Tuesday, December 15, 2009
Real People Making Real Changes with Real Support
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A lot of us have pretty direct experience of what it takes to transform our bods. Calling it "losing weight" doesn't seem to do the cost of the experience justice. Two things known to help this process (besides good quality information about how food works in our bodies) is
The above bits are two parts of why i've been keen on precision nutrition (PN review) as a great platform to support the change process. Change after all is actually painful: we rewire our brains, and that takes effort, so getting support is a big deal. Getting quality support even bigger.
Anyway, here's an opportunity to take a look at some folks who have put themselves out there within a lean eating challenge for body transformations program with PN called Lean Eating - there's a waiting list for this program, and it's one i wrote about back in the summer if you'd like to take a peak - especially at the comments from folks who have been on it and had that support and direction for their progress.
The photos of the finalists have just been posted online.
Whether you're looking to kick off a body transformation of your own. Or whether you're in the process of accomplishing an awesome transformation, the photos are sure to provide
some serious motivation:
Plus, if you have a second, feel free to vote for your favorites. Your vote helps determine who walks away with $20,000.
The thing i really like about this particular transformation presentation is that these are real people showing real results and offer a great reality check about what any of us can expect from just getting on board with good nutrition practices. Real, not airbrushed.
Related Posts
- good models where we can see someone like us has done what we want to achieve and
- support from people going through this process who may be a wee bit further along than ourselves.
The above bits are two parts of why i've been keen on precision nutrition (PN review) as a great platform to support the change process. Change after all is actually painful: we rewire our brains, and that takes effort, so getting support is a big deal. Getting quality support even bigger.
Anyway, here's an opportunity to take a look at some folks who have put themselves out there within a lean eating challenge for body transformations program with PN called Lean Eating - there's a waiting list for this program, and it's one i wrote about back in the summer if you'd like to take a peak - especially at the comments from folks who have been on it and had that support and direction for their progress.
The photos of the finalists have just been posted online.
Whether you're looking to kick off a body transformation of your own. Or whether you're in the process of accomplishing an awesome transformation, the photos are sure to providesome serious motivation:
Plus, if you have a second, feel free to vote for your favorites. Your vote helps determine who walks away with $20,000.
The thing i really like about this particular transformation presentation is that these are real people showing real results and offer a great reality check about what any of us can expect from just getting on board with good nutrition practices. Real, not airbrushed.Related Posts
- Support for Human Support in Body Comp success stories
- habits and eating: change is pain and how to address that
- PN package notes
- exercise without diet dosn't equal weight loss.
- Georgie Fear and the Dig In (PN hip) Lean Eating Cook Book overview
PDF
Monday, December 14, 2009
Pelvis Power: getting the hip joint in hip drive for increased power and position strength
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A lot of folks have been told in order to add power to the hip extension in a deadlift or kettlebell swing, snatch or squat to squeeze their butt at the top, tense the glutes, etc etc. Physiologically, kinetically, it seems we get more power if we focus on the other side of the pelvis - anterior rather than posterior. Rather than thinking about the butt tightening, think about the hips rotating out. Allow me to explain.
But first, a bit of context: this tip was demo'd for me by Z-Health Master Trainer & RKC Lou McGovern of Essential Strength when Lou was helping me to hone my rather dire longboarding skills. Let me also say that Lou is a fabulous trainer. If you want to get better and ANYTHING you are doing with movement, and happen to be anywhere around San Diego, seek him out. You will be well recompensed for your efforts.
Ok Second to the point at hand, as Lou asked me "where are the hips?"
If you (as i did) pointed to your thighs, we have to think deeper. The joint where the femur connects to the pelvis is well inside the leg, rather a handspan out from the crotch to the joint.
The idea is to think about this joint and consciously turn the thigh out (externally rotate).
If you put your hand on that area of your leg, and do this motion, you can feel the hip joint move.
At the same time you do this, you'll aslo feel your glute muscles tense as well.In contrast, you can clench your butt without engaging the hips.
Cranking Up the Strength. Which is stronger? Butt clenching or Hip Joint Out?
Lou demonstrated the difference between these two positions by having me stand in neutral stance, putting my arms straight out in front of me.
He then asked me just to clench my butt, and from there he pressed down on my outstretched arms. Which came down.
He then asked me to reset my arms and this time think about rotating my hips out. He then tried to push down on my arms again. They were much stronger this time (they didn't get shoved down).
Echoes in Powerlifting Cues? In a quick exhange about this tip with Pavel, Pavel asked if this were the same idea as powerlifters "screwing their feet into the floor." Lou said, yes, it's just thinking about the other end of the movement, too, in a bone ryhthm way (see this post on the viking push press for a bit more on bone rhythm).
In other words, in the screwing the feet into the floor in a squat, one plants the feet, let's say parallel to each other, and rotates out against the foot plant. In the hip turn, now we're thinking about not just the feet turning out but the hip (the top of the leg, really) as well.
aside: This approach of rotating out against a fixed point seems similar to how Pavel describes the hand/arm position for the one arm push up in Power to the People.
