Have the butt muscles of the world gone silent?

From my extremely unscientific observation it appears that 67-74% of my patients have been told their glutes are inhibited.  It seems to be an epidemic.  I had to cancel my Runner's World subscription because the onslaught of glute inhibition articles was too depressing.

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Greg Lehman
The wedge that divides: movement optimism versus the kinesiopathological model

he Kinesiopathological Model or the “Movement Quality” model might be viewed as the opposite of the biopsychosocial model of pain and injury. But I would say like most debates this ends up being a false dichotomy. I’m of the opinion that most agree that the biopsychosocial (BPS) model is relevant for pain and injury AND most therapists would also agree that biology/biomechanics are sometimes relevant for people in pain. But the true debate might fall into two related areas where people will fall somewhere on a spectrum:

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Greg Lehman
Non-specific low back pain exists. You just don't want to admit it

Non specific low back pain is often a diagnosis that clinicians might feel sheepish about.  As if they have failed.  As if acknowledging uncertainty is a bad thing that leads to bad care.  This isn’t true.  It is quite often the only appropriate diagnosis and is the one that is the most accurate.  Other acceptable diagnoses are non-specific shoulder pain.  Or non-specific knee pain.  Because when we say NSLBP we are acknowledging that NO ONE knows the specific anatomical source of nociception/pain.  This is not really a debatable issue

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Greg Lehman
Do our patient's need fixing? Or do they need a bigger cup?

Audience: Therapists and people in pain

Blog Style: Lots of questions to consider

To help me understand pain and injuries and to hopefully help people I need to simplify things. One of the simplest ways to view pain is with the cup metaphor. It certainly has flaws but it does help look at the "big picture" of treatment. The cup metaphor suggests that pain occurs when all of the stressors/loads in our lives exceed the space in our cup. When we overflow we have pain

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