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Why "Just Rest It" Is the Worst Injury Advice Your GP or Physio Can Give You — Transcript

by MOVE Physiotherapy · 2,080 words · 301 segments · language en · Watch on YouTube

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  1. 0:00Welcome back to
  2. 0:03WOW, the whiteboard of wisdom. And in
  3. 0:07today's video, I'm going to talk about
  4. 0:09probably the most common mistake that
  5. 0:12the clients that we see who have failed
  6. 0:14previous approaches make. And one of the
  7. 0:17most surprising things is it's often the
  8. 0:20advice that has been given to them by
  9. 0:21their GP, physio, osteo, Cairo, and that
  10. 0:26is
  11. 0:28rest. Now, I'm sure you're familiar with
  12. 0:31the story. You get an injury, you go and
  13. 0:34see your GP, you Google online, you
  14. 0:36might use AI now, and one of the most
  15. 0:39common things that people get told is
  16. 0:41rest for 6 weeks and see how it is at
  17. 0:43the end of that. Now, this couldn't be
  18. 0:46poorer advice if it tried. And I've got
  19. 0:49two different diagrams on the board to
  20. 0:52explain it to you as simply as possible
  21. 0:54in the next sort of 10 to 15 minutes.
  22. 0:57And
  23. 0:59what I want to do is I want to make you
  24. 1:02or help you understand this through
  25. 1:03different physical qualities and the
  26. 1:06demands of your life of the activities
  27. 1:08you like doing of the sports that you
  28. 1:10may like playing. And those three
  29. 1:13qualities and there are more qualities
  30. 1:15than this but the three qualities that I
  31. 1:17want you to think about are strength,
  32. 1:19fitness and mobility. pretty much the
  33. 1:22three sort of foundational um qualities,
  34. 1:25but the ones that people understand the
  35. 1:27most when they think about rehab and and
  36. 1:29rehabilitating and fixing problems. And
  37. 1:32over here, this is a common mistake that
  38. 1:35people make.
  39. 1:37The dotted line up here are the physical
  40. 1:40requirements or what how much mobility
  41. 1:43you need, how much strength you need,
  42. 1:44how much fitness you need for your
  43. 1:46specific sport or activity. and the
  44. 1:52demands of that. And the reason that
  45. 1:55most people get injured is that they
  46. 1:56don't have enough strength, fitness,
  47. 1:59mobility, and a concoction of those
  48. 2:01different physical physical qualities
  49. 2:03together to tolerate the demands of what
  50. 2:05they're trying to play. It might be
  51. 2:07football, it might be running, it might
  52. 2:09be doing it recreationally, it might be
  53. 2:10going to the gym, it might be playing
  54. 2:12with the kids in the garden, it might be
  55. 2:14gardening. Whatever it is, whatever lens
  56. 2:17you look at it through, the same
  57. 2:19principle applies that this injury
  58. 2:20happens because of the gap between
  59. 2:25where you currently are, which is here,
  60. 2:28and this is your baseline, and the
  61. 2:30physical requirements of the sport or
  62. 2:32activity that you're trying to complete.
  63. 2:34And your body can't tolerate those
  64. 2:36demands because of where it is. And it
  65. 2:39breaks down. And that's whether it
  66. 2:41breaks down with physical trauma, a
  67. 2:43muscle tear, a joint injury, um, etc.,
  68. 2:47etc., or whether it's spasm, protective
  69. 2:50tone, um, things locking up. They're all
  70. 2:52common things that people say to us. And
  71. 2:55what typically happens is when you rest,
  72. 2:58this decline or deconditioning in those
  73. 3:02physical qualities happens
  74. 3:05and
  75. 3:06you bottom out here. So you actually get
  76. 3:10worse at the things that you were
  77. 3:11missing from the um
  78. 3:15onset of the pain. And what most
  79. 3:19rehabers do is just try and get you back
  80. 3:22to baseline because that's where you
  81. 3:25started. Now this is there's so many
  82. 3:28different shortcomings to this, but one
  83. 3:30of the biggest shortcomings is that that
  84. 3:32gap just still exists. So these are the
  85. 3:35people that return to their sport,
  86. 3:38return to gardening, return to playing
  87. 3:40with the kids, and they do it for 2,
  88. 3:43three, four, five, six weeks, whatever
  89. 3:44it is. And the same thing happens. They
  90. 3:49end up right back here because we could
  91. 3:52actually just consider this a wave going
  92. 3:54on. They end up right back here because
  93. 3:56they've just not brid the gap between
  94. 3:58where they currently are and where they
  95. 4:01need to be.
  96. 4:03I hope that makes sense. This is the
  97. 4:05most common mistake that people make.
