Jake Berman

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Too Subjective To Be Objective

Back Pain - Posture

Dr. Jake here again!

We've all been in pain before, and we all try to figure out what the heck is going on. We ask our friends, our trainers, our coaches, and our doctors, and sometimes they lead us toward the right answer.

BUT, there are a lot of WRONG answers!

Let's look at back pain, for example.

There are SO MANY things that can cause pain in your back. You probably know the common ones (herniated disc, pulled muscle), but here are some causes that go overlooked:

  • Poor posture
  • Nerve entrapment
  • Strained ligament
  • check
    Joint capsule restriction
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    Core instability
  • check
    Muscle imbalance
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    SI joint dysfunction
  • check
    Hip instability
  • check
    Pelvic obliquities
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    Hip capsule restrictions
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    Fascial restrictions
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    Diaphragm issues
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    Pelvic floor issues
  • check
    Improper Workout technique

If you're suffering from any of these, but you're only being treated for a disc issue, you will NEVER get better!

There's an equally long list for neck pain, knee pain, shoulder pain, and leg pain.

"So I should get an MRI and find out what's REALLY going on before I decide how to proceed, right, Dr. Lee?" you might be thinking.


MRIs, scans, x-rays, and imaging of all kinds can cause a huge confirmation bias.

Over the past 5+ years there have been multiple high-quality studies looking at MRI results of the lumbar spine in asymptomatic people aged 50+. "Asymptomatic" means that these people have NO symptoms.

The results? Over 60% of people aged 50+ have some type of degeneration, herniation, or bulging in their lumbar spines.

Now remember, these studies were done on people who DIDN'T HAVE ANY SYMPTOMS!

Poor Posture...

So if you're having back pain caused by poor posture (or anything else on our big list from before), but an MRI shows that you have a disc problem, your doctor is immediately going to start treating the disc problem-even though that's NOT the cause of your pain!

You're going to spend endless time and money (and maybe even surgery) to fix something that's not even bothering you, and your back pain will continue until you fix your posture.

So what should you do?

Stop trying to diagnose yourself. Stop letting your friends tell you what could be wrong with you based on what was wrong with them. Stop obsessing over your MRI.

Find a doctor (like a physical therapist!) who knows how to be objective and look for ALL the possibilities on our list, not just the common ones. You'll get out of pain, and STAY out of pain, when you address the cause of the problem, not the symptoms.

That's all for this time! Stay tuned for next week's blog!

Back Pain Free Report - Posture

Dr. Jake Berman

PT, DPT at Berman Physical Therapy
Jake graduated with highest honors from University of Florida, earning his Undergraduate Degree in Health Science.

He went on to finish the University of Florida Physical Therapy Doctoral program. Following graduation, he practiced two years at Orthopedic and Sports Physical Therapy in Destin, FL, learning the complex philosophy of Primal Reflex Release Technique under Bob Seton. Before deciding to open his own practice, Dr. Berman furthered his education by practicing at Innovative Therapy Solutions in Jacksonville, FL, specializing in Functional Manual Therapy™ with Aaron Robles.

A lifelong resident of Naples, Jake opened the doors of Berman Physical Therapy is the very proud father of two dogs, Yeti (the office therapy dog!) and Brady. When he's not spending time with his dogs or his beautiful wife, Jenni, you can find Jake golfing or spending time outdoors.
Dr. Jake Berman

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