Craig Liebenson
@craigliebenson.bsky.social
Helping people with pain return to activity & learn how to make their health span last their lifespan by promoting sustainable athleticism.
Backtoactivity.com
Firstprinciplesofmovement.com
Backtoactivity.com
Firstprinciplesofmovement.com
Dodgers ask feds to leave; team delays initiatives
June 20, 2025 at 8:44 AM
Dodgers ask feds to leave; team delays initiatives
Reposted by Craig Liebenson
Still the biggest factors that send people to the clinic.
This doesn’t just apply to people starting programmes or novices, we can all be susceptible to these easily made mistakes.
As races draw nearer, keep an eye on the big picture.
This doesn’t just apply to people starting programmes or novices, we can all be susceptible to these easily made mistakes.
As races draw nearer, keep an eye on the big picture.
June 14, 2025 at 7:13 AM
Still the biggest factors that send people to the clinic.
This doesn’t just apply to people starting programmes or novices, we can all be susceptible to these easily made mistakes.
As races draw nearer, keep an eye on the big picture.
This doesn’t just apply to people starting programmes or novices, we can all be susceptible to these easily made mistakes.
As races draw nearer, keep an eye on the big picture.
Our rapidly aging population faces a rising tides of NCDs - CVD, OA, LBP, falls, fractures & frailty. These are not merely due to people living longer, but to escalating levels of obesity & T2D - a metabolic storm.
February 18, 2025 at 7:12 AM
Our rapidly aging population faces a rising tides of NCDs - CVD, OA, LBP, falls, fractures & frailty. These are not merely due to people living longer, but to escalating levels of obesity & T2D - a metabolic storm.
MSK episodes are generally recurrent or persistent. Over-detection, nocebic labeling & various conservative & interventionost treatments are promoted, but none have robust effect sizes for effectiveness. While self-management is all but ignored.
February 18, 2025 at 7:06 AM
MSK episodes are generally recurrent or persistent. Over-detection, nocebic labeling & various conservative & interventionost treatments are promoted, but none have robust effect sizes for effectiveness. While self-management is all but ignored.
There is a growing evidence-practice gap in the MSK pain field - termed a "super winked crisis". Most PT & DC curriculums & practitioners are slow to de-implement evidence-discordant or low-value MSK approaches.
February 18, 2025 at 7:01 AM
There is a growing evidence-practice gap in the MSK pain field - termed a "super winked crisis". Most PT & DC curriculums & practitioners are slow to de-implement evidence-discordant or low-value MSK approaches.
Reposted by Craig Liebenson
Making obesity matter - The Lancet
www.thelancet.com/journals/lan...
This is a helpful summary of the Rubino et al commission on redefining obesity
www.thelancet.com/journals/lan...
This is a helpful summary of the Rubino et al commission on redefining obesity
Offline: Making obesity matter
“None of us were entirely right, none of us were entirely wrong.” That was Francesco
Rubino's wry comment on his Commission, published by The Lancet Diabetes and Endocrinology
on Jan 14, 2025, and lau...
www.thelancet.com
February 2, 2025 at 6:28 PM
Making obesity matter - The Lancet
www.thelancet.com/journals/lan...
This is a helpful summary of the Rubino et al commission on redefining obesity
www.thelancet.com/journals/lan...
This is a helpful summary of the Rubino et al commission on redefining obesity
“There is a significant correlation between meeting PA guidelines and pain. Meeting both criteria of PA guidelines resulted in lower odds of reporting pain.
January 16, 2025 at 12:01 AM
“There is a significant correlation between meeting PA guidelines and pain. Meeting both criteria of PA guidelines resulted in lower odds of reporting pain.
“future research should explore how to engage those who are unwilling to exercise to prevent recurrence of LBP. This includes mapping and addressing barriers to participation in preventive exercise programs,
January 15, 2025 at 11:58 PM
“future research should explore how to engage those who are unwilling to exercise to prevent recurrence of LBP. This includes mapping and addressing barriers to participation in preventive exercise programs,
Reposted by Craig Liebenson
Harmful Marketing
link.springer.com/article/10.1...
This is sooooo good
1. Obscuring Goals & Impact
2. Efforts to Conceal Impact
3. Efforts to Protect Its Investments (through advertising, and thus shaping our views and attitudes)
And many issues beyond
link.springer.com/article/10.1...
This is sooooo good
1. Obscuring Goals & Impact
2. Efforts to Conceal Impact
3. Efforts to Protect Its Investments (through advertising, and thus shaping our views and attitudes)
And many issues beyond
Harmful Marketing: An Overlooked Social Determinant of Health - Prevention Science
This paper reviews evidence about the impact of marketing on ill health. We summarize evidence that marketing practices in six industries (tobacco, alcohol, pharmaceutical, processed food, firearm, an...
link.springer.com
January 15, 2025 at 8:59 PM
Harmful Marketing
link.springer.com/article/10.1...
