Hip replacement at 36 and back to competitive powerlifting - Dr. Brett Scott and coach Tony Bonvechio break down what surgery, rehab, and smarter training really look like.



Takeaways

 * Tony Bonvecchio had a hip replacement at 36 years old.

 * He transitioned from baseball to powerlifting, leading to hip issues.

 * Conservative management of hip pain was initially attempted.

 * Imaging revealed significant degenerative changes in his hip.

 * Post-surgery, he experienced a positive recovery and return to training.

 * Listening to one's body is crucial in managing pain and performance.

 * Training adjustments can help maintain fitness while dealing with injuries.

 * The importance of having a supportive medical team is emphasized.

 * Younger individuals can benefit from timely surgical interventions.

 * Pain management and performance are complex and require careful consideration.

Chapters:

00:00- Introduction to Tony Bonvecchio's Journey

02:12- The Path to Powerlifting and Hip Issues

10:11- The Decision for Hip Replacement Surgery

21:02- Post-Surgery Reflections and Recovery

33:45- The Importance of Timely Surgical Intervention

37:29- Navigating Change in Coaching and Treatment

39:13- Post-Surgery Recovery and Limitations

41:09- Adjusting Techniques and Overcoming Pain

44:59- The Importance of Technique in Strength Sports

52:29- Returning to Recreational Sports Safely

56:33- Setting Realistic Expectations in Coaching

01:01:40- The Value of Experience in Recovery

01:04:13- Exploring Surgical Options for Hip Issues



Hip Replacement at 36: Back to Competitive Powerlifting with Tony Bonvechio

Dr. Brett Scott sits down with pro ultrarunner Ryan Montgomery to explore the mindset, physiology, fueling strategy, and extreme demands behind racing 100 miles competitively.

Takeaways

 * Ryan Montgomery is a professional ultra marathon runner.

 * His journey into ultra running began with a high school marathon challenge.

 * Key experiences shaped his understanding of mental and physical limits.

 * Ultra running is seen as a playground for mental performance.

 * Curiosity drives Ryan's approach to ultra running.

 * Post-race recovery involves significant physical and hormonal challenges.

 * Nutrition strategies during races often include unconventional choices like soda.

 * Aid station efficiency is critical for competitive performance.

 * Self-regulation of pace is essential in ultra running.

 * Fear can negatively impact performance in endurance sports. Embracing challenges leads to better performance.

 * Mental fortitude is key in ultra running.

 * Trusting your body can unlock hidden potential.

 * Training specificity is crucial for race success.

 * Heat adaptation improves performance in extreme conditions.

 * Nutrition should be familiar and simple before races.

 * Gut health plays a significant role in athletic performance.

 * Tracking recovery can enhance training outcomes.

 * Gradual progression in distance is important for new runners.

 * All shoes are generally fine; comfort is key.

Chapters

00:00- Introduction to Ultra Running and Ryan Montgomery

01:36- Catalysts for Becoming an Ultra Runner

05:16- First Experiences with 100-Mile Races

06:38- The Draw of Ultra Running

10:15- The Primal Connection to Running

13:30- Post-Race Recovery and Hormonal Effects

16:45- Nutrition Strategies During Races

20:28- Aid Station Efficiency and Strategy

26:02- Pacing and Self-Regulation in Ultra Running

30:22- Performance Metrics and Competitive Landscape

32:07- Fear and Mental Training in Ultra Running

33:03- Embracing Challenges in Ultra Running

35:23- Mental Fortitude and Trusting Your Body

39:15- Training Specificity and Heat Adaptation

45:13- Nutrition Strategies for Race Day

51:13- Gut Health and Performance

52:21- Tracking Progress and Recovery

59:24- Encouragement for Aspiring Ultra Runners



What Makes Someone Run 100 Miles? The Mind, Body, and Madness of Ultramarathon Racing

Dr. Brett Scott sits down with physiotherapist and strength coach Jared Maynard to unpack surviving a near-fatal autoimmune condition, navigating progressive vision loss, and rebuilding strength, purpose, and leadership from the ground up.

Takeaways

 * Jared's journey began with a sudden illness that escalated quickly.

 * He experienced severe symptoms leading to hospitalization.

 * The diagnosis of HLH was a turning point in his health crisis.

 * Life support was a critical phase in his recovery process.

 * Jared's physical fitness prior to illness played a crucial role in his survival.

