Dr. Brett Scott welcomes Dr. Ryan Chow of Reload Physical Therapy NYC to the Barbell Therapy Podcast to dive into modern rehab, stress and pain, and why smart training plus sustainable cardio is the real key to long-term health.

Takeaways:

 * Physical therapy should blend training and rehabilitation.

 * Individualized treatment plans are crucial for effective recovery.

 * Stress significantly impacts pain and recovery outcomes.

 * Understanding patient beliefs can enhance treatment effectiveness.

 * Nutrition plays a vital role in athletic performance and recovery.

 * Zone 2 training is essential for overall health and recovery.

 * Physical therapists often act as primary care providers for patients.

 * The medical system can be challenging for patients to navigate.

 * Pain management requires a nuanced understanding of individual experiences.

 * Building trust with patients is essential for effective treatment.

Chapters

00:00- Introduction to Physical Therapy and Coaching

02:16- The Journey from Trainer to Physical Therapist

05:23- Challenges in Traditional Physical Therapy

10:50- Understanding Patient Stories and Individual Needs

13:37- Testing Beliefs and Theories in Rehabilitation

18:01- The Connection Between Stress and Pain

20:26- Statistics on Pain and Recovery

25:26- The Role of Physical Therapists in Patient Care

30:20- Navigating the Healthcare System

35:04- The Importance of Listening and Understanding Patients

39:27- Efficiency in Rehabilitation and Patient Care

39:56- Understanding Patient Perspectives

42:01- The Importance of Zone Two Cardio

44:51- The Evolution of Cardio Training

48:58- Personal Experiences with Cardio and Strength Training

51:50- The Psychology of Running and Pain Management

58:01- Differentiating Helpful and Hurtful Pain

01:00:52- Managing High-Volume Training

01:05:04- The Complexity of Health and Fitness

01:09:01- The Multi-Dimensional Approach to Health



Good Training = Better Rehab (Why Most PT Doesn’t Work)

Dr. Brett Scott and PCOS dietitian Caitlin Johnson dive into the root causes of PCOS, its links to insulin resistance, fertility struggles, weight changes, stress, birth control, and training, plus practical nutrition and lifestyle strategies to help women manage symptoms and get pregnant.



Takeaways

 * PCOS is increasingly recognized as a common condition affecting women.

 * Diagnosis of PCOS often involves irregular cycles and signs of hyperandrogenism.

 * Genetics and lifestyle factors contribute significantly to the development of PCOS.

 * Stress management is crucial for women with PCOS due to its impact on insulin resistance.

 * Nutrition plays a vital role in managing PCOS symptoms and improving overall health.

 * Exercise, particularly strength training, is beneficial for women with PCOS.

 * Women with PCOS often face challenges in the healthcare system regarding diagnosis and treatment.

 * Insulin resistance is a key factor in PCOS and can be managed through lifestyle changes.

 * Functional medicine approaches can provide more comprehensive care for PCOS patients.

 * Awareness and advocacy are essential for women seeking help for PCOS. There are five days in a woman's cycle she can get pregnant.

 * Understanding cycle literacy is crucial for women with PCOS.

 * High protein intake helps balance blood sugar and metabolism.

 * Tracking food intake can help manage PCOS symptoms effectively.

 * Starting the day with savory foods can reduce sweet cravings.

 * Keto and intermittent fasting can improve insulin resistance but may not be sustainable for everyone.

 * Sustainability in dieting is key to long-term success.

 * Fasting can have health benefits but should be approached carefully.

 * Birth control can help manage PCOS symptoms but has risks that need to be discussed.

 * Women should be informed about the long-term effects of birth control.

