Yeah the slides missing is a shame as this is a very good lecture even without the slides- it would be better to see exactly what he's talking about, especially in the beginning.
The story about the non-paralyzed woman bed bound for 30 years because of a herniated disc is so sad. This sounds on par with being jailed for life when you're innocent.
After one year of strength training my back pain is gone. I had 5/10 pain for about six weeks of squat and deadlift LP. Pushed through it and fixed my form and the pain went away.
I was recently diagnosed with OA because I broke my ankle a few years ago while I was in the army. Funny thing is that my ankle feels great. I train regularly and I feel that my consistent strength training is how I went for potentially years without even knowing I had OA in my ankle. Thanks as always for such great info; I feel like if I've never found youe channel I would let an osteoarthritis diagnosis defeat me. Sadly many people still let a medical diagnosis define them and limit them from what they can achieve. Knowledge is power and there's a lot of knowledge between every barbell medicine coach that helps people tremendously.
Did anyone else get an ad for a spinal treatment center in Michigan before this video and one of the “successfully treated patients” said “I thought I was gonna be a cripple for the rest of my life.” ? Yeeeeeeeeet!
this video basically summed up my entire physiotherapy course this semester. importance of language is a big one but its very tricky as commonly we have to simplify the jargon while at the same time deliver science based information as well.
We need to treat people, not their complicated joints! I wish you were here in Italy. That's all I wanted to hear from a doctor after I had a double quadriceps tendon tear and had to manage my rehabilitation on my own. Wonderful to know that some doctors think about the whole patient. Super nice work!
Great stuff. More people need to watch these kinds of talks. My dad "has back pain" know idea what is wrong with him honestly but he will go golfing multiple times a week and usually makes it through every game with no issue or if he takes his magical ibuprofen before hand. but god forbid he try to move a box that is bigger than a tv remote or do any kind of physical activity (other than golfing and driving a golf cart for 6 hours a day) cause he will "throw out his back". Although I know if I were to show him a video like this he wouldn't believe any of it or just dismiss it immediately. I also believe he would be the type of patient that would just hop doctors until he found one he likes, ie one that just prescribes him something for his back when it "flairs up". I can almost see the look of disbelief on his face if a doc tried to tell him to do more physical activity to help his "bad" back. I wonder how many other people with back pain are just like this.
I bet you will find some dads just like yours in this comment section alone. These ideas on back pain and pain in general are incredibly pervasive. I often think about my own previous misconceptions and what a minority of people are actually exposed to the this critical information. So let's get it out there.
My dad exactly the same problem I wish he just listened to this video and mine. He is really depressed and thinks there is nohing he can do about back pain.
That's an eye opening educational lecture. Thank you so much for the wonderful lecture Dr Austin Baraki especially for putting contents like this for free. I have back pain for the past 13 years (right now I am 26) and I have been an active sport person with some contact sports. At some point of my life before 4 years after seeing an MRI And diagnosed with disc bulges on L3/L4 and L4/L5 I started to perceive pain as chronic and I stopped doing certain activities especially lifting, which caused lot of learned response and threats. I also got immersed in the belief that my spine is fragile. Then I started to educate myself on back pain and I ended up learning a lot of bad information from Internet which again increased lot of learned responses, until the day I ended up landing on the Alan thrall's RUclips channel where he posted a video about your lecture on pain before 3 years . Also at the same time I also came across Dr Stuart Mcgilll works and I came to know that movement is the king for ending back pain. So I slowly started to do the activities that I perceived as threat and started to do bodyweight exercises at first and gradually progressed myself to lifting weights. I bought my own barbell and weights. I was initially doing zercher squats and progressed to front squats and eventually ended up reading the starting strength book by Mark rippetoe until the day I decided to deadlift and back squats and not to to associate the movements with threat of back pain . Know what there was not even a single session where there was pain from lifting weights and all these years all these bad information has manifested myself to perceive lifting as a threat. I am not completely pain free for i have episodic back pains and hip pains then and there if sit a lot with neck flexion but that pain also seems to go away after a day and with some walking. But the point is I am able to lift pain free and lifting doesn't aggravate if there is pain with a current PR of 120kgs in squats and 150kgs in deadlift which I thought will never be possible before 4 years . Again thanks to people like you that there is good information available and so that people like me can get out of pain. The only way to manage and end chronic pain is with proper information, knowledge and wisdom. Keep empowering people Dr Baraki. Once again thank you so much for sharing your knowledge and for your service.
