The Barbell Therapy & Performance Podcast

Dr. Brett Scott
undefined
Jun 20, 2025 • 56min

Sports Recovery with PRP, Stem Cells

Tune in as Dr. Brett and Dr. Sussman break down PRP, stem cells, and cutting-edge sports medicine.TAKEAWAYS:Dr. Sussman emphasizes a comprehensive approach to musculoskeletal care.85% of musculoskeletal issues can be treated non-surgically.Cortisone injections can provide temporary relief but may have long-term consequences.PRP is a concentration of platelets used to initiate healing.Stem cell therapy is regulated and can offer longer relief than PRP.Prolotherapy uses irritants to stimulate a healing response.Hydrodissection can help relieve nerve entrapment.Ultrasound-guided procedures can significantly reduce recovery time.Accurate diagnosis is crucial for effective treatment planning.Innovative treatments are reshaping the landscape of orthopedic care.Chapters00:00- Introduction to Dr. Walter Sussman and His Expertise01:53- Comprehensive Musculoskeletal Care vs. Traditional Orthopedics03:13- Innovative Procedures in Musculoskeletal Treatment08:00- Understanding Cortisone Injections and Their Role10:49- Exploring PRP: Uses and Benefits17:55- The Nuances of PRP and Insurance Coverage25:38- PRP for Joint Issues and Dosing Considerations28:27- Exploring Shockwave Therapy and PRP28:54- Understanding Stem Cell Therapy30:17- Regulations and Indications for Stem Cells31:10- Comparing PRP and Stem Cell Treatments35:03- Prolo Therapy: An Alternative Approach36:55- Hydro Dissection: A New Technique42:23- Ultrasound-Guided Mini Surgical Procedures48:34- Innovations in Orthopedic Treatments
undefined
Jun 11, 2025 • 1h 1min

Strength Goals, Real Results Podcast

Tune in as powerlifting coach Jessie Burdick joins Dr. Brett Scott to share her journey from self-doubt to strength, building a gym mid-pandemic, and why powerlifting is for everyone.TAKEAWAYS:Jess started powerlifting in her late twenties after being encouraged by a friend.She opened her gym during the pandemic, initially in a small office space.The difference between strength coaching for teams and powerlifting coaching lies in the consistency and commitment of clients.Powerlifting allows for more freedom and personal growth compared to coaching athletes.Jess emphasizes the importance of mindset and self-acceptance in powerlifting.She believes that everyone deserves to compete, regardless of their strength level.Powerlifting has helped Jess overcome anxiety and depression.The sport is about personal growth and enjoyment, not just competition.Jess encourages newcomers to focus on their own journey rather than comparing themselves to others.The pressures of elite competition can be overwhelming, and it's important to maintain a realistic perspective. Younger coaches often promise unrealistic results to athletes.Success in powerlifting comes from lifestyle choices, not just programs.Cutting weight should only be a factor at the national level.Powerlifting is accessible for beginners and has a low barrier to entry.Injuries in powerlifting often result from carelessness, not the lifts themselves.The community of powerlifting is evolving with younger participants.Inclusivity is essential in the powerlifting community.Long-term commitment to the sport is more valuable than short-term success.Older athletes often show more dedication and resilience in training.The perception of powerlifting as dangerous is often exaggerated.CHAPTERS:00:00- Introduction to Powerlifting and Coaching Journey05:55- Starting a Gym: Challenges and Triumphs12:00- Navigating the Coaching Landscape18:01- Overcoming Fear and Judgment in Powerlifting24:09- The Pressure of Elite Competition33:04- The Reality of Coaching Young Athletes48:31- Building a Supportive Powerlifting Community
undefined
Jun 2, 2025 • 1h 15min

