Shapeshift Wellness offers a holistic solution for chronic low back pain and sciatica. We focus on evidence-based education, courses, and programs to teach you the "how" and the "why" so you can heal your own back pain and sciatica, and live the active life you love. Movement is medicine!
✅ Watch the MASTERCLASS on Low Back Pain & Sciatica:
www.shapeshiftwellness.com/LBP-masterclass
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Thank You SO Much ❤️ I really appreciate your time today, you are Amazing 🙏🏼 Jen Coombe Scottsdale AZ
Maybe im jaded from my injuries but videos like this can be very misleading. You said that 'herniations get better' multiple times but what it seems like what you actually mean, is that the expelled nucleus pulposus, or a bulged annulus can retract. That's great and leads to reduced symptoms but in the case of a herniation, there is still a tear in your disc meaning symtpoms can be right around the corner. I agree the medical field can be too surgery-oriented and im glad you touched in that but there are treatments that are far less invasive that you could have mentioned like PRP into surrounding structures, or discseel that attempts to seal the compromised annulus. My MRI results taken 4 years apart with careful exercise (no treatment) show that my herniated is "healed" but I have to be extremely careful to avoid pain and my quality of life is severely reduced. And don't say that's placebo, I got the first one after months of excruciating pain.
I think you might be missing the broader picture here. Let's take the "bad" side of the coin here and take an example where the disc does NOT heal, and it does NOT resorb. Even then, it doesn't really matter. Most human beings have pain-free disc herniations and it does not predict pain or even future injury. Disc herniations really just don't matter nearly as much as people think. So first of all, you're mistaken about the pathoanatomy of healing because not only does the disc resorb, but the annulus does to some extent heal... But you're still coming from what we call a "pathoanatomical" (outdated) model of assuming that "abnormal structure" predicts pain and injury, but research clearly shows this is simply not true. In fact, I was just reading a really cool study that showed psychosocial variables (like stress/anxiety/depression/fear) are MUCH better predictors of low back pain and disability than structural findings on a MRI or discography. Pretty interesting stuff. Best evidence shows that the best treatments are strength training, taking care of your mental health, and getting good recovery. Hands down.
Appreciate you sharing your story and I’m sorry to hear you are in pain. But, herniated discs requiring protection and caution because of a tear is not supported by the research. Whether or not the annulus is closed shut doesn’t seem to impact longterm outcomes in patients. Many people still have back pain when the herniation is gone/healed. It’s just not caused by a herniation anymore. Here’s the source if you want it www.ncbi.nlm.nih.gov/books/NBK459235/
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I popped my l5 working out a few weeks ago. It is herniated pretty good. Had another injection a while after injury and it worked a bit, but i also seem to have a lot of tingling in my feet and legs. Is it caused by this or is it something else?
Have you checked out the master class pinned in the comments?
A disc bulge is not a hernia pressing on the nerve including inflammation. Get me to the group without pain please.
Thank you so much for this video Dr. Davis! I just came across you and at 13 minutes into the video I had to pause it and bust out crying. This is me! Getting to the point of giving up! So much pain, sick of laying on the couch, get up do stuff, all pain comes back! WTF?! I need to figure this out so I can get back to normal and I have been entirely doubting that it will ever be possible. Thank you for you!
I have a 12 mm herniation and when i bend it hurt a lot specially symptômes of sciatique 😢
Yes! “A hole in the disk” statement is enough to unPHD Huberman, I guess 🧐
Lol can we take his degree back?😂
@@ShapeshiftWellness While at Berkeley, Huberman originally approached Carla J. Shatz to serve as his doctoral advisor; however, she declined the offer, concerned that he had a limited background in molecular and cellular biology! We know now Huberman has limited knowledge of anatomy/physiology as well. It seems he does not deserve his PhD & it has to be revoked 🤷♀️
KZread suggested me Huberman’s video. It took me two minutes to figure out how poor science knowledge this man had. Yep, I’m a medical college graduate from a foreign country and was a practitioner in the epidemiology field. Though I lived in the USA for 22 years, I was able to notice that so many medical doctors have no clue about medicine per se. Anthony, thank you for your content. There are some interesting facts I’ve been learning from you 🙏👍🏻❤️
Hey thanks a ton! I'm glad my videos hold up! We put a lot of work into fact checking not only others, but fact checking ourselves and making everything evidence based here!