This is sooooo good
1. Obscuring Goals & Impact
2. Efforts to Conceal Impact
3. Efforts to Protect Its Investments (through advertising, and thus shaping our views and attitudes)
And many issues beyond
link.springer.com/article/10.1...
This is sooooo good
1. Obscuring Goals & Impact
2. Efforts to Conceal Impact
3. Efforts to Protect Its Investments (through advertising, and thus shaping our views and attitudes)
And many issues beyond
“Recurrences are very common 70%of people will have at least 1 recurrence w/in 12 months &40% will experience activity limitation or seek care as a consequence of recurrence.Thus,the benefits of even moderately effective secondary prevention interventions could be large bjsm.bmj.com/content/earl...
Recommendations for shaping the future of low back pain prevention research
Prevention is a fundamental tenet of medicine but has been largely ignored in low back pain (LBP), where clinical care and research have focused on the treatment of those currently experiencing an epi...
bjsm.bmj.com
January 15, 2025 at 11:20 PM
“Recurrences are very common 70%of people will have at least 1 recurrence w/in 12 months &40% will experience activity limitation or seek care as a consequence of recurrence.Thus,the benefits of even moderately effective secondary prevention interventions could be large bjsm.bmj.com/content/earl...
4) Plan that ⬇️ risk of non-communicable diseases (NCDs)
Measurables: negative health outcomes (OA, CV disease, falls, fractures, frailty)
Measurables: negative health outcomes (OA, CV disease, falls, fractures, frailty)
January 4, 2025 at 9:49 PM
4) Plan that ⬇️ risk of non-communicable diseases (NCDs)
Measurables: negative health outcomes (OA, CV disease, falls, fractures, frailty)
Measurables: negative health outcomes (OA, CV disease, falls, fractures, frailty)
3) ⬆️ metabolic-physiological health
Measurables: ⬇️ inflammation (DXA, waist circumference, Blood biomarkers)
Measurables: ⬇️ inflammation (DXA, waist circumference, Blood biomarkers)
January 4, 2025 at 9:48 PM
3) ⬆️ metabolic-physiological health
Measurables: ⬇️ inflammation (DXA, waist circumference, Blood biomarkers)
Measurables: ⬇️ inflammation (DXA, waist circumference, Blood biomarkers)
2) ⬆️ psychological resilence - ie self-efficacy
Measurables: Subjective scales - confidence, fear-avoidance beliefs
Measurables: Subjective scales - confidence, fear-avoidance beliefs
January 4, 2025 at 9:46 PM
2) ⬆️ psychological resilence - ie self-efficacy
Measurables: Subjective scales - confidence, fear-avoidance beliefs
Measurables: Subjective scales - confidence, fear-avoidance beliefs
1) Empowering people to meet the PAGs - keystone health behavior w: max impact
Measurables: daily steps, weekly aerobic time, weekly strength training sessions)
Measurables: daily steps, weekly aerobic time, weekly strength training sessions)
January 4, 2025 at 9:45 PM
1) Empowering people to meet the PAGs - keystone health behavior w: max impact
Measurables: daily steps, weekly aerobic time, weekly strength training sessions)
Measurables: daily steps, weekly aerobic time, weekly strength training sessions)
Signs & measurables of a high value approach:
1) Empowering people to meet the PAGs
2) ⬆️ psychological resilence
3) ⬆️ metabolic-physiological health
4) Plan that ⬇️ risk of NCDs
It shouldn’t matter what methods are deployed so long as they serve preventive (positive) health care goals.
1) Empowering people to meet the PAGs
2) ⬆️ psychological resilence
3) ⬆️ metabolic-physiological health
4) Plan that ⬇️ risk of NCDs
It shouldn’t matter what methods are deployed so long as they serve preventive (positive) health care goals.
January 4, 2025 at 9:44 PM
Signs & measurables of a high value approach:
1) Empowering people to meet the PAGs
2) ⬆️ psychological resilence
3) ⬆️ metabolic-physiological health
4) Plan that ⬇️ risk of NCDs
It shouldn’t matter what methods are deployed so long as they serve preventive (positive) health care goals.
1) Empowering people to meet the PAGs
2) ⬆️ psychological resilence
3) ⬆️ metabolic-physiological health
4) Plan that ⬇️ risk of NCDs
It shouldn’t matter what methods are deployed so long as they serve preventive (positive) health care goals.
Health is more than the absence of disease.
Changing lifestyle & behavior is the key & it requires a team
How can you tell the difference between high & low-value MSK care?
Changing lifestyle & behavior is the key & it requires a team
How can you tell the difference between high & low-value MSK care?
January 4, 2025 at 9:43 PM
Health is more than the absence of disease.
