The NeuFit Undercurrent Podcast

Turning 40 inspired me to stop and reflect in a deeper way. In that reflection, I asked a question I hadn't asked in a while: which ideas have actually changed the way I live? Four rose above the rest (convenient since it was my 40th!), and one thing that surprised me is how they build on each other, almost like a manual for how to live. In this solo reflection, I walk through all four, along with the single thread that connects them: awareness/mindfulness comes before change, every time. Key insights include: Why alignment, not achievement, has been the biggest unlock for me, and ways to know when something is truly aligned.  How meditation became less about reaching some blissful end state and more about being still enough to hear what's actually true (with a nod to "self vs. parts" from Internal Family Systems). Why identity is built through repetition, and how treating life as an ongoing experiment turns results into feedback instead of judgment. How your standards, what you're willing to tolerate on your lowest day, quietly shape your health, relationships, business, and even the standards your team accepts. The balancing act of not postponing your life for a "someday" that may never come, and why success should expand your life rather than delay it. Tune in for an honest look at how a decade of small shifts, and one big birthday, changed the way I make decisions - plus a simple one-question challenge to carry into your week.   TRANSCRIPT: Garrett Salpeter (00:00.974) Hello, New Fit Nation. Welcome back to the Undercurrent Podcast. This is the first episode that I am recording in my 40s. I just turned 40, and that is actually the theme of today's episode because it certainly feels like a milestone. It has caused me to stop and reflect, and I'm going to share some of those reflections with you here today. In the recent years of Gone through periods of transition in business, in life, my kids have hit new milestones. This year, my daughter, older daughter started high school. I've also gone through some personal transitions with a separation and divorce. And all of this has caused me, especially in combination with with a significant birthday like this, caused me to look up from the day to day and ask some bigger questions and wonder if I'm living my life in the way that I wish to be living my life. I I look at and I think about. How I'm responsible for what has happened and is happening in my life. The one that immediately led to this episode, I also thought about and asked myself what ideas and principles have influenced me and actually changed the way that I live? And when I sat with that question, there's four principles that rose above the rest. So I was, as you can imagine, I was very excited to see that having four corresponds well with a 40th birthday. I'm glad the numbers work out. I also saw a common thread and realized that they're not necessarily four separate lessons, but that they build on each other. And there's almost a sequence that for me is like a manual for how to live. And that is what I want to share with you today. And before I get into that, a couple notes. One is that if you're familiar with me, with our work at Newfit, you know that for nearly 20 years now, for me it's it's all come back to one thing, which is the nervous system. And when we're Talking about the new fit method and the newbie, it all comes down to helping people retrain their nervous system. It's the operating system of the body. We want the whole system to be running better. And I, in reflection on these, I see how I've been doing the same type of thing with myself, trying to get my operating system to work better. And one of the biggest things that, as you know, the nervous system does it's to make us aware, aware of our internal and external. Garrett Salpeter (02:22.486) environments and so awareness is a thread that also ties together these four lessons that I'm going to share with you because each one of them is preceded by or begins with awareness with noticing noticing where I am where I'm not in alignment noticing what my habits are and how they're influencing my life noticing what I'm accepting or tolerating in my life and also noticing for me areas in which I've been postponing my life and waiting for something to happen so I could achieve something and then feel a certain way, things like that that that I'll get into here. So these are the four, I don't necessarily want to say lessons, but I'd say the four biggest shifts in how I've lived that really stand out to me as being very impactful. And my intention here and sharing them with you is that they'll also be worthwhile to you in some way. So on to the first shift. For me, it's all about alignment. This is number one, I'm choosing this first because choosing to share this first because I feel like alignment has been the biggest unlock for me in the sense that finding where I feel aligned or where I haven't felt aligned and how the decisions I made from that, I can see how things play out. And one of the first times where I really realized the the dark side of this of acting out of alignment was an issue with a a person I had worked with and I knew deep down inside that there wasn't alignment. It wasn't a good cultural fit. And I overrided or overrode that in part because of people pleasing tendencies, because it was difficult for me to have hard conversations and and let this person know what was problematic, what was not working, what needed to change, difficulty for me setting boundaries. And I also had this, this was very early on in my career, also had this sort of scarcity mindset as opposed to abundance mindset of like, gosh, can I ever find anyone else to work with me? You know, so there's this feeling of not being worthy, not being good enough, noticing these things certainly all influenced it. But in overriding that, I allowed to continue Garrett Salpeter (04:49.91) situations and dynamics that ended up costing far more in the long run, emotionally and monetarily, costing a lot more than the initial pain and cost or the immediate pain and cost would have been having a hard conversation up front or getting rid of a person, you know, who wasn't a good fit years ahead of when I finally found the courage and clarity to do it. And when I Look at at other times where I've made decisions that have come out of alignment. Like, for example, coming out of college, I had a physics undergraduate degree, and I was set to go to engineering graduate school at the University of Texas here in Austin, which is how I got down here. And it was a fabulous experience, and I'm so glad I did it. And I had options to take jobs. I had a job offer with a big consulting firm out of college. I had an opportunity to interview with a large, very well-known investment bank, which I may or may not have gotten a job, but I decided that I wanted to pursue this because it felt more aligned with who I was and what I was interested in doing. And that ended up being a great decision. And that engineering background ultimately gave me the the experience and the perspective to be able to lead the team that ultimately created the newbie device and do the things that I'm doing now. It was a big part of that journey. So I'm I'm so glad that I did it. Also early on in my career back when I was working in a clinic and I had this hundred and twenty square foot office in the chiropractic office, chiropractic clinic of the guy who was the U T Longhorns chiropractor, his private practice. I was using older versions of electrical stimulation. That's part of what led me to ultimately creating the newbie. And I you know, very young doing this, it wasn't sure no one was really sure where this was gonna go. Me l me most of all. but I I knew that I really want to do it. And there was a moment there when when Brianna and I, my former wife, got pregnant with our first daughter. And I was still in my early twenties and I was honestly scared. And there were some suggestions, like my father, for example, very reasonably and lovingly encouraged me to take my master's degree in engineering and go get a stable. Garrett Salpeter (07:13.814) job so I can provide for my family. And I understand and appreciate why he said that. And for me, I sat with that and realized that what I really wanted to do was to follow my heart and pursue this work, doing this clinic and this type of work that led to new fit and everything that that we're doing now. And I'm so glad I did it. And it came from alignment. So those are some examples of acting from alignment or overriding the internal knowing. and acting from a place of misalignment. So that to me, that really is the f foundational framework. And a big catalyst for me understanding this has been my experience in meditation over the last couple years. I probably first got interested in meditation From listening to and reading Sam Harris's work and conversations with my friend Wesley Cress, who's been on this podcast, and hearing his experiences and his his explanations of meditation really helped it resonate with me in a way that it got me interested in pursuing it. And I've done more formal work both with Shauna Shapiro and Corey Muscara. Shauna's been on the podcast as well. And I highly recommend both of their books and their online work and courses or in-person work and courses because For me, meditation has been the way to really clarify and crystallize this concept or operationalize this and bring it into my daily life, where a lot of times we think that meditation is about sitting still until we get to a place of bliss or happiness where nothing bothers us. But what it's really about, as I've learned from people like Corey and Shauna, what it's really about is Have being still enough so that we can be aware enough or mindfulness, right? Mindful enough to be aware of what's going on in our own experience. So that I can actually feel when something I'm contemplating doing is aligned or is not aligned. And the the framework that I really love here that I have started using w whenever I can is understanding when I'm making a decision. Garrett Salpeter (09:28.44) From a place of self or parts, using the language of internal family systems. Another great book recommendation is No Bad Parts by Richard Schwartz, Dick Schwartz, that describes this concept of internal family systems. When I'm making decisions from my true self, which you have a true self, I have a true self. We all have this true self, this place within us that is our deepest truth, where we feel clear and calm and confident and courageous and creative. And connected. There's these different C words that describe this state. Even just hearing those, you may feel some energy resonating. And the the parts are the different different patterns within ourselves that I alluded to earlier in my own experience, where I learned to act a certain