Who hasn’t heard one of these refrains “I brought my MRIs”; “I have a herniated disc so I can’t exercise”; “Don’t I need an MRI?” Educating patients about the importance of finding the painless dysfunction (Cook 2 or 3 score) is one of the cornerstones of modern management of musculoskeletal pain (MSP). Karel Lewit called it the “Functional Pathology of the Motor System”. Stuart McGill trumpets the need to make a “functional diagnosis”. Our job as rehab & athletic development specialists is to help our patients/athletes to re-conceptualize their problem through a functional lens. This will open the door to a patient-centered goal driven approach powered by self-care methods that restore function. A win-win!
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