09/11/2026
FEAR OF PAIN IS MORE DISABLING THAN PAIN ITSELF π
I quote this study all the time, and there are dozens more like it. If you focus too much on anatomy, you become afraid of your body, which leads to movement avoidance, deconditioning, weakness, and ultimately more pain and disability.
You see your MRI. It's got a disc herniation or a protrusion. That's pretty scary.
Somebody tells you that bending your spine makes disc herniations worse. That's pretty scary.
They tell you that your disc is like a jelly donut and your disc is crushed or splattered. That's extremely scary and not true at all.
Of course, we want to take sensible precautions with severe pain, and of course we want to rule out red flags. Beyond that, thinking about our anatomy and our MRI does not help us at all to determine what you specifically should be doing for your rehab exercises.
This is a major roadblock with people who have tried an exercise-based approach and failed. We can't progress your exercises to build meaningful strength and resilience until we get you to overcome your fear of progressing with your exercises in the first place.
This is why, with our clients, we love to incorporate mindfulness practices and relaxation practices, as well as pain science education, so you're not as scared and your body feels safe relaxing.
When your nervous system experiences a state of safety, then we can start to gradually introduce exercises that you may have been worried about in the past.
Then, slowly, we can build strength and resilience over time and give you the confidence to return to a normal life.
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