Podcasts about spine biomechanics

In today's podcast episode, I speak with physical therapist, chiropractor, researcher and educator, Greg Lehman. Greg has been in the rehabilitation field for more than 20 years. Following his undergraduate degree in Kinesiology, he was awarded the Canadian Society for Exercise Physiology Gold Medal for highest academic performance in Kinesiology. This degree allowed him to obtain certification as a Strength and Conditioning Specialist and Certified Fitness Appraiser and to work as a Strength and Conditioning coach for Sir Wilfrid University's Men's Basketball team and for Queen's University Women's Varsity Hockey Team. Greg's success in university resulted in being awarded a graduate scholarship (NSERC) to the University of Waterloo to be one of only two Masters students per year studying at the Occupational Biomechanics Laboratory, a world leader in Spine Biomechanics, exercise prescription and athletic performance. As a faculty member at the Canadian Memorial Chiropractic College, Greg developed a research program that produced more than 20 publications on exercise biomechanics, golf fitness and the science of manual therapy. He has taught more than 25 graduate students in Spine Biomechanics and Research Instrumentation and supervised more than 50 students and 20 undegraduate research theses. He was subsequently awarded a Researcher of the Year award by the Ontario Chiropractic Association. These days, most of Greg's time with patients is spent one-on-one using exercise, load/stress management, manual therapy techniques and education.  Both pain, injury and performance are influenced by a number of factors in an individual's life.  Greg's approach addresses the multitude of these contributors and he primarily works with my patients to come up with strategies where they are actively involved in their recovery. To learn more about Greg and his work, visit his website at the following link.

Greg Lehman will be presenting a weekend course on SATURDAY, July 13 - SUNDAY July 14, 2024 at Practice Human in NYC. CLICK HERE TO SIGN UP NOW.Greg Lehman is a physiotherapist and strength and conditioning specialist, specializing in musculoskeletal disorders within a biopsychosocial model.He teaches two internationally recognized continuing education courses: Reconciling Biomechanics with Pain Science and Running Resiliency, which have been conducted over 100 times in 40+ countries and 5 continents.Prior to clinical work, Greg conducted biomechanics research at the University of Waterloo, publishing 20+ papers. As an assistant professor, he taught Spine Biomechanics and Instrumentation and led numerous research experiments.Greg Lehman's expertise spans biomechanics and neuroscience, emphasizing simple yet effective techniques for managing musculoskeletal disorders. Greg enjoys actively engaging in knowledge sharing on social media.Find out more about Greg's work at greglehman.ca. Check out his youtube channel www.youtube.com/@glehman. Follow him on Instagram @greglehman. Additionally you can reach out via email at greglehmanphysio@gmail.com.What's covered in this episode?What is a “Movement Optimist”?When does exercise prescription need to be specific and when can it be generalized across a broad array of symptoms or diagnoses?How does prescribing exercise based on a patient's interests affect treatment outcomes?What is included in the ecosystem of factors that influence pain, function, and rehab prognosis?What are some strategies for prescribing cardio exercise in a rehab setting, and how does metabolic health change pain sensitivity?Pros and cons of cross training.When and how a clinician should integrate strength and conditioning into a treatment plan.What is non-specific low back pain? Why is this diagnosis useful and how does it relate to the biopsychosocial model?

In this episode, we review the high-yield topic of ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Spine Biomechanics⁠⁠⁠ ⁠⁠⁠⁠from the Spine section. Follow ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Orthobullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on Social Media: ⁠⁠⁠⁠⁠⁠Facebook⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠Twitter⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠LinkedIn⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠YouTube --- Send in a voice message: https://podcasters.spotify.com/pod/show/orthobullets/message

In this episode, we review the high-yield topic of Spine Biomechanics from the Spine section. Follow Orthobullets on Social Media: Facebook: www.facebook.com/orthobullets Instagram: www.instagram.com/orthobulletsofficial Twitter: www.twitter.com/orthobullets LinkedIn: www.linkedin.com/company/27125689 YouTube: www.youtube.com/channel/UCMZSlD9OhkFG2t25oM14FvQ --- Send in a voice message: https://anchor.fm/orthobullets/message

Dr. Uchechi Iweala discusses when spine fusion surgery is necessary, and some of the mobility limitations that may follow.

Greg Lehman…On Becoming a Movement OptimistJoin the conversation on Movement Optimism as Physiotherapist and strength and conditioning expert, Greg Lehman chats to Raphael Bender about Movement Optimism and the idea that everything is biomedically driven. We discuss why he prefers a comprehensive capacity approach in addition to looking to specific evidence-based research when helping clients prevent pain and injury. Greg also dives into the idea of muscle ‘dysfunction' as a cause of pain, and why he never vilifies an activity or movement. What You Will Learn:The philosophy of Movement Optimism and Greg Lehman's framework for working within a biopsychosocial model Why biomechanics research invalidates the idea of dysfunction in muscles Why we shouldn't worry about scapula dyskinesias despite what a recent study suggests Greg's thoughts on the relationship between knee valgus and ACL injury The dichotomy of loading muscles and why it's a misapplication of research Explaining PainThe fact that pilates clients are often looking for a definitive diagnosis for their pain is often a barrier to movement specialists using a biopsychosocial approach. Greg Lehman and Raph discuss why it is so critical to give clients a comprehensive explanation for their pain, in clear vocabulary that takes into account their life holistically, and how the Movement Optimism approach helps practitioners do that. Whole-Person WellbeingWe unpack the idea of reframing pain under an emergent approach rather than a linear one, how we can take a client's lifestyle into account when discussing their concerns. As Pilates teachers, it is important to understand that we should not only be looking at research specific to their rotator cuff, or their hamstring or other areas of pain, but we also need to get the low-down on their stress levels, their sleep, and their all-round wellbeing to effectively support them. Why ‘Vulnerable' Muscles are a MythGreg also discusses the misapprehension perpetuated by some fitness influencers that certain muscles are ‘vulnerable' in some way. Just because you see something happen once or twice in practice doesn't make it a truth — jumping to faulty conclusions is dangerous for us and our clients. We explore why unvalidated theories get accepted as truth and how to bust baseless myths with good quality evidence-based research. About Greg Lehman:Greg is a Canadian physiotherapist, chiropractor, and strength and conditioning specialist treating musculoskeletal disorders within a biopsychosocial model. He is incredibly well-read, a highly skilled educator. And he's funny. Before his clinical career, Greg received a Natural Sciences and Engineering Research Council MSc graduate scholarship and became one of only two students each year to train with Professor Stuart McGill in his Occupational Biomechanics Laboratory, subsequently published more than 20 peer-reviewed papers in the manual therapy and exercise biomechanics field. He was an assistant professor at the Canadian Memorial Chiropractic College teaching a graduate-level course in Spine Biomechanics and Instrumentation as well as conducting more than 20 research experiments while supervising more than 50 students. Greg has lectured on several topics on reconciling treatment biomechanics with pain science, running injuries, golf biomechanics, occupational low back injuries, and therapeutic neuroscience. His courses http://www.greglehman.ca/blog/2015/02/02/physiofundamentals-reconciling-biomechanics-with-pain-science (Reconciling Biomechanics with Pain Science) and http://www.greglehman.ca/running-resiliency-courses (Running Resiliency) have been taught more than 60 times in more than 40 locations worldwide. How to Connect with Greg: You can find http://www.greglehman.ca/new-page-1 (Greg Lehman online here) You can find https://twitter.com/GregLehman (Greg Lehman on Twitter) You can find...

For Episode 031, Jason interviews Dr. Stuart McGill, CEO of BackFitPro and *the* expert when it comes to backs and dealing effectively with back injury and pain. Dr. McGill explains in simple, easily understood terms why proper adequate movement is foundational -- and rucking is so helpful --  to having a healthy back and spine. Dr. McGill was the Professor Emeritus of Spine Biomechanics at the University of Waterloo in Canada, where he was a professor for 32 years, the author of "Back Mechanic" and current CEO of BackFit Pro. He has worked with MMA fighters, NFL athletes, and Tier 1 Special Operations guys, just to name a few groups in a diverse lot.  Two years ago, before Glorious Professionals existed, Jason and GORUCK had the opportunity to visit his BackfitPro lab just north of Toronto, Canada and talk to him about his work. The result of that conversation is not only this podcast, but Dr. McGill’s knowledge and teaching has hugely impacted GORUCK’s thinking on rucking and human performance since.  In this conversation learn: how rucking is a way to help people with back problems and the “curious situation where backpacks can reduce spine loads” because the ruck acts as an extra muscle/lever; the biomechanical importance of slowly increasing weight and getting enough muscular rest; how sitting too much is detrimental and walking helps correct resulting pain; and the best progression for getting into rucking and rehabbing your back.  Links: BackFitPro “Back Mechanic: The step-by-step McGill Method to fix back pain” Ultimate Back Fitness & Performance by Dr. Stuart McGill  Mens Health Article on Rucking  GORUCK’s Rucking Primer and Jason’s Rucking “White Paper” from 2 years ago (mentioned) Dr. Kelly Starrett on Glorious Professionals Learn more about GORUCK and the Rucker 3.0 Glorious Professionals podcast website

Join us as Dr. Scott Lynn, Jen's very own Biomechanics PhD professor from California State University, Fullerton, breaks down the research of biomechanics and brings us back to the individual in movement. With his background working in professional sports like baseball and golf, over 20 years of publishing and reviewing research articles and journals, Dr. Lynn has uncovered the best ways to avoid injury and optimize our movement patterns. Listen as he unleashes all of his biomechanical wisdom on how you can achieve optimal movement. Lastly, tune in as we breakdown what the Coba Board is, why Dr. Lynn is involved, and how his own research on this tool reveals how it can help you achieve optimal glute activation in both a squat and hinge pattern. Get your own Coba Board to start building that booty! Use code "DOCJENFIT" at checkout: https://cobaboard.com/?rfsn=4420402.cbcd73&utm_source=refersion&utm_medium=affiliate&utm_campaign=4420402.cbcd73 What You Will Learn in this interview with Dr. Scott Lynn: @drsklynn 04:35 – Dr. Lynn’s approach in the classroom - Why it is effective for both students and teachers 06:51 – How human movement is still unknown and a mystery to us 09:29 – How Dr. Lynn became interested in biomechanics and human movement - Why your job should be more than the paycheck 15:30 – How long Dr. Lynn has been researching and the differences he's noticed over time 20:31 – How to decipher research and its reliability - How “messy” human beings are 24:02 – Why the “best” exercise or movement pattern doesn't exist - Why movement is individual 25:51 – Dr. Lynn explaining FMS theory (functional magnetic stimulation) and why he studied it 31:37 – What Dr. Lyn found researching FMS - Why variability in exercise is necessary 40:26 – What the Coba Board is and how Dr. Lynn got involved with it About Dr. Scott Lynn: Dr. Scott K. Lynn received his Bio- PhD, MSc in Orthopedic Biomechanics at Queen's University, Canada. He received his Post-Doctoral Fellowship in Spine Biomechanics at the University of Waterloo, Canada. Currently, he is a professor in Kinesiology (Biomechanics) at California State University, Fullerton. Dr. Lynn is also the Director of Research & Education for the Center for Sport Performance at California State University Fullerton. He is the creator of the video analysis software Swing Catalyst (Sport Technology company focusing on Golf and Baseball biomechanics). Dr. Lynn has been published by many peer reviewed research articles and book chapters related to golf biomechanics, exercise biomechanics & rehabilitation. Journals published in include: Journal of Strength and Conditioning Research, Strength and Conditioning Journal, International Journal of Golf Science Journal of Sports Rehabilitation, Clinical Biomechanics, Journal of Science and Medicine in Sports Human Movement Science, Journal of Sports Science and Medicine, Medicine and Science of Sports and Exercise Journal of Electromyography, and Kinesiologist. To see Dr. Scott Lynn's full bio and links to his book and website, head over to the complete show notes here: www.docjenfit.com/podcast/episode27 --- Send in a voice message: https://anchor.fm/TOBpodcast/message

