jackconran8

@northwoods1980 @AdamMeakins @adamdobson123 Makes sense. So on the scan you could actually see it had healed? I’m assuming it looks like an area of scarring?

@jackconran8 @AdamMeakins @adamdobson123 Symptoms and following with MRI. Not that I recommend MRI like this but because I could/it was free/I work in the department!

Your spine is meant to move, adapt, and get stronger. Not behave like stick that needs bubble wrap every time you pick up a weight.

@LeGrove Just hope he is fit for Sunday!!

Really enjoyed everything about that Eze performance. The sun is out, and his one-touch flicks were there. The goal was incredible, and he showed some of that selfishness great players put on for the big games. Loved it.

@northwoods1980 @AdamMeakins @adamdobson123 Hi @northwoods1980 out of interest, was the 3 year healing period you mention for your annulus based on your symptom’s improving or based on MRI? I only ask as it feeds into a conversation I had with a patient the other day following an AI search they had done.

Honest question. Is your primary message here that rounded back deadlifts like this are acceptable and OK, or that they’ve actually been shown to be beneficial, causing tissue adaptations over time that lead to resiliency and optimal adaptation versus variations that maintain a neutral or extended spine position? Interesting concept. I’ve never tried these but I’d be nervous to. Both of my severe back injuries came from lifting something awkwardly in a flexed spine position that ended up tearing my annulus. The last time it happened lifting a trailer it took almost 3 years to heal. I’d be wary, but I’m curious to hear a more nuanced discussion on your position here. Thanks

@mattkandela @mcfc9320group 🤣🤣🤣

@mcfc9320group Cry more ya bell end

I genuinely hate Arsenal more than any other football club including United. They are absolute pricks from manager,players and in particular fans.

@gregthephysio @adamdobson123 @AdamMeakins It was the patients phone as it was the patient who asked so not sure

@jackconran8 @adamdobson123 @AdamMeakins Which AI did you ask? I have found quite a difference in guidance between Chat GPT and Gemini

asked by a patient if it’s safe to deadlift etc with 2 MRI confirmed annual tears at L3/4 and L4/5. I said yes but work within comfort limits & build up. He showed me AI & it said they can be made worse by heavy lifting 😩. What do you advise pts? @adamdobson123 @AdamMeakins

@danfascia @neilorpen @TaiwanOzPhysio @adamdobson123 @AdamMeakins Thanks @danfascia how long do they normally take to heal on MRI?

@neilorpen @jackconran8 @TaiwanOzPhysio @adamdobson123 @AdamMeakins 👆🏼 this is the right answer. Evidence… is all the ones we see on MR where the annulus splurges out through the defect

@neilorpen @adewagstaff @TaiwanOzPhysio @adamdobson123 @AdamMeakins Only a small contributor? That surprises me

@jackconran8 @adewagstaff @TaiwanOzPhysio @adamdobson123 @AdamMeakins Weight is certainly a risk factor for disc prolapse ( small contributor ) Overwhelmingly genetics is But since weight can be altered it is sensible it addressed as part of the treatment plan

@neilorpen @adewagstaff @TaiwanOzPhysio @adamdobson123 @AdamMeakins I’m assuming you see more persistent symptoms/higher risk in overweight patients and better improvement in patients who are able to lose weight if they are overweight (like most MSK conditions)?

@jackconran8 @adewagstaff @TaiwanOzPhysio @adamdobson123 @AdamMeakins That is what tend to suggest - there seems to be a lot of pressure for people to lift their maximum at low reps rather than lower weight high rep

@neilorpen @adewagstaff @TaiwanOzPhysio @adamdobson123 @AdamMeakins Yeah, so it’s not a hard no. But…lower weights, sensible approach not lifting at or near max loads etc

@adewagstaff @jackconran8 @TaiwanOzPhysio @adamdobson123 @AdamMeakins Even after disc surgery I don’t restrict them after 3 months as nobody wants a lifetime of restriction - but there is a risk and the best to do is encourage sensible strategies and exercise advising against high risk activities

@neilorpen @adewagstaff @TaiwanOzPhysio @adamdobson123 @AdamMeakins But then I guess not all of those will be symptomatic?

@jackconran8 @adewagstaff @TaiwanOzPhysio @adamdobson123 @AdamMeakins That is likely accurate But then I see professional lifters and sports people who eventually have disc prolapses overdoing it in the gym

@adewagstaff @neilorpen @TaiwanOzPhysio @adamdobson123 @AdamMeakins I guess the issue is unless you gradually build somebody’s load/tolerance to these type of activities that invariably when they are exposed to that load unexpectedly, I assume there would be an increased risk?

@neilorpen @jackconran8 @TaiwanOzPhysio @adamdobson123 @AdamMeakins 👀.........you mean.....go slow and build slow? Do you have any credible evidence that an MRI disc issue will predict future failure doing a deadlift? I dont know of any but havent looked 🤷‍♂️. Id not restrict folk, but they would complete a return phase training program.

@neilorpen @adewagstaff @TaiwanOzPhysio @adamdobson123 @AdamMeakins I’m assuming though as patients get older an naturally there is increased disc dessication that there is less risk of a herniation?

@adewagstaff @jackconran8 @TaiwanOzPhysio @adamdobson123 @AdamMeakins We have a lot of evidence that a previous disc issue raises the chances of future disc issues We also have lots of evidence of what biomechanics increase chances of disc issues

@neilorpen @TaiwanOzPhysio @adamdobson123 @AdamMeakins Had one myself!

@jackconran8 @TaiwanOzPhysio @adamdobson123 @AdamMeakins They remain a permanent area of weakness The forces being put through the disc during a dead lift due to flexion of the spine are huge - less so with direct load of squats

@neilorpen @TaiwanOzPhysio @adamdobson123 @AdamMeakins I have been told by a surgeon in the past that they heal?

@neilorpen @TaiwanOzPhysio @adamdobson123 @AdamMeakins Oh really- What about squatting or is there something specific about the deadlift mechanics? Based on my reading these annular tears heal through right?

@jackconran8 @TaiwanOzPhysio @adamdobson123 @AdamMeakins Don’t dead lift outside the confines of professional sport programs where risk / reward may be acceptable Risk of causing a symptomatic tear or disc prolapse even in a sense of MRI changes is high

@AdamMeakins @adamdobson123 I’m assuming that’s the approach you take with any exercise

@jackconran8 @adamdobson123 Theres no evidence that shows deadlifts specifically make annulus tears worse that I am aware of, or even cause them! My advice with all disc issues is to work within their tolerances and be patient!

@AdamMeakins @adamdobson123 Thanks Adam

@simpson_liz Wasn’t a concussion sub though was it you plank

Concussion rules don’t apply to goons then??? Thought it was 6 days out at least. Cheating c*nts.

10 shoulder mobility and rehab exercises 1.