Trying it Out. If you give this move a go when swinging a KB or deadlifting or squatting, you may find the move is stronger, smoother, easier. Personally i find on the squat this coordinated move makes it easier to keep my knees where they're supposed to be. Likewise on the top of the swing, if i think about turning my hips out, i don't have to think about driving the hips forward or "snapping" them - the snap happens as a result of the hip movement.
Conceptually. I like this approach: the concept of the hip snap, while i've been doing it for the swing and snatch in particular, has felt like Something We Just Do to get the hips forward. With the notion of rolling the hips out, which results in the pelvic thrust AND the glute contraction and pelvic muscles getting worked too, it seems to simplify the "what to do" meaning there's less to check on the move check list - at least for me. Your mileage may vary.
Likewise, at least for me, what Lou has brought to what is perhaps a set of well known hip tropes for many lifters is to really think about *what do we mean by the hips?" Just that simple point of really gettting WHERE that joint actually IS in the movement has been huge. The "hip" seems so amorphous. What is that, now that i think about it (or thought about it then). But by actually getting at the notion of the joint and the joint action, things open up. It makes all the metaphors of feet screwing and hip thrusting and butt clenching kinda happen. That's what makes a great coach for someone, is that that person can connect in a meaningful way a good mental model for the athlete. Thanks Lou.
Give it a Go? If you want to try this, please by all means try the arms out, butt clench, and then arms out hips rotate front/out with someone pressing down on the arms to feel the difference. IF no one is around to test this, simply try this move with your squat or swing and see what you think. Let me know.
UPDATE:
Many thanks to Ken Froese at the DD Forum for pointing out this vid of Lou talking about spinning out the hips in the context of an overhead kb press. A key point in the vid (and it's so CLEAR after it's explained, like duh) is that it locks out the hip hinge part of a lift (like the clean with a kb) so that, with the hinge gone, there's a really stable platform - less give. That's yet one more reason this technique is so potent. Here's Lou:
Related Posts
But first, a bit of context: this tip was demo'd for me by Z-Health Master Trainer & RKC Lou McGovern of Essential Strength when Lou was helping me to hone my rather dire longboarding skills. Let me also say that Lou is a fabulous trainer. If you want to get better and ANYTHING you are doing with movement, and happen to be anywhere around San Diego, seek him out. You will be well recompensed for your efforts.
Ok Second to the point at hand, as Lou asked me "where are the hips?"If you (as i did) pointed to your thighs, we have to think deeper. The joint where the femur connects to the pelvis is well inside the leg, rather a handspan out from the crotch to the joint.
The idea is to think about this joint and consciously turn the thigh out (externally rotate).
If you put your hand on that area of your leg, and do this motion, you can feel the hip joint move.
At the same time you do this, you'll aslo feel your glute muscles tense as well.In contrast, you can clench your butt without engaging the hips.
Cranking Up the Strength. Which is stronger? Butt clenching or Hip Joint Out?
Lou demonstrated the difference between these two positions by having me stand in neutral stance, putting my arms straight out in front of me.
He then asked me just to clench my butt, and from there he pressed down on my outstretched arms. Which came down.
He then asked me to reset my arms and this time think about rotating my hips out. He then tried to push down on my arms again. They were much stronger this time (they didn't get shoved down).
Echoes in Powerlifting Cues? In a quick exhange about this tip with Pavel, Pavel asked if this were the same idea as powerlifters "screwing their feet into the floor." Lou said, yes, it's just thinking about the other end of the movement, too, in a bone ryhthm way (see this post on the viking push press for a bit more on bone rhythm).
In other words, in the screwing the feet into the floor in a squat, one plants the feet, let's say parallel to each other, and rotates out against the foot plant. In the hip turn, now we're thinking about not just the feet turning out but the hip (the top of the leg, really) as well.
aside: This approach of rotating out against a fixed point seems similar to how Pavel describes the hand/arm position for the one arm push up in Power to the People.
Trying it Out. If you give this move a go when swinging a KB or deadlifting or squatting, you may find the move is stronger, smoother, easier. Personally i find on the squat this coordinated move makes it easier to keep my knees where they're supposed to be. Likewise on the top of the swing, if i think about turning my hips out, i don't have to think about driving the hips forward or "snapping" them - the snap happens as a result of the hip movement.
Conceptually. I like this approach: the concept of the hip snap, while i've been doing it for the swing and snatch in particular, has felt like Something We Just Do to get the hips forward. With the notion of rolling the hips out, which results in the pelvic thrust AND the glute contraction and pelvic muscles getting worked too, it seems to simplify the "what to do" meaning there's less to check on the move check list - at least for me. Your mileage may vary.
Likewise, at least for me, what Lou has brought to what is perhaps a set of well known hip tropes for many lifters is to really think about *what do we mean by the hips?" Just that simple point of really gettting WHERE that joint actually IS in the movement has been huge. The "hip" seems so amorphous. What is that, now that i think about it (or thought about it then). But by actually getting at the notion of the joint and the joint action, things open up. It makes all the metaphors of feet screwing and hip thrusting and butt clenching kinda happen. That's what makes a great coach for someone, is that that person can connect in a meaningful way a good mental model for the athlete. Thanks Lou.
