10 Myths About Lower Back Pain (LBP)

VonMeister

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VM what do you do to strengthen hip flexors? Squats and Deadlifts are working the posterior chain. How about the anterior chain? Is there such a thing?
The squat and the deadlift both work the hip flexors. The beauty of the squat and the deadlift is they mimic life exactly and apply stress evenly and perfectly. Trying to isolate muscles to address some perceived weakness or imbalance in always nonsense. Major muscles do most of the work and assistance or stabilizer muscles assist when necessary. You can't control or decide when this happens. It's all done by magic.
 

PRCD

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Feb 25, 2020
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:cool: your posture going for that tube looks very natural to me. Your rear foot does look splayed out. I don't have your tube sense, but I got the splayed foot!

This video was taken a few months ago by one of the kiddies in the skatepark. It was just after the police enforced COVID border between regional Victoria and metro Vic came down and I reclaimed my skateboard. Take a look at the first few seconds and also from about 20 seconds in to 25 seconds. My knee can be seen noticeably knocking inwards when pushing my skateboard, this is my natural gait to overcome my collapsed arches (flat feet). My feet and ankles are like bags of hypermobile bones suspended in jelly :D

Despite wearing orthotics in my skate shoes, my arch collapses and shin rotates around my ankle under body weight. My knee naturally knocks inward to try and reduce that shin rotation and on top of that my foot subconsciously tries to compensate by pointing backwards - even more so on my surfboard judging by the black marks that appear on my boards with no traction. Someone on swaylocks told me I was standing on my board wrong, he is right, but if I tried to do it properly I would end up with knee problems and actually I did have a right knee problems from this condition - muscle imbalance occurred in right leg - physio pointed out how one muscle had "gone to sleep". My ITB band was like a tight steel wire. Despite having mobile hips and my muscle imbalance corrected I get tightness somewhere in the top/outer hip. I've also got bow legs which might have something to do with it. Not everyone with flat feet and bow legs gets imbalances though, my mother never had knee probs, although she never pushed herself athletically.
Your legs are fine. You move much better than most people. Anyone telling you there's something wrong with your legs is spewing unscientific woo.
 

tacos

Michael Peterson status
Feb 12, 2006
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LB —> SF
I found doing stiff (straight-ish?) leg deadlifts feel good with the sciatic pain I’ve been having the past couple weeks.

RDLs and light weight DL didn’t seem to do much. Trying to workout through it and increase intensity didn’t seem to help either and the pain was limiting. I guess I’ll see how I feel tomorrow.
 
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Mr J

Michael Peterson status
Aug 18, 2003
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Your IT Band is supposed to be tight. It's like a thick leather strap. You can't stretch it or loosen it. None of your muscles have gone to sleep and you've never had a muscle imbalance. Your physio is an asshole.

How much do you pay Jiffy Lube when they sell you nitrogen for your tires?
Sounds like you are an expert on collapsed arches and their effect (or not) on pronation, why the knee cap can cause pain and also the IT band. So you would no doubt have an in depth understanding of the surrounding structures, such as that teardrop shaped muscle the vastus medialis.

I would say your analogy is good for the first physio I went to see, basically he pointed out to me that I had flat feet (I hadn't noticed) and that the Vastus medialis on my right troublesome leg was noticeably smaller than on the left leg. However the "jiffy lube and nitro" treatment which ran a number of visits did not fix - so I was spending money in vain. Taking a stubborn injury such as back or knee to a physio is indeed a bit like taking a broken car which we do not understand to some random mechanic.

The second physio diagnosed exactly the same thing, but instead of direct strength training for that muscle (the first physio
s nitro and jiffy treatment was isometric and I think outwardly rotated leg raises or something, I forgotten) he got me doing some strange stepping exercise which restored the size of that muscle - training reflexes was the explanation, but I expect you aren't going to believe that. Regardless problem solved 20 yrs ago and I have been pain free in the right knee since.

So explain to me why a vastus medialis that is noticeably smaller than the other leg (even to my untrained eye) is not a type of muscle imbalance. Note that problem resolved when size of vastus medialis restored. I look forward to your answer
 

SurfFuerteventura

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Do you take credit cards? :roflmao: :roflmao: :roflmao: :roflmao: :roflmao: :roflmao: :roflmao: :roflmao: :roflmao: :roflmao:
:unsure: :shameonyou::shameonyou::shameonyou:

BTC only. 60€ per gram.

20210102_104817.jpg

This cube above is three... €180.... For you? Just one bitcoin!