Improving Vocabulary (0:00:00) Here's a question for you: would you rather stay at a luxurious wooded lodge overlooking the glassy waters of the Sakakawea, or at a hotel in rural North Dakota? Whatever you answered, your choice was probably a result of context and especially the use of the right vocabulary words. The words we choose can have a big impact on our audience. And while personal vocabulary is something almost everyone claims they'd like to improve, most often they have a hard time getting around to it. So how do we break out of our vocabulary rut and make our diction prodigious? Today we're joined by freelance copywriter Devin Gleeson, here with us to talk about improving your vocabulary and how your words can take you a long way.   Bringing Your Family to the Table (0:19:55) In the past 20 years, the frequency of family dinners has dropped by 33 percent. You're busy; your children are busy. There's just no time to sit down and have a meal together. But, what's the big deal, right? Wrong. Family dinners are essential in developing deeper relationships with your family members. They can also give you time to rest from your busy schedule. There are so many benefits that we don't even think of. Here to discuss how we can have effective family meals is Catherine McCord co-founder of a meal prep service called One Potato and the founder of Weelicious.   Changing Your Fitness Routine (0:36:30) It's one of the hard and fast facts of nature—we all get older. We all get a little shorter, a little more wrinkled, and a little weaker. It's important that as our bodies and their capabilities change, that we also change out fitness routines to match. What works for us when we're 20 is not going to work the same when we're40, 50, or60. Here to discuss with us how we can adapt our fitness routines as we age to keep us strong and mobile is Professor Emeritus of Spine Biomechanics at Waterloo university, author, and founder of Backfitpro Inc., Dr. Stuart McGill.   Different Kinds of Comedy (0:52:46) While we all love comedy—not every kind of comedy is for everyone. Everyone has their own unique brand of humor. What might be hilarious to one person, may go right over someone else's head. And while we tend to think about comedy in modern terms, it's actually an ancient art--and over generations, many different kinds have emerged. Here to tell us a little bit more about different kinds of comedy and why we find them funny are our friends and media experts Karen and Lee Shackleford!   Coronavirus Parties (1:11:28) Have you heard of Coronavirus parties? Well in some areas of the country, young people are throwing parties where they invite someone with the virus over to infect the other guests. And, whoever catches COVID first gets a payout. This behavior is leaving many people wondering, why? Why would someone want to do this when hundreds of thousands of Americans have died from the virus? To answer this question and more, we've invited clinical and medical psychologist Dr. Anthony Napoleon onto the show.   Weekend Review (1:27:26) Lisa and Richie talk about what there is to do this weekend, from the newest shows on streaming services to the New York Times bestseller list.

To move or not to move? When in pain, this is always the question. Today we welcome to the show Dr. Greg Lehman, Physiotherapist, Chiropractor, and of champion of movement optimism. Greg is a globally recognized advocate for evidence-based physiotherapy. He joins us today to dive into the importance of movement when it comes to pain, to debunk some of the common misconceptions on the topic, and to explain how cartwheels can be the cure to back pain... can being the operative word. Tune in now! Show Notes: 0:00 - Who is Dr. Greg Lehman and why did he go to school to become both physio and chiro? 5:30 - What is the Biopsychosocial Model and how does this apply to pain? 9:00 - If someone is avoiding movement due to pain, how can we get them around the psychology that movement is part of the problem, as opposed to the (research-proven) solution? 13:00 - What does Greg's manual practice look like today? 17:00 - Greg talks about his dissatisfaction with how chiro was taught, and how this led to the creation of his course. 19:15 - We discuss some of the common misconceptions regarding causes of pain. 23:10 - What does "normalizing pain" mean? Is it reasonable to think you should be 100% pain-free all the time? 28:40 – Greg tells us how one of his patients once resolved her pain through cartwheels. We dig into some common myths regarding the human body and pain: 31:30 - Are backs fragile? 35:30 - Why are people so concerned with "glutes not firing"? 38:30 - Does imaging that shows damage (a bulging disc, for example) mean that you are indeed injured and should change behaviours? 40:10 - Is it bad to lift with a flexed spine? 43:50 - Do we all need to have "perfect posture"? 46:00 - Is sitting the new smoking? 47:30 - What does Greg read? Nerd books! - The Wheel of Time, by Robert Jordan - Malazan Book of the Fallen, by Steven Erikson 49:00 – Greg's non-negotiable daily self-care tool: Sleep. 49:45 - How is Greg staying sane while self-isolating during the current COVID pandemic? 52:10 – Greg’s one piece of health advice 54:00 – Dr. Greg Lehman's contact details Recommended Reading & Listening: https://www.movewelldaily.com/move-daily-health-podcast-022-running-healthy/ More About Dr. Greg Lehman, BKin, MSc, DC, MScPT Dr. Greg Lehman is a registered physiotherapist with more than 20 years experience in the rehabilitation field.  In addition to Greg’s training as a physiotherapist he has been trained as strength and conditioning specialist, chiropractor and a kinesiologist – obtaining a Master’s in Spine Biomechanics while publishing numerous peer-reviewed publications. Greg is a globally recognized advocate for evidence based physiotherapy.  Teaching thousands of therapists in more than 25 different countries a science based approach to the best practice strategies of rehabilitation.  Greg is a sought after Keynote speaker on topics ranging from persistent pain, exercise prescription and sport related injuries at numerous world-wide conferences. His course for therapists “Reconciling Biomechanics with Pain Science” is a highly attended continuing education seminar given in more than 35 different countries to thousands of therapists to date. Personally, Greg is a father of 3 girls, who drive him to be active in gymnastics, tumbling, rock climbing and running. Greg has personally dealt with persistent pain and while currently functioning well focuses on meaningful activities despite occasional flare-ups. Connect with Dr. Greg Lehman Twitter: @GregLehman Website: GregLehman.ca Website: MovementOptimism.com Website: OAOptimism.com - Coming soon! If you enjoyed our conversation and would like to hear more: Please subscribe to The Move Daily Health Podcast on Stitcher or iTunes. We would also appreciate a review! Thank you and stay tuned for the next episode!

On this episode we have Greg Lehman on to talk about biomechanics. If you're unfamiliar with Greg, read his bio below and check out his website (also below). We hope this episode helps to spark discussion in regards to biomechanics and when they matter with our patients! BioGreg Lehman is a practicing physiotherapist, researcher and educator in Toronto, Canada with over 20 years experience in the rehabilitation field. Greg’s background includes a MSc in Spine Biomechanics, MSc in Physiotherapy and a Chiropractic degree. Greg has published more than 20 peer reviewed publications in the manual therapy and exercise science fields. He has a special interest in the multidimensional nature of pain and injury and believes that simple yet comprehensive approaches are a cornerstone of the biopsychosocial approach to patient care. Greg has taught the popular “Reconciling Biomechanics with Pain Science” course for 5 years to 1000s of therapist throughout the world. The course is about fundamentals and finding the common threads of many rehabilitation approaches. Greg will be giving a Keynote on how simple and tailored education and exercise strategies can be part of a multidimensional approach to pain and injury rehabilitationIf you enjoyed this episode, please consider:1) Subscribing to the show2) Dropping a review on iTunes3) Sharing the episode on social media or with a friend and tag us!Thank you for your support and feedback, it helps us get better and continue to provide you with quality content to becoming the best clinician you can be. Where you can find GregTwitter: @greglehmanWebsite: Greglehman.caConnect with usPodcast IG: @missingvariablepodMatt IG: @mattmc_dptZach IG: @zachwagnerdptEmail: missingvariablepodcast@gmail.com

This episode features a protagonist of evidence-based practice, Greg Lehman who is a practicing physiotherapist, researcher and educator in Toronto with more than 20 years of experience in the rehabilitation field. Greg’s background includes a masters in Spine Biomechanics, a masters in Physiotherapy and a Chiropractic degree.  He has published more than 20 peer-reviewed publications in the manual therapy and exercise science fields.  Greg has a special interest in the multidimensional nature of pain and injury and believes that simple, yet comprehensive approaches are a cornerstone of the biopsychosocial approach to patient care.  Greg has been teaching his popular “Reconciling Biomechanics with Pain Science” course for 5 years now, touching thousands of therapists around the world.  The course is about fundamentals and finding the common threads of many rehabilitation approaches.