Give it a Go? If you want to try this, please by all means try the arms out, butt clench, and then arms out hips rotate front/out with someone pressing down on the arms to feel the difference. IF no one is around to test this, simply try this move with your squat or swing and see what you think. Let me know.
UPDATE:
Many thanks to Ken Froese at the DD Forum for pointing out this vid of Lou talking about spinning out the hips in the context of an overhead kb press. A key point in the vid (and it's so CLEAR after it's explained, like duh) is that it locks out the hip hinge part of a lift (like the clean with a kb) so that, with the hinge gone, there's a really stable platform - less give. That's yet one more reason this technique is so potent. Here's Lou:
Related Posts
- Kettlebell Front Squat and the Perfect Rep
- Arthrokinetic Reflex
- Deadlift Resources
Sunday, December 13, 2009
Return of the Kettlebell Swing. Awesome Endurance Strength, Full Body, Technique Rich Finisher via Running the Bells
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What to do when your practice/training/work session is not quite as long as you'd like it to be but you just can't keep going with your main effort? For me, the hardstyle kettlebell Swing is the Answer, and in particular, running the bells with the swing is becoming a great finisher - at least for me. Here's an example scenario you may find useful.
Recently, in an effort to improve my endurance strength and get my overall workout volume up a bit, i've been adding in 15/15 Viking Warrior Conditioning (review) days as a complement to my Return of the Kettlebell work (some experiences with the RTK protocol documented here).
As folks who get into snatching a kb a lot know, this can be grief-ful for one's hands as technique and adaptation occur. Rather than going all out, therefore, i've been gating my sets by my hands: if a callus starts to get that dread gonna tear dry pully feeling, i quit. Yesterday, i likely should have rowed instead to give my hands a break, but taped one hand instead, and did the work. Quit when the hand actually got sore in the callus area. Pain is a signal for change. Ok. I'll change. But to what?
Stopping sooner than the rest of me might wish with the snatches, what to do to keep the heart rate up into that working level similar to the VWC and get in a full time work set? The approach i've come up with is one variant of running the bells.
Running the bells, described previously, is a thing i think i may have originated for simulating hills workouts: one lines up bells of different sizes and goes from lighter to heavier back and forth nonstop.
In this variant, drawing on Pavel's love of ladders, i thought i might try that with a Run.
TO that end, i lined up a 20, 12 and 16, and did a back and forth run with the 20 as the increment marker. The 12 in the middle became a nice recovery set where i could focus on technique and overspeed work. So the sets went like this
280 swings, i'm guessing about 10-12 minutes work (100 swings takes me about 3-4 mins i think)
Obviously there are other ways to vary this - add in another bell; keep adding rungs, whatever.
Progress towards Owning my Swing.
What i find kinda nice with this short session/finisher is that it lets me focus on the swing. I've written before i think about how in order to keep my heart rate up between RTK sets, and DOMS down (more about cardio=reduced doms), i use a really light bell, and do 50 swings (about 2 mins) for active recovery between ladders. This has let me focus on technique with such a small load. It's been great to have this as the swing is otherwise not at this point a core part of my diet. But it is such a beautiful move.
So what i've found with a short session of running the bells this way is that each weight brings attention to a different technique aspect. The 20 seems to get focus on lower lats, keeping these open and hip drive. The 12, as said, is mainly speed and pelvic rotation (i'll come back to that latter point in another post), the 16 is general connected form. That's nice. It's really an interesting practice to do these small bursts of focused attention on the distinct challenges of particular loads. Likewise there's sufficient load effort overall with the ladders for real work to be done, if heart rate is an indicator.
Advantages, Heart rate stays up, it's a kind of interval work because of the recovery in the lighter load reps, pretty much all aspects of the double handed swing get worked, including strengthening my hands/grip which will help for the snatch.
I like it. If you give it a go as a finisher for one of your sets, please let me know.
Related Posts:
Recently, in an effort to improve my endurance strength and get my overall workout volume up a bit, i've been adding in 15/15 Viking Warrior Conditioning (review) days as a complement to my Return of the Kettlebell work (some experiences with the RTK protocol documented here).
As folks who get into snatching a kb a lot know, this can be grief-ful for one's hands as technique and adaptation occur. Rather than going all out, therefore, i've been gating my sets by my hands: if a callus starts to get that dread gonna tear dry pully feeling, i quit. Yesterday, i likely should have rowed instead to give my hands a break, but taped one hand instead, and did the work. Quit when the hand actually got sore in the callus area. Pain is a signal for change. Ok. I'll change. But to what?Stopping sooner than the rest of me might wish with the snatches, what to do to keep the heart rate up into that working level similar to the VWC and get in a full time work set? The approach i've come up with is one variant of running the bells.
Running the bells, described previously, is a thing i think i may have originated for simulating hills workouts: one lines up bells of different sizes and goes from lighter to heavier back and forth nonstop.
In this variant, drawing on Pavel's love of ladders, i thought i might try that with a Run.