Have you heard of Dr. Sarno and his approach to back pain? He's got some great books about the subject and tones of information online. Pretty similar approach to Austin but more in depth.
I have a bachelors degree in Kinesiology and I had an MRI done my freshman year of college football due to back pain, they said I had Degenerated Disc Disease and I freaked out. After graduating college, with an emphasis in biomechanics, I now realized it’s just part of the aging process and it’s going to happen no matter what. You might as well keep lifting weights “efficiently” and have some DDD than stay a couch potato and live in fear.
You could use software to put the image into the video in place of the pastel rectangle. Or cut to the image for the time the image is being discussed; the viewer can always backup to see it again if need be. Or, of course, a folder of the images as jpegs, using videos location-time in the filename. The third idea is not ideal, but would be usable.
This video is amazing. I have a lot of work to rid myself of the Nocebo things I've been using as a Ballet Instructor. I can't wait to join for a seminar!
Very informational and awesome message. This changed my perspective on some of these discussed topics. I think this is a message everybody needs to hear related to these issues. Thanks!
But why just docs? The whole point of this video seems to be to encourage patients that they are in control of their situation. And with the perception that they aren't in control, they become fearful and helpless and the outcomes reflect it.
Man I'm late to the game on this seminar. Super awesome the BBM guys got to share some much-needed info with the Army, who definitely needs all the correct info they can get. I'd love to see a BBM ACFT program.
@@robsingh892 Have you also see the one where the lady's got leg pain "Depsite living healthy and working out regularly" and it shows her doing like barely even quarter depth squats? Lol
I've had worsening chronic back pain and developing pain down my leg for over a year. I was a runner, have had to give it up and gone down the rabbit hole of treatments, therapies, injections, the gamut. It's only gotten worse. I read books on healing back pain by Dr. John Sarno, and was encouraged by it, and tried to keep running, but it only got worse. This video, and the first part I watched, is also encouraging to consider, as were the books I read by Dr. Sarno. But it doesn't change the fact that I've had pain now, getting worse, for over a year. I've read and seen several times now that the vast majority of low back pain heals on it's own in 4 to 6 weeks. But at this point over a year, it's not helpful for me to know that. At this point, I don't run at all, and have pain every day, made worse by almost any activity, even mowing my lawn or cleaning my house. What is someone like me supposed to do? Right now I'm doing physical therapy and dry needling, and pursuing deep tissue massage as kind of a last hope. I desperately want to run again, but one friend who is a doc has basically just told me this pain is going to be there the rest of my life, and I should just forget about running. What say y'all?
Have you tried doing strength training? You can ask your physio if its possible for him/her to put you into a strength program. I know it may generates a perceived threat for you but I believe novelty and graded exposure will help you in terms of your goal (which is running). As doctor Baraki here said, "start low, go slow". Maybe improving your physical capacity through strength training might help so that your body might be able to tolerate more extreme demand. Give it a try brother, I know based on your comment that there's a spirit of self-efficacy in you and you are totally right, you have the power to change things.
I recently had a flare up with back pain, herniated disc, that lead to an ER visit from the pain. Rather than do nothing, I started to walk. I went slow at first, and on the balls of my feet. Eventually I got to a full gate walk at a fast pace. A few months later, I am deadlifting, and squatting, mobility excersizes, and doing extra core work.
I hurt my back from a poorly programmed leg day. Heavy squats, single leg deadlifts, and hyperextensions all in one workout, and i pushed everything to the limit. Nothing happened suddenly and i felt fine till the next day. It was more of an overuse injury. I stopped using my erectors for a month because the pain never went away. I got sick of it and did a few easy sets on an erector machine I've never used. All the pain was gone the next day. I did lose strength though and I'm just now getting back to where i was. I wasn't even fearful of using my erectors, i just thought i was better off resting. Motion really is lotion. Use it or lose it. Don't forget to challenge your brain!
