55: Perry Nickelston on “The Core”, Pain Science, Minimal Dose in Treatment, and Corrective Exercise | Sponsored by SimpliFaster
Today’s guest is Perry Nickelston. Perry is a chiropractic physician with a primary focus on performance enhancement, corrective exercise, and metabolic fitness nutrition. He is certified and trained as a Functional Movement Specialist (FMS) and Selective Functional Movement Assessment Specialist (SFMA). Perry is a master fitness trainer with over 25 years of experience in the industry, and runs the “Stop Chasing Pain” podcast. I’ve personally been on a journey for some time in the realms of corrective exercise and “activation/reset” based therapeutic means for helping the body achieve its original, or optimal, patterning. At a Neurokinetic Therapy seminar (I completed level 1 and 2), which was a really great course, a name that frequently came up at the seminar was Perry Nickelston. Ever since, I’ve been looking into Dr. Perry’s work, how I can better integrate concepts of corrective exercise into my own work, and also how these concepts tie into sport performance. This show has great ideas for any strength coach engaging in the host of modern corrective and activation based performance paradigms. It also has important implications that originate in therapy, but stretch out into every aspect of full-blown athletic performance programming. On the show today, we’ll discuss ideas of “the core”, pain science, the minimal dose in treatment and corrective exercise, making corrective exercise more “sticky”, and more. Today’s episode is brought to you by SimpliFaster, supplier of high-end athletic development tools, such as the Freelap timing system, kBox, Sprint 1080, and more. View more podcast episodes at the podcast homepage. Key Points: Perry’s background What is the core really when it comes to athletic function and movement What the science is saying about what pain actually is Why Perry doesn’t inflict pain in his treatment methods Factors that make corrective exercise stick and change technique over time The minimum effective dose in rehab and corrective exercise Function, dis-function and the nocebo effect The brain, safety, and performance “Pain is the last thing you feel in any injury mechanism that’s not traumatic” “Human beings naturally like to overcomplicate everything” “Pain is not correlated to the amount of tissue damage that you have” “You can decrease someone’s pain by the nature of how you talk to them, how you touch them” “I don’t really care if you feel better after (treatment), what I’m looking for is “does it last”, because anything can make a temporary change on your nervous system, but if it doesn’t stick, to me it’s useless, and what I’m finding is, the harder you go on your nervous system but the more it pushes back. Not when I’m working on somebody, I don’t inflict any pain or any discomfort on any of the releases or movements that I’m doing” “If you inflict pain on your body when I’m trying to teach you a different movement pattern, it won’t let you learn it. Pain takes you into survival mode, and habit and compensation” “If your nervous system and your brain feel threat in any way, it shuts off learning. Period.” “I don’t even call it muscle testing anymore because the brain doesn’t think like that, I call it pattern testing. I’m looking for how your brain can pattern external force” “If you want to be a success, whatever that means for you, you have to embrace the willingness to look stupid” “One of the biggest things that helps (corrective exercise) stick is not doing too much, too hard, too soon” “(For fixing movement) I’ll put you down on the ground, and I get you into these ground based movement patterns, where you feel safe and you feel stable, because that’s where you learned to move in the first place” “When I make you move, I’m looking at if your nervous system is freaking out” “I don’t have a problem with the placebo effect…. this placebo stuff is beyond ridiculous!”