The E3 Rehab Podcast 139. Setting The Record Straight (Part 1) w/ Stu McGill
Mar 12, 2024
Stu McGill discusses deadlifting in older adults, promoting resilience, disc bulges, adapting exercises for specific needs, lumbar flexion, and more. The episode reflects on his previous interview with Peter Attia and addresses misconceptions about the risks of deadlifts. Exploring the nuances of corrective exercise, managing stress in training, and balancing retirement aspirations with work-life balance.
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Individualize Resistance Training
- Treat every older adult individually when programming resistance training.
- Balance encouragement and caution depending on their clinical picture and goals.
Disc Adaptation and Injury Mechanisms
- Virgin, non-degenerated discs show anabolic response to load; degenerated discs show catabolic response.
- Discs adapt differently than tendons due to opposing collagen layers causing delamination under repeated load.
End Plate Damage Causes Disc Bulges
- Disc bulges often start from end plate fractures caused by excessive compression.
- Disc bulges result from delamination where nuclear material pushes through collagen layers.