Greg Lehman is one of the presenters on the PRO Chiropractic Online CE Series. I was fortunate to have flagged him down from his busy lecturing schedule to get this hour of conversation about Pain Science in! Greg is a chiropractor based out of Canada. Some of the fine points we go into are: - building your cup - fear avoidance behavior - the pain is just an alarm concept - his background of how he came to think how he does - chiropractic as a profession   Greg Lehman Bio: "Prior to my clinical career I was fortunate enough to receive a Natural Sciences and Engineering Research Council MSc graduate scholarship that permitted me to be one of only two yearly students to train with Professor Stuart McGill in his Occupational Biomechanics Laboratory subsequently publishing more than 20 peer reviewed papers in the manual therapy and exercise biomechanics field. I was an assistant professor at the Canadian Memorial Chiropractic College teaching a graduate level course in Spine Biomechanics and Instrumentation as well conducting more than 20 research experiments while supervising more than 50 students. I have lectured on a number of topics on reconciling treatment biomechanics with pain science, running injuries, golf biomechanics, occupational low back injuries and therapeutic neuroscience. While I have a strong biomechanics background I was introduced to the field of neuroscience and the importance of psychosocial risk factors in pain and injury management almost two decades ago. I believe successful injury management and prevention can use simple techniques that still address the multifactorial and complex nature of musculoskeletal disorders. I am active on social media and consider the discussion and dissemination of knowledge an important component of responsible practice."   Within the course on PRO Chiropractic Online CE, he covers the following: HOUR 3 (CE hrs 1): Practical application of pain biology in literature and targeting educational message to person in lumbar spine cases HOUR 4 (CE hrs 1): Improve our skills of delivering key messages to promote healthy behavior and begin cognitive restructuring and addressing unhelpful beliefs with key message of pain biology education in lumbar spine cases Lumbar Spine Pain Biology w/ Dr. Greg Lehman DC

#Ep.27: "So Pain Is All In My Head?" with Greg Lehman - Many runners are starting to hear/read more frequently that although a particular pain FEELS like it's coming from e.g. the knee, it's actually being outputted by the brain & nervous system. An explanation of the significance of this distinction typically follows, but by then all the average runner is thinking is "So you're saying this pain is in my HEAD?" Needless to say, this can often be harmful for the therapist/runner relationship!  But fear not, because in this episode we have one of the best in the business here with us on Runchatlive to help explain how both therapists & runners can deal with such issues: Gregory Lehman.There's few who have had such a long & impressive career as Gregory Lehman. He was one of two students who back in 1996 trained with the highly respected Professor Stuart McGill in the Occupational Biomechanics Laboratory. As an assistant professor at the Canadian Memorial Chiropractic College teaching a graduate level course in Spine Biomechanics and Instrumentation, Greg has published over 20 peer reviewed papers in the manual therapy & exercise biomechanics field.Today, Gregory Lehman takes his internationally acclaimed  'Reconciling Biomechanics with Pain Science' workshop around the world and is regarded as a leading authority. Using his incredible knowledge of research, Greg shows how a simple yet science based interpretation of biomechanics can be complemented with concepts from modern pain science.Sadly, Greg is not able to join us at the up & coming the 'RCL International Running Conference 2019' this October 30/31 in Brighton, UK (full details: https://RCL2019.eventbrite.com). We may well try and hook up live via satellite... BE SURE TO CHECK OUT THE CHAPTER MARKERS (availability will depend on what app you are listening on.)As with all episodes of RunChatLive, this episode was recorded LIVE 1.30pm GMT at www.facebook.com/runchatlive. All episodes are available as audio podcasts on Spotify, iTunes, Podbean, Stitcher, etc. For more details, visit https://www.runchatlive.com/Support the show (https://www.patreon.com/runchatlive)

This episode features spine care legend, Stuart McGill.  Stu is retired but for many years served as a Professor of Spine Biomechanics at the University of Waterloo, and is Chief Scientific Officer of Backfitpro.  As a professor for 30 years he explored low back mechanics and has been the author of hundreds of peer-reviewed scientific journal papers that address the issues of lumbar function, low back injury mechanisms, tissue loading during rehabilitation, and the formulation of work-related injury avoidance strategies and high-performance training.  He has been the mentor to many graduate students. This work has received several international awards.  As a consultant, he has provided expertise on low back injury to various agencies, and corporations.  He has authored several books including “Low Back Disorders:  Evidence-Based Prevention and Rehabilitation” and “Ultimate Back Fitness and Performance”. He is widely recognized by his peers as a world expert on back-related injury and rehabilitation.

