PODCAST · health
The Beyond Pain Podcast
by Par Four Performance
Struggling with pain? Does it affect your workouts, golf game, plans for your next half marathon? Join The Joe's, two physical therapists, as they discuss navigating and overcoming pain so you can move beyond it and get back to the activities you love most. Whether you're recovering from an injury, dealing with chronic pain, or want to reduce the likelihood of injury tune into The Beyond Pain podcast for pain education, mobility, self-care tips, and stories of those who have been in your shoes before and their journey beyond pain.
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Episode 102: Is Your Back Pain Serious? 10 Evidence-Based Facts You Should Know
Send us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode of the Beyond Pain Podcast, hosts Joe Gambina and Joe LaVacca celebrate Joe LaVacca's milestone birthday while diving into the complexities of low back pain. They discuss the prevalence of back pain, the role of stress in pain management, and debunk common myths about aging and pain.The conversation emphasizes that while persistent pain can be distressing, it is rarely associated with serious tissue damage and that recovery is often possible. The hosts encourage listeners to reframe their understanding of pain and stress, highlighting the importance of a holistic approach to health and wellness. In this conversation, Joe and Joe LaVacca delve into the complexities of pain, particularly back pain, and the misconceptions surrounding it. They discuss the limitations of imaging in diagnosing pain, the importance of understanding pain in the context of exercise, and the myths surrounding posture and core strength. The conversation emphasizes the significance of movement variability and the management of pain flare-ups, while also addressing the role of injections and surgeries in pain management. Overall, the discussion provides valuable insights into effective pain management strategies and the importance of a holistic approach to rehabilitation.TakeawaysLow back pain is a common experience for most people.540 million people experience low back pain at any given time.Most people recover from low back pain within 2 to 12 weeks.90-99% of low back pain cases are nonspecific.Stress can significantly impact pain perception and recovery.Getting older is not a direct cause of back pain.Persistent pain is rarely associated with serious tissue damage.Pain is a multifactorial experience influenced by various factors.Exercise can be both a stressor and a healing mechanism.Understanding the nature of pain can help in managing it effectively. Pain is more complicated than just structural issues.Scans often do not reveal the true cause of pain.Most back pain is non-specific and difficult to diagnose.Experiencing some pain during exercise can be beneficial.Posture and core strength are not the sole causes of back pain.Everyday movements do not inherently damage the back.Pain flare-ups are common and do not indicate damage.Injections and surgeries are not definitive solutions for pain.Movement variability is crucial for maintaining back health.Managing pain requires a comprehensive approach, including emotional awareness.
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Episode 101: Do You Really Need to Change Your Exercises to Get Out of Chronic Pain?
Send us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode of the Beyond Pain Podcast, hosts Joe Gambino and Joe LaVacca delve into the intricacies of rehabilitation, particularly focusing on low back pain. They discuss the importance of exercise selection, patient engagement, and the balance between variety and consistency in rehabilitation programs. The conversation also touches on strength training programming and how to keep clients motivated and engaged throughout their journey. The hosts emphasize the need for tailored approaches that consider individual circumstances and preferences, ultimately aiming for positive outcomes in pain management and physical health.TakeawaysThe podcast aims to bring happiness to listeners.Exercise selection is crucial in rehabilitation programs.Minimal effective dose is key for patient progress.Patient engagement is essential for successful outcomes.Variety in exercises can help maintain interest.Consistency in rehab is more important than variety.Tailoring programs to individual needs enhances effectiveness.Objective measures should guide exercise selection.Training age and goals influence programming decisions.Engagement and enjoyment are vital for long-term adherence.
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The Beyond Pain Podcast Episode 100: Do You Need to Know What's Causing Your Pain to Get Better?
Send us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this 100th episode of the Beyond Pain Podcast, hosts Joe Gambino and Joe LaVacca celebrate their journey and discuss the complexities of pain management. They explore whether it's necessary to know the source of pain for effective treatment, emphasizing the importance of understanding patient perspectives and the role of physical therapy in addressing pain without a clear diagnosis. The conversation highlights the significance of setting expectations and timelines for recovery, while also looking ahead to future topics and insights in pain management.TakeawaysThis has been a blast!Here's to another hundred!Do you need to know the source of pain?I don't think anyone really needs to know why their pain is there.A client's chief complaint is rarely their chief concern.We can still help you without an exact tissue diagnosis.Exercise can target the whole person.What do you want to get back to?Pain can take months, if not years, to recover.We're excited for the next hundred episodes!
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Episode 99: Why Treating Pain Isn't Enough: The Future of Persistent Pain Care with Benjamin Stevens
Send us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode of the Beyond Pain Podcast, hosts Joe Gambino and Joe LaVacca welcome Dr. Ben Stevens, a chiropractor and educator from Canada. Dr. Stevens shares his journey into chiropractic education, emphasizing the importance of communication skills developed through teaching. He discusses the mindset of evidence-based practice, highlighting the need for clinicians to adapt and evolve based on new research. The conversation also explores the significance of empowering patients to make lifestyle changes for better health outcomes, and the future of chiropractic care as it shifts towards behavior change and patient self-management. In this conversation, the speakers delve into the evolving role of therapists as case managers, emphasizing the importance of understanding patient expectations and the need for accountability without shame. They discuss the significance of social support in healing and the value of building long-term relationships with patients. The conversation also touches on redefining success in therapy, moving away from a transactional mindset to one that fosters community and connection.TakeawaysDr. Ben Stevens shares his journey into chiropractic education.Teaching enhances communication skills crucial for patient treatment.Evidence-based practice is more about mindset than strict adherence to research.Empowering patients is key to effective pain management.Lifestyle changes can significantly impact patient outcomes.Chiropractors often rely on manual techniques, but there's a shift towards education.The importance of establishing authority in teaching and treatment.Patients need to feel empowered to make lifestyle changes.Communication is vital in both teaching clinicians and treating patients.The future of chiropractic may focus on behavior change and patient self-management. Exploring social work can be beneficial for therapists.Therapists often struggle with their own egos in patient care.Case management is a vital skill for therapists.Patients often need guidance beyond just physical treatment.Social support plays a crucial role in patient recovery.Long-term relationships with patients can enhance healing.Therapists should not rush to discharge patients.Many patients seek a guide rather than a quick fix.Understanding the whole person is essential in therapy.Therapists can create a community for ongoing support.
