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    Pain vs Injury - How to Tell the Difference

    enSeptember 11, 2023

    Podcast Summary

    • Promoting Learning and Growth through BanterNick Shaw and Doctor Mike use humor to engage their audience while delivering valuable information and promoting continuous learning and improvement in fitness and health.

      Despite the playful banter and joking between Nick Shaw and Doctor Mike during their podcast, their ultimate goal is to educate and provide valuable information to their audience. They may poke fun at each other and even at some fitness celebrities or trainers, but it's all done in good spirits and with the intention of promoting learning and growth. Additionally, Nick shared his recent discovery and appreciation for Fairlife, a brand known for its high-protein and low-carb products, particularly their shakes, which he finds delicious and effective for post-workout recovery.

    • Fairlife milk: The popular kid in schoolFairlife milk, especially chocolate milk, can aid weight gain due to its rich nutritional content. Embrace challenges and push through pain from lifting, but seek medical help for injuries.

      Fairlife milk, particularly chocolate milk, can help individuals gain weight due to its high nutritional content. The speakers jokingly refer to Fairlife as the "popular kid table" in middle school, expressing a desire to be associated with it. The conversation then shifts to the challenges of being popular or excelling in larger schools with more competition. The speakers reminisce about their own experiences and share stories about their children. Later, they discuss pain, distinguishing between pain from lifting and injuries, and encourage listeners to push through the former while seeking medical attention for the latter. The conversation also touches on the topic of genetics and how they impact physical abilities.

    • Understanding the Differences Between Pain and InjuryThe movie 'The Wedding Crashers' explores the importance of recognizing the differences between physical and emotional pain, with the characters' development illustrating the unique functions and complexities of each.

      The movie "The Wedding Crashers" is a heartwarming and hilarious film featuring standout performances from Owen Wilson and Vince Vaughn. The audience's connection to the characters and their development throughout the movie makes it a must-watch multiple times. Pain and injury are two distinct concepts, with pain being a neurogenic phenomenon that serves as a neural network system designed to detect injuries. It is important to understand the difference between the two, as they serve unique functions. While physical pain is a sensation felt in the brain, emotional pain is a complex issue that requires professional help to address. Overall, the discussion highlights the importance of recognizing the nuances of pain and injury, as well as the power of a well-crafted movie to entertain and engage audiences.

    • Understanding Pain and InjuryPain is a warning system for potential harm, while injury refers to physical damage. Nick's creativity comes from his thought process and ability to anticipate conversation direction.

      Pain serves as a crucial signal for physical injuries and malfunctions, alerting us to take action and avoid further harm. Funding for RB goes to the Church of Scientology, but the specifics of how it's used remain unknown. Nick's jokes and analogies during their conversation come from his thought process in the moment, with some ideas being refined and others discarded. Pain and injury are distinct concepts, with pain serving as a warning system for potential harm, while injury refers to a physical deformity or damage. Nick's creativity and ability to generate ideas on the fly is a result of his thought process and the ability to anticipate the direction of the conversation.

    • Pain and injury don't always alignWhile pain often indicates injury, there are exceptions where pain occurs without injury or injury exists without pain. Pain serves as a warning signal, but it's not a definitive indicator of injury severity.

      While there is generally a strong correlation between pain and injury, there are exceptions. For instance, in extreme situations like being in a car accident or under fire, a person can experience severe injury without feeling any pain. Conversely, there are instances where a person may feel intense pain without any apparent injury. The analogy of an airplane's warning system and the human body's pain response system illustrates this concept. While a well-functioning system will typically show a high correspondence between pain and injury, there are instances where the relationship is not one-to-one. It's essential to remember that pain is a warning signal, but it doesn't always indicate the presence or severity of an injury. Additionally, the speaker shared that he has to be cautious about the content of his YouTube channel due to its adult humor, and he advises against children watching it.

    • Not all disc herniations cause painWhile some disc herniations can cause back and leg pain, many are asymptomatic. Pain in the back doesn't always mean a herniated disc is the cause.

      Not all disc herniations cause pain, and pain in the back does not always mean a herniated disc is the source. While MRI technology can reveal disc herniations, many of them may be asymptomatic. The nerves affected by herniations can vary, and pain in the back does not necessarily mean the nerves in that area are involved. Furthermore, pain can be neurogenic in nature, meaning it's generated in the brain and not always related to an injury. So, if you have back pain but no pain or symptoms in your legs, it's likely you don't have a serious disc herniation. However, it's essential to remember that disc herniations are injuries, even if they don't cause pain or structural damage.

