcast for musculoskeletal radiologists, interventional pain specialists, and orthopedic surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app
Reference: Burstein B, et al. Prediction of Bacteremia and Bacterial Meningitis Among Febrile Infants Aged 28 Days or Younger. JAMA. Published online December 08, 2025. Date: April 3, 2026 Guest Skeptic: Dr. Margarita Ramos is a pediatric hospitalist at Children's National Hospital in Washington, D.C., and Assistant Professor of Pediatrics at the George Washington University […] The post SGEM #508: How Low Can You Go? Rethinking Lumbar Punctures in Well-Appearing Febrile Infants first appeared on The Skeptics Guide to Emergency Medicine.
Learn how to fix your pain with our “Centralization Process” here! https://rebrand.ly/ytpainfreeSubmit an application to work with us 1:1 and learn how to fix your low back! www.therehabfix.com/low-back-programTo view hundreds of free low back videos please follow us on instagram at @rehabfix www.instagram.com/rehabfixIf you've been told to STOP squatting because of low back pain, that advice might be the exact reason your back isn't getting better.Most people are taught that squats compress the spine, damage discs, and should be avoided, especially if you have a disc herniation or sciatica. But that's not how the body works. Your spine is not fragile… It's adaptable. And avoiding load can actually make your back weaker over time.In this episode, I break down the truth about squats and low back pain, and show you how to rebuild your spine so you can safely get back to lifting.
May 2026 Journal Club Podcast Title: The Timing of Diskectomy as a Predictor of Outcomes in Patients With Lumbar Disk Herniation: A Cohort Study on Varying Durations of Preoperative Symptoms To read journal article: https://journals.lww.com/neurosurgery/fulltext/2026/05000/the_timing_of_diskectomy_as_a_predictor_of.10.aspx Author: Peter Solar Guest Faculty: Ali Baaj Resident Planner: Matheus Pereira Moderator: Kimberly Hoang
Learn how to fix your pain with our “Centralization Process” here! https://rebrand.ly/ytpainfreeSubmit an application to work with us 1:1 and learn how to fix your low back! www.therehabfix.com/low-back-programTo view hundreds of free low back videos please follow us on instagram at @rehabfix www.instagram.com/rehabfixIf your low back pain gets worse when you lean backward, lie on your stomach, or try extension exercises… this isn't random, and it's not just “tight muscles.”Most people are told to stretch more or rest, but that usually makes things worse. The real issue is often something deeper, a disc-related restriction that's blocking your ability to extend your spine and creating compression, irritation, and even nerve symptoms.In this episode, I'll break down exactly what's happening inside your low back, and show you a simple 3-step process to unlock your spine, reduce compression, and finally move without pain.
What if you could help more clients beat back pain effectively and significantly improve their quality of life even throughout old age? Bernd Sigl is the Head of Therapy at the ATOS Kliniken in Munich and is an expert focusing on using high-intensity training principles to help clients recover from back pain, as well as helping them improve their quality of life and even athletic performance. We go deep into the root causes of most back pain, how to train safely as you get older, how to breathe properly during exercise sessions, and how being fit using proper HIT strength training helped him walk off getting hit by a bus in London and get on a flight home the next day (!). If you want to know how an expert with over 38,000 consultations approaches helping clients resolve their back-related issues effectively and help grow your strength training business, tune in to this one! ━━━━━━━━━━━━ Get a FREE course to grow your strength training business here ━━━━━━━━━━━━ Get NEW Precision-Engineered MedX Machines here ━━━━━━━━━━━━ For the complete show notes, links, and resources, click here
When Jess began to feel pain in her right leg in 2020, she thought it was sciatica. When extreme pain radiated to her lower back, a physical therapist thought she had a bulging disc. However, her condition worsened, she went in for an MRI, and it revealed a tumor originally thought to be on her spinal cord. Further tests indicated the tumor was inside her spinal cord and a diagnosis of myxopapillary ependymoma, a rare cancer. The tumor was surgically removed, but her post-treatment life was very difficult. There were prolonged instances in which she could not move her legs, which brought her to tears not only from the pain, but the chilling thought of the rest of her being spent in bed or on the couch. Jess went through all sorts of medications from morphine to medical marijuana, but medical savior was a spinal cord stimulator. It has enabled her to maximize her movements with little or no pain. In 2020, Jess led an active lifestyle. It included soccer and other activities with two young sons. But she