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Episode 98: How to Make Fitness Support Your Life, Not Consume It with Matt Gulliver
Send us Fan MailSend us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode, Matt Gulliver shares his journey from athlete to gym owner, emphasizing community, movement quality, and mental health. Discover how personalized coaching, community building, and a focus on ownership can transform your fitness journey.TakeawaysCommunity building in fitnessImportance of movement quality and injury preventionMental health benefits of regular exercisePersonalized coaching and client onboardingCreating a culture of support and motivation
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Episode 97: How Parents Can Stay Strong, Active and Painfree for Life with Ben Barker
Send us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode, Ben Barker, a fitness coach and proud dad, shares his philosophy on fitness, longevity, and balancing family life. He discusses practical training tips for busy dads, the importance of community, and how faith and purpose influence his approach to health.TakeawaysTraining philosophy for busy dadsImportance of strength and functional fitnessBalancing injuries and training adjustmentsRole of faith and community in healthShort workouts and consistency for long-term resultsThe significance of sprinting and active lifestyleSetting realistic fitness standards for dadsAddressing client misconceptions about longevity and fitnessThe impact of social environment on health habits
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Episode 96: How to Know You’re Healing—Even When Pain Keeps Coming Back
Send us Fan MailSend us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode, Joe Gambino and Joe LaVacca discuss managing pain flare-ups, understanding progress in recovery, and practical strategies for coping with chronic pain. They explore mindset shifts, the role of lifestyle factors, and how to recognize meaningful improvements despite ongoing symptoms.TakeawaysPain flare-up managementProgress markers in recoveryMindset and emotional resilienceLifestyle factors affecting painPatient education and communication
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Episode 95: Protein Isn’t Enough: Why Carbs & Calories Matter for Recovery, Strength & Chronic Pain
Send us Fan MailSend us Fan MailSummaryIn this episode, Joe Gambino and Joe LaVacca discuss practical strategies for increasing protein intake, optimizing nutrition, and using AI tools for personalized diet planning. They share tips on meal prep, balancing macronutrients, and making sustainable dietary changes for better fitness results.TakeawaysIncreasing protein intakeMeal prep strategiesUsing AI for nutrition planning
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Episode 94: Acute vs Chronic Pain Treatment: What Actually Works and Why
Send us Fan MailSend us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.Summary:This episode explores the different types of pain: acute, chronic, and acute on chronic, and how understanding these categories can improve rehabilitation strategies. Hosts Joe Gambino and Joe LaVacca share insights on managing pain, setting realistic expectations, and tailoring rehab processes to individual needs.TakeawaysDifferences between acute, chronic, and acute on chronic painRehab expectations for tendinopathy, muscle strains, and injuriesImportance of patience and realistic timelines in recoveryRole of lifestyle factors and stress in pain flare-upsCommunication and setting expectations with clinicians
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Episode 93: You Are Not Failing Rehab, Your Expectations Are
Send us Fan MailSummaryIn this episode, Joe Gambino and Joe LaVacca explore the complexities of managing patient expectations, navigating frustration in recovery, and understanding the non-linear nature of healing processes. They discuss strategies for setting realistic goals, coping with setbacks, and maintaining motivation over the long term.What we coverManaging patient expectationsThe non-linear nature of healingStrategies for coping with frustrationSetting realistic goals for recoveryThe importance of education in pain management
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Episode 92: Red Light Therapy for Pain Relief: Does It Actually Work or Is It Overhyped?
Send us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca discuss the topic of red light therapy, exploring its potential benefits, safety, and the subjective experiences of individuals using it. They emphasize the importance of foundational health practices such as sleep, nutrition, and exercise while considering the role of red light therapy as a supplementary recovery tool. The conversation also touches on the significance of personal experiences in evaluating the effectiveness of various recovery modalities and the importance of focusing on the process of health rather than just outcomes.TakeawaysRed light therapy may provide subjective benefits for some individuals.Safety is a primary concern when considering any therapy.Mitochondrial function plays a crucial role in recovery.Personal experiences can vary widely with recovery modalities.It's essential to focus on foundational health practices first.The effectiveness of red light therapy is still debated in research.Contextual factors influence the success of recovery protocols.Investing in recovery treatments can lead to higher expectations of results.The process of health improvement is more important than just outcomes.Consistency and enjoyment in recovery practices are key to long-term success.
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Episode 91: Why Some People Recover from Pain...and Others Stay Stuck
Send us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode, Joe Gambino and Joe LaVacca discuss pain management, strength-based approaches, and building self-efficacy to improve recovery and well-being.TakeawaysFocusing on strengths rather than deficits can improve patient outcomes.Setting realistic expectations helps manage frustration and improve adherence.Celebrating small wins boosts motivation and self-efficacy.Understanding the multifactorial nature of pain is crucial for effective treatment.Reframing pain as a manageable condition rather than a failure.