way, you know, in people pleasing, difficulty setting boundaries. I had also learned that I felt like I had to achieve something in order to be worthy of love. And so these are the patterns. These patterns are parts. Of me and different parts can be online at different times and they can interact in certain ways, and I can be acting from certain parts or acting from self, those different places. And so meditation for me allows me to have the opportunity to slow down enough to drop in deeply enough to get clearer on what is my true motivation for doing something and making a decision. Is it aligned? Is it coming from a place of self or is it coming from a place of parts? And so the the question I really love to ask myself, which I got from Corey Muscara and his teaching is am I doing this? Am I considering doing this thing because I already feel complete as a person and it's aligned with my true desires? Or am I feeling empty inside and I'm choosing this thing as an attempt to grasp at something that might fill me up? Because we all know that that you know, getting past a certain point at least getting more money or getting a nicer house or a nicer watch or a nicer car, you know, we feel like that's gonna that's gonna be the thing that finally gets us happy. And we know that it doesn't work that way. But there's these patterns that I even will notice sometimes that I fall into. And it's the kind of underlying awareness of this alignment dynamic that helps me navigate this. And there's a few examples where I've seen my ego that Garrett Salpeter (11:50.307) that that part many many examples where I've seen that you know I was I was just reflecting in preparation for this like one for example doing what I do for work I I admittedly take a lot of pride in helping people get get results in sports medicine and rehabilitation and things like that and and with myself I put off for many years getting a hip surgery that I likely should have gotten earlier, and that I finally did get, and that was helpful. I got bone shaved down, bone spurs shaved down off the neck of my femur where I had a femoral acetabular impingement FAI. And I you know, I'm so glad I did it. But I put it off for a long time. I also noticed really interesting, after my first meditation retreat. I, as you likely can tell, you know, I read a ton of books, and I think a lot of the the where I am and what I've learned and who I've become is positively influenced by the books that I've read. And so I think that's wonderful. And I also at the same time observed that a lot of that came from a place of feeling somewhat empty or incomplete and thinking that if I was just a little bit smarter, If I knew a little bit more, then I'd be better, then I'd finally be worthy of some sort of status or love or belonging, some sort of internal drive like that. And I learned that some of that consumption of you know books, podcasts, etc., was some of that grasping trying to fill me up inside. And it was so interesting that after my first meditation retreat with Corey Muscara for a couple months. I I noticed that desire was significantly diminished. Where I you know, instead of always wanting to listen to a podcast or a book on tape audio book when I'm in the car, book on tape, they're not on tape anymore, but when I noticed that I would actually just enjoy sort of doing a breathing exercise or sitting and listening to music, things like that. It was it was an interesting shift. And so now I still read. Garrett Salpeter (13:59.679) And I ask myself if I'm doing it from some sort of compulsive desire to fill a perceived void, or if I'm doing it from a place of true interest and alignment. And it often is from a place of interest and alignment, but I really like that framework, and I felt compelled to share that with you. So I think the big, the big question that I would ask, and that I encourage everyone listening to this to ask, is It's not necessarily about following your passion, but following your alignments. I would ask you if what you're contemplating doing is truly aligned. And one exercise that that I have done in the past is actually close my eyes and consider a path A, consider a path B, and see how they feel in my nervous system. Because that often will give us a clue. It'll, you know, sometimes it's as dramatic as one path. will feel very constricting energetically and one will feel expansive, like it's giving us energy. And I've that's one thing that I've found is that if I'm doing things that could be objectively hard, even if it even if it is hard, it feels somewhat easier to me because that sense of alignment gives me energy and and it doesn't feel as hard. It makes makes having a going through difficult times in business or having a a a workout program sustainable. So I would ask myself and encourage you to ask yourself, where in my life am I choosing from emptiness rather than from fullness? Whatever, whatever that means to you. So that's the first the first one is is understanding alignment. And we really have to understand our identity, our true selves, who we are, what is most important to us, what we value, what what is in alignment with us at that deepest level. And then This second shift principle that I want to wanna share is how our identity is built through repetitions, how we are a culmination of our habits. And I think a lot about my life as an ongoing experiment. I think about my inputs that I do in my in my training and lifestyle, in my business, how I show up with my family and what you know what I do with my kids. And I look at the results that that come out of that. Think about it as as sort of one big ongoing experiment. There's also this great quote. Garrett Salpeter (16:25.578) Of attributed to Aristotle of we are what we repeatedly do. He talks about excellence is not an act, but it's a habit, because what we repeatedly do adds up to who we are. And so I think also in this sort of scientific ongoing experiment, results are feedback. They're not necessarily judgment. We don't fail, we gather information. I think that's a good mindset shift. I also think a lot about this in terms of Fitness and and health, which I think is a great metaphor for anything, because in fitness there is this balance of of work and and recovery and rest and regeneration. There's this this balance of delayed gratification of having to work for a period of time to see a result that comes later, of having to have faith in the process of of getting help and support and coaching and learning and and finding the most effective way, not the shortcut, but the most effective and direct path to your goal. So there's all these different lessons that I think extrapolate beautifully to all areas of life. And I I think a lot about the the way that what how what I do every day, how to have a daily routine. That helps me get to the levels of health and fitness and physical and mental performance and vitality that I wish to achieve for myself. So one thing that I'm working on is I'm generally very stiff. I have a background of ice hockey. As Greg Cook says, I was was one of these examples of someone building fitness on top of dysfunction. I didn't have my core movement fundamentals down, and yet I built a fair amount of size and strength and speed on top of that. And so couple that with playing ice hockey and being locked in that kind of half squat position with hips and external rotation, very little foot and ankle movement because the feet are locked in a in boots, you know, ice hockey boots, the skates, and all that leads to significant mobility restrictions that now I want to work on. And so I think about how my habits influence that. And there's things that I do to work on hip internal rotation. Garrett Salpeter (18:38.638) And I do those six or seven days a week. I work it into my plan. And over time, it's been so cool to see my hip internal rotation go from generously zero degrees to you know 15, 20 degrees. It's still not, you know, anatomically ideal, but it's gotten a lot better. And it's cool to see the progress, even in something that's as slow to change as structural remodeling of joint capsules. And I think this is a great. prompt for us all to look at our habits. You know, if someone all also going back to fitness, there's a great a great quote that the body you have is the body you've earned. So how if we're if we're not as strong in a certain area or we're several pounds overweight or you know, there's there's likely some reason for it. And it's sometimes not the individual's fault. Sometimes there's there's toxic exposure or things like that that's out of their control that's causing more inflammation that That throws things off or some disease state. And oftentimes once once we know about it, then there's things that we can do about it. So there's certainly the I think a lot of value in understanding that our life now is the culmination of our habits and really examining and evaluating those and making sure that yes, they are aligned. So we have number one being alignment, number two being habits, repetition, how that how that builds upon and cements our identity. And then related is number three, which is the standards. There's this great saying that we get what we tolerate. There's there's our our standards really shape our lives. And so for me right now, I actually just keeping on the fitness metaphor, one of my standards is being able to to sprint all out. And I'm dealing with an Achilles injury that is very frustrating to me because I'm currently not able to meet my own standard. And because I take that standard seriously, it creates within me a sense of urgency where I'm rehabbing my Achilles very diligently. And it's difficult for me to be patient and understand that it can take, you know, several months for tendon tissue to remodel. And that's actually the subject of what will probably be the next podcast we release. a little bit of a foreshadowing there. Garrett Salpeter (21:02.536) on on Achilles tendon injuries and recovery from surgery and that whole topic. That's something that I'm diving into, trying to l really learn as much about as I can, both out of interest and a desire to share it and this personal desire to get back to my standard, where by the end of this summer, I intend to be able to get back to at least my weekly sprinting. So that's something that I I I think a lot about and that is is very important to me in terms of what we tolerate there that's both within ourselves and it's with you know the people that work within our businesses. It's fit within family members and friends and things like that. It's sort of this not just what we do on our best day or when we hit our stretch goal, but it's what do we tolerate on the the floor on our the lowest day. And it's important in in business. You know, we're not going to hit our stretch goal every every week, every month, every quarter, every year, but if