00:14 – Abdominal separation error correction
02:20 – What reformer should I buy for home, and for commercial?
08:56 – Dislocated knee – should I get surgery?
12:43 – Pins and needles in the sacrum
15:40 – What gives way when you dislocate your shoulder, and what do they fix in surgery?
22:12 – The Pilates In America Study
24:53 – Is PRP injection helpful for tennis elbow?
28:56 – Adenomyosis and Pilates
I had a wonderful question in my Saturday matwork masterclass for Breathe Education where we opened up a discussion about feeling discomfort in wrists. I’m sure that we’ve all been there. You’re about 5 planks into a sequence and all you want to do is drop down to your forearms. Often at times we see our clients sit back after a long stretch series and gingerly roll their wrists. Maybe, if you’re lucky, you’ll get an eye roll too.
Let’s begin the process of reframing the way we look at value of discomfort in different parts of our body.
Mitchell Gibbs is a PhD candidate at Western Sydney University where he researches chronic pain, pain science, and exercise. Mitch also has a Master of Research in chronic pain and exercise, and a bachelor of Sport and Exercise Science.
Mitchell’s 2018 paper Buy In For Back Pain – Does Individualization Matter? had some very surprising findings in relation to the benefits of doing a thorough physical assessment on clients with low back pain. The paper was published in the Journal of Clinical Exercise Physiology.
In this conversation Mitch talks through the research process, and discusses what he thinks the findings mean for clinicians.
Antony Lo is a Sydney based physiotherapist who specialises in female athletes, and in particular female Crossfit athletes.
Having successfully grown 2 private practices, Antony sold these to concentrate on his Specialisation Training Program and developing educational courses for health professionals and the general public. He still consults at 2 locations in Sydney seeing everyone from children to the elderly, as well as his sports-specific patients. He also travels around Australia to deliver seminar information for his course The Female Athlete, and to provide consultations for those interested in his approach.
I have been friends with Antony since 2006 when we worked together. Every time I talk with Antony I learn something valuable, he is one of the practitioners I admire the most, and who I have learned the most from.
In this conversation we talk about pelvic health, urinary incontinence, low back pain, making quick changes and Antony’s approach to evidence-based practice.
Greg Lehman http://www.greglehman.ca/ is a Canadian physiotherapist, chiropractor and strength and conditioning specialist treating musculoskeletal disorders within a biopsychosocial model. He is incredibly well-read, a highly skilled educator. And he’s funny.
Before his clinical career, Greg received a Natural Sciences and Engineering Research Council MSc graduate scholarship and became one of only two students each year to train with Professor Stuart McGill in his Occupational Biomechanics Laboratory, subsequently published more than 20 peer-reviewed papers in the manual therapy and exercise biomechanics field. He was an assistant professor at the Canadian Memorial Chiropractic College teaching a graduate-level course in Spine Biomechanics and Instrumentation as well conducting more than 20 research experiments while supervising more than 50 students.
Greg has lectured on a number of topics on reconciling treatment biomechanics with pain science, running injuries, golf biomechanics, occupational low back injuries and therapeutic neuroscience. His courses Reconciling Biomechanics with Pain Science and Running Resiliency have been taught more than 60 times in more than 40 locations worldwide.
In this conversation, Greg and I talk about how the biomechanics research invalidates the idea of ‘dysfunction’ as a cause of pain or disability, why scapular dyskinesis (aka poor scapular positioning and movement) is not a thing, knee valgus during a squat is nothing to worry about and several other interesting topics.
Greg shares his approach of movement optimism, and his basic framework for working within a biopsychosocial model.
I was inspired to write this by Jenna Zaffino’s story in episode 52 of Pilates Unfiltered – I don’t want to put words in Jenna’s mouth so you should listen to the episode after reading this if you’re interested to understand her point of view.
As movement teachers – Pilates professionals, exercise physiologists, physiotherapists – for years we have operated on the assumption that understanding anatomy, physiology and biomechanics are foundational to being an effective practitioner and teacher.
I think this assumption is wrong. You don’t need to know anything about anatomy, physiology OR biomechanics to effectively teach Pilates or help people rehabilitate.
Yep. Anatomy is not important when teaching Pilates. In fact, I think it gets in the way of good teaching.
I will even go so far as to say, you don’t need to know ANY anatomy, physiology or biomechanics in order to be a great teacher and practitioner. The less the better.
Greg Lehman 