started experiencing pain in her right leg. She thought it was sciatica but believed it would go away. When it didn't, and pain radiated to her lower back, she saw a physical therapist, who thought Jess had a bulging disc. One night at home, Jess fell and said one of her sons looked her in the eye and told her she needed to see a doctor. Jess underwent an MRI. It indicated she had a tumor on or near her spinal cord. Doctors were initially baffled because they could not pinpoint the tumor's location, but additional tests showed the tumor was inside her spinal cord. A surgical procedure to remove the tumor was completed successfully. It was after the procedure when Jess was regaining consciousness in her hospital that she was informed she had Stage II myxopapillary ependymoma, a rare cancer. Ten days after surgery, Jess underwent a spinal tap at the location of the tumor to determine whether any tumor cells had been left behind. Thankfully, the results were clear and have remained clear ever since. However, many challenges awaited Jess. There were instances in which she was immobilized, having to remain in bed. She felt pain from head to toe. Certain fabrics rubbing against caused pain. As did extreme temperatures or the wind. She was prescribed opioids, which she said did nothing to alleviate the pain. She was given morphine. Eventually doctors prescribed pregabalin and duloxetine, medications which were able to reduce the pain. Jess also tried medical marijuana, which reduced the pain. The biggest development in her recovery was her working with a specialist in New Hampshire who performs spinal cord stimulator procedures. Jess completed a trial with a stimulator and when using it, much of her pain was gone and she regained much of her mobility. Jess says her spinal cord will never be the same and neither will she, but she is grateful for the mobility she has. She adds that since October 2025, she has been sober from alcohol and cannabis. Additional Resources: Support Groups: The CERN Foundation: https://www.cern-foundation.org walk.talk.connect: https://walktalkconnect.org Book: ReConnected: Stories from Spinal Cord Tumor & Dawn Standera, available on Amazon https://www.youtube.com/@reconnected-SCTtumorstories
The Evidence Based Chiropractor- Chiropractic Marketing and Research
In today's episode, we'll dive into a brand new study that's hot off the press—an RCT exploring the short-term effects of manual therapy combined with functional magnetic stimulation (FMS) for patients suffering from lumbar disc herniations with radiculopathy. If you see patients with leg pain, numbness, or MRI-confirmed disc issues, this research offers fresh insight into conservative care and multimodal treatment approaches.Research: Short-Term Effects of Manual Therapy Combined with Functional Magnetic Stimulation in Individuals with Lumbar Disk Herniation with Radiculopathy: A Randomized Clinical TrialSpecial Offers for Listeners: Learn more about Diabetes Reversal Group and become a licenseeSave $500 and Get a Free Cart- Learn more at Shockwave Center of America Today!Leander Tables- Save $1,000 on the Series 950 Table using the code EBC2025 — their most advanced flexion-distraction tableNovoPulse OA Recovery Program- learn more herePatient Pilot by The Smart Chiropractor is the fastest, easiest to generate weekly patient reactivations on autopilot…without spending any money on advertising. Click here to schedule a call with our team.Our members use research to GROW their practice. Are you interested in increasing your referrals? Discover the best chiropractic marketing you aren't currently using right here!
Learn how to fix your pain with our “Centralization Process” here! https://rebrand.ly/ytpainfreeSubmit an application to work with us 1:1 and learn how to fix your low back! www.therehabfix.com/low-back-programTo view hundreds of free low back videos please follow us on instagram at @rehabfix www.instagram.com/rehabfixIf you wake up every morning with a stiff, painful lower back and it takes a few minutes to stand up straight, it could be a sign of a spinal disc herniation.Most people assume they just slept wrong or need to stretch their back immediately. But when your pain is worst right after waking up, it's often one of the most common signs of a disc herniation or irritated spinal nerve. While you sleep, your spinal discs rehydrate and swell because gravity is removed from the spine overnight. That extra fluid increases pressure inside the disc, which can push further into an injured area and irritate nearby nerves, making your back feel much worse in the morning. In this episode, I'll show you a much smarter way to handle morning disc pain:
Let's talk to you about something that can drastically improve the results of your chiropractic care—your spinal hygiene exercises.Think of these exercises the same way you think about brushing your teeth.You don't brush for an hour once a week.You brush a little every day to protect what you've already gained.Your spine works the same way.
