Health & Fitness Redefined

Unlocking the Mysteries of Chronic Pain: Rick's Innovative Approach and Practical Advice

Anthony Amen Season 5 Episode 2

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Rick Older joins us to explore the systemic nature of chronic pain and how understanding interconnected body mechanics can lead to more effective solutions. We delve into practical tests and insights from his new book, "Pain Patterns," to help listeners identify their pain causes and pursue a holistic pathway to relief. 
• Discussion on why Rick wrote his book Pain Patterns 
• The significance of viewing the body as a system rather than isolated parts 
• Insights on overlapping research in movement science, fascia, and neurophysiology 
• Understanding the concept of functional linking and its role in chronic pain 
• Importance of identifying pain patterns through simple self-assessments 
• Conversation on spinal surgery as a last resort rather than first-line treatment 
• Discussion on the creative approaches therapists can take in treatment 
• Key takeaway for individuals suffering from chronic pain to assess their unique experiences

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Speaker 1:

Hello and welcome to Health and Fitness Redefined and we got another great episode for all of you. Today we have a guest that's been on the show about a year ago, all the way out from Colorado. So, without further ado, let's welcome Rick. Rick, it's a pleasure to have you.

Speaker 2:

Thanks a lot for having me, anthony, excited to be here.

Speaker 1:

Excited to have you back on. I know last time we were on we had a 45 minute conversation. It was nice in detail about pain.

Speaker 2:

By my standards, even that's short, because I could talk about this stuff for hours.

Speaker 1:

Well, I hope everyone goes back and listens to it and really gets an understanding of your background. Talk a little bit about you being I know we talked a little bit about being a physical goes back and listens to it and really gets an understanding of your background. Talk a little bit about you being I know we talk a little bit about you being a physical therapist and how you approach things differently, so we're just going to jump right into it. Then it's a little untraditional, which I think is fun. All about your new book that you wrote, which is about being pain-free it's something we like talking a lot about on this show is trying to figure out ways to overcome commonality issues such as lower back pain, sciatica, everything that kind of falls with that. So let's ask the first questions what made you want to write the book?

Speaker 2:

Yeah, well, you know, anthony, I sold my clinic a couple of years ago and I've been working under a non-compete clause, so I can only see people via telehealth for three years, and so I've been working with a lot of people and it really, when I don't get to use my hands, it really helps me focus my message and vision about what needs to happen with somebody, and I need to articulate that in a way and do testing in a way that you know person.

Speaker 2:

So this, while it's the same approach I've been using for the last 20, 25 years, this really helped me hone my message as to what exactly I was looking for to help these people remotely, and so it clarified my message. And then, at the same time, I have created a practitioner's training program to help health and wellness people do what I do, and in that program there's a 10-page neurophysiology paper I wrote many years ago and I thought you know what? I think it's time for me just to flesh this out a little bit more, maybe create a booklet out of it instead of just a little 10 page paper, and before I knew it it had become a book. And so I combined this, these two things that neurophysiology 10 page paper, together with what I've been doing these past two years, honing my vision and my my message to help these people, and it's created this new book called pain patterns to help these people.

Speaker 1:

And it's created this new book called Pain Patterns. I like it. So it kind of was a work in progress. You didn't think was going to happen and you just started diving deeper and deeper into the pigeonhole and you're like, oh wow.

Speaker 2:

Yeah, that's exactly how it was. I just woke up one morning. I'm just like holy smokes. I think I'm writing a new book.

Speaker 1:

When did the book come out?

Speaker 2:

It came out November 15th. Oh, recently, awesome health and wellness practitioner I've talked to because I'm combining elements of movement science, fascia research and neurophysiology, which have all three of these areas of research, have exposed similar patterns of problems that we all face in these areas of research, and it turns out that there are three patterns that overlap among all three of these silos of science, and so typically what happens with researchers is they stay in their area of research, fascia stays in fascia, physical therapy stays in physical therapy and neurophysiology stays in neurophysiology.

