How-To Manage Chronic Pain and Exercise

In this week's video, Drs. Austin Baraki and Jordan Feigenbaum discuss activity modification for chronic pain.
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[@grimtrigg3r]

Developed chronic back pain in my 40s. Dealt with depression and became sedentary. Discovered SS around 48 and BBM and Alan Thrall by 50. I'm 53 now and am in the best shape of my life. My back discomfort is just that, discomfort. It's transient. Interestingly, I recently took several weeks off while dealing with Hurricane Ida damage. Guess what flared up? Back on the train now and back to minimal discomfort.

[@moorejl57]

That thumbnail is like a scene from "Raised by Wolves", very nice!

[@Clay1337]

Thanks for the content. Feedback: The intro music for your videos is always extremely loud. Yours are the only videos that require me to adjust the volume on my speakers before I click on them. I think you could reduce the volume by about 50% on the intro music.

[@dripshameless5605]

Perfect timing. I literally saw an internist yesterday for my chronic lower back pain. Lol the doctor told me to stop exercising, especially deadlifts and prescribed me daily NSAIDs. I was thinking about how he could likely benefit from your approach (but didn't recommend it, he was in no mood for that)

[@pipp972]

What did your kidneys ever do to him?

[@TheDuffcat]

Any health professional who gives a black and white "stop exercising" is an automatic quack

[@Cin9999]

Pretty sure he just found out you deadlift more than him and needs time to catch up.

[@moistmayonese1205]

@@pipp972 Kidneys? What are you referring to? NSAIDs rarely cause kidney damage. Bigger concern is they do cause stomach ulcers in long term use, unless we are talking COX2 specific NSAIDs, such as etoricoxib.

[@mattc4266]

One of the most educational videos of all time

[@robertlevy4613]

Great thumbnail, awesome content as always

[@wildweight5110]

I keep hurting my back over and over from squats and deadlifts. It’s been going on since 2017. I had a consultation from Charlie Dickerson from barbell medicine and have been using you alls template. I just tweaked it again about a week ago. I’m so frustrated and discouraged and scared to squat and deadlift again. I’ve tried starting over again and again. I’m clueless on what to do.

[@ascendtoaesthetics]

what are you trying to achieve with barbell back squats and conventional deadlifts? which muscles are you looking to develop?

[@wildweight5110]

I’m just trying to be able to squat and deadlift for general health and not 1 rep maxes anymore. I just want to feel good and strong in everyday life. Would strengthening my core 360 degrees help?

[@suntzu7727]

@@wildweight5110 What do you do when you feel like you tweaked it?

[@pavlejovicic2463]

@@wildweight5110 Do you manage load? Do you care about your sleep, resting? Do you overreach all the time?

[@fredc1932]

All I want to know is was that thumbnail a contrived picture for this video or not

[@ssholum]

Was getting a lot of pain and weakness in my right wrist from lowbar squats, so I switched to highbar for my main squat movement. My wrist is doing a lot better, but I'm having a hard time getting comfortable with highbar squats. Just can't get the bar position consistent. Something to work on.

[@InvisibleHotdog]

I've been wondering how to manage chronic exercise but no one talks about it

[@WantDemPoints]

How do I manage tendinopathy in the elbow and knees?

[@ronpopeh3924]

That thumbnail should’ve been for the “unilateral exercise” video.

[@bygodsgrace86foreverandeve11]

A tightness behind my knee has been hurting for like two weeks. I have stayed off of it hoping it would go away but I can still feel it. Should I just try and start working out again or give it a week.

[@NunoAlexandreMB]

I'm not a doctor but in my experience keeping on moving has always been better than backing off. Start and do what you can and keep moving which is only good for the joints

[@bygodsgrace86foreverandeve11]

@@NunoAlexandreMB ok thanks !

[@loferski]

Not a doctor but bbm content will tell you to keep moving and adjust load, range of motion and intensity to pain tolerance. Motion is lotion.

[@SliPsHoTiFc]

I would recommend working out again. The goal of the session would be to not see an increase in pain during, after the workout. If the pain is not decreasing or gone on it's own. Why not try working out with it? Take it easy obviously, go around that 50-60% of your typical loads and progress from there, if there is pain at that load, drop the weight till no further pain is introduced. In my opinion, pain should have very little bearing on working out. What that means is, its okay to workout through pain, you just don't want to exacerbate the pain by doing too much. Often pain is due to overuse or too much fatigue without recovery. You can still create a bit of stress, which increases blood flow and you could potentially see a reduction in pain. Good luck with your knee. It will improve, the body heals and gets hurt over and over again. Sometimes it can feel as if the pain wont ever go away, I assure you, it will. ref: Kinesiologist, powerlifting coach. Heavily focused on pain rehab.

[@TheHaiku2]

You need to foam roll that bad boy with warm unsalted Irish butter, every five minutes for ten minutes at an RPE of 8. I'm not a doctor but that's what has worked for tight kneed people in KZbin comments before.

[@christbuilds7409]

LMFAO, I've been in pain daily for years.