Episodes

Tuesday Jul 30, 2024
Addressing Leg Length Discrepancy: Does it Make An Impact on Back health?
Tuesday Jul 30, 2024
Tuesday Jul 30, 2024
In this insightful episode, Ben James and Jacob Steyn explore the complexities of assessing and addressing leg length discrepancies in clinical practice. They delve into the importance of using blocks to enhance prone line positions, recentralise pain, and address underlying mechanisms through core stabilization and inflammation reduction. The duo emphasises a holistic approach that not only provides symptom relief but also focuses on long-term conditioning and stability.
Tune in to discover:
- The impact of leg length discrepancies on back pain and overall health
- How core conditioning exercises can improve stability for patients with leg length discrepancies
- The role of heel lifts in managing leg length discrepancies and the importance of combining them with conditioning exercises
- Strategies for assessing glute activation and addressing muscle imbalances to alleviate lower back pain
- Insights into the relationship between leg length discrepancies and conditions like sciatica
- Case studies of high-level athletes who successfully compensate for leg length discrepancies
Ben and Jacob share their expertise on the importance of a personalized and comprehensive treatment plan, challenging the misconception that leg length discrepancies are solely structural issues. They highlight the need for ongoing education and support to help patients manage their pain and enhance their overall well-being.
Don't miss this episode packed with practical advice, research insights, and actionable strategies for managing leg length discrepancies and improving back health. Visit our website for additional resources and support on your journey to better back health.
Resources…
eBook: https://smartstrong.ck.page/dda17bdf60
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Tuesday Jul 23, 2024
Healing Chronic Back Pain: Setting Realistic Expectations
Tuesday Jul 23, 2024
Tuesday Jul 23, 2024
In this enlightening episode, Jacob Steyn and Ben James tackle the complexities of managing chronic back pain, emphasizing the importance of understanding healing timeframes and setting realistic patient expectations. They delve into the crucial role of behavioral changes and holistic approaches, including good posture, relaxation exercises, and identifying the root causes of chronic low back pain.
Listeners will gain valuable insights into:
- Educating patients on tissue types and expected recovery timelines
- Challenging and managing patient expectations for a realistic recovery journey
- The significance of a consistent home exercise plan and lifestyle modifications
- Reassuring patients about the possibility of full recovery with the right plan, even if it takes up to a year
- The impact of sensory changes within the nervous system on chronic pain
Jacob and Ben share their expertise on the variability of individual recovery, the importance of persistence, and the need for ongoing education and support to help patients manage their pain effectively. They discuss strategies for educating patients about nervous system changes, identifying specific lifestyle or occupational factors prolonging recovery, and overcoming plateaus in progress.
Tune in to discover how to empower yourself or your patients with a personalised plan of action for managing chronic low back pain and achieving long-term relief. Don't miss out on this episode packed with practical advice and expert insights.
Visit our website for additional resources and support on your journey to better back health.
Resources…
eBook: https://smartstrong.ck.page/dda17bdf60
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https://smartstrong.co.uk/contact-us/
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Tuesday Jul 16, 2024
Tuesday Jul 16, 2024
In this episode, hosts Ben James and Jacob Steyn dive deep into the crucial role muscle mass plays in maintaining low back health. They discuss the delicate balance required to avoid the pitfalls of too little or too much muscle mass. Listeners will learn how insufficient muscle mass can limit the ability to adapt to progressive exercises, while excessive muscle mass can lead to back pain.
Ben and Jacob emphasize building muscle through a balanced diet and a graded exercise program tailored to various fitness levels and age groups. They debunk common misconceptions and provide actionable advice on achieving the right muscle mass for optimal stability, control, and athletic performance.
Tune in to discover:
- The relationship between muscle mass and back health
- How to develop graded exercise programs for safe muscle building
- The importance of control and quality movement
- Specific approaches for different groups, including athletes and older adults
- Practical tips on diet and exercise consistency for muscle growth
Don't miss this informative episode, packed with evidence-based insights and expert recommendations. Visit our website and check out our ebook for more exercises and tips to support your journey to better back health.
Resources…
eBook: https://smartstrong.ck.page/dda17bdf60
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https://smartstrong.co.uk/contact-us/
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Tuesday Jul 09, 2024
The Relationship between Vitamin B12 and Back Health
Tuesday Jul 09, 2024
Tuesday Jul 09, 2024
In this episode, Ben James and Jacob Steyn dive into the potential of vitamin B12 in reducing back pain. They discuss intriguing studies that show a correlation between low B12 levels and increased pain, emphasizing the crucial role of B12 found in animal food sources. The conversation sheds light on the risks of B12 deficiency for those following a vegan or vegetarian lifestyle and the challenges of identifying this deficiency through standard blood tests.
