The Barbell Therapy & Performance Podcast

Dr. Brett Scott sits down in-person with Dr. Keith Rode to break down shockwave therapy—how it “unsticks” chronic pain, speeds acute injury recovery, and why it’s changing what’s possible in rehab.TakeawaysShockwave therapy can help patients who have not responded to traditional treatments.The technology can significantly reduce recovery time for acute injuries.Shockwave therapy stimulates a healthy inflammatory response to promote healing.It has a high success rate for conditions like plantar fasciitis and Achilles tendinopathy.EMTT is a newer technology that complements shockwave therapy.Both shockwave and EMTT can enhance athletic performance and recovery.The effectiveness of shockwave therapy is supported by a growing body of research.There is a need for regulation in the use of shockwave therapy devices.The technology is non-invasive with minimal side effects.Shockwave therapy is being explored for various conditions beyond musculoskeletal issues. The effectiveness of shockwave therapy relies on proper application and understanding.Many practitioners misuse shockwave therapy, leading to poor patient outcomes.Real-life patient transformations showcase the potential of shockwave therapy.Education and training are crucial for practitioners using shockwave technology.Shockwave therapy can help patients avoid surgeries and improve their quality of life.The technology has revolutionized Brett's practice and patient care.Proper technique and knowledge of the technology are essential for success.Patients often experience significant improvements in strength and mobility after treatment.The future of shockwave therapy looks promising for various medical conditions.Brett has helped over 300 patients avoid surgery through shockwave therapy.Chapters00:00- Introduction to Shockwave Therapy and Its Origins07:13- Mechanisms and Benefits of Shockwave Therapy14:54- Applications and Effectiveness of Shockwave Therapy22:20- Emerging Technologies: EMTT and Its Synergy with Shockwave30:04- The Future of Shockwave Therapy and Its Regulation35:31- Understanding Shockwave Therapy's Effectiveness41:44- Real-Life Transformations with Shockwave Therapy47:58- The Importance of Proper Application and Technique54:19- The Future of Shockwave Therapy and Its Applications

A raw, science-backed conversation on advanced maternal age, fertility myths, and why women deserve better information—not fear—when deciding if and when to have kids.Takeaways:Dr. Danielle Day reflects on her journey to motherhood at 47.She emphasizes the importance of health and wellness in advanced maternal age.Fertility challenges are common for women over 40, despite being healthy.Misconceptions about risks associated with age in pregnancy persist.Healthcare protocols often treat older mothers as high-risk without considering individual health.Fitness and nutrition play a crucial role in pregnancy and postpartum recovery.Breastfeeding can be challenging, especially for older mothers.Community support is vital for older parents navigating parenthood.The term 'geriatric pregnancy' is outdated and misleading.Having children later in life can lead to increased motivation for self-care and longevity. Family building is evolving with different lenses.Biology does not define family; community does.Choosing the donor path can be a practical decision.Understanding the donor egg process is crucial.Genetic testing can provide insights but is not foolproof.Age significantly impacts fertility and reproductive options.Exercise plays a vital role in fertility and pregnancy health.Nutrition is often overlooked in prenatal care.Strength training is essential for long-term health.Maintaining personal goals is important for mothers.Chapters:00:00- Introduction to Geriatric Pregnancy02:49- Personal Journey: From Reluctance to Parenthood06:01- Health and Wellness Considerations09:14- Understanding Fertility and Age12:07- The Impact of Lifestyle on Fertility15:00- Navigating Medical Protocols and Guidelines18:12- Women's Health and Fertility Issues20:56- The Role of Healthcare Providers24:04- Expectations vs. Reality in IVF27:08- Conclusion and Final Thoughts35:25- Embracing Fitness During Pregnancy38:11- The Postpartum Journey: Recovery and Realities40:33- Breastfeeding Challenges and Expectations46:02- Advanced Maternal Age: Myths and Realities54:20- Navigating Donor Conception: A Personal Journey01:01:16- The Importance of Communication in Family Dynamics01:04:15- Understanding Egg Freezing and IVF Processes01:10:51- Understanding IVF and Egg Donation01:15:36- Genetic Testing and Pregnancy Risks01:16:05- The Role of Exercise in Fertility01:19:18- Gestational Diabetes and Long-term Health01:22:03- The Impact of Age and Lifestyle on Pregnancy01:26:01- Nutrition and Healthcare Gaps01:30:16- Personal Health and Pregnancy Experiences01:35:55- Empowerment Through Strength Training01:39:13- Innovations in Breastfeeding Solutions01:42:55- Mindset and Personal Growth