TO that end, i lined up a 20, 12 and 16, and did a back and forth run with the 20 as the increment marker. The 12 in the middle became a nice recovery set where i could focus on technique and overspeed work. So the sets went like this
First Rung: 20*10swings 12*10swings 16*10swings 12*10swings ---- 40swings | Second rung 20*15swings 12* 15swings 16* 15swings 12* 15swings ------------- 60 swings | Third Rung 20*20swings 12*20swings 16*20swings 12*20swings -------------- 80 swings | Fourth Rung 20*25swings 12*25swings 16*25swings 12*25swings ------------ 100 swings |
280 swings, i'm guessing about 10-12 minutes work (100 swings takes me about 3-4 mins i think)
Obviously there are other ways to vary this - add in another bell; keep adding rungs, whatever.
Progress towards Owning my Swing.
What i find kinda nice with this short session/finisher is that it lets me focus on the swing. I've written before i think about how in order to keep my heart rate up between RTK sets, and DOMS down (more about cardio=reduced doms), i use a really light bell, and do 50 swings (about 2 mins) for active recovery between ladders. This has let me focus on technique with such a small load. It's been great to have this as the swing is otherwise not at this point a core part of my diet. But it is such a beautiful move.
So what i've found with a short session of running the bells this way is that each weight brings attention to a different technique aspect. The 20 seems to get focus on lower lats, keeping these open and hip drive. The 12, as said, is mainly speed and pelvic rotation (i'll come back to that latter point in another post), the 16 is general connected form. That's nice. It's really an interesting practice to do these small bursts of focused attention on the distinct challenges of particular loads. Likewise there's sufficient load effort overall with the ladders for real work to be done, if heart rate is an indicator.
Advantages, Heart rate stays up, it's a kind of interval work because of the recovery in the lighter load reps, pretty much all aspects of the double handed swing get worked, including strengthening my hands/grip which will help for the snatch.
I like it. If you give it a go as a finisher for one of your sets, please let me know.
Related Posts:
- cardio workouts with KB's
- does cardio interfer with strength training? how bout no?
- Why not train through pain?
Tracy Reifkind Showing How the Hard Style Swing is Done, Cooked, and Served Up
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Friday, December 11, 2009
Farmed Salmon: Health and Environment Concerns. Dam
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As someone who prefers to be meat free in protein selections, i've often said to 
colleagues if it's a choice between me or the cow, however, the cow is going down. Fish is sometimes my get out of jail free-er card. Asphyxiated rather than slaughtered? oh sure, send it on over. But now even that escape clause has taken a beating, particularly with the restaurant faves like salmon. Farmed salmon in particular is not the happy fish experience i'd thought it was, and this from a myriad of reasons. So dam tuna nets catching dolphins. Farmed salmon's gotta go for now too. Here' part of what's informed that decision.
Many sites concerned with marine ecology will tell you the same as the following, but the Monterey Bay Aquarium is famous for it's expertise in this area. Here's what they say:
dam. Some sites do talk about making farming of salmon "better" so that one can have it (a)
cheaper than wild (b) any time of year, but these suggestions don't seem to be largely tested (like changing the feed). SUch sites also suggest "Use vaccines and other preventative measures to minimize disease and thus drug usage" With many of us going organic to get away from drugs in livestock, this doesn't seem like a happy approach, surely, does it?
Here's another fun fact: 1lb of farmed salmon costs three pounds of wild fish as food. Ironic, no? The farmed stock can also be genetically modified, and as most of us have heard, there are still risks around tame salmon mixing with the wild population. But even their fishy excrement getting out into the ocean beds or lakes that are their set ups is also problematic for the rest of the environment.
I said PCB's right?
They're also just as packed in there areas as cattle and chicken are in factory farms. The environmental impact isn't quite up there, but it's close. Wow. super (here's an overview on a few of the above points). Farming does not mean "husbandry" in the traditional sense of the term, eh? The irony is, back in 2003, farmed salmon was really hurting salmon salmon, too. Now we know it's affecting fish stocks on the smaller fishes that are fed to salmon.
I'm not claiming the above is exhaustive, but it's given me pause to ask about the source of the salmon, and to think a little more closely on how to prep for those dining out occaisions that mayn't afford the protein source i'm ok with, so how might i work around that so that if the choice seems to be farmed salmon on not, not going with that source is ok in terms of that's day's perceived nutrient needs. pass the salad. Tweet Follow @begin2dig
colleagues if it's a choice between me or the cow, however, the cow is going down. Fish is sometimes my get out of jail free-er card. Asphyxiated rather than slaughtered? oh sure, send it on over. But now even that escape clause has taken a beating, particularly with the restaurant faves like salmon. Farmed salmon in particular is not the happy fish experience i'd thought it was, and this from a myriad of reasons. So dam tuna nets catching dolphins. Farmed salmon's gotta go for now too. Here' part of what's informed that decision.Many sites concerned with marine ecology will tell you the same as the following, but the Monterey Bay Aquarium is famous for it's expertise in this area. Here's what they say:
Health Alert
Environmental Defense Fund has issued a health advisory for farmed salmon due to high levels of PCBs.
Summary
Most salmon are farmed in open pens and cages in coastal waters. Waste from these farms is released directly into the ocean. Parasites and diseases from farmed salmon can spread to wild fish swimming near the farms.
One of the biggest concerns is the amount of food required to raise salmon in farms. It generally takes three pounds of wild fish to grow one pound of farmed salmon.