Speaker 1:

It's the saying you're going to hire a plumber, he's only going to use the tools he has, Exactly. He's like I can't fix your lights for you.

Speaker 2:

Right, but these people have asked me to help them with their chronic pain, and it required me to move beyond these traditional areas of knowledge, and so I ended up crossing these silos and found that, oh, all three of them are pointing to the same three patterns of problems or issues of how we're built that seem to be behind all chronic pain that I've treated anyway, and so that's what the first part of the book is about.

Speaker 2:

We can go more into detail about that. The second book, the second part, functions as a workbook, because that information is useless if you can't apply it to yourself and help your particular pain issues, and so the second half of the book is taking you through tests to see what your pain patterns are and what are feeding those pain patterns, and I introduced this idea called functional linking too, which helps you uncover older injuries that are contributing to your current pain, which most people that's just not on their radar, strangely so, even when I ask them point blank what are your old injuries? Oh, I have known You've played football and you've never had any older injuries. No, no, no, I've had surgeries, but no injuries. Oh, okay, well, let's surgeries count as injuries. So, and now, once you open those floodgates, then you find these people have all these old injuries that they haven't thought about in 20, 30 years and that are causing their current pain.

Speaker 1:

I'm laughing because when we do assessments it's always the running joke. We ask people like what's your medical history? Anything you need to know? Blah, blah, blah. What's your medical history, anything we need to know, blah, blah. We go through it and then we start our first session and they're like super out of breath. So like what's going on? Oh, I have asthma. It's like well, why didn't you tell us that beforehand? We would have made sure you got your inhaler on you and don't take precautions. Oh, I forgot. Yeah, yeah, they don't connect it when they're going over the medicals because they haven't thought about it, like you said, in 20 years.

Speaker 2:

Exactly, and part of that, I think, is medicine's fault, for we've been. Medicine is really based on this idea of component thinking when, oh, you've got shoulder pain, let's look at your shoulder, you've got back pain, let's look at your back pain, let's look at your back. And so they break the. You know, research has developed because we have to be able to break down the body into components, to study those components, but what happens is no one's putting all this research together into an understanding of an overall how we function way again. And so that's how I've learned to solve pain is by looking at these things and looking at it from a systems point of view instead of component thinking point of view. And so when you go in to see someone about pain, you know, oh, it's my elbow. No one's thinking well, what did you do with your shoulder? How about your pelvis? What about your foot? You know, no one's thinking about that because we've been trained in this component thinking approach and I, frankly, I believe that that's why we have chronic pain.

Speaker 1:

Yeah, I mean just myself. Recently I have hip pain. I'm looking at my hip. People or doctors look at it and nothing's wrong. And then everybody's oh, it's the way I'm walking. So let's look at my feet. Oh, I'm not doing enough inversion with my foot as I'm walking, so let me fix that. And all of a sudden, the pain starts going away in the hip.

Speaker 2:

Like.

Speaker 1:

I said, it's micro-focused on one single thing, when really you want to look at the body as a whole, which is why, with personal training, the way we teach it is take a step back approach. So when you're training somebody and you'll say they're doing a chest press, don't hyper-focus on the chest. Take a step back from that person. Look at that whole body, look at their body mechanics, from fingers to toes, and how everything is moving and working together, and then you really can see how the body's moving efficiently. Right Fascia connects all the muscle tissues together, so why not look at everything?

Speaker 2:

Yeah, and so I wrote this book with the idea of not only helping lay people, but I also want to reach out to professionals like you doctors, chiropractors, other physical therapists and so forth who are trying to work with people with injuries. And so I've put enough research and science in that to back up the elements of what I'm talking about. And then the tests that I have in. There are the tests, what I've, the elements of what I'm talking about, and then, you know, the tests that I have in there are the tests that I've been using, for I've kind of honed my test during my telehealth sessions. These are the critical tests that seem to be at the root of most people's chronic back, sciatic, SI joint, hip, knee, foot, whatever kind of pain. I even have a part in there for neck pain and headaches, but anyway. So I've straddled that fence between not making it too sciencey, so lay people can understand, but making it sciencey enough so professionals can get something meaty out of there too.