there's a minimum number of calls that we're going to make or if there's a minimum number of some effort that we're going to make. If we hold ourselves to that, chances are we're going to better over time. Same thing in the gym. If you you're not going to set a PR every day, but if you're going to continue working and getting better and following the program, that often leads to a great place in the long term. for me, one one standard is my bedtime. I will occasionally occasionally stay out late for a special event or something like that. If I really feel like and this plays into number four where I I'm I'm focusing on yes, delayed gratification is important, but I don't want to delay everything for a someday that may never come. So every once in a while I'll do this. But generally speaking, I'm very diligent about my bedtime because I know that if I if I don't go to bed on time, I'm not gonna be as effective the next day. It's gonna throw off different aspects of my vitality and energy and and mental and physical ability. And so if I have something to do, one, having a being more strict with my bedtime, it forces me to prioritize getting shit done during the day, pardon my language. And it also, you know, it makes it clear for me if I have something that I need to work on, I I will choose to to go to bed earlier and then work get up earlier and work on it in the morning rather than stay up and and do it that night. Garrett Salpeter (23:25.196) because that will I know that the outcome is gonna be better if I go to bed now and get up and do it in the morning in in in many ways. So there's a lot a lot of ways that That affects me. And that's one that's important for me. You know, for some people, it's a minimum number of pages that they're going to read in a book per day or whatever it might be. People have a devotional or they just want to read different different things. Or meditation. For me, I think about the minimum number of minutes per day or days per year that I'm going to meditate. But the standards that we hold ourselves to apply everywhere in health and recovery, in relationships, in our self-talk, in our environment and our finances and our businesses and the standards that I as a leader accept from myself become the standards that our team accepts too. So especially for those of you who are leading teams and businesses or leading leading within your family and home life, this is this is very important as well. So I think it's best summed up in that the the quote that I've heard many places, I don't know where it originally came from, but we don't get what we want, we get what we tolerate. So I encourage you to ask what what you and I will ask myself, what have I quietly or not so quietly started to tolerate that I never used to or that is not in alignment with who I wish to be and how I wish to live my life and how I wish my business to be and how I wish my family to be, et cetera. And that segues into the fourth shift. And this is, you know, if we talk about alignment with our identity, we talk about reinforcing that identity and number two, through our habits. We talk about preserving that through the standards and what we're willing to accept. Number four is about rounding out that identity because I know that I was, especially in the early New Fit years, I was very much in this trap of optimizing everything for later. Garrett Salpeter (25:23.31) Putting off most of everything now, thinking that once this business grows, once I achieve a certain level of success, then I'll be able to enjoy my life, then I'll be happy, then this, then that. So it's this notion of journey over destination, process over outcome, or something like that. So I I just I want to also frame this up as a continuum, because on one hand, there's what I just described, there's putting off entirely putting off the future, d entirely delayed gratification, and not enjoying anything right now. And then on the other end, there's like total nihilism or or not caring about later and just wanting just enjoying today and not planning for the future at all. And so what I'm proposing where I've settled on this balance for myself and it can be personal for everybody, where I've settled on this is is somewhere in between. Where I do I do work hard now for where That will bring our business and and my family in the future. I work hard now for where my that will bring my health in the future, right? I want to be healthy and vital in my next decade, in the decade after that, and the decade after that, which God willing I will live to see. And I I so I wanna I want to strike that balancing act. But there's there's a great book that I highly recommend called The Happiness Advantage by sh I believe it's Sean Acor. and it it talks about how many of us fall into this same trap of thinking that if I if I achieve this now, this promotion or make this amount of money or have this or that, then I'll be happy. And it's so amazing that he shifts that on his head. He talks about the r how the research says quite the opposite. How if if we're happy now, we're actually more likely to achieve the thing that we wish to achieve. Because Generally speaking, happiness makes people healthier, more resistant to getting sick, more effective, more creative, gives them more energy, more health and vitality. And that, of course, makes it more likely that they will achieve the thing that they're setting out to achieve, assuming it is back to number one, assuming it is aligned with their true selves and deepest desires and and all that. And so for me, this has really Garrett Salpeter (27:50.669) manifested in a couple of ways. It's something that I I read about and I I I was aware of this notion and it just sort of gradually hit me that I was putting off so much of my life for later. And so I I finally just somehow, some way crossed over that threshold where I realized that I do need to make time to enjoy life now. along the way, even as I'm practicing delayed gratification in certain important areas. And so taking my kids several years ago on a trip to Spain over the summer for a week and a half was an amazing memory. Taking them this year to Disney World, you know, creating these memories while my kids are still young enough to to make these memories, there's a great concept of memory dividends. I forget the I think I first heard about this from the guy who wrote Die with Zero. I've gosh, I can see his face. I forget his name now. He's here in Austin. Cool, really cool guy. And he talks about this notion of Die with Zero being that if we accumulate all this money, we should actually enjoy it in this life. You should give it away because that will create joy. We should also invest in experiences because it creates these memory dividends. You know, having the memories from these different trips with my kids is worth is worth so much more. I'm getting a return on that investment, more than if it was sitting an account earning interest somewhere. Also for me, I joined EO and and a forum. EO is an entrepreneurs organization, similar to YPO if you're familiar that. And it's all all founders, all business owners. And so I'm in this forum with anywhere from seven to nine other guys. And we do these adventure trips every year. And that was something that I sort of I realized along the way that I just wasn't I was putting off for later the idea of having you know friendships and social relationships. And I finally realized, you know what, I I would like to have more of that in my life now. I would like to prioritize and make some time for that. And we've done these amazing adventure trips. We've gone hiking twenty miles through the narrows in Zion National Park and kayaking and fishing in the San Juan Islands between Seattle and Vancouver. And just this year, camping and fishing and Garrett Salpeter (30:05.624) Hiking in Colorado along the Gunnison River. You know, my first time I was kind of a city kid. these trips allowed me to go camping for the first time in my life, which was amazing. And so I I encourage you to consider what this right balance is for you. Again, it's very individual. Consider where this where this where you fall along that spectrum. And if if it falls into wanting to play more golf now rather than waiting until you're retired, give me a call and play a r play around of golf. So again, it's not not about like being anti discipline or being reckless. There are areas where we still have to sacrifice. It is it is a balancing act. And I think there's there's this sense that success should expand our lives, not necessarily postpone it. So I will Ask you, what are you postponing in your life that you actually could start living now? And as we wrap this up here, I will end where I started with talking about turning 40. And when I was younger, I was so focused on on life and on focusing my life on becoming successful, whatever that meant at the time. And I really believe that if I just worked hard enough, sacrificed enough, delayed enough that Everything else, the happiness, relationships with life, would it would all sort itself out later. Now I I I'm grateful that that younger version of me put so much time and effort into learning and and beginning, building the early stages of new fit and all that. And now I I am grateful for the added perspective and experience too, where I realize that it's not it's not just about becoming more. accomplished and achieving more, it's also about alignment. And when I think about alignment, that actually helps produce more success than than some of the other tactics and strategies and and mindsets too. So it's interesting how these four can also interact as well. And again, this was Garrett Salpeter (32:28.576) not necessarily a a dramatic overhaul, but it came from noticing from awareness. And so I I hope that you can have some sort of practice, and perhaps you already do, that has been as meaningful to me as this meditation practice in in becoming aware of these different dynamics in my own life. And in closing, I'd like to leave you with one small challenge. Pick one of these four that hit you the hardest, whether it be focusing on alignment, your habits, your standards, and what you tolerate, and or balancing. work now sacrificing now for something later figure out which of those four hit you the hardest and this week ask yourself the question where are you choosing from act from empty instead of full? What are your daily inputs building you into? What have you started to tolerate that you no longer intend to tolerate? Or finally, what are you putting off? that you feel like deep inside you really would be better served by doing now. So I I really appreciate you spending this time with me. If this one resonated, I'd love to hear your comments on the social media or direct message, anything like that. And I look forward to seeing you on the next episode of the Undercurrent podcast.  