Segments of the salmon farming industry are improving their practices, but the environmental impact is still increasing because production has risen more than 400% in the last decade. In the market, there is currently no way to tell which salmon are coming from the more sustainablefarms, so for we’ve placed all farmed salmon on the “Avoid” list. Choose wild-caught salmon instead.
dam. Some sites do talk about making farming of salmon "better" so that one can have it (a)
cheaper than wild (b) any time of year, but these suggestions don't seem to be largely tested (like changing the feed). SUch sites also suggest "Use vaccines and other preventative measures to minimize disease and thus drug usage" With many of us going organic to get away from drugs in livestock, this doesn't seem like a happy approach, surely, does it?Here's another fun fact: 1lb of farmed salmon costs three pounds of wild fish as food. Ironic, no? The farmed stock can also be genetically modified, and as most of us have heard, there are still risks around tame salmon mixing with the wild population. But even their fishy excrement getting out into the ocean beds or lakes that are their set ups is also problematic for the rest of the environment.
I said PCB's right?
They're also just as packed in there areas as cattle and chicken are in factory farms. The environmental impact isn't quite up there, but it's close. Wow. super (here's an overview on a few of the above points). Farming does not mean "husbandry" in the traditional sense of the term, eh? The irony is, back in 2003, farmed salmon was really hurting salmon salmon, too. Now we know it's affecting fish stocks on the smaller fishes that are fed to salmon.
I'm not claiming the above is exhaustive, but it's given me pause to ask about the source of the salmon, and to think a little more closely on how to prep for those dining out occaisions that mayn't afford the protein source i'm ok with, so how might i work around that so that if the choice seems to be farmed salmon on not, not going with that source is ok in terms of that's day's perceived nutrient needs. pass the salad. Tweet Follow @begin2dig
Tuesday, December 8, 2009
Thoughts on Low Back Pain - When in Chronic Pain Hell
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THis post started life as a reply to someone having "horrible back pain". I'd seen three of these "what can i do about my low back pain" in one day. No kidding it's one of the biggest reasons that stop folks from working or working out. It is hell.
The point of this post is to offer what may be an alternative perspective about back pain that says it mayn't be about the back; it may be about pain processes in the brain, and if we work with a model of pain, and of movement, even chronic stuff like the seemingly unsurmountable of low standing back pain can unwind. Let me further preface this by saying, in no way am i saying the pain is "all in one's head" or not real. It's real, alright. The shape of that reality, however, may be richer that we initially may think.
Going Chronic This post is motivated by the fact that a lot of folks ask about low back pain issues after they've had them for awhile. They've gone from acute - a sudden sharp pain brought on by a specific movement pretty predictably - to something chronic that can be a constant presence, as well as flaring up from time to time, but without a specific acute area that's sharp. It's a nasty thing that can, when flaring, debilitate a person. It is the proverbial monkey on the back, and it can make ya cry. I could go on and on.
In such advice-seeking experiences, many folks recommend chiros, phyiscal therapists, massage, exercises for the low back muscles and so on. All these things can bring benefit. In my experience though, if that back pain has been going on for months/years we're talking chronic, manually therapy has a much harder time addressing this. In my own experience, muscle work like yoga and kettlebells has brought some relief - more so than manual therapies - but not eliminated the problem.
The following offers some other ideas for dealing with low back pain - both at an early and definitely at an ongoing stage. The focus is really on models of pain as opposed to particular back issues.
context
First of all some context: me: like most folks with low back stuff - compressed l4/l5, long history of chronic back stuff. Chiro, pt, acupuncture, orthotics, heel lifts. shots and surgery offered - na thanks.
On the more physical approaches, as said, Yoga therapy worked a bit better than anything else; kettlebell swinging really helped but still chronic flare ups. Both these approaches were based on the theory that the muscles in the back are potentially weak or out of balance and needed to be rebuilt. As said, helped a lot but the chronic flare ups were not addressed; ROM still limited by pain etc. So rebuilding alone is not (at least for me) a complete answer.
Like a few who've been dealing with low back pain for awhile, a lot of money has already been spent for treatments that would hold for only a short time getting off the table. likewise there are models of back pain that suggest it's related to promarily to an emotional state - like anger or job dissatisfaction. Treat the anger; get rid of the pain. I'd encourage folks who are interested in this to investigate further with work like John Sarno's Mind/Body connection, where back pain is seen as psychosomatic, and an example of "Tension myosititis syndrome"
aside. I'd note that the first key study, the Boeing Prospective Study, widely studied and critiqued, that first suggested that the only consistent correlation with back pain was job dissatisfaction was done with shop floor workers (people who spend a lot of time on their feet). When the study was re-run with people who work at desks and also have high incidence of back pain that specific correlation did not, alas hold (pdf). What did hold is that, as we know about pain now, context plays a not insignificant role in pain creation/management. Or as some put it, psychosocial AND biomechanical issues can promote causes.
Work in what pain is, and how it works in the brain, however, shows that pain is toujours deja multi-factorial, and highly context dependent. BUT work in pain also shows that as it does manifest itself in very real neural adaptations. More on this below around "central wind up."