    • Understanding the difference between pain and injuryPain is a signal, injury is damage. Not all pain indicates injury, especially during exercise. Learn to distinguish between types of pain and context to avoid unneeded worry or injury exacerbation.

      Pain and injury are not the same thing. Pain is a signal, while injury is the actual damage. It's essential to understand this distinction, especially in the context of physical exercise, as not all pain indicates injury. For instance, the "burn" felt during high-rep sets is a normal part of the training process and not an indication of injury. However, developing this understanding takes time and experience. It's crucial to learn the difference between the various types of pain and the context in which they occur to avoid unnecessary worry or potentially exacerbating an injury. For example, pain caused by lactic acid accumulation during hypertrophy training is expected and even desirable. So, the next time you feel pain during a workout, consider the context and the type of pain before making assumptions or stopping your routine unnecessarily.

    • Pain isn't always an injury indicatorNot all pain during training is a sign of injury. Some pain is normal and comes from neurogenic sources or lactic acid buildup.

      Pain during training is not always an indicator of injury. Our bodies produce various types of pain, including neurogenic pain, which can feel like an injury but is actually just our nervous system sending signals. Phantom pain in amputees is an extreme example of this. Most pain encountered during training is not indicative of injury, but rather normal sensations from lactic acid buildup or neurogenic sources. To differentiate between these types of pain and potential injuries, consider the context. Severe structural indicators of injury typically present themselves with clear symptoms, such as sound, sight, and intense pain, which are usually apparent when the injury occurs. If you experience pain during warm-ups that came out of nowhere and you haven't injured yourself traumatically, it's likely not a severe structural issue. Instead, it's probably just your body adapting to the training.

    • Assessing temporary vs permanent pain through warming upObserve pain response to warming up to distinguish temporary from permanent damage. Decrease in pain indicates likely no serious injury, while increase in pain may indicate real injury.

      Temporary pain, such as neurogenic pain, can be distinguished from permanent structural damage through the response to warming up. If the pain decreases or disappears with warming up, it is likely not a sign of permanent damage. Conversely, if the pain increases with warming up, it may indicate a real injury. The speaker uses the analogy of a car indicator light to illustrate this concept. Just as a car's indicator light may falsely indicate damage when the car has been in a safe environment, temporary pain can sometimes be mistaken for a serious injury. However, by carefully observing the response to warming up, one can make a more accurate assessment of the situation. This is especially important for parents, who must make quick decisions regarding their children's health.

    • Understanding Pain During WorkoutsPay attention to the type, intensity, and response of pain during workouts. Decreasing pain during warm-ups and sets likely neurogenic, increasing pain a clear warning sign of injury.

      Pain is a detector system in the human body, and injury is the problem it's trying to alert us to. When evaluating potential injuries, it's essential to consider the type and intensity of pain, as well as how it responds to warm-ups and workouts. If the pain decreases during warm-ups and sets, it's likely to be neurogenic, meaning there's no actual damage. However, if the pain increases, it's a clear warning sign that something is wrong and may require medical attention. Additionally, if the pain persists throughout multiple sessions without improvement, it could indicate a more significant issue. Ultimately, it's crucial to listen to your body and be aware of any changes in pain levels to prevent further injury and ensure safe and effective training.

    • Determining the cause of workout painPay attention to pain during workouts. If it decreases, likely fine. If constant or increasing, could indicate structural damage. Adjust technique and position to alleviate pain and maintain proper form.

      Pain during workouts can indicate various issues, and determining the cause requires careful observation over time. If pain decreases rapidly during warm-ups or sets, it's likely fine. However, if pain remains constant or increases, it could be a sign of structural damage. Technique and position adjustments can often alleviate pain, especially when dealing with near-universal technique mistakes or individual variations within acceptable ranges. By focusing on proper form and addressing any underlying issues, individuals can minimize pain and continue their workout routines safely.

    • Adjusting position for maximum results and minimal painMaking small adjustments to position and technique can help eliminate pain and improve workout results. Adjusting cadence can also reduce injury probability and improve form.