Dr. Brett Scott welcomes Dr. Ryan Chow of Reload Physical Therapy NYC to the Barbell Therapy Podcast to dive into modern rehab, stress and pain, and why smart training plus sustainable cardio is the real key to long-term health.Takeaways:Physical therapy should blend training and rehabilitation.Individualized treatment plans are crucial for effective recovery.Stress significantly impacts pain and recovery outcomes.Understanding patient beliefs can enhance treatment effectiveness.Nutrition plays a vital role in athletic performance and recovery.Zone 2 training is essential for overall health and recovery.Physical therapists often act as primary care providers for patients.The medical system can be challenging for patients to navigate.Pain management requires a nuanced understanding of individual experiences.Building trust with patients is essential for effective treatment.Chapters00:00- Introduction to Physical Therapy and Coaching02:16- The Journey from Trainer to Physical Therapist05:23- Challenges in Traditional Physical Therapy10:50- Understanding Patient Stories and Individual Needs13:37- Testing Beliefs and Theories in Rehabilitation18:01- The Connection Between Stress and Pain20:26- Statistics on Pain and Recovery25:26- The Role of Physical Therapists in Patient Care30:20- Navigating the Healthcare System35:04- The Importance of Listening and Understanding Patients39:27- Efficiency in Rehabilitation and Patient Care39:56- Understanding Patient Perspectives42:01- The Importance of Zone Two Cardio44:51- The Evolution of Cardio Training48:58- Personal Experiences with Cardio and Strength Training51:50- The Psychology of Running and Pain Management58:01- Differentiating Helpful and Hurtful Pain01:00:52- Managing High-Volume Training01:05:04- The Complexity of Health and Fitness01:09:01- The Multi-Dimensional Approach to Health

Dr. Brett Scott and PCOS dietitian Caitlin Johnson dive into the root causes of PCOS, its links to insulin resistance, fertility struggles, weight changes, stress, birth control, and training, plus practical nutrition and lifestyle strategies to help women manage symptoms and get pregnant.TakeawaysPCOS is increasingly recognized as a common condition affecting women.Diagnosis of PCOS often involves irregular cycles and signs of hyperandrogenism.Genetics and lifestyle factors contribute significantly to the development of PCOS.Stress management is crucial for women with PCOS due to its impact on insulin resistance.Nutrition plays a vital role in managing PCOS symptoms and improving overall health.Exercise, particularly strength training, is beneficial for women with PCOS.Women with PCOS often face challenges in the healthcare system regarding diagnosis and treatment.Insulin resistance is a key factor in PCOS and can be managed through lifestyle changes.Functional medicine approaches can provide more comprehensive care for PCOS patients.Awareness and advocacy are essential for women seeking help for PCOS. There are five days in a woman's cycle she can get pregnant.Understanding cycle literacy is crucial for women with PCOS.High protein intake helps balance blood sugar and metabolism.Tracking food intake can help manage PCOS symptoms effectively.Starting the day with savory foods can reduce sweet cravings.Keto and intermittent fasting can improve insulin resistance but may not be sustainable for everyone.Sustainability in dieting is key to long-term success.Fasting can have health benefits but should be approached carefully.Birth control can help manage PCOS symptoms but has risks that need to be discussed.Women should be informed about the long-term effects of birth control.Chapters00:00- Introduction to PCOS and Its Growing Awareness01:33- Understanding PCOS: Diagnosis and Symptoms05:15- The Complexity of PCOS: Genetics and Lifestyle Factors10:36- PCOS and Endometriosis: Exploring the Connection13:28- The Prevalence of PCOS: Causes and Contributing Factors18:29- Managing PCOS: The Role of Stress and Lifestyle Choices24:29- Nutrition and Exercise: Finding the Right Balance31:55- Advocating for Better Healthcare: Navigating the Medical System34:22- Understanding Hormonal Imbalances and Diagnostics39:00- The Importance of Comprehensive Lab Work47:40- Addressing Insulin Resistance: Strategies and Solutions55:24- Dietary Approaches to Manage PCOS and Insulin Resistance01:01:59- Keto and Intermittent Fasting: Pros and Cons for PCOS01:11:25- Gradual Changes for Sustainable Health01:12:20- Understanding Fasting and Its Benefits01:14:31- Cultural Perspectives on Fasting01:19:32- The Role of Birth Control in PCOS Management01:26:35- Informed Consent and Alternatives to Birth Control01:31:14- The Impact of Hormonal Birth Control on Women's Health01:34:33- Caffeine and Its Effects on Anxiety and Fertility

Dr. Brett Scott joins Lauren Decretico to expose what’s broken in traditional healthcare and how functional medicine, mindset, and lifestyle changes can help you take control of your health.Takeaways:Brett's journey in healthcare was influenced by personal health struggles.Functional medicine offers alternative solutions to traditional healthcare.Lifestyle changes, especially regarding gut health, can significantly impact well-being.Exercise is crucial for health, yet often overlooked by traditional doctors.Understanding the difference between structure and function is vital in treatment.Patients should advocate for themselves in healthcare settings.Financial investment in health can prevent future medical costs.Therapy should be tailored to individual needs and not just a one-size-fits-all approach.There are many misconceptions in healthcare that need to be addressed.The future of healthcare is leaning towards more holistic and alternative methods.Chapters:00:00- Introduction to Health Optimization01:15- Brett's Journey in Healthcare04:51- Lifestyle Changes and Personal Growth08:32- The Role of Personal Experience in Treatment11:52- Understanding Structure vs. Function in Healthcare15:57- The Importance of Time in Patient Care17:51- Advocating for Yourself in Healthcare20:14- Exploring Alternative Treatments23:39- The Financial Aspect of Health Investments31:33- Navigating Nutritional Choices42:15- The Importance of Listening in Healthcare44:56- Exploring Alternatives to Surgery46:11- Understanding Healthcare Costs and Insurance49:46- The Role of Preventative Care in Health53:06- The Evolution of Therapy and Mental Health01:00:53- Integrating Therapy with Practical Life Skills

