I have not taken the time to delve into this Huberman episode but was not at all surprised to see a lot of the response be similar to what you have shared here.
I agree and appreciate the perspective of your rebuttals. And I think the point about the new crop of practitioners are over educated with rhetoric and studies is great one. We are probably seeing this trend across many domains of science at the moment, but the realm of back pain and PT is certainly a good example of it.
As you mentioned in the article, studies are awesome and we should keep them coming, but I think too many practitioners are so focused on aligning with whatever appears to be the current consensus position on something that they fail to see how that consensus position often lacks all the nuance required to actually treat and make a difference to an individual.
This commonly touted idea that core exercises are no more effective than general exercise for back pain is a clear example of this. Sure, if you look at all the studies on "back pain" and observe overall trends in this data you find no one treatment in particular is better than any other. While this may be true, all the nuance is lost and you are left with a completely unhelpful conclusion. You need to sub-categorize. If a patient walks through your door with a pars defect and instability related pain mechanisms and you don't believe core exercises are any better for that person than yoga, you are going to struggle to make a difference in your patients lives.
"Strong and pain free back" is something probably most young people can enjoy...most of the time. As one gets older it's hard to imagine zero issues at all, if for no other reason natural aging processes change things, like the discs, arthritis in the spine can appear, there are postural changes with advanced age, stenosis and a world of other problems.
The two things should complement each other, but with something like this I tend to be far more interested in people with real world clinical experience than someone just quoting studies.
I have not taken the time to delve into this Huberman episode but was not at all surprised to see a lot of the response be similar to what you have shared here.
I agree and appreciate the perspective of your rebuttals. And I think the point about the new crop of practitioners are over educated with rhetoric and studies is great one. We are probably seeing this trend across many domains of science at the moment, but the realm of back pain and PT is certainly a good example of it.
As you mentioned in the article, studies are awesome and we should keep them coming, but I think too many practitioners are so focused on aligning with whatever appears to be the current consensus position on something that they fail to see how that consensus position often lacks all the nuance required to actually treat and make a difference to an individual.
This commonly touted idea that core exercises are no more effective than general exercise for back pain is a clear example of this. Sure, if you look at all the studies on "back pain" and observe overall trends in this data you find no one treatment in particular is better than any other. While this may be true, all the nuance is lost and you are left with a completely unhelpful conclusion. You need to sub-categorize. If a patient walks through your door with a pars defect and instability related pain mechanisms and you don't believe core exercises are any better for that person than yoga, you are going to struggle to make a difference in your patients lives.
Well said, thanks for reading
"Strong and pain free back" is something probably most young people can enjoy...most of the time. As one gets older it's hard to imagine zero issues at all, if for no other reason natural aging processes change things, like the discs, arthritis in the spine can appear, there are postural changes with advanced age, stenosis and a world of other problems.
The two things should complement each other, but with something like this I tend to be far more interested in people with real world clinical experience than someone just quoting studies.