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Episode 90: The Real Way to Train, Rehab, and Stay Strong for Life w' Andrew Crews
Send us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode, Andre Cruz shares his inspiring journey from injury to injury-free training, emphasizing the importance of mobility, soft tissue work, and sustainable habits. He discusses program design, mindset shifts, and practical tips for integrating fitness into a busy life, making fitness accessible for all ages and levels.TakeawaysInjury recovery and preventionProgram design for longevity and accessibilityMindset shifts in fitness and injury management
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Episode 89 - Stop Resting, Start Training: The Truth About Pain, Recovery & CrossFit Injuries w/ Zach Long
Send us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode, Zach Long, a physical therapist specializing in fitness athletes, shares insights on injury prevention, effective rehab strategies, and the future of physical therapy. He emphasizes the importance of simplicity, listening to your body, and integrating fitness into overall health.TakeawaysInjury prevention in CrossFit and fitness trainingRehab strategies and listening to your bodyThe role of simplicity in effective treatment
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Episode 88: Running and Pain: How to Return to Running Safely After Injury and Choose the Right Shoes
Send us Fan MailSend us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode, Joe Gambino and Joe LaVacca discuss the nuances of returning to running after a hiatus or injury, the importance of strength training, footwear choices, and training strategies for optimal performance and injury prevention. They share practical advice for runners of all levels to safely ramp up their activity and improve their running capacity.TakeawaysReturn to running strategies after injury or long breakInterval training and progression for safe runningImportance of strength training for runnersFootwear considerations for different running needsTraining planning and managing expectations
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Episode 87: Hypermobility & Chronic Pain: How to Get Stronger, Reduce Fear, and Stop “Overstretching” w/ Taylor Goldberg
Send us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca welcome Taylor Goldberg, a chiropractor and virtual hypermobility coach. Taylor shares her personal journey with hypermobile Ehlers-Danlos Syndrome (EDS), discussing the challenges she faced and how they shaped her approach to treatment. The conversation delves into the complexities of hypermobility, the fear surrounding it, and the importance of proper language and understanding in treatment. Taylor emphasizes the need for strength training, proprioception, and individualized care for those with hypermobility, while also addressing common misconceptions and comorbidities associated with EDS.TakeawaysTaylor was diagnosed with hypermobile Ehlers-Danlos syndrome in second grade.Hypermobility can manifest in various ways, including localized and generalized joint issues.Fear surrounding hypermobility often stems from misinformation and lack of understanding.Proper language and reassurance are crucial in treating hypermobility patients.Identifying symptoms and seeking help is essential for those with hypermobility.Strength training is vital for individuals with EDS to prevent osteoporosis and improve overall health.Proprioception and movement strategies are important for managing hypermobility.Stretching should be approached cautiously, focusing on safety and not overdoing it.Clicking and popping joints are common in hypermobile individuals and are usually harmless.Comorbidities associated with EDS can include GI issues, dysautonomia, and slow wound healing.
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Episode 86: Is Being Painfree Possible? How to Reframe Pain and Still Achieve Your Fitness Goals
Send us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca explore the complex nature of pain, discussing whether being completely pain-free is a realistic goal. They emphasize the importance of acceptance and reframing expectations around pain, highlighting that pain serves a protective purpose. The conversation delves into coping strategies, the emotional aspects of pain, and the significance of focusing on what individuals can do rather than what they cannot. Ultimately, the hosts encourage listeners to adopt a more positive mindset towards pain management and to find joy in their lives despite the presence of discomfort.TakeawaysBeing completely pain-free is likely not possible.Pain serves a protective purpose in our lives.Acceptance of low-level pain can lead to a better quality of life.Reframing expectations around pain is crucial for mental well-being.Pain is an emotional experience, not just a physical one.Focusing on what you can do is more beneficial than fixating on pain.Pain management should involve coping strategies and support.Understanding that pain can fluctuate helps in managing expectations.The mindset of perfection can hinder progress in pain management.Finding joy in life despite pain is essential for overall happiness.
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Episode 85: Chronic Pain Rehab and Training: Are you are doing too much, too little, or getting it just right?
Send us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode of the Beyond Painting podcast, hosts Joe Gambino and Joe LaVacca delve into the complexities of pain management in relation to exercise. They discuss how individuals can gauge their limits when it comes to physical activity, particularly in the context of pain that manifests after exercise. The conversation emphasizes the importance of understanding the trade-offs between exercise benefits and potential pain, the physiological responses to pain, and the necessity of acceptance in modifying exercise routines. The hosts also highlight the significance of evaluating progress over time and managing expectations regarding pain and recovery.TakeawaysUnderstanding pain is crucial for effective exercise management.Pain can often be a delayed response to physical activity.The trade-off between exercise benefits and pain must be evaluated.Physiological responses to pain include hormonal shifts that can mask discomfort during activity.Acceptance of pain can lead to better management strategies.Modifying exercise routines can help maintain activity levels without exacerbating pain.Evaluating progress involves looking at both pain levels and functional improvements.Pain management is not linear; expect fluctuations in recovery.Communication with clients about their experiences is essential.Listeners are encouraged to engage with the podcast for growth and feedback.
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Episode 84: Mobility Training for Chronic Pain and Why Simple Flexibility Isn't the Fix with Mr and Mrs Strange
Send us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca welcome guests Sarah and Grayson Strange to discuss their journey from CrossFit to FRC training. They explore the importance of individualized training, the transition from traditional methods to joint-specific training, and the significance of understanding sensations during workouts. The conversation also touches on the myths surrounding training to failure and the ongoing journey of fitness and health.TakeawaysCoffee preferences can reflect personal routines and habits.The transition from CrossFit to FRC training was driven by personal experiences with pain.Joint-specific training focuses on individual needs rather than a one-size-fits-all approach.Mobility is often misunderstood; it's about more than just flexibility.Training to failure is not always necessary and can vary by individual.Understanding sensations during training is crucial for effective progress.Clients often fear losing strength when changing training methods.Individualized training plans can lead to better outcomes for clients.Communication about sensations and feelings during training is essential.The journey of fitness is ongoing and requires adaptation.
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Episode 83: Foot Pain Fixes: Gait Mechanics, Toe Strength & Barefoot Shoes w/ Dr. Jen Perez
Send us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca welcome Dr. Jen Perez, a chiropractor specializing in foot and ankle health. Dr. Perez shares her journey into chiropractic care, emphasizing the importance of understanding biomechanics from the ground up. She discusses her co-founded educational platform, Gate Happens, which aims to empower individuals and practitioners to improve foot health through education and practical tools. The conversation delves into common misconceptions about foot health, the significance of individualized treatment plans, and the role of footwear in maintaining foot function.Dr. Perez highlights the complexity of the foot, explaining how strength and mobility are crucial for preventing injuries. She provides practical self-assessment techniques for listeners to evaluate their foot health, such as balance tests and strength assessments. The discussion also touches on the use of orthotics, emphasizing that while they can be beneficial, they should not be a long-term solution without addressing underlying issues. Overall, the episode is packed with insights on how to take better care of our feet and the importance of a holistic approach to health.Takeaways'I usually just shove them his way.''The golden rule of the musculoskeletal system is use it or lose it.''You are not broken because you have flat feet.''Pain just wipes away all memory.''Your shoe should protect you from your environment, but it should not inhibit your foot.''We need to build up enough muscle to start with to be able to not use the orthotic.''There's one word that's not allowed in my office and that is bad.''The foot is designed to be very, very complex.''If you don't use it, you lose it.''Foot health is more than musculoskeletal health.'
