Interview I did for Kennet Waale from MoveStrong about bridging the therapy and performance.
Full interview under the link
Last week’s interview with Dr. Jason Silvernail from the US Army was a great success as he shared with us lots of amazing insight into the world of pain and how you could better manage and understand it. To follow up from a therapist it’s an honour to have Personal Trainer; Greg Mikolap on board today. Greg is currently residing in the UK and went through a physiotherapy degree in Poland from 2003-2006. Needless to say – Greg has a ton of knowledge and it’s an absolute honour to have him share lots of top quality content with you!
Bridging Therapy and Training – An Interview Personal Trainer Greg Mikolap
Q1: The vast amount of empirical evidence accessible to the population and how it is implemented into the industry puts the person with no education in science on the more confusing edge. How do you explain and use the evidence when dealing with clients who suffer from pain?
I try to differentiate between the acute and chronic pain. If something hurts because something else happened this is out of my scope of practice and I refer the client to a physiotherapist. Then, I follow up with the physiotherapist to keep my training plan in line with the treatment timeline. If client doesn’t have a go-to physiotherapist I have high-level evidence based practitioners contact details at hand and my work alongside him/her normally greatly accelerates client’s recovery.
However, if someone suffers non-specified low back pain, neck strains, and similar chronic conditions for years, my tactic is slightly different. I try to look for yellow flags, enquire about their sleep patterns, stress levels, environment. I explain to my clients that if pain would always mean injury or damage, they wouldn’t have bruises on their legs whose origin can’t be recalled. Also, just because they feel the sensation of pain it doesn’t mean that any damage is necessarily occurring. As we age our bodies wear and tear, but this doesn’t mean that pain has to be present. Most important for someone who doesn’t have any red flags would be to get comfortable and positive.
Q2: The evidence isn’t completely clear on this – but we know when pain is present movement helps and moving away from specific exercises is often a go-to approach. With your current clientele – do you focus more on “general movement” in a single plane or multiple planes or do you focus more on specific exercises?
'Greg Mikolap, BSc in Physiotherapy, and a Personal Trainer based in Maidenhead, England. Greg is also a founder of www.PTFolder.com, training solution for people who want to get fit or for people who help others get fit. With almost 10 years experience in the industry, Greg is also a course director for Faster Health & Fitness and is working on his volleyball performance book.'