Ep 12: Greg Lehman Talks Osteoarthritis, Movement Optimism, and Dumb Fitness Rules
This topic came from a Facebook group I'm in. In this group and others, it's not uncommon to see questions like this:"My doctor diagnosed me with arthritis in my knees today. And I'm only 34! He told me no more powerlifting or running, which are my two favorite activities. I'll be doing PT for the next month and getting a recumbent stationary bike. I feel like I'm losing part of my identity - I am a powerlifter. Any other women who LOVE lifting heavy things that cannot lift heavy anymore?"Do you think we should avoid certain activities just because we have osteoarthritis? Do certain exercises and heavy lifting, for example, make knee OA worse? Why is it called "wear and tear arthritis"? Are we wearing out our joints by moving them? One one hand, we get present with the idea that "motion is lotion", but on the other hand we get warned not to do certain things because THOSE will wear us down like we're machines. I invited expert physiotherapist and clinical educator, Greg Lehman on to the show to give his take on osteoarthritis, pain science, and movement optimism. We also talk about some of the dumb fitness/rehab rules out there and we leave you with some reassuring advice on how to help yourself stay healthy, strong, and resilient.What You Will Learn:0:00 Introduction01:29 Why is OA called "wear and tear"?03:59 Benefits vs Risk of Loading Osteoarthritis04:49 Is OA a disease process?05:33 Can children get OA?07:33 How can we increase body trust?10:25 The cool Messier (2021) paper13:01 Is it okay to poke into pain?14:08 How to speak to kids about pain16:31 Sensitivity vs damage18:53 Is the tide shifting toward optimism?21:43 The cup analogy23:46 Does having a high BMI wear out your joints faster?26:12 Dumb rules, too many rules30:55 To the person afraid to get started34:11 Most info is BS, but most people don't realize it35:35 More dumb stuff: bounding and hopping screening, and don't stretch tendons38:01 Coaches: what how you say stuff!40:58 Greg's course: Reconciling Biomechanics with Pain Science42:56 When does biomechanics matter?48:01 Parting wisdom: many roadsWHERE ELSE TO FIND ME, YOUR HOST:Join the Body Trust Movement: https://equippedwithstrength.comWorkout Membership: https://equippedwithstrength.com/enrollAll Programs and Coaching: https://equippedwithstrength.com/workout-programs/