DM #191:Got some major knowledge bombs from David Butler at his Explain Pain course yesterday and today, with this little nugget being one of them.
One of the things I like most about this statement is that while presented in the context of treating pain, it is directly applicable in terms of creating a movement arsenal and building physical resiliency.
I love CrossFit, I spend most of my free time thinking about or doing CrossFit, but I got hurt while kicking the soccer ball around precisely because of a lack of variety and creativity within my training. From a physical perspective, my body was not prepared to handle the new (although at one point in time it was quite familiar) stimulus. More varied training with more unilateral movements, more transverse plane movements, and simply put, more play would have had more of a protective effect than any other modality out there.
Similarly, as it relates to to pain science, when we experience pain we create neural pathways in the brain, and a propensity to continue using these pathways will perpetuate our pain. One strategy for helping with pain is creativity and play. Consider it creating a neural arsenal, similar to creating a movement arsenal, which means that we now have options, new pathways to choose, and thus new neural pathways to take advantage of that are not associated with those old, pain-associated pathways.
There is soooo much more to treating pain than simply treating someone’s tissues. If you want to be a successful clinician you MUST starting thinking about how the nervous system (and the immune system) fit in. It’s everything.
I honestly can’t recommend Explain Pain high enough, and if you’re going to take it, wait until you can take it with the man himself, David Butler. It’s time to put the biomedical model to rest. Let Dave be the one to help you do it.
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