'Friends' price...... :dancing:

And I "high" lee recommend not 'smoking' it...
Defeats the purpose.

Eat it, rub it on, dilute it into your smoothie... pick your delivery methods.

At most, vaporize it... Butt, smoking it would, again, defeat the purpose.

Natural medicine. Grown in your own garden. Processed in your own home.

Not found at the pharmacy, not available under any big pharma name brands... Once again, defeats the purpose.

Grow your own food, cultivate your own medicine.

And of course, power lift brah!!! Don't want to be just another internet strength man, right?

:roflmao::roflmao::roflmao:
 

VonMeister

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Apr 26, 2013
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Sounds like you are an expert on collapsed arches and their effect (or not) on pronation, why the knee cap can cause pain and also the IT band. So you would no doubt have an in depth understanding of the surrounding structures, such as that teardrop shaped muscle the vastus medialis.

I would say your analogy is good for the first physio I went to see, basically he pointed out to me that I had flat feet (I hadn't noticed) and that the Vastus medialis on my right troublesome leg was noticeably smaller than on the left leg. However the "jiffy lube and nitro" treatment which ran a number of visits did not fix - so I was spending money in vain. Taking a stubborn injury such as back or knee to a physio is indeed a bit like taking a broken car which we do not understand to some random mechanic.

The second physio diagnosed exactly the same thing, but instead of direct strength training for that muscle (the first physio
s nitro and jiffy treatment was isometric and I think outwardly rotated leg raises or something, I forgotten) he got me doing some strange stepping exercise which restored the size of that muscle - training reflexes was the explanation, but I expect you aren't going to believe that. Regardless problem solved 20 yrs ago and I have been pain free in the right knee since.

So explain to me why a vastus medialis that is noticeably smaller than the other leg (even to my untrained eye) is not a type of muscle imbalance. Note that problem resolved when size of vastus medialis restored. I look forward to your answer
You were spending money in vain because you choose to see people who tell you that you have unique and serious conditions that can only be fixed by their special knowledge that only they posses.

I don't know, maybe you're a mongloid. ....although I suspect you're either gullible or a liar. Unless you had a serious neurological condition that prevented the vastus medialis from being innervated you were sold a load of crap. Also, these type of neurological issues don't resolve so you would still have the issue. Or maybe you had some sort of prior traumatic injury that caused the asymmetry (by way of a fracture, surgery, etc.) that you failed to mention, otherwise I remain unconvinced that anything special needed to be done to "fix" it, compared to simply continuing to live life, train and enjoy the activities you enjoy. I think this was more likely a problem that was given to you by your "specialists'.

Now, you can feel like one leg is stronger or weaker than the other, but this is due to a dominant bias. To develop a unilateral weakness in a single muscle in your thigh you would require a serious effort that would take nothing short of fixing the leg in a position that prevented you from using it for a period of time. It would be a conscience decision and take a commitment to pull off. Can there be a size different between muscles? absolutely....but it doesn't mean anything. Every person on earth has noticeable and un-noticable differences in muscle size and shape. Symmetry is non-existent.

The vastus medialis extends the leg at the knee. The only way you are going to strengthen the vastus medialis is by extending the leg at the knee. What your physio did was convince you that you had a problem, come up with a complex solution that did nothing, then tell you that you were all better and off you went.

Flat feet are common. I don't recommend any physical activity adjustments or special training to anyone with flat feet. If you had a traumatic injury that caused a collapsed arch and the decision was made that surgery was not needed, then I would recommend a progression of physical activity, managing pain along the way.

IT band pain is caused be weakness, generally in the glutes. Simple lunges would have taken care of it.

You have to stop seeing these doctors that convince you that lifes perfectly normal ailments are some unique condition or that you are somehow broken. You're not mentally prepared or sophisticated enough to handle it.
 
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VonMeister

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:unsure: :shameonyou::shameonyou::shameonyou:

BTC only. 60€ per gram.

This cube above is three... €180.... For you? Just one bitcoin!

'Friends' price...... :dancing:

And I "high" lee recommend not 'smoking' it...
Defeats the purpose.

Eat it, rub it on, dilute it into your smoothie... pick your delivery methods.

At most, vaporize it... Butt, smoking it would, again, defeat the purpose.

Natural medicine. Grown in your own garden. Processed in your own home.

Not found at the pharmacy, not available under any big pharma name brands... Once again, defeats the purpose.

Grow your own food, cultivate your own medicine.

And of course, power lift brah!!! Don't want to be just another internet strength man, right?