Dr. Brett Scott talks with vestibular & neuroclinical specialist and professor Dr. Naseem Chatiwala about concussion myths, why head impact isn’t required, early active recovery, cervical–vestibular links, HRV/Buffalo testing, red flags for parents, and dose-wise strategies for a safer return to school and sport.Takeaways:Concussions can occur without direct head contact.Active management is crucial for lingering concussion symptoms.Early treatment leads to better long-term outcomes.Neck stability is essential for effective vestibular therapy.Concussions can lead to a variety of symptoms beyond headaches.Parents should monitor children closely after any head trauma.Nutrition plays a vital role in brain recovery post-concussion.Quality of life can improve significantly with targeted therapy.Understanding the dosage of activity is key in recovery.The vestibular and visual systems are closely linked in concussion management.Chapters00:00- Introduction to Concussions and Their Management02:27- Understanding Concussion Symptoms and Recovery05:00- The Myths of Concussions07:56- Active Recovery and Symptom Management10:35- The Role of Neck Health in Concussion Recovery12:23- Vestibular and Visual System Interactions16:33- Long-term Effects of Concussions20:38- Signs for Medical Attention Post-Concussion23:52- Modern Approaches to Concussion Management27:18- Understanding Concussions and Their Impact30:37- Complex Symptoms of Concussions33:24- Heart Rate Variability and Concussion Recovery38:54- The Importance of Dosage in Recovery44:09- Quality of Life and Long-term Recovery47:09- Nutrition's Role in Concussion Recovery

Dr. Brett Scott talks with Tony Gentilcore on keeping training simple, smart, and sustainable with barbells, psychology, and practical coaching.Takeaways:Simplicity in training can lead to success.Barbells and dumbbells are effective tools for strength training.Understanding pain and movement is crucial for trainers.Experience plays a significant role in coaching effectiveness.Motivation is key to client success in fitness.Clients appreciate autonomy and choice in their training.Navigating pain and injury requires a thoughtful approach.Saying 'I don't know' can build trust with clients.Coaches should focus on the holistic well-being of clients.Work-life balance is essential for long-term success in coaching.Chapters00:00- Introduction to Strength Training and Coaching02:55- The Evolution of Tony's Training Facility06:05- Simplicity in Training: The Power of Basic Equipment09:07- Understanding Deadlifting Techniques and Back Safety12:00- The Nuances of Pain and Movement in Training17:53- Modifying Training for Pain Management23:58- Teaching Clients to Self-Load and Understand Their Bodies36:22- Understanding Client Motivation and RPE41:45- The Role of Autonomy in Training48:06- The Importance of Listening and Communication56:06- Navigating Client Frustrations and Expectations59:51- The Power of Saying 'I Don't Know'

Dr. Brett Scott sits down with Dr. Frank Benedetto to unpack broken healthcare incentives and cash-vs-insurance realities, nocebo/placebo language, habits-first care (zone 2, VO₂max, strength), CGMs and fasting, shockwave misconceptions, and how his Honey Badgers incubator helps clinicians build mission-driven practices.Takeaways:Frank's journey from PT to healthcare innovator.The broken incentives in the healthcare system.Chronic illness is profitable for the healthcare system.Education in PT schools often lacks practical application.Habits are crucial for managing chronic diseases.Identity statements can hinder patient recovery.Surgeons often have inflated self-perceptions.Communication skills are lacking in healthcare education.The placebo effect can be a powerful tool in treatment.Continuous care is essential for long-term health.Preventative measures can reduce chronic disease risk.Biohacking trends can distract from fundamental health practices.Nutrition advice is often conflicting and confusing.Fasting has potential health benefits.Continuous glucose monitoring can provide valuable insights.Emotional eating is a significant issue in America.The healthcare insurance model needs disruption.Niche practices can better serve specific patient needs.Chapters00:00- Introduction to Healthcare Innovation02:55- The Cash vs. Insurance Dilemma06:09- The Broken Healthcare System09:07- Education and Training in Healthcare12:08- The Role of Identity in Health14:56- Communication and the Placebo Effect17:51- Surgeons and Patient Perception21:04- The Importance of Positive Reinforcement23:51- Innovation in Treatment Approaches29:30- Reimagining Patient Discharge and Ongoing Care30:59- The Intersection of Chronic Pain and Chronic Disease32:43- The Role of Movement in Preventative Health34:51- Navigating Health Influencers and Information38:05- The Balance of Biohacking and Fundamental Health Practices40:320- Understanding Food Choices and Nutritional Myths44:40- The Psychological Aspects of Eating and Fasting54:58- Understanding Blood Sugar and Continuous Glucose Monitoring01:02:24- The Impact of Blood Sugar on Overall Health01:04:01- The Future of Healthcare and Insurance Models01:10:16- Niche Practices in Healthcare and Business Innovation

