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• Joe Gambino
• Joe LaVacca

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Summary
In this episode, Joe Gambino and Joe LaVacca discuss the topic of squats and whether they are bad for the knees. They start by sharing their experiences of watching football and their morning routines. They then introduce themselves and their podcast, Beyond Pain. The conversation shifts to the question of when someone should be concerned about their pain and seek professional help. They emphasize the importance of addressing pain that affects daily activities and quality of life. The main topic of squats and knee health is then explored, with both hosts expressing their belief that squats are not inherently bad for the knees. They discuss the importance of progressive overload and adapting tissues to load, as well as the role of fear avoidance and self-confidence in managing pain. They conclude by encouraging listeners to not be fearful of pain and to let pain guide their dosage and ability guide their treatment.

Takeaways
Address pain that affects daily activities and quality of life.

Squats are not inherently bad for the knees, but modifications may be necessary depending on individual circumstances.

Progressive overload and tissue adaptation are important for managing knee health.

Fear avoidance and low self-confidence can contribute to chronic pain.

Let pain guide dosage and ability guide treatment.

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• Joe Gambino
• Joe LaVacca

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Summary
In this episode, Joe Gambino and Joe LaVacca discuss patellofemoral pain, also known as anterior knee pain. They compare it to low back pain in terms of its complexity and the need for a management approach rather than a fix. They explore the importance of ruling out other diagnoses and focusing on allowing the knee to load better. They also discuss strategies for managing pain during running and other activities, including cadence adjustments and modifying workouts.

Takeaways
Patellofemoral pain is similar to low back pain in terms of its complexity and the need for a management approach.

It is important to rule out other diagnoses before diagnosing patellofemoral pain.

Allowing the knee to load better is a key aspect of treatment.

Pain management during running and other activities can involve adjusting cadence and modifying workouts.

The goal is to give the body the tools to reduce the likelihood of pain and re-injury, rather than aiming for a complete fix.

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• Joe Gambino
• Joe LaVacca

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Summary
In this episode, Joe Gambino and Joe LaVacca discuss the importance of mobility and strength work in relation to golf and other sports. They emphasize the need for movement variability and building a strong foundation to improve performance. They also address the common tendency to compare oneself to professional athletes and highlight the importance of individuality and focusing on one's own unique movement signature. The hosts stress the significance of basics and consistency in training, as well as the role of pain and how it can affect movement. They share personal anecdotes and examples to illustrate their points.

Takeaways
Movement variability is important for skilled movement in sports.

Comparing oneself to professional athletes may not be helpful as they are outliers and have unique movement signatures.

Focusing on basics and building a strong foundation is crucial for improving performance.

Consistency in training and addressing pain are key factors in achieving optimal movement and performance.

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• Joe Gambino
• Joe LaVacca

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Summary
In this episode, Joe Gambino and Joe LaVacca discuss when to push and when to pull back in training, particularly in relation to pain. They emphasize the importance of tolerable pain, maintaining form, and monitoring how pain resolves after a workout. They also discuss the concept of hypermobility and provide a test to determine if someone falls on the hypermobility spectrum. They caution against excessive stretching for hypermobile individuals and suggest focusing on strength training and end-range control exercises instead. They highlight the need to tie progress to specific goals or activities to assess improvement.

Takeaways
When training, it is important to listen to your body and determine when to push and when to pull back based on tolerable pain and maintaining form.

Pain resolution after a workout can be a good indicator of whether you pushed too hard or if your training was appropriate.

Hypermobility is a spectrum that can be determined through a series of tests, and excessive stretching is not recommended for hypermobile individuals.

For hypermobile individuals, focusing on strength training and end-range control exercises can be more beneficial than stretching.

Progress should be tied to specific goals or activities to assess improvement.

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• Joe Gambino
• Joe LaVacca

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Summary

In this episode, Joe Gambino and Joe LaVacca discuss mobility work for individuals with hypermobility and debunk common myths about posture. They emphasize the importance of individualized approaches to mobility work and the need to address soft tissue work and interoception for hypermobile clients. They also challenge the idea of a universally correct posture and highlight the limitations of accurately assessing posture. Lastly, they emphasize that posture is not the sole cause of pain and that changing positions and breaking up long periods of sitting can help alleviate discomfort.

Takeaways

• Individualized approaches to mobility work are important for individuals with hypermobility.
• Soft tissue work and interoception can be beneficial for hypermobile clients.
• There is no universally correct posture, and accurately assessing posture is challenging.
• Posture is not the sole cause of pain, and changing positions and breaking up long periods of sitting can help alleviate discomfort.

