Following a gruelling six-month selection camp that included events such as the left arm 1 rep max bicep curl and racing a great white shark I was given the honour to spend 4 weeks with the Average Joe’s down at Evolutio. It wasn’t all sunshine and smiles though. Two weeks before flying over from Glasgow I began to have the nervous shakes about coming to Melbourne and what happened next I will never forget. Team Captain Alex called me and said "Well, I guess if a person never quit when the going got tough, they wouldn't have anything to regret for the rest of their life. But good luck to you. I'm sure this decision won't haunt you forever." Now that may or may not be a quote from Dodgeball the movie and that may or may not have actually happened.
In chaos theory, the Butterfly Effect refers to the concept that small causes can have large profound effects.
The same can be said about the management and treatment of low back pain.
At any point in your journey of experiencing back pain- from onset of pain to rehab and recovery, it has been well researched that how or what you are diagnosed with coupled with what your therapist even says can change how you recover.
Here are some facts:
Load management is a hot topic right now in the sporting world. What’s too much? What’s too little? From a physiotherapy perspective, one of the trickier things when working with athletes is to decide when is the right time to return to competition after injury and have they earned the right to return to their desired activity?
Now I’m not casting aspersions on any childhood songs in particular, but we have a tendency to imagine the body in movement as a rigid frame being pulled on by distinct muscles to produce specific joint actions. eg: the hamstrings pull on the shin bones to produce knee flexion. While this is not technically incorrect, are we sure this is the best way to view and address human movement?
If we were talking about robots, then I think it would be a fine. In that case, treating any pain or dysfunction would be more a case of finding the part that wasn’t working and fixing the hydraulics at that joint.