:roflmao::roflmao::roflmao:
Do you really put that in your butt?
 

bluengreen

Michael Peterson status
Oct 22, 2018
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SF x Encinitas
isn't there a back surgery wheere they put in an artificial disc? think joe rogans jiu jitsu buddies did that. also tim hendricks had a procedure like this as well. he surfs too.
Disc replacement. I had a doctor tell me I might need spinal fusion or disc replacement surgery. In addition to massive disc extrusion, the MRI showed severe foraminal narrowing impinging the nerve. Doc told me that will not change. Then I went to PT and my pain went away. Go figure.
 
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One-Off

Tom Curren status
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Disc replacement. I had a doctor tell me I might need spinal fusion or disc replacement surgery. In addition to massive disc extrusion, the MRI showed severe foraminal narrowing impinging the nerve. Doc told me that will not change. Then I went to PT and my pain went away. Go figure.
What did the PT have you do?
 

bluengreen

Michael Peterson status
Oct 22, 2018
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Hyperextension press ups, dead bugs, anti rotation core work, dynamic squats that mimic the motion of pumping a surfboard, hamstring stretching/ nerve flossing, and finally gradually increasing flexion exercises.

He would test my range of motion and pain levels every session. After each exercise, we would assess pain levels. The goal was to flair things up a tad, recover with pressups and massage, and then go home and do the routine on my own. If I was badly flared up the day after a new exercise or circuit, we would back off a little. Goal is shorter recovery times and pain/symptom centralization each week.
 
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sussle

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Oct 11, 2009
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Disc replacement. I had a doctor tell me I might need spinal fusion or disc replacement surgery. In addition to massive disc extrusion, the MRI showed severe foraminal narrowing impinging the nerve. Doc told me that will not change. Then I went to PT and my pain went away. Go figure.
surgery is always the last resort but if you're there, you're there. I always looked at my lower back problem like an electromechanical issue: wiring from my spine to my lower body was being pinched by bone-on-bone contact in my lower back. So, the fix made sense to me: insert a spacer between the vertebrae in question so the nerves are not pinched. Let it all heal and there you are. Have no complaints about the outcome of spinal fusion. Ymmv.
 

SurfFuerteventura

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surgery is always the last resort but if you're there, you're there. I always looked at my lower back problem like an electromechanical issue: wiring from my spine to my lower body was being pinched by bone-on-bone contact in my lower back. So, the fix made sense to me: insert a spacer between the vertebrae in question so the nerves are not pinched. Let it all heal and there you are. Have no complaints about the outcome of spinal fusion. Ymmv.
You forgot "keep your willy working" and stand tall (erect at times, depending on the circumstances) instead of becoming Timmy, and enrolling in the Life Rolls On Surf Group.

:applause2::bowdown::jamon:
 

One-Off

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Hyperextension press ups, dead bugs, anti rotation core work, dynamic squats that mimic the motion of pumping a surfboard, hamstring stretching/ nerve flossing, and finally gradually increasing flexion exercises.

He would test my range of motion and pain levels every session. After each exercise, we would assess pain levels. The goal was to flair things up a tad, recover with pressups and massage, and then go home and do the routine on my own. If I was badly flared up the day after a new exercise or circuit, we would back off a little. Goal is shorter recovery times and pain/symptom centralization each week.
The flexion exercises interest me because it's what is avoided like the plague in almost all exercises (keep a neutral spine) and yet it is the position I most often find myself when surfing. Like I mentioned above, it was my specialty- contorting myself into little tubes. Could you share a little about what you did and how you determined the rate of progression?
 

VonMeister

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The flexion exercises interest me because it's what is avoided like the plague in almost all exercises (keep a neutral spine) and yet it is the position I most often find myself when surfing. Like I mentioned above, it was my specialty- contorting myself into little tubes. Could you share a little about what you did and how you determined the rate of progression?
What he did was movement.

Your spine is designed to be in flexion, extension, and every position in between. Extension during training is taught because it is the easiest way to stabilize your body into a position acceptable for activity....with the alternative being hunched over as far as you can go which is as un-athletic of a position as you can be in. Also lower back extension requires a very small degree of movement to reach the position because you are very close to extension just about all the time. No one is in extension throughout a movement. At the bottom of a squat or while pulling a deadlift your lower back will be going into flexion and back to extension....butt he important thing is that while you brace to hold the position of extension you build a ton of abdominal pressure which it all that's needed to protect your spine under load.

Myself, I train the deadlift in a degree of flexion with the belief that if I'm going to get there anyway it's better to be trained for it. What doesn't;t change though is the abdominal pressure I use to keep everything safe.
 
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