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• Joe Gambino
• Joe LaVacca

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Summary
Grayson Strange, owner of Basis Health and Performance, shares his journey from CrossFit to weightlifting to functional range conditioning. He discusses the challenges of training and the injuries he has experienced, including a torn AC joint, broken wrist, and partial MCL tear.

Grayson emphasizes the importance of finding alternative approaches to recovery and rehabilitation, rather than resigning to the belief that injuries will never heal. He highlights the need for awareness of different options and perspectives in order to overcome pain and injury. In this conversation, Grayson Strange discusses the integration of FRC principles with strength training and how to navigate pain and intensity. He emphasizes the importance of individualization and paying attention to the body's sensations. Grayson also highlights the need for grace and flexibility in training and the value of starting with small amounts of mobility work.

He shares his approach to blending traditional strength training with the internal strength model of FRC, focusing on joint-specific training and minimal volume. Grayson encourages listeners to reach out for help and find a balance that works for them.

Takeaways
Training can sometimes lead to injuries and make the body feel fragile and vulnerable.

Finding alternative approaches to recovery and rehabilitation is crucial for overcoming injuries.

Having awareness of different options and perspectives is important in the journey to healing.

Believing that injuries can heal and seeking out the right methods and practices can lead to successful recovery. Individualization is key when integrating FRC principles with strength training.

Paying attention to the body's sensations and navigating pain are crucial for progress.

Starting with small amounts of mobility work can make a significant difference.

Balancing traditional strength training with the internal strength model of FRC involves focusing on joint-specific training and minimal volume.

Finding a balance that works for you and giving yourself grace in training is important.

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• Joe Gambino
• Joe LaVacca

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Summary
In this episode of the Beyond Pain podcast, host Joe LaVacca interviews Dr. Michael Ray, a chiropractor and clinical scientist specializing in pain. They discuss various topics related to pain, including their love for coffee, what they are currently reading, watching, and listening to, and their personal experiences with pain.

Dr. Ray shares his journey from experiencing chronic neck pain to becoming a clinician and researcher in the field of pain. He emphasizes the importance of helping individuals make sense of their pain narratives and the limitations of the biomedical model in understanding and managing chronic pain.

In this conversation, Michael Ray discusses the challenges of studying interventions for pain management and the impact of narratives on pain experiences. He also shares the findings of his study on chronic pain and mortality, highlighting the need to address social determinants of health and provide equitable access to healthcare. Michael emphasizes the importance of understanding that individuals with chronic pain are not broken and that there are ways to cope and improve responses to pain.

Takeaways:
Dr. Michael Ray shares his personal experiences with chronic neck pain and how it influenced his journey to becoming a clinician and researcher in the field of pain.

He emphasizes the importance of helping individuals make sense of their pain narratives and expanding the understanding of pain beyond the biomedical model.

Dr. Ray discusses the limitations of the biomedical model in explaining and managing chronic pain and the need for a more comprehensive approach.

He highlights the role of open-ended questions and collaboration in understanding and addressing individuals' pain experiences. Studying interventions for pain management is challenging due to the complexity of pain experiences and the inability to isolate active ingredients like in drug trials.

Narratives and language used in healthcare can have a significant impact on pain experiences and individuals' ability to cope with and respond to pain.

A study on chronic pain and mortality found that individuals with chronic pain and high impact chronic pain had elevated mortality rates compared to the general population.

Addressing social determinants of health and providing equitable access to healthcare are crucial in improving outcomes for individuals with chronic pain.

It is important to understand that individuals with chronic pain are not broken and that there are ways to cope and improve responses to pain.

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• Joe Gambino
• Joe LaVacca

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Summary
In this episode, Joe Gambino and Joe LaVacca discuss the myths and misconceptions surrounding manual therapy. They highlight that manual therapy is not about putting the body back into alignment or breaking up scar tissue, but rather about building trust and creating a therapeutic alliance. They emphasize the importance of test-retest strategies and individualized assessments to determine the effectiveness of manual therapy. They also discuss the benefits of foam rolling and self-myofascial release for unstable clients. Overall, they encourage clients to question the narrative around manual therapy and seek multiple opinions if necessary.

Takeaways
Manual therapy is not about putting the body back into alignment or breaking up scar tissue, but rather about building trust and creating a therapeutic alliance.

Test-retest strategies and individualized assessments are important to determine the effectiveness of manual therapy.

Foam rolling and self-myofascial release can be beneficial for unstable clients.

Clients should question the narrative around manual therapy and seek multiple opinions if necessary.