Dr. Sachin Patel believes the single most accessible, highest-leverage tool for our health has been right under our noses the whole time: the breath. In this episode, Garrett and Sachin go deep on why breathing is the "first domino" that knocks down a hundred others – influencing everything from our metabolism and circulation to the immune system and nervous system. If you've ever felt like your health routine is getting more complicated instead of simpler, this conversation is a powerful reminder that the most sophisticated answer is often the simplest one. We cover: Why breath is the "steering wheel" of your nervous system that helps you ramp up for immediate energy or ramp down for true healing CO2 is a misunderstood molecule that determines your calm, your energy, and your longevity, and why we want to train for greater "CO2 tolerance" How to measure your own breathing with the Control Pause (or BOLT) score, and what your number means Simple daily drills to build CO2 tolerance – at a traffic light, on a walk, or anywhere you can fit it in Client stories of how breathing practice has influenced health outcomes in real life Sachin's message is as empowering as it is simple: you already have everything you need to start, because you're already breathing. Tune in to learn how to take conscious control of that one process. Learn more and access his free trainings, guides, and live breathwork experiences at breathworkwithsachin.com.  

Most of us were told that running is the purest path to leanness, heart health, and a long life. Mark Sisson spent a career as an elite endurance athlete, becoming a sub-2:18 marathoner and top finisher at Ironman, before his own body forced him to question all of it. In this conversation, he makes the case that – for many people – "chronic cardio" quietly breaks the body down more than building it up, and that the movement your body is actually engineered for is one that we have stopped respecting: walking. In this episode, we get into: The broken promises of running for exercise, including injury rates, the fat loss myth, hormonal dysfunctions, and more Real aerobic training and why the fastest marathoner on earth trains 80% of the time at an easy, conversational pace Why persistence hunting was never a steady-state jog, but more of an alternating walking-climbing-sprinting endeavor How modern shoes "brace and encase" our feet, dulling our connection to the ground and setting up injuries What a fitness routine looks like when it aligns with evolutionary biology Mark is 73 and, by his own account, fitter than he's ever been. This makes him one of the rare voices on aging who is living the message in real time. If you want to understand a sustainable framework for fitness and longevity, this episode will clarify how you think about it.  

As a physical therapist and creator of the Functional Movement Screen (FMS), Gray Cook has spent more than 30 years changing how we think about human movement. In this episode, recorded at the Functional Movement Systems headquarters in Chatham, Virginia, Garrett sits down with Gray for a wide-ranging conversation on what "functional" actually means, why most of us are chasing symptoms instead of causes, and how to build a body that moves well for life. If you've ever wondered why your training isn't translating into real-life movements or why pain keeps coming back, this episode is for you.  We cover: Why Gray defines "functional" as simply meaning "good enough" in the most important areas that influence musculoskeletal health. How movement screening is a status check for the musculoskeletal system, just like we take blood pressure for the cardiovascular system and use an eye chart for the visual system. The value of "regressing to progress" by working through the developmental phases: roll → crawl → kneel → squat → stand → walk → run The difference between calibration and conditioning (and why most warm-ups are wasted) Reclaiming physical culture for everyone from kids in school to adults who have "given up" on regular movement practices A real-life example in Gray's assessment of Garrett's movement during their time together If you check a wearable every day to see your readiness and recovery, what are you doing to check your movement system? In this episode, you will learn a clear framework for running that same type of diagnostic on your musculoskeletal health. And underneath all of this is a deceptively simple principle. As Gray puts it, the sustainable path to health, fitness, and vitality is to "first move well, then move often."   

Imagine being a speech therapist and waking up in an ICU, unable to speak, swallow, or move your head and neck. That's what happened to Vanessa Abraham, MS, CCC-SLP, seven years ago when she was paralyzed by the pharyngeal-cervical-brachial (PCB) variant of Guillain-Barre. In this episode, she shares the full story from ventilator, tracheostomy, G-tube, and eye gaze boards through her path to eventually rebuilding her voice, her ability to swallow, and her clinical practice.  We cover: The PCB variant of Guillain-Barre and what recovery actually looks like How Vanessa found the Neubie, which turned out to be the missing link in her recovery The ways she uses electrical stimulation on the head and neck in her speech-language pathology practice, and how she dials in for swallowing and vocal cord function Polyvagal theory, why the body can't heal in a state of fight-or-flight, and how Vanessa uses the Master Reset Her frameworks for working with children with autism, adults with neurodegenerative conditions, and people experiencing PICS (post-intensive care syndrome) Vanessa is now one of the first SLPs in the world using the Neubie and has become a passionate educator through her book Speechless, her various talks and appearances, and her clinical practice. Her story is a very powerful pain-to-purpose conversation.  

When Dr. Ted Arkfeld started as a team chiropractor in the early 2000s, the standard sideline concussion test was a whiff of smelling salts and a question: "Feel okay? Get back in." Twenty-plus years later, he's built one of the most rigorous neurological assessments in the field, and is one of the only chiropractors in the country presenting concussion research alongside the world's foremost authorities. In this episode, he walks us through what changed, what's still broken, and a better way to treat concussions from the nervous system up. We cover: Why you cannot have a concussion without a cervical spine injury and why mainstream concussion medicine has been late to catch on The Neuro Sports Performance Evaluation that combines autonomic testing, sensorimotor function, and Neubie mapping The 3x increase in lower-extremity injury risk after a concussion and how to prevent it Why even gentle treatment can metabolically overwhelm a concussed brain and how a $20 pulse oximeter solves it The layered treatment protocol Dr. Arkfeld uses: Cox flexion-distraction, Master Reset, Normatec, BrainTap, and progressive neuro rehab If you treat athletes – or you're the parent of one – this conversation will change how you think about concussion management.  

In this episode of The Undercurrent Podcast, Garrett sits down with Dr. Trent Nessler, a physical therapist, biomechanics researcher, and founder of The Athlete Lab in Franklin, Tennessee. Over 28 years in practice, Trent has built one of the most comprehensive movement-data engines in the world: the ViMove+ AMI wearable sensor system, which has now captured over 4,700 data points per assessment on more than 490,000 athletes across five countries. What he's learned from that dataset is rewriting how we think about injury risk, ACL rehab, and return to play. In this conversation, we cover:                                  The profound role of pelvic stability and dynamic valgus speed in predicting ACL injury Fatigue-state training and why the ACL Play It Safe program works best after practice                                                                                    How Trent integrates NEUBIE, BFR, biologics, red light therapy, and nutrition into a truly holistic rehab model                                                         Lessons from assessing thousands of firefighters, police, and Special Operations personnel                                                       The role of mindset, hope, and a warrior ethos in recovering from catastrophic injury                                                                                       Whether you're a clinician, coach, athlete, or tactical operator, this conversation offers a rare look inside the mind of someone who has spent nearly three decades measuring, questioning, and refining what it actually takes to move – and heal – at the highest level.  

Most golfers are chasing a better swing. But what if the real limitation isn't your technique, but your body? In this episode with Mike McDonnell, we break down the Golf Performance Pyramid and discuss why most players are building their game on an incomplete foundation. We cover: The Golf Performance Pyramid: mobility → stability → strength → power Why hip mobility (especially internal rotation) is a major limiter of speed and consistency How skipping foundational movement leads to compensation and injury The difference between training muscles vs training movement How to structure training year-round, including during competitive seasons If you want more distance, consistency, and longevity, don't just work on your swing … Fix the foundation it's built on.  

We often treat movement like a one-way equation: Brain → Body → Performance.  But in reality, it's a feedback loop. The body is constantly sending information back to the brain, and that information shapes how we move, perform, and recover.  In this conversation with Harry Worrow, we talk about his frameworks for working with everyone from athletes to individuals with neurodegenerative conditions, and how he uses biomechanical analysis paired with functional neurology. Specifically, we cover: The two-way relationship between neurology and biomechanics Why better sensory input leads to better movement output A deeper look at working with the visual and vestibular systems Why movement quality should come before load and intensity Strategies for long-term progression in neurodegenerative cases Movement is a blend of hardware and software, mechanics and neuroscience. Ultimately, it's shaped by how the nervous system interprets and responds to the world – and the good news is that this you can influence this process with the right techniques and strategies.  

What happens when physician referrals start disappearing? For Chad Madden, it forced a complete reinvention of how his practice attracted patients. That shift ultimately led to scaling his clinic to seven locations and co-founding Breakthrough to help hundreds of practices do the same. In this episode we discuss: The New Patient Pipeline and how it works The difference between clinician messaging and patient messaging Why direct response marketing works for healthcare The systems that turn cold leads into paying patients How cash-pay services are reshaping the economics of private practice The takeaway: Great care alone doesn't guarantee growth. You also need a system to create demand, and Chad shows us that system.  

