Ep. 215 Back Pain: Case Examples FLEXION / EXTENSION INTOLERANT

The Show Up Fitness Podcast

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If you have a client who has low back pain, become a QUALIFIED Personal Trainer with the SUF-Soft Tissue Mobilization Technique Certification (SUF-STM)

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Battling low back discomfort doesn't have to mean the end of your training career or active lifestyle. This eye-opening episode tackles the pervasive problem of back pain—affecting a staggering 80% of the population—and reveals why cookie-cutter approaches fail while qualified trainers succeed.
Through compelling real-world case studies, you'll discover the crucial differences between merely certified trainers and truly qualified movement specialists. We break down the biopsychosocial model of pain assessment, showing how biological factors, psychological experiences, and social circumstances all influence recovery. You'll learn exactly how proper screening determines whether a client needs simple movement modifications or medical referral, and why positive language like "discomfort" instead of "pain" creates psychological shifts that facilitate healing.
The episode features detailed explanations of flexion intolerance versus extension intolerance, how to modify exercises for zero-irritation movement patterns, and the importance of establishing appropriate tissue capacity baselines before progressive overload. Most importantly, you'll understand why qualified trainers never simply say "do planks and bridges" or "never squat again"—fear-based approaches that dominate the industry but fail to address individual needs.
Whether you're a trainer looking to elevate your skills or someone suffering from persistent back issues, this episode offers hope, concrete strategies, and a methodical approach to recovery. We also highlight upcoming workshops in Denver (June 13-14) and Florida (June 27-28) for hands-on learning opportunities that can tran

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Chapters

1. Low Back Pain: Hope for Recovery (00:00:00)

2. Becoming a Qualified Trainer (00:02:43)

3. Biopsychosocial Approach to Back Pain (00:04:15)

4. Screening for Back Issues (00:05:40)

5. Case Study: Flexion Intolerance (00:09:06)

6. Exercise Modifications for Pain-Free Movement (00:13:05)

7. Progressive Approach to Recovery (00:17:50)

8. Assessment and Exercise Prescription (00:21:07)