Is there evidence any of those actually work thoggh? Not that my experience is the end all be all but none of those have made any difference for mine whatsoever. For me it's lowering stress making sure I sleep and staying active
when i feel pain i have a tendency to try and provoke it by doing the action that causes it seeing if it subsides. works often but not always (like with a fracture or sprain it will totally make things worse).
I'm 42 minutes in and here's my two cents.... There is *obviously* a spiritual/mental aspect here, in that fear diminishes our ability to be healthy. The placebo effects prove that health is dependent on hope. Fear destroys hope. Reality isn't just physical, it's mental. When I heard the bit about patients getting benefits from people listening and gathering data about their condition, that made me that much more certain of the importance of ensuring that patients feel in control of their situation. Fear is caused by the perception that you have no control. Who would know that feeling better than the military? "We need to treat people, not discs." This fundamentally misrepresents the issue, because in order to treat people, you need to treat the *environment* that people live in! The military commanders and higher ups don't want to hear this because the soldiers are expendable. Their entire purpose is to enter the worst environments. If low back pain is so prevalent despite all our efforts, and a feeling of control (and the accompanying lack of fear) is needed to fix it, maybe we should ask ourselves if something in our environment is causing collective fear and lack of control... We have all the signs that our perceptions manifest reality, we just need to accept it. "Fear is the mind killer" "Fear is your only god"
I think Austin is doing us a disservice by not talking about opiates, as if we're all too smart for that. Well he lists a few other options and writes them off as basically useless. But if one is experiencing an acute flare up and can not sleep at night without opiates but can with them, wouldn't it be the best option to take the opiates for as short of time possible? Why did he not discuss this??
"There's no such thing as non-specific back pain. All that indicates is the person has never had a thorough, competent assessment." - Stuart McGill. Great advice here for people with back-pain: it's all in your head, just continue living life, go do some deadlifts! Thanks "Doctor" Baraki!
Tbf it is all in your head. I don't know what's bad about things being or starting from your head. That's literally where your thoughts, actions and words come from 🤔. Get out of the McGill worship. Even tho the research he did is pretty useful, extrapolating dead pig spines (which he uses the most in his research) to live human tissue is pretty terrible. And the recommendations that Dr. Baraki is mentioning here is based on evidence and has outcome based results.. keep an open mind my dude 😂
15:31 "The Answer Donut" lmao. I never knew we needed a nickname for a MRI machine until now hahaha
Could you put the slides into a google doc. They are hard to see in the video. Love the low back pain the series so far.
Yeah the slides missing is a shame as this is a very good lecture even without the slides- it would be better to see exactly what he's talking about, especially in the beginning.
But seriously, this lecture was incredible!
Dr. Baraki has amazing communication skill.
The story about the non-paralyzed woman bed bound for 30 years because of a herniated disc is so sad. This sounds on par with being jailed for life when you're innocent.
After one year of strength training my back pain is gone. I had 5/10 pain for about six weeks of squat and deadlift LP. Pushed through it and fixed my form and the pain went away.
I was recently diagnosed with OA because I broke my ankle a few years ago while I was in the army. Funny thing is that my ankle feels great. I train regularly and I feel that my consistent strength training is how I went for potentially years without even knowing I had OA in my ankle. Thanks as always for such great info; I feel like if I've never found youe channel I would let an osteoarthritis diagnosis defeat me. Sadly many people still let a medical diagnosis define them and limit them from what they can achieve. Knowledge is power and there's a lot of knowledge between every barbell medicine coach that helps people tremendously.
Did anyone else get an ad for a spinal treatment center in Michigan before this video and one of the “successfully treated patients” said “I thought I was gonna be a cripple for the rest of my life.” ? Yeeeeeeeeet!
Yes mate. That was kinda odd waznit?
