Common Questions About Virtual Back Pain Consulting
What Does a Virtual Consultation Include?
1️⃣ Read Back Mechanic and complete the assessment in the book. I recommend the video-enhanced version with guidance from Dr. McGill. Then, read Gift of Injury.
📖 These books provide crucial insights into your back pain, improving your chances of success when we meet. I will reference them during your progress.
2️⃣ New clients with back pain should schedule a 2-hour consultation. Identifying the root cause of your pain takes time. We will assess factors like goals, training, exercise, and daily movements.
3️⃣ Trust the process and be patient. Healing isn’t linear, and every back injury recovers at a different pace. Complex cases often require in-person assessment, while simpler ones may need virtual follow-ups. I can’t promise instant results, but I will give you my best every step of the way.
❌ No, I am not a physical therapist or chiropractor.
✅ I am a McGill Method Certified Practitioner and a retired massage therapist with over a decade of experience working with individuals struggling with back pain and injury.
🔹 What Does This Mean?
🛑 I Do Not Provide Medical Treatment – My role is not to diagnose or treat medical conditions but rather to assess movement, identify pain triggers, and help you build a strategy to move pain-free.
🤝 I Work for You in an Advisory Role – Think of me as your consultant and advocate, someone who is fully invested in helping you get your life back by guiding you through proven, science-backed strategies to regain control over your pain and movement.
📖 I’m Living Proof That the McGill Method Works – My journey is a testament to the validity of the McGill Method. After suffering a broken sacrum, I was able to return to elite powerlifting and become the first person to squat over 1,300 lbs post-injury—all while maintaining a pain-free, symptom-free life. You can read more about my back pain journey HERE.
💡 Advocating for Those Overlooked by the Medical System – Too many people are let down by ineffective, cookie-cutter treatments that fail to address the root cause of their pain. My goal is to help individuals avoid the same mistakes I made when treating my own injury.
🔬 Science-Based, Proven Methods – I apply the McGill Method, a research-backed system developed by world-renowned spine expert Dr. Stuart McGill, to help individuals regain control of their pain and performance.
📌 Want to Learn More?
✅ Read About My Journey in Gift of Injury – Learn how I recovered from a career-ending back injury and how you can take control of your own pain.
✅ Read My Full Bio & Back Pain Story – Learn more about my journey, career, and how I help others overcome back pain.
✅ Book a McGill 3-Hour Assessment – Get a detailed, science-backed movement assessment and a personalized recovery plan.
🚀 Bottom line: I am not a medical provider—I am your advocate, consultant, and guide to getting your life back. I’ve lived through it, rebuilt myself, and now I help others do the same. If you’ve been overlooked by the medical system and need real, proven solutions, I am here to help. Let’s get to work! 💪🔥
✅ Yes, it’s important to rule out serious medical conditions before scheduling an assessment.
🔹 Why Seeing a Doctor First is Important
🩺 Your Safety Comes First – Before working together, it’s essential to rule out any serious medical conditions that may require urgent medical intervention.
🚨 Rule Out Severe Conditions – I strongly recommend seeing a physician to check for:
• Cauda Equina Syndrome 🛑
• Cysts or tumors 🔬
• Spinal infections or fractures ⚠️
• Cancer or other life-threatening conditions ❗
🧲 An MRI Can Be Helpful, But It’s Not Everything – An MRI only captures your spine while lying down and doesn’t reflect how your pain responds to movement. Some people have severe MRI findings but little pain, while others have clear scans but debilitating symptoms. A movement-based assessment is key to understanding what truly drives your pain.
📖 Bring Back Mechanic to Your Doctor – If your doctor dismisses your interest in a proven, evidence-based approach, it may be time to seek a provider who is open to exploring all options for your recovery.
📌 What to Do Next?
✅ See Your Doctor First – Ensure any serious conditions are ruled out before starting a movement-based approach.
✅ Consider an MRI, But Don’t Let It Define You – It’s a tool, not a complete diagnosis.
✅ Book a McGill 3-Hour Assessment – Once cleared, we can assess how your pain responds to movement and build a recovery plan.
🚀 Bottom line: Prioritizing your safety is key. Once you have the medical green light, we can focus on finding and fixing what truly causes your pain. 💪🔥
✅ I specialize in complex, long-term back pain cases—clients who have exhausted other treatment options without success.
