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In this live session, we conduct a detailed X-ray analysis for a member named Desmond to explore the mechanical realities of spondylolisthesis and lower back injuries. A common misconception in clinical settings is the idea that a practitioner can simply "put a joint back in place." We dismantle this myth, explaining why structural shifts like spondylolisthesis cannot be manually reversed and why focusing on "alignment" without objective measurements can be misleading. Instead of chasing a temporary fix, we focus on the importance of stabilising the lumbosacral junction (L5/S1) and building a "database of reasons" why your back is resilient rather than fragile. We also address the psychological hurdles of recovery, specifically the anxiety and fear-avoidance behaviours that often follow a herniated disc diagnosis or a microdiscectomy. By shifting the focus from how you "feel" to how you "perform" in foundational movements like the squat and hip hinge, you can objectively measure your progress. Whether you are returning to a demanding job like bricklaying or managing the daily load of a young family, the goal of a professional rehabilitation programme is to ensure your body is conditioned for more strain than your daily life requires. We discuss why "not lifting weights" is often lazy advice, as every daily action—from putting on a coat to picking up a child—is a form of loading the spine that requires preparation and strength. Check out the article: https://backinshapeprogram.com/2026/0... Key Topics Covered 🦴 Spondylolisthesis & Structural Realities: We examine why structural slips at the L5/S1 level require stabilisation rather than manual manipulation. Understanding what can be changed versus what must be adapted around is a critical principle for long-term spinal health. 🏋️ Performance vs. Sensation: Why relying solely on pain levels is a gamble when returning to work or exercise. True rehabilitation is found in validating your strength through progressive loading in a controlled environment before testing it in the real world. 🤱 Managing Load in Daily Life: For those recovering while parenting or working, we discuss how to turn movements like getting out of a chair into a spine-stabilising exercise. Every movement is an opportunity to practice a neutral spine and protect injured tissues. Chapters 00:00 Testing the TikTok Live setup 01:35 The myth of "putting joints back in place" 02:58 Desmond's X-ray analysis: L1 to L5 04:30 Understanding the sway-back posture 06:05 The problem with posterior pelvic tucking 07:35 The "Chest Pop" for better upper lumbar alignment 09:10 Why we can't "un-slip" a spondylolisthesis 10:55 Principles of a neutral spine and core stability 12:55 MRI results: Why "normal" can be misleading 14:40 Case study: Grade 4 spondylolisthesis symptoms 15:40 The 6 main exercises for spinal stability 17:35 Returning to work as a bricklayer: Performance over feeling 19:55 Sciatica and referred leg pain without back pain 21:20 Thoughts on peptides and invasive procedures 23:05 Why phase 1 rehab doesn't need a traditional warm-up 27:30 Questioning your practitioner's strategy 31:15 Why you should prioritise the back over arm training 34:05 Challenging the "don't lift any weights" advice 36:20 Squats for those with "bad knees" 39:10 Overcoming anxiety and fear-avoidance 42:15 Post-surgery recovery and epidural injections 48:25 How to scale hip hinges and squats effectively 51:10 Steroid shots vs PRP for herniated discs 53:55 Rehabilitation for postpartum mothers 58:00 Realising that daily life is constant loading 01:03:20 Closing thoughts on the McKenzie method #Spondylolisthesis #LowerBackPain #Sciatica