Yesenia is a 37-year-old patient with lumbar disc herniation who reports pain radiating to the posterior thigh. During treatment, repeated lumbar extension causes leg pain to resolve but increases central low back discomfort. Which intervention is MOST appropriate to continue?A) Discontinue extension due to increased lumbar painB) Progress lumbar flexion exercises to reduce spinal compressionC) Continue repeated lumbar extension within toleranceD) Introduce hamstring stretching to reduce neural tensionJoin the FREE Facebook Group: www.nptegroup.comDownload my lumbar spine intervention cheatsheet: www.nptecheatsheet.com/lumbar-treat
In today's episode, we talk exclusively about corrections on the knee chest table. This includes proper patient set up and relaxation, as well as doctor stance and technique. This is an important table for all Gonstead Chiropractors to use on a daily basis and it begins with a proper understanding of what to do and how to do it.
In today's episode, we will begin discussing Lumbar Corrections. We will do this by discussing how we make these corrections on the pelvic bench. Next week, we will discuss the same corrections on the knee chest table.
Welcome back, friends! In this episode, I sat down with Joey Scambia and Rayce Houser, Co-Founders of Rehab Renaissance, to talk about how we can better rehab athletes with low back pain, especially those with bone stress injuries. We get into imaging, nutritional, and workload considerations for this population, as well as Joey and Rayce's own tier-based system for returning these athletes to sport. You're gonna want to take notes! Clinical Athlete FB Community: https://www.facebook.com/share/g/1HtcoaP9Up/
Send us a textJoin Kasey on the PT Snacks podcast as we delve into lumbar spinal stenosis, perfect for physical therapists and students eager to enhance their fundamentals. Understand the basics of stenosis, its impact on patients, and effective treatment approaches. Learn how to differentiate between types of stenosis, evaluate symptoms, and integrate conservative treatments with manual therapy and exercise for optimal patient outcomes. Stay informed on imaging techniques and when surgery might be necessary. Tune in for this bite-size segment and boost your practice skills!00:00 Introduction to PT Snacks Podcast00:48 Understanding Lumbar Spinal Stenosis02:47 Symptoms and Causes of Lumbar Spinal Stenosis07:57 Diagnosis and Imaging of Spinal Stenosis10:45 Conservative Treatments for Spinal Stenosis12:08 Surgical Options and Post-Op Care12:49 Conclusion and Additional ResourcesSupport the showNeed CEUs? Unlock unlimited online courses, live webinars, and certification-prep programs with MedBridge. You'll get: Thousands of accredited, evidence-based courses across multiple specialties (PT, OT, AT, SLP) that count for state-license CEUs. Access anytime, from your office, phone, or home—perfect for busy clinicians. One annual subscription, no per-course fee. Special offers: Use code PTSNACKSPODCAST at checkout and save over $100. Students use code PTSNACKSPODCASTSTUDENT for a discounted annual plan. Studying for the NPTE? Check out PT Final Exam — they've helped thousands of students pass with confidence. Use code PTSnacks at checkout for a discount. Stay Connected! Follow so you never miss an episode. Send your questions via email to ptsnackspodcast@gmail.com Join the email list ...