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Episode 82: Pelvic Floor Pain & Core Dysfunction: Why Kegels Aren’t the Answer w/ Lauren Ohayon
Send us Fan MailSend us a textDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca welcome Lauren Ohayon, a movement teacher specializing in pelvic health. The conversation explores the often misunderstood topic of pelvic health, addressing common myths and misconceptions. Lauren shares her personal journey with pain and how it has shaped her approach to teaching. The discussion emphasizes the importance of holistic approaches to pelvic health, including the connection between pelvic health and overall well-being, practical tips for optimizing pelvic health, and the significance of embodiment in movement.Listeners are encouraged to seek help when needed and to understand their bodies better.TakeawaysPelvic floor health is often misunderstood and under-discussed.Kegels are not the only solution for pelvic floor issues.Education is key to understanding pelvic health.Personal pain stories can shape professional practices.Holistic approaches are essential for effective treatment.Movement and breath are crucial for pelvic health.Embodiment helps individuals connect with their bodies.Pressure systems in the body affect pelvic health.Seeking help early can prevent long-term issues.Community support can empower individuals to discuss pelvic health.
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Episode 81: Why Motivation Isn’t Enough: Pain, Goals, and Sustainable Behavior Change
Send us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe Lavaca discuss the significance of goal setting, particularly at the start of the new year. They reflect on their personal aspirations, including the desire to retire by 40, and explore the dynamics of setting and achieving goals with clients. The conversation delves into the role of motivation, the importance of actionable steps, and strategies for maintaining motivation over time. The hosts emphasize the need for accountability and the value of community support in achieving fitness and health goals. They conclude with reflections on the nature of goal setting and the importance of continuous improvement.TakeawaysSetting goals is crucial for personal and professional growth.It's okay to coast without a goal sometimes.Motivation ebbs and flows; it can't be relied upon solely.Action must precede motivation for sustainable change.Small wins can build momentum towards larger goals.Accountability partners can enhance commitment to fitness.Financial investment can increase motivation to achieve goals.Rewards can help maintain motivation over time.Goals should be open-ended to encourage continuous improvement.Community support is vital for achieving health and fitness goals.
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Episode 80: From Rehab to Real Training: How to Exercise Smarter With Chronic Pain
Send us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca discuss the intricacies of programming for performance and rehabilitation. They explore how to tailor training based on individual goals, available time, and intensity levels. The conversation also delves into the importance of aerobic training and VO2 max, emphasizing the need for high-intensity work to improve overall fitness. The hosts provide insights on structuring workouts, managing training volume, and the significance of setting realistic goals for clients.TakeawaysHow many days a week realistically are you going to be able to be successful?Two days a week is kind of like minimum.It doesn't matter if it's two sets or four sets or eight sets.You have to elevate the heart rate response.If you're looking to be able to have a better VO2 max, you need to work hard.You can't be like, hey, I'm gonna like one ORMs and really work on strength and then really work on high level cardio.I want the wins. I want that positive momentum.I want to make sure that those programs are kind of neat and clean.You have to do your zone threes and your fours and your high intensity stuff.If you're on a time crunch, like go hit your zone threes, your zone fours.
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Episode 79: Chronic Pain and Strength Training: How to Use Machines and Free Weights Confidently
Send us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca discuss the ongoing debate between using machines and free weights in fitness and rehabilitation. They reflect on the importance of functional training and how it relates to individual goals. The conversation emphasizes the safety and programming aspects of both modalities, highlighting the benefits of blending them for optimal results. Additionally, they explore the often-overlooked role of resistance bands in training, advocating for a more inclusive approach to exercise that accommodates various needs and preferences.TakeawaysThe fitness industry has swung too far towards free weights, neglecting the benefits of machines.Functional training should be tied to individual goals and needs.Safety is a crucial consideration when programming workouts, especially for those training alone.Machines can provide a stable environment for those with chronic pain or injury.Resistance bands can be an effective tool for rehabilitation and strength training.A blend of machines, free weights, and bands can optimize training outcomes.Specificity in training is important for achieving desired results.Clients should feel empowered to use the tools that work best for them.Training should be sustainable for the long term, not just for short-term gains.The conversation around training modalities should be more nuanced and less polarized.
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Episode 78: The Exercise Hierarchy Myth: How to Train With Chronic Pain Without Getting Stuck
Send us Fan MailSend us a textDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca discuss various categories of exercises, the importance of understanding training hierarchies, and how to adapt exercises for individuals experiencing pain. They emphasize the significance of movement patterns and the need for flexibility in programming, highlighting the role of carries and power work in fitness. The conversation also touches on the psychological aspects of training and the importance of making exercises accessible and enjoyable for clients.TakeawaysThe holiday season brings excitement for children.Exercise categories simplify programming and training.Hierarchical systems in training can create unnecessary constraints.Pain and training experience should guide exercise selection.Movement variability is essential for effective training.Weight is not the only factor; movement quality matters.Adapting exercises can help clients overcome pain.Incorporating carries enhances core and shoulder strength.Power training is crucial for all ages.Tempo can be both slow and explosive in nature.
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Episode 77: Cortisone Injections for Chronic Pain: What They Help, What They Hurt, and When to Avoid Them
Send us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode of the Beyond Pain podcast, Joe LaVacca discusses the complexities of pain management, particularly focusing on the role of injections, especially corticosteroids. He emphasizes the importance of understanding pain as a system that involves various interacting parts and the need for a holistic approach to treatment. The conversation covers the potential benefits and risks of corticosteroid injections, the distinction between short-term relief and long-term solutions, and the significance of lifestyle factors in managing pain effectively.TakeawaysInjections may provide short-term relief but not long-term solutions.Understanding pain as a system is crucial for effective management.Corticosteroid injections can lead to degeneration of tissues.Lifestyle factors like weight management and sleep are vital in pain management.Consulting with healthcare providers is essential before opting for injections.Pain management should consider both physical and emotional aspects.Injections should be used sparingly and with caution.Not all pain is due to inflammation; proper diagnosis is key.Patient education is critical in making informed decisions about treatment.Holistic approaches often yield better long-term outcomes.