LIVE on the Sport Physiotherapy Canada Facebook Page, I welcome Greg Lehman on the show to preview his lecture for the Third World Congress of Sports Physical Therapy in Vancouver, Canada. Greg is a physiotherapist, chiropractor and strength and conditioning specialist treating musculoskeletal disorders within a biopsychosocial model.  He currently teaches two 2-day continuing education courses to health and fitness professionals throughout the world.  Reconciling Biomechanics with Pain Science and Running Resiliency have been taught more than 60 times in more than 40 locations worldwide. In this episode, we discuss: -Common misconceptions surrounding the source of pain -Do biomechanics matter? -Promoting movement optimism in your treatment framework -What Greg is looking forward to at the Third World Congress of Sports Physical Therapy -And so much more!   Resources: Greg Lehman Website Greg Lehman Twitter Third World Congress of Sports Physical Therapy David Butler Sensitive Nervous System Alex Hutchinson Endure                                                                      For more information on Greg: Prior to my clinical career I was fortunate enough to receive a Natural Sciences and Engineering Research Council MSc graduate scholarship that permitted me to be one of only two yearly students to train with Professor Stuart McGill in his Occupational Biomechanics Laboratory subsequently publishing more than 20 peer reviewed papers in the manual therapy and exercise biomechanics field. I was an assistant professor at the Canadian Memorial Chiropractic College teaching a graduate level course in Spine Biomechanics and Instrumentation as well conducting more than 20 research experiments while supervising more than 50 students. I have lectured on a number of topics on reconciling treatment biomechanics with pain science, running injuries, golf biomechanics, occupational low back injuries and therapeutic neuroscience. While I have a strong biomechanics background I was introduced to the field of neuroscience and the importance of psychosocial risk factors in pain and injury management almost two decades ago. I believe successful injury management and prevention can use simple techniques that still address the multifactorial and complex nature of musculoskeletal disorders. I am active on social media and consider the discussion and dissemination of knowledge an important component of responsible practice. Further in depth bio and history of my education, works and publications.   Read the full transcript below: Karen Litzy:                   00:00                Hey everybody, welcome to the live interview tonight with Doctor Greg Lehman. And we have a lot to cover tonight. So for everyone that is on watching, oh good. And we're on. Awesome. Just wanted to make sure, for everyone that's on watching and kind of throughout the interview, if you have any comments or you have any questions or you want to put Greg on the spot, feel free to do so. We can see your comments as they come up. Greg, if you can't see them, just know I'll kind of let you know. But one thing we do want to know is if you're watching, say hi and let us know where you're watching from. And that way when you start asking questions, at least I'll have a better, kind of know who you are a little bit. Now before we get to the meat of the interview, I just want to remind everyone that if you are watching this, this is not on my page and it's not on Greg's page, but instead we are on the Facebook page for the Third World Congress in Sports Physical Therapy and that is going to be taking place on October 4th and fifth in Vancouver, Canada. Karen Litzy:                   01:20                So hopefully we're going to be doing more of these throughout the year talking to a lot of the presenters and Greg is one of the presenters at the congress. So that's why he's here. Greg Lehman:               01:31                Not just me every time Karen Litzy:                   01:35                Although I have to say, I bet people would really enjoy that. Greg Lehman:               01:39                Yeah, I'll fill in for whatever speaker it is and I'll just learn their stuff and then pretend like I know Karen Litzy:                   01:46                Okay. So I'd like to see you fill in for Sarah Haag. Greg Lehman:               01:50                Done. I’ll shake my pelvis. Karen Litzy:                   01:53                Pelvic health and stuff like that. That would be amazing. I would actually wouldn't mind seeing that. Now before we get started, Greg, can you talk a little bit more about yourself, just kind of give the listeners, the viewers here a little bit more of a background on you so that they know where you're coming from, if they are in fact not familiar with you. Greg Lehman:               02:13                Okay. Well, leading into that, I'm a generalist. I'm not a specialist. I have a background in kinesiology and then a master's in spine biomechanics and I was really into spine biomechanics for a long time. But you know, I became not, sorry, I was going to say dissolutioned. That's a little too strong. I've always been skeptical, skeptical of everything that I've known, and that's probably why I got accepted to my master's in biomechanics because they liked the questions I asked. And then my research there was in mainly exercise, like EMG and manual therapy, what manual therapy does. And I was pretty lucky because I was with Stuart McGill and two chiros named Kim Ross and Dave Breznik, who I always have to mention. And I should give a big shout out to Stu because he took on Kim Ross Dave Breznik who were chiros at the time and they did like amazing research that challenged so much of what we know about, you know, spine manipulation. Greg Lehman:               03:19                And they also challenged me to think about what I thought about low back pain at the time. So my master's was really helpful for me because it challenged so much of what I thought. And so that's when I was first introduced to the bio psycho social, not actually first, cause I used to read John Sarno when I was like 19 years old. I was a bit of a nerd when I was a kid. But definitely the occupational biomechanics at Waterloo, even though they love biomechanics, even back then they knew that psychosocial factors were important for your pain and injury. And then I went to chiro school, actually I went to, that's like in quotes. I like was registered, but I didn't go to class, but I had a research program and they were awesome. They funded me to do more biomechanical research. Then I was in practice for a long time and then I went back to physio school and then I was in practice for a long time and didn't do a lot of research. And then I just started teaching with John Sarno who's running the conference with the running clinic and they were great. And at the same time I also started teaching my course which is about biomechanics and pain science. How do we like bring them together? And you've hosted me. Karen Litzy:                   04:38                I've taken that course. Yes. Greg Lehman:               04:41                For you is like an echo chamber. Just it was confirmation bias. Yeah, yeah, yeah. We know this shit, Greg. But thanks for confirming what I already know. And my course does that a lot, which I don't mind. So that's me. There you go. That was fun. Karen Litzy:                   04:56                Excellent. Very good. And, you know, just as a side note that I spoke to John Sarno a couple of years, like when I was in the middle of like all my neck pain, I reached out to him via email and he said, you need to call me. Greg Lehman:               05:11                Oh, interesting. Karen Litzy:                   05:12                So I called him and I spoke to him. I never saw him but I spoke to him and he was like, you're a young chickadee. I was like, what? And like crying and all this neck pain. I'm like, who is this guy? And he said, well, just get my book. Read it. If it doesn't work, come in and see me. Greg Lehman:               05:30                Yeah, that's funny. I had a patient, he was very famous, very rich, and he bought like a hundred of his books and gave them out to his friends. He thought it was amazing. Sarno was interesting because and this happens, this is the issue with biomechanics sometimes is he had physios working with him for a long time and then he realized that doing physical medicine conflicted with the message he was giving about where pain came from, meaning like predominantly emotional, I'm probably bastardizing my sense in a long time since I thought about them. And so, which is funny that he had the problem that I had for a long time and so many of us do where we think it's bio-psychosocial, but often our biomechanical ideas will conflict with their psychosocial. So we have to be careful in how we navigate all the multidimensional nature of pain. Karen Litzy:                   06:26                I think that's the important part is that it's multidimensional and that you can't have that pendulum swing too far in either direction. And you know, now that we're on the topic of pain, let's go in a little bit deeper, so what would you say are the biggest misconceptions or common misconceptions around pain and it's, I'll put this in quotes, sources, quote unquote sources. Greg Lehman:               06:53                Yeah. The biggest one. And I really like to focus on this because it helps me in practice, it's this idea that, and I like this cause it's how our practice is that we don't always need to fix people, right? And I kind of mean, I don't just mean that in the biomechanical way. And I would have meant that in the biomechanical way five years ago where I would have said, well, you don't have to fix that posture. You don't have to fix that strength or that weakness or we don't fix strength. We're gonna have to fix that weakness or tightness. And I believe that although I do think strength and weakness and range of motion can be relevant sometimes, but I also don't think we need to always fix catastrophizing and depression and anxiety and worry, and so that criticism goes both ways. Greg Lehman:               07:53                It started out for biomechanical with me, but I would also say psycho social and we see that in the literature where people recover and they still have these, you know, mediators of disability and pain. It could be high catastrophizing but they still do really well because maybe they built up their self efficacy and they got a little bit of control and they were able to do something and something to control their pain or do something that they loved or they had some sort of hope. And so that's the biggest one, that idea of like fixing and if you want to be more technical or mechanical, it's the same idea. Like I don't think you have to get rid of nociception. So like your tissue irritation stuff, you can have shit going on in the tissues, but it's how you kind of respond to that stuff. That’s exciting. Karen Litzy:                   08:45                Well why would want to get rid of nociception. Greg Lehman:               08:49                Yeah. Well I mean I don't, well I know what you mean. Like, we don't, you don't want to, cause when you sit down you want to get an ass ulcer. Right. You definitely want to move around. So, but that now we get into crazy stuff with that. Karen Litzy:                   09:03                Well do you mean the sensitivity around it? Greg Lehman:               09:05                Yeah, it'd be like you definitely don't want like a raging disc herniation that's pressing on a nerve root and you have chemical inflammation, things like that. It’s worthwhile getting rid of. But you know, other things, you know, you can have tendinosis and a muscle strain and it can definitely hurt. But it's the idea that sometimes maybe what our rehab does is helps us cope with those, with those things, right? That's at a peripheral level and more central level. You can have anxiety and worry and those might magnify your pain response, but you can also cope with them as well. And so I love that message because I think it's just positive. Like people think I'm so messed up, I got scoliosis, I'll never got pain. And I'm like, dude, like it might contribute. I don't think the research actually supports that. Perhaps. Perhaps it does, but you can have that and still be doing awesome. Karen Litzy:                   10:00                Right. So just cause you have chronic, let's say persistent pain or you've had pain for x amount of time, it doesn't mean that that should be the thing that defines what you do or defines whether you're happy or sad or anxious but that it's a part of your life that perhaps you can cope with or like in my case I had many years of chronic pain. Now I have pain every once in awhile. But there are times where it's more severe than I would like it to be. And there are times when I want to fix it or I need to fix it. And then there are other times where I feel like I can cope with it and it's not horrible. Karen Litzy:                   10:45                I think it's context dependent. So like I had pain last year, like pretty severe for like a week or so, and I knew that in another couple of days I had to get on a flight to go to Sri Lanka. And so I needed it. So what I did for myself was I decided to get medication to help bring those pain levels down and that's what I needed at the time. But I felt so guilty about it. I would like say is this the bio psycho social way? Is this the way I should be handling this? Greg Lehman:               11:20                I would think so. I’m going to mansplain you for a second. Cause I'm guessing that you knew that this was just a flare it was going to go away and that you've managed it before, but you're just giving yourself a break for a few days. Yeah. I don't think there's anything wrong with taking Tylenol for a few days. I've talked off topic, but it's how you do manual therapy, I don't do a lot of manual therapy, but I don't begrudge people that do. And it's, especially at an athlete level, I brought this up with some of the people who are going to be at the congress and I'm like, I find it ironic that all of us who teach a running course, none of us really teach manual therapy at our running courses and no one would ever say that manual therapy is a strongly evidence based, you know, modality for running injury. Greg Lehman:               12:16                It's not, we would all talk about load management and exercise and blah, blah, blah, blah, blah, all of these things. Yet when you're a physio or a chiro training like elite athletes and you're working with them the day before their competition, what are you doing? You're probably doing some manual therapy. And so I just found that ironic that we do that, that when we're traveling with the team, I don't travel with teams, but I do have athletes come to see me the day before an event or I've been working with them for months and here I am doing what people would call low value care. But I'm like, no, sometimes it's a bandaid, but sometimes bandaids help and that's the only solution. Well, the solution that works then. Karen Litzy:                   13:08                Well again, it's context dependent, right? So if, and I saw this conversation on Twitter about, you know, what are we doing race day and race day yeah you probably are doing some sort of manual therapy. Greg Lehman:               13:30                You’re treating that little niggle and this things tight and sore and you treat and people feel better. And if fatigue is psychobiological, which it is, then our intervention is probably psychobiological and it could certainly be more psycho based. Yeah. Karen Litzy:                   13:48                Right, right. It’s still real. And you know, in the context of athletes and being, this is the Third World Congress in Sports Physical Therapy. So there'll be a lot of, we can assume, I don't know, physios there that probably work with an athletic population. And so I think it's important to bring that up. All right. I digress. Greg Lehman:               14:14                I did, you were the professional. Karen Litzy:                   14:20                So one common misconception is that we don't have to fix everything and not just the biological part, but the psychosocial part as well. Is there any other, maybe one other common misconception around pain and its sources that you hear a lot or you see a lot? Greg Lehman:               14:40                I mean if I had to say anything, it's like it's the relationship between bio motor abilities, which would be like strength and flexibility and pain. I think that it’s over sold. You know, I don't think posture is relevant. I don't think strength or motor control is irrelevant. I just think it gets over done in that, that to me is that kinesio pathological model, which I have a big issue with, which would be like your knee goes into Valgus, you're going to pay for it later and you're going to get knee pain or hip pain. And, I'm like, well if your knee hurts and it goes into Valgus it's certainly a reasonable option to avoid that for a little bit. And then you might recover cause it's an avoidance strategy and build yourself back up and you'll do great. But I think what often happens is we then say, well, you went into valgus and it hurt, therefore valgus is inherently wrong and we need to make rules for everyone on how they should function. I hardly saw you when we were in Denver together, but I gave that whole, I forgot about that. We just saw each other, sorry, I was with Betty the whole time. I couldn't hang out with you guys. And so that I gave that example of limping, like when you sprain your ankle. Karen Litzy:                   16:06                That example was great. Greg Lehman:               16:08                Yeah. You sprained your ankle and it feels better to limp. That's totally reasonable. But no one would then conclude that we all should be limping. That that's the right way to move. When I see like people I really respect, like Shirley Sahrmann or Jill Cook who will, you know, say avoid hip abduction, right? It's so horrible on the tendon, on the outside of the hip or is so bad on the knee. And I'm like, yeah, it's reasonable for symptom modification but I don't want to make a general rule and that happens too much and then we're too quick to be like, well just cause someone got better with exercises that try to change those movement patterns. That doesn't mean that's why that treatment was successful. Often those rehab programs that try to change movement patterns are like amazingly comprehensive and excellent rehab programs. And then you have like awesome therapists like you know, Stuart McGill or Shirley Sahrmann who just like build in this graded self efficacy and pump them up and they tell them you can do whatever you like. Let's just change your movement patterns and start doing this stuff you love again, may have nothing to do with the movements. It's just like the person was like, wow, I'm awesome, you're awesome. Let's do it. Karen Litzy:                   17:26                I think you can’t sort of parcel out one part of that complete treatment program and say this is the thing that worked. This is why this worked. I mean, you can't do that. I think that's impossible. Greg Lehman:               17:37                No. And it's certainly the same with the people who I really love, like Peter O'Sullivan and that whole group when they help people, like I don't really agree. I'm such a jerk. I don't always agree with their mechanisms because when I see Pete treat, he's just so confident. It's like, you can do this, you can do this and bend over and do this and do this. And like, and I would never practice that way. I just couldn't pull it off. But I can imagine how much he helps people. That's actually why I really respect him. What he does really well. When he tests RCTs, he doesn't test himself. He trains people and other people do it. So, I actually shouldn't, I'm not knocking his research. I can't get to his style because he's so confident. It's absolutely really honorable what he does where he's like, I'm not going to be the dude that's in the RCT and train people and then we'll do the studies on them, which is just, that's nice science. Karen Litzy:                   18:34                Yeah, for sure. And all of those people you mentioned also have great reputations. People are referred to them when nothing else works. And so as the patient, you're like, well I know this person's the expert. Karen Litzy:                   18:49                Right. So I think in the patient mind they're thinking, if anyone can fix me, yeah, it's going to be this person. And I think that that also plays into it. Greg Lehman:               19:00                I just opened my own little clinic out of my house. We have like a little gym. It used to be a workshop and now it's a clinic gym and I have nothing on the walls. And I'm like, how can I placebo the hell out of this? So that's my answer. I like art. I want to put up like, no, I should put up like placebo shit. Like what was like going to make me look amazing? Karen Litzy:                   19:25                Yeah. Well you can put up like awards you've gotten put up your degrees. People will be like, look at how many degrees he has. Look at all of his qualifications. He must be amazing. Greg Lehman:               19:37                Yeah. Maybe, I don't know. Karen Litzy:                   19:41                You see that a lot in the US like when you walk into an office, the degrees and the licenses and certifications, right? Greg Lehman:               19:46                All that weekend certifications, all that nonsense. After I teach, I always tell everyone, like, whenever you want me to write on your certificate, I will write levels six fascial blaster done, master Fascia blaster. I don't care. It's all bullshit. Karen Litzy:                   20:03                Biomechanics. Does it matter? Greg Lehman:               20:07                Since the sport conference let's start. They definitely matter for performance. We got to listen to our coaches and the physios. But biomechanics and technique matter for performance. So if you want to tell someone to sit up straight, yeah, it's totally reasonable to do that if you're thinking how they're going to function 30 years from now. So that's great advice. And then, it's like a question of when they matter after that. And so I kind of Parse it into a few different areas of when they matter. The big one for me is like what's more important, is it's not how you move, it's that you're prepared to do what you're doing. So make the mechanics and the loads on the person matter. Greg Lehman:               20:59                But it's the movement preparation. So my pithy expression is preparation trumps quality, right? Something like that. And then the other way or the other area where they matter is this symptom modifications. So if it hurts to do something, like if you're a runner and your knees hurt and you heel strike and you have a long stride, it's totally reasonable to shorten your stride, maybe changed your foot strike, although that's debatable, but it could serve it is certainly is an option. And if it feels better, keep running like that. So the mechanics there help but it doesn't prove, you know, the thesis that there's a right way of running. It's just that you're running differently cause another run or you're going to be like stop forefoot striking and actually lengthen your stride. I've done that plenty of times. So you're just symptom modifying. Greg Lehman:               21:45                So mechanics help a ton for symptom modification. And then you know there's probably under high high loads, there's probably better ways for your tissue to tolerate strain. You know, like if you're landing and cutting you can go into valgus but you probably don't want to go into Valgus if your knee's not flexed. Right. So high loads where the tissue gets overloaded matters. And then after that with that principal there, it gets more difficult because you start thinking of the spine and you're like, okay, is there a better way for the spine to tolerate loads? And that's where we have been debating biomechanical principles here because certainly the bio does drive nociception sometimes. And so those are the big areas for me where biomechanics matters. Sorry I went over that fast. Karen Litzy:                   22:39                I think that makes perfect sense. And I mean, I don't know if you saw this since you are probably more into tumbling and gymnastics than I am.  