David Poulter is a physical therapist working out of Minnesota in the United States and shares great information about how dynamic our interbody joints, our discs, are effectively adapting to movement and load.

He explains how discs are structured and work with the interbody joint getting its nutrition from loading and compression.

With his extensive expertise and experience, David provides an in-depth and comprehensive explanation of both the construction and function of these interbody joints and shares why the truth is that discs don’t slip.

KEY TAKEAWAYS

• The disc is the joint between 2 vertebrae. Where one vertebra joins another there are complicated structures.
• It’s the bulging of the material in the disc that causes people to think its slipping.
• The outer aspect of the disc conveys information about motion, position and space.
• In the centre of the disc, there are no nerves because it’s all about compression but there are pain structures on the outer layers of the disc structure.
• Injury can be caused by doing something too quickly or doing something for too long.
• Treatment should be based on the patient and their individual history.
• After an injury in rehab, you need to make sure you don’t back to something for too long, too strong or too quickly.
• Rehab should follow the process of unloading,  temporary rest then progressive loading to return people to where they were before.
• Sitting, standing, bending are all normal and taking yourself away from your normal is more likely to result in harm to your discs.
• Discs are developing and dynamic as we grow and if you do something long and often and the disc will adapt.

BEST MOMENTS

‘Symptoms are a warning system to tell us to change what we are doing’

‘These are just joints and they need to be returned to graded function’

‘A disc gets its nutrition from movement and loading’

VALUABLE RESOURCES

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ABOUT THE HOSTS

Dave Elliot

Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.

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Rob Beaven

Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.

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