🔹 Who Do I Work With?
🛑 Failed Cases & Chronic Back Pain Sufferers – I don’t see people whose back pain started last week. Nearly all my clients have been in pain for years, even decades, struggling with failed treatments, surgeries, and dead-end solutions.
🚷 Severe & Debilitating Pain Cases – Many of my clients arrive unable to train, move properly, or perform daily activities due to severe pain, instability, and flare-ups.
⚠️ Athletes with Career-Threatening Injuries – From powerlifters and strongmen to weekend warriors, I work with athletes trying to regain strength and return to competition.
💡 The Exception: The Savvy Individual – Occasionally, I see someone with a new back injury who is proactive and wants to avoid the horror stories of chronic pain and failed treatments. These individuals seek guidance before their situation spirals out of control—and those are the cases that tend to recover the fastest.
🚨 Those Let Down by the Medical System – Most of my clients have been told to just live with it or that surgery is their only option. I help them find another way before resorting to drastic measures.
📌 What Can You Expect?
✅ A Science-Backed, Proven Approach – I apply the McGill Method to identify pain triggers and rebuild strength safely.
✅ A Personalized Plan – Every case is unique, and I tailor my approach to your specific pain profile and goals.
✅ Commitment, Not Guarantees – Recovery is multifaceted, and while I can’t promise a cure, I will give you 100% effort and the best tools for success.
📌 What’s Next?
✅ Book a McGill 3-Hour Assessment – Let’s identify the root cause of your pain and map out a recovery strategy.
✅ Read My Story in Gift of Injury – Learn how I came back from a career-threatening injury to squat 1,300 lbs pain-free.
🚀 Bottom line: If your back pain has lasted months, years, or even decades, and you’ve tried everything with no success, I’m here to help. And if you’re the rare individual who is thinking ahead, avoiding chronic pain before it starts, you’re making the smartest move possible. 💪🔥
✅ Yes! I work with both athletes and non-athletes, tailoring my approach to each individual’s needs.
🔹 Who Do I Work With?
🏋️ Elite Athletes & Strength Competitors – I’ve worked with powerlifters, strongmen, and athletes across various sports recovering from serious injuries and returning to competition.
🚶♂️ Everyday Individuals & “Average Joes” – Many of my clients are regular people who just want to live pain-free and regain the ability to do everyday activities without restriction.
👴 Elderly Clients Looking to Restore Mobility – I help older individuals who want to move better, regain strength, and improve their quality of life without relying on medications or unnecessary surgeries.
⚽ Young Athletes & Active Adults – I work with younger clients recovering from sports injuries who want to get back to their sport safely and prevent future issues.
👨👩👧👦 Men & Women of All Backgrounds – Pain doesn’t discriminate, and neither do I. Whether you’re an elite competitor or someone just trying to sit, walk, and move without pain, I tailor my approach to your specific situation.
📌 What Can You Expect?
✅ A Science-Based, Customized Approach – The McGill Method allows me to identify pain triggers and create a plan that works for your body, lifestyle, and goals.
✅ A Clear Path Forward – Whether you’re trying to return to the platform or simply get through the day without pain, I develop individualized strategies that fit your level of physical activity.
✅ Results-Oriented Coaching – Regardless of your background, I focus on what actually works for you, not a one-size-fits-all approach.
Yes!
✅ Yes, I work with various post-surgical and post-procedural clients who are looking to regain function and resilience without a one-size-fits-all approach.
🔹 Who Do I Work With?
🩺 Post-Surgical Clients – I have experience working with individuals who have undergone a variety of spinal procedures, including:
• Microdiscectomy
• Laminectomy
• Spinal Fusion (ALIF, PLIF, TLIF, XLIF, ACDF, etc.)
• Spinal Decompression Surgery
• Disc Replacement Surgery (Artificial Disc Replacement – ADR)
• Foraminotomy
• Vertebroplasty & Kyphoplasty (for compression fractures)
• Facet Joint Ablation (Radiofrequency Neurotomy/Rhizotomy)
• Sacroiliac (SI) Joint Fusion
• Spinal Cord Stimulator Implantation
• Disc Seal Fibrin Procedure (for annular tears)
💉 Clients Who Have Had Spinal Injections or Other Procedures – Many individuals come to me after trying:
• Epidural Steroid Injections (ESI)
• Facet Joint Injections
• Nerve Root Blocks
• Nerve Ablation (Radiofrequency Lesioning/Neurotomy)
• PRP (Platelet-Rich Plasma) or Stem Cell Treatments
🚷 Those Who Want to Regain Strength & Resilience – If you’ve had a medical procedure but don’t want to fall into the same failed rehab patterns, I help you build a customized approach to recovery.
