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The Barbell Therapy & Performance Podcast
The Barbell Therapy & Performance Podcast
Author: Dr. Brett Scott
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© Dr. Brett Scott
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Doctor of Physical Therapy and strength coach Brett Scott sits down with the top experts in the fields of rehab, fitness, and performance to give listeners the latest and most valuable information to keep you at the top of your game. Whether you are a coach, clinician, or fitness junkie this podcast is for you.
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Hip replacement at 36 and back to competitive powerlifting - Dr. Brett Scott and coach Tony Bonvechio break down what surgery, rehab, and smarter training really look like.TakeawaysTony Bonvecchio had a hip replacement at 36 years old.He transitioned from baseball to powerlifting, leading to hip issues.Conservative management of hip pain was initially attempted.Imaging revealed significant degenerative changes in his hip.Post-surgery, he experienced a positive recovery and return to training.Listening to one's body is crucial in managing pain and performance.Training adjustments can help maintain fitness while dealing with injuries.The importance of having a supportive medical team is emphasized.Younger individuals can benefit from timely surgical interventions.Pain management and performance are complex and require careful consideration.Chapters:00:00- Introduction to Tony Bonvecchio's Journey02:12- The Path to Powerlifting and Hip Issues10:11- The Decision for Hip Replacement Surgery21:02- Post-Surgery Reflections and Recovery33:45- The Importance of Timely Surgical Intervention37:29- Navigating Change in Coaching and Treatment39:13- Post-Surgery Recovery and Limitations41:09- Adjusting Techniques and Overcoming Pain44:59- The Importance of Technique in Strength Sports52:29- Returning to Recreational Sports Safely56:33- Setting Realistic Expectations in Coaching01:01:40- The Value of Experience in Recovery01:04:13- Exploring Surgical Options for Hip Issues
Dr. Brett Scott sits down with pro ultrarunner Ryan Montgomery to explore the mindset, physiology, fueling strategy, and extreme demands behind racing 100 miles competitively.TakeawaysRyan Montgomery is a professional ultra marathon runner.His journey into ultra running began with a high school marathon challenge.Key experiences shaped his understanding of mental and physical limits.Ultra running is seen as a playground for mental performance.Curiosity drives Ryan's approach to ultra running.Post-race recovery involves significant physical and hormonal challenges.Nutrition strategies during races often include unconventional choices like soda.Aid station efficiency is critical for competitive performance.Self-regulation of pace is essential in ultra running.Fear can negatively impact performance in endurance sports. Embracing challenges leads to better performance.Mental fortitude is key in ultra running.Trusting your body can unlock hidden potential.Training specificity is crucial for race success.Heat adaptation improves performance in extreme conditions.Nutrition should be familiar and simple before races.Gut health plays a significant role in athletic performance.Tracking recovery can enhance training outcomes.Gradual progression in distance is important for new runners.All shoes are generally fine; comfort is key.Chapters00:00- Introduction to Ultra Running and Ryan Montgomery01:36- Catalysts for Becoming an Ultra Runner05:16- First Experiences with 100-Mile Races06:38- The Draw of Ultra Running10:15- The Primal Connection to Running13:30- Post-Race Recovery and Hormonal Effects16:45- Nutrition Strategies During Races20:28- Aid Station Efficiency and Strategy26:02- Pacing and Self-Regulation in Ultra Running30:22- Performance Metrics and Competitive Landscape32:07- Fear and Mental Training in Ultra Running33:03- Embracing Challenges in Ultra Running35:23- Mental Fortitude and Trusting Your Body39:15- Training Specificity and Heat Adaptation45:13- Nutrition Strategies for Race Day51:13- Gut Health and Performance52:21- Tracking Progress and Recovery59:24- Encouragement for Aspiring Ultra Runners
Dr. Brett Scott sits down with physiotherapist and strength coach Jared Maynard to unpack surviving a near-fatal autoimmune condition, navigating progressive vision loss, and rebuilding strength, purpose, and leadership from the ground up.TakeawaysJared's journey began with a sudden illness that escalated quickly.He experienced severe symptoms leading to hospitalization.The diagnosis of HLH was a turning point in his health crisis.Life support was a critical phase in his recovery process.Jared's physical fitness prior to illness played a crucial role in his survival.Rehabilitation involved relearning basic physical functions.Support from family and friends was vital during his recovery.Jared returned to powerlifting, achieving personal records after recovery.His experience highlights the importance of resilience and determination.Jared continues to face challenges with vision loss post-recovery. Choroideremia affects one in a hundred thousand people, primarily men.Night blindness is often the first symptom of choroideremia.The diagnosis of legal blindness can come unexpectedly and disrupt life plans.Adapting to vision loss involves both practical changes and emotional processing.Public perception of blindness can lead to misunderstandings and assumptions.Using assistive technology, like a white cane, can be emotionally heavy.Empathy from others who have faced similar struggles can provide comfort.Blindness is not a binary condition; it exists on a spectrum.The journey of adapting to a disability is ongoing and complex.Maintaining hope and purpose is crucial in the face of chronic illness. Pain is subjective and cannot be judged by others.Empathy is crucial in supporting those who are suffering.Sitting with someone in their pain can be more helpful than offering solutions.Misdiagnosis in healthcare can lead to prolonged suffering.Life perspectives change significantly after experiencing near-death situations.Memento Mori serves as a reminder to live fully and appreciate life.The mundane aspects of life can distract from what truly matters.Memories and experiences