Changing lifestyle & behavior is the key & it requires a team
How can you tell the difference between high & low-value MSK care?
Changing lifestyle & behavior is the key & it requires a team
How can you tell the difference between high & low-value MSK care?
Reposted by Craig Liebenson
Do people who buy e-bikes cycle more
www.sciencedirect.com/science/arti...
Yes
⬆️ their bicycle use from 2.1 km to 9.2 km on average per day; a 340% ⬆️.
The e-bike's share of all their transportation increased dramatically - 17% to 49%, where they e-biked instead of walking, public transit, & driving
www.sciencedirect.com/science/arti...
Yes
⬆️ their bicycle use from 2.1 km to 9.2 km on average per day; a 340% ⬆️.
The e-bike's share of all their transportation increased dramatically - 17% to 49%, where they e-biked instead of walking, public transit, & driving
Do people who buy e-bikes cycle more?
Previous research shows that e-bike owners use private cars less than other transport user groups, and also report to have changed from motorised to n…
www.sciencedirect.com
January 3, 2025 at 8:09 PM
Do people who buy e-bikes cycle more
www.sciencedirect.com/science/arti...
Yes
⬆️ their bicycle use from 2.1 km to 9.2 km on average per day; a 340% ⬆️.
The e-bike's share of all their transportation increased dramatically - 17% to 49%, where they e-biked instead of walking, public transit, & driving
www.sciencedirect.com/science/arti...
Yes
⬆️ their bicycle use from 2.1 km to 9.2 km on average per day; a 340% ⬆️.
The e-bike's share of all their transportation increased dramatically - 17% to 49%, where they e-biked instead of walking, public transit, & driving
“The addition of radial extracorporeal shockwave therapy to exercise and education did not lead to improvements in pain, function or other outcomes compared to sham at 6 or 12 weeks among people with insertional Achilles tendinopathy.”
journals.sagepub.com/doi/10.1177/...
journals.sagepub.com/doi/10.1177/...
Does shockwave therapy lead to better pain and function than sham over 12 weeks in people with insertional Achilles tendinopathy? A randomised controlled trial - Baraa Alsulaimani, Luke Perraton, Patr...
Objectives To investigate the efficacy of adding radial extracorporeal shockwave therapy or sham to exercise for people with insertional Achilles tendinopathy. ...
journals.sagepub.com
January 4, 2025 at 6:19 PM
“The addition of radial extracorporeal shockwave therapy to exercise and education did not lead to improvements in pain, function or other outcomes compared to sham at 6 or 12 weeks among people with insertional Achilles tendinopathy.”
journals.sagepub.com/doi/10.1177/...
journals.sagepub.com/doi/10.1177/...
My next book is on Sustainable Athleticism & Healthy Longevity and this is also the main course topic I teach.
December 28, 2024 at 10:11 PM
My next book is on Sustainable Athleticism & Healthy Longevity and this is also the main course topic I teach.
Yet lifestyle change to improve healthy longevity w/ our aging population became a real possibility & simultaneously this maintained quality of life & function in those with pain.
December 28, 2024 at 10:11 PM
Yet lifestyle change to improve healthy longevity w/ our aging population became a real possibility & simultaneously this maintained quality of life & function in those with pain.
Making health span last one’s lifespan is my mission. My practice began pivoting from MSK pain to NCD prevention about 5-7 years ago as the literature confirmed the low effect sizes for any treatments benefits for MSK pain became apparent.
December 28, 2024 at 10:10 PM
Making health span last one’s lifespan is my mission. My practice began pivoting from MSK pain to NCD prevention about 5-7 years ago as the literature confirmed the low effect sizes for any treatments benefits for MSK pain became apparent.
Reposted by Craig Liebenson
www.telegraph.co.uk/global-healt...
Rwanda’s Marburg response is a masterclass in how to prevent pandemics
Prompt good healthcare
Surveillance
Testing
Contact tracing
Vaccines
Outbreak brought swiftly to an end
Rwanda’s Marburg response is a masterclass in how to prevent pandemics
Prompt good healthcare
Surveillance
Testing
Contact tracing
Vaccines
Outbreak brought swiftly to an end
Rwanda’s Marburg response is a masterclass in how to prevent pandemics
Today marks the official end of the outbreak. Swift action saved many lives and helped protect the rest of the world from potential disaster
www.telegraph.co.uk
December 21, 2024 at 11:22 AM
www.telegraph.co.uk/global-healt...
Rwanda’s Marburg response is a masterclass in how to prevent pandemics
Prompt good healthcare
Surveillance
Testing
Contact tracing
Vaccines
Outbreak brought swiftly to an end
Rwanda’s Marburg response is a masterclass in how to prevent pandemics
Prompt good healthcare
Surveillance
Testing
Contact tracing
Vaccines
Outbreak brought swiftly to an end