Ben and Jacob highlight the importance of functional medicine, advanced blood testing, and biome-genome testing to accurately identify patients with B12 deficiencies. They explore the potential benefits of B12 supplementation, with Jacob advocating for B12 injections and Ben suggesting supplementation for patients experiencing persistent symptoms.
The episode also covers the impact of gut health on B12 absorption, the limitations of standard blood tests, and the physiological effects of B12 deficiency on pain perception and inflammation. Tune in to learn about practical action items for addressing B12 deficiency, the benefits of B12 injections, and why considering B12 levels is crucial for effective back pain management.
Action Items:
- Consider testing B12 levels or supplementing for patients who are vegetarian/vegan or have gut issues affecting absorption.
- Discuss B12 testing and supplementation with patients who do not improve as expected with treatment.
- Revisit the B12 topic in more detail in a future podcast, including testing challenges and oral supplementation research.
Join us for this insightful episode as we explore how vitamin B12 can be a game-changer in back pain management!
Resources…
eBook: https://smartstrong.ck.page/dda17bdf60
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https://smartstrong.co.uk/contact-us/
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Tuesday Jul 02, 2024
Tuesday Jul 02, 2024
In this episode, Ben James and Jacob Steyn tackle the intricate challenges of diagnosing and treating hip pain. They emphasise the importance of understanding hip anatomy and incorporating psychosocial factors into treatment plans for better outcomes. Through various patient case studies, they highlight the necessity of thorough examinations and patient education to accurately address back pain linked to hip issues.
Key topics include the critical role of glute activation and conditioning in managing hip pain, and the interconnection between hip health and back health. The discussion also covers how limited hip mobility can affect activities like golf, and the benefits of hip mobilisation exercises for improving flexibility and joint health.
Action Items:
- Assess hip range of motion and identify activities that may aggravate the joint in patients with hip pain.
- Implement glute activation exercises before stretching tight hip flexors to improve hip range of motion.
- Educate patients on hip anatomy and the common areas where true hip joint pain is felt.
- Highlight the importance of glute strength and hip mobility for overall back health in future episodes.
Resources…
eBook: https://smartstrong.ck.page/dda17bdf60
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https://smartstrong.co.uk/contact-us/
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Tuesday Jun 25, 2024
The Bone Health Equation: Exercise, Nutrition, and Smart Supplementation
Tuesday Jun 25, 2024
Tuesday Jun 25, 2024
In this enlightening episode, Ben James and Jacob Steyn discuss the critical importance of a balanced approach to bone health. They emphasize the potential risks of excessive calcium supplementation and highlight the benefits of obtaining calcium through dietary sources and engaging in weight-bearing exercises.
Focusing on the proactive management of osteoporosis, Ben and Jacob advocate for a holistic approach that integrates dietary changes and regular exercise. They explore the potential cardiovascular risks associated with calcium supplements, such as arterial deposits and atherosclerosis, and underscore the importance of high-quality, weight-bearing exercises like squats, which have been shown to significantly increase bone density in the lower spine and femoral neck.
The episode delves into the broader context of bone health, discussing how daily activities and diet play a larger role in preventing osteoporosis than previously thought. They also address the indirect mortality risks posed by osteoporosis-related falls and fractures, reinforcing the need for a proactive stance on bone health.
Ben and Jacob encourage listeners to adopt sustainable lifestyle changes that promote overall health, rather than relying solely on supplements. Tune in to gain valuable insights into effective strategies for enhancing bone health and preventing osteoporosis through a well-rounded, proactive approach.
Resources…
eBook: https://smartstrong.ck.page/dda17bdf60
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https://smartstrong.co.uk/contact-us/
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Tuesday Jun 18, 2024
Optimising Back Health: Supplements, Nutrition, and Daily Practices
Tuesday Jun 18, 2024
Tuesday Jun 18, 2024
In this informative episode, Ben James and Jacob Steyn delve into the potential benefits of supplements, vitamins, and hyaluronic acid for preventing and managing back pain. They highlight the importance of optimising hydration and nutrition to the intervertebral discs, emphasising the anti-inflammatory properties of Omega-3 supplements and the benefits of vitamins D and K2 for bone health.
Ben and Jacob discuss the role of mitophagy in intervertebral disc health and offer proactive strategies for maintaining back health through daily spine hygiene, regular exercise, and targeted supplementation. While supplements can be beneficial, they note that they are not a miraculous cure for pain and recovery but rather a valuable component of a comprehensive approach to spine care.
Tune in to learn about the best practices for integrating supplements into your health regimen and discover actionable strategies to enhance your overall back health.
