90. Pathologizing Normal, with Natalie Wilson and Raphael Bender
Pilates Elephants5 Jun 2022

90. Pathologizing Normal, with Natalie Wilson and Raphael Bender

Many, possibly most of the things we think of as “dysfunctions” in Pilates are in fact just normal variations. Things like:

  • Anterior pelvic tilt
  • Rounded shoulders
  • Asymmetrical range of motion

are highly prevalent in pain-free people and do not predict injury. In fact, 80% of pain-free people have anterior pelvic tilt; so is it really a “tilt” or is it just the shape of the human pelvis?

Even hypermobility & scoliosis are arguably not the cause of pain, or increased pain, and don’t need to be (nor can they be) “corrected” or “protected” by exercise.

Raph and Natalie talk through:

  • What is the evidence that these things are not pathologies?
  • Why do we pathologize normal?
  • What should we do instead?

Resources mentioned in the episode:

  • 80% of pain-free people have anterior pelvic tilt here
  • Anterior pelvic tilt is not related to hip muscle tightness or strength here
  • Surgery is not more effective than exercise for hip impingement and labral tears here
  • Subacromial decompression for shoulder impingement is 100% placebo here
  • In fact ALL surgeries for musculoskeletal pain are not better than placebo here
  • Early MRI causes harm here and the value of MRI for musculoskeletal pain results in more harm than benefit here
  • Stabilization exercise works better if you THINK your back is unstable here
  • There is very weak correlation between scoliosis curve magnitude and back pain here and here
  • Pain in hypermobile people is not related to joint angle here but is more likely a result of higher pain sensitivity of the central nervous system here
  • Current ACSM guidelines here

Connect with me on Instagram: @the_raphaelbender

Download a free course guide:


Become a Breathe Education Mentor Affiliate: Program info

Mentioned in this episode:

Get 1:1 coaching with me to grow your studio

Get 1:1 coaching with me to grow your studio



This podcast uses the following third-party services for analysis:

AdBarker - https://adbarker.com/privacy

Episoder(300)

359. How to Train Great Pilates Instructors Fast

359. How to Train Great Pilates Instructors Fast

Train instructors faster by focusing on “good enough to start”, not perfection.Most studio owners overwhelm new instructors by trying to teach everything upfront. This slows learning and reduces confi...

26 Apr 30min

358. Is your studio a Food Hall or a Restaurant?

358. Is your studio a Food Hall or a Restaurant?

Studio owners often think they need a new trend, new machine, or new offer to stand out.In this episode, Raphael and Heath argue the opposite.They explain why the studios that win are not the ones cha...

19 Apr 45min

357. Live Lecture: Foundations of Rehab

357. Live Lecture: Foundations of Rehab

This lecture was delivered live for our Diploma of Clinical Pilates.You'll also find it as a video on YouTube if you want to see the visuals. Here's the YouTube link: https://youtu.be/UATwStlLVWIMenti...

12 Apr 1h 41min

356. Are contraindications actually real?

356. Are contraindications actually real?

Short answer - mostly not. But in a few cases, yes.I delve into a better way to think about contrainidications, and working with people with pain, injury and chronic conditions.Links:Brinjikji et al. ...

6 Apr 29min

355. Great instructors DO fill classes - here's why

355. Great instructors DO fill classes - here's why

Why I don't believe there is a better definition of a good instructor than a full class of strong clients.Mentioned in this episode:Get 1:1 coaching with me to grow your studioThis podcast uses the fo...

29 Mar 11min

354. What to do if your classes are not full

354. What to do if your classes are not full

This is for instructors AND studio owners.It's the exact troubleshooting process I use to help studio owners fill their classes - based on the best practices of 100+ studios I've seen the numbers for,...

22 Mar 20min

353. Don't confuse giving information with teaching

353. Don't confuse giving information with teaching

Many Pilates instructors make the same mistake when introducing an exercise: they give too much information. Instead of helping clients move, long explanations overwhelm them and nothing sticks. In th...

15 Mar 33min

352. Adam McAtee - We Don't Get to Redefine Physics

352. Adam McAtee - We Don't Get to Redefine Physics

While we can adapt Pilates to the laws of physiology, we cannot change the definition of technical words like "strength" just to fit a specific teaching style or Pilates philosophy.Mentioned in this e...

8 Mar 47min

Populært innen Fakta

fastlegen
dine-penger-pengeradet
relasjonspodden-med-dora-thorhallsdottir-kjersti-idem
foreldreradet
rss-strid-de-norske-borgerkrigene
mikkels-paskenotter
treningspodden
rss-bisarr-historie
jakt-og-fiskepodden
rss-sunn-okonomi
sinnsyn
rss-kunsten-a-leve
hverdagspsyken
ukast
rss-bak-luftfarten
tomprat-med-gunnar-tjomlid
fryktlos
lederskap-nhhs-podkast-om-ledelse
gravid-uke-for-uke
rss-kull