Episode 6: Debate Series 1: Bio vs. Psychosocial

In the first edition of the ClinicalAthlete debate series, we are joined by Dr. William Brady, DC of: integrativediagnosis.com.

During this professional debate, we discuss the biopsychosocial model of pain and injury. What effect does a clinician have on the "bio"? When and how should the "psychosocial" element be addressed? Should we take a "structuralist" or "pain science" approach when diagnosing and managing injury? Is it a dichotomy?

We also discuss, at length, the existence and management of fascial adhesions. What are adhesions? Can we identify them with palpation? Can we make structural changes with manual interventions?

We would like to thank Dr. Brady for coming on this show. Professional discussion and debate is what helps to push our fields forward. To suggest future debate topics or possible guests, please use the contact email below.

References mentioned by Dr. Brady:

Flexor tendon adhesion in rats: https://goo.gl/qQf1p2
Tensile properties of collagen matrices: https://goo.gl/F42YB9
Endoscopic treatment of sciatic nerve entrapment: https://goo.gl/DdQ8SG

Referenced mentioned by Derek Miles:

Assembly and mechanical properties of extracellular matrix: https://goo.gl/Ysz5zu
Looking back on back pain: https://goo.gl/JCe931

Referenced by Michael Ray:

STarT Back and low back pain: https://goo.gl/5kir6j
Effect of denervation on pain intensity: https://goo.gl/69ix8C
Relieving pain with expectation interventions: https://goo.gl/1iLfgM
The logic of Rehab blog on pain science: https://goo.gl/VEZeGj

For resources and education in sports medicine, athletic rehabilitation, & performance: www.clinicalathlete.com

For questions and comments: info@clinicalathlete.com