MOPs & MOEs

The Gift of Injury with Brian Carroll

Sep 14, 2025
Brian Carroll, a world-class powerlifter and spine rehabilitation coach, shares his harrowing journey from severe back injury to becoming an advocate for recovery. He discusses the pivotal moments of his rehabilitation, including meeting Dr. Stuart McGill and the importance of tailored assessments. Brian highlights the balance between core endurance and maximal strength and critiques common injury prevention methods. He also delves into the psychology of performance post-injury and reforms needed in the healthcare system for better spine care.
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ADVICE

Train The Muscles, Not The Test

  • Train task-specific capacities rather than endless test practice; build the underlying muscles and endurance instead of maxing sit-ups or pull-ups repeatedly.
  • Use anti-flexion and anti-rotation drills to improve functional performance for PT tests.
ADVICE

Use Assessment To Interpret MRIs

  • Perform a thorough interview and mechanical assessment before trusting MRI reports.
  • Read MRIs yourself, correlate imaging with provocation tests, and show findings to the patient to build understanding.
ADVICE

Document A Staged Rehab Roadmap

  • Deliver a written report with MRI interpretation, assessment findings, prognosis, and a staged training plan.
  • Use day-two follow-ups and workshop progressions specific to job demands for athletes and workers.
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