Noah Mandel Physio

Noah Mandel Physio Final Year Physiotherapy Student
Making injury, pain, and fitness easy to understand!

When we think of sciatica, we often think about the sciatic nerve being injured or irritated.In reality, most of the tim...
09/15/2025

When we think of sciatica, we often think about the sciatic nerve being injured or irritated.

In reality, most of the time “sciatica” comes from a disc herniation in the lower spine, which can irritate and sometimes compress a NERVE ROOT.

Think of a nerve root like a tree trunk that comes out of the spinal cord, eventually giving rise to the branches, sticks, and twigs (rest of the nerves).

The nerve root may give rise to the sciatic nerve, as well as many others, so it’s a bit misleading to make it all about the sciatic nerve.

Pain is not in the brain.You need the brain for pain, but you also need other components and the interactions between th...
09/11/2025

Pain is not in the brain.

You need the brain for pain, but you also need other components and the interactions between them!

Also, blaming long-standing pain on someone’s thought patterns alone doesn’t do the topic justice.

Pain is not in the brain. You need the brain, but you need a bunch of other components and the interactions between them...
09/11/2025

Pain is not in the brain.

You need the brain, but you need a bunch of other components and the interactions between them as well!

And blaming someone’s chronic pain on their thought patterns alone probably does not do it justice.

I’ve seen harmful statements ruin the lives of patients. It’s not always this bad, but it truly can be.We have to be bet...
09/03/2025

I’ve seen harmful statements ruin the lives of patients. It’s not always this bad, but it truly can be.

We have to be better communicators.

One of the most frustrating things about all of this is that many nocebic statements don’t need to be said at all.

Sure, sometimes we have to share bad news with a patient. We can always improve in our delivery here.

But so many negative things are said with such confidence and 100% certainty when they shouldn’t be said at all.

What value is it to say to someone that their x-ray is the worst they’ve ever seen, even if it’s true?

How are we still perpetuating myths about the dangers of asymmetry, moving wrong, muscle imbalances, or the all-or-nothing dangers of certain activities?

We should strive to be better communicators, more optimistic, and aim to question and evaluate our own beliefs so that we can stop perpetuating misinformation.

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