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Navigating the Health Information Jungle: 
How to Choose Wisely in the Age of ‘Fit-Fluencers’ and Internet Advice

 

Written by Gabriel Trincado, PT, DPT, ACSM-EP

There is so much FREE content available on the internet these days, specifically fitness and health information. There is no end to what you can find online: from google searches and AI chat programs to YouTube video "how-to's''. Most people follow at least one person on social media, a “fit-fluencer”, who tells you constantly about that "ONE THING YOU'RE NOT DOING'' that could fix your pain! But who are these people telling you this, and what credibility do they have behind telling you this? What motivations do they have for giving you this free information, and is it really as easy to fix your problems as they make it seem? In this post, I’ll break down how to better discern good advice from bad advice, and also 3 ways to spot the difference between a real expert and a self-identified expert, so keep reading!

First, it’s important to understand that the answer is usually not attractive, it’s usually not showy, nor does it make you WANT to do it. As much as we want to think that those fun, complicated exercises or cool looking gadgets and tools are the most effective things to lose weight or gain muscle or fix your back pain, that is usually not the case. One piece of advice that is simple and applicable in many areas is maintain consistency; doing the right thing for a long time. Oftentimes, the solution isn’t anything specific, the “right thing” isn’t one specific exercise, but rather a change to your routine; an extra habit in your daily schedule. Whatever that solution is for you, it won’t help if you don’t stick to it.

 

Consistency, more than intensity, leads to results. The patients who do their exercises as prescribed tend to progress more quickly than those who try really hard in their PT sessions but have too much in their daily life to carry over what they learned. What you do every day matters more than what you do twice a week. Of course, there is more nuance than this, but the point remains. And despite the evidence to reinforce the importance of consistency, as many as 50% of people who choose to pursue rehabilitation of musculoskeletal injury or chronic low back pain forgo this consistency. (1) We all know people who want to lose or gain weight, but aren’t consistent with a dietary regimen for one reason or another. That someone may be YOU! It sure is me sometimes. As nuanced as achieving consistency is, it remains one of the most important factors to achieve your goals, and finding a way to be consistent should be your secondary objective after finding out what the solution is.

 

The right thing for you is specific to your situation and typically not flashy. In addition to this, you want to maximize your likelihood of success by being consistent in a number of other areas as well, such as nutrition, sleep, self-care, and dealing with stress appropriately. Sometimes we forget that we humans are built up of complex systems that interact with each other, and that they don’t exist in separate exclusive compartments, yet we treat ourselves that way. Our brains talk to the rest of our body via neurons, nerve fibers, and they never stop talking even when you’re asleep! Consistently taking care of ourselves in a complete or holistic way is as important as being consistent with our specific solution.

If someone wants to get really strong, for example, they might make time for the gym 5 days a week for months on end, and they may even take pre-workout and use supplemental protein to maximize their gains. However; if you look at the rest of their lifestyle, it is mismatched with their goals. Their meals are generally lacking in sufficient calories and nutrients, they don’t have consistent bedtimes or adequate hours of sleep, and they end up having to consume caffeine multiple times a day to get through work. Work and relationship stress are mounting but they don’t have good coping mechanisms in place, good support systems, and no vacations or deload weeks to break from the stress or the weights. You get the gist. Will they make some strength gains? Probably, but not as much as they likely could, and they may even be setting themselves up for injury at this pace. I digress.

Another example: a very fit person on instagram claims that doing one specific exercise like a dumbbell suitcase carry helped rid them of their back pain forever and implying that it’ll do the same for you. Now, I’m not saying that they didn’t experience relief by doing that, but to post online as if they just found the cure for everyone is misleading and harmful for a number of reasons. Depending on the cause of your back pain, you may need more specific interventions, possibly even a physician consultation and imaging to rule out insidious pathology, or it could have been caused by a little too much yard work last weekend, and it’ll go away in a few more days all on its own. The point is, neither you, nor they, know without at least evaluating you. 