Breakthrough with the Percpetual Systems
During the six days of the Z-health R-phase certification, i had a couple sessions with Eric Cobb. He looked at not only movement (what Z-health is perhaps best known for) but vision and balance stuff as well. The experience was huge and transformative.
Since then i and colleagues have worked with TONS of athletes with chronic low back issues and have been able to help them move through the chronic-icity. How does this approach succeed where so many have not?
getting to the nervous system
Z-health puts the nervous system first by focusing on proprioception, and visual and vestibular perceptions of the world. The approach of nervous system first (aka threat modulation) always seems to have immediate benefit. The main approach is to check a person's responses to movement, and also visual and vestibular cues. The approach is critically largely active on the part of the participant, likewise invoking motor learning in grooving pain free patterns.
To summarise some reasons for this integrated approach:
low back: location of pain receptors for ANY pain event?
Here's something else about low back stuff. Lots of folks have compressed disks or degenerated discs, or scoliosis and have NO pain - so, especially when the pain becomes chronic - is the site of pain the source of the pain? maybe not.
site of pain mayn't be source of pain
Here's why: The back is a hugely important and highly stressed area of the body. An anthropologist colleague of mine swears it's an example of terrible/incomplete evolution. In some models of the body, the back like a big X - things cross from the right side on the lower body up to the left side of the upper body. So the low back again is a HUGE junction for LOTS of information.
As pain goes up, ironically sometimes with repeated poking via movement during an acute stage (that wretched "train through pain" thing), the number of nociceptors (the nerves that detect noxious stimulus) go up; mechanorecpetors that signal movement/position go down or get shut down. Normally, when mechanoreceptive stimulation more or less outnumbers nociceptive stimulation, the pain signal is effectively drownd out. That effect, in other words, can get broken.
AND what's worse is that there seems to be evidence that MORE nociceptive nerves sprout with increased immobility: the more we might reflexively try to protect our back by not moving it, the more we may be contributing to signaling that will continue to amp up any pain signal.
rewiring the back over time to be THE pain receiver
What these changes amount to with chronic pain, or as pain goes chronic is sometimes refered to as neural chunking or central wind up (more here and here). In other words, at this point, any pain/stress signals from anywhere may just start to manifest in the low back - that's become our response zone. That doesn't mean the pain is not happening; just that the brain/nervous system is now routing pain signaling through that super sensitive place. and it has been super sensitized, and so it may well be amplifying what's happening, too.
It's because of all this neuro-chemical soup (to use david butler's analogies from the Senstive Nervous System) happening that sometimes looking for issues in a back joint is not going to "unwind" the pain issue.
So to all you folks who have tried everything and are frustrated and in low back hell? may i recommend considering an active/neurologically sensitive approach? In brief, this means in part, begin to move. But also check what else may be inhibiting good movement.
As to the first part of that suggestion, if you'd like to see the research, Mike Nelson did a nice piece a year ago looking at the literature on why lumbar motion is such a good tonic for the back.
This doesn't necessarily mean huge movements, but it does mean, it seems, working towards full range of motion work in the back - and of course muscular work can be hugely beneficial for a number of reasons here to support that mobility (controlled movement) - but without that specific attention to ROM - something back muscle work alone does not necessarily afford - the benefit mayn't be complete.
Additionally, it may be critical to connect that proprioceptive signaling (nociceptors and mechanoreceptors that modulate signals that get interpretted as pain or not) with the rest of the perceptual systems: vestibular and visual.
Speaking for myself, it was not until my mobility work got hooked up with what turned out to be visual rehab work that my back pain started unwinding. Not this is necessarily the case with everyone, but with me, once the visual work got going, the speed of the unwinding was profound. I mean super rapid, overnight kind of profound.
Release. For anyone who's had low back pain, or has it now, you know what a prison it can feel like: will i ever be able to put my socks on without pain? pick something up from the ground without pain? drive or get in or out of a car without pain? sit and work without pain? bathe without pain?
Speaking for myself, yes. Before working with this approach, i used to get pain-free moments when i'd bend over to pick something up, and there'd be no pain. Nothing. normal. It was like a miracle. The number of times this happened over a decade i could count on one hand. i remember once starting to cry because it felt so incredible and i knew it wasn't going to last, and i so wanted it to last. Perhaps some of you can relate to that?
Understanding Pain and the Role of Movement to Reclaim Life
So, what all the above is speaking to is two things: getting a handle on what's happening with
pain, and getting an approach to movement/nervous system communication that can start to rewire the very neurological and brain-based experience of pain. In the book Explain Pain, this is largely David Butler's advice: learn how pain works; learn how to move.
To this i have only added what z-health refines a wee bit: movement is a great way to talk to the nervous system. Remember that visual and vestibular issues may also be contributors to pain, so find a way to check that and engage them in one's movement rehab practice.
Doing It for Herself/Himself
What is a movement rehab practice that will also check the visual and vestibular?
Best approach: see a movement specialist for a Movement Assessment (what that is). In this list, preferably look for someone with either S or T certifications (or both), or a master trainer.
Likewise, if someone's not close with the qualifications, i do video consults, too (use the email link on this post to request info).