As a future family medicine physician, this was very helpful thank you!
this video basically summed up my entire physiotherapy course this semester. importance of language is a big one but its very tricky as commonly we have to simplify the jargon while at the same time deliver science based information as well.
This was a fantastic lecture! And the story about the bedridden woman is heartbreaking.
No lower back pain; I’ll watch it regardless 😤
I'm just here for the Baraki-ness.
We need to treat people, not their complicated joints! I wish you were here in Italy. That's all I wanted to hear from a doctor after I had a double quadriceps tendon tear and had to manage my rehabilitation on my own. Wonderful to know that some doctors think about the whole patient. Super nice work!
Excellent lecture - should be required for every care-giver during training and periodically reviewed once practicing.
Great stuff. More people need to watch these kinds of talks.
My dad "has back pain" know idea what is wrong with him honestly but he will go golfing multiple times a week and usually makes it through every game with no issue or if he takes his magical ibuprofen before hand. but god forbid he try to move a box that is bigger than a tv remote or do any kind of physical activity (other than golfing and driving a golf cart for 6 hours a day) cause he will "throw out his back". Although I know if I were to show him a video like this he wouldn't believe any of it or just dismiss it immediately. I also believe he would be the type of patient that would just hop doctors until he found one he likes, ie one that just prescribes him something for his back when it "flairs up". I can almost see the look of disbelief on his face if a doc tried to tell him to do more physical activity to help his "bad" back. I wonder how many other people with back pain are just like this.
I bet you will find some dads just like yours in this comment section alone. These ideas on back pain and pain in general are incredibly pervasive. I often think about my own previous misconceptions and what a minority of people are actually exposed to the this critical information. So let's get it out there.
My dad exactly the same problem I wish he just listened to this video and mine. He is really depressed and thinks there is nohing he can do about back pain.
I am continually grateful and impressed by the quality of content BBM puts out.
Every outro should be Jordan running off in to the sunset
This might be the most important video you guys ha be ever produced. Thank you! 🙏🏻
That's an eye opening educational lecture. Thank you so much for the wonderful lecture Dr Austin Baraki especially for putting contents like this for free. I have back pain for the past 13 years (right now I am 26) and I have been an active sport person with some contact sports. At some point of my life before 4 years after seeing an MRI And diagnosed with disc bulges on L3/L4 and L4/L5 I started to perceive pain as chronic and I stopped doing certain activities especially lifting, which caused lot of learned response and threats. I also got immersed in the belief that my spine is fragile. Then I started to educate myself on back pain and I ended up learning a lot of bad information from Internet which again increased lot of learned responses, until the day I ended up landing on the Alan thrall's RUclips channel where he posted a video about your lecture on pain before 3 years . Also at the same time I also came across Dr Stuart Mcgilll works and I came to know that movement is the king for ending back pain. So I slowly started to do the activities that I perceived as threat and started to do bodyweight exercises at first and gradually progressed myself to lifting weights. I bought my own barbell and weights. I was initially doing zercher squats and progressed to front squats and eventually ended up reading the starting strength book by Mark rippetoe until the day I decided to deadlift and back squats and not to to associate the movements with threat of back pain . Know what there was not even a single session where there was pain from lifting weights and all these years all these bad information has manifested myself to perceive lifting as a threat. I am not completely pain free for i have episodic back pains and hip pains then and there if sit a lot with neck flexion but that pain also seems to go away after a day and with some walking. But the point is I am able to lift pain free and lifting doesn't aggravate if there is pain with a current PR of 120kgs in squats and 150kgs in deadlift which I thought will never be possible before 4 years . Again thanks to people like you that there is good information available and so that people like me can get out of pain. The only way to manage and end chronic pain is with proper information, knowledge and wisdom. Keep empowering people Dr Baraki. Once again thank you so much for sharing your knowledge and for your service.
Have you heard of Dr. Sarno and his approach to back pain? He's got some great books about the subject and tones of information online. Pretty similar approach to Austin but more in depth.
Cmon Netflix, adapt this critical information for your next viral documentary. The real game changer!
azeemqwerty good luck their not pushing an agenda for leftist political gain.But if they were...