 * Rehabilitation involved relearning basic physical functions.

 * Support from family and friends was vital during his recovery.

 * Jared returned to powerlifting, achieving personal records after recovery.

 * His experience highlights the importance of resilience and determination.

 * Jared continues to face challenges with vision loss post-recovery. Choroideremia affects one in a hundred thousand people, primarily men.

 * Night blindness is often the first symptom of choroideremia.

 * The diagnosis of legal blindness can come unexpectedly and disrupt life plans.

 * Adapting to vision loss involves both practical changes and emotional processing.

 * Public perception of blindness can lead to misunderstandings and assumptions.

 * Using assistive technology, like a white cane, can be emotionally heavy.

 * Empathy from others who have faced similar struggles can provide comfort.

 * Blindness is not a binary condition; it exists on a spectrum.

 * The journey of adapting to a disability is ongoing and complex.

 * Maintaining hope and purpose is crucial in the face of chronic illness. Pain is subjective and cannot be judged by others.

 * Empathy is crucial in supporting those who are suffering.

 * Sitting with someone in their pain can be more helpful than offering solutions.

 * Misdiagnosis in healthcare can lead to prolonged suffering.

 * Life perspectives change significantly after experiencing near-death situations.

 * Memento Mori serves as a reminder to live fully and appreciate life.

 * The mundane aspects of life can distract from what truly matters.

 * Memories and experiences are invaluable, even if they come with pain.

 * Singing and creative expression can help process emotions.

 * It's important to enjoy life while we have it.

Chapters

00:00- Introduction to Jared's Journey

01:08- The Onset of Illness

03:46- The Hospitalization Experience

10:01- Diagnosis and Initial Treatment

12:11- Life Support and the Fight for Survival

17:58- The Road to Recovery

24:05- Rehabilitation and Rebuilding Strength

30:47- Returning to Powerlifting and Life After Illness

33:34- Ongoing Challenges and Future Outlook

34:00- Understanding Choroideremia: A Personal Journey

39:04- Navigating Life with Vision Loss

44:14- The Emotional Toll of Adapting to Blindness

48:58- Facing Misunderstandings and Assumptions

56:47- The Courage to Be Seen and Fight Back

01:05:08- Understanding Pain and Empathy

01:07:00- The Importance of Sitting in Suffering

01:09:27- Navigating Misdiagnosis and Healthcare Challenges

01:11:38- Life Perspectives and the Reality of Mortality

01:15:20- Memento Mori: Living with Awareness

01:19:10- Reflections on Life After Near-Death Experiences

01:23:28- The Value of Memories and Experiences



From Life Support to Strength: Surviving HLH, Vision Loss, and the Fight to Come Back Stronger

Entrepreneurship looks glamorous online, but Dr. Brett Scott and psychologist/business coach Lauren DiCredico break down the real cost—burnout, overthinking, and relationship strain—and how high performers can actually manage it.



Takeaways:

 * Entrepreneurship is often glamorized but comes with hidden struggles.

 * Mindset issues can lead to overthinking and burnout.

 * Coaching can be more effective for high performers than traditional therapy.

 * Identifying the real problems often requires an objective perspective.

 * Personal issues often reflect in business challenges.

 * Burnout manifests as emotional exhaustion and lack of motivation.

 * Recognizing early signs of burnout is crucial for recovery.

 * Self-care is essential for maintaining business performance.

 * Mindset pressures can lead to unnecessary stress and burnout.

 * Not all entrepreneurs aspire to build million-dollar businesses. I was hesitant to even call myself a mindset coach.

 * I want to help you learn how to solve them.

 * It's really just a rinse and repeat.

 * I already know your story.

 * You need to check in.

 * It's all about communication.

 * You have to set that early.

 * It's not about the fight, it's about the recovery.

 * There's a lot of people who have problems.

 * You have to learn those skills.

Chapters

00:00- The Glamorization of Entrepreneurship

09:02- Identifying the Real Problems

20:06- Recognizing Signs of Burnout

26:15- Mindset and the Pressure to Perform

32:01- The Importance of Self-Solving

38:01- Compartmentalization in Work and Life

44:26- Stress Tolerance in Entrepreneurs



The Hidden Cost of Entrepreneurship: Burnout, Stress, and the Psychology Behind High Performance

Dr. Brett Scott and Dr. Katie Dabrowski break down why real rehab should look like smart strength training—simple, heavy, progressive, and built to make you more resilient, not fragile.