Most healthcare is built around managing symptoms. A little treatment here. A quick intervention there. "Let's try this and see how you respond." But what if the real problem isn't the pain – it's the system treating pain? In this episode, Dr. Mike Carberry and Colleen Carberry, PT, the founders of Advanced Medical Integration break down: Why symptom-based care keeps patients on the "train to drugs and surgery" How integrating physician care, chiropractic, and PT, compresses recovery time Why frequency and coordinated team care matter more than isolated visits How structured treatment plans drive measurable functional outcomes The systems that allow practices to scale without sacrificing results If you want better outcomes, you don't just need more visits. You need a better model.  

What separates a good practice from a top 10% practice? In this episode with Brian Gallagher, PT, we unpack the mindset shifts, leadership frameworks, and operational discipline that consistently show up in the highest-performing clinics. This isn't about hacks, it's about how elite operators think. Specifically, we discuss: The identity shift required to move from clinician to true business leader Why culture must be built intentionally, not accidentally The role of systems and accountability in sustainable growth How top practices approach hiring, retention, and performance standards The top few ways successful practices outsource to improve efficiency If you're a practice owner (or aspire to be one), this conversation will challenge you to raise your standards – not just clinically, but strategically. As you'll learn from Brian, the top 10% don't get there by luck. They build differently.  

Healing is rarely about fixing a single tissue or structure. In this episode, Lisa Chase, PT, shares the frameworks from her new book, Be Responsible, Because the System Isn't, and describes why true recovery depends on the health of the entire system – from the nervous system and sleep to lifestyle, resilience, and capacity. When the whole system is robust, healing becomes possible. When it's not, symptoms simply move around. In this conversation, we discuss: Why pain and injury are often downstream expressions of system overload How nervous system regulation shapes recovery, inflammation, and resilience The Pyramid of Healing and moving beyond symptom management What it means to rebuild health instead of chasing relief How tools like movement, lifestyle changes, and technology fit into a whole-system model This episode is an invitation to rethink healing. It's not something that's done to you, nor is it something done in isolation. Rather, healing is something that emerges when the whole system is supported.

What happens when a child suddenly loses the ability to walk – and the answers aren't structural, surgical, or pharmaceutical? In this episode, Garrett sits down with George James and Katie, the mother of 9-year-old Jodie, to share an extraordinary and deeply human story of Functional Neurological Disorder (FND), resilience, and recovery. In this conversation, we explore: Jodie's sudden onset of FND after fainting during a field hockey game, and the loss of walking, speech, and confidence The emotional and logistical journey of navigating a misunderstood condition George's decision to travel from the UK to Kenya for a 5-day intensive The clinical framework for approaching FND, including an emphasis on sensory input, play, and nervous system retraining  Broader takeaways from this story and what it teaches us about neuroplasticity, graded exposure, "deconstructing" movement patterns like gait, and more This story is an inspiring example of patience, trust, and the remarkable adaptability of the human nervous system, with some extremely valuable clinical insights mixed in.  

Most practice owners don't get stuck because they lack tactics – they get stuck because they're still operating with a clinician's identity. In this episode, Garrett sits down with Jamey Schrier, DPT, to unpack why sustainable growth and practice value require a fundamental shift in how owners see themselves and their role. In this conversation, we cover: Why clinical excellence alone doesn't build a valuable business The identity shift from clinician to true practice owner Common traps that keep owners stuck in the day-to-day What actually makes a practice "sale-ready" How systems and leadership replace owner dependency This episode is a must-listen for anyone who wants their practice to create freedom instead of just more responsibility.  

Modern pain care often focuses on fixing structures, but what if the real key is changing the signal? In this episode, Garrett and Dan Neff, DPT, dive into the idea of therapeutic input and how precise neurological stimulation can reduce pain, restore function, and build trust with patients – even the ones who've already tried everything else. You'll learn about: Neurological versus mechanical models of pain Why less force can sometimes produce better results How spinal input influences pain perception The nuanced differences between manipulation, adjustment, and neuromodulation Integrating Neubie for complex cases of neurological injury and degeneration If you're a clinician, practice owner, or someone struggling with persistent pain, this conversation offers an insightful perspective on what effective treatment really looks like  

Most practice owners start with purpose but get lost in the chaos of growth. In this episode, Garrett sits down with Will Humphreys, PT, and Michelle Bambanek, PT, to explore how leaders can build scalable systems without sacrificing heart, humanity, or culture. Together, they break down the frameworks that help teams thrive as the business grows. You'll learn about: The leadership principles that create both profitability and purpose How to design culture intentionally, not as an afterthought Using frameworks like "Six Working Geniuses" for hiring, communication, and delegation in ways that sustain growth Common traps that erode trust as teams expand Why scaling "with soul" leads to stronger, freer organizations This conversation is a roadmap for every owner who wants to grow without losing what made their mission meaningful in the first place.  

What happens when physical therapy embraces the tools of diagnostic medicine? In this episode, Garrett talks with Drs. Skye Grayson, Malachi Votaw, and Julia Whitehead from NCEPT (Escondido, California) about how they've built one of the most advanced PT practices in the country by combining EMG, ultrasound, and Neubie neuromuscular reeducation. You'll learn about: How objective diagnostics uncover what's really driving movement limitations The difference between structural and neurological dysfunction – and why it matters How Neubie integration accelerates nerve recovery and neuromuscular control Building a hybrid model that blends insurance-based care with cash-based innovation NCEPT's team-driven approach to leadership, mentorship, and excellence This is a look inside the next evolution of physical therapy, where you'll see a clear and inspiring picture of how technology and teamwork converge to create better outcomes and stronger practices.  

True athletic performance isn't built on muscle alone – it's driven by the nervous system. In this episode, Garrett explores how approaching training through a neurological lens can optimize movement, strength, and resilience across an athlete's lifetime. From youth development to elite performance, he breaks down how to train smarter, not just harder. In this episode, you'll learn: How the nervous system governs strength, coordination, and recovery The "Pyramid of Performance" framework from The NeuFit Method Why early movement diversity builds long-term athletic capacity How End Range Activation (ERA) improves mobility and joint control The importance of relaxation speed and eccentric strength for power How NeuFit technology enhances neuromuscular re-education and resilience Athletic development isn't a sprint, it's a neurological journey. And if you want to help yourself or your athletes reach their full potential, this episode will show you how incorporating neuroscience changes the game.  

The quality of our relationships determines the quality of our life. And, although many of us know how to lead at work, we struggle to bring that same clarity, purpose, and intention into our homes and our most important relationships.  In this episode, men's health and leadership coach Joel Evan shares how the same principles that drive success in business can transform relationships, communication, and connection at home. We cover several topics from Joel's book, Limitless: Forge an Unshakeable Marriage and Deepen Your Bond with Your Kids: How to apply leadership frameworks to marriage and fatherhood The power of extreme ownership in family life Why communication is the cornerstone of trust and intimacy Overcoming limiting beliefs that block authentic connection Building a legacy that lasts through your actions, not just your words Whether you're a husband, father, or simply someone seeking to deepen relationships with more integrity and purpose, this episode will challenge you to show up where it matters most.  

Low back pain is one of the most common – and complex – challenges in healthcare. In this episode, physical therapist Jeff Vitale shares how he applies Dr. Stuart McGill's evidence-based methods to help even the most difficult cases. Part of an elite group personally certified by Dr. McGill, Jeff integrates the McGill Method with other frameworks such as TPI and tools like the Neubie to create breakthrough results for patients who've often tried everything else. In this conversation, we discuss: Jeff's personal story with back pain and surgery as a college athlete The philosophy and principles behind the McGill Method for detailed assessment, which includes redefining "chronic" back pain How detailed assessment identifies pain triggers and guides precise exercise programming Balancing stability and mobility in athletic movements like the golf swing Where the Neubie fits into the rehab and performance equation This is an episode for anyone serious about solving back pain at its source. Whether you're a clinician looking for new tools or someone personally battling low back pain, this episode provides a roadmap with practical solutions.  