Dr. Brett Scott sits down with applied sports scientist Tim Gabbett (30+ yrs, 300+ papers) to unpack acute vs chronic load, progressive overload, training vs competition balance, youth vs pro demands, rehab (local vs global capacity), deloads, soreness, and smarter monitoring.TakeawaysTim Gabbitt emphasizes the need for quantifying training loads to ensure effective progression.A well-structured training program is essential for injury prevention and performance enhancement.Understanding acute and chronic workloads helps in managing training intensity and recovery.Soreness can be a normal part of training adaptation, as long as recovery occurs within expected time frames.Balancing local tissue capacity with sport-specific loading is crucial for injury prevention.Strength training is important for all athletes, including endurance runners.The minimum effective dose for maintaining endurance can be as little as one session per week.Deloading strategies should be individualized and not overly frequent or prolonged.Technology can aid in monitoring training loads, but athletes should also listen to their bodies.Creating a supportive training environment is key to athlete success.Chapters00:00- Introduction to High Performance and Injury Prevention02:56- The Importance of Quantifying Training Loads06:08- Understanding Acute and Chronic Workloads08:58- Balancing Load and Response in Training12:05- The Role of Soreness in Performance14:59- Rehabilitation Principles for Injured Athletes18:01- Local vs. Global Capacity in Training21:03- Strength Training for Injury Prevention23:52- The Importance of Context in Training Loads40:33- Tissue Adaptation and Injury Prevention43:41- Strength Training for Runners46:45- Finding the Minimum Effective Dose53:43- Rethinking Deloading Strategies01:01:09- The Role of RPE and Auto-Regulation01:04:07- The Impact of Fitness Trackers01:07:09- Coaching Challenges in Athlete Management

Dr. Brett Scott talks with strength coach Jason Feairheller about what truly makes athletes fast—blending cognitive reaction with physical capacity—covering multidirectional power, change-of-direction mechanics, smart drill progressions, strength pairing, rehab considerations, and practical programming.Takeaways:Speed involves both cognitive ability and physical capacity.Genetics can influence top-end speed but not overall performance.Cognitive training can improve an athlete's reaction time.Injury prevention strategies are essential in speed training.Mobility and coordination are critical for effective speed training.Reactive drills should be a significant part of training.Strength training should complement speed work for optimal performance.Understanding movement mechanics is vital for injury prevention.Athletes should be assessed through every drill they perform.A structured training program is necessary for improving speed and agility.Chapters00:00- Introduction to Speed and Agility Training01:18- Understanding Speed: Cognitive and Physical Components06:40- The Role of Genetics in Athletic Performance11:20- Training Speed: Cognitive vs. Physical Strength16:30- Injury Prevention and Speed Training19:25- Categorizing Speed and Agility Drills27:00- Coordination, Mobility, and Performance30:39- Understanding Movement Mechanics32:46- Mental Readiness in Athletic Performance36:53- Reactive Training for Speed and Agility40:46- Structuring Speed and Strength Training46:31- Integrating Olympic Lifting for Multi-Directional Athletes52:42- Injury Prevention through Movement Mechanics

Dr. Brett Scott and Meghan Callaway dive into the 3 E’s of coaching, pull-ups, and building results that last.TAKEAWAYS:Education leads to empowerment and excitement in training.Fundamentals are key to achieving consistent results.Social media can mislead people about fitness goals.Performance-based goals are more empowering than aesthetic goals.Bodybuilding can lead to unhealthy behaviors and mindsets.Calisthenics requires a focus on technique and control.Muscle-ups require a high pull and proper transition technique.Variety in training keeps clients engaged and motivated.Sustainability in fitness comes from understanding and mastering basics.Education helps clients trust the process and stick to their goals. The hybrid or false grip allows for a fluid transition in muscle ups.Strict muscle ups can be achieved with practice and the right technique.Injury recovery requires patience and relearning fundamental movements.Medical professionals can sometimes provide misleading advice regarding injuries.Strength training is essential for maintaining health as we age.Calisthenics offers unique benefits that complement traditional weightlifting.Finding the right gym equipment is crucial for effective training.Body control is a key component in performing advanced movements like muscle ups.It's important to focus on safe training practices to prevent injuries.A balanced approach to fitness includes both calisthenics and weight training.Chapters00:00- Introduction to Coaching Philosophy01:01- The Three E's of Coaching06:49- Social Media's Impact on Fitness09:36- Empowerment Through Training13:30- The Dangers of Bodybuilding Competitions18:44- Focusing on Performance Over Aesthetics25:32- The Importance of Education in Training26:08- Megan's Journey into Calisthenics30:01- Mastering Muscle-Ups: Techniques and Progressions36:01- The Importance of Pull Height and Transition Strength42:10- Injury Recovery and Muscle-Up Technique54:58- From In-Person Coaching to Online Training56:51- The Frustration of Misinformation in Healthcare59:05- The Impact of Misdiagnosis on Health01:01:25- The Importance of Strength Training01:03:06- Understanding Body Mechanics01:06:04- The Role of Coaches in Injury Prevention01:09:17- The Benefits of Calisthenics01:12:57- Hybrid Training Approaches01:19:59- Closing Thoughts and Resources