I haven't seen this yet. But did you see yesterday a gymnast broke both of her legs or something. Greg Lehman:               23:01                I saw that by accident. I won't see it again. Karen Litzy:                   23:02                But I don't know what happened there. Greg Lehman:               23:07                I think it may have been in a double Arabian or a double front tack and she landed and then hyper extended. And what freaked me out a little, only saw it once and I'm not gonna see it again, is I don't think she landed with straight knees. They were like bent and then they went into extension like, which freaks me out because my daughter's learning front and I'm doing them with her front tuck step outs, and you kind of land on that one leg and it's straight ish. And I was worried of extending. Karen Litzy:                   23:46                Yeah. I mean I haven't seen the footage of that, so I was just wondering if that would be a time when biomechanics mattered or just an accident. Greg Lehman:               23:55                It certainly did. But here's the problem with all the biomechanics mattering stuff, is it the mechanics mattered and caused the injury. It's just whether you can prevent it. Yeah. It's like so many ACLs. Someone might cut 10,000 times with their knee in valgus. Well, that's proof of principle, that they're safe and then they do it one way that's slightly different and then they tear their ACL. But it doesn't mean that the way they were doing it before was unsafe because they could have had less valgus pattern before and then they could have done that too. Like, yeah, I don't know. It's difficult. Karen Litzy:                   24:34                Yeah, and I think when you're talking about injury prevention, I mean that's a whole other conversation. But I think that so many factors go into that as well. It's sleep, it's nutrition. It's what did you do the day before or was the beginning of the game, the end of the game? Are you fatigued? Are you not? I mean, so much can go into that. So yeah, you can cut 10,000 times and one time you have an injury. It doesn't mean that the way you did it was incorrect. It doesn't mean that the preparation leading up to it, it could have been that day. It could have been what you did the night before. I mean, so many factors and elements that go into something, some sort of accident or injury like that, which is why injury prevention programs are difficult. Greg Lehman:               25:25                Yeah. And, and we see them running, you know, like we've been saying the same thing for years. So you don't have training errors, which just means don't do too much too soon. And then you try to nail it down in the research and you say, well, what's too much and what's too soon? And then there's no real good research on that, right? Because there's so many different variables that influence that. So my joke tonight, we're arguing not we were talking on Twitter about this. I'm like, well, we can probably all agree when it's like just looks ridiculously like too much too soon. And that's the pornography test, right? Which is your old Supreme Court justice is either pornography or obscenity and they're like, I can't define pornography, but I know when I see it. And so when a movement pattern or a training load is pornographic than maybe you avoid it or depending on your personality. Karen Litzy:                   26:17                Right. Well, you mean it just gets a point where it's so obscene. Greg Lehman:               26:20                It's so obscene. You say, ah, that's probably some of them. But it has to be that and who knows? That's the worst part is there's probably people who can handle that obscenity. And I stopped this analogy because I dunno, they're built for it. They prepared to handle. Karen Litzy:                   26:41                All right. Let's talk about being a movement optimist. Yes. So for those of people watching and listening that aren't familiar with this, can you talk about it a little bit more and how this came about? Greg Lehman:               27:02                Well, I mean, I have already, I've already said all the good stuff I've run out of material. Karen Litzy:                   27:08                I can't, I can't even believe for a second. That's true. You're not like your greatest hits album. Greg Lehman:               27:18                I was in Denmark and they gave me this little bobble head that you've pressed the top of and the whole thing like bounces. And it's funny, I was in Scandinavia three or four years ago and they gave me the same thing. It's like this thing that I would get there, but it's called a hop to mist. I loved it. My kids have it anyways, so what it means is like we need to stop vilifying like certain movements. You know, like when you look at someone's skateboarding, their knees are going to cave in and it's amazing and it's a successful movement pattern. If you rock climb and you were just at a birthday party. Karen Litzy:                   28:01                I was  at a rock climbing birthday party yesterday for my 10 year old niece. Greg Lehman:               28:05                Well, I doubt they were doing it, but there's something called a drop knee, which is what I do on a climb is, is you can do it. I'm not doing it. You put your foot up behind you almost and drop your knee down into valgus and then stand up on that and you go into that. Karen Litzy:                   28:24                There are actually some more like real climbers there and they were doing that. There are a couple of people doing that move. Cause I remember my friend that I was with was like, oh my God, look at that person's knee. How is she doing that? Greg Lehman:               28:37                Yeah. And so Alex Honnold is a famous rock climber. They just won the Oscar for Free Solo Yosemite without a rope. But I have sometimes he's in another documentary about Yosemite. I've filmed it when he's in it because he sits like me. He's like super hunched forward with the super forward head posture. And here he is climbing, you know, these massive granite walls and that's a movement optimists, it says you can do all these weird funny things with your body and still be fantastic. You can be a paralympian where you're missing a limb than have induced, you know, assymmetry that you can have scoliosis and make it to the Olympics. You can have scoliosis and lift five times your body weight. And so that's the optimism. It's this revolt a bit against the kinesio pathological model, which to me is certainly has value. Greg Lehman:               29:39                It's certainly has treatment efficacy because I like the treatments that are associated with it, but the fundamental ideas behind it that there's like bad ways to move or better ways to move for injury and pain, that's what I would challenge. I'd be like, let's be more optimistic about how we move, you know, we don't have to always fix these things right now is go and anytime someone like me talks and says to people, all you can move this way, you always want to look for exceptions, right? When you're in practice, like, when should I, you know, disregard what I think, like when you know, when is how someone moves. Like when is that important? You know that and that'll help him be a better clinician. I think. I always challenge challenging whatever you think is true. It makes it difficult. Karen Litzy:                   30:40                Yeah. But I think having that as a clinician, having that sense of doubt is not a bad thing. Greg Lehman:               30:48                Yeah. I mean, I'm going to want to agree with you. Sorry. It was like, why am I listening to this guy? It's like, but then there's those clinicians that get people better by sheer force of personality. They have that utmost belief in what they do, even when they may be full of shit. And so that's how it was hard. Karen Litzy:                   31:16                I have a great example of that, I'm not going to go into it right now. Greg Lehman:               31:25                Now you also have to wake up in the morning and be happy with yourself, so. Karen Litzy:                   31:29                This'll be an easy one for you. What is the most common question you get asked by other physio therapists? If you could say whether it's maybe they private message you or at your courses or lectures. What is the most common question that other physios or healthcare providers ask you? Greg Lehman:               31:59                Oh, that's funny. I didn't read this one before, but a few things. But usually it's like what's the paper that you mentioned? And then I have to like come up with a name and I usually know it, but the bigger one is this is what I do with people. This is not what you talked about, but tell me why it's helping them. That's, what I get a lot, they want validation and then they want to like, you know, tell me their theories of things, but really tell me they want me to tell them why it's great. It's like what the mechanism is. Karen Litzy:                   32:47                That's why it's okay. Looking for just your confirmation. Greg Lehman:               32:54                Confirmation and then like, and then trying to like find out why it works. Like they want me to do the research behind it, I'm going to go. Okay. So what do you say? I mean it depends. Like I probably do like the motivational interviewing thing where I roll a bit with towards distance and I just probably, it's pretty bad, but I probably just read say are actually depends if I've met them before, I'll just talk about the general things that help pain and I'll say maybe it's working this way, but I don't, that's all I do if I think they're totally off base. I don't think I ever really say that. I don't know if I've ever done that. Karen Litzy:                   33:49                Now, and you kind of alluded to this in your answer there, but if you could recommend one must read book or article, what would it be? And if you want to say one book and one article, but just one. Greg Lehman:               34:06                Yeah. You know what I'd go old sounds funny saying old school, but I would read David Butler's the sensitive nervous system. So good. Yeah, it is. Cause it's not only good in like a pain, but if when you read that he's just throwing out little ideas all the time. Like it would be nice for me to reread and just pull out his anecdotes and like little things that he says to do because there's things that I do and I thought, oh, this is kind of neat. And I thought I'd discovered them myself. I thought I'd, you know, you know, found it myself and then I'm realizing here at, he said it 20 years ago or something like that. Yeah, yeah, yeah. That, and then like his former partner would been Louie Gifford and I've only read parts of his books, but I've read some of his other writings and I like his stuff too. But David Butler's the central nervous system, which is just, and it's what, 15 years old, but it's still plenty accurate. Karen Litzy:                   35:07                Yeah. Yeah. And for people who are listening or watching, I can plug that into the comment section, when this is done. All right, so let's move on to the conference. October 4th and fifth in Vancouver, the Third World Congress is sports physical therapy. So can you give us a little bit of a glimpse into what you're going to be talking about? Greg Lehman:               35:32                Not really. I am talking with Alex Hutchinson who's kind of a friend of mine here in Toronto, like the same kind of know those same people. Karen Litzy:                   35:46                You run in the same crowd. Greg Lehman:               35:53                Like, you know, like we rock climb together. We've been to some similar weddings. I've known Alex for awhile and I love his stuff and I always pump up his stuff in my courses. That's what's funny. And then when they put him with me, I was like, this is awesome. Because I always talk about the psychobiological model of fatigue, which is that fatigue is kind of a nice analog for pain. That it's not just purely physiology, that there's a psychology component to fatigue. And I'm like, Whoa, we should talk about this because look how this area of function relates to pain. But so we're talking together on like this massive nebulous talk topic of pain science and athletes. Karen Litzy:                   36:44                Yeah. Yeah. That's a heavy one. I listening to his book Endure right now. Greg Lehman:               36:48                Yeah. See I like the breath holding stuff in there. Karen Litzy:                   36:55                That's the chapter I'm on now, which I can't even fathom. Greg Lehman:               37:13                So go, go online and find David Blaine's breath holding stuff. He needs to have the breath holding record. He did. But he could also do like eight minutes without that. I used to hold my breath in church all the time to pass the time. But breath holdings interesting because if you just hold your breath right now, you might make it 30 seconds, but you can train yourself to make it for four minutes. And so within like a few days if not an hour. So it means your physiological reaction to try to breathe is way over cooked. And that often happens with persistent pain. We do this protective response. So I've been talking about breath holding for years and then Alex's book came out and I'm like perfect. Now I can refer people to that way better down. But so like finding analogs between weird things about pain and then interesting things about performance or breath holding is really nice. Greg Lehman:               38:04                So we've been talking, we were probably going to go rock climbing and then we're going to try to maybe come up with something that parallels each other. I will probably, I'm guessing talk about like how we, I like doing something really practical, like instead of saying this, which might have a negative connotation to some patients, like set them up to have some, you know, less than good expectations say this instead. So, you know, like the diet stuff, don't eat this, eat this. Well it would be the same idea with explaining common running injuries. Which we'll probably talk about, cause Alex’s a runner and I'm a slow runner. So mine will probably be something like that. Just met her way to phrase things. And because everyone always says to me like, okay, well what the hell do I do then if I don't tell them that they have SI joint pain cause it's out of place than what the hell do I say? No, no, not yet. Yeah, I think. And then that's really fun and it's a nice end. We'll have time to talk about it too because there'll be a lot of wisdom in the room and hopefully we'll maybe pull that out. Karen Litzy:                   39:22                Yeah, that sounds great. And I really appreciate those kinds of conversations because then I know that I can kind of take that and use that with my patient population on Monday. Or Tuesday, whatever day. But you know, the next day in clinic. Greg Lehman:               39:38                That's the idea. I don't want to hammer people with research. I know I won't do that. That's for sure. That's easy. I could do that. And it'll be entertaining by your life. Go. Well I got some more research, but it'll probably be more practical. Right. And we're real, more practical story. Karen Litzy:                   39:52                Nice. And I look forward to, you know, the two of you speaking together, I think we'll be entertaining and educational and I look forward to that kind of play that you guys will most likely have off of each other. I’m reading his book and you brought the bread holding, which is exactly where I am. And it reminded like in the breath holding chapter, you know, he said like the people who had like, who broke these records or who could really hold their breath the longest are the people who knew that someone was there to pull them up if they needed it. Yeah. And so when I think about that as it compares to pain, like especially persistent pain, I wonder if you knew like you had an out, would that pain still be as persistent? So that's what got me thinking listening to this chapter was like, hmm, if you knew your pain had a safety net, how would that change your view of your pain? Greg Lehman:               41:03                Oh, that's interesting. No, and I think what you're talking about has actually more ramifications for the negative aspects, right? Because most people think, oh, this will pass, but there's some that think that this won't pass. And Yeah. And that's why there is no optimism. And that's of building that where, there's no reason for them to think that it will change. And that's kind of what we have to do is build that model that there's a possibility for change. Karen Litzy:                   41:35                Yeah. And before we're going to wrap things up in a second, but Kate Pratt said, well, I find one of the greatest sources of misinformation to patients about pain and biomechanics is their MD/ortho. As PTs we hopefully consistently educate our patients. Do you think it's possible to educate MD’s or orthos regarding pain and how would you begin to approach such a scenario? So I think she means as the individual clinician with, you know, the referring physician or the physician who's seeing that patient. Greg Lehman:               42:11                Yeah. I mean in general, I think that's a problem across the board of all professions. How we change our colleagues, view the docs, like our colleagues. And I'm not really sure cause you would assume that has to happen at a school level, right at the training there and at a conference level. So it's really conferences in schools who are open to, you know, providing the different messages there. But I would say, and we've talked a lot about this is when you do have patients who have these beliefs from their doctors or other healthcare providers, which is super common, there are routes that you can, you know, still address those beliefs without throwing the doctor under the bus and that’s what you have to figure out. So often it's more like acknowledging yeah, that's, you know, you have hip pain because he has OA or something you can say that's part of it. Greg Lehman:               43:15                This is the my optimism approach. Yeah. The hip OA is part of your hip pain, but you can still do great even though you have those changes on the scan. And that often really helps, especially with when physios and like we're navigating referral sources. And it's so funny that you bring, I just got, I just like 10 minutes ago before we started, I got a referral from a sport MD who was in the course. I taught with JFS school. On running five years ago and said, are you seeing patients? And like it was so funny that she was in the course because you don't normally see MDs. Yeah. You know, taking courses with the PTs. Great to do that. And so that's how we have to change. You use it somehow get into that educational system. Karen Litzy:                   44:01                Yeah, I agree. And from a one on one. I think it's difficult. I mean Karen Litzy:                   44:11                What I've done once that worked with the referring physician was, you know, I said, hey, you know, we're doing this, this, this and this, but I found this article, do you want to take a look and let me know what you think? Cause I'm thinking of incorporating it. And it was like an, I don't know, I think it was an article, Moseley or Peter O'sullivan. And so I sent them that and then he was like, oh yeah, that's really interesting. Yeah, definitely start doing that. So that's a way you can kind of maybe start. Greg Lehman:               44:44                Yeah. O he or she just rolled with your resistance maybe. No, I totally agree. Yeah. I think we're good. Karen Litzy:                   45:00                It's so hard, but it's a way to be diplomatic. It's a way to say, you know, I don't know. Greg Lehman:               45:08                I really liked that you just sold a good treatment plan and then you gave them other research behind it. That's nice. Yeah. That's probably better than saying you're an idiot. Karen Litzy:                   45:20                Yeah. Well, yeah. But I mean I also find that like I had one doctor that came back to him and he's also a good friend of mine. He was like, that's really interesting. Like we need to talk more about it. Oh, that's cool. Which is awesome, you know? But he's also a friend began, you know, we played softball together. So it's like the different opinions. Karen Litzy:                   46:01                Chris Johnson said to say thanks for carving out the time you need to stop picking your eye. Always exercise diplomacy and avoid creating a disconnect. It doesn't accomplish anything. And that's in regards to Kate's question that we just tried to answer. Like I'm bringing a course to New York City and we're going to have like a free two hour preview of it and just invite doctors. Greg Lehman:               46:44                Wow. Karen Litzy:                   46:45                That's, you know, one way to do it if you want to get them involved in the educational process with Physios, which I think is great. Greg Lehman:               46:52                One of my best course ever in Toronto here was, we had three physiatrists that came and they were fantastic. That's awesome. Go into this stuff. It was a bit, some of it seemed a bit new, but they're open and like, and then the email to everyone after and they share their experiences. I love when you have multi disciplinary people at the course. There are some, I mean I'm not throwing MDs under the bus. They certainly, it's so hard. I have a friend who was an MD and he's like the best motivational interviewer. He was so good. Like he knew this thing is that as patients had to do, but you know, in Canada you only have eight minutes with them. Yeah. And there or whatever. Anyways, so I'm off topic. Karen Litzy:                   47:42                So let's wrap things up here. Are there any presentations you're looking forward to seeing at the conference? Greg Lehman:               47:48                Rob Whiteley. Yeah. I really like is like career and that the stuff he's done and what he's doing there, you know. I'm a socialist I like exercise for everybody and I like the name to change things. But I have trouble like arguing with exercise. It's amazing. It's jam packed like there, there's so many. So that's one of the reasons I wanted to go cause you know, I would have, it'd be nice to go to that conference as well. Karen Litzy:                   49:22                Well, I am looking forward to your talk with Alex. I will obviously finish his book within the next week, so that's very exciting. And I've already taken your class and read your free resource. So I feel like I'm like ready for it. Greg Lehman:               49:39                I'll bring something new. Karen Litzy:                   49:42                I'll come armed with lots of questions. All right. So before we hop off, where can people find you? Greg Lehman:               49:49                Just my website I guess, which is Greglehman.ca. Which I hardly do anything on and then Twitter, same thing. Twitter is my favorite. I like the discussions on Twitter, even cultivate them, trying to keep them polite and nice and you know. So Facebook, Nah, it's for the trolls. Karen Litzy:                   50:15                I think. Yeah, I guess it depends anyway. Again, a whole other conversation. Yes. Greg Lehman:               50:21                No, I'm doing a big thing on Facebook right now. I shouldn't say that. Greg Lehman:               50:29                Yeah. Cause we have like a podcast with me and Oh, I have a podcast, I guess. Never. It's, well it's Adam, it's Meakins podcast, but I'm the cohost so I guess is mine. I don't know. When do you get part of that? I've done three with them. I'm just baggage. I'm a carry on. Karen Litzy:                   50:52                Yeah. I think, I think you need, you need a little bit more. I don't think that three really qualifies as like a permanent cohost. Greg Lehman:               51:01                Oh yeah, yeah. I don't think I want that. Karen Litzy:                   51:03                No, no, no. You're still like a guest cohost, give it a couple more and then I think you're in. Greg Lehman:               51:08                Okay. Well we're doing like a thing on neurodynamics like their dynamic techniques. And so I wanted to poll people and see what people thought. You know, I was curious what people thought, what the hell we were doing when we do them for that. Karen Litzy:                   51:27                I use them, I use them. And oftentimes in people who are a little fearful of movement. Greg Lehman:               51:33                Yeah. So what does that tell you what you're doing? Or you really like manipulating the nerve to, you know, feed them more oxygen or something. Getting someone moving again? Karen Litzy:                   51:45                I think you're getting someone moving again, I think you're taking them to a place where they can stay within a relative comfort zone and you can kind of see, I think what I use it is because you can see some changes pretty quickly. And so I think patients then get a little more confident that they can move because they can see those changes pretty quickly. So that's why I like to use them is to give people some hope. Greg Lehman:               52:15                It’s a modification. Karen Litzy:                   52:18                So that's why I use them, but I use them quite a bit just because I think, I think that they work very well. The only time I don't use them was really with like one person who said I was doing all these nerve glides and now it made my arm so much worse. Greg Lehman:               52:37                It's like everything. Karen Litzy:                   52:38                You know, but I don't know how many, what they were doing, why they were doing them, what explanation they were given. I have no idea that I just sort of held off for a little bit and had the move a different way. But yeah. So that's why I use them. Karen Litzy:                   52:59                So if no one else has any questions. So Agnes said that she'll play softball with me in Vancouver. Greg Lehman:               53:08                Tell her I’m going trampolining and rock climbing. Karen Litzy:                   53:15                I would go trampolining but I really just like bungee trampoline. Greg Lehman:               53:19                Let's do stuff. Karen Litzy:                   53:20                Well you're attached to a bungee and then you obviously go down and then you can go up and flip like two, three times in the air and come back down again. You can't twist, but I did do a double layout. Yeah, it was pretty cool. But yeah, I would definitely play softball. I will bring my glove and I can do some trampolining. I wouldn't have done it 10 years ago or five years ago because of my neck, but now I can do it. Yeah, totally can. Karen Litzy:                   54:14                Just so people know when Greg and I were at the align conference a couple of weeks ago in Denver, Colorado and he had his daughter Betty with him cause it was her birthday weekend and she was his personal photographer just so that it made him look better than everyone else because he had personal Paparazzi. And she was just super adorable and doing back walkovers and she probably would've done a lot more, but we were at a conference on the first day. Karen Litzy:                   55:21                She was very sweet and that's who we're talking about. All right. And I’m going to edit all of this out before I put it out on a podcast. Thank you everyone so much for listening and sorry for rambling at the end. If no one else has any questions, I just want to thank you all for listening and make sure you go and click on the link on this Facebook page. Should take you to the website for the Third World Conference in sports physical therapy. Again, it's October 4th and fifth, and Vancouver. Greg is speaking with Alex Hutchinson and I think that's going to be a highlight of the conference. You don't want to miss it. So Greg, thanks so much for hopping on the call and sorry for the technical difficulties. Thank you so much and we'll try and put all the information that we spoke about in the comments section here. So thanks everybody. And Greg, thanks again.     Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram  and facebook to stay updated on all of the latest!  Show your support for the show by leaving a rating and review on iTunes!