Speaker 1:

Yeah, I love that and you mentioned the first part is three crossovers. Do you mind expanding a little more on those?

Speaker 2:

overs. Do you mind expanding a little more on those? Yeah, of course. So I'll just give you one example.

Speaker 2:

So I've identified three pain patterns that seem to be at the root of almost all chronic pain, and so and I'm talking about more specifically, back pain or lower body pain or pelvic pain, si, joint, sciatica, all that kind of stuff. So I think we talked a little bit about one of these last time. It's called an extension problem, and which extension in medicine just means arching. So it means that your back pain hurts more when your back is arched, and so an easy test to do that is if you lie down on the ground on a firm surface with your legs straight and then, after 30 seconds, bend your knees. 99% of people with chronic back pain feel more relief when their knees are bent rather than when their legs are straight. Well, what they're bending their knees is doing is flattening the spine and introducing or removing arching of the spine. Really simple concept, okay. So if you do that test and you find, oh, I've got an extension problem. So if I can arch my spine less, then I'll feel better, and it's as simple as that really. I mean, there may be other factors, but that's as simple as a pain pattern gets.

Speaker 2:

So when we look at fascia research, thomas Myers wrote this book called Anatomy Trains, which identified superhighways of fascia running through the body from head to toe. Fascia is connective tissue and fascia connects everything to everything else muscles, bone, tendon, nerves, blood vessels, everything. And so he identified these superhighways of fascia that run through the body, and one of them is called the superficial back line. And the superficial back line runs from the top of the head to the bottom of the foot, all along the back of our body. Well, if you can imagine all of those muscles and fascia contracting along that superficial back line, you've just created an extension problem, which is the first thing that we test just 30 seconds ago that your back hurts more when it's arching. So the fascia is one of the components that's causing the back to arch more. Okay, so that's the fascia side of things, and we can go much deeper into fascia if you want to.

Speaker 2:

Then the last part of this is the neurophysiology part. When we're born, we are born with deep reflex patterns that help us organize our body and function in life. One of those is called the Landau reflex pattern, and what that does is when we're crawling. As babies, it helps us lift our head. If you watch, oh, you've got a new baby, you can watch this yourself. So when you watch your baby start crawling, you'll see them trying to lift up their head. Well, they have to arch their back to do that. So that doesn't happen because the baby's thinking I need to arch my back in order to lift my head. It's a reflex pattern that happens, that they're born with, and so it's a.

Speaker 2:

And that reflex pattern, called the Landau reflex, recruits the same muscles along the back as that superficial back line of fascia and the extension problem we just discovered in movement science line of fascia and the extension problem we just discovered in movement science. So when we look at all three of these, we see that this extension problem is not only because you stand around arching your back too much, but you also probably have a fascial component to this. And you may also have a neurophysiology, neurophysiological component to this, from a neural contraction pattern standpoint. For instance, if you suffer from anxiety, well, people who suffer from anxiety tend to be more alert all the time. Well, that alert state in your body taps into the Landau reflex pattern of movement, and so that's what the first part of the book is talking about is showing you what these movement fascia and neurological reflex patterns are and how they are all almost identical to each other. But none of these parts of science ever talk to each other, so they're not aware of each other.

Speaker 2:

And this is what I've been putting together for these last 25 plus years. Is understanding is, you know, finding this information and applying it to help chronic pain. That's why I'm successful at solving chronic pain, and so that's what the first part is. And then the second part is not only testing which patterns you have, but also why you're having those patterns. So now you can look at that old foot injury, like you were talking about with your hip, and see, oh, and if you know that you have an extension problem, you can then be able to say, oh, my foot is doing this to me and that's causing my back to arch more, which is causing my back pain. So that's how we put it all together.