PART 2I n this episode, we're joined by Dr. Andrew Zhang, and we explore Lumbar Interbody fusion. We discuss indications, relevant anatomy, differences between ALIF, OLIF, XLIF, + much much more. Dr. Zhang is a board-certified, dual fellowship-trained orthopaedic surgeon specializing in spine surgery. He has a clinical interest in treating complex spinal deformity in adult and pediatric patients, including scoliosis and kyphosis, as well as robotic surgery, minimally invasive techniques, and the latest technology such as endoscopic spine surgery. His patient-centered approach involves empowering patients by educating them on their individual spinal conditions and developing a specific evidence-based treatment plan together with them as if they were his own family members. Dr. Zhang also has a particular interest in teaching residents and medical students and is actively involved in several research studies. He has been published in numerous peer-reviewed scientific journals and textbooks, and he has presented posters and on podiums at several national and international conferences. Dr. Zhang earned dual undergraduate degrees in biology and economics with highest honors from The George Washington University and obtained his medical degree with distinction in research from the same institution. He completed his orthopaedic surgery residency at Louisiana State University. He then completed an advanced spine fellowship at Brown University, followed by additional spine training at Yale University and the Shriners Hospitals for Children in Philadelphia and Shreveport. Dr. Zhang completed a second fellowship in advanced adult and pediatric comprehensive spine surgery at New York-Presbyterian/Columbia University/Cornell University, training with the world's foremost experts in spine surgery. He served as an Assistant Attending and Postdoctoral Clinical Fellow at Columbia University's Vagelos College of Physicians and Surgeons as well as a Clinical Instructor of Orthopedic Surgery in Neurological Surgery at Weill Cornell Medical College. His higher education culminated in graduating with distinction from the Surgical Leadership Program at Harvard University. Prior to joining Penn Medicine, Dr. Zhang was the Chief of Adult and Pediatric Orthopaedic Spine Surgery, as well as an Assistant Professor and the Associate Program Director to the Orthopaedic Surgery Residency at Louisiana State University Health Sciences Center. Education and training Medical School: George Washington University Residency: Montefiore Medical Center Residency: Louisiana State University Hospital Fellowship: Brown University Fellowship: NewYork-Presbyterian/Columbia University Medical Center Fellowship: Harvard University Goal of episode: To develop a baseline knowledge of Lumbar Interbody Fusion In this episode, we cover a wide array of topics including: Lumbar interbody fusion vs posterolateral fusion indications for interbody fusion danger and surgical pearls for ALIF, OLIF, XLIF, PLIF pertininent lumbar spine surgical anatomy
The Evidence Based Chiropractor- Chiropractic Marketing and Research
On today's episode, we take a deep dive into a groundbreaking randomized controlled trial exploring the powerful connection between spinal adjustments and lumbar proprioception. If you've ever wondered what's actually happening beneath the surface after an adjustment—beyond that familiar cavitation and increased motion—this is the episode for you.Research: The impact of spinal manipulation on lumbar proprioception and its link to pain relief: a randomized controlled trialSpecial Offers for Listeners: Save $2,500 off a Blue Honest Pro VX Laser with code CHIROEB1Save $500 and Get a Free Cart- Learn more at Shockwave Center of America Today!Leander Tables- Save $1,000 on the Series 950 Table using the code EBC2025 — their most advanced flexion-distraction tablePatient Pilot by The Smart Chiropractor is the fastest, easiest to generate weekly patient reactivations on autopilot…without spending any money on advertising. Click here to schedule a call with our team.Our members use research to GROW their practice. Are you interested in increasing your referrals? Discover the best chiropractic marketing you aren't currently using right here!
In this episode, we're joined by Dr. Andrew Zhang, and we explore Lumbar Interbody fusion. We discuss indications, relevant anatomy, differences between ALIF, OLIF, XLIF, + much much more. Dr. Zhang is a board-certified, dual fellowship-trained orthopaedic surgeon specializing in spine surgery. He has a clinical interest in treating complex spinal deformity in adult and pediatric patients, including scoliosis and kyphosis, as well as robotic surgery, minimally invasive techniques, and the latest technology such as endoscopic spine surgery. His patient-centered approach involves empowering patients by educating them on their individual spinal conditions and developing a specific evidence-based treatment plan together with them as if they were his own family members. Dr. Zhang also has a particular interest in teaching residents and medical students and is actively involved in several research studies. He has been published in numerous peer-reviewed scientific journals and textbooks, and he has presented posters and on podiums at several national and international conferences. Dr. Zhang earned dual undergraduate degrees in biology and economics with highest honors from The George Washington University and obtained his medical degree with distinction in research from the same institution. He completed his orthopaedic surgery residency at Louisiana State University. He then completed an advanced spine fellowship at Brown University, followed by additional spine training at Yale University and the Shriners Hospitals for Children in Philadelphia and Shreveport. Dr. Zhang completed a second fellowship in advanced adult and pediatric comprehensive spine surgery at New York-Presbyterian/Columbia University/Cornell