Chapters

00:00- Introduction to PCOS and Its Growing Awareness

01:33- Understanding PCOS: Diagnosis and Symptoms

05:15- The Complexity of PCOS: Genetics and Lifestyle Factors

10:36- PCOS and Endometriosis: Exploring the Connection

13:28- The Prevalence of PCOS: Causes and Contributing Factors

18:29- Managing PCOS: The Role of Stress and Lifestyle Choices

24:29- Nutrition and Exercise: Finding the Right Balance

31:55- Advocating for Better Healthcare: Navigating the Medical System

34:22- Understanding Hormonal Imbalances and Diagnostics

39:00- The Importance of Comprehensive Lab Work

47:40- Addressing Insulin Resistance: Strategies and Solutions

55:24- Dietary Approaches to Manage PCOS and Insulin Resistance

01:01:59- Keto and Intermittent Fasting: Pros and Cons for PCOS

01:11:25- Gradual Changes for Sustainable Health

01:12:20- Understanding Fasting and Its Benefits

01:14:31- Cultural Perspectives on Fasting

01:19:32- The Role of Birth Control in PCOS Management

01:26:35- Informed Consent and Alternatives to Birth Control

01:31:14- The Impact of Hormonal Birth Control on Women's Health

01:34:33- Caffeine and Its Effects on Anxiety and Fertility





PCOS Made Simple: What to Eat, How to Train & What to Test

Dr. Brett Scott joins Lauren Decretico to expose what’s broken in traditional healthcare and how functional medicine, mindset, and lifestyle changes can help you take control of your health.

Takeaways:

 * Brett's journey in healthcare was influenced by personal health struggles.

 * Functional medicine offers alternative solutions to traditional healthcare.

 * Lifestyle changes, especially regarding gut health, can significantly impact well-being.

 * Exercise is crucial for health, yet often overlooked by traditional doctors.

 * Understanding the difference between structure and function is vital in treatment.

 * Patients should advocate for themselves in healthcare settings.

 * Financial investment in health can prevent future medical costs.

 * Therapy should be tailored to individual needs and not just a one-size-fits-all approach.

 * There are many misconceptions in healthcare that need to be addressed.

 * The future of healthcare is leaning towards more holistic and alternative methods.



Chapters:

00:00- Introduction to Health Optimization

01:15- Brett's Journey in Healthcare

04:51- Lifestyle Changes and Personal Growth

08:32- The Role of Personal Experience in Treatment

11:52- Understanding Structure vs. Function in Healthcare

15:57- The Importance of Time in Patient Care

17:51- Advocating for Yourself in Healthcare

20:14- Exploring Alternative Treatments

23:39- The Financial Aspect of Health Investments

31:33- Navigating Nutritional Choices

42:15- The Importance of Listening in Healthcare

44:56- Exploring Alternatives to Surgery

46:11- Understanding Healthcare Costs and Insurance

49:46- The Role of Preventative Care in Health

53:06- The Evolution of Therapy and Mental Health

01:00:53- Integrating Therapy with Practical Life Skills

Misdiagnosed to Mission-Driven: Rethinking Health Care with Brett & Lauren

Dr. Brett Scott talks with vestibular & neuroclinical specialist and professor Dr. Naseem Chatiwala about concussion myths, why head impact isn’t required, early active recovery, cervical–vestibular links, HRV/Buffalo testing, red flags for parents, and dose-wise strategies for a safer return to school and sport.

Takeaways:

 * Concussions can occur without direct head contact.

 * Active management is crucial for lingering concussion symptoms.

 * Early treatment leads to better long-term outcomes.

 * Neck stability is essential for effective vestibular therapy.

 * Concussions can lead to a variety of symptoms beyond headaches.

 * Parents should monitor children closely after any head trauma.

 * Nutrition plays a vital role in brain recovery post-concussion.

 * Quality of life can improve significantly with targeted therapy.

 * Understanding the dosage of activity is key in recovery.

 * The vestibular and visual systems are closely linked in concussion management.