are invaluable, even if they come with pain.Singing and creative expression can help process emotions.It's important to enjoy life while we have it.Chapters00:00- Introduction to Jared's Journey01:08- The Onset of Illness03:46- The Hospitalization Experience10:01- Diagnosis and Initial Treatment12:11- Life Support and the Fight for Survival17:58- The Road to Recovery24:05- Rehabilitation and Rebuilding Strength30:47- Returning to Powerlifting and Life After Illness33:34- Ongoing Challenges and Future Outlook34:00- Understanding Choroideremia: A Personal Journey39:04- Navigating Life with Vision Loss44:14- The Emotional Toll of Adapting to Blindness48:58- Facing Misunderstandings and Assumptions56:47- The Courage to Be Seen and Fight Back01:05:08- Understanding Pain and Empathy01:07:00- The Importance of Sitting in Suffering01:09:27- Navigating Misdiagnosis and Healthcare Challenges01:11:38- Life Perspectives and the Reality of Mortality01:15:20- Memento Mori: Living with Awareness01:19:10- Reflections on Life After Near-Death Experiences01:23:28- The Value of Memories and Experiences
Entrepreneurship looks glamorous online, but Dr. Brett Scott and psychologist/business coach Lauren DiCredico break down the real cost—burnout, overthinking, and relationship strain—and how high performers can actually manage it.Takeaways:Entrepreneurship is often glamorized but comes with hidden struggles.Mindset issues can lead to overthinking and burnout.Coaching can be more effective for high performers than traditional therapy.Identifying the real problems often requires an objective perspective.Personal issues often reflect in business challenges.Burnout manifests as emotional exhaustion and lack of motivation.Recognizing early signs of burnout is crucial for recovery.Self-care is essential for maintaining business performance.Mindset pressures can lead to unnecessary stress and burnout.Not all entrepreneurs aspire to build million-dollar businesses. I was hesitant to even call myself a mindset coach.I want to help you learn how to solve them.It's really just a rinse and repeat.I already know your story.You need to check in.It's all about communication.You have to set that early.It's not about the fight, it's about the recovery.There's a lot of people who have problems.You have to learn those skills.Chapters00:00- The Glamorization of Entrepreneurship09:02- Identifying the Real Problems20:06- Recognizing Signs of Burnout26:15- Mindset and the Pressure to Perform32:01- The Importance of Self-Solving38:01- Compartmentalization in Work and Life44:26- Stress Tolerance in Entrepreneurs
Dr. Brett Scott and Dr. Katie Dabrowski break down why real rehab should look like smart strength training—simple, heavy, progressive, and built to make you more resilient, not fragile.TakeawaysRehab should look very similar to training.Exercise is often underdosed and overcomplicated in rehab.Strength training is crucial for improving quality of life.Women are increasingly recognizing the importance of strength training.Pain is a normal part of being human and should not be over-medicalized.Healthcare professionals need to collaborate rather than compete.The only exercise that matters is the one that clients will actually do.Understanding pain requires a holistic approach that includes both physical and psychological factors.Healthcare providers should be curious and ask more questions to improve patient care.Creating long-term relationships with clients involves setting clear expectations and goals.Chapters00:00- Introduction and Background01:36- The Hybrid Model of Rehab and Training05:07- The Importance of Strength in Rehab09:21- Changing Perspectives on Strength Training12:24- The Role of Physicians in Rehab14:47- Fear of Inactivity vs. Fear of Exercise16:52- Understanding Pain and Movement20:31- Navigating Injuries and Recovery25:17- The Complexity of Pain Science27:26- Understanding Pain and Functionality29:55- The Importance of Individualized Care32:41- Personal Experience and Patient Empathy36:15- The Role of Curiosity in Patient Care39:00- Collaboration in Healthcare42:36- Bridging the Gap Between PTs and Trainers46:33- Navigating Scope and Collaboration in Health Professions50:08- Creating Long-Term Client Relationships
Dr. Brett Scott talks with Dr. Lisa Lewis about psychology of training, motivational interviewing, and setting boundaries to stay energized as a coach.TakeawaysTrainers often lack training in communication and psychology.Understanding client limitations is crucial for effective coaching.Motivational interviewing helps clients open up about their challenges.Heart rate variability can provide insights into emotional well-being.Competing demands can hinder clients' fitness goals.The stages of change model is essential for guiding clients.Internal motivation is more sustainable than external rewards.Trainers should align fitness goals with clients' personal values.Clients need encouragement during the action stage of change.Relapse is a common part of the behavior change process. Intrinsic motivation is the highest level of motivation.Gamification can make fitness routines more enjoyable.Coaches need to understand individual client preferences.Self-sabotage is a common barrier to fitness success.Honesty in coaching fosters better client relationships.Resistance and negativity are natural in the coaching process.Burnout is prevalent in the fitness industry.Irritability can be a sign of burnout.Self-care is crucial for fitness professionals.Setting boundaries with clients is essential for sustainability.Chapters00:00- Introduction to Motivation and Psychology in Fitness03:10- Identifying Gaps in Fitness Training06:00- Understanding Client Limitations and Communication08:52- The Role of Motivational Interviewing11:53- Heart Rate Variability and Emotional Well-being15:08- Competing Demands in Client Goals17:54- Stages of Change in Client Progress21:03- Motivation: Internal vs. External24:01- Developing Internal Motivation28:21- The Power of Intrinsic Motivation29:21- Gamification in Fitness: Making Exercise Fun32:10- Understanding Client Barriers to Success34:43- The Role of Honesty in Coaching Relationships40:16- Navigating Resistance and Negativity in Coaching44:35- Preventing Burnout in Fitness Professionals
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