Resources…
eBook: https://smartstrong.ck.page/dda17bdf60
Send Us A Question…
https://smartstrong.co.uk/contact-us/
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Tuesday Jun 11, 2024
Proactive Back Health: Strategies for Preventing Pain and Enhancing Well-Being
Tuesday Jun 11, 2024
Tuesday Jun 11, 2024
In this episode, Ben James and Jacob Steyn explore proactive approaches to preventing back pain and maintaining optimal health. They emphasise the importance of education, understanding your body, and incorporating daily spine hygiene practices and graded exercise programs into your routine. Ben and Jacob highlight the significance of physical activity and a balanced lifestyle, advocating for a more proactive stance on back and musculoskeletal health.
The discussion covers various preventative measures, including individualized education and exercise plans, the role of manual therapy, and the necessity of patient motivation and responsibility in physical therapy. Ben and Jacob address the challenges of promoting proactive health, adjusting their approach to meet each patient's unique needs and preferences.
Tune in to discover actionable strategies for preventing back pain, maintaining long-term health, and fostering a proactive approach to your well-being.
Resources…
eBook: https://smartstrong.ck.page/dda17bdf60
Send Us A Question…
https://smartstrong.co.uk/contact-us/
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Tuesday Jun 04, 2024
Empowered Recovery: Mental Health Insights for Back Pain Relief
Tuesday Jun 04, 2024
Tuesday Jun 04, 2024
In this insightful episode, Ben James and Jacob Steyn delve into the intricate relationship between back pain and mental health. They highlight the importance of addressing the psychological aspects of back rehabilitation, emphasising the need to foster a belief in recovery among patients. By educating patients about their spine and effective pain management techniques, Ben and Jacob aim to empower individuals to take control of their health.
The discussion covers various strategies for managing chronic pain, improving sleep, and creating a supportive environment for patients. They explore the role of honesty and clarity in prognosis, the significance of understanding patients' social and work environments, and the value of consistent exercise routines. Additionally, Ben and Jacob share practical advice on how to provide reassurance and clear communication to help patients navigate their recovery journey.
Tune in to learn about the vital connection between mental health and back pain, and discover actionable steps to enhance both physical and emotional well-being.
For more episodes of the Back Pain Solutions podcast visit: www.smartstrong.co.uk Don’t forget to subscribe so you can receive updates on new episodes and direct links to additional content.
If you’re suffering from back pain, want to improve your posture, or want to build resilience to future injury then you’re in the right place. Join us and take an active approach to better back health.
Resources…
eBook: https://smartstrong.ck.page/dda17bdf60
Send Us A Question…
https://smartstrong.co.uk/contact-us/
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Friday Apr 05, 2024
Beyond Back Pain: Strategies for Long-Term Relief
Friday Apr 05, 2024
Friday Apr 05, 2024
Join us on another episode of The Back Pain Solutions podcast as we delve into the world of back pain management, guided by expert practitioners Ben James and Jacob Steyn. In this enlightening episode, we explore the journey of a 45-year-old business owner who had endured decades of back pain and was seeking guidance on long term solutions to manage his complaint.
Discover the importance of taking a proactive approach to back health and the transformative impact of simple lifestyle modifications and targeted exercises. Learn how patients can empower themselves through education and self-awareness, leading to improved outcomes and long-term relief.
Explore the role of physical therapy in addressing disc pain and musculoskeletal issues, as Ben shares his expertise in hands-on treatment and personalised exercise regimens. From daily spine hygiene to simple habits, Jacob and Ben provide practical tips and advice for managing back pain and maintaining a healthy spine.
This episode serves as a beacon of hope for anyone struggling with chronic back pain.
For more episodes of the Back Pain Solutions podcast visit: www.smartstrong.co.uk Don’t forget to subscribe so you can receive updates on new episodes and direct links to additional content.
If you’re suffering from back pain, want to improve your posture, or want to build resilience to future injury then you’re in the right place. Join us and take an active approach to better back health.
Resources…
eBook: https://smartstrong.ck.page/dda17bdf60
Send Us A Question…
https://smartstrong.co.uk/contact-us/
Website...

Friday Apr 05, 2024
Back on Track: Navigating Chronic Back Pain
Friday Apr 05, 2024
Friday Apr 05, 2024
In this episode of The Back Pain Solutions Podcast, we delve into the intricate world of chronic back pain management, exploring the multifaceted approaches that clinicians need to employ to help patients find relief and regain control of their lives. Join us as we embark on a journey to unraveling the complexities of this condition and the tailored interventions designed to address unique needs in this case study.