@@ShapeshiftWellness My pleasure! You’ve been doing a brilliant job🙌🏻
lol im like this,get syatica on occasion,joins are going but dnt like to move for the pain kicks in more , but been pregnant 5times yet hate pain...go figure lol... move even if u sat in a chair and get better as you much needed..you can do it...
Herniated. Pain unheard of. Surgery. 2 years later my upper discs slide out every day and girlfriend pushes them back in...my life as stone mason at 60
Sometimes you can't do anything unfortunately , broken spine is no way to live.
Hip impingement how to fix it
he talks like he is excited and at the same time like bring all the click baits topics that are like hours when he could probably break it down in 10 to 20 mins.
How to strengthen the SI join?! I have dump-bells and I’m thinking about squatting
This is the first of a two part SI joint series: Your SI Joint Is NOT Out Of Place kzread.info/dash/bejne/gaZ8rKOgerGTfbg.html
Hub1
Hun1
Please just GET TO THE POINT OF YOUR VIDEO! I'm tired of giving your videos a chance just to think I'll learn something and your intros are so long I loose interest and search elsewhere. Come on.
The intro/context was 1 minute. The entire video (and nearly all of my videos) was jammed with evidence/research on best practices for chronic back pain and sciatica. What more do you want? I'm genuinely confused.
Yes, pushing the heels into the ground and spreading the toes can indeed help activate the glutes and alleviate pressure on the lower back and sacrum. This technique is often used in exercises like squats and deadlifts to ensure proper form and muscle engagement, thereby reducing the risk of injury and promoting better overall movement mechanics.
Hold up there. These are two completely different claims. 1) An active foot helps increase activation of other muscle. This is true. 2) "Spreading the toes prevents/treats low back pain." This is false. Absolutely false. Not evidence based.
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I have a question plz, what if those tests, some feel good when performed and others feel painful. What does that mean? I am still looking for an answer for that. As I am hyper mobile, having SI and lower back pain history for many years. Working on strengths excersize. As a massage thai therapist and nutrition expert, I need to keep learning for better treatment. I'm happy to find your channel 😀 good job 👏 Thank you very much. Looking forward to the answer, I would recommend another video for that. Much respect for your work.
Here's the thing about physical diagnosis: Pain is always multifactorial. I take a biopsychosocial approach to healthcare, so although we can sometimes identify "irritated" structures anatomically speaking, most of the time (especially with chronic pain), pain has more of a neurochemical cause that is not caused by damage, and even beyond that, pain is heavily influenced by other factors like general fully body strength, mood, stress, fear, nutrition, sleep, beliefs, and so on. So I guess what I'm saying is don't put too much stock in a specific sub-clinical diagnosis like "SI Joint Pain" vs. "piriformis syndrome" vs. facet syndrome or other specific joint/muscle claims. Most of the time, these findings don't really change treatment. We still want to zoom out, get the whole body strong, eat healthy, de-stress, and get quality sleep. Since you're a nutrition expert, I'll use a comparison: You can't supplement your way out of a crummy diet. Are people sick because they don't have enough EPA/DHA, B12, CoQ10, etc? Or are they sick because they drink too much alcohol and eat too much processed food? I don't prescribe too many supplements for my patients, for the same reason I don't give "corrective" exercises for specific joints or muscles. I don't want to miss the forest for the trees.
I had a herniated disc last November, thank God it seems to be getting better. I still have numbness in my foot a lot. I am older, 66, does the numbness take time to fully go away or is it something I just have to live with? I am so glad I found your channel, very informative. Thanks for all that you do.
You’re welcome! Here’s a video on nerve healing: Does Sciatica Ever Heal? Nerve Damage Recovery kzread.info/dash/bejne/qmqH2sx9qqqTfLw.html
Thank you so much for your response, so appreciated!
@@frannyleyden7988good luck
Finding the golden zone is indeed what Ive been trying for months now. Getting real good indicators from your videos though what too look for and what to avoid, very grateful for that!