Carbon-60 (C-60) is a molecule that won a Nobel Prize in Chemistry for its groundbreaking discovery – and now it's at the center of fascinating research into aging and longevity. In this episode, our guest is Chris Burres and we dig into the story of how a lab material used in industry found its way into the world of health and human performance. In this episode, you'll hear about: The fascinating history of C60 Why oxidative stress is central to aging and disease How C60 may act as a unique antioxidant without blunting exercise benefits Early animal studies describing C60's effects on lifespan, tumors, and inflammation Anecdotal reports in humans on sleep, recovery, inflammation, and HRV The importance of safety, purity, and scientific rigor in supplementation Longevity breakthroughs always come with both promise and skepticism. This conversation brings the science, the story, and the open questions to light, so you can better understand where C60 fits in the longevity landscape.  

In this solo episode, Garrett dives into the powerful lessons that come from contemplating our own mortality. While it's often uncomfortable to think about, facing the reality that our time is limited can be one of the most practical ways to gain clarity about what truly matters – both in life and in business. The conversation includes: Reflecting on our own death as a powerful teacher The importance of having a true core purpose independent of external circumstances Why directing our energy wisely is the most important decision we make each day How "compressing time" exercises can cut through clutter and reveal real priorities This is an invitation to pause, reflect, and reorient. By compressing time and confronting our own finiteness, we discover focus, alignment, and a clearer path toward leading our best lives.  

What if your brain held the keys to living longer and healthier? In this solo episode, I dive into the fascinating intersection of neuroscience and longevity, unpacking how the nervous system shapes resilience, recovery, and the aging process. Drawing on both science and personal experience, I'll explore how practices like meditation, nervous system training, and targeted stimulation can help us unlock more years and better years.  We'll cover: Why the autonomic nervous system is the hidden regulator of health and longevity How neuroplasticity impacts the body and mind The ways foot stimulation impacts the brain to reduce fall risk and extend independence What psychoneuroimmunology teaches us about stress, inflammation, and the immune system's role in aging, or "inflammaging"  Insights from meditation, HRV tracking, and direct experience of rewiring the nervous system for resilience This is more than a discussion about just living longer, it's about living better too. Join me as we uncover how neuroscience provides both the framework and the tools to train your brain and body for vibrant health and longevity.  

In this episode, we explore how neuroscience reveals what truly makes leaders effective – from how they regulate themselves, lead by example, and the various ways they can influence others and shape a team's culture. You'll learn how emotional safety, trust, and meaning aren't just soft skills but are actually brain-based performance drivers. Discover how a leader's role modeling combined with mirror neurons influence your team's mood, energy, and behavior Understand why brains in "threat mode" shut down trust, learning, and creativity and why psychological safety is the #1 predictor of high-performing teams Learn how to move from individual contributor to team multiplier Hear why storytelling activates more of the brain than data – and how to use that as a leader Explore how trust, purpose, and vulnerability unlock team engagement Leadership isn't about control, it's about connection of people with each other and with a sense of shared purpose. And when you lead with safety, clarity, and purpose, you do far more than just manage a team – you multiply its impact.  

What if you could get laboratory-grade movement insights with nothing more than your phone? In this episode, Garrett sits down with Jacob Salim, co-founder of G8way Max, to explore how motion capture and biomechanical analysis are becoming more accessible, precise, and effective than ever. Jacob shares the origin of the platform, how it works, and why personalized programming is the missing link for many people dealing with pain or underperforming bodies. In this episode, you'll learn: How G8way Max captures and analyzes movement with only a smartphone camera, replicating the joint angle and posture measurements of advanced biomechanics laboratories The 8 movement categories the system evaluates to find dysfunction How personalized recommendations increase compliance and real-world results Why poor standing posture is often the source of deeper dysfunction How clinicians and coaches are using this tool in practice today Whether you're a coach, clinician, or someone who just wants to move better and hurt less, this conversation reveals how tech can accelerate progress – and put true biomechanical insight in your pocket.

Most golfers and baseball players chase speed and distance… but ignore the root cause of why they're stuck. In this episode of The Undercurrent, Dr. Jared Bickle breaks down how to assess, treat, and train the rotational athlete with a precise framework that bridges rehab and elite performance. We cover: How the golf swing is more physically demanding than most people realize, and using the TPI (Titleist Performance Institute) framework for assessing and treating the numerous golf injuries that exist Why trail-side low back pain is the most common injury in golfers, and the connection to hip and thoracic mobility  How to use technology like the Neubie and Proteus for faster recovery and bigger performance gains with rotational athletes The hidden "drivers" behind swing mechanics, pain, and performance – and why speed and power do not always translate to a better swing Building speed and power the right way, without sacrificing durability If you treat or train rotational athletes – or if you are one yourself – this episode is for you. You'll walk away with practical insights that shift how you view the body and the ways you can unlock greater performance and longevity.  

What if the fear you're avoiding is actually the key to your growth? In this episode, I sit down with Akshay Nanavati, a Marine Corps veteran, ultra-endurance athlete, and author of Fearvana. We explore how fear, suffering, and stillness can become powerful tools for transformation. Why fear isn't the enemy – it's fuel for mastery The difference between pain, suffering, and unnecessary suffering Lessons from 60 days solo in Antarctica The power of stillness, and what true stillness reveals about ourselves This is a raw and real conversation about what it takes to go to your sacred edge … and to come back with something deeper than success: peace and true fulfillment.  

In this episode, Dr. Scott Sherr – Board-Certified Internal Medicine physician and leading voice in Hyperbaric Oxygen Therapy (HBOT) – joins us to explore how oxygen under pressure can radically shift outcomes in recovery, rehab, and performance. We break down how HBOT complements neuromuscular reeducation tools like the Neubie, especially for patients with neurological conditions, chronic pain, or mitochondrial dysfunction, plus additional benefits for athletic recovery and performance. If you're looking for cutting-edge strategies to enhance neuroplasticity, energy production, and functional recovery, this conversation is a must-listen. We cover: - The science of HBOT and its epigenetic, anti-inflammatory, and vascular effects - How HBOT and Neubie together can accelerate outcomes in MS, stroke, TBI, and CRPS - Why timing and metabolic readiness matter before using HBOT, and how not addressing these can have negative consequences - The role of methylene blue and other mitochondrial enhancers - Performance, brain function, and recovery for athletes and high-performers - Health Optimization Medicine as a proactive model for cellular health - Real case insights from both HBOT and Neubie applications Dr. Sherr brings a systems-level view that bridges conventional medicine with future-forward technology, and it's a powerful complement to the NeuFit Method. 

Marketing shouldn't feel like a guessing game. Neil Trickett, PT, has helped over 1,000 clinics grow, and in this episode he breaks down exactly what separates top-performing practices from the rest. Whether you're trying to drive more new patients, improve retention, or build a referral engine, this episode gives you the roadmap. In this conversation, we cover: The 3 pillars of marketing success for PT practices How to optimize your Google presence using SEO and AEO The underrated power of direct mail in a digital world Proven strategies for patient referrals and reactivations Budgeting for marketing—and knowing your true cost per new patient If you want actionable insights from someone who's seen what actually works at scale, this is the episode for you. Pick one strategy, implement it, and start building real momentum in your practice.

103: When the Music Stops: A Lost Voice, A New Identity, and Healing From Long COVID In this deeply personal episode, Greta Morgan, former member of the band Vampire Weekend and author of The Lost Voice, shares the journey of losing her voice due to Long COVID and finding a new sense of self. From a thriving career on stage to a battle with spasmodic dysphonia, Greta reflects on the emotional, physical, and spiritual challenges that reshaped her life. Through perseverance, therapy, and a deep connection with nature, she's rediscovered not just her voice, but her identity and purpose. Discover Greta's early successes as a musician, from starting her first band, The Hush Sound, to joining international headliners Vampire Weekend Hear the emotional toll of losing her voice and the identity crisis it sparked Learn how Greta's healing journey through Long COVID has reshaped her life Explore the various methods and therapies that helped her regain strength Understand the profound connection between identity, voice, and self-discovery Greta's story is a testament to the power of resilience and healing, and how embracing vulnerability can lead to profound transformation. Tune in to hear how she's redefined herself, both as an artist and as a person.  