Improving Performance with Better Breathing

Dr. Brett Scott sits down with strength coach and PRI expert Miguel Aragoncillo to break down the real science behind movement, posture, and power—from MLB pitching to everyday athletes.Ditch the balloon myths. Tune in for actionable insight on breathing, rotation, and building resilient bodies.Hit play. Expand your lens. Train smarter.TAKEAWAYS:-PRI incorporates neuroscience into strength conditioning.-Breathing techniques can enhance athletic performance.-Posture is dynamic and affects movement patterns.-Rib cage mobility is crucial for effective breathing.-Common faults in athletes can be corrected with PRI.-Improving range of motion can lead to better performance.-PRI can be integrated with massage therapy for better outcomes.-Not everyone may need PRI, but it can benefit many.-Specific conditions may require tailored PRI approaches.-Understanding the relationship between muscles and nerves is essential. Mobility assessments are crucial for understanding functionality.-PRI techniques can seamlessly integrate into strength conditioning.-Runners need to learn efficient movement patterns to enhance performance.-Manual therapy plays a significant role in athlete recovery.-Strength coaching has evolved with the introduction of PRI principles.-Blending techniques can optimize athletic performance.-Flexion restoration is essential for addressing back pain in athletes.-A variety of exercises can be used for posture restoration beyond traditional methods.-Understanding when to refer to a PRI specialist is important for client care.-Resources like home courses can help practitioners learn PRI effectively.CHAPTERS:00:00- Introduction to Postural Restoration and Strength Coaching05:09- The Importance of Breathing and Rib Cage Dynamics12:43- Application of PRI in Pitching and Sprinting18:05- Common Faults in Rotational Athletes22:57- Performance Limitations and Injury Prevention27:28- Integrating Massage Therapy and PRI31:55- Is PRI for Everyone?35:03- Addressing Specific Conditions with PRI40:27- Assessing Mobility and Functionality43:05- Integrating PRI with Strength and Conditioning46:12- Enhancing Efficiency for Runners49:42- The Role of Manual Therapy in Performance51:22- Evolution of Strength Coaching with PRI54:58- Blending Techniques for Optimal Performance56:24- Beyond the Basics: Expanding PRI Techniques01:00:08- Flexion and Strength Training Perspectives01:06:46- When to Refer to a PRI Specialist01:09:24- Resources for Learning PRI
undefined
Apr 10, 2025 • 1h

What are the Risks of Ozempic and Other GLP-1 Inhibitors?

In this episode of the Barbell Therapy Podcast, Dr. Brett Scott sits down with women’s health nurse practitioner Laura Brown to explore the growing use of Ozempic and GLP-1 inhibitors in weight management and hormonal health. They break down how these medications work, who they’re best suited for, and why lifestyle changes are critical for long-term success. The conversation dives into hormone replacement therapy (HRT), muscle and bone health in menopause, and the importance of addressing sarcopenia and osteopenia. Laura also discusses continuous glucose monitoring, cultural views on weight loss, and side effects like “Ozempic face.” Tune in for a thoughtful, holistic take on modern women’s health and how to achieve sustainable wellness.KEYWORDS:Ozempic, GLP-1 inhibitors, women's health, menopause, hormone therapy, weight loss, health coaching, lifestyle changes, diabetes, wellness, menopause, sarcopenia, osteopenia, diabetes, GLP-1, weight loss, health interventions, continuous glucose monitoring, off-label use, Ozempic faceTAKEAWAYS: Ozempic is a useful tool for weight management.The drug works by slowing digestion and affecting satiety.Candidates for Ozempic include those with metabolic issues.Lifestyle changes are crucial for sustainable weight loss.HRT can be preventative for osteoporosis and cardiovascular disease.Education on medication use is essential for patients.Exercise should be viewed as a privilege, not a punishment.Patients need to be informed about potential side effects.Weight loss medications should not be seen as a lifelong solution.Holistic approaches to health can lead to better outcomes. Sarcopenia and osteopenia negatively impact each other.Improving bone health can enhance muscle health and vice versa.Tapering protocols for diabetes medications are not well-studied.Continuous glucose monitoring is becoming more accessible.GLP-1 medications are often used off-label for weight loss.Cultural perceptions of weight loss influence medication use.Ozempic face is a concern related to rapid weight loss.Candidates for GLP-1 medications often have chronic health issues.Patient motivation is crucial for successful treatment outcomes.A comprehensive approach to health is essential for long-term success.CHAPTERS:00:00 - Introduction to Women's Health and Ozempic01:35 - Understanding Ozempic and GLP-1 Inhibitors04:10 - Mechanism of Action: How Ozempic Works05:15 - Identifying the Right Candidates for Ozempic07:27 - The Role of Lifestyle Changes in Weight Management10:38 - Hormonal Health: Menopause and HRT15:46 - The Intersection of HRT and Weight Loss Medications20:19 - Risks and Side Effects of Ozempic25:19 - Biomarker Improvements with Ozempic27:05 - The Myth of Lifelong Dependency on Ozempic31:37 - The Interplay of Muscle and Bone Health32:11 -Tapering Protocols and Medication Management35:21 - Diabetes Medications: Metformin vs. GLP-1s36:48 - Continuous Glucose Monitoring: A New Tool for Health39:07 - Off-Label Use of GLP-1 Medications42:21 - Cultural Perceptions of Weight Loss and Medications45:00 - Understanding Ozempic Face and Muscle Loss51:20 - Identifying Candidates for GLP-1 Medications55:13 - Preparing for GLP-1 Treatment: Considerations and Safety
undefined
Apr 1, 2025 • 1h 15min

