I Was Told to Never Lift More Than 35lbs Again or I Will Throw Out My Back

One of the most common questions I’ve received is, “I was told I should never lift more than 35 pounds again ever again or I might throw out my back. What can I do?”

And so here’s what happens all the time: people go to their doctor, their physician, physical therapist, acupuncture, or chiropractor, etc., and that person tells you to stop doing the activity because it hurts. You should never do it again. The other person doesn’t know what to do, so they tell you to stop.

Maybe they don’t know to tell you to go see a physical therapist, so they told you to stop, and you did. The other thing that happens is the patient, because of being rushed through the system, feels like they were told, “stop, never do the activity again”. When, the provider might’ve said, “stop doing that one thing, and figure out another way to do it.” I don’t know why, but, this is the message that I get from my patients, “ I was told never to lift 35 pounds ever again because my back hurts and I’m going to damage something, or throw out my back, or damage my back permanently.”  That’s the message people have. The message is: never lift, squat, deadlift, run, etc.

What they really mean is: don’t do that thing that’s aggravating your problem again until you find someone that can help you the problem. However, they’re not really saying it in those words, or maybe they don’t know exactly what those words are, and they don’t know that I (or other physical therapists) exist. They don’t know who we are, and they don’t know what we do, because our profession has done a poor job of educating other healthcare providers and fitness professionals, on exactly what we do and who we help.

So, I had my patient who was told they should never lift 35 pounds ever again. When I tested her and took her through a full on body evaluation and movement assessment, her back moved great, her back felt great. When I looked at her hips, her hips didn’t move the way they should have moved. Her hips were the problem. Her hips weren’t moving like they’re supposed to. So, we retrained her hips. We did some therapy to help open up her hips, and I retrained her to move her hips better, and then her back felt better. By the third visit she was like, “My back’s not a problem. I can lift the hay bales and lift my dog.”

I said, “Okay, great. What else is the problem?”  I knew she had had migraines and neck issues, so then we had time to start working on some other areas of her body. It helped her improve her life even more. One of the things we do is we don’t just treat where you hurt. We figure out where the problem is that’s causing the discomfort. Pain does not always equate to damage. One of the misconceptions that people have is that damage and pain go hand in hand. People can have pain without damage or damage without pain. And you can have both.

One of the other misconceptions is it people feel like I’ve tried physical therapy. Physical therapy doesn’t work. That’s just like saying I tried a restaurant and I don’t like eating at that restaurant or the mechanic can’t fix my car because the mechanic didn’t fix my car the first time. There are different types of physical therapy, there are different therapists, physical therapy is a broad profession.

The other thing I want you to understand is that when someone says you might throw out your back, or your back might go out, or you might slip a disc; that your back is really strong, and it doesn’t really go out. There’s nothing that’s going out of place, even though it might feel like that. If someone might have said that, it’s not really like something that’s going out of place.

It’s not like Lincoln logs or Legos that don’t quite fit together and they’ve shifted. It might feel like that because of a muscle spasm. But really what’s happening in nine out of 10 cases is a muscle is tightened up so much that you don’t feel quite right and it hurts. But when someone tells you like you’ve slipped something and something’s gone out of place, the visual is something that’s more scary than what’s actually is happening. And that’s why it’s always good to work with a movement professional or a pain specialist, but pain specialists sometimes just do pain medicine. Whereas someone like me and our therapists that we’ve trained here, we specialize in movement and pain because my goal is to figure out the cause, not to fix your body and take the pain away, but figure out what you want to do and help you do it comfortably.

Or maybe pain-free. Maybe not, but you’re supposed to have pain because pain is feedback from your body. It’s like when you drive a car and you’ve got the check engine light, you’ve got to speedometer, you’ve got a fuel gauge. Pain is like the check engine light coming on. Breathing hard because I’m running fast is like the tank meter. It’s just feedback and telling me where I am, where I’m going. So if you’ve been told you should never lift weight again because you might damage something or you should never run again because she might damage your knees or your knees might get blown out. Knees don’t get blown out, unless they’re actually in an explosion.