If you work with clients who have pain, movement issues, or developmental challenges, this episode will shift how you think about the brain's role in all of it. Robert Melillo, Ph.D., is the founder of the Brain Balance Centers and Melillo Method and has decades of experience helping kids and adults with ADHD, autism, dyslexia, and anxiety overcome challenges thought to be permanent. He joins us to talk about functional neurology, primitive reflexes, and the deep patterns that shape human performance, behavior, and healing. We discuss: What retained primitive reflexes tell us about brain development Why many chronic issues are rooted in brain asymmetries, not injuries How interoception and proprioception affect movement, speech, and emotion Tests Dr. Melillo uses to assess brain function and nervous system maturity  The surprising overlaps between autism, athletic potential, and chronic pain Functional imbalances in the brain aren't permanent—and they're more common than most realize. Whether you're working with kids, athletes, or adults in pain, this episode will equip you to see root causes more clearly and give you new tools and hope.  

After years of frustrating injuries and failed rehab, George James didn't just walk away from rugby – he walked into a calling. In this episode, he shares his journey from elite athlete to pioneering physiotherapist, his decision to bring the Neubie to the UK, and what it really means to treat the nervous system. We cover:  George's years of failures as an athlete going through traditional rehab, and how it led him to question everything The lessons that inspired George to use a neurological framework, and how the NEUBIE plugged into that framework and became an accelerator His philosophy on why everyone should be treated like an athlete, including MS and ALS patients How he's built a thriving cash-based practice in a country with free healthcare Inspiring stories of patients reclaiming lost function, including one who regained movement that had been gone for 10 years … in the first five minutes of her treatment How he uses self-care to stay sharp, present, and energized for his clients George isn't just delivering a different treatment, he's rewriting the standard. And if you've ever felt let down by using the "standard approach" with yourself or your patients,  this conversation will hit home.  

Before we can lead teams, patients, or communities, we have to be able to lead ourselves. That's the theme of Part 3 in our 100th episode celebration: the inner game of performance. In this episode, we explore how our mindset influences not just how we feel, but how we lead, make decisions, and grow. What you'll hear in this episode: Adam Laraway on staying aligned with your values and adopting a growth mindset while launching a successful practice. Dr. Cindra Kamphoff on mental toughness, tactics for reframing thoughts, and the psychology of "grit." Aaron Alexander on how bodily movement shapes mood, confidence, and clarity. Wesley Kress on how meditation can rewire your nervous system for peace and performance. Dr. Shauna Shapiro on harnessing the power of neuroplasticity to "rewire our minds." Whether you're a clinician, business owner, athlete, or just striving to be a high-performing human, this episode reminds you that how you show up internally shapes everything you create externally. And there are actionable tactics and tools here that I encourage you to explore on that journey to becoming your best you.  

Running a clinic is about more than just great patient care—it's about building a business that's profitable, sustainable, and perhaps even scalable. In Episode 100 Part 2, we're diving into the biggest business lessons from our first 100 episodes, featuring expert insights on branding and marketing, sales, and how to effectively build and lead a team. These are key takeaways that can transform your practice: Angie McGilvrey – Why PT should be positioned as a primary care profession and how branding & social media help drive that message. Jason Waz – The sales messaging for clinics, including how to craft a clear & compelling message that turns patients into lifelong advocates. Mark DeAnda – How to sell cash services effectively, create emotional connections, and transition to a hybrid insurance + cash model. Brian Gallagher – Why hiring and leadership is the #1 challenge in growing a business and how to create a thriving team culture. Greg Todd– The skills they don't teach in PT school about business, marketing, and how to drive patient referrals. Jamey Schrier – The psychology of pricing & perceived value, including why patients will pay more for premium services when positioned correctly. If you're a clinic owner, PT, chiropractor, or entrepreneur, this episode is packed with real-world strategies to help you scale your business and maximize your impact.

100 episodes in, and we're just getting started. Over the years, we've covered groundbreaking insights into neuroplasticity, biomechanics, recovery, and human performance. For Episode 100, I'm bringing together some of the most powerful clinical breakthroughs we've learned—straight from the experts who are using these strategies every day. Neuroplasticity & Regenerative Medicine – How Michele Harris, PT, combines Neubie with stem cells & exosomes for a holistic approach to both the "hardware" and "software."   Brain-Driven Assessment – Dr. John Marchese on why the nervous system is paramount to movement, performance, and preventing injury. Resolving Chronic Pain – Logan Cooper, PT on how he approaches headaches, jaw pain, and stubborn movement issues.   Manual Therapy + Neubie – Lisa Chase, PT, explains how Neubie reintegrates movement patterns after manual therapy.   Transforming Lives in Rural Healthcare – Jacqui Broering, PT, shares an emotional case of using Neubie for a rare neuro condition.   Chiropractic Meets Neuromuscular Training – Dr. Alex Lee blends passive assessments with active neuromuscular interventions. Hypertrophy & Strength for Elite Athletes – Brad Rowe on training legends like Dexter Jackson and the power of activation. These insights aren't just theories—they're changing the way clinicians, athletes, and everyday people approach rehab and performance.  

In this episode, we dive into a groundbreaking neuropathy study that's redefining treatment options for patients suffering from nerve damage. With special guests Joe McGilvrey (Apex PT) and Ramona von Leden (NeuFit VP of Research), we explore the power of direct current (DC) stimulation and how it's achieving results that no other treatment has before. Specific discussion topics include: Neuropathy affects millions, yet standard treatments only manage symptoms. A recent study in the Journal of Diabetes Research demonstrates that the Neubie's direct current stimulation can actually improve nerve function–and is superior to TENS. Describing and understanding the objective measures used in this study, like EMG and nerve conduction velocity.  How this research paves the way for new protocols in neuropathy, radiculopathy, and nerve regeneration. Could this be the new gold standard for neuropathy treatment? Tune in to hear the science, real patient stories, and what this means for the future of rehab and recovery.  

Did you know that chronic stress is at the root of most modern diseases? From heart disease to diabetes, poorly managed stress can wreak havoc on your body. Fortunately, in this episode Dr. Torkil Færø teaches us how to measure stress in real-time and make adjustments to stay in peak condition. That's exactly what HRV tracking allows you to do. We discuss: Dr. Fær�'s bestselling book, "The Pulse Cure" The difference between functional and dysfunctional medicine Why wearables like Whoop, Garmin, and Oura are like having a "doctor on your wrist" that can help you make immediate changes (rather than having to wait for your next blood test) How alcohol and food sensitivities affect your HRV, health, and resilience The best lifestyle habits to improve HRV and longevity We break down the science of resilience in a way that's easy to apply. Whether you're treating patients, an athlete, or someone who just wants to feel and perform better—this episode is a must-listen!

Explore the intersection of functional medicine and performance optimization in this episode with James "Jim" LaValle. Among other things, Jim is the Academic Co-chair of A4M, Chief Science Officer for LifeTime Fitness, creator of the "Metabolic Code" system, consultant to numerous professional sports teams, and author of more than 20 books. He shares clear insights connecting health with injury rehabilitation, recovery, and performance. From understanding blood sugar regulation to leveraging peptides and supplements, you'll walk away with powerful tools to transform your health. We cover:  How insulin resistance is the #1 driver of aging and cardiovascular disease, and why it matters even for elite athletes, too (not just diabetics) The bi-directional relationship between inflammation and blood sugar How to optimize your nutrition/supplementation for injury recovery, longevity, and performance The role of recovery in athletic success—and why it's often overlooked Practical applications of peptides for healing and repair Whether you're seeking to recover faster, train smarter, or simply live better – or help your patients do the same – this episode is your guide to cracking the metabolic code. Enjoy these clear and powerful insights!  

Motherhood is an incredible journey, but it comes with unique challenges during pregnancy, postpartum, and beyond. In this episode, we're joined by Dr. Lauren Adamski and Anna Bales from Bump and Beyond Chiropractic to discuss the ways they're empowering moms through every stage—especially when it comes to recovery and healing from diastasis recti. Whether you're a mom, mom-to-be, or a practitioner, this conversation will equip you with the tools to thrive. Key Takeaways: Why pregnancy isn't a disease—it's an opportunity for strength and optimization. What diastasis recti is, how to identify it, and effective ways to repair it. Why active movement during pregnancy reduces pain and supports easier postpartum healing. How Dr. Lauren and Anna combine chiropractic care and exercise physiology for optimal results. Practical tips for managing postpartum recovery and improving core health. Tune in for actionable insights and an uplifting approach to motherhood!  