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Episode 76: Do You Really Need Squat, Bench, Deadlift? Training Around Pain and The Big 3
Send us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca discuss the relevance of the big three strength exercises: squat, deadlift, and bench press. They explore whether these exercises are necessary for everyone, the importance of functional movements in daily life, and the need for movement variability. The conversation emphasizes that while the big three can be beneficial, there are numerous alternatives that can achieve similar strength and functional outcomes. The hosts encourage listeners to find what works best for their bodies and goals, highlighting the importance of personalization in fitness routines.TakeawaysYou don't need to squat, deadlift, or bench press to be strong.Functional movements are essential for daily life activities.Strength training should focus on individual goals and needs.There are many alternatives to the big three exercises.Movement variability is crucial for overall fitness and injury prevention.Personalization in exercise is key to success.The back squat is not a natural movement for everyone.Powerlifting is a sport, not a requirement for fitness.Exploring different movement patterns can enhance performance.Finding comfort in movement is more important than perfect form.
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Episode 75: Are Your Glutes Really ‘Not Firing’? Debunking Muscle Activation Myths in Pain & Strength Training
Send us Fan MailSend us a textDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca discuss the complexities of muscle activation, particularly in the context of pain and rehabilitation. They explore how pain can inhibit muscle function, the importance of understanding the underlying causes of activation issues, and the role of mobility and loading in recovery. The conversation emphasizes the need for compassion and realistic expectations during the rehabilitation process, highlighting that changes in muscle activation may take time and patience.TakeawaysMuscle activation can be inhibited by pain.Pain serves as a protective mechanism, altering muscle output.Rehabilitation should focus on re-educating muscles and restoring function.Mobility and loading are crucial for effective muscle activation.Compassion and realistic expectations are essential in recovery.Activation issues are common in the acute phase of injury.Specific warm-ups can enhance confidence and performance.Longer duration isometrics can help build awareness in the brain.Understanding the body's movement patterns is key to recovery.Patience is necessary for lasting changes in muscle activation.
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Episode 74: The Core Stability Myth: Why a Strong Core Isn’t the Cure for Back Pain
Send us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode of the Beyond Pain podcast, Joe LaVacca discusses the common misconception that poor core stability is the primary cause of low back pain. He emphasizes the need to shift the focus from merely strengthening the core to building confidence and flexibility in movement. Joe explores how traditional approaches to core stability may not effectively address pain management and highlights the importance of adapting movement strategies to promote recovery. The conversation encourages listeners to rethink their understanding of core stability and its role in overall spine health and pain management.TakeawaysPoor core stability is often blamed for low back pain.Bracing the core may provide short-term relief but isn't a long-term solution.Building confidence in movement is crucial for recovery.The spine is adaptable and should not be viewed as fragile.Core strength does not directly correlate with pain reduction.Movement should be prioritized over static core exercises.Pain is not always indicative of tissue damage.Strengthening the core should be integrated with overall body movement.It's important to teach patients how to move safely without over-bracing.The ultimate goal is to enhance movement capacity and flexibility.
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Episode 73: From Stuck to Steady: Setting Expectations & Building a Plan for Chronic Pain
Send us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca discuss the importance of setting realistic expectations in physical therapy. They explore how social media influences patient perceptions, the significance of long-term goals, and the need for clear communication between therapists and patients. The conversation emphasizes that rehabilitation is a journey that requires time, consistency, and a collaborative approach to achieve successful outcomes.TakeawaysSetting realistic expectations is crucial for patient success.Social media can create unrealistic expectations for quick fixes.Pain management is a subjective experience that varies for each individual.Long-term goals are essential for sustained progress in rehabilitation.Clear communication between therapists and patients enhances the treatment process.Patients should not rely solely on pain as an outcome measure.Therapists need to educate patients about the rehabilitation timeline.A collaborative approach fosters better patient engagement and commitment.Understanding the journey of rehabilitation helps in managing expectations.Therapists should guide patients through the ups and downs of recovery.
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Episode 72: Rewiring the Pain Response: How the Brain, Body, and Mind Work Together
Send us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca delve into the complex nature of pain, emphasizing the mind-body connection and the importance of compassionate communication in healthcare. They discuss how pain is often misunderstood as being 'all in your head' and explore the implications of this perspective on patient care. The conversation highlights the significance of listening to patients, understanding their experiences, and providing them with options to empower their healing process. Through a compassionate approach, the hosts aim to restore hope and clarity for those struggling with chronic pain.TakeawaysPain is a perception and an emotion.The words we use in healthcare have a significant impact.Compassion is essential in managing pain effectively.Pain can be both in the mind and the body.Listening to patients is crucial for effective treatment.There are often unseen pathways to pain that imaging cannot detect.Empowering patients with options can restore hope.Pain sensitivity can increase over time due to prolonged stress.It's important to educate patients about their pain responses.Healthcare providers should avoid disempowering language.
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Episode 71: Lifting Heavy With Chronic Pain: How to Train Hard, Stay Safe, and Ditch Fear in the Gym
Send us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca discuss the importance of heavy lifting and strength training in fitness. They address common concerns from clients about the safety of lifting heavy weights and emphasize that strength training is essential for overall health and longevity. The conversation explores how to challenge oneself in fitness, the relationship between pain and progress, and the importance of finding a personal path in exercise. The hosts encourage listeners to embrace the hard work of lifting and to focus on their individual goals.TakeawaysIf you can lift heavy and do it safely, do it.Training in the gym should carry over to real life.Strength training is essential for health and longevity.Challenging yourself is key to making progress.Pain shouldn't deter you from lifting heavy.Lifting weights is one of the safest forms of exercise.You need to find what works for you in fitness.Don't let past injuries dictate your current training.Consistency and stimulus are crucial for strength gains.Always aim to push your limits in a safe manner.