🔹 Common Pitfalls After Back Surgery & Spinal Procedures
⚠️ Failing to Identify the Root Cause of Injury – Most post-surgical clients never address the movement faults that led to their injury. If the same stressors remain (poor lifting mechanics, excessive bending/twisting, spinal instability), the pain will return.
🔄 Going Back to the Same Harmful Movements Too Soon – Many individuals rush back into daily activities, lifting, or sport without re-learning proper movement patterns, leading to re-injury. I help you rebuild safe, efficient movement strategies to avoid setbacks.
❌ Over-Reliance on Surgery or Injections Alone – Surgery and injections can relieve symptoms but do not fix faulty movement mechanics, poor bracing, or weak stabilizing muscles. Without addressing these, pain will persist, or new issues will arise (e.g., adjacent segment syndrome).
📉 Lack of a Progressive Stability & Endurance Plan – Many rehab protocols focus only on general strength or basic mobility, which isn’t enough. The key is building spinal stability and endurance—not just strength. Strength-endurance is what keeps the spine resilient.
🛑 Not Removing Stress Concentrations – If movement patterns and postures aren’t corrected, the spine will continue to experience stress concentrations that overload certain areas, leading to re-injury or adjacent segment syndrome. My approach focuses on removing these stress points by modifying postures, movement mechanics, and loading strategies to distribute forces safely.
⏳ Relying on Passive Treatments Instead of Active Recovery – Many post-surgical clients continue chasing quick fixes (e.g., painkillers, massages, adjustments) instead of committing to a structured movement-based plan. I focus on proven, active strategies to help you regain control.
📌 What Can You Expect?
✅ Identify & Remove the Cause of Injury – I assess your pain triggers, movement patterns, and postures to eliminate stress concentrations before they cause further damage.
✅ Build Spinal Stability & Strength-Endurance – Instead of focusing on raw strength, we prioritize spinal endurance and stability to create a resilient, pain-free spine.
✅ Customized Recovery Plan – No cookie-cutter rehab. Your plan is based on your injury history, movement patterns, and goals.
📌 What’s Next?
✅ Book a Free 15-Minute Virtual Consultation – We’ll discuss your surgery or procedure, assess your current condition, and determine the best path forward.
✅ Book a McGill 3-Hour Assessment – If your case requires hands-on movement testing and coaching, we’ll work together to build a recovery strategy tailored to your specific needs.
🚀 Bottom line: Most failed surgeries and procedures happen because the original cause of injury was never removed. Recovery isn’t just about getting stronger—it’s about building spinal stability, endurance, and optimizing movement patterns and postures to remove stress concentrations so you can move well, stay pain-free, and prevent re-injury. 💪🔥
✅ First and foremost, you most likely have not had a thorough assessment. Before considering surgery, a proper evaluation is crucial. I highly recommend the McGill 3-Hour Assessment—a comprehensive, science-backed approach that identifies the root cause of your pain and provides a path to recovery.
🔹 Knowledge is power – As highlighted in Gift of Injury and Back Mechanic, understanding your back pain can be life-changing.
🔹 Surgery isn’t always the answer – Many of my clients were told they needed surgery but found relief through non-surgical methods. With the right plan, they’ve regained their strength and quality of life.
🔹 Most back pain cases don’t require surgery – In my experience, a significant number of back-pained clients have successfully recovered without going under the knife.
🔹 Education is paramount – Before making any major medical decision, take the time to arm yourself with knowledge and explore all options.
🔹 A second (or third) opinion can be game-changing – Different professionals have different perspectives. Consulting with experts in back rehabilitation can uncover non-invasive solutions that may be more effective than surgery.
🚀 Bottom line: Don’t rush into surgery without a thorough assessment and a full understanding of your options. Check out the McGill 3-Hour Assessment and educate yourself with Back Mechanic and Gift of Injury—these resources could be the key to your recovery.
Contact Brian Carroll