      Finding the right technique and position for each exercise can help alleviate pain and maximize results. The position that works best for one person may not be the same for another, and making small adjustments can make a big difference. For example, widening your grip on a pull-down can eliminate pain while still providing similar benefits. Similarly, adjusting the seat position in a car can make a significant difference in comfort. The same principle applies to lifting weights. If an exercise causes pain, try modifying the technique or position to find what works best for you. This can help eliminate pain and improve your overall workout experience. Another takeaway is the importance of cadence. Going slower during an exercise can help reduce injury probability and allow for micro corrections, which can lead to better form and more effective workouts. Overall, the key is to be open to making adjustments and finding what works best for your individual body.

    • Modify workouts for comfort and effectivenessAdjusting technique, position, or cadence can help alleviate pain and improve workout performance. Warm-ups are essential to prevent injury and prepare the body for various weights and exercises. Weight loss can reduce joint pain and improve workout capabilities.

      During a workout, if you encounter pain or discomfort, you have the ability to adjust various factors to make the exercise more comfortable and effective. This can include altering your technique, position, or the cadence of the movement. Additionally, the body adapts to different weights and conditions, so gaining or losing weight can impact your workouts and joint health. Warm-ups are crucial to prevent injury and prepare the body for various weights and exercises. Furthermore, individuals who carry significant weight can still perform intense workouts, but their bodies become accustomed to the load and experience less joint pain when they lose weight. Polynesian populations, for instance, are known for their exceptional strength and athletic abilities, which can be attributed to their unique physiology and training methods.

    • Polynesians in American Football: A Legacy of Warrior TraditionsPolynesians' natural size and athletic abilities make them well-suited for American football, rooted in their cultural background and historical warrior traditions. However, not all can adapt, requiring modifications or professional help.

      Polynesians have a high representation in American football due to their natural size and athletic abilities, which can be attributed to their cultural background and historical warrior traditions. The NFL has inadvertently tapped into a population that has been training for physical combat for generations. However, not everyone can adapt to the demands of the sport, and for those who experience pain during workouts, altering the load or technique may not be enough. Other options include modifying the exercise or seeking professional help. The speaker also shares an anecdote about the size and strength of Samoans, highlighting the genetic advantages that contribute to their success in American football.

    • Managing workout pain through modificationsExperimenting with weight, reps, or exercises can help manage workout pain, but remember that rest and taking a break might be the best solution. Avoid excessive modifications to range of motion to prevent hindering progress and misconceptions.

      When dealing with pain or discomfort during workouts, it's important to consider various strategies to alleviate the issue. Changing the weight, reps, or exercise itself can be effective in managing pain. However, it's essential to remember that these modifications may not always yield different results, and sometimes, rest or taking a break from the problematic exercise is the best solution. It's also crucial to avoid becoming "range of motion phobic" by modifying the range of motion excessively, as it may hinder progress and lead to myths and misconceptions about the effects of different ranges of motion on the body. In summary, experimenting with different workout variables can help manage pain, but it's important to approach these modifications with a clear understanding of their potential impact on results.

    • Dealing with workout pain: Try techniques, modifications, and seek medical help if necessaryWhen experiencing pain during workouts, experiment with different methods, but if it persists, consider altering your training focus, seeking medical attention, and implementing a mini rehab plan.

      When dealing with pain during workouts, it's important to try different techniques and modifications before completely giving up on an exercise. However, if the pain persists despite these efforts, it may be necessary to alter the training focus for a while, consider medical attention, and implement a mini rehab plan. This process can help manage the pain and potentially prevent further injury. It's important to remember that everyone's body is different, and what works for one person may not work for another. Therefore, it's crucial to listen to your body and adjust accordingly. Additionally, it's essential to understand the difference between pain and injury and know when to seek professional help. Overall, the key is to stay patient, persistent, and open-minded when dealing with workout-related pain.

    • Assessing pain: Discomfort vs InjuryAssess pain severity, duration, location, and intensity before deciding to train or rest. If symptoms persist or worsen, consult a healthcare professional.

      Understanding the difference between training through discomfort and injury is crucial for maintaining a healthy fitness routine. When experiencing pain, it's essential to assess the severity and consider factors like duration, location, and intensity before deciding whether to train or rest. If symptoms persist or worsen, it's best to consult a healthcare professional. Remember, it's always better to be safe than sorry when it comes to your health. Stay tuned for the next episode where we will discuss strategies for coming back from injuries. Thanks for joining us today!

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