In this episode, Greg Lehman and I discuss spine biomechanics and considerations for lifting kinematics. Greg is a Physiotherapist, Chiropractor and Strength and Conditioning Specialist from Canada who runs educational courses around the world. You can read more about him, see some more of his thoughts and view his course schedule on his website.

Greg Lehman comes onto HET Podcast to talk about how to teach and treat people with persistent pain. Greg discusses how he developed this thought processes on pain science from initially going through school, what pain is, what we've learned from research about pain, his thoughts on posture and it's relationship to pain, dosage of interventions, explaining pain, and much more!   Greg Lehman's Website: http://www.greglehman.ca/ Greg's Recovery Strategies- Your Pain Guidebook: http://www.greglehman.ca/pain-science-workbooks  Greg's Twitter Page: https://twitter.com/GregLehman  Greg's Upcoming Reconciling Biomechanics with Pain Science Course in Midlothian, Virginia: https://www.iccseminars.com/reconciling-biomechanics-with-pain-science  Greg's Video on Posture: https://www.youtube.com/watch?v=cnLxcEMdjVk  Greg Lehman presenting "When Biomechanics Doesn't Matter" at the 2018 San Diego Pain Summit: https://www.youtube.com/watch?v=5K2RLEpwqc0    Greg Lehman talking about Reconciling Pain Science with Biomechanics on Pain Reframed Podcast: https://itunes.apple.com/us/podcast/65-reconciling-biomechanics-pain-science-dr-greg-lehman/id1223789711?i=1000415251743&mt=2    Greg Lehman on Biomechanics and pain: The Ongoing Dilemma on the Physio Matters Podcast: https://itunes.apple.com/us/podcast/session-16-biomechanics-pain-ongoing-dilemma-greg-lehman/id785762010?i=1000339352486&mt=2  Greg Lehman returning to the Physio Matters Podcast on Biomechanics and Promoting Progress: https://itunes.apple.com/us/podcast/session-41-dr-greg-lehman-initiative-returns-to-tpmp/id785762010?i=1000385195905&mt=2  Greg Lehman talking Posture, Pain, Stretching and Mooses on the NAF Physio Podcast: https://itunes.apple.com/us/podcast/010-talking-posture-pain-stretching-mooses-greg-lehman/id989646622?i=1000360392154&mt=2    Greg Lehman and Group discuss Running Injuries-What are the Most Important Factors on the Physio Edge Podcast: https://itunes.apple.com/us/podcast/physio-edge-059-running-injuries-what-are-most-important/id454714085?i=1000385165555&mt=2    Greg Lehman on Biomechanics vs Psychosocial on 2 Docs with 2 Cents Podcast: https://itunes.apple.com/us/podcast/biomechanics-vs-psychosocial-with-dr-greg-lehman-ep015/id1386951260?i=1000418574582&mt=2    Greg Lehman on Reconciling Biomechanics with Pain Science on the Yoga and Movement Science Podcast:   https://itunes.apple.com/us/podcast/y-b-44-greg-lehman-reconciling-biomechanics-pain-science/id808548884?i=1000371676762&mt=2    Greg Legman on the Resilient Performance Podcast: https://itunes.apple.com/us/podcast/resilient-performance-podcast-with-dr-greg-lehman/id1213080342?i=1000393931838&mt=2    Peter O'Sullivan's Video on separating fact from fiction on back pain: https://www.youtube.com/watch?v=dlSQLUE4brQ  Peter O'Sullivans ResearchGate Profile: https://www.researchgate.net/scientific-contributions/2083695358_Peter_OSullivan  NOI Website: http://www.noigroup.com/en/Home  Cor-Kinetic Website: https://cor-kinetic.com/  The PT Hustle Website: https://www.thepthustle.com/  Schedule an Appointment with Kyle Rice: www.passtheptboards.com    HET LITE Tool: www.pteducator.com/het  Anywhere Healthcare: https://anywhere.healthcare/ (code: HET)   Biography: Greg Lehman BKin, MSc, DC, MScPTA is a Physiotherapist MScPT  - Chiropractor DC - Strength and Conditioning Specialist -Spine and Exercise Biomechanics Expert (MSc and BKin).    Greg has an interesting educational combination of physiotherapy, chiropractic and strength and conditioning training.   He spent 2 1/2 years completing a MSc in spine biomechanics, 4 full time years in chiropractic college (spending more than 15 hours per week for four years practicing manual therapy) and seven years working as a researcher in exercise and clinical biomechanics.  After working for several years, he spent an additional 2 years obtaining a MSc in Physiotherapy (Queen's) He has been in the rehabilitation field for more than 20 years. Following his undergraduate degree in Kinesiology (4 full time University years)  he was awarded the Canadian Society for ExercisePhysiology Gold Medal for highest academic performance in Kinesiology.  This degree allowed him to obtain certification as a Strength and Conditioning Specialist and Certified Fitness Appraiser and he worked as a Strength and Conditioning coach for Sir Wilfrid University's Men's Basketball team and for Queen's University Women's Varsity Hockey Team. His success in university resulted in being awarded a graduate scholarship (NSERC) toWaterloo University to be 1 of only 2 Masters students studying with Dr Stu McGill, a world leader in Spine Biomechanics, exercise prescription and athletic performance. As a faculty member at the Canadian Memorial Chiropractic College, hr developed a research program that produced more than 20 publications on exercise biomechanics, golf fitness and the science of manual therapy. He taught more than 25 graduate students in Spine Biomechanics and Research Instrumentation and supervised more than 50 students and 20 undergraduate research theses. He was subsequently awarded a  Researcher of the Year award by the Ontario Chiropractic Association.  