How to Balance Strength and Cardio for Optimal Fitness

Join Dr. Brett Scott in this insightful episode of the Barbell Therapy Podcast as he talks with Jason Brown, a leading voice in strength coaching and conjugate programming. They unpack the fundamentals of the conjugate method, its adaptability across fitness levels, and why aerobic capacity matters more than you think. Jason opens up about his own experience with the system and shares strategies for managing the overlap between strength and cardio training. The episode also touches on key topics like weight loss challenges, genetic individuality, and how to structure training for real-world results. A great listen for anyone aiming to level up their performance and programming approach.KEYWORDS:Conjugate programming, strength training, aerobic conditioning, fitness, program design, longevity, powerlifting, training methods, exercise science, recovery, weight loss, cardio, training split, full body training, strength training, nutrition, program evaluation, fitness goals, exercise science, hypertrophy.TAKEAWAYS: Conjugate programming allows for training multiple qualities of fitness simultaneously.The aerobic system is crucial for recovery and overall fitness.Conjugate training can be tailored to various athletic goals, not just powerlifting.Personal experience with conjugate training led to significant performance improvements.Aerobic conditioning enhances recovery and performance in strength training.Balancing strength and cardio is essential for long-term fitness success.Training splits should accommodate both strength and aerobic work for best results.The interference effect can impact training outcomes when combining different modalities.Consistency in training is key to achieving fitness goals.Engaging in aerobic work can improve overall health and longevity. Weight loss is primarily about being in a caloric deficit.Cardio is essential for heart health, not necessarily for weight loss.Strength training is more effective for improving insulin resistance and metabolism.Full body training is suitable for all fitness levels and maximizes efficiency.Soreness is not a good indicator of workout effectiveness; mechanical tension is key.Quality of training is more important than quantity; effort matters.Nutrition and sleep are critical components of fitness success.Many popular training programs lack scientific backing and can be ineffective.Consistency and commitment to a program yield better long-term results.Understanding personal goals and limitations is crucial for effective training.CHAPTERS:00:00- Introduction to Conjugate Programming01:11- Understanding the Conjugate Training System04:21-The Versatility of Conjugate Training08:11- Personal Journey with Conjugate Training11:00- Principles of Conjugate Programming15:28- The Importance of Aerobic Conditioning21:16- Interference Effect in Training33:29- Balancing Strength and Cardio Training38:41- Understanding Weight Loss and Cardio44:10- The Ultimate Training Split: Full Body vs. Others50:49- Goals and Effectiveness of Full Body Training55:01- The Power of Effort in Training01:00:24- Evaluating Popular Training Programs
undefined
Mar 18, 2025 • 1h 25min