Takeaways

 * Rehab should look very similar to training.

 * Exercise is often underdosed and overcomplicated in rehab.

 * Strength training is crucial for improving quality of life.

 * Women are increasingly recognizing the importance of strength training.

 * Pain is a normal part of being human and should not be over-medicalized.

 * Healthcare professionals need to collaborate rather than compete.

 * The only exercise that matters is the one that clients will actually do.

 * Understanding pain requires a holistic approach that includes both physical and psychological factors.

 * Healthcare providers should be curious and ask more questions to improve patient care.

 * Creating long-term relationships with clients involves setting clear expectations and goals.

Chapters

00:00- Introduction and Background

01:36- The Hybrid Model of Rehab and Training

05:07- The Importance of Strength in Rehab

09:21- Changing Perspectives on Strength Training

12:24- The Role of Physicians in Rehab

14:47- Fear of Inactivity vs. Fear of Exercise

16:52- Understanding Pain and Movement

20:31- Navigating Injuries and Recovery

25:17- The Complexity of Pain Science

27:26- Understanding Pain and Functionality

29:55- The Importance of Individualized Care

32:41- Personal Experience and Patient Empathy

36:15- The Role of Curiosity in Patient Care

39:00- Collaboration in Healthcare

42:36- Bridging the Gap Between PTs and Trainers

46:33- Navigating Scope and Collaboration in Health Professions

50:08- Creating Long-Term Client Relationships



Rehab Isn’t “Exercise Light” — It’s Strength Training Done Right

Dr. Brett Scott talks with Dr. Lisa Lewis about psychology of training, motivational interviewing, and setting boundaries to stay energized as a coach.

Takeaways

 * Trainers often lack training in communication and psychology.

 * Understanding client limitations is crucial for effective coaching.

 * Motivational interviewing helps clients open up about their challenges.

 * Heart rate variability can provide insights into emotional well-being.

 * Competing demands can hinder clients' fitness goals.

 * The stages of change model is essential for guiding clients.

 * Internal motivation is more sustainable than external rewards.

 * Trainers should align fitness goals with clients' personal values.

 * Clients need encouragement during the action stage of change.

 * Relapse is a common part of the behavior change process. Intrinsic motivation is the highest level of motivation.

 * Gamification can make fitness routines more enjoyable.

 * Coaches need to understand individual client preferences.

 * Self-sabotage is a common barrier to fitness success.

 * Honesty in coaching fosters better client relationships.

 * Resistance and negativity are natural in the coaching process.

 * Burnout is prevalent in the fitness industry.

 * Irritability can be a sign of burnout.

 * Self-care is crucial for fitness professionals.

 * Setting boundaries with clients is essential for sustainability.

Chapters

00:00- Introduction to Motivation and Psychology in Fitness

03:10- Identifying Gaps in Fitness Training

06:00- Understanding Client Limitations and Communication

08:52- The Role of Motivational Interviewing

11:53- Heart Rate Variability and Emotional Well-being

15:08- Competing Demands in Client Goals

17:54- Stages of Change in Client Progress

21:03- Motivation: Internal vs. External

24:01- Developing Internal Motivation

28:21- The Power of Intrinsic Motivation

29:21- Gamification in Fitness: Making Exercise Fun

32:10- Understanding Client Barriers to Success

34:43- The Role of Honesty in Coaching Relationships

40:16- Navigating Resistance and Negativity in Coaching

44:35- Preventing Burnout in Fitness Professionals



The Psychology of Coaching: Motivation, Habit Change, and Preventing Burnout

Dr. Brett Scott sits down in-person with Dr. Keith Rode to break down shockwave therapy—how it “unsticks” chronic pain, speeds acute injury recovery, and why it’s changing what’s possible in rehab.

Takeaways

 * Shockwave therapy can help patients who have not responded to traditional treatments.

 * The technology can significantly reduce recovery time for acute injuries.

 * Shockwave therapy stimulates a healthy inflammatory response to promote healing.

 * It has a high success rate for conditions like plantar fasciitis and Achilles tendinopathy.

 * EMTT is a newer technology that complements shockwave therapy.

 * Both shockwave and EMTT can enhance athletic performance and recovery.

 * The effectiveness of shockwave therapy is supported by a growing body of research.

