Last weekend the Bulletproofbodies Team had the pleasure of studying with a true pioneer in Physiotherapy, Professor Dr Jeremy Lewis.
Jeremy is a Physio that specializes in the Shoulder and has published extensively in the literature, he is also the Editor of Grieve’s Modern Musculoskeletal Physiotherapy.
The Bio-Psycho-Social approach has long been used in Physiotherapy and it is the exact opposite of the Bio-medical model.
The bio-medical model is the belief that the pain is coming from noxious “issues in the tissues.”
The Biopsychosocial approach is different and is influenced by the NEW Pain Science, where we now know that “Pain is in the brain.”
Jeremy has simplified shoulder issues into the following:
The diagnosis of a painful shoulder has been divided into 4 inter-related categories:
Not a Shoulder
Weak and Painful
Stiff and Painful
Unstable “Wobbly”
With 4 pre-disposing factors:
Psychosocial
Biomechanics
Lifestyle
Kinetic Chain
The evidence for Exercises prescribed by a Physiotherapist are as good as Surgery for the shoulder.
Physio is not “second best” treatment, but should be first line treatment, before surgery is considered (in a number of non-trauma cases).
This means that Physio can significantly reduce the number of surgeries on an already over-burdened NHS service.
You can contact Jeremy on Twitter:
Jeremy, the Bulletproofbodies Team salute you.
Video: https://www.youtube.com/watch?v=5bUf9VcYLmI
