Jack Buss Rehab

Using AI to diagnose your injury? Make sure you know how to ask properly 👇
Three peer-reviewed studies tested ChatGPT on real clinical health questions. The pattern was the same every time — confident answers, unreliable evidence.
📌 2024 — Journal of Physical Therapy Science: 45% of AI-generated physiotherapy references didn’t exist. Zero matched a real published study.
📌 2024 — World’s leading physiotherapy research journal: Only 33% accurate for back and spinal pain questions against expert clinical guidelines.
📌 2026 — Peer-reviewed orthopaedic surgery journal: Of 2,500+ citations, only 1% matched real guidelines. Nearly 8% completely fabricated.

To be fair — AI is improving and OpenAI are actively working on this. But the problem hasn’t been solved, even in the most current models.

If you do use AI, copy and paste this prompt 👇

“Answer using peer-reviewed evidence only. State if evidence is strong, moderate or limited. Say so where evidence is weak or absent. No references — I’ll verify independently. Use plain language.
My pain details:
— Location and does it spread?
— How long and what caused it?
— Sharp/dull/burning/aching?
— Better or worse with what?
— Worse at any time of day?
— Impact on sleep, work, daily life?
— Previous injuries or operations?
— Other health conditions?
— Treatments or rehab already tried?
— Current medications?
— Any unexplained weight loss, bladder/bowel changes, numbness, weakness or progressive worsening?
If my symptoms need urgent attention — say so clearly.”

One of the biggest back pain studies published in the last year didn’t find a better exercise.It found a number.

And if you’re not hitting it — it doesn’t matter how good your programme is.Researchers analysed 46 randomised controlled trials covering thousands of people with chronic back pain.

They measured one thing — how consistently people were completing their programme — and tracked what it did to their pain and function.

The group hitting 80% or above saw significant reductions in pain and meaningful improvements in function.

The group hitting 60 to 79% saw almost no meaningful change. At all.

Effort without outcome. The dead zone.

This is the conversation I have with almost every client who sits down with me at MOVE. Because most people who’ve tried before and not gotten there weren’t doing the wrong exercises.

They just couldn’t sustain it consistently enough for the dose to actually land.Once someone understands that consistency isn’t a motivation problem — it’s a clinical requirement — everything changes.

This is the foundation of the MOVE Back Resilience Programme.
Five pillars — load management, trunk capacity, training consistency, recovery, and mindset — built around one goal.

A back that doesn’t just feel better for a few weeks. One that stays that way.Because the research is clear. The most effective exercise for back pain is the one you’ll actually keep doing.80% is the number. That’s the dose. That’s where results live.

Full study:
Jones et al. Exercise adherence is associated with improvements in pain intensity and functional limitations in adults with chronic non-specific low back pain: a secondary analysis of a Cochrane review. Journal of Physiotherapy. April 2025.

I’ve been using the 45 Degree hip extension machine a lot more with my clients lately and the results are speaking for themselves.

The research backs up what I’m seeing in the clinic. Back extensor endurance is one of the strongest predictors of low back pain recurrence. Not strength. Endurance. And this machine, progressed properly, builds exactly that.

Here’s the progression I’m running 👇
Step 1 — Double leg iso hold
Build to 2 mins @ RPE 8
Step 2 — Single leg iso hold
60 secs each side
Step 3 — Double leg reps
2s down / 2s up — build to 20 reps
Step 4 — Single leg reps
Same tempo, same standard — build to 20 reps
Step 5 — Add load (plate or barbell behind the back)
Back to iso — 60s, then build to 2 mins
Step 6 — Loaded reps
Build to 20 reps at that load
Step 7 — Single leg with load
Same cycle — when the standard is met, add 5kg and start again

Every stage is earned. No skipping ahead.
The wins I’m seeing come from clients who’ve struggled with persistent low back pain for years - finally building real tolerance and confidence in their back again. That’s what a proper progression does.

If you’re a physio or coach working with back pain clients or of course, you have back pain, save this one ☝️

We tested what AI chatbots actually tell people about their back pain

Nearly half of it was wrong

A peer-reviewed study analysed over 1,000 recommendations from ChatGPT, Gemini and Bing on common back pain questions. Only 56% were accurate.

