12/02/2021
“And when posture goes, a lot of things breakdown. It starts to create so many other ailments. Not that you just have bad posture, it just starts to create all those joint problems aswell.” - AthleanX.
“Musculoskeletal pain always has a mechanical reason for starting.” - Squat University.
“Fix yo sh*t.” - MoveU
The personalities mentioned above have two distinct similarities. 1; they are all biomechanical reductionists, deducing that pain is either caused by structural damage/abnormalities, or that any structural damage/abnormalities will eventually lead to pain. 2; they all have massive platforms with a large following. Because of this, they are seen as authorities on the subject matter.
However pain is complicated and there is a plethora of scientific literature that suggests pain doesn’t always boil down to just mechanical/biological factors. There are many, many factors that influence pain (Biopsychosocial model) including our environment, perception, experiences, fear, stress, hyper vigilance and many others including education. Remember that last factor when you consider the reductionist information that the above social media superstars put out on a regular basis.
“Musculoskeletal pain in athletes is common, but not always associated with injury (ie, tissue damage).” - Caneiro et al 2020.
We also have data to show that even with structural damage, it doesn’t necessarily mean we are destined to live in pain. For example Stadnik et al 1998 showed that amongst 36 subjects with bulging & protruded discs, 81% of them were pain free.
We need to stop assuming people are broken and need to be fixed. Biomechanical factors are a jigsaw piece, not the whole puzzle.