Summary: 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
