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Tuesday 160510

TitanFit Test

2:00 at each exercise 2:00 rest between
Box Jumps
Pull-Ups
Burpees
KB Swings (1.5/1)
Wall Ball Shots
Push-Ups (games style)
Air Squats (full extension at the top)
Row (Cals)
TTB
Assault Bike

From Evidence in Motion

The Power of Images

Resolution of Herniation

 

 

 

 

 

 

 

 

I speak frequently about the continued overutilization of diagnostic imaging in the management of musculoskeletal disorders.  As humans we are use to looking at wrinkles on the outside.  Some of us may choose to inject the wrinkes with a poison to paralyze the surrounding musculature in order to “flatten” them.  However, most agree that in and off themselves these wrinkles on the outside are pain free and a normal part of this wonderful journey we call life.  As humans we are not nearly as comfortable peering inside the body and seeing wrinkles on the inside.  This is not at all surprising as MRIs are a very recent invention (like while I was in high school and I am not that old). The vast majority of us have never even peered inside of our body except occasionally within our mouth and perhaps our nose (PS this trimmer has a light).   Those of us without visual deficits are used to seeing our reflection in a mirror and are not startled into making poor choices.  However, we need to look no further than wild animals (see here) who react strongly in various ways when confronted with this foreign image of self which is often scary.

At Manipalooza this past weekend in Denver I was surrounded by passionate PTs who are making a difference.  However, I continue to hear far too many stories about patients who are increasingly younger with musculoskeletal pain being “scared” into a surgery by showing a foreign image (i.e. an MRI of their body) and told that bad things will happen if they don’t act quickly with a surgical intervention.  It is not surprising that patients are scared sick.   Hopefully the recent image shown above in this short article from the New England Journal of Medicine will have an impact.  The article described a 29-year-old woman with new-onset right leg pain and paresthesia. There were no bowel or bladder symptoms. Magnetic resonance imaging (MRI) of the lumbar spine revealed a lumbar disk herniation resulting in substantial spinal stenosis and nerve-root compression. She elected conservative treatment with physical therapy and an epidural injection of glucocorticoids. A second MRI at 5 months showed resolution of the herniation.  Please share this example liberally, make posters on your wall, and send it to family members. Images are more powerful than words.   All surgery is not bad, however it should be a rare event when it comes to low back pain.

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Monday 160509

Workout

Grace

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Saturday 160507

Power-lifting Saturday!

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Friday 160506

Run 800m x2

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Thursday 160505

Workout

20:00 of:

Odd – 5 Pull-ups
Even – 10 Box Jumps

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Wednesday 160504

Workout

Back Squats
10 x45%
10 x55%
10 x65%
10 x50%

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Tuesday 160503

Workout

3:00 of:
2:00-Max Calories Rowing
1:00-Double Unders

rest 3:00

3:00 of:
2:00-Wall Ball Shots
1:00-Sit-ups

rest 3:00

3:00 of:
2:00 Assault Bike Calories
1:00-Pull-ups

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Monday 160502

Workout

“Badger”

3x
30-Squat Cleans 95/65
30-Pull-ups
800m Run

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Saturday 160430

Workout

10-135 lbs Power Snatch
60-Double Unders

15-115 lbs Power Snatch
40-Double Unders

20-95 lbs Power Snatch
20-Double Unders

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Friday 160429

Workout

“Nasty Girls”

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