Chapters

00:00- Introduction to Concussions and Their Management

02:27- Understanding Concussion Symptoms and Recovery

05:00- The Myths of Concussions

07:56- Active Recovery and Symptom Management

10:35- The Role of Neck Health in Concussion Recovery

12:23- Vestibular and Visual System Interactions

16:33- Long-term Effects of Concussions

20:38- Signs for Medical Attention Post-Concussion

23:52- Modern Approaches to Concussion Management

27:18- Understanding Concussions and Their Impact

30:37- Complex Symptoms of Concussions

33:24- Heart Rate Variability and Concussion Recovery

38:54- The Importance of Dosage in Recovery

44:09- Quality of Life and Long-term Recovery

47:09- Nutrition's Role in Concussion Recovery

Explore concussions with Dr. Naseem Chatiwala—signs, management, and return to play.

Dr. Brett Scott talks with Tony Gentilcore on keeping training simple, smart, and sustainable with barbells, psychology, and practical coaching.



Takeaways:

 * Simplicity in training can lead to success.

 * Barbells and dumbbells are effective tools for strength training.

 * Understanding pain and movement is crucial for trainers.

 * Experience plays a significant role in coaching effectiveness.

 * Motivation is key to client success in fitness.

 * Clients appreciate autonomy and choice in their training.

 * Navigating pain and injury requires a thoughtful approach.

 * Saying 'I don't know' can build trust with clients.

 * Coaches should focus on the holistic well-being of clients.

 * Work-life balance is essential for long-term success in coaching.

Chapters

00:00- Introduction to Strength Training and Coaching

02:55- The Evolution of Tony's Training Facility

06:05- Simplicity in Training: The Power of Basic Equipment

09:07- Understanding Deadlifting Techniques and Back Safety

12:00- The Nuances of Pain and Movement in Training

17:53- Modifying Training for Pain Management

23:58- Teaching Clients to Self-Load and Understand Their Bodies

36:22- Understanding Client Motivation and RPE

41:45- The Role of Autonomy in Training

48:06- The Importance of Listening and Communication

56:06- Navigating Client Frustrations and Expectations

59:51- The Power of Saying 'I Don't Know'

The Power of Keeping Training Simple

Dr. Brett Scott sits down with Dr. Frank Benedetto to unpack broken healthcare incentives and cash-vs-insurance realities, nocebo/placebo language, habits-first care (zone 2, VO₂max, strength), CGMs and fasting, shockwave misconceptions, and how his Honey Badgers incubator helps clinicians build mission-driven practices.Takeaways:

 * Frank's journey from PT to healthcare innovator.
 * The broken incentives in the healthcare system.
 * Chronic illness is profitable for the healthcare system.
 * Education in PT schools often lacks practical application.
 * Habits are crucial for managing chronic diseases.
 * Identity statements can hinder patient recovery.
 * Surgeons often have inflated self-perceptions.
 * Communication skills are lacking in healthcare education.
 * The placebo effect can be a powerful tool in treatment.
 * Continuous care is essential for long-term health.
 * Preventative measures can reduce chronic disease risk.
 * Biohacking trends can distract from fundamental health practices.
 * Nutrition advice is often conflicting and confusing.
 * Fasting has potential health benefits.
 * Continuous glucose monitoring can provide valuable insights.
 * Emotional eating is a significant issue in America.
 * The healthcare insurance model needs disruption.
 * Niche practices can better serve specific patient needs.



Chapters

00:00- Introduction to Healthcare Innovation

02:55- The Cash vs. Insurance Dilemma

06:09- The Broken Healthcare System

09:07- Education and Training in Healthcare

12:08- The Role of Identity in Health

14:56- Communication and the Placebo Effect

17:51- Surgeons and Patient Perception

21:04- The Importance of Positive Reinforcement

23:51- Innovation in Treatment Approaches

29:30- Reimagining Patient Discharge and Ongoing Care

30:59- The Intersection of Chronic Pain and Chronic Disease

32:43- The Role of Movement in Preventative Health

34:51- Navigating Health Influencers and Information

38:05- The Balance of Biohacking and Fundamental Health Practices

40:320- Understanding Food Choices and Nutritional Myths

44:40- The Psychological Aspects of Eating and Fasting

54:58- Understanding Blood Sugar and Continuous Glucose Monitoring

01:02:24- The Impact of Blood Sugar on Overall Health

01:04:01- The Future of Healthcare and Insurance Models

01:10:16- Niche Practices in Healthcare and Business Innovation

Redefining the Sick Care System

Dr. Brett Scott sits down with applied sports scientist Tim Gabbett (30+ yrs, 300+ papers) to unpack acute vs chronic load, progressive overload, training vs competition balance, youth vs pro demands, rehab (local vs global capacity), deloads, soreness, and smarter monitoring.