The biggest errors? Risk factors

The exact information that determines whether your pain stays manageable or becomes something you’re living around for years.
AI is impressive. But it’s built to give you an answer. Not your answer.

It can’t assess how you move. It can’t feel where you’re guarding. It can’t tell you whether your pain is coming from the disc, the nerve, or the nervous system itself. And it definitely can’t build you a plan around all three.
That’s exactly what our assessment at MOVE is designed to do.

We don’t just tell you what’s hurting. We find out why it’s not getting better and map out exactly what it’s going to take to change that.

Head to the link in bio for your free assessment. We’ve built it to point you in the right direction and fix your back pain for good

Your back pain will come back. Unless you do this. 👇

Most people hurt their back, rest, feel better — and think they’re fine. But here’s what’s actually happening...

The small muscles holding your spine together switch off the moment your back hurts. And a 2026 study confirmed that these changes happen within the first few weeks — if nobody catches them, they wire in.

So the pain fades. You go back to normal. And then — one wrong move — it goes again.

That’s not bad luck. That’s the same problem that was never fixed.

The good news? A review of 47 clinical trials found that people who started structured rehab early had significantly better outcomes — less pain, faster recovery, and fewer flare-ups.

You don’t have to be in agony to come in. The sooner you start, the better.

Back pain doesn’t have to be your normal. 🔗 Book at MOVE — link in bio.

Know someone who keeps getting back pain? Send this to them 👆

📄 Sources: Migliorini et al., Eur J Med Res, 2026 | Tuninetti et al., J Pain Res, 2025

Most people leave a consultation with a list of exercises.
This client left with something more valuable than that — they finally understood why their back had gone again.
Severe disc herniation. Over a year of rehab. An outstanding outcome.

They left strong, confident, back to full life.
Then a new job arrived. A newborn arrived.
And over seven months, without even realising it — training dropped, consistency went, sleep was broken, stress was high, structure was gone.

Five pillars. All five affected.
When the flare-up hit, it felt like it came from nowhere.
It always does.
But when we sat down and mapped it out together — went through each pillar one by one — something shifted in the room.

Because suddenly it wasn’t random anymore. It wasn’t bad luck. It wasn’t their body failing them.
It was explainable. And if it’s explainable, it’s fixable.
That’s what the 5 Pillars framework does. Not just get people out of pain — but give them the understanding to never feel blindsided by their own body again.

This week, a brand new programme is coming to MOVE.
Specifically designed for people who have repeatable flare-ups — built around the 5 Pillars, structured to finally give you a system that lasts.

Details are dropping throughout this week. Follow to stay in the loop.

And if you think this is something you need — get in touch. I’d genuinely love to talk to you about it. 👇

0-6 weeks post Meniscus Arthroscopy
Main goals are to:
> Reduce Swelling
> Regain Knee Extension
> Regain Good Quad Control
> Normalise Normal Gait

I got asked today:

“What should I be thinking about to become pain free with my low back?”

And I said…

You’re asking the wrong question.

Because pain free isn’t built from random tips.
It comes from having a system.

Here’s mine:
• Load management – stop the spikes that keep triggering flare-ups
• Training capacity – build a body that can actually handle your life
• Recovery – sleep, stress, lifestyle (this gets ignored way too often)
• Trunk capacity – strength and control where it actually matters
• Movement confidence – stop fearing movement and start trusting it again

But here’s what actually separates people:

Consistency.

Not motivation. Not the “perfect” plan.
Consistency.

Because when you’re consistent:
• Load progresses properly
• Recovery improves
• Movement gets easier
• Confidence builds

The people stuck in the cycle:
• Pain free
• Push too hard
• Flare up
• Rest
• Repeat

The ones who break it just keep showing up and build properly.

That exact cycle is why we’re building something new.

In 2 weeks, we’re opening a program specifically for people stuck in that loop.
• No random exercises
• No guesswork
• Just a clear system to actually move forward

If that sounds like you, pay attention.

Follow to make sure you don’t miss it.
Save this if you’re done starting over