University, training with the world's foremost experts in spine surgery. He served as an Assistant Attending and Postdoctoral Clinical Fellow at Columbia University's Vagelos College of Physicians and Surgeons as well as a Clinical Instructor of Orthopedic Surgery in Neurological Surgery at Weill Cornell Medical College. His higher education culminated in graduating with distinction from the Surgical Leadership Program at Harvard University. Prior to joining Penn Medicine, Dr. Zhang was the Chief of Adult and Pediatric Orthopaedic Spine Surgery, as well as an Assistant Professor and the Associate Program Director to the Orthopaedic Surgery Residency at Louisiana State University Health Sciences Center. Education and training Medical School: George Washington University Residency: Montefiore Medical Center Residency: Louisiana State University Hospital Fellowship: Brown University Fellowship: NewYork-Presbyterian/Columbia University Medical Center Fellowship: Harvard University Goal of episode: To develop a baseline knowledge of Lumbar Interbody Fusion In this episode, we cover a wide array of topics including: Lumbar interbody fusion vs posterolateral fusion indications for interbody fusion danger and surgical pearls for ALIF, OLIF, XLIF, PLIF pertininent lumbar spine surgical anatomy
Broadcast from KSQD, Santa Cruz on 10-23-2025: Dr. Dawn opens with a passionate plea about E-bike safety after observing riders ignoring stop signs and wearing inadequate helmets in Santa Cruz. She explains the physics of collisions, noting that force equals mass times acceleration, and a car hitting an E-bike rider at 20 mph delivers impact equivalent to falling from a two-story building. She emphasizes that 97% of bike fatalities in New York involved helmetless riders, and brain injuries result from the brain striking the skull twice during impact - once on the impact side and again on the opposite side during deceleration. She urges drivers to honk at helmetless riders and calls for stricter helmet law enforcement. An emailer asks about hydroxyapatite in toothpaste. Dr. Dawn traces its origins to NASA research in the 1960s by Dr. Bernard Rubin studying crystal growth for preventing bone and tooth mineral loss in astronauts. Japanese company Sangi acquired the patent and created the first hydroxyapatite toothpaste by 1980, receiving official anti-cavity recognition in 1993. Studies show it matches fluoride's cavity prevention effectiveness by filling microscopic cracks where bacteria take root. It also relieves temperature sensitivity by sealing micro-fractures in enamel that expose the dentin layer, making it especially helpful for people who clench their jaws. Researchers from UC Berkeley and the Allen Institute used electrodes and lasers to study how mouse brains process optical illusions like the Kanizsa triangle. They discovered specialized IC encoder neurons in the visual cortex that fill in missing information, creating complete shapes from partial cues. When these pattern-completing circuits activate inappropriately, they may trigger hallucinations in conditions like schizophrenia. Dr. Dawn explains that illusions occur when the brain perceives something different from actual visual input, while hallucinations create perceptions with no external stimulus. She discusses frontotemporal dementia where visual hallucinations result from protein deposits in the occipital cortex, and notes that a 2021 British Journal of Psychiatry study found hallucination rates varying from 7% in young people to 3% in those over 70. An emailer describes unbearable chronic lumbar pain with degenerative disc disease shown on MRI. Dr. Dawn emphasizes that MRI findings don't necessarily correlate with pain levels, citing shopping mall studies showing equal degenerative changes in people with and without back pain. She stresses checking for sciatica symptoms including leg pain below the knee, sensory differences between sides, calf size asymmetry, and ability to walk on tiptoes and heels. Without these red flags, the degenerative disease likely isn't causing the pain. She warns against unnecessary surgery citing frequent "failed back" syndrome when surgery for a disk image doesn't "fix" the pain. She recommends water jogging with a ski vest, McKenzie exercises, abdominal strengthening, ergonomics, removing wallets from back pockets, and alternating heat and ice therapy. She discusses mindfulness meditation and cognitive behavioral therapy for pain management. A caller references Daniel Levitin's book "Your Brain on Music," discussing research using functional MRIs showing distinct brain activation patterns in musicians versus non-musicians due to integrated auditory, visual, and kinesthetic training. Dr. Dawn describes how infant brains develop from three to six layers with increasingly complex synaptic connections resembling circuit boards. She highlights a blindfold study where college students' visual cortices began responding to sound within two weeks as the auditory cortex expanded. She shares her husband's remarkable recovery demonstrating adult brain plasticity through intensive rehabilitation. Learning new musical instruments helps dementia patients by activating multiple brain regions simultaneously and improving standard cognitive test performance. A caller describes an eight-day chest cold with thick white phlegm. Dr. Dawn recommends guaifenesin as a mucus-thinning expectorant to prevent bacterial growth in respiratory secretions that serve as "bacteria chow." She emphasizes the importance of current flu, COVID, and RSV vaccinations. Secondary bacterial infections develop when bacteria colonize viral-induced mucus in the lungs and invade tissues. She advises aggressive hydration and chicken soup, which research shows helps clear mucus. Another caller provides additional information about Daniel Levitin as a musicologist, neurologist, and musician who runs the Music Perception, Cognition and Expertise laboratory at McGill University.