 * There is a need for regulation in the use of shockwave therapy devices.

 * The technology is non-invasive with minimal side effects.

 * Shockwave therapy is being explored for various conditions beyond musculoskeletal issues. The effectiveness of shockwave therapy relies on proper application and understanding.

 * Many practitioners misuse shockwave therapy, leading to poor patient outcomes.

 * Real-life patient transformations showcase the potential of shockwave therapy.

 * Education and training are crucial for practitioners using shockwave technology.

 * Shockwave therapy can help patients avoid surgeries and improve their quality of life.

 * The technology has revolutionized Brett's practice and patient care.

 * Proper technique and knowledge of the technology are essential for success.

 * Patients often experience significant improvements in strength and mobility after treatment.

 * The future of shockwave therapy looks promising for various medical conditions.

 * Brett has helped over 300 patients avoid surgery through shockwave therapy.

Chapters

00:00- Introduction to Shockwave Therapy and Its Origins

07:13- Mechanisms and Benefits of Shockwave Therapy

14:54- Applications and Effectiveness of Shockwave Therapy

22:20- Emerging Technologies: EMTT and Its Synergy with Shockwave

30:04- The Future of Shockwave Therapy and Its Regulation

35:31- Understanding Shockwave Therapy's Effectiveness

41:44- Real-Life Transformations with Shockwave Therapy

47:58- The Importance of Proper Application and Technique

54:19- The Future of Shockwave Therapy and Its Applications



Shockwave Therapy Explained: Dr. Keith Rode on Healing Faster Without Surgery

A raw, science-backed conversation on advanced maternal age, fertility myths, and why women deserve better information—not fear—when deciding if and when to have kids.

Takeaways:

 * Dr. Danielle Day reflects on her journey to motherhood at 47.

 * She emphasizes the importance of health and wellness in advanced maternal age.

 * Fertility challenges are common for women over 40, despite being healthy.

 * Misconceptions about risks associated with age in pregnancy persist.

 * Healthcare protocols often treat older mothers as high-risk without considering individual health.

 * Fitness and nutrition play a crucial role in pregnancy and postpartum recovery.

 * Breastfeeding can be challenging, especially for older mothers.

 * Community support is vital for older parents navigating parenthood.

 * The term 'geriatric pregnancy' is outdated and misleading.

 * Having children later in life can lead to increased motivation for self-care and longevity. Family building is evolving with different lenses.

 * Biology does not define family; community does.

 * Choosing the donor path can be a practical decision.

 * Understanding the donor egg process is crucial.

 * Genetic testing can provide insights but is not foolproof.

 * Age significantly impacts fertility and reproductive options.

 * Exercise plays a vital role in fertility and pregnancy health.

 * Nutrition is often overlooked in prenatal care.

 * Strength training is essential for long-term health.

 * Maintaining personal goals is important for mothers.

Chapters:

00:00- Introduction to Geriatric Pregnancy

02:49- Personal Journey: From Reluctance to Parenthood

06:01- Health and Wellness Considerations

09:14- Understanding Fertility and Age

12:07- The Impact of Lifestyle on Fertility

15:00- Navigating Medical Protocols and Guidelines

18:12- Women's Health and Fertility Issues

20:56- The Role of Healthcare Providers

24:04- Expectations vs. Reality in IVF

27:08- Conclusion and Final Thoughts

35:25- Embracing Fitness During Pregnancy

38:11- The Postpartum Journey: Recovery and Realities

40:33- Breastfeeding Challenges and Expectations

46:02- Advanced Maternal Age: Myths and Realities

54:20- Navigating Donor Conception: A Personal Journey

01:01:16- The Importance of Communication in Family Dynamics

01:04:15- Understanding Egg Freezing and IVF Processes

01:10:51- Understanding IVF and Egg Donation

01:15:36- Genetic Testing and Pregnancy Risks

01:16:05- The Role of Exercise in Fertility

01:19:18- Gestational Diabetes and Long-term Health

01:22:03- The Impact of Age and Lifestyle on Pregnancy

01:26:01- Nutrition and Healthcare Gaps

01:30:16- Personal Health and Pregnancy Experiences

01:35:55- Empowerment Through Strength Training

01:39:13- Innovations in Breastfeeding Solutions

01:42:55- Mindset and Personal Growth



Advanced Maternal Age: Fertility, Fitness, and the Truth About Having Kids Later in Life

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

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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