Are crunches really all that bad? How can you get the torso strength of a steel bar? How can you keep your glutes "turned on"? Is there a way to fix your back without seeing a chiropractic doc over and over again? These questions and many more are things I constantly think about when it comes to the health of the low back, so I decided to get one of the world's leading low back experts on the podcast to clear up the confusion and clutter about your back and spine. has been a Professor of Spine Biomechanics at the University of Waterloo for over 32 years, authored of over 240 scientific journal papers and has mentored over 40 graduate students during this scientific journey. As a consultant, he has provided expertise on low back injury to various government agencies, many corporations and legal firms and professional/international athletes and teams worldwide. He is regularly referred special patient cases from the international medical community for opinion. During our discussion, you'll discover: -How Stu quantifies whether or not something actually works to strengthen your low back or fix your back pain...[8:30] -The three major elements that influence spine stability...[14:00] -The Stuart McGill "big three" exercises for low back pain...[24:20] -What Stu thinks about credit card analogy out there that you can't "bend" the spine a whole bunch of times without causing damage...[31:10] -How you can develop extreme "Okinawan" strength...[40:05] -How Stu treats and fixes low back pain related to sex...[45:45] -How to make your core stability a "subconscious motion"...[58:25] -Whether it is true that an SI joint can "lock up" and if so, how that can be fixed...[62:30] -Stu's opinion on inversion tables or yoga trapezes for self traction and low back pain...[68:30] -And much more! Resources from this episode: - - - - - Show Sponsors:  -Daily Burn - Visit today to start your FREE sixty-day trial! -GAINSWave - Go to and find a provider near you. Don’t forget to mention you heard about GAINSWave through Ben Greenfield and you can save 30% off your FIRST treatment. -Blue Apron -  Blue Apron is treating listeners to $30 off your first order. Go to -Kion Lean - Go to and use code BEN10 for 10% off your purchase of Kion Lean - the best supplement for longevity and fat loss! Do you have questions, thoughts or feedback for Stu or me? Leave your comments below and one of us will reply!

Dr. Greg Lehman is a physiotherapist, chiropractor and strength and conditioning specialist treating musculoskeletal disorders within a biopsychosocial model.  Prior to his clinical career Greg was fortunate enough to receive a Natural Sciences and Engineering Research Council MSc graduate scholarship that permitted him to be one of only two yearly students to train with Professor Stuart McGill in his Occupational Biomechanics Laboratory subsequently publishing more than 20 peer reviewed papers in the manual therapy and exercise biomechanics field. Greg was an assistant professor at the Canadian Memorial Chiropractic College teaching a graduate level course in Spine Biomechanics and Instrumentation as well conducting more than 20 research experiments while supervising more than 50 students. He has lectured on a number of topics on reconciling treatment biomechanics with pain science, running injuries, golf biomechanics, occupational low back injuries and therapeutic neuroscience.  Topics Covered: Common misconceptions about pain and Greg's Pain Guidebook When "how" we move matters Diagnostic integrity within the biopsychosocial framework/is pain overly medicalized? Health care systems and who should work with people in pain Redundancy among different health care providers Treatment frequency to optimize patient empowerment

LT 084 | Dr. Stuart McGill - Enhancing Athleticism in Rowers Subscribe & Review : iTunes | Stitcher The LEO Training Podcast exists for listeners and supporters like you. If you enjoy this content and it provides you with valuable information, please consider giving back to LEO Training. Click the button below to Donate!   We’re back with Episode 084 of the LEO Training Podcast. I am pleased to have Dr. Stuart McGill back on the show as a return guest. His first interview, LT 012  | Dr. Stuart McGill  - Spine Hygiene for Rowers. has been one of my most popular episodes to date. Today’s interview will focus on one topic into which Dr. McGill and I will diver very deep into: enhancing athleticism in rowers - simply put what can we do to improve performance. Dr. Stuart McGill is a retired Professor of Spine Biomechanics at the University of Waterloo. Dr. McGill is the author of over 400 scientific publications and 3 textbooks that address issues such as, lumbar spine function and injury mechanisms, patient assessment, corrective exercise prescription, and performance training. Dr. McGill consults for many medical management groups, governments, corporations, legal firms, and elite sports teams and athletes from around the world and has won numerous awards, including the Volvo Bioengineering Award for Low Back Pain Research. Dr. McGill is one of the few scientists who are regularly referred challenging patients for consult from around the world. Here’s what you will learn in this episode: How Dr. McGill's work started in the research lab, progressed to the clinic, and made its way into the realm of high performers. Principles for training a rower: What is elastic energy storage? Why is it important to train and how do we do it? How do we tune the rowing stroke to the athletes flexibility and stiffness? Why "hollowing" or activating the TVA does not promote spinal stability and is a poor skill for athletes to learn? How to build stiffness with the Big 3? How the Big 3 helps with short and long term cumulative stiffness in the torso? Once we have established this foundation, what higher level exercises should rowers progress to enhance pulsing, timing, and kime (Turbo ball training, KB swing) ? How do we build injury resilience from this? Injury clusters on teams: How posture impacts injury - "C" spine vs. a more neutral spine. How this impacts a higher incidence of disc bulges. Is it possible to get into a neutral posture in a rowing shell due to the seated position and impact of the foot stretcher and rowing stroke mechanics? Adaptions to training, intensity,and volume. - How to balance the strength and conditioning with the training for the sport to enhance elastic energy storage? Do we really want to emphasize and focus on heavy strength work ala a powerlifter or do we want to promote more elastic, ballistic qualities to enhance injury resilience and sports performance? What lifts should we avoid (Olympic style lifts)? Any special considerations for a elite athlete vs. a masters athlete for the aforementioned topics? Back Mechanic Companion Videos McGill 3 Seminar at Kabuki Strength Show Notes: www.backfitpro.com BackFitPro (Facebook) BackFitPro (Instagram) University of Waterloo Spine Biomechanics Laboratory   How Can I support the LEO Training Podcast? Tell Your Friends & Share Online! Subscribe & Review:  iTunes | Stitcher Donate: Check out our Patreon account!