Jessica Sanders is a family nurse practitioner with Vitruvian Health - Interventional Pain in Dalton, Ringgold, and Calhoun, Georgia.For more information about Vitruvian Health - Interventional Pain, call 706-529-7124 or visit HamiltonHealth.com/pain.This program in no way seeks to diagnose or treat illness or to replace professional medical care. Please see your healthcare provider if you have a health problem.
In today's episode, we complete chapter 6. We will be talking about the use of radiographs to determine the position of the vertebra relative to the one below it. This is a crucial first step in being able to properly assess how to correct the subluxation.
Holaaaa:), bienvenidos de nuevo a un episodio del podcast y al inicio de una nueva temporada, que viene con novedades muy importantes: entre ellas, la incorporación del formato vídeo y la presencia de invitados muy especiales, tanto a nivel personal como profesional.Y creo que no podría haber mejor persona para acompañarme en este comienzo que la doctora Teresa Bas: cirujana de columna, experta en el abordaje de la escoliosis en adultos e infantil, jefa clínica de la Unidad de Raquis del Hospital Universitario La Fe de Valencia, profesora asociada en la Universidad de Valencia y, además, mi madre.En el episodio de hoy aprenderemos qué es el dolor lumbar, cuáles pueden ser sus diferentes causas, qué lo distingue de la ciática y cómo se abordan médicamente y quirúrgicamente estos problemas. También veremos qué medidas de estilo de vida y qué suplementos pueden ayudar a mejorar el dolor lumbar, las hernias y las ciáticas, así como el papel fundamental del ejercicio y la alimentación en la salud de nuestra columna vertebral. Y, por último, pero no menos importante, abordaremos las diferencias que existen en la patología de columna entre mujeres y hombres.Espero que os resulte útil y que aprendáis mucho.El instagram de mi madre es @dra.teresabasSu consulta privada es Clinica Bas, en calle Joaquin Costa 42 en Valencia España.Su trabajo en el hospital esta en la unidad de Raquis en el Hospital Universitario y Politécnico de La Fe en Valencia, España.Para mas información ya sabéis que me tenéis en mi instagram @isabelvina dónde te comparto contenido diario Mi TikTok @isabelvinabasEn mi canal de YouTube Canal YoutubeY los suplementos formulados por mi en mi web Mi web
In today's episode, we begin Chapter 6 on how to identify Lumbar Misalignments. This chapter highlights the X-ray evaluation procedure for determining the direction of misalignment and how to correct it.
The Evidence Based Chiropractor- Chiropractic Marketing and Research
In this episode, we dive into a brand new research study focused on lumbar radiculopathy—sciatic pain radiating down the leg—and what patients are really doing to seek relief. You'll hear surprising statistics, such as how over half of patients with lumbar radiculopathy have already tried chiropractic care before joining clinical trials, and why most are turning to multiple integrative options simultaneously. Dr. Jeff breaks down what this means for your practice, how to better connect with patients who are searching for answers, and the key opportunities to grow your chiropractic business by meeting patients where they already are. Episode Notes: Treatment Choices and Healthcare Services Utilization Amongst Lumbosacral Radiculopathy Patients: Results from a Randomized Controlled TrialLeander Tables- Save $1,000 on the Series 950 Table using the code EBC2025 — their most advanced flexion-distraction tablePatient Pilot by The Smart Chiropractor is the fastest, easiest to generate weekly patient reactivations on autopilot…without spending any money on advertising. Click here to schedule a call with our team.Our members use research to GROW their practice. Are you interested in increasing your referrals? Discover the best chiropractic marketing you aren't currently using right here!
Welcome to Season 2 of the Orthobullets Podcast.Today's show is Foundations, where we review foundational knowledge for frontline MSK providers such as junior orthopaedic residents, ER physicians, and primary care providers. This episode will cover the topic of Lumbar Spinal Stenosis from our Spine section at Orthobullets.com.Follow Orthobullets on Social Media:FacebookInstagram TwitterLinkedInYouTube