He is absolutely right. The more active I am, the less I hurt and the better I feel.
Movement is medicine!
I got numbness in the feet progressing up the legs whenever I walk or exercise or bend forward. Bending forward or sitting down in a comfy chair or in the car seat immediately feels like a thick warm blanket is covering my feet and legs. Only arching backward doesnt make the numbness worse. Even sleeping in a fetal position (which is my comfort zone) makes the numbness worse. The lower back pain is a annoying but insignificant, the numbness is what I find most worrying. It utterly weirds me out. I can deal with pain but what can I do about loss of sensitivity? The other day I walked a few miles and back home I noticed I had a bloody cut in a toe without noticing it. Tried rest, short walks, long walks, swimming, all kinds of exercises, everything I did except the McKenzie stretch seemed to make the numbness worse.
I had a herniated lumbar disk 8 years ago and I tried walking and simple exercises as soon as possible, like three days after when the most brutal pain was gone, with the result that I got paresthesia starting in my feet which slowly progressed up the legs. I think it was a mistake to walk this much so soon. I should have waited maybe 6 weeks but I dont really know. It's so hard to find the right balance. Also I probably did the wrong exercises. I always found it very relaxing and strenghtening to lay on my back, grab my knees and push the knees against the hands while arching the back to the floor. It was definitely a great exercise for belly and back muscles but it was bad for my spinal cord. Anyway after a few months the disk healed but the numbness in my feet remained all these years. A few months ago a disk herniated again and I made the same mistakes again, walked too soon and exercised too soon. Thing is, Im used to be active and cant stand laying in bed. It makes me mad and I feel sick and rotten after two days in bed. I have to get out and move. But walking makes my feet and legs go numb. Also it isnt really pain but there is a nasty deeply disturbing feeling in the spine, like "red alert", "your doing something very wrong". Cycling is even worse. Swimming is pretty much the only thing that works without making things worse. Im now trying the opposite exercise, the McKenzie thing. It's brutal. Im uncomfortable just lying on my stomach. Impossible to relax in that position. Again, it's not pain, just totally out of my comfort zone. Guess I have a long way to go.
Have you checked out the master class pinned in the comments? It might help you out.
ngl I need that later video. The more times you say pain the more pain I feel hahaha
Yea that’s a pretty good indication that the rest of this series is going to be an absolute game changer for you!
I have small disc bulging
Thanks for analyzing different researches on disc herniation self-healing. There was a disc herniation in my lumbar spine L5, I have the numbness and tingling on my left leg but not in pain for more than 6 months. Based on my understanding, most of the patient have the self-healing within 12 weeks. One of the neurosurgeon I visited asked me to wait until a year to see if the disc herniation dissolved by the body instead of a surgery since I'm not in pain but only numbness. Obviously, another neurosurgeon suggested microdiscectomy surgery. Just curious if there was any case history / experience for a long period (e.g. 1 year or even longer) of self-healing process similar to my situation. I used to play soccer once a week but stop playing for a while since I had physio treatment (e.g. lumbar traction, shockwave therapy and dry needling ) 2 months ago. Basically, the numbness and tingling still remains the same after the 8 sessions of the above physio treatment. It struggles me a lot for the next step on my disc herniation situation since different medical advices was receieved from different neurosurgeons.
I am a Physical Therapist and I accept this message! Keep up the great work. Gives me Bill Nye vibes!
The highest of compliments 🧬 👨⚕️
This is such an underappreciated channel. -Brett
Agreed
Thanks for the support!
How do you get diagnosed which one you have?
Yes totally wrong. I am not even a specialist and the spine anatomy as he describes is WRONG! Intervertebral discs are not donuts! They are beef patties!😂😂😂
I think they are more like car tires filled with chewing gum.
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Great topic. Perhaps you can include examples of how the same sensory input can be registered as pain or not, depending on the context. For example: tickling, which can be a form of torture but we laught it off because it is not a real threat as long the perceived context by our brain is having fun.
So much of this is coming up in the rest of the videos in this series! Pain is SUPER weird.