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Episode 70: Stop the Setbacks: PT Tools to Handle Flare-Ups & Get Moving Again
Send us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca delve into the complexities of flare-ups and the psychological barriers that can hinder recovery, such as kinesiophobia. They discuss the importance of managing expectations during pain and recovery, building confidence in movement, and practical strategies for navigating flare-ups. The conversation emphasizes the need to view pain as information that can guide recovery rather than something to fear, encouraging listeners to keep moving forward and break the cycle of pain.TakeawaysFlare-ups can create a fear of movement, known as kinesiophobia.Managing expectations is crucial for recovery from pain.Pain should be viewed as information, not something to fear.Building confidence in movement is essential for recovery.It's important to keep moving forward despite pain.Taking a break from certain activities can aid recovery.Using pain as a guide can help in making recovery decisions.Expect some pain during recovery, but don't let it stop you.Practical strategies can help navigate flare-ups effectively.Confidence in movement can improve quality of life.
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Epsiode 69: Beyond 6 Months: Evidence-Based ACL Rehab Strategies for PTs and Patients with Steph Allen
Send us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca welcome physical therapist Steph Allen, founder of ACL Resolve. They discuss the intricacies of ACL rehabilitation, the importance of specialized care, and the shift towards virtual rehabilitation. Steph shares her journey into ACL care, the psychological aspects of recovery, and common pitfalls patients face. The conversation also touches on the significance of measuring outcomes, the role of comparison in recovery, and the importance of endurance testing. Listeners gain insights into the rehabilitation process and resources available for those recovering from ACL injuries.TakeawaysSteph Allen has over a decade of experience in physical therapy, focusing on ACL rehabilitation.The insurance model often limits the care patients receive, especially in ACL recovery.Virtual rehabilitation can enhance accountability and patient engagement.Psychological factors, such as fear and confidence, play a crucial role in recovery.Comparison to others can negatively impact a patient's recovery journey.Early stages of rehabilitation focus on reducing swelling and improving quad activation.Monitoring pain and swelling is essential to adjust rehabilitation plans.Return to running should be approached cautiously, with emphasis on strength and symmetry.Endurance testing can provide valuable insights into a patient's readiness for sports.The rehabilitation process is collaborative, requiring communication between therapist and patient.
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Episode 68: Simplifying Assessments for Chronic Pain: Practical Strategies for PTs and Patients
Send us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca discuss the evolution of assessment processes in physical therapy, emphasizing the importance of understanding chronic pain, the role of touch, and the significance of movement in rehabilitation. They explore the SFMA framework, the necessity of context in assessments, and the value of self-assessments for clients. The conversation highlights the need for a goals-driven approach to therapy, ensuring that assessments serve the individual's specific needs and objectives.TakeawaysAssessment processes have become simpler over time.Chronic pain is complex and requires nuanced understanding.Touch plays a vital role in client connection and assessment.Movement buy-in is essential for effective rehabilitation.Assessments should rule out red flags before proceeding.The SFMA provides a framework for holistic assessments.Self-assessments empower clients to understand their bodies.Context is crucial in interpreting assessment results.Goals should drive the assessment and treatment process.The body learns and adapts through consistent movement.
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Episode 67: Is That Click Dangerous? Understanding Joint Noises, Pain, and Building the Right Rehab Team
Send us Fan MailSend us a textDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.Summary:In this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca discuss the common phenomenon of body sounds, such as popping and clicking, and how they relate to joint health and physical therapy.They explore when these sounds may be concerning, the importance of building a collaborative healthcare team, and key considerations for choosing the right provider. The conversation emphasizes the significance of listening to patients, validating their concerns, and the role of movement in joint health. They also share valuable takeaways for listeners regarding pain management and the importance of reevaluation in treatment.Takeaways: Pain doesn't equal damage and neither does clicking or noise.Listening is the most important aspect of patient care.You should feel valued at the end of a session with a provider.Clicking and popping are often not concerning unless accompanied by other symptoms.Build a healthcare team that helps you reach your goals.Movement helps flush out joint fluid and improve joint health.Don't worry about body sounds; they often resolve on their own.Consult your doctor for a second opinion if needed.Re-evaluate your treatment if there's no change in four to six weeks.Pain is not always in the area of injury; look for root causes.
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Episode 66: Programming Around Pain with Justin Farnsworth
Send us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode of the Beyond Pain podcast, Joe Gambino interviews Justin Farnsworth, a seasoned physical therapist and educator. They discuss the intersection of rehabilitation and training, emphasizing the importance of movement in pain management. Justin shares his personal experiences with pain and how they shape his approach to therapy. The conversation highlights the significance of building trust with clients, effective communication, and the need for tailored programming in rehabilitation. Justin also introduces his courses aimed at educating coaches and clinicians on how to integrate training and rehab effectively.TakeawaysRehab and training are interchangeable concepts.Pain is influenced by multiple factors, not just physical injury.Movement is essential for recovery and pain management.Education is key for both clients and professionals.Building trust with clients enhances outcomes.Programming should be tailored to individual needs.Pain and muscle soreness are different and should be distinguished.Effective communication is crucial in therapy.Exercise can be a powerful tool for rehabilitation.Creating a supportive environment fosters learning and growth.
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Episode 65: Still Can’t Bench Without Shoulder Pain? Here’s Why (And What to Do About It)
Send us Fan MailSend us a textDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca discuss a range of topics, starting with a humorous take on a recent Coldplay concert incident that sparked a conversation about public behavior. They then transition into a more serious discussion on shoulder pain related to bench pressing, exploring assessment techniques, the importance of movement quality, and how to modify exercises for better performance and pain management. The episode concludes with insights on the technical aspects of bench pressing and the significance of individualized coaching and adjustments.TakeawaysColdplay incident highlights public behavior and consequences.Understanding shoulder pain is crucial for athletes.Assessing range of motion is key in treatment.Pain and movement are complex and interrelated.Bench press technique requires careful attention.Modifications can alleviate pain during exercises.Individualized coaching improves performance.Trial and error is essential in finding solutions.Movement tools are necessary for effective training.Strengthening the rotator cuff is vital for shoulder health.
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Episode 64: Don’t Burn Out Before the Finish Line: Planning Races Around Pain and Performance
Send us Fan MailSend us a textDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode, Joe Gambino and Joe LaVacca discuss various training strategies for clients preparing for races, the concept of peaking in performance, and the importance of managing client expectations. They emphasize the significance of consistency in training and the need for readiness checks to prevent injuries and ensure optimal performance.TakeawaysTraining strategies vary based on client goals.Peaking is crucial for optimal performance during races.Managing training volume is essential as race day approaches.The 10% rule helps prevent injuries during training.Consistency is key to achieving fitness goals.Client expectations should be aligned with their training history.Readiness checks can help gauge performance and recovery.Communication with clients about their training is vital.Adjusting training based on individual responses is necessary.Listening to the body is crucial for injury prevention.