  98. 4:07Now, this is the move approach and this
  99. 4:10is how we get people back quickly. We
  100. 4:12get them back effectively and we keep
  101. 4:16them back. And this approach is terrible
  102. 4:18for business, by the way, because as a
  103. 4:20business owner, how good of it would it
  104. 4:22be for me for you to just keep coming
  105. 4:24back in and believing that I'm helping
  106. 4:26you because I'm getting you back to pain
  107. 4:28free and back to baseline,
  108. 4:30but you not seeing or not knowing that
  109. 4:34the gap that needs closing is the true
  110. 4:36answer and the true fix to your problem.
  111. 4:38And quite frankly, what actually happens
  112. 4:40here is that people get back to here and
  113. 4:43then they bottom out a bit lower and
  114. 4:45they just keep deconditioning over time
  115. 4:48and over time because they just never
  116. 4:50get back to where they need to be to
  117. 4:52tolerate the demands. So what the move
  118. 4:54approach does is the injury happens and
  119. 4:58you come into us and we go through a
  120. 5:00really detailed assessment. That
  121. 5:03detailed assessment allows us to know
  122. 5:05exactly what that gap is. We know where
  123. 5:08you are. We understand your goal or your
  124. 5:12dream
  125. 5:14outcome
  126. 5:20and we can develop a needs analysis of
  127. 5:23how much strength, how much fitness, how
  128. 5:25much mobility you need. Like I said,
  129. 5:26there's more physical qualities than
  130. 5:28that. So then we can put a really
  131. 5:30specific plan in place that means that
  132. 5:34you can at least maintain as much as
  133. 5:37possible. And the majority of our
  134. 5:39clients
  135. 5:42might decondition a little bit, but very
  136. 5:44quickly they start to super compensate
  137. 5:48or they start to make this gap smaller
  138. 5:52and smaller and smaller over time.
  139. 5:56The reason I've left a little bit more
  140. 5:58of a time delay there in terms of the
  141. 6:00way that the strength is improving is
  142. 6:03because quite frankly, if you're in
  143. 6:05pain, you're not going to be able to
  144. 6:06tolerate pushing your strength as uh
  145. 6:08early as you are improving your mobility
  146. 6:12and improving your fitness. A lot of
  147. 6:14people think, oh, I I just need to rest
  148. 6:16and I can't develop my fitness or my
  149. 6:18cardiovascular fitness. Well, actually,
  150. 6:20if it's a lower body injury, we can do
  151. 6:22seated ski. So you're using your arm and
  152. 6:25you're developing your cardiovascular
  153. 6:27system. If it's an upper body uh injury,
  154. 6:29we can do lower body uh based
  155. 6:31cardiovascular exercises like bike um to
  156. 6:35develop that. And what we actually do,
  157. 6:37we don't just objectively test your
  158. 6:39injury. We objectively test you. We look
  159. 6:41at absolutely everything. And that's
  160. 6:42what's so unique about our approach and
  161. 6:44our pro recovery and performance plan.
  162. 6:46And if this is something you're
  163. 6:47interested in knowing a little bit more
  164. 6:49about the first link in the bio down
  165. 6:50below, it's an application form. It
  166. 6:53takes five minutes for you to fill out.
  167. 6:55It's essentially an opportunity for you
  168. 6:56to tell me about your injury, what your
  169. 6:58goals are. I read every single one of
  170. 7:00them and I will reach out to basically
  171. 7:03explain to you what I recommend as the
  172. 7:05best next steps.
  173. 7:07But
  174. 7:09as your pain improves, your mobility and
  175. 7:11your fitness are improving, and you're
  176. 7:13able to tolerate pushing your body more,
  177. 7:16and then your strength starts to
  178. 7:18improve. And what we're actually aiming
  179. 7:20to do is not just get you to the demands
  180. 7:24of your sport, but we want to exceed
  181. 7:26those so that we can guarantee with as
  182. 7:29much confidence that when you return
  183. 7:31back to your sport, you can tolerate
  184. 7:33that. I worked in professional uh rugby,
  185. 7:36international sport for nearly 10 years.
  186. 7:40And this was the single biggest thing
  187. 7:41that allowed me to achieve success. And
  188. 7:43one of the most unique sessions that I
  189. 7:45did within any rehab approach was a
  190. 7:47worst case scenario approach uh session,
  191. 7:49sorry, a worst case scenario session.