Using a poignant case study of a patients ongoing battle with back pain, we shine a light on the challenges faced by individuals who endure years of discomfort despite countless treatments. Through Jacob Steyn's meticulous assessment, we uncover the nuances of the individuals back pain history and musculoskeletal examination, revealing underlying postural imbalances and mobility limitations.
Guided by Steyn's expertise, we explore the diagnosis of lower cross syndrome and the development of a comprehensive treatment plan aimed at correcting posture, addressing muscle imbalances, and mitigating aggravating factors. Delving deeper into posture and movement strategies, we uncover the pivotal role of proper body mechanics and personalised exercise regimens in managing back pain effectively.
From rehabilitation and exercise adaptation to lifestyle modifications for long-term management, we navigate the holistic approach to back pain care, emphasising the importance of empowering patients to take control of their own health journey. We glean valuable insights into successful outcomes and the enduring commitment required for sustainable back health.
As we conclude our exploration, we reinforce the significance of a multidisciplinary approach to chronic back pain management and encourage listeners to seek professional guidance and personalised strategies for reclaiming their back health.
For more episodes of the Back Pain Solutions podcast visit: www.smartstrong.co.uk Don’t forget to subscribe so you can receive updates on new episodes and direct links to additional content.
If you’re suffering from back pain, want to improve your posture, or want to build resilience to future injury then you’re in the right place. Join us and take an active approach to better back health.
Resources…
eBook: https://smartstrong.ck.page/dda17bdf60
Send Us A Question…
https://smartstrong.co.uk/contact-us/
Website...

Thursday Aug 05, 2021
The Language of Great Coaching, and Its Importance, with Nick Winkleman
Thursday Aug 05, 2021
Thursday Aug 05, 2021
Our aim with this podcast is to help you to understand the importance that movement, and exercise, plays in your rehabilitation from low back pain. We’ve highlighted the importance of finding a practitioner that will give you the insights you need to be empowered to get back to the activities you love. An important part of this process is finding someone who can effectively coach you to ensure that you’re executing movements correctly and reducing any risk. Well meaning practitioners sometimes fail to get the outcomes their skills can provide due to the difficulty of communicating effectively to many people with different learning styles.
Today we interview Nick Winkelman Nick Winkelman is the head of athletic performance & science for the Irish Rugby Football Union. His primary role is to oversee the delivery and development of strength & conditioning and sports science across all national (Men and Women) and provincial teams (Leinster, Munster, Connacht, and Ulster). Before working for Irish Rugby, Nick was the director of education and training systems for EXOS (formerly Athletes' Performance), located in Phoenix, AZ. As the director of education, Nick oversaw the development and execution of all internal and external educational initiatives. As a performance coach, Nick oversaw the speed and assessment component of the EXOS NFL Combine Development Program and supported many athletes across the NFL, MLB, NBA, National Sports Organizations, and Military. Nick completed his PhD through Rocky Mountain University of Health Professions with a dissertation focus on motor skill learning and sprinting. Nick is a recognized speaker and consultant on human performance and coaching science and has numerous book chapters and peer reviewed papers focusing on the intersection between coaching language and athlete learning.
In this episode we discuss the importance of the quality and timing of WHAT is said to athletes/clients/patients, adapting the approach to an individual's personal communication and learning styles, and directing attention to the right things at the right time. This ensures we can drastically reduce the confusion, frustration and overwhelm that can be experienced by patients. If you feel that you don’t understand what is being said in the clinic room, or in the gym, don’t shy away from asking for clarity so you can get the input you deserve.
Some of the things you’ll discover...
- No one has taught you until you have learned so if you don’t understand then be sure to ask!
- Why it’s important that clinicians and coaching speak the language of their target audience
- Understanding a movement, and what the body should do during the movement is not enough if you can’t then perform it!
- Simple movements are not always simple! You need to get the right input in order to safely perform certain movements
- Language is one of the single greatest tools a clinician has and yet for many professionals there is a lack of awareness of its importance
Highlights
All the tools at the disposal of the clinician can be wasted if their ability to communicate effectively is missing! Increasingly we’re seeing the importance of language in the effective management of pain and injury so be sure to challenge your clinician if you do not understand what is being explained to you about your condition or treatment plan.
For more episodes of the Back Pain Solutions podcast visit: www.smartstrong.co.uk Don’t forget to subscribe so you can receive updates on new episodes and direct links to additional content.
If you’re suffering from back pain, want to improve your posture, or want to build resilience to future injury then you’re in the right place. Join us and take an active approach to better back health.
Resources…
eBook: https://smartstrong.ck.page/dda17bdf60
Nick Winkelmand Instagram: https://www.instagram.com/nickwinkelman/
Send Us A Question…
https://smartstrong.co.uk/contact-us/
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