Dr. Brett Scott talks with Dr. Edgar Belanis and NP Christina Knight of Dynamic Evolutions about PRP, umbilical cord stem cells, IV therapies, and functional medicine for natural healing and wellness.TAKEAWAYS:Dynamic Evolutions offers a range of services including PRP and stem cell therapy.PRP is derived from the patient's own blood and has healing properties.Stem cells can be harvested from umbilical cords, providing high-quality treatment options.Functional medicine focuses on treating the whole person, not just symptoms.Patient success stories highlight the effectiveness of their treatments.Quality and source of stem cells are crucial for effective therapy.Stem cell therapy can help reduce reliance on pain medications.Integrating Eastern and Western medicine can enhance patient care.Aesthetic treatments can be approached with natural alternatives.Lifestyle changes play a significant role in overall health.Chapters:00:00- Introduction to Dynamic Evolutions and Services Offered03:09- Understanding PRP and Stem Cell Therapy05:57- Quality and Source of Stem Cells09:12- Functional Medicine Approach to Health12:05- Patient Experiences and Success Stories15:06- Navigating Stem Cell Treatment Options17:50- Safety and Side Effects of Stem Cell Therapy21:05- Comparing Stem Cell Sources23:51- Personal Experiences with Stem Cell Treatment27:10- Cost Considerations and Alternatives to Surgery30:04- Final Thoughts on Stem Cell Therapy and Surgery37:25- The Stem Cell Debate41:28- Exploring Alternative Therapies46:37- Innovations in Healing Technologies52:46- Understanding Energy Medicine58:56- Balancing Modern Aesthetics and Health

Coach Kevin Carr joins Dr. Brett Scott to explore why back squats may not be ideal for most athletes, the benefits of unilateral training, and how smart programming and sprint timing can unlock peak performance.TAKEAWAYS:Unilateral training can be more effective than bilateral squats for many athletes.The back squat is not necessary for all athletes, especially those with specific sports demands.Conditioning should be tailored to the athlete's existing training load and sport schedule.Rate of force production is crucial for sports performance, especially in explosive movements.Teaching Olympic lifts requires a focus on safety and technique, especially for younger athletes.The bilateral deficit allows athletes to lift more weight on one leg than two, making single leg training valuable.Heavy loading in single leg exercises can yield significant strength gains.Mindset is key in pushing athletes to embrace single leg training.Speed and power training should be prioritized alongside strength training for optimal performance.Regularly measuring speed can motivate athletes and inform training adjustments.Chapters00:00- Introduction to Strength and Conditioning01:52- The Shift from Back Squats to Unilateral Training05:29- Understanding the Why Behind Training Choices08:21- The Role of Olympic Lifting in Athletic Training12:57-Exploring Rate of Force Production vs. Peak Force15:29- The Bilateral Deficit Explained27:14- Heavy Loading in Single Leg Exercises31:57- Strength Training Insights35:37- Programming for Athletic Development39:25- The Importance of Speed and Power43:49- Conditioning and Recovery Strategies56:44- The Role of Massage in Athletic Performance