Secondary & Complementary approach: get a joint mobility program into your life. Moving each joint through a range of motion is an amazingly good way to talk to the nervous system. here's more on why and if you scroll down to "dig in" there's some recommended places of guided packages for that, eg the "level 1" kit.
The best part is, really, when we have an better understanding of how pain works, and how the nervous system works in terms of proprioception, vision and the vestibular sysetms, there's a path to start unwinding that. AND YOU DO IT FOR YOURSELF so it sticks.
The big take away seems to be that especially chronic low back pain is frequently not about the joints - pain is way more interesting and intriguing it seems than that, but it does make sense that the low back is where so much chronic pain gets filtered.
Moving towards an active, neurologically centered approach, based on an understanding of pain, may well offer the breakthrough that you seek.
The best part is, you will know, more or less on the spot, if this practice offers you the relief you seek, and each practice session will only enhance that benefit. Really - that's just how fast the nervous system works. Tweet Follow @begin2dig
Going Chronic This post is motivated by the fact that a lot of folks ask about low back pain issues after they've had them for awhile. They've gone from acute - a sudden sharp pain brought on by a specific movement pretty predictably - to something chronic that can be a constant presence, as well as flaring up from time to time, but without a specific acute area that's sharp. It's a nasty thing that can, when flaring, debilitate a person. It is the proverbial monkey on the back, and it can make ya cry. I could go on and on.
In such advice-seeking experiences, many folks recommend chiros, phyiscal therapists, massage, exercises for the low back muscles and so on. All these things can bring benefit. In my experience though, if that back pain has been going on for months/years we're talking chronic, manually therapy has a much harder time addressing this. In my own experience, muscle work like yoga and kettlebells has brought some relief - more so than manual therapies - but not eliminated the problem.
The following offers some other ideas for dealing with low back pain - both at an early and definitely at an ongoing stage. The focus is really on models of pain as opposed to particular back issues.
context
First of all some context: me: like most folks with low back stuff - compressed l4/l5, long history of chronic back stuff. Chiro, pt, acupuncture, orthotics, heel lifts. shots and surgery offered - na thanks.
On the more physical approaches, as said, Yoga therapy worked a bit better than anything else; kettlebell swinging really helped but still chronic flare ups. Both these approaches were based on the theory that the muscles in the back are potentially weak or out of balance and needed to be rebuilt. As said, helped a lot but the chronic flare ups were not addressed; ROM still limited by pain etc. So rebuilding alone is not (at least for me) a complete answer.
Like a few who've been dealing with low back pain for awhile, a lot of money has already been spent for treatments that would hold for only a short time getting off the table. likewise there are models of back pain that suggest it's related to promarily to an emotional state - like anger or job dissatisfaction. Treat the anger; get rid of the pain. I'd encourage folks who are interested in this to investigate further with work like John Sarno's Mind/Body connection, where back pain is seen as psychosomatic, and an example of "Tension myosititis syndrome"
aside. I'd note that the first key study, the Boeing Prospective Study, widely studied and critiqued, that first suggested that the only consistent correlation with back pain was job dissatisfaction was done with shop floor workers (people who spend a lot of time on their feet). When the study was re-run with people who work at desks and also have high incidence of back pain that specific correlation did not, alas hold (pdf). What did hold is that, as we know about pain now, context plays a not insignificant role in pain creation/management. Or as some put it, psychosocial AND biomechanical issues can promote causes.
Work in what pain is, and how it works in the brain, however, shows that pain is toujours deja multi-factorial, and highly context dependent. BUT work in pain also shows that as it does manifest itself in very real neural adaptations. More on this below around "central wind up."
Breakthrough with the Percpetual Systems
During the six days of the Z-health R-phase certification, i had a couple sessions with Eric Cobb. He looked at not only movement (what Z-health is perhaps best known for) but vision and balance stuff as well. The experience was huge and transformative.
Since then i and colleagues have worked with TONS of athletes with chronic low back issues and have been able to help them move through the chronic-icity. How does this approach succeed where so many have not?
getting to the nervous system
Z-health puts the nervous system first by focusing on proprioception, and visual and vestibular perceptions of the world. The approach of nervous system first (aka threat modulation) always seems to have immediate benefit. The main approach is to check a person's responses to movement, and also visual and vestibular cues. The approach is critically largely active on the part of the participant, likewise invoking motor learning in grooving pain free patterns.
To summarise some reasons for this integrated approach:
- it works with the nervous system - the body's governing system (what runs joints and muscles)
- it is active rather than passive (about the differences between the two, with video): you are moving yourself rather than being manipulated, which fires of thousands more signals in the body to learn new patterns than manipulations so benefits stick.
- it works in large part on threat reduction: the latest work on pain says pain is an action signal. it means change something. finding the right thing to change is part of the assessment process. i've yet to work with anyone who hasn't had immediate and significant pain reduction (or elimination) and that only improves as they continue to do the work FOR THEMSELVES.
low back: location of pain receptors for ANY pain event?
