I like McGill's stuff. I don't know what I feel about the flossing in principle. Have you found it effective ? Stenosis has definitely been a big issue with my older guys. But as soon it's got to the stage of pain, with the radiating pain, they will opt for surgery very quickly.
The problem is then what happens after the surgery. There are often complications and a lot dissatisfaction from these back surgeries. Some post-surgery problems may resolve on their own and some of them don't. While the pain has been fixed there's now new problems the person has and a high chance of more surgeries to try to fix these problems.
Back surgery is like a Pandora's Box, it's opening the door to something you really don't want to. But I can see limits to conservative treatment too. I would be interested to read about people who have got on with conservative treatment with stenosis and actually avoided surgery.
90% of my patients can't perform McGills big 3, but they do get better with easier, modified versions of back stabilization. I put the stenosis article out there, but I think stabilization is more effective. Most people can't perform the flossing correctly without increasing symptoms. I agree with you on the surgical Pandoras box.
I like McGill's stuff. I don't know what I feel about the flossing in principle. Have you found it effective ? Stenosis has definitely been a big issue with my older guys. But as soon it's got to the stage of pain, with the radiating pain, they will opt for surgery very quickly.
The problem is then what happens after the surgery. There are often complications and a lot dissatisfaction from these back surgeries. Some post-surgery problems may resolve on their own and some of them don't. While the pain has been fixed there's now new problems the person has and a high chance of more surgeries to try to fix these problems.
Back surgery is like a Pandora's Box, it's opening the door to something you really don't want to. But I can see limits to conservative treatment too. I would be interested to read about people who have got on with conservative treatment with stenosis and actually avoided surgery.
90% of my patients can't perform McGills big 3, but they do get better with easier, modified versions of back stabilization. I put the stenosis article out there, but I think stabilization is more effective. Most people can't perform the flossing correctly without increasing symptoms. I agree with you on the surgical Pandoras box.
https://open.substack.com/pub/mikeshomeexercise/p/youre-a-pain-in-the-neck?r=17pv2u&utm_campaign=post&utm_medium=web
Assuming you are talking about your neck? Thanks for reading.