What happens when traditional physical therapy ends, but the recovery journey is far from over? Melanie Brennan, founder of EA Therapeutics, has an answer. In this episode, we discuss how her organization is addressing the critical need for ongoing care with neuro-activity-based training, giving patients the tools to continue their progress and regain their quality of life. We discuss: Why many patients struggle when physical therapy benefits end How neuro activity-based training helps neurological patients thrive The economics of running this type of clinic, and why Melanie chose to turn her business into a nonprofit  The ripple effect of better neurological care on patients' lives and communities Several treatment success stories mixed in Join us as we explore what's possible when innovation and compassion collide in the world of neuro-rehabilitation.  

What makes effort feel worthwhile? In this reflection on the past year, I explore the connection between energy, alignment, and the neuroscience behind how we perceive and sustain effort. Balancing adrenaline pushing us forward with dopamine giving us a sense of reward, effort is only sustainable when it aligns with what truly matters to us. Key Insights Include: How the nervous system acts as an internal compass for making decisions, helping us feel the "expansion vs. contraction" nature of possible choices. The ways compensatory and protective neurological patterns affect movement and how similar patterns show up in our thoughts and behaviors.  Why meditation isn't about "performing" a certain end state, but about meeting reality as it is—even if it includes grief, anger, self-judgment, or anything in between. Lessons from some of my favorite books of this past year, including Waking Up (Sam Harris), No Bad Parts (Richard Schwartz), The Psychology of Money (Morgan Housel), and Discipline is Destiny (Ryan Holiday). Tune in to discover how neuroscience and awareness can help you align your effort, release limiting patterns, and move forward with clarity and purpose.

Jamey Schrier's inspiring journey from clinician to successful business owner holds the blueprint for transforming your practice into a thriving business. He shares his proven strategies for creating a scalable, profitable clinic that allows you the time to focus on what matters most – your life and goals. In this episode, you will:  Learn how Jamey transitioned from being overwhelmed in patient care to achieving true practice freedom. Discover why it's worth positioning your clinic as the "Ritz Carlton" of rehabilitation – and the mindset that will allow you to do it. Explore practical ways to integrate cash-based services and maximize revenue. Hear actionable advice on building a business strategy that balances profitability and reduced workload. Gain insight into how coaching and mastermind groups drive accountability and results. This episode is packed with insights for any practice owner looking to reclaim their time, scale their impact, and love their business again. Whether you're looking to grow, sell, or reinvigorate your practice, Jamey's expertise will guide you to the next level.  

In this episode, Garrett welcomes Phillip Parker, OTR/L, and founder of Omni Rehabilitation in Harlingen, Texas and recent winner of the Neubie Grant Program. Phillip shares his journey from paramedic to occupational therapist and the drive that led him to return to his hometown to provide elite care in a place he calls a "therapy desert." His passion for bringing high-quality rehab to the Rio Grande Valley, where advanced care options are limited, offers valuable insights for practitioners and patients alike. We discuss: Challenges and gaps in healthcare for rural and underserved communities Phillip's unique approach to bringing big-city therapy quality to smaller markets The NeuFit Grant Program and the impact of the Neubie on patient outcomes, especially with the high incidence of stroke patients in the community he serves How a competitive mindset can drive excellence in healthcare Phillip's commitment to providing cutting-edge care to his community is an inspiring story of dedication, vision, and resilience. Tune in to hear how he's transforming lives and raising the bar for therapy in South Texas!  

In this episode we explore a "holistic physical therapy" model. Dr. Jessica Tranchina of Generator Athlete Lab walks us through her approach of blending traditional PT with fitness and cutting-edge recovery tools like sauna, contrast baths, and compression therapy to accelerate results and add an entire recovery, optimal health, and longevity service line to her practice. We discuss: Dr. Jess's journey from solo PT practice to creating the Generator Athlete Lab The specific Generator protocol, which combines sauna, contrast, compression, and more to enhance recovery and optimize health The value of biometric data from various wearable devices How she's growing her business in the local market Whether you're a PT, athlete, or recovery enthusiast, this episode is packed with insights to help you elevate recovery and performance. Hear why Dr. Jess's approach is part of the future of physical therapy!  

Joining us for the second time is Jason Waz, the first physical therapist to integrate the Neubie device into a PT private practice back in 2017. Since then, he has transformed his clinic, scaling beyond day-to-day operations to the point where he now coaches other practice owners on how to achieve similar success. In this episode, you'll hear: Jason's experience introducing this game-changing device, which revolutionized his approach to patient care. How focusing on strategy allowed Jason to transition from clinician to business leader, improving clinic efficiency and profitability. The value of complementary technology, like HRV measurement that provides immediate feedback on the success of treatments. The strategic partnership in which NeuFit has invested to provide access to Jason's MVP Coaching Program, allowing PT practice owners to receive business implementation training that complements their clinical training on the Neubie.  Jason's story highlights the power of innovation, technology, and the right coaching to take a clinic from good to great. Ready to follow in his footsteps?  

This is another episode where we get to share other, complementary technologies that are working well in the field. My guest, Dr. Scott Dickenson, is the physical therapist who created NecksLevel. His journey began with frustration, when he realized there weren't any good ways to reliably load neck exercises during rehabilitation. After lots of thought and many iterations, he finally launched his product and company. In this episode, you'll hear:   What NecksLevel is and how it allows clinicians to reliably load neck rehabilitation exercises; Scott's entrepreneurial journey and how he transitioned out of the clinic to lead his company;  How his product ended up becoming one of Patrick Mahomes' go-to products and made an appearance on the Netflix documentary, Quarterbacks.  If you've ever been frustrated by the limitations of current neck rehab tools or are just curious about innovative therapies, this episode offers valuable insights from a clinician-turned-inventor who's changing the game.  

In this episode, I sit down with Carolyn Barnwell, a documentary filmmaker turned Stress Resilience Coach, who has dedicated herself to helping people process trauma through body-based approaches. After witnessing profound trauma in her career, Carolyn turned to Tension and Trauma Releasing Exercises (T.R.E.), a method she's been using for 18 years to reset the nervous system by inducing natural tremors. Carolyn shares the science behind 'neurogenic tremors' and how they help humans and other mammals release the effects of stress and trauma. You'll learn: Why stress and trauma are stored in the body and why traditional talk therapy may not be enough How tremoring works neurologically to help the body process stress and trauma The strategic use of T.R.E. to induce tremors and promote healing How T.R.E. has helped people struggling with PTSD, chronic pain, and other challenges Carolyn's personal journey from documentary filmmaker to Stress Resilience Coach Join us to explore how the body's natural mechanisms can promote healing and resilience, and discover how Carolyn is helping others 'Shake Away Stress' in her powerful work.  

In this episode, Bert Massey and I dive deep into the strategies for using the Neubie to enhance sensory-motor competencies across all populations—whether you're recovering from an injury, training athletes, or improving general fitness.    You'll learn: How to apply the principles of Postural Restoration Institute (P.R.I.) in training Specific Neubie pad placements for enhancing movement in each plane of motion How to approach injuries, general fitness, and athletic performance The crucial role of the ribs in efficient movement And more…   These practical insights and actionable techniques can transform your approach to training, no matter where you or your clients are on their fitness journey.  

Dr. Pat Davidson joins us to discuss the fine details of exercise science and how to effectively implement these concepts into training routine. Dr. Davidson offers a masterclass in classifying exercises and using that information to optimize workouts, providing listeners with actionable strategies to improve fitness outcomes. This episode is packed with valuable information that can help you train smarter and more effectively. We cover: Dr. Pat's "7 Pillar" system for categorizing all possible exercises How exercise selection can be as precise as a physician prescribing medication, and the ways Dr. Pat's system allows us to choose the right "medicine" every single time How breathing is a microcosm of whole body movement and the ways we can use breathing to affect movement everywhere else Reducing subjectivity in evaluating movement by using objective standards How to approach working with general populations, athletic populations, and special populations   If you want to understand movement at a deeper level, this episode is for you!   You can learn more about Dr. Pat Davidson on Instagram @dr.patdavidson. And you can view the "Grand Unified Theory" paper he mentions at https://pubmed.ncbi.nlm.nih.gov/26725372/