Yes, there are times when there is damage, like your disks bulge or they rupture and that’s okay. It will generally heal just like a scab. It’s like a wrinkle on the inside and there are times when surgery is necessary and there are times when, yeah, physical therapy isn’t the answer. But physical therapy and working with one of our back pain specialists is the best first place to go before you decide to take any medications, get an injection, do an epidural, get an MRI or even undergo the knife and do surgery.

It’s a big deal, and I’d like to see if we can prevent it because I’ve worked with way too many people who’ve had surgery without results before coming to see us. What we did was find the solution to the problem and it was not surgery. If you’re interested in learning how we can help you get back to doing the activities that are most important to you, no matter what it is, um, if someone’s ever told you never to do that activity again or you’re currently struggling to do it fully and without modifications, feeling safe and confident in your body, we’d love to help you.

We just want you to know that if you’re struggling and something hurts or it doesn’t move well or maybe didn’t hurt, but now hurts when you work out or after you work out.  It’s not supposed to hurt. After you work out, you’re supposed to feel sore, not pain. There’s a difference. It should be good pain. Good pain is like, “Oh yeah, that’s great. I feel good. I’m exhausted”. Bad pain is pain that is sharp, shooting, specific, maybe one side, not the other after specific activities, is an indication that you are not moving optimally. If pain is always present, it’s an indication that we really need to see you.  In general, if your pain comes and goes with activities, that means that there’s not a necessarily a physical damage that’s causing the problem as much as a compensation or the way your body is moving and something’s just not moving right and it’s irritating the problem. Irritating your nervous system. Your body is saying, “Hey, pay attention, go see Dr. LeBauer.” I mean if it did say that, that’d be awesome. I’d love it. But, really, go see a physical therapist.

Call a physical therapist and call us if you feel like we might be a good fit for you.

About The Author

Aaron LeBauer

Dr. Aaron LeBauer is a Doctor of Physical Therapy and Licensed Massage and Bodywork Therapist. He owns LeBauer Physical Therapy, LLC, with his wife Andra, in Greensboro, N.C. He has been helping active people stay fit, active and healthy without medications, injections or surgery since 1999. He earned his Doctor of Physical Therapy degree from Elon University in 2008. Dr. LeBauer graduated from Duke University in 1996 with a B.A. in History and moved to San Francisco where he studied Massage Therapy and Health Education at the National Holistic Institute. He has specialized in Myofascial Release since 2000 and is an Instructor with the John F. Barnes MFR Seminars. A native of Greensboro, Dr. LeBauer returned in 2005 to continue the third generation of LeBauers as health care professionals in Greensboro. Dr. LeBauer helps weekend warriors, high level athletes, desk jockeys, students, children and anyone with pain, stiffness return to the activities the love without expensive imaging, pain medications, injections or surgery. He specializes in treating people with chronic conditions, pain and injuries which have not responded to traditional treatments and therapies with the goal of helping patients have less pain, move better and feel wonderful in their bodies. Dr. LeBauer also helps other physical therapists start and grow successful cash-based physical therapy practices. He has developed an online training course that describes in detail how to start a small private practice, along with his marketing secrets and strategy. He is currently available for recorded telephone and video coaching sessions, email support, on-site visits and speaking engagements. Contact him for more information, rates and services.. Dr. LeBauer enjoys riding one of his vintage Vespa and Lambretta scooters or his bicycle to work. He has raced bicycles since high school and as a category 1 amateur throughout the United States. He was based out of Northern California and North Carolina and spent a very memorable summer racing in Belgium, France and the Netherlands. He enjoys working in his garden and has an edible landscape including pears, apples, scuppernogs (native muscadine grapes), raspberries, blueberries, figs, various seasonal vegetables and shiitake mushrooms. He has two beautiful daughters and an amazing wife.

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