cover of episode Dr. Stuart McGill: Build a Strong, Pain-Proof Back

Dr. Stuart McGill: Build a Strong, Pain-Proof Back

2024/7/15
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Stuart McGill 博士详细阐述了背痛的成因,认为其并非单一因素导致,而是基因、环境和心理社会因素共同作用的结果。他以犬种的差异为例,说明基因决定个体对压力的承受能力。他还解释了脊柱的结构、椎间盘形状以及关节突关节角度对脊柱柔韧性和承重能力的影响。在治疗方面,McGill 博士强调了全面评估的重要性,包括病史、目标、疼痛性质以及诱发疼痛的测试。他认为,治疗方案应根据疼痛类型和机制而定,有时需要绕过疼痛触发点进行训练,并控制训练的强度和次数,避免超过个体承受能力。他还介绍了虚拟手术的概念,以及如何通过调整训练方案来帮助患者恢复。 Andrew Huberman 则从访谈者的角度,提出了许多关于背痛预防和治疗的具体问题,例如如何根据自身情况选择合适的运动方式,如何避免过度训练,以及如何处理心理社会因素对背痛的影响等。他与 Stuart McGill 博士就各种训练方法、疼痛类型以及生物心理社会模型进行了深入探讨,并分享了自己的训练经验和心得。

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Dr. McGill discusses the complexity of back pain, emphasizing that it is a symptom with many potential causes and mechanisms.

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In this episode, my guest is Dr. Stuart McGill, Ph.D.), a distinguished professor emeritus of spine biomechanics at the University of Waterloo and a world expert on spine anatomy and physiology, back pain, and rehabilitation. We discuss the most common sources of back pain, how back pain can be assessed (including self-assessment techniques), and how to design a personalized recovery plan to reduce back pain.

We discuss how to train for lifelong fitness, reduce injury risk, and protect your back and joints based on your age and personal goals. We also discuss how to prevent back pain, build core stability, and explain how “McGill’s Big 3” exercises protect and strengthen the back. Dr. McGill, who is exceptionally fit in his late 60s, describes his low-time investment, personal training routine, and the specific exercises he uses for mobility, strength, and cardiovascular fitness.

We also discuss controversial issues in the back pain and rehabilitation field, including how pain originates, the biopsychosocial model of pain, and treatments such as platelet-rich plasma (PRP). This episode provides clear, actionable tools to strengthen, prevent, and remedy back pain and injury so you can be pain-free while enjoying sports, exercise, and daily activities at any age.

Access the full show notes for this episode at hubermanlab.com).

Watch the clip) on back pain relief and spine anatomy that accompanies this episode.

Demonstration of The McGill Method)

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Timestamps

00:00:00 Dr. Stuart McGill

00:02:33 Sponsors: Helix Sleep, BetterHelp & Waking Up

00:06:23 What Causes Back Pain?; Genetics, Dog Breed Analogy

00:12:55 Tool: Skeleton & Body Type; Spine Flexibility & Discs

00:20:25 Flexibility & Exercises; Discs & Collagen

00:25:43 Sponsor: AG1

00:27:32 Stress & Tipping Point; Athletic Tradeoffs, Triathletes

00:36:17 Back Pain, Goals & Training Program

00:45:57 Spine Hygiene, Back Pain, Powerlifting

00:53:33 Genetics & Running

00:59:34 Sponsor: LMNT

01:00:46 Rehabilitation & Reducing Volume; Injury

01:07:42 Tool: Training for Lifelong Fitness, Injury & Joints

01:17:40 Pain Types, Biopsychosocial Model of Pain

01:26:15 Coaching, Explosivity & Endurance

01:32:43 Virtual Surgery & Rest, Pain Recovery

01:41:25 Tool: McGill’s Big 3; Building Back Strength & Stability

01:46:39 Inversion Tables & Spine Deloading, Disc Bulge, Tool: Lumbar Support

01:51:09 Tool: Daily Walking; Sitting

01:55:33 Deadlift & Bone Density, Glute-Ham Raise

02:06:20 Training & Age, Osteoporosis, Tool: Deadlift Alternatives

02:16:47 Tools: Biblical Training Week; Spine Stability & McGill’s Big 3; Shrinking & Age

02:24:16 Platelet-Rich Plasma (PRP); Disc Damage

02:27:56 Tools: Biblical Training Week & Strength Exercises, Neck Strength

02:35:24 Tools: Sword Play, Distal Limb Loading, Training for Symmetry

02:42:38 Tools: Biblical Training Week, Mobility & Cardiovascular Exercises, Athletic Panel

02:49:22 Zero-Cost Support, YouTube, Spotify & Apple Follow & Reviews, YouTube Feedback, Protocols Book, Social Media, Neural Network Newsletter

Disclaimer & Disclosures)