Dr. Ryan DeBell, who no longer identifies as a chiropractor joins Brett Scott to unpack the science, myths, and overlap between PT and chiropractic and why labels might be holding us all back.Takeaways:Manual therapy can provide immediate relief and hope to patients.The effectiveness of manual therapy should not be discounted due to lack of studies.Chiropractic practices can sometimes create dependency in patients.Understanding the difference between manipulation and adjustment is crucial.Evidence-based practice is essential in chiropractic care.Accurate diagnosis is vital for effective treatment.Chiropractors and physical therapists can learn from each other.Claims about chiropractic benefits should be critically evaluated.Ethics in chiropractic practices are important for patient trust.Posture and spinal alignment can impact pain, but context matters. Posture and alignment are crucial for effective movement.Manipulation may provide temporary relief but is not a long-term solution.Understanding geometry in movement can prevent injuries.Emotional health impacts physical posture and movement.Training should include a variety of movements and ranges of motion.Heavy lifting should be balanced with mobility work.Posture does not solely dictate pain; context matters.Training philosophies should adapt to individual needs and goals.Integrating different training domains enhances overall performance.Awareness of body mechanics is essential for health and fitness.Chapters00:00- The Power of Manual Therapy05:52- Misconceptions in Chiropractic Care12:01- The Role of Scar Tissue and Adhesions18:03- Professional Integrity in Healthcare24:04- Understanding Risks and Misunderstandings in Treatment29:54- Navigating Knee Pain: A Personal Journey35:20- Complex Cases: When Symptoms Don't Add Up41:19- Understanding the Limits of Treatment49:32- The Risks of Manipulation56:15- The Debate on Posture and Pain01:02:19- The Geometry of Movement and Posture01:08:26- Understanding Manipulation and Its Limitations01:18:23- Exploring the Connection Between Movement and Health01:27:12- Understanding Joint Angles and Injury Prevention01:36:34- Integrating Various Training Approaches01:42:39- The Five Domains of Human Movement01:49:26- The Role of Olympic Lifting in Athletic Performance

Tune in as Dr. Brett and Dr. Sussman break down PRP, stem cells, and cutting-edge sports medicine.TAKEAWAYS:Dr. Sussman emphasizes a comprehensive approach to musculoskeletal care.85% of musculoskeletal issues can be treated non-surgically.Cortisone injections can provide temporary relief but may have long-term consequences.PRP is a concentration of platelets used to initiate healing.Stem cell therapy is regulated and can offer longer relief than PRP.Prolotherapy uses irritants to stimulate a healing response.Hydrodissection can help relieve nerve entrapment.Ultrasound-guided procedures can significantly reduce recovery time.Accurate diagnosis is crucial for effective treatment planning.Innovative treatments are reshaping the landscape of orthopedic care.Chapters00:00- Introduction to Dr. Walter Sussman and His Expertise01:53- Comprehensive Musculoskeletal Care vs. Traditional Orthopedics03:13- Innovative Procedures in Musculoskeletal Treatment08:00- Understanding Cortisone Injections and Their Role10:49- Exploring PRP: Uses and Benefits17:55- The Nuances of PRP and Insurance Coverage25:38- PRP for Joint Issues and Dosing Considerations28:27- Exploring Shockwave Therapy and PRP28:54- Understanding Stem Cell Therapy30:17- Regulations and Indications for Stem Cells31:10- Comparing PRP and Stem Cell Treatments35:03- Prolo Therapy: An Alternative Approach36:55- Hydro Dissection: A New Technique42:23- Ultrasound-Guided Mini Surgical Procedures48:34- Innovations in Orthopedic Treatments

Tune in as powerlifting coach Jessie Burdick joins Dr. Brett Scott to share her journey from self-doubt to strength, building a gym mid-pandemic, and why powerlifting is for everyone.TAKEAWAYS:Jess started powerlifting in her late twenties after being encouraged by a friend.She opened her gym during the pandemic, initially in a small office space.The difference between strength coaching for teams and powerlifting coaching lies in the consistency and commitment of clients.Powerlifting allows for more freedom and personal growth compared to coaching athletes.Jess emphasizes the importance of mindset and self-acceptance in powerlifting.She believes that everyone deserves to compete, regardless of their strength level.Powerlifting has helped Jess overcome anxiety and depression.The sport is about personal growth and enjoyment, not just competition.Jess encourages newcomers to focus on their own journey rather than comparing themselves to others.The pressures of elite competition can be overwhelming, and it's important to maintain a realistic perspective. Younger coaches often promise unrealistic results to athletes.Success in powerlifting comes from lifestyle choices, not just programs.Cutting weight should only be a factor at the national level.Powerlifting is accessible for beginners and has a low barrier to entry.Injuries in powerlifting often result from carelessness, not the lifts themselves.The community of powerlifting is evolving with younger participants.Inclusivity is essential in the powerlifting community.Long-term commitment to the sport is more valuable than short-term success.Older athletes often show more dedication and resilience in training.The perception of powerlifting as dangerous is often exaggerated.CHAPTERS:00:00- Introduction to Powerlifting and Coaching Journey05:55- Starting a Gym: Challenges and Triumphs12:00- Navigating the Coaching Landscape18:01- Overcoming Fear and Judgment in Powerlifting24:09- The Pressure of Elite Competition33:04- The Reality of Coaching Young Athletes48:31- Building a Supportive Powerlifting Community