Speaker 1:

I mean it makes sense, right? I mean, just a little bit of head tilt forward is going to put excessive pressure on your lower back, like you mentioned, the fascia being connected. So if you're pulling forward here, it could be straining all the way up and people can get tension, that which can be from texting on your phone the wrong way or whatever all these commonalities that lie within. So the real question is how does somebody tackle a problem like that, right? So you have an understanding that you have. Let's just take lower back pain, which is the easiest to talk about. You have lower back pain you're experiencing. Maybe it's pinching your sciatic nerve. Which area do you tackle first? Do you tackle the movement part of it where you're going to sciatic nerve? Which area do you tackle first? Do you tackle the movement part of it where you're working the opposing muscles to help pull it away? Are you attacking the fascia response of it? Are you focusing on myofascial release or are you focusing on the nerve part of it where maybe you're doing some kind of like nerve flossing?

Speaker 2:

So this is a classic example of component thinking right, because it's not one or the other, it's all three. All three of these components function to serve as that extension problem that you might have, and so you have to understand what. First of all, to answer your question, you have to identify, you have to test and find out why you're having pain. First, that'll help. And so you need to see which pattern or patterns you have so that you can then make sense of all the other tests that you're conducting. So that's how you tackle it is first identify the pattern or patterns that you have and then all the rest of the tests. I in the book I explain how they feed, for instance, an extension pattern, or how they feed, for instance, a side bending pattern or a flexion pattern. So once you know the pattern that you have, that is the big piece of the puzzle. And there's only three of them. And guess what, if you have one of them, then it's impossible for you to have one of the others. So really, there's only two possible patterns that you can have at the root of most of your back sciatic or SI joint pain.

Speaker 2:

So and this is what I run into a lot, anthony is when I talk to or I watch videos of therapists, you know, talking about injuries and things like this to do, they say, well, let's try this and let's try that.

Speaker 2:

Well, why do we have to try it? If we actually test the body and know what the pattern is and know where the deficits are, then that removes a lot of the guessing out of this. Then the only guess really is what's the best exercise to correct this pattern, rather than what in the world, you know, let's try these 10 exercises, see which ones help, and then we'll stick with those two. Well, that's just wasting a lot of the patients and the therapist's time a lot of times. Wouldn't it be better to know what it is? And when I talk to other therapists like that, I just get this blank look like huh. Because they're so used to component thinking and testing specific tissues as the problem rather than seeing the body as a system of problems. That's feeding the pain. And so this is where that disconnect seems to be happening.

Speaker 1:

Very interesting, because you're throwing in a lot of extra components. I mean, things always happen for a reason, right? So we were actually having this conversation last week. As a group, we're redoing our entire model. We're creating our own certification process, going into what you're talking about. Trainers just don't know enough. They see a book, they read it and that's about it. So we're taking it a step forward to look at the body as a whole and really adding in screenings to figure out how to help people.

Speaker 1:

And then the thought popped well, their diet could be causing a lower back pain. So you start thinking of all of these outside things as far as okay, maybe it's this, maybe it's this, maybe it's this, maybe it's this, and I agree with you 100%. Why not just tackle all of them? Just do it. But then you run into the problem with the individuals who get overwhelmed and then would rather do nothing. So with an individual, let's say someone just listening to this, they're not seeing a practitioner, they're not seeing someone like me. Where do I start? Like I don't want to go learn all of these different screenings. I don't want to go learn about nutrition, which one should be my area of focus first, so I can feel some sort of relief and then, once I get the hang of it, branch out to the next one.