Welcome to Everyday Athlete the podcast for the everyday athlete who wants to train smarter and live to be 100 years old. I am your host, Josh Kennedy. Today, I am talking to Dr. Stuart Mcgill, a world renowned back specialist and Professor of Spine Biomechanics at the University of Waterloo. He has a laboratory […] The post EA 09: How To Get Rid Of Back Pain With Dr. Stuart McGill appeared first on Strength Matters.

Since its founding in 1977, Texas Back Institute (https://texasback.com/about-us/) has been recognized around the world as a state-of-the-art clinic for spine and neurological treatments. Along with recruiting the best and the brightest spine surgeons and clinicians, the practice has been an important contributor in the development of medical innovations such as artificial disc replacement, treatment for scoliosis, disc fusion and for the testing of many other medical devices on behalf of the Federal Drug Administration. The practice is now earning accolades for its spinal research with the launch of the Spine Biomechanics Laboratory at Texas Back Institute. According to a recent article in the online medical site “Spine Universe,” this team and facility, located in Plano, Texas is “helping patients understand exactly how spine conditions affect their movements and muscle activities, and quantifies how much improvement they have made following spine surgery and other treatments.” One of the leaders of this research effort is Dr. Scott Kutz (https://texasback.com/find-a-physician/name/scott-kutz/), a neurosurgeon at Texas Back Institute. He explained why this research is important to both TBI patients and spine specialists around the world. “From a research perspective, this process is extremely valuable because it allows us, as physicians, to understand what we are accomplishing with surgery. The subjective reporting from patients is not as conclusive. While it is certainly wonderful to have a patient return for follow-up and report that they are feeling better, we need objective measures to prove that what has been done is improving the patient’s health. This research is also important for our practice here at the Texas Back Institute and when it is documented in publications, we can share these results – both good and bad – with other spine specialists around the world.” View full article at www.texasback.com/blog

    In this episode, David is Joined by Dr. Greg Lehman.   Greg is a physiotherapist, chiropractor and strength and conditioning specialist treating musculoskeletal disorders within a biopsychosocial model.   Prior to his clinical career, Greg was fortunate enough to receive a Natural Sciences and Engineering Research Council MSc graduate scholarship that permitted him to be one of only two yearly students to train with Professor Stuart McGill in his Occupational Biomechanics Laboratory subsequently publishing more than 20 peer reviewed papers in the manual therapy and exercise biomechanics field. Greg was an assistant professor at the Canadian Memorial Chiropractic College teaching a graduate level course in Spine Biomechanics and Instrumentation as well conducting more than 20 research experiments while supervising more than 50 students. Greg has lectured on a number of topics on reconciling treatment biomechanics with pain science, running injuries, golf biomechanics, occupational low back injuries and therapeutic neuroscience.    In this episode, David and Greg discuss:   Q1. What is pain? What is  the difference between pain & nocioception?. How do we process it? Why is it multi-dimensional? What factors influence our perception of pain?   Q2. What are the common misconceptions around pain and its sources? Why is pain poorly related to damage?   Q3. How do we go about determining the source of our pain and implementing a recovery strategy?    Q4. How much of an impact does our posture have on pain?   Q5. What does the research say about myofascial release and performance?     For full show notes and links see: www.hpascience.com/episode43  

Happy Independence Day to the American Healthy Wealthy and Smart family! On this week’s episode, Greg Lehman and I review the evidence and rethink effective treatment strategies. Greg is both a physiotherapist and chiropractor who treats musculoskeletal disorders within a biopsychosocial model and simplifies pain science for clinicians around the world. In this episode, we discuss: -Why explaining pain leads to better treatment outcomes -The case for and against repeated spinal flexion -Does glute activation or inhibition affect pain? -Functional training and the carry-over effect -And so much more!   Greg stresses that most physical therapists should rethink what is valuable to their patients. He states, “The technical mastery is less important…It probably has more to do with how your patient feels comfortable and how you respond to them rather than you being a good robot who knows lines of drive and the biomechanics. That isn’t what is valuable and isn’t supported in all the research that we have.”   Greg also questions the effectiveness of being so specific with our interventions and takes a broader approach in his treatment philosophy. “I don't think there is any treatment that ever has to occur… It’s actually a neat, big question for therapy I would like to see addressed more. Is there ever a treatment that is absolutely necessary for a specific condition or are there a number of things that can be helpful? I tend to believe there are a number of things—I have my biases—but I think most things aren't that specific.”   Greg builds patient self-awareness with education and believes it is his most effective treatment tool. “I go right into education for low back pain. I am not too worried about getting them super active right away. I want to encourage them to getting back to doing the things that are important. If they tell me they are afraid to do a number of things that they like doing and they are meaningful activities, my go to intervention is to convince them they can start doing those things again.”   Greg suggests shifting our focus as clinicians from a purely biomedical approach to treatment and instead developing our psychosocial expertise. “I really believe it is okay to be simple. We don't really need the complexity that we try to do, especially the biomechanics. The big point of that is if you simplify your biomechanics, your physical interventions, it can allow you to develop your skills in the other areas, the psychosocial stuff and start taking more classes outside our typical training—psychologists, social workers, that type of stuff. That’s where we can build our skill set. There's not a better manipulation, there’s not that special exercise technique that you need to learn. It’s fun but it’s not necessary for patients with pain.”   For more about Greg: GREG LEHMAN BKIN, MSC, DC, MSCPT He is a physiotherapist and chiropractor treating musculoskeletal disorders within a biopsychosocial model. Prior to his clinical career he was fortunate enough to receive a Natural Sciences and Engineering Research Council MSc graduate scholarship that permitted me to be one of only two yearly students to train with Professor Stuart McGill in his Occupational Biomechanics Laboratory subsequently publishing more than 20 peer reviewed papers in the manual therapy and exercise biomechanics field. Greg was an assistant professor at the Canadian Memorial Chiropractic College teaching a graduate level course in Spine Biomechanics and Instrumentation as well conducting more than 20 research experiments while supervising more than 50 students. He has lectured on a number of topics on reconciling treatment biomechanics with pain science, running injuries, golf biomechanics, occupational low back injuries and therapeutic neuroscience. His clinical musings can be seen on Medbridge Health CE and various web based podcasts. Greg is currently an instructor with therunningclinic.ca and with Reconciling Biomechanics with Pain Science.  Both are continuing education platforms that provide clinically relevant research that helps shape and refine clinical practice. While he has a strong biomechanics background he was introduced to the field of neuroscience and the importance of psychosocial risk factors in pain and injury management almost two decades ago. Greg believes successful injury management and prevention can use simple techniques that still address the multifactorial and complex nature of musculoskeletal disorders. He is active on social media and consider the discussion and dissemination of knowledge an important component of responsible practice. Further in depth bio and history of my education, works and publications. For more information on where Greg will be lecturing next, make sure to visit his website and keep up with Greg on twitter!   Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes!   Have a great week and stay Healthy Wealthy and Smart!   Xo Karen   P.S. Do you want to be a stand out podcast guest? Make sure to grab the tools from the FREE eBook on the home page! Check out my latest blog post on Managing Expectations: It Shouldn't be That Difficult!  

Dr. Greg Kawchuk discusses his research regarding strategies and technologies for the prevention, diagnosis, and treatment of spinal disorders and back pain.

(#161) Dr. Stuart McGill, Professor of Spine Biomechanics, is a return guest on the show and this week’s featured expert. Dr. McGill is a world-renowned lecturer and expert in spine function, injury prevention, and rehabilitation. He has written more than 300 scientific publications on lumbar function,...

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Dr. Stuart McGill is a highly regarded professor of spine biomechanics at the University of Waterloo in Canada. I was fortunate enough to have a 30 minute conversation with Dr. McGill and ask him a few questions related to back health and core conditioning. core conditioning latest techniques for training the backs of athletes sitting on Swiss Balls and integrating standing work stations and much more

Brought to You by Perform Better  Click here to Listen Now Highlights of Episode 19 "Hit the Gym With A Strength Coach"     Dr. Stuart McGill Professor of Spine Biomechanics at the University of Waterloo, author of Low Back Disorders: Evidence-Based Prevention and Rehabilitation and Ultimate Back Fitness and Performance,  We talked about: **Superstifness and How to Train It **How Breathe relates to Superstiffness and how to train it **Bracing- Dr. McGill's Definition and Why He Advocates it **The 5 Stages of Ultimate Back Fitness **What Are Strength Coaches Missing "The Coach's Corner with Coach Boyle"   Interview with Coach Boyle about **What's new at StrengthCoach.com**His take on "How Not To Warm Up" **Forum Hot Topics- His take on: -Adductor Weakness -Are We looking at Things Under Too Much of a Microscope -New Ideas in Ankle training Check Out Coach Boyle's Newest DVDs   "Ask the Equipment Experts"       Rob Milani joins us to talk about the Kettlebell Workshop that Perform Better is doing with The Art of StrengthCheck out more info hereCheck out the Perform Better Sale here    "Ask Gray Cook"   Each episode, Gray Cook Answers questions about his methods posted on the StrengthCoach.com Forum Gray talks about: "Functional Movement- Dumbells vs. Kettlebells" Check out Gray's Website, FunctionalMovement.com Listening To listen right here, just look to the right and you will see a Podcast Player. Pick an episode and press play, it's as simple as that. If you want to save this podcast to your computer so you can import it into your Ipod or MP3 player, right mouse click (for Mac users, press Control and click) under the "Direct Download" link below and click "Save Link As..." Direct Download Right Mouse Click here to Download Now