 

I also want to point out the sometimes-not-so-obvious fact, that just because someone is educated about one thing doesn't make them educated about another. I see countless PhD's, MD's, PT's, "fitness guru's", and other's talking about things of which they recieved no training, but due to their training in another area have a huge following of people who believe anything they say. After all, the man who discovered DNA, James Watson, who changed our understanding of science and medicine as we know it, was also a racist, so I wouldn't go trusting his word about social policies. This may not always be the case, but the point is don't just take someone's word because of their unrelated title in something else.

 

So as you can see, the things that are important for your success have little to do with some specific, cool exercise, and more to do with consistency in the daily. But you may be asking, “so can I still learn from experts online?” Of course you can, but the question is how do you know what information to trust? Well here are 3 points on how to identify if someone is truly an expert in a specific area, or if you should question their expertise.

    1. Experts don’t deal in absolutes.

You will often hear or see phrases like “The ONE thing you should do to fix your back pain”, or “the one shoulder exercise you should NEVER do” or “the WORST exercises for pain”. The research on most any topic is hardly that conclusive, as you will see in the next point, so for someone to claim these sort of absolute statements it is always for click bait and rarely credible.

    2. Experts don’t make big claims with little or no evidence

Claims like “this works every time”, or “this worked for me so it’ll work for you” are usually just as useless as if you had picked an activity at random to fix your issues. Especially made without any context for your situation, these sorts of claims mean absolutely nothing, because they don’t know what is going on with you or why it’s happening. No two situations are the same.

One scenario I’ve seen many times is that a group on social media, with many followers, claims that bad posture and the way you move will cause long term pain and disability; that you will most certainly have arthritis soon if you keep moving this way. (DISCLAIMER: current understanding of posture and movement do not support these beliefs) This group claims that their methods create “results” with their postural and movement correction and show you before and after pictures of someone’s back as if they made a huge difference. Sure, both pictures look different, whether because of camera angles or actively changing their posture in the moment, but so what? Is this group claiming that the “change” they made in their posture is also going to fix that person's chronic back pain? Did this fix the back pain of the model, and will it really change yours too? Not only is there little to no evidence of such changes being permanent, there is also little evidence of it affecting long-term outcomes in pain experience. Their defense would sound something like… ”But at least we get visible results, see them right here in this picture I took?” Unfortunately, the odds are that it is a sham, or just a way to draw attention. The real way they may affect change, if any, is through the means mentioned previously; consistency within various lifestyle changes.

 

Another common scenario is people making claims about what is happening with specific interventions or exercises, when there is no supporting evidence for it. For example, PTs and chiropractors often perform manual therapy which involves putting hands on patients with the intention of reducing pain and sensitivity or improving mobility of the joints through low-grade or high-velocity mobilizations. When claims are made that bones are being put in correct alignment, it implies that they can get out of alignment to begin with. This is not the case, and even worse than simply lying about what’s happening, it encourages a fragile view of the human body, creating the perception that it could essentially come apart at any given moment if things aren’t done right. Now this leads many to have a very negative perception about what their pain means and may lead to significant changes to their activity levels in order to avoid damaging anything or accidentally putting things “out of place”. This is not up to the standard of practice.

    3. Experts ask questions; “it depends!”

Experts ask for context. What worked for one person may not work for another! This has a lot to do with the fact that problems don’t stand isolated from everything else, rather they are influenced by many factors in your life. As mentioned before, sleep, nutrition, and stress management all play a part in your situation. In addition, prior injury, other medical problems, and the mechanism of injury are all important in order to understand an issue and how to approach and provide a solution. 

 

Ask yourself: do they know me? Are they accurately describing what I am experiencing? If the answer to both of those questions is no, odds are you should take the information with a grain of salt. A generalist with little experience knows only a few similar situations and may think the answer is obvious without having to dig any deeper. An expert in a specific population or injury, think athletes or knee injuries for example, will want more information because they know of a few causes for what you’re experiencing and therefore need more context and information before giving advice. 

 

 

At the end of the day, you can only have so much trust in what you find for free online. So when you’re watching some flashy video, reel, or tik tok on how to make your neck or back pain disappear overnight, be cautious, consider the points listed above, and remember, no amount of googling or free tips and tricks will be able to replace the services of a compassionate, caring, and experienced provider.

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