Dr. Brett Scott sits down with strength coach and PRI expert Miguel Aragoncillo to break down the real science behind movement, posture, and power—from MLB pitching to everyday athletes.Ditch the balloon myths. Tune in for actionable insight on breathing, rotation, and building resilient bodies.Hit play. Expand your lens. Train smarter.TAKEAWAYS:-PRI incorporates neuroscience into strength conditioning.-Breathing techniques can enhance athletic performance.-Posture is dynamic and affects movement patterns.-Rib cage mobility is crucial for effective breathing.-Common faults in athletes can be corrected with PRI.-Improving range of motion can lead to better performance.-PRI can be integrated with massage therapy for better outcomes.-Not everyone may need PRI, but it can benefit many.-Specific conditions may require tailored PRI approaches.-Understanding the relationship between muscles and nerves is essential. Mobility assessments are crucial for understanding functionality.-PRI techniques can seamlessly integrate into strength conditioning.-Runners need to learn efficient movement patterns to enhance performance.-Manual therapy plays a significant role in athlete recovery.-Strength coaching has evolved with the introduction of PRI principles.-Blending techniques can optimize athletic performance.-Flexion restoration is essential for addressing back pain in athletes.-A variety of exercises can be used for posture restoration beyond traditional methods.-Understanding when to refer to a PRI specialist is important for client care.-Resources like home courses can help practitioners learn PRI effectively.CHAPTERS:00:00- Introduction to Postural Restoration and Strength Coaching05:09- The Importance of Breathing and Rib Cage Dynamics12:43- Application of PRI in Pitching and Sprinting18:05- Common Faults in Rotational Athletes22:57- Performance Limitations and Injury Prevention27:28- Integrating Massage Therapy and PRI31:55- Is PRI for Everyone?35:03- Addressing Specific Conditions with PRI40:27- Assessing Mobility and Functionality43:05- Integrating PRI with Strength and Conditioning46:12- Enhancing Efficiency for Runners49:42- The Role of Manual Therapy in Performance51:22- Evolution of Strength Coaching with PRI54:58- Blending Techniques for Optimal Performance56:24- Beyond the Basics: Expanding PRI Techniques01:00:08- Flexion and Strength Training Perspectives01:06:46- When to Refer to a PRI Specialist01:09:24- Resources for Learning PRI

In this episode of the Barbell Therapy Podcast, Dr. Brett Scott sits down with women’s health nurse practitioner Laura Brown to explore the growing use of Ozempic and GLP-1 inhibitors in weight management and hormonal health. They break down how these medications work, who they’re best suited for, and why lifestyle changes are critical for long-term success. The conversation dives into hormone replacement therapy (HRT), muscle and bone health in menopause, and the importance of addressing sarcopenia and osteopenia. Laura also discusses continuous glucose monitoring, cultural views on weight loss, and side effects like “Ozempic face.” Tune in for a thoughtful, holistic take on modern women’s health and how to achieve sustainable wellness.KEYWORDS:Ozempic, GLP-1 inhibitors, women's health, menopause, hormone therapy, weight loss, health coaching, lifestyle changes, diabetes, wellness, menopause, sarcopenia, osteopenia, diabetes, GLP-1, weight loss, health interventions, continuous glucose monitoring, off-label use, Ozempic faceTAKEAWAYS: Ozempic is a useful tool for weight management.The drug works by slowing digestion and affecting satiety.Candidates for Ozempic include those with metabolic issues.Lifestyle changes are crucial for sustainable weight loss.HRT can be preventative for osteoporosis and cardiovascular disease.Education on medication use is essential for patients.Exercise should be viewed as a privilege, not a punishment.Patients need to be informed about potential side effects.Weight loss medications should not be seen as a lifelong solution.Holistic approaches to health can lead to better outcomes. Sarcopenia and osteopenia negatively impact each other.Improving bone health can enhance muscle health and vice versa.Tapering protocols for diabetes medications are not well-studied.Continuous glucose monitoring is becoming more accessible.GLP-1 medications are often used off-label for weight loss.Cultural perceptions of weight loss influence medication use.Ozempic face is a concern related to rapid weight loss.Candidates for GLP-1 medications often have chronic health issues.Patient motivation is crucial for successful treatment outcomes.A comprehensive approach to health is essential for long-term success.CHAPTERS:00:00 - Introduction to Women's Health and Ozempic01:35 - Understanding Ozempic and GLP-1 Inhibitors04:10 - Mechanism of Action: How Ozempic Works05:15 - Identifying the Right Candidates for Ozempic07:27 - The Role of Lifestyle Changes in Weight Management10:38 - Hormonal Health: Menopause and HRT15:46 - The Intersection of HRT and Weight Loss Medications20:19 - Risks and Side Effects of Ozempic25:19 - Biomarker Improvements with Ozempic27:05 - The Myth of Lifelong Dependency on Ozempic31:37 - The Interplay of Muscle and Bone Health32:11 -Tapering Protocols and Medication Management35:21 - Diabetes Medications: Metformin vs. GLP-1s36:48 - Continuous Glucose Monitoring: A New Tool for Health39:07 - Off-Label Use of GLP-1 Medications42:21 - Cultural Perceptions of Weight Loss and Medications45:00 - Understanding Ozempic Face and Muscle Loss51:20 - Identifying Candidates for GLP-1 Medications55:13 - Preparing for GLP-1 Treatment: Considerations and Safety