Speaker 2:

Yeah, at the risk of sounding like I'm just promoting myself, get my book because I've distilled all this down into like five or six tests so it's super easy to figure out which pain pattern you have. And then I take you through the critical things that almost everyone seems to be missing. That's feeding it and it's only there. So there's two tests to determine which pain pattern you have that extension test I just mentioned on the floor, and also the side bending test, where you can just take a picture of yourself and look and see whether you have a side bending problem and I explain what all of that is in the book. After that, there's only like four or five other tests for you to get to the root of the problem. So this is the problem is that we can, as you know, in fitness and medicine we can come up with thousands of tests, right, that are testing all sorts of things. But what we don't know is what if we're testing something that's really necessary or meaningful, right, and we don't. Even if we are testing something that's necessary and meaningful, right, and we don't. Even if we are testing something that's necessary and meaningful, we have a hard time putting that into a systems understanding of how that's feeding their pain. And so that's what this book is all about is helping.

Speaker 2:

It's primarily written for lay people, but I've been on this mission for the past five or so years to try and help practitioners be better practitioners.

Speaker 2:

I don't care whether you're a massage therapist, a personal trainer or a surgeon we can all be better at what we're doing, and so getting this information out, I feel, is critical, and this is why, frankly, I believe we have chronic pain is because of the lack of understanding of how our body functions as a system and determining what is meaningful and what isn't meaningful.

Speaker 2:

I've made it really simple in this book. In fact, to a person every physical therapist I've trained in this system of understanding they can't believe how simple it is compared to what they've learned in school. It is so much simpler than you can imagine and, with a comment that really stuck with me was one therapist said it's more comprehensive, but it's so much simpler and it's easier than a lot of people think. And a lot of people think it's hard because they've been looking at thousands of videos and talking to all these different practitioners who all have different things to say and focus on and whatever, and so it gets overwhelming, yeah, and so I understand that, but it really it's so much simpler than everyone seems to be making it, because this is coming from a systems understanding rather than a component understanding.

Speaker 1:

Interesting. So let's just do a real life example because I feel like for people that aren't in our field it's just easier to comprehend that. Absolutely, mary's 46 years old. She has lower back pain Been bothering her for quite a while. She points to roughly around her like L4, l5 area, and sitting makes it worse. She looks at your book and is going to the screenings. Right, so you do movement screening. She puts her legs straight. She feels lower back pain. She brings it in, gets relief from it and the other ones really don't show her anything. What does she do? What's Mary's next?

Speaker 2:

step. So then we know. So if none of the other tests are showing her anything, then we're assuming that Mary has central low back pain and not unilateral back pain. Is that correct? Yeah, okay, so she has central low back pain and none of the other tests. And, by the way, I don't believe that any of the other tests wouldn't show her anything. But I know you have to say that because you haven't read the book or seen the test, so I get it. So what this is telling us is fundamentally Mary and is Mary? Is Mary overweight? Has she had kids? Anything like that?

Speaker 1:

Mary's had two kids. She's about 40, 50 pounds overweight.

Speaker 2:

Okay, great, so let's say that. So you've just told me that she has an extension problem, which means her back is too arched. All right, so if you can imagine, if your listeners can visualize what a pregnant woman looks like right in the eighth or ninth month of pregnancy, they'll see a big belly out in front of them, and if they can imagine that, they can then imagine that the back has arching significantly because of that belly. What I showed in my back pain during pregnancy book is the back does not bounce back to its original shape after pregnancy. It stays in a somewhat more arched position, setting up women who have had kids for extension problems in the future causing back pain. Women, when they have back pain during pregnancy and then it goes away, well, they've just lost, you know, 15 pounds of load in their stomach right, pulling their back into the success of arching, which is what's causing the back pain then. So okay. So one of the other things that happens during pregnancy is that women, because of the extra load, that's rapidly, they're rapidly gaining weight because of their pregnancy. So a lot of women have a hard time muscularly to hold that weight up. So one of the things that they suddenly do, their brain does without their conscious awareness, is that they start locking their knees to hold them up, so now they can stand on their joints instead of using their leg muscles to hold them up. Well, if you stand up right now, anthony, or if any of your listeners stand up right now hopefully they're not driving when they stand up and if you lock your knees, you will feel that your back is arching more. And if you simply unlock your knees, you will feel that your back loses the tension that you just created when you arched your knees, because your back is arching. So I would tell Mary right off the bat because almost all pain has to do with how you're using your body in some way, I would tell her stop locking your knees when you're standing and walking, and that alone will solve a lot of chronic back pain.