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Episode 63: Training Is Healthcare: Building Resilience Beyond Pain with Katie Dabrowski
Send us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.Summary:In this episode of the Beyond Pain podcast, Joe LaVacca speaks with Katie Dabrowski, a physical therapist and director of rehab at Old Bull Florida. They discuss Katie's journey through pain and injury, the complexities of pain and suffering, and the importance of viewing training as healthcare. Katie shares her insights on how to help clients navigate their pain experiences, the significance of resilience, and the need for a holistic approach to rehabilitation. The conversation emphasizes the importance of empowering individuals to take control of their health and well-being, moving beyond just pain relief to fostering overall wellness.Takeaways:Katie Dabrowski is a passionate physical therapist and educator.Pain is a common experience that connects us all.The focus should be on creating robust and resilient individuals.Training is an essential part of healthcare.Understanding the psychological aspects of pain is crucial.Clients often overlook the importance of strength training.We need to help clients find joy in their activities despite pain.Communication and education are key in physical therapy.The healthcare system needs to shift towards a more holistic approach.Building relationships with clients enhances their rehabilitation experience.
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Episode 62: The Real Reason You’re Still in Pain: Language, Labels, and Low Expectations
Send us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca discuss the impact of medical advice on pain management and the importance of understanding how the body adapts to stress and movement. They share personal anecdotes about 4th of July celebrations and delve into the complexities of chronic pain, emphasizing the need for patient education and the dangers of nocebo effects. The conversation highlights the significance of loading joints and tissues appropriately to promote healing and function, while also addressing the psychological aspects of pain management.TakeawaysMedical advice can often discourage necessary movement and loading.The body adapts to stress and can strengthen with appropriate loading.Fear-based thinking can hinder recovery and progress in pain management.Education and communication are crucial in managing chronic pain.Pain is not just a negative experience; it can be informative.Flare-ups are a normal part of the healing process.Understanding pain as a skill can empower patients.The initial advice from healthcare providers can have lasting effectStrength training and movement are essential for joint health.Navigating pain requires learning and adapting strategies.
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Episode 61: Stop Chasing Your 20 Year-Old Self: Rehab, Identity & Chronic Pain
Send us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca discuss the challenges clients face when comparing themselves to their younger selves during rehabilitation. They explore the impact of aging on physical capabilities, the importance of setting realistic goals, and how to navigate expectations in the rehabilitation process. The conversation emphasizes the significance of small wins and embracing one's current identity rather than striving to return to a past self.TakeawaysClients often compare themselves to their younger selves.Aging brings physical changes that affect rehabilitation.Setting realistic expectations is crucial for success.Small wins can motivate clients in their journey.Pain management strategies can include modifications like braces.It's important to focus on who clients are now, not who they were.Professional athletes have different training demands than average clients.Rehabilitation should aim to enhance current capabilities.Clients need to understand the potential outcomes of their choices.Building a supportive relationship with clients fosters better outcomes.
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Episode 60: Busted or Backed? Breaking Down the Top 10 Rehab Beliefs
Send us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca explore various fitness myths and realities, discussing topics such as the importance of prioritizing health, the role of pain in exercise, and the effectiveness of stretching and weightlifting. They delve into common misconceptions like the 10,000 steps rule and the impact of posture on pain, while emphasizing the significance of movement and recovery techniques in achieving overall well-being.TakeawaysThe importance of routine in daily life.Prioritizing health can be challenging due to life responsibilities.Pain does not always equate to injury; understanding this is crucial.Stretching alone does not prevent injuries; strength training is essential.Weightlifting is beneficial for joint health, contrary to popular belief.Running does not inherently damage knees; activity is crucial for health.10,000 steps is an arbitrary number; more movement is generally better.Posture is not the sole cause of pain; variability in movement is key.Recovery techniques should complement, not replace, exercise.Manual therapy can be beneficial but should not be the only focus.
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Episode 59: Surgery vs. Rehab: What’s the Best Choice for You?
Send us Fan MailSend us a textDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca delve into the complexities of ACL and Achilles injuries, discussing the growing trend of non-surgical treatment options. They explore the factors influencing the decision to opt for surgery versus non-surgical routes, emphasizing the importance of individual goals and health status. The conversation highlights the uncertainty surrounding recovery outcomes and the need for realistic expectations in rehabilitation. Ultimately, the hosts stress that each person's journey is unique, and results can vary significantly based on numerous factors.TakeawaysNon-surgical options for ACL and Achilles injuries are becoming more common.Individual goals and health status are crucial in deciding treatment options.Surgery is a trauma that can affect recovery outcomes.Age and activity level influence the decision for surgery versus non-surgical treatment.Recovery expectations should be clearly communicated to patients.Healing can continue long after surgery, affecting long-term outcomes.Not all patients will return to their previous level of activity after surgery.Injury recovery is highly individualized and not guaranteed.Patients should be educated on the risks and benefits of each option.Understanding that results can vary is essential for patient mental health.
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Episode 58: Elon vs Trump, PT vs Chiro - How to Navigate Disagreement in Healthcare
Send us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca discuss the complexities of disagreements in rehabilitation settings. They explore how communication can break down between patients and providers, the importance of understanding treatment options, and the need for clinicians to navigate patient expectations effectively. The conversation emphasizes the significance of empowering patients while also addressing their concerns and preferences in care.TakeawaysDisagreements in rehab can stem from miscommunication.Patients often accept treatments without understanding them.Clinicians should ask questions to clarify patient needs.It's important to validate patient concerns without judgment.Not every treatment is suitable for every patient.Empowerment in care can lead to better outcomes.Patients should feel heard in their treatment journey.Communication is essential for effective patient-provider relationships.Clinicians must balance patient desires with evidence-based practices.Understanding a patient's lived experience is crucial for effective care.
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Episode 57: Tech in PT, Friend or Foe?