Would it be possible to edit the slides into the video? They're really hard to see. Thanks for the info as always guys!
best series so far on the channel!
Great information!! Highly recommended. Thank you Team Barbell Medicine.
I have a bachelors degree in Kinesiology and I had an MRI done my freshman year of college football due to back pain, they said I had Degenerated Disc Disease and I freaked out. After graduating college, with an emphasis in biomechanics, I now realized it’s just part of the aging process and it’s going to happen no matter what. You might as well keep lifting weights “efficiently” and have some DDD than stay a couch potato and live in fear.
I struggle with LBP frequently. Still lift, of course.
PLEASE do one of these at Fort Bliss.
You could use software to put the image into the video in place of the pastel rectangle. Or cut to the image for the time the image is being discussed; the viewer can always backup to see it again if need be. Or, of course, a folder of the images as jpegs, using videos location-time in the filename. The third idea is not ideal, but would be usable.
This video is amazing. I have a lot of work to rid myself of the Nocebo things I've been using as a Ballet Instructor.
I can't wait to join for a seminar!
Very informational and awesome message. This changed my perspective on some of these discussed topics. I think this is a message everybody needs to hear related to these issues. Thanks!
Wow what excellent content this video from Austin was! Never expected to listen for an hour but it was mind blowing.
These lectures are so powerful. I really hope at least one or two docs or PAs in here took something away from this.
But why just docs? The whole point of this video seems to be to encourage patients that they are in control of their situation. And with the perception that they aren't in control, they become fearful and helpless and the outcomes reflect it.
Man I'm late to the game on this seminar. Super awesome the BBM guys got to share some much-needed info with the Army, who definitely needs all the correct info they can get. I'd love to see a BBM ACFT program.
I got out in July 2019, I wish I'd of seen this during basic.
Once again, great lecture and very informative! Cheers!
😊 I hear that “Riite?” slipping in there, Baraki. Rip won’t be forgotten 😉.
I got an ad for back pain relief before this video. Haha.
Jaberwock33 I posted my comment before I saw yours. That was a very bizarre ad. There must be a glitch in the algorithm.
@@robsingh892 Have you also see the one where the lady's got leg pain "Depsite living healthy and working out regularly" and it shows her doing like barely even quarter depth squats? Lol
I've had worsening chronic back pain and developing pain down my leg for over a year. I was a runner, have had to give it up and gone down the rabbit hole of treatments, therapies, injections, the gamut. It's only gotten worse. I read books on healing back pain by Dr. John Sarno, and was encouraged by it, and tried to keep running, but it only got worse. This video, and the first part I watched, is also encouraging to consider, as were the books I read by Dr. Sarno. But it doesn't change the fact that I've had pain now, getting worse, for over a year. I've read and seen several times now that the vast majority of low back pain heals on it's own in 4 to 6 weeks. But at this point over a year, it's not helpful for me to know that. At this point, I don't run at all, and have pain every day, made worse by almost any activity, even mowing my lawn or cleaning my house. What is someone like me supposed to do? Right now I'm doing physical therapy and dry needling, and pursuing deep tissue massage as kind of a last hope. I desperately want to run again, but one friend who is a doc has basically just told me this pain is going to be there the rest of my life, and I should just forget about running. What say y'all?
Have you tried doing strength training? You can ask your physio if its possible for him/her to put you into a strength program. I know it may generates a perceived threat for you but I believe novelty and graded exposure will help you in terms of your goal (which is running). As doctor Baraki here said, "start low, go slow". Maybe improving your physical capacity through strength training might help so that your body might be able to tolerate more extreme demand. Give it a try brother, I know based on your comment that there's a spirit of self-efficacy in you and you are totally right, you have the power to change things.
I recently had a flare up with back pain, herniated disc, that lead to an ER visit from the pain. Rather than do nothing, I started to walk. I went slow at first, and on the balls of my feet. Eventually I got to a full gate walk at a fast pace. A few months later, I am deadlifting, and squatting, mobility excersizes, and doing extra core work.