Speaker 2:

All right, I just had a guy who suffered from sciatic pain for three years. Saw tons of different practitioners, got my home program, saw that I have a little technique in there where you tape the back of your knees to stop you from locking them. Solved his pain in three days. He's like why isn't anyone else showing? Because we're not trained to think of the body in a systems point of view. We're trained to understand pain from a component thinking point of view, so your practitioners have been focused on a disc bulge, disc herniations, facet joint issues, stenosis, all sorts of things, rather than the system of how you're using your body that has created all of those problems in the first place. Simply unlocking his knees stopped three years of pain within three days. Same with Mary.

Speaker 1:

I love that answer and you just sparked a question that I think, just based upon what's been going on recently with personal people in my life, I think it's a good topic of choice and it's going to be tough to answer because it's non-specific. So it's just a broad question. Sure, spinal surgery. Let's talk about spinal surgery because I think that's something that people don't really understand. I'm going to I think you might be the same, but I am it called the illusion bias and I had to look it up because I had no idea what it's called. So meaning I have bias to the point where I see people after spinal surgery because it went really bad.

Speaker 1:

So to me, all spinal surgery is bad, especially turning herniated bulging discs. A lot of surgeons, like you said, tools in the toolbox. Let's go in, let's do some alabadectomy, let's do some spinal fusion. I never see it go well. What is your take on even if you can give a specific example of somebody who went through it or didn't go through it and felt better on spinal surgery, should it be an absolute last resort or should it be something we should push more because we're there medically?

Speaker 2:

Well, I'll tell you from my professional experience, working with many patients who have had spinal surgery, no surgeon that I have ever talked to or patient of theirs that I have ever seen has said on the very first visit we're going to do surgery. All of those surgeons send them to conservative treatment first. Because back surgery is risky, right. And so every patient that I have seen, whether they failed surgery or not failed surgery whatever. Every surgeon sends them to try conservative care first to see if they can solve it. Because no surgeon wants to operate on your back, especially if you're from a high risk, non-specific, low back pain group Right. And so after that patient typically fails all the conservative treatments that they could try, then they have surgery. And then let's say that surgery fails right, because, yes, we're going to see the surgeries that fail.

Speaker 2:

Well, why did that surgery fail? The reason is is because they never corrected the hammers that were hammering on their back prior to the surgery, and so those same hammers are hammering on their back after the surgery. What are those hammers? Well, we just talked about one locking the knees. If you have an extension problem, that is a massive hammer to your lumbar spine.

Speaker 2:

So this is the problem that I find is that all like doctors and I think lay people fall into this category too everyone sees conservative care as the same thing. We all do the same thing, and so you know you see one therapist or a personal trainer or a chiropractor, you've seen them all right. And so you know you've tried two or three and you failed. So that means that conservative care won't help you? Well, no, that's not exactly what it means. It means that particular type of conservative care didn't help you, and I can almost guarantee that that particular type of conservative care didn't help you, and I can almost guarantee that that particular type of conservative care was a component thinking approach, trying to treat the tissues that are damaged rather than the systems that are creating that damage in the first place.

Speaker 2:

And so my recommendation to people who are about to have surgery is first understand what the problems are and try and fix those. The problem is is, again, they're going to people who think not from a systems point of view. So if and most people can fix their back prior to surgery and therefore don't need surgery and if you fix those systemic problems and then you go to surgery, whether you're, then your chances are much higher to have a better outcome after the surgery because you've removed five or 10 of those hammers that are hammering on your back. But if you don't fix those hammers, then how can you expect that surgery to succeed? That's my take on it.

