#471 Dr Meghan Sak-Ocbina - Things Your Physical Therapist Wishes You Knew episode artwork

EPISODE · May 21, 2026 · 53 MIN

#471 Dr Meghan Sak-Ocbina - Things Your Physical Therapist Wishes You Knew

from Lift Free And Diet Hard with Andrew Coates · host Andrew Coates

Dr Meghan Sak-Ocbina is a Doctor of Physical Therapy and Strength Coach and joins the show to share her expertise on:All the things your physical therapist wishes you knewThe issues within the system that make their role more difficultThe challenge between the cost of education and compensation in physical therapyTheir desire to give you the best care conflicting with the insurance modelWhy burnout in physical therapy is a potential problemWhat Meghan means by: “The problem with most rehab, it never makes it into training. We treat rehab and training like they’re separate lanes, when they’re meant to do the same thing — drive adaptation.”Why most people have at least one, if not a few, potential joint issues, and why this is normal and not necessarily a problemMeghan’s response when a client was told by another clinician: “Because she doesn’t do sports, she doesn’t need to train power.”What Meghan means by: “Your injury isn’t from what you’re doing, it’s from what you’re not doing.”And much moreInstagram: @dr.megsi.dptCHAPTERS00:39 Insurance and Volume02:34 Cash Based PT05:34 Strength Coaching Edge08:32 PT Training Gaps11:33 Rehab and the Training Spectrum13:34 Pain and the Nervous System18:54 Patient Expectations21:04 Imaging and Surgery Myths23:44 Form Fear and Adaptation24:36 Outfunctioning Structure26:19 Imaging Fear and Nocebo27:46 Living With Wear and Tear30:22 Insurance Model Limits PT32:32 Burnout, Debt, and Paperwork35:55 Cash Based and Online Paths37:54 Choosing a PT Like Choosing a Haircut44:07 Rehab Meets Real Training47:27 Power Training For Everyone50:06 Aging, Capacity, and Injury Risk51:46 Where To Find MeghanSUPPORT THE SHOWIf this episode helped you better understand rehab, physical therapy, or injury management, you can support the show by:Subscribing and checking out more episodesSharing it on social media (tag me and I’ll respond)Sending it to someone dealing with pain, rehab, or training frustrationsFOLLOW ANDREW COATESInstagram: @andrewcoatesfitnesshttps://www.andrewcoatesfitness.comPARTNERS AND RESOURCESRP Strength App (use code COATESRP)https://www.rpstrength.com/coatesJust Bite Me Meals (use code ANDREWCOATESFITNESS for 10% off)https://justbitememeals.comMacrosFirst – FREE Premium TrialDownload MacrosFirst and during setup select ANDREWKNKG Bags (15% off)https://www.knkg.com/Andrew59676Versa Grippshttps://www.versagripps.com/andrewcoatesTRAINHEROIC – FREE 90-Day Trialhttps://www.trainheroic.com/liftfreeReply to the email you receive (or email [email protected]) and let them know Andrew sent you

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#471 Dr Meghan Sak-Ocbina - Things Your Physical Therapist Wishes You Knew

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