Takeaways

 * Tim Gabbitt emphasizes the need for quantifying training loads to ensure effective progression.

 * A well-structured training program is essential for injury prevention and performance enhancement.

 * Understanding acute and chronic workloads helps in managing training intensity and recovery.

 * Soreness can be a normal part of training adaptation, as long as recovery occurs within expected time frames.

 * Balancing local tissue capacity with sport-specific loading is crucial for injury prevention.

 * Strength training is important for all athletes, including endurance runners.

 * The minimum effective dose for maintaining endurance can be as little as one session per week.

 * Deloading strategies should be individualized and not overly frequent or prolonged.

 * Technology can aid in monitoring training loads, but athletes should also listen to their bodies.

 * Creating a supportive training environment is key to athlete success.



Chapters

00:00- Introduction to High Performance and Injury Prevention

02:56- The Importance of Quantifying Training Loads

06:08- Understanding Acute and Chronic Workloads

08:58- Balancing Load and Response in Training

12:05- The Role of Soreness in Performance

14:59- Rehabilitation Principles for Injured Athletes

18:01- Local vs. Global Capacity in Training

21:03- Strength Training for Injury Prevention

23:52- The Importance of Context in Training Loads

40:33- Tissue Adaptation and Injury Prevention

43:41- Strength Training for Runners

46:45- Finding the Minimum Effective Dose

53:43- Rethinking Deloading Strategies

01:01:09- The Role of RPE and Auto-Regulation

01:04:07- The Impact of Fitness Trackers

01:07:09- Coaching Challenges in Athlete Management



Tim Gabbett on Load Management

Dr. Brett Scott talks with strength coach Jason Feairheller about what truly makes athletes fast—blending cognitive reaction with physical capacity—covering multidirectional power, change-of-direction mechanics, smart drill progressions, strength pairing, rehab considerations, and practical programming.

Takeaways:

 * Speed involves both cognitive ability and physical capacity.

 * Genetics can influence top-end speed but not overall performance.

 * Cognitive training can improve an athlete's reaction time.

 * Injury prevention strategies are essential in speed training.

 * Mobility and coordination are critical for effective speed training.

 * Reactive drills should be a significant part of training.

 * Strength training should complement speed work for optimal performance.

 * Understanding movement mechanics is vital for injury prevention.

 * Athletes should be assessed through every drill they perform.

 * A structured training program is necessary for improving speed and agility.

Chapters

00:00- Introduction to Speed and Agility Training

01:18- Understanding Speed: Cognitive and Physical Components

06:40- The Role of Genetics in Athletic Performance

11:20- Training Speed: Cognitive vs. Physical Strength

16:30- Injury Prevention and Speed Training

19:25- Categorizing Speed and Agility Drills

27:00- Coordination, Mobility, and Performance

30:39- Understanding Movement Mechanics

32:46- Mental Readiness in Athletic Performance

36:53- Reactive Training for Speed and Agility

40:46- Structuring Speed and Strength Training

46:31- Integrating Olympic Lifting for Multi-Directional Athletes

52:42- Injury Prevention through Movement Mechanics

Cognition Meets Speed and Agility

Dr. Brett Scott and Meghan Callaway dive into the 3 E’s of coaching, pull-ups, and building results that last.



TAKEAWAYS:

 * Education leads to empowerment and excitement in training.

 * Fundamentals are key to achieving consistent results.

 * Social media can mislead people about fitness goals.

 * Performance-based goals are more empowering than aesthetic goals.

 * Bodybuilding can lead to unhealthy behaviors and mindsets.