I hurt my back from a poorly programmed leg day. Heavy squats, single leg deadlifts, and hyperextensions all in one workout, and i pushed everything to the limit. Nothing happened suddenly and i felt fine till the next day. It was more of an overuse injury. I stopped using my erectors for a month because the pain never went away. I got sick of it and did a few easy sets on an erector machine I've never used. All the pain was gone the next day. I did lose strength though and I'm just now getting back to where i was. I wasn't even fearful of using my erectors, i just thought i was better off resting. Motion really is lotion. Use it or lose it. Don't forget to challenge your brain!
Great series; thank you for the amazing content and information.
Time for some brain gains. HYPE
Any chance to access the ppt slides?
Very good info there I would like to read and review
When listing the "advancements" to treat or detect back pain, he forgot to put CBD oils and inversion chairs, and foam rolling.
Is there evidence any of those actually work thoggh?
Not that my experience is the end all be all but none of those have made any difference for mine whatsoever. For me it's lowering stress making sure I sleep and staying active
I honestly cant tell if this comment is trolling or if it's serious so he could show how they can be useful placebos.
He is just adding to the list of supposed "advancements" which Baraki is criticizing.
Shirt tuck game needs improving.
(yes, I know, incredibly constructive criticism)
Shirt stays are a godsend
Even then, he'd still have too much excess fabric. I'd get the waist taken in with some darts instead.
Is there a part III coming? The description in Part 1 said Parts 2 and 3 coming
I'm not sure man... I think my QL has been overactive lately
when i feel pain i have a tendency to try and provoke it by doing the action that causes it seeing if it subsides. works often but not always (like with a fracture or sprain it will totally make things worse).
Yes is there a way we could get a copy of the slides?
Awesome, was waiting for that.
First !111!!!!
I'm 42 minutes in and here's my two cents.... There is *obviously* a spiritual/mental aspect here, in that fear diminishes our ability to be healthy. The placebo effects prove that health is dependent on hope. Fear destroys hope. Reality isn't just physical, it's mental. When I heard the bit about patients getting benefits from people listening and gathering data about their condition, that made me that much more certain of the importance of ensuring that patients feel in control of their situation. Fear is caused by the perception that you have no control. Who would know that feeling better than the military?
"We need to treat people, not discs." This fundamentally misrepresents the issue, because in order to treat people, you need to treat the *environment* that people live in! The military commanders and higher ups don't want to hear this because the soldiers are expendable. Their entire purpose is to enter the worst environments. If low back pain is so prevalent despite all our efforts, and a feeling of control (and the accompanying lack of fear) is needed to fix it, maybe we should ask ourselves if something in our environment is causing collective fear and lack of control... We have all the signs that our perceptions manifest reality, we just need to accept it.
"Fear is the mind killer"
"Fear is your only god"
0:01 - 5:00
6:50 - uterus
I think Austin is doing us a disservice by not talking about opiates, as if we're all too smart for that. Well he lists a few other options and writes them off as basically useless. But if one is experiencing an acute flare up and can not sleep at night without opiates but can with them, wouldn't it be the best option to take the opiates for as short of time possible? Why did he not discuss this??
Too addictive.
No profanity zone! lol
56:10 there is no perfect
"There's no such thing as non-specific back pain. All that indicates is the person has never had a thorough, competent assessment." - Stuart McGill. Great advice here for people with back-pain: it's all in your head, just continue living life, go do some deadlifts! Thanks "Doctor" Baraki!
Tbf it is all in your head. I don't know what's bad about things being or starting from your head. That's literally where your thoughts, actions and words come from 🤔. Get out of the McGill worship. Even tho the research he did is pretty useful, extrapolating dead pig spines (which he uses the most in his research) to live human tissue is pretty terrible. And the recommendations that Dr. Baraki is mentioning here is based on evidence and has outcome based results.. keep an open mind my dude 😂
You need shaq for on of these talks.
This lecture *cough* was *sniff* hard *cough* to listen *cough* to, right? right? *cough* right? *sniff* Right.
Covid?