Join Dr. Brett Scott in this insightful episode of the Barbell Therapy Podcast as he talks with Jason Brown, a leading voice in strength coaching and conjugate programming. They unpack the fundamentals of the conjugate method, its adaptability across fitness levels, and why aerobic capacity matters more than you think. Jason opens up about his own experience with the system and shares strategies for managing the overlap between strength and cardio training. The episode also touches on key topics like weight loss challenges, genetic individuality, and how to structure training for real-world results. A great listen for anyone aiming to level up their performance and programming approach.KEYWORDS:Conjugate programming, strength training, aerobic conditioning, fitness, program design, longevity, powerlifting, training methods, exercise science, recovery, weight loss, cardio, training split, full body training, strength training, nutrition, program evaluation, fitness goals, exercise science, hypertrophy.TAKEAWAYS: Conjugate programming allows for training multiple qualities of fitness simultaneously.The aerobic system is crucial for recovery and overall fitness.Conjugate training can be tailored to various athletic goals, not just powerlifting.Personal experience with conjugate training led to significant performance improvements.Aerobic conditioning enhances recovery and performance in strength training.Balancing strength and cardio is essential for long-term fitness success.Training splits should accommodate both strength and aerobic work for best results.The interference effect can impact training outcomes when combining different modalities.Consistency in training is key to achieving fitness goals.Engaging in aerobic work can improve overall health and longevity. Weight loss is primarily about being in a caloric deficit.Cardio is essential for heart health, not necessarily for weight loss.Strength training is more effective for improving insulin resistance and metabolism.Full body training is suitable for all fitness levels and maximizes efficiency.Soreness is not a good indicator of workout effectiveness; mechanical tension is key.Quality of training is more important than quantity; effort matters.Nutrition and sleep are critical components of fitness success.Many popular training programs lack scientific backing and can be ineffective.Consistency and commitment to a program yield better long-term results.Understanding personal goals and limitations is crucial for effective training.CHAPTERS:00:00- Introduction to Conjugate Programming01:11- Understanding the Conjugate Training System04:21-The Versatility of Conjugate Training08:11- Personal Journey with Conjugate Training11:00- Principles of Conjugate Programming15:28- The Importance of Aerobic Conditioning21:16- Interference Effect in Training33:29- Balancing Strength and Cardio Training38:41- Understanding Weight Loss and Cardio44:10- The Ultimate Training Split: Full Body vs. Others50:49- Goals and Effectiveness of Full Body Training55:01- The Power of Effort in Training01:00:24- Evaluating Popular Training Programs

Are you training smart, or just following bad advice? In this episode, Dr. Brett Scott, Dr. Tom Sheriff, and Dr. Connor Bombaci breaks down the truth behind viral fitness trends—taking a hard look at Squat University, the ‘Knees Over Toes’ method, and the dangers of oversimplified training advice. They also dive into the evolving role of physical therapists, the link between mental health and pain, and how the healthcare system is failing patients.Are you training smarter or just following the hype? It’s time to separate fact from fiction. Tune in now!KEYWORDS:Fitness, physical therapy, social media, squat university, knees over toes, healthcare system, fitness influencers, patient advocacy, exercise science, injury prevention, physical therapy, healthcare, mental health, patient management, education, insurance model, chronic pain, wellness, musculoskeletal, healthcare reformTAKEAWAYS: 15% of Squat University content is helpful.Social media simplifies complex topics, often misleading audiences.Injury prevention requires gradual load increases.Education is key for patients to manage their own health.Not all fitness influencers provide reliable information.Knees Over Toes approach may not suit everyone.Athletic ability often stems from genetics, not just training.Simple, evidence-based practices are often overlooked.Physical therapists should empower patients with knowledge.Navigating healthcare requires advocacy from professionals. Physical therapists often find themselves managing patients' overall health.The current primary care model limits the time physicians have with patients.Mental health significantly influences physical pain and recovery.Education in healthcare needs to focus more on patient interaction and less on legal defensibility.The insurance model often hinders effective patient care and outcomes.Direct access to physical therapy can streamline patient care.Patients should not hesitate to seek new providers if their needs are not met.Sleep quality is crucial for overall health and recovery.Building a strong referral network is essential for healthcare providers.Simple lifestyle changes can lead to significant health improvements.CHAPTERS:00:00 - Introduction and Podcast Setup01:28 - Critique of Squat University07:09 - The Impact of Social Media on Fitness14:48 - Evaluating Fitness Influencers20:47 - Knees Over Toes: A Balanced Perspective25:37 - Navigating the Healthcare System39:41 - Concluding Thoughts on Patient Advocacy40:46 - The Role of Physical Therapists as Medical Managers47:40 - Challenges in Primary Care and Patient Management54:20 - The Impact of Mental Health on Physical Pain01:01:17 - Education and Systemic Changes in Healthcare01:10:53 - The Future of Healthcare: Moving Beyond Insurance01:16:14 - Actionable Health Tips and Final Thoughts