Deep Dive on Tim's Low-Back Issues, How to Unlearn Painful Patterns, Movement as Medicine, and More

ℹ️ EPISODE INFO

Released

August 4, 2023

Duration

1h 48m

Channel

Tim Ferriss

Watch on YouTube

▶ Open ↗

📝 EPISODE DESCRIPTION

Brought to you by AG1 all-in-one nutritional supplement https://drinkag1.com/tim LMNT electrolyte supplement https://drinklmnt.com/tim and Eight Sleep’s Pod Cover sleeping solution for dynamic cooling and heating https://eightsleep.com/Tim Resources from this episode: https://tim.blog/2023/08/04/dr-shirley-sahrmann/ Shirley A. Sahrmann, PT, PhD, is Professor Emerita of Physical Therapy at Washington University School of Medicine in St. Louis, Missouri. She received her bachelor’s degree in physical therapy and her masters and doctorate degrees in neurobiology from Washington University, where she joined the physical therapy faculty and became the first director of their PhD program in movement science. Shirley became a Catherine Worthingham Fellow of the American Physical Therapy Association in 1986 and in 1998 was selected to receive the Mary McMillan Award, the Association’s highest honor. She is a recipient of the Association’s Marion Williams Research Award, the Lucy Blair Service Award, the Kendall Practice Award, and the Inaugural John H.P. Maley Lecturer Award. She has also received Washington University's Distinguished Faculty Award, the Distinguished Alumni Award, the School of Medicine’s Inaugural Distinguished Clinician Award, and an honorary doctorate from the University of Indianapolis. She has also received the Bowling-Erhard Orthopedic Clinical Practice Award from the Orthopaedic Academy of the APTA. She has served on the APTA Board of Directors and as president of the Missouri Chapter. Her first book, Diagnosis and Treatment of Movement Impairment Syndromes, has been translated into seven languages. Her second book, Movement System Impairment Syndromes of the Cervical and Thoracic Spines and the Extremities, has been equally influential in promoting movement diagnoses. Please enjoy! 00:00 Intro 02:47 Terminology for this episode 08:39 Why Shirley’s first book is so influential among physical therapists. 11:53 The correlation between lifestyle and health hasn’t always been obvious. 14:51 Low back pain: not a diagnosis, but a symptom. 17:13 The trouble with overdeveloped abdominals. 19:05 What’s my problem? 27:14 The Movement Systems Syndromes (MSS) approach. 28:28 The wrong walk home. 30:09 Correcting bad habits. 32:20 Psoas it goes. 34:29 Other common culprits. 37:08 Pump handle and bucket handle. 40:29 The body follows the path of least resistance. 45:00 Anterior superior iliac spine (ASIS) 46:23 How Shirley examines a new patient. 52:34 Assessing athletes vs. non-athletes. 53:54 Dynamic neuromuscular stabilization (DNS) 55:28 Collapso-smasho and squeezo-smasho. 56:58 Correcting low shoulders. 1:03:37 Stretching: yes or no? 1:08:29 Addressing my abdominal stiffness. 1:14:52 When the spine doesn’t want to go along for the ride. 1:17:20 How has Shirley made it to 86 with her physical and mental health intact? 1:34:52 What men should know about femoral retroversion. 1:39:19 If it walks like a duck… 1:42:01 Managing symptoms of Scheuermann’s disease. 1:43:47 Parting thoughts. Correction: 03:14 For avoidance of doubt, Tim is describing the iliac crest (the bone) but the iliacus (muscle) is highlighted in red. The Wikipedia page for the iliac crest: https://en.wikipedia.org/wiki/Iliac_crest Tim Ferriss is one of Fast Company’s “Most Innovative Business People” and an early-stage tech investor/advisor in Uber, Facebook, Twitter, Shopify, Duolingo, Alibaba, and 50+ other companies. He is also the author of five #1 New York Times and Wall Street Journal bestsellers: The 4-Hour Workweek, The 4-Hour Body, The 4-Hour Chef, Tools of Titans and Tribe of Mentors. The Observer and other media have named him “the Oprah of audio” due to the influence of his podcast, The Tim Ferriss Show, which has exceeded 900 million downloads and been selected for “Best of Apple Podcasts” three years running. Sign up for "5-Bullet Friday" (Tim's free weekly email newsletter): https://go.tim.blog/5-bullet-friday-yt/ Follow the Tim Ferriss Podcast: https://tim.blog/podcast/ Visit the Tim Ferriss Blog: https://tim.blog/ Follow Tim Ferriss on Twitter: https://twitter.com/tferriss/ Follow Tim Ferriss on Instagram: https://www.instagram.com/timferriss/ Like Tim Ferriss on Facebook: https://www.facebook.com/TimFerriss/

🎤 SPEAKERS

• Tim Ferriss

  host

  Entrepreneur, author, and host of The Tim Ferriss Show.

• Dr. Shirley Sahrmann

  guest

  Physical therapist and researcher known for movement-impairment approaches to musculoskeletal pain.

🧾 EPISODE SUMMARY

In this episode of Tim Ferriss, featuring Tim Ferriss and Dr. Shirley Sahrmann, Deep Dive on Tim's Low-Back Issues, How to Unlearn Painful Patterns, Movement as Medicine, and More explores Diagnosing back pain by movement patterns, not symptoms or scans Dr. Shirley Sahrmann frames low back pain as a symptom and says a more actionable diagnosis is the movement pattern that reliably triggers symptoms and can be modified to reduce them.

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