Speaker 1:

Yeah, and the only part I disagree with is, at least from my personal experience, surgeons don't use surgery as a last resort. I have many people that they don't have used a single conservative treatment on patients and we've had to try to talk people out of it, which has never worked. Because they go well, they wear a white coat. That's just me, obviously just saying that, but they're a doctor, they know better. Yet again, not wanting to take that approach from us where you're looking from all different angles about what's going on, in worst case, if we can fix the other issues going on in your body, you're going to fare way better in surgery anyway.

Speaker 2:

Yeah, I've never met one of those surgeons, so I couldn't speak to that.

Speaker 1:

You're lucky. It's a far and few between, but there are ones that are very right to the point. And then the flip side of it and I'm not a physical therapist, you are so insurance I've always heard from physical therapists, at least around here, that an insurance company is going to dictate care for patients and not the therapist. Going back to your point of thinking an insurance company is going to say oh, they have shoulder pain, work on the shoulder, don't work on anything else. Is there truth to that?

Speaker 2:

There is some truth to that, yes. However, we can be creative in how we write our notes Right, and so you know if you can draw that line that if you can solve someone's shoulder surgery, shoulder problem by solving a pelvic problem, then that resolution should come relatively fast. So you shouldn't need to have 20 sessions to solve a pelvic problem that you think might lead to a shoulder problem. You should be able to solve that in one or two sessions, right? So part of it is how that therapist is approaching solving something else other than that shoulder, perhaps right. And then also maybe they haven't drawn the correct line from what they're trying to solve to the shoulder issue.

Speaker 1:

Gotcha, that makes sense. So it's just more of the creativity of-.

Speaker 2:

Yeah, I do that all the time I'll fix. You know I'll trace neck pain down to an ankle, right. Well, okay, I'll fix the ankle in one or two sessions and how that weaves for the body, That'll solve that part of it, right, and so we don't have to make a big deal out of it from an insurance and note-taking standpoint. Right, We'll just move on and fix that lower stuff and now focus on the upper stuff.

Speaker 1:

Now I love that. And then Rick, just kind of wrap it up personally is what would be your biggest takeaway for people who, like, suffer from lower back pain or chronic lower back pain and really have tried a bunch of different options? I know obviously you're going to say, get your book, but what's that first step in that book for them to take is to do the screenings and then kind of follow through, like what does that workbook look like for them?

Speaker 2:

Yeah, it's so simple, anthony. I'm telling you I I'm really big on making things simple, uh, because I'm not a smart, complicated kind of guy, right, and I've worked with patients so many patients over the years. So what it's going to look like is I think I was trying to count them in my head today because I don't have a copy of my book in front of me yet. It's that new. So I think I have like six tests and they're really simple tests. And the other nice thing, Anthony, is that I've made videos of the tests so that you can make sure that you're doing the test correctly and you understand what I'm talking about. So there's no guessing, right. And then I have you write down was my pain better or not better? Do I have an extension problem? Do I not have an extension problem? It's that easy. So do you know? It's that easy. You don't need to have incredible observational skills to know what the results of the tests are. And the other nice thing is that each of the tests, you'll know instantly their connection to your pain.

Speaker 1:

Because if you do what I tell you to do to correct that problem that you found in the test, you should see an almost immediate reduction in your pain.

Speaker 2:

I love it. And then last question how can people find your book, purchase it, all the good stuff? Yeah, it's on Amazon. Or you can go to my website, rickoldermancom. I have some free stuff on there, and then also I have my own programs, and then on my website in the book section, you'll see an Amazon link to buy it on there. And then also I have my home programs, but, uh, and then on my website in the book section, you'll see an Amazon link to buy it on Amazon. But if you want to watch the videos of the tests in the book, you'll have to come back to my website anyway. So you might as well just learn where it is and and and just start from there and then come back to it. So it's easy.

Speaker 1:

Thank you for coming on, thank you for listening to this episode of health, fitness redefined. Don't forget, hit that subscribe button and join us next week as we dive deeper into this ever-changing field and remember fitness is medicine. Until next time, thank you, outro Music.

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