Here's something else about low back stuff. Lots of folks have compressed disks or degenerated discs, or scoliosis and have NO pain - so, especially when the pain becomes chronic - is the site of pain the source of the pain? maybe not.
site of pain mayn't be source of pain
Here's why: The back is a hugely important and highly stressed area of the body. An anthropologist colleague of mine swears it's an example of terrible/incomplete evolution. In some models of the body, the back like a big X - things cross from the right side on the lower body up to the left side of the upper body. So the low back again is a HUGE junction for LOTS of information.
As pain goes up, ironically sometimes with repeated poking via movement during an acute stage (that wretched "train through pain" thing), the number of nociceptors (the nerves that detect noxious stimulus) go up; mechanorecpetors that signal movement/position go down or get shut down. Normally, when mechanoreceptive stimulation more or less outnumbers nociceptive stimulation, the pain signal is effectively drownd out. That effect, in other words, can get broken.
AND what's worse is that there seems to be evidence that MORE nociceptive nerves sprout with increased immobility: the more we might reflexively try to protect our back by not moving it, the more we may be contributing to signaling that will continue to amp up any pain signal.
rewiring the back over time to be THE pain receiver
What these changes amount to with chronic pain, or as pain goes chronic is sometimes refered to as neural chunking or central wind up (more here and here). In other words, at this point, any pain/stress signals from anywhere may just start to manifest in the low back - that's become our response zone. That doesn't mean the pain is not happening; just that the brain/nervous system is now routing pain signaling through that super sensitive place. and it has been super sensitized, and so it may well be amplifying what's happening, too.
It's because of all this neuro-chemical soup (to use david butler's analogies from the Senstive Nervous System) happening that sometimes looking for issues in a back joint is not going to "unwind" the pain issue.So to all you folks who have tried everything and are frustrated and in low back hell? may i recommend considering an active/neurologically sensitive approach? In brief, this means in part, begin to move. But also check what else may be inhibiting good movement.
As to the first part of that suggestion, if you'd like to see the research, Mike Nelson did a nice piece a year ago looking at the literature on why lumbar motion is such a good tonic for the back.
This doesn't necessarily mean huge movements, but it does mean, it seems, working towards full range of motion work in the back - and of course muscular work can be hugely beneficial for a number of reasons here to support that mobility (controlled movement) - but without that specific attention to ROM - something back muscle work alone does not necessarily afford - the benefit mayn't be complete.
Additionally, it may be critical to connect that proprioceptive signaling (nociceptors and mechanoreceptors that modulate signals that get interpretted as pain or not) with the rest of the perceptual systems: vestibular and visual.
Speaking for myself, it was not until my mobility work got hooked up with what turned out to be visual rehab work that my back pain started unwinding. Not this is necessarily the case with everyone, but with me, once the visual work got going, the speed of the unwinding was profound. I mean super rapid, overnight kind of profound.
i remember once starting to cry because for a moment - i was out of pain - i knew it because could put on my socks without my back killing me - it felt so incredible and i knew it wasn't going to last, and i so wanted it to last...
Release. For anyone who's had low back pain, or has it now, you know what a prison it can feel like: will i ever be able to put my socks on without pain? pick something up from the ground without pain? drive or get in or out of a car without pain? sit and work without pain? bathe without pain?
Speaking for myself, yes. Before working with this approach, i used to get pain-free moments when i'd bend over to pick something up, and there'd be no pain. Nothing. normal. It was like a miracle. The number of times this happened over a decade i could count on one hand. i remember once starting to cry because it felt so incredible and i knew it wasn't going to last, and i so wanted it to last. Perhaps some of you can relate to that?
Understanding Pain and the Role of Movement to Reclaim Life
So, what all the above is speaking to is two things: getting a handle on what's happening with
pain, and getting an approach to movement/nervous system communication that can start to rewire the very neurological and brain-based experience of pain. In the book Explain Pain, this is largely David Butler's advice: learn how pain works; learn how to move.To this i have only added what z-health refines a wee bit: movement is a great way to talk to the nervous system. Remember that visual and vestibular issues may also be contributors to pain, so find a way to check that and engage them in one's movement rehab practice.
Doing It for Herself/Himself
What is a movement rehab practice that will also check the visual and vestibular?
Best approach: see a movement specialist for a Movement Assessment (what that is). In this list, preferably look for someone with either S or T certifications (or both), or a master trainer.
Likewise, if someone's not close with the qualifications, i do video consults, too (use the email link on this post to request info).
Secondary & Complementary approach: get a joint mobility program into your life. Moving each joint through a range of motion is an amazingly good way to talk to the nervous system. here's more on why and if you scroll down to "dig in" there's some recommended places of guided packages for that, eg the "level 1" kit.
The best part is, really, when we have an better understanding of how pain works, and how the nervous system works in terms of proprioception, vision and the vestibular sysetms, there's a path to start unwinding that. AND YOU DO IT FOR YOURSELF so it sticks.
The big take away seems to be that especially chronic low back pain is frequently not about the joints - pain is way more interesting and intriguing it seems than that, but it does make sense that the low back is where so much chronic pain gets filtered.
Moving towards an active, neurologically centered approach, based on an understanding of pain, may well offer the breakthrough that you seek.
The best part is, you will know, more or less on the spot, if this practice offers you the relief you seek, and each practice session will only enhance that benefit. Really - that's just how fast the nervous system works. Tweet Follow @begin2dig
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