  192. 7:51And all I'm trying to do in that session
  193. 7:54is understand the sport and what that
  194. 7:56certain player or individual's demands
  195. 7:59are. And obviously, we've got loads of
  196. 8:01data that we can track and and bits and
  197. 8:03pieces there. and I want to take them to
  198. 8:06110% of a half of rugby or a half of
  199. 8:10football or a half of net ball or run at
  200. 8:13a higher intensity in their intervals. I
  201. 8:16just want to exceed that and know that
  202. 8:18they can hit 110% and they can therefore
  203. 8:23tolerate the demands of their sport and
  204. 8:25activity, get back there confidently,
  205. 8:28get there back there and enjoy them and
  206. 8:30also bridge the gap because like some
  207. 8:33people might go back here and they'll
  208. 8:36won't feel up to speed. They won't feel
  209. 8:39confident. they'll need 4 to 8 weeks
  210. 8:43getting back up to speed and then still
  211. 8:45only be here because they've just not
  212. 8:48finished the rehab process. All rehab is
  213. 8:51is strength and conditioning
  214. 8:54with a constraint of an injury to
  215. 8:56consider around it. And that's again why
  216. 8:58with that pro recovery and performance
  217. 8:59plan that I mentioned earlier, we aren't
  218. 9:02just your physio, we don't just do your
  219. 9:04rehab. We do all your strength and
  220. 9:05conditioning work. We do all your
  221. 9:06training. We do all your mobility. We
  222. 9:08help with lifestyle, nutrition, sleep.
  223. 9:10It is a fully comprehensive package so
  224. 9:13that we as much confidence can guarantee
  225. 9:16that we don't just get you back to
  226. 9:18baseline and you get stuck in this
  227. 9:20injury loop. We don't just get you back
  228. 9:22to your sport. we exceed those demands
  229. 9:24and we guarantee with as much confidence
  230. 9:26and ultimately I say this to my clients
  231. 9:27all the time I want to be able to look
  232. 9:29you in the eyes shake your hand and say
  233. 9:31that the job is finished and I want to
  234. 9:33be able to back that up with objective
  235. 9:35data that we've collected right from day
  236. 9:37dot or as early as possible in the um
  237. 9:40from the injury onset and we have
  238. 9:42retested at regular intervals and we
  239. 9:45have just seen you be able to hit all of
  240. 9:48the KPIs so the key performance
  241. 9:50indicators to know that you've earned
  242. 9:52the right to safely and effectively. Get
  243. 9:53back to your sport, your activities,
  244. 9:55whatever they are, and you're good to
  245. 9:58go. So, I hope that makes sense. The big
  246. 10:02takeaways,
  247. 10:03don't rest. There's always something
  248. 10:05that you can do. Like I said, mobility
  249. 10:07might be the first thing that we focus
  250. 10:08on, but it needs to be tested. It needs
  251. 10:10to be specific, not just the three best
  252. 10:12exercises that you've found on social
  253. 10:14media or on YouTube for your knee pain,
  254. 10:16for your ACL, for your back pain,
  255. 10:18whatever it is. Then we can think about
  256. 10:21right how can we improve different
  257. 10:22physical qualities. It might be fitness,
  258. 10:24it might be strength. There's lots of
  259. 10:26different modalities as well that we can
  260. 10:28probably introduce these things earlier.
  261. 10:30But it's very individualized in that
  262. 10:32regard in terms of what you have access
  263. 10:34to, how much time you have, etc., etc.
  264. 10:37But the biggest shift you can make if
  265. 10:39you're watching this, you're currently
  266. 10:41injured. Get out of this rest mindset.
  267. 10:44Get out of just trying to get back to
  268. 10:46baseline and get out of the injury
  269. 10:49cycle. Start having a performance
  270. 10:51focused rehab approach from day dot.
  271. 10:54Find someone that is going to be able to
  272. 10:55tell you exactly where you are with
  273. 10:58regards to your injury, but then also
  274. 11:00your overall performance that can then
  275. 11:03put a plan together that takes you back
  276. 11:05and exceeds the demands of the sport or
  277. 11:07activity, whatever lens it is. Whether
  278. 11:10you just want to play with the kids,
  279. 11:11garden on a regular basis, we've got
  280. 11:13we've now helped over four and a half
  281. 11:15thousand people at Move. Whether that's
  282. 11:16a combination of online uh in person at
  283. 11:19our Harriet HQ, hybrid clients that come
  284. 11:22and see us once a month and then we do
  285. 11:23all of their programming away from here,
  286. 11:25a very wide range of people. And this is
  287. 11:28our approach is we want to understand
  288. 11:30the demands of your dream outcome, where
  289. 11:32you are, and then basically how to fill
  290. 11:35the gap in between. So, like I said,
  291. 11:37there's a link in the bio if you want
  292. 11:39it. The second link in the bio is 30
  293. 11:41days uh 30 ways in 30 days to fix your
  294. 11:43injury. I'll just send you a free gift
  295. 11:46direct to your inbox every single day um
  296. 11:48with a piece of injury advice. Um so,
  297. 11:51yeah, if you're injured, first link. If
  298. 11:53you're injured and want more
  299. 11:56wisdom from the whiteboard, hit the
  300. 11:59second link and I look forward to
  301. 12:00chatting.

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