 * Calisthenics requires a focus on technique and control.

 * Muscle-ups require a high pull and proper transition technique.

 * Variety in training keeps clients engaged and motivated.

 * Sustainability in fitness comes from understanding and mastering basics.

 * Education helps clients trust the process and stick to their goals. The hybrid or false grip allows for a fluid transition in muscle ups.

 * Strict muscle ups can be achieved with practice and the right technique.

 * Injury recovery requires patience and relearning fundamental movements.

 * Medical professionals can sometimes provide misleading advice regarding injuries.

 * Strength training is essential for maintaining health as we age.

 * Calisthenics offers unique benefits that complement traditional weightlifting.

 * Finding the right gym equipment is crucial for effective training.

 * Body control is a key component in performing advanced movements like muscle ups.

 * It's important to focus on safe training practices to prevent injuries.

 * A balanced approach to fitness includes both calisthenics and weight training.



Chapters

00:00- Introduction to Coaching Philosophy

01:01- The Three E's of Coaching

06:49- Social Media's Impact on Fitness

09:36- Empowerment Through Training

13:30- The Dangers of Bodybuilding Competitions

18:44- Focusing on Performance Over Aesthetics

25:32- The Importance of Education in Training

26:08- Megan's Journey into Calisthenics

30:01- Mastering Muscle-Ups: Techniques and Progressions

36:01- The Importance of Pull Height and Transition Strength

42:10- Injury Recovery and Muscle-Up Technique

54:58- From In-Person Coaching to Online Training

56:51- The Frustration of Misinformation in Healthcare

59:05- The Impact of Misdiagnosis on Health

01:01:25- The Importance of Strength Training

01:03:06- Understanding Body Mechanics

01:06:04- The Role of Coaches in Injury Prevention

01:09:17- The Benefits of Calisthenics

01:12:57- Hybrid Training Approaches

01:19:59- Closing Thoughts and Resources

Real progress is built on fundamentals, not passing trends.

Dr. Brett Scott talks with Dr. Edgar Belanis and NP Christina Knight of Dynamic Evolutions about PRP, umbilical cord stem cells, IV therapies, and functional medicine for natural healing and wellness.

TAKEAWAYS:

 * Dynamic Evolutions offers a range of services including PRP and stem cell therapy.

 * PRP is derived from the patient's own blood and has healing properties.

 * Stem cells can be harvested from umbilical cords, providing high-quality treatment options.

 * Functional medicine focuses on treating the whole person, not just symptoms.

 * Patient success stories highlight the effectiveness of their treatments.

 * Quality and source of stem cells are crucial for effective therapy.

 * Stem cell therapy can help reduce reliance on pain medications.

 * Integrating Eastern and Western medicine can enhance patient care.

 * Aesthetic treatments can be approached with natural alternatives.

 * Lifestyle changes play a significant role in overall health.

Chapters:

00:00- Introduction to Dynamic Evolutions and Services Offered

03:09- Understanding PRP and Stem Cell Therapy

05:57- Quality and Source of Stem Cells

09:12- Functional Medicine Approach to Health

12:05- Patient Experiences and Success Stories

15:06- Navigating Stem Cell Treatment Options

17:50- Safety and Side Effects of Stem Cell Therapy

21:05- Comparing Stem Cell Sources

23:51- Personal Experiences with Stem Cell Treatment

27:10- Cost Considerations and Alternatives to Surgery

30:04- Final Thoughts on Stem Cell Therapy and Surgery

37:25- The Stem Cell Debate

41:28- Exploring Alternative Therapies

46:37- Innovations in Healing Technologies

52:46- Understanding Energy Medicine

58:56- Balancing Modern Aesthetics and Health

Natural, stem-cell aesthetic rejuvenation

Doctor of Physical Therapy and strength coach Brett Scott sits down with the top experts in the fields of rehab, fitness, and performance to give listeners the latest and most valuable information to keep you at the top of your game. Whether you are a coach, clinician, or fitness junkie this podcast is for you.

Brett Scott

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