Exploring the Cosmos of Low Back Pain: From Astronauts to Everyday Life with Daniel Belavy

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In Episode 72 of the Physiotutors podcast, we interview Dr. Daniel Belavy, a professor with a prolific research background in muscle, bone, and joint health, specifically focusing on low back pain. The discussion explores various aspects of back pain research, including disk herniations in astronauts, the role of mechanical loading in disk health, and the challenges of classifying non-specific low back pain. Dr. Belavy shares insights from his studies on physical exposure and spine postures, contextual effects in treatment, and exercise training for back pain. He emphasizes the importance of understanding how treatments work to optimize clinical care and highlights the ongoing quest to identify subgroups and optimal exercise prescriptions for back pain. The episode underscores the complexity of back pain and the multifactorial elements influencing it, advocating for continued research and collaboration in the field.   Content 00:00 Intro 00:57 Disc Herniations in Astronauts 04:08 Discs need (de-)loading 08:04 Is there a U-curve for loading? 10:15 NSLBP Classification Challenges 19:20 SI Joint Pain Classification Challenges 24:30 Physical Exposures and Low Back Pain 29:04 Physical Function/Activity and Low Back Pain 31:40 Contextual Effects in Low Back Pain 40:09 How to harness contextual effects in treatment 41:21 Which type of exercise is best for LBP 47:01 Exercise variables and pain reduction 50:29 Daniel's closing thoughts 53:00 Contact info 55:52 Outro   Bonus Material Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App. Download the Free App now   Follow our Podcast on: Spotify | Apple Podcasts  

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