Physical Therapy Treatment for Radicular Lower Back Pain During Squats, Deadlifts and Olympic Lifts – FPF Show Episode 21

By dpope2020

February 19, 2022

back pain, bulging disc, Clean, Crossfit, dan pope, deadlift, disc bulge, disc bulge treatment, disc herniation, disc pathology l5-s1, fitness pain free, herniated disc, herniated disc exercises, herniated disk, Jerk, low back pain, lower back pain, lumbar radiculopathy, lumbar spine, nerve root, Olympic Lifting, physical therapist, physical therapy, physioptherapy, physiotherapist, powerlifting, sciatica, slipped disc, snatch, squat

Physical Therapy Treatment for Radicular Lower Back Pain During Squats, Deadlifts and Olympic Lifts

In today's episode we go over Physical Therapy Treatment for Radicular Lower Back Pain During Squats, Deadlifts and Olympic Lifts:

  • 0:00 Intro
  • 2:10 What is Radicular Lower Back Pain?
  • 5:32 What are the primary symptoms of radicular lower back pain?
  • 9:00 Medical red flags with lower back pain
  • 11:31 What exercises are most responsible for radicular lower back pain?
  • 14:34 What causes radicular lower back pain?
  • 23:55 How do you treat radicular lower back pain?
  • 27:32 How to handle neural tension issues in radicular lower back pain
  • 31:13 What factors change stress on the spine during common gym exercises?
  • 34:09 How to fix lower back pain in the gym
  • 37:07 How to modify training in the gym with lower back pain
  • 44:02 How to modify squats in the gym with lower back pain
  • 45:28 How to modify deadlifts in the gym with lower back pain
  • 47:23 How to modify olympic lifts in the gym with lower back pain
  • 50:16 Using blood flow restriction training (BFR) for lower back pain
  • 53:22 What a physical therapy treatment programs looks like for radicular lower back pain
  • 1:00:23 How to put it all together (FPF Mini Course)

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Thank you!

Dan Pope DPT, OCS, CSCS

References: Spine

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References: Injury Prevention

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  2. Keogh, Justin W. L.; Winwood, Paul W. (2017). The Epidemiology of Injuries Across the Weight-Training Sports. Sports Medicine, 47(3), 479–501. doi:10.1007/s40279-016-0575-0
  3. Littlewood, Chris; Malliaras, Peter; Chance-Larsen, Ken (2015). Therapeutic exercise for rotator cuff tendinopathy. International Journal of Rehabilitation Research, 38(2), 95–106. doi:10.1097/mrr.0000000000000113
  4. Aasa U, Svartholm I, Andersson F, et al Injuries among weightlifters and powerlifters: a systematic review British Journal of Sports Medicine 2017;51:211-219.
  5. Artus, M., Holt, T. A., & Rees, J. (2014). The painful shoulder: an update on assessment, treatment, and referral. British Journal of General Practice, 64(626), e593–e595. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4141618/
  6. The Development and Application of an Injury Prediction Model for Noncontact, Soft-Tissue Injuries in Elite Collision Sport Athletes. (n.d.). Retrieved August 01, 2016, from https://www.researchgate.net/publication/46288877_The_Development_and_Application_of_an_Injury_Prediction_Model_for_Noncontact_Soft-Tissue_Injuries_in_Elite_Collision_Sport_Athletes
  7. Relationship Between Training Load and Injury in Professional Rugby League https://www.researchgate.net/profile/Tim_Gabbett/publication/49775412_Relationship_between_training_load_and_injury_in_professional_rugby_league_players/links/551894590cf2d70ee27b41ad.pdf
  8. Training and game loads and injury risk in elite Australian footballers. (n.d.). Retrieved from https://www.researchgate.net/profile/Brent_Rogalski/publication/234699103_Training_and_game_loads_and_injury_risk_in_elite_Australian_footballers/links/53dadd6b0cf2a19eee8b3f9f.pdf
  9. The risk of injuries among CrossFit athletes: an Italian observational retrospective survey. Tafuri S1, Salatino G2, Napoletano P3, Monno A4, Notarnicola A
  10. A 4-Year Analysis of the Incidence of Injuries Among CrossFit-Trained Participants Orthop J Sports Med. 2018 Oct; 6 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6201188/
  11. Injury Incidence and Patterns Among Dutch CrossFit Athletes Orthop J Sports Med. 2017 Dec; 5(12): 2325967117745263. Published online 2017 Dec 18. doi: 10.1177/2325967117745263 Mirwais Mehrab, BSc,*† Robert-Jan de Vos, MD, PhD,‡ Gerald A. Kraan, MD, PhD,† and Nina M.C. Mathijssen, PhD†
  12. Injury Rate and Patterns Among CrossFit Athletes Orthop J Sports Med. 2014 Apr; 2(4): 2325967114531177. Benjamin M. Weisenthal, BA,* Christopher A. Beck, MA, PhD,† Michael D. Maloney, MD,‡ Kenneth E. DeHaven, MD,‡ and Brian D. Giordano, MD‡§
  13. Musculoskeletal injuries in Portuguese CrossFit practitioners. J Sports Med Phys Fitness. 2019 Feb 5.  [Epub ahead of print] Minghelli B1, Vicente P2.
  14. INJURY RISK IS ALTERED BY PREVIOUS INJURY: A SYSTEMATIC REVIEW OF THE LITERATURE AND PRESENTATION OF CAUSATIVE NEUROMUSCULAR FACTORS Int J Sports Phys Ther. 2014 Oct; 9(5): 583–595. Jessica Fulton, PT, DPT, HFS,1 Kathryn Wright, PT, DPT,1 Margaret Kelly, PT, DPT, CSCS,1 Britanee Zebrosky, PT, DPT, CSCS,1 Matthew Zanis, PT, DPT, ATC, CSCS,1 Corey Drvol, PT, DPT,1 and Robert Butler, PT, PhD1
  15.  Chronic lack of sleep is associated with increased sports injuries in adolescent athletes. J Pediatr Orthop. 2014 Mar;34(2):129-33.  Milewski MD1, Skaggs DL, Bishop GA, Pace JL, Ibrahim DA, Wren TA, Barzdukas A.
  16. Psychological predictors of injury among elite athletes S A Galambos1, P C Terry1, G M Moyle1, S A Locke1 BJSM 2005
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References: Images

  1. Image: Disc Herniation - https://commons.wikimedia.org/wiki/File:Lagehernia.png Attribution: Mjorter at Dutch Wikipedia, Public domain, via Wikimedia Commons