✅ Watch the MASTERCLASS on Low Back Pain & Sciatica: www.shapeshiftwellness.com/LBP-masterclass
✅ Watch the MASTERCLASS on Low Back Pain & Sciatica: www.shapeshiftwellness.com/LBP-masterclass
✅ Watch the MASTERCLASS on Low Back Pain & Sciatica: www.shapeshiftwellness.com/LBP-masterclass
✅ Watch the MASTERCLASS on Low Back Pain & Sciatica: www.shapeshiftwellness.com/LBP-masterclass
✅ Watch the MASTERCLASS on Low Back Pain & Sciatica: www.shapeshiftwellness.com/LBP-masterclass
✅ Watch the MASTERCLASS on Low Back Pain & Sciatica. www.shapeshiftwellness.com/LBP-masterclass
✅ Watch the MASTERCLASS on Low Back Pain & Sciatica: www.shapeshiftwellness.com/LBP-masterclass
I get sharp shots of pain like you explain from the potential discs issue, but it’s in certain postures as well as transitions. Most of the time I can move around really easily, but after sitting or laying, and then moving again, I’ll sometimes get a jolt of pain really low on my back and slightly to the left (SI area) and have had a few spasms that have put me on the floor from standing - then scrambling around for a position that alleviates the pain. I do get more minor jolts just from putting shoes on, or a slight turn, or even an unexpected drop step lower on uneven ground as well. My instinct, and after watching things like this video, suggests it’s the SI from bad posture (desk chair all day and sitting cross legged) causing posterior pelvic tilt. I’ve had some success from stretching (I have extremely tight hamstrings early in the day and some hip flexor movements) but as you say, it feels more like strengthening is needed but I don’t know what do next. Any advice would be greatly appreciated as it’s stopping me from playing with my young kids out of fear of pain or a spasm. Thank you.
Resting is very painful , I like working on small projects , I have to take pain medication, but moving does help , I take very little pain medication by the way but what elce can you do ?
Since the issue has to do with sodium channels, does reducing salt or low sodium diet play a role in pain reduction?
Yes, if you reduce sodium enough you will be dead and no longer suffer from any pain 😂
Nope, it's more about how the nerve cells themselves are regulating sodium ion channels. It's more about inflammatory mediators, immune function, gene expression, and nervous system regulation due to a chronic alarm state in the body. We need the salt, but our nerve cells are just handling it poorly.
and this is why you might not notice a sprained ankle or other issue until a time out? Or sometimes an officer is shot but doesn't know until he leaves the situation
Bingo, tissue damage does not always equal pain. This is more common with chronic pain, where the tissues have healed, but the pain persists. The rest of this series will go into great depth on this.
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Thanks for watching! 🙌
Is spinal decompression (like on an inversion table) good as a preventative for spinal problems?
It's not bad, but it doesn't really do much. Living a healthy lifestyle and getting physically strong, managing stress, eating healthy, and getting good sleep are far more important.
I had chronic disk herniations for 4 years. Finally had a micro disketomy done and was pain free for 4 1/2 years. Recently injured my back again. And will be seeing what goin on next week. But in my eyes my surgery was well worth it even if the herniation is back the last 4 years I’ve felt amazing.
Glad the surgery helped you. Discecromy definitely can work for some people.
😊 thank you very interesting I have two herniated discs and two bulging discs I felt burning and tightness for 3 months Physical Therapy helped and I remember my physical therapist told me if you see chiropractor don't let him touch you because you're still healing even though I'm not having any more pain I went to see the chiropractor 2 weeks after and the chiropractor gave me an adjustment he was much bigger than I was that night I had the same burning and tightness as I had the first time maybe it was my brain perceived danger thinking that the chiropractor hurt me can that be 6 months into this and I'm still experiencing the same symptoms burning and tightness I'm starting to move my spine now because I'm not afraid to move it but maybe it is my brain telling me there was danger with the chiropractor did maybe he did not hurt me and I just perceived it whatever it is I just want this to go away
The brain can activate the pain alarm system for any threat it perceives, so it's super important to ease back into normal life, get strong, and stay positive throughout the journey! You've going to LOVE the rest of the videos in this series. I can't wait to release them!
@@ShapeshiftWellnessthank you for sharing your pain and victory journey and looking forward to hearing what you say