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Lift Free And Diet Hard with Andrew Coates

#343 Adam Meakins - Physical Therapy and Rehab: Separating Evidence Based Practice From Pseudoscience

Mar 4, 2025
54:52

Adam Meakins is a physical therapist on a mission to upgrade the rehab industry by separating overhyped and sometimes outright dangerous practices from the things that work to help people return to their lives and favourite activities. 


In this episode, Adam:

  • Picks apart a lot of the “silly bullshit” physical therapists practice.
  • Explains why there isn’t as much of a relationships between form and injury risk as we’ve traditionally believed.
  • Explains the limitations, myths, and appropriate use of various passive treatments like cupping, dry needling, and shockwave.
  • Addresses the problems with chiropractic adjustments.
  • Talks about “bullshit diagnosis” like anterior pelvic tilt and trigger points.
  • Explains what’s likely going on with back pain and how to manage it.
  • What actually works to help people feel better. 
  • And much more


00:43 Debunking Passive Physio Methods

01:42 The Problem with Over-Treatment

03:19 Active vs. Passive Interventions

05:02 Patient Expectations and Challenges

07:32 Understanding Regression to the Mean

10:02 The Myth of Chiropractic Adjustments

11:24 The Reality of Cupping and Scraping

22:22 Acupuncture and Dry Needling Explained

26:20 Debunking Muscular Imbalances

29:39 Debunking the Myth of Leg Length Differences

31:51 The Body's Adaptability to Changes

33:22 Personal Experiences with Pain and Movement

34:31 Exploring Movement Variations

36:53 Form and Injury Risk in Training

41:34 Injury Rates in Different Sports

48:46 The Importance of Recovery and Mindset

51:02 Final Thoughts and Resources


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