Send us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up! Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca discuss the evolution of technology in physical therapy, particularly in light of the COVID-19 pandemic. They explore the rise of telehealth, the importance of client engagement through apps like True Coach, and the role of wearables in health tracking. The conversation emphasizes the significance of walking as a fundamental health practice and the need for clients to commit to their health journeys. The episode concludes with reflections on how technology can enhance client-provider interactions and improve health outcomes.TakeawaysCOVID-19 accelerated the adoption of telehealth in physical therapy.Phone consultations can yield similar or better outcomes than in-person visits.Apps like True Coach enhance client engagement and communication.Video feedback allows for more effective coaching and learning.Tracking health metrics increases awareness and accountability.Walking is a simple yet powerful form of exercise.The 10,000 steps guideline is arbitrary and not scientifically backed.Even small increases in daily steps can improve mental health.Client commitment is crucial for successful health outcomes.Technology can facilitate deeper conversations about health and wellness.
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Episode 56: Where We Have Been, and Where is PT Going?
Send us Fan MailSend us a textDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up! Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca reflect on their journeys in physical therapy, discussing their early experiences in school, clinical rotations, and the challenges they faced transitioning into the professional world. They explore the evolution of physical therapy practices, the integration of fitness into rehabilitation, and the impact of virtual consultations on patient care. The conversation highlights the importance of communication, patient relationships, and the need for a more personalized approach in therapy. They also touch on the challenges of burnout and the value of time in the therapeutic process, concluding with a look towards future topics.TakeawaysThe transition from student to professional can be challenging.Clinical rotations provide valuable but sometimes overwhelming experiences.Communication and connection with patients are crucial for success.Fast-paced environments can teach valuable skills for managing multiple patients.Finding the right work environment can significantly impact job satisfaction.The integration of fitness into physical therapy is becoming more common.Virtual consultations are changing the landscape of patient care.Time spent with patients is often more valuable than the number of visits.Burnout can occur when taking on too much responsibility.The definition of physical therapy is evolving to include a broader focus on wellness.
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Episode 55: "The Achilles Heel" - Risks and Reality of Sports Injuries
Send us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.Summary: In this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe Lavaca discuss various aspects of injury prevention, focusing on the recent Achilles injury of NBA player Jason Tatum. They explore the complexities of injury prevention, the psychological impact of injuries on athletes, and the role of footwear technology in injury risk.The conversation emphasizes the importance of understanding injury risks, the significance of previous injuries, and the need for a holistic approach to athlete health and performance.Takeaways:Injury prevention is a buzzword, but true prevention is impossible.You can reduce injury risk by making your body more resilient.Previous injuries significantly increase the risk of future injuries.Injury rates in professional sports can fluctuate year to year.Psychological impacts of injuries can affect an athlete's performance and recovery.Footwear technology may contribute to injury risks in athletes.Training should focus on basics and not over-specialization in one sport.Athletes should be encouraged to engage in diverse physical activities.Understanding the demands of specific sports is crucial for injury prevention.Recovery strategies, including hydration and nutrition, are essential for injury mitigation.
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Episode 54: The Return of Fear and Uncertainty in the Rehab Process
Send us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.SummaryIn this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca discuss the complexities of managing pain flare-ups in clients, the importance of setting expectations, and the emotional responses that accompany these experiences. They share personal anecdotes and insights on how to navigate client fears and the significance of building hope in the rehabilitation process. In this conversation, Joe LaVacca and Joe Gambino explore the complexities of patient care in physical therapy, emphasizing the importance of understanding individual barriers to healing, managing patient expectations, and the critical role of communication in guiding treatment. They discuss the challenges of uncertainty in healing processes and the need for professionals to provide personalized guidance rather than quick fixes. The conversation highlights the necessity of building trust and understanding between therapists and patients to foster effective rehabilitation.TakeawaysThe importance of setting clear expectations with clients.Building hope is crucial for client motivation.Understanding the emotional responses to pain flare-ups is key.Clients need to be prepared for potential flare-ups.Navigating fears is essential for effective rehabilitation.Communication is vital in addressing client concerns.Encouraging clients to engage in their recovery process is important.Recognizing the difference between new and old fears can guide treatment.Clients often feel shame or anger when flare-ups occur despite following a plan.Handling expectations can prevent clients from reverting to passive coping strategies. Understanding primary barriers is crucial for effective healing.Education helps patients change their perception of pain.Accepting uncertainty is a key theme in patient care.Patients often seek quick fixes instead of comprehensive solutions.Communication is essential for guiding patient expectations.Therapists should provide personalized guidance based on individual needs.The complexity of individual experiences must be acknowledged.Building trust with patients enhances treatment outcomes.Therapists should not let patients dictate their care entirely.A flexible approach in treatment can lead to better patient satisfaction.
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Episode 53: Understanding and Working with Elbow Pain
Send us Fan MailDM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!Joe GambinoJoe LaVaccaWant to work with us? Apply here!Watch on YouTube here.Summary:In this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca discuss various aspects of elbow pain, including common issues like medial and lateral epicondylitis, the importance of grip strength, and the role of cortisone injections in treatment. They emphasize the need for a comprehensive approach to managing elbow pain, focusing on long-term solutions and the importance of setting goals for recovery. The conversation also touches on the significance of assessing related areas, such as the shoulder and neck, to ensure effective treatment.TakeawaysThe Knicks' playoff performance sparks discussion on sports excitement.Elbow pain often stems from overuse in sports, not just specific activities.Common elbow issues include medial and lateral epicondylitis.Treatment for elbow pain should focus on heavy loading and isometrics.Nerve entrapment can mimic elbow pain and should be assessed.Grip strength is crucial for overall arm function and injury prevention.Cortisone injections can be effective but should not be the first option.Long-term management of elbow pain requires patience and consistent effort.Coaching cues can significantly improve movement patterns and reduce pain.Setting clear goals is essential for effective rehabilitation.
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ABOUT THIS SHOW
Struggling with pain? Does it affect your workouts, golf game, plans for your next half marathon? Join The Joe's, two physical therapists, as they discuss navigating and overcoming pain so you can move beyond it and get back to the activities you love most. Whether you're recovering from an injury, dealing with chronic pain, or want to reduce the likelihood of injury tune into The Beyond Pain podcast for pain education, mobility, self-care tips, and stories of those who have been in your shoes before and their journey beyond pain.
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