Why we hate Squat University, Joel Seedman, and the Struggles of our Health Care System

Are you training smart, or just following bad advice? In this episode, Dr. Brett Scott, Dr. Tom Sheriff, and Dr. Connor Bombaci breaks down the truth behind viral fitness trends—taking a hard look at Squat University, the ‘Knees Over Toes’ method, and the dangers of oversimplified training advice. They also dive into the evolving role of physical therapists, the link between mental health and pain, and how the healthcare system is failing patients.Are you training smarter or just following the hype? It’s time to separate fact from fiction. Tune in now!KEYWORDS:Fitness, physical therapy, social media, squat university, knees over toes, healthcare system, fitness influencers, patient advocacy, exercise science, injury prevention, physical therapy, healthcare, mental health, patient management, education, insurance model, chronic pain, wellness, musculoskeletal, healthcare reformTAKEAWAYS: 15% of Squat University content is helpful.Social media simplifies complex topics, often misleading audiences.Injury prevention requires gradual load increases.Education is key for patients to manage their own health.Not all fitness influencers provide reliable information.Knees Over Toes approach may not suit everyone.Athletic ability often stems from genetics, not just training.Simple, evidence-based practices are often overlooked.Physical therapists should empower patients with knowledge.Navigating healthcare requires advocacy from professionals. Physical therapists often find themselves managing patients' overall health.The current primary care model limits the time physicians have with patients.Mental health significantly influences physical pain and recovery.Education in healthcare needs to focus more on patient interaction and less on legal defensibility.The insurance model often hinders effective patient care and outcomes.Direct access to physical therapy can streamline patient care.Patients should not hesitate to seek new providers if their needs are not met.Sleep quality is crucial for overall health and recovery.Building a strong referral network is essential for healthcare providers.Simple lifestyle changes can lead to significant health improvements.CHAPTERS:00:00 - Introduction and Podcast Setup01:28 - Critique of Squat University07:09 - The Impact of Social Media on Fitness14:48 - Evaluating Fitness Influencers20:47 - Knees Over Toes: A Balanced Perspective25:37 - Navigating the Healthcare System39:41 - Concluding Thoughts on Patient Advocacy40:46 - The Role of Physical Therapists as Medical Managers47:40 - Challenges in Primary Care and Patient Management54:20 - The Impact of Mental Health on Physical Pain01:01:17 - Education and Systemic Changes in Healthcare01:10:53 - The Future of Healthcare: Moving Beyond Insurance01:16:14 - Actionable Health Tips and Final Thoughts
undefined
Mar 12, 2025 • 1h 9min

World's Strongest Man Nick Cambi on Long Term Training Success

In this episode of Barbell Therapy Podcast, Dr. Brett Scott sits down with world-record-holding strongman Nicolas Cambi to break down the art of overhead pressing. From wrestling roots to Olympic lifting techniques, Nick shares his training secrets, common mistakes, and the role of the Tsunami Bar in strength development. They also dive deep into injury management, recovery strategies, and the importance of leg strength for powerful lifts. Plus, how social media is shaping the fitness world! 🔊 Tune in now and level up your lifting game!KEYWORDS:Strongman, Overhead Press, Olympic Lifting, Technique, Training, Tsunami Bar, Jerk Technique, Strength Training, Fitness, Strongman, overhead press, injury prevention, training volume, recovery strategies, leg strength, bicep tear, health, fitness, strength training.TAKEAWAYS:Nick Cambi is a world record-holding strongman.He transitioned from bodybuilding to strongman training.Wrestling provided a strong foundation for his strength training.Good fundamentals are crucial for effective overhead pressing.The split jerk is a preferred technique for many strongmen.Common mistakes in jerk technique include improper foot positioning.Log lifting dynamics differ from barbell lifting techniques.Barbell work is essential for strongman training during the off-season.The Tsunami Bar enhances training by providing variable load.Lever mechanics play a significant role in overhead pressing. Training volume and intensity should be managed carefully to avoid excessive soreness.Leg strength is crucial for successful overhead pressing.Proper rack positioning can enhance performance in overhead lifts.Injury prevention requires a combination of strength training and recovery techniques.Regular bodywork and maintenance can help prevent injuries in Strongman.Eccentric and isometric exercises are beneficial for tendon health.Sleep quality significantly impacts recovery and performance.Maintaining a healthy weight is important for overall performance in Strongman.Proactive injury management is essential for longevity in the sport.Social media can be a valuable tool for sharing knowledge and experiences in fitness. CHAPTERS:00:00 - Introduction to Strongman and Nick Cambi01:34 - The Journey into Strongman and Olympic Lifting04:04 - Wrestling Background and Competitive Drive06:05 - The Importance of Technique in Overhead Pressing10:13 - Differences Between Strongman and Olympic Lifting Techniques12:10 - The Split Jerk vs. Other Jerk Techniques16:32 - Common Mistakes in Jerk Technique19:42 - The Dynamics of Log Lifting vs. Barbell Lifting20:24 - Incorporating Barbell Work in Strongman Training24:35 - The Tsunami Bar: A Unique Training Tool30:20 - Lever Mechanics in Overhead Pressing35:52 - Building a Better Overhead Press37:45 - Training Volume and Recovery Strategies40:52 - The Importance of Leg Strength in Overhead Pressing43:47 - Injury Management and Recovery in Strongman48:51 - Navigating Injuries in Strongman Competitions55:46 - Preventing Injuries: Strengthening and Recovery Techniques01:06:20 Social Media and Future Plans
undefined
Mar 5, 2025 • 1h 18min

Crossfit Myths Busted: The Truth About Cardio, Recovery & Rrogramming with Anna Wishnowsky

Get ready for an eye-opening episode of the Barbell Therapy Podcast!  Dr. Brett Scott is joined by Anna Wishnowsky, a CrossFit coach with a refreshing perspective on training smarter, not harder. What’s Inside:✅ Learn how to budget your workout intensity like a pro—your body will thank you! ✅ Discover why CrossFit’s “go hard or go home” mentality might be holding you back from real progress ✅ The shocking truth about active recovery—it’s not what you think! ✅ Barbell cycling: Are you killing your snatch with all that extra volume? ✅ The hidden benefits of dialing it back for better performance—less is more!Whether you’re a CrossFit enthusiast, a coach, or someone who wants to train smarter, not harder—this episode is a game-changer!KEYWORDS:CrossFit, training methodology, workout intensity, athlete identity, Metcons, cardiovascular fitness, programming principles, cardio, CrossFit, weightlifting, training volume, active recovery, programming, movement variability, barbell cycling, performance, fitness.TAKEAWAYS: CrossFit culture often emphasizes high intensity and pushing limits.Budgeting workout intensity can prevent recovery debt.Conversations about training less can be challenging for athletes.Athlete identity is often tied to performance and training volume.Diversifying interests can lead to a more balanced life.Metcons are essential for competition but may not be the best for development.Cardiovascular fitness should include longer, moderate-intensity activities.Programming should focus on minimum effective doses for improvement.Understanding the emotional reasons behind training habits is crucial.Effective programming balances strength, skill, and cardio components. The minimum effective dose of cardio can be lower than expected.CrossFit programs often lack longer, easier cardio sessions.Simplifying training volume can lead to better recovery and performance.Maintaining cardiovascular gains doesn't require excessive training.CrossFit could benefit from incorporating more lateral and rotational movements.Active recovery is often misunderstood and misapplied in training.Weightlifting can be effectively integrated into CrossFit programming.Barbell cycling is a valuable skill that enhances performance.Movement quality is crucial for preventing injuries and improving performance.Aerobic training is essential for overall recovery and wellness.CHAPTERS:00:00 - Introduction to CrossFit Culture and Methodology06:03 - The Challenge of Training Less: Conversations with Athletes11:53 - The Role of Metcons in CrossFit Training24:03 - Reevaluating Cardiovascular Fitness in CrossFit35:57 - Programming Principles for CrossFit Improvement41:15 - Programming for CrossFit and Weightlifting47:42 - Improving CrossFit Programming53:18 - Weightlifting in CrossFit01:06:36 - Rethinking Active Recovery
undefined
Feb 24, 2025 • 55min

The Importance of ACL Injury Prevention with Dr. Ziad Dahdul

Tune into the latest Barbell Therapy Podcast episode where Dr. Brett Scott sits down with ACL expert, Dr. Ziad Dahdul. They delve deep into ACL injury prevention, exploring both non-surgical and surgical treatment paths, and the critical role of psychological readiness in recovery. From tackling the common pitfalls in rehabilitation to advocating for strength training and diverse sports participation among youth, this conversation sheds light on the essential strategies for enhancing long-term outcomes. Discover invaluable insights as Dr. Dahdul emphasizes the need for thorough education for both patients and therapists. Don't miss out on learning how to support resilient recoveries from ACL injuries.KEYWORDS:ACL, injury prevention, physical therapy, rehabilitation, sports medicine, non-surgical treatment, return to play, psychological readiness, youth athletes, strength trainingTAKEAWAYS:ACL injuries are on the rise, especially among youth athletes.Strength training should start at a young age to prevent injuries.Non-surgical options can be effective for certain patients.Psychological readiness is crucial for a successful return to sport.Time alone is not a sufficient measure for readiness to return to play.Multi-sport participation can reduce the risk of injuries.Proper loading and strength training are essential in rehab.Parents should be educated about the importance of strength training for kids.Communication between PTs and patients is key to successful outcomes.The choice of graft in ACL surgery can significantly impact recovery.CHAPTERS:00:00 - Introduction to ACL Specialization02:20 - Understanding ACL Tear Prevention08:13 - Non-Surgical Options for ACL Injuries11:29 - Long-Term Considerations Post-ACL Surgery19:20 - Return to Play: Timing and Readiness25:49 - Psychological Readiness in ACL Recovery27:20 - Online ACL Rehab Programs30:43 - Common Pitfalls in ACL Rehab37:39 - The Role of Strength Training in ACL Recovery45:48 - The Importance of Multi-Sport Participation
undefined
Feb 10, 2025 • 1h 30min

Weightlifting Mindset: Navigating Perfectionism with Danny Camargo

Delve into the transformative world of Olympic Weightlifting as Dr. Brett Scott sits down with renowned coach Danny Camargo. Discover the evolving strategies in coaching, the crucial balance of technique, recovery, and the integration of CrossFit to boost performance. Learn about the mental edge of successful athletes, the impact of technology on training expectations, and the risks of early specialization. Whether you're a coach, athlete, or sports enthusiast, this episode sheds light on nurturing independence, combating burnout, and the genetic factors that shape athletic potential. Join us to explore effective athlete development and how to navigate the challenges of modern training methods.KEYWORDS:weightlifting, coaching, athlete development, open-mindedness, perfectionism, mental attributes, burnout, early specialization, CrossFit, weightlifting, coaching, training, video feedback, athlete performance, programming, injury prevention, competition, techniqueTAKEAWAYS:Open-mindedness is essential for growth in coaching.Teaching independence helps athletes become self-aware.Perfectionism can hinder performance in weightlifting.Technology has raised expectations for instant results.Successful athletes exhibit bravery and adaptability.Conflict resolution is key to overcoming training challenges.Genetics plays a role, but mentality and lifestyle are crucial.Burnout can be prevented with seasonal training and fun.Rest is as important as training for recovery.Early specialization can lead to burnout and injuries. CrossFit has evolved and varies by gym and coaching.Video feedback can hinder performance if overused.Athletes should focus on execution rather than overthinking.Finding balance in feedback is crucial for athlete development.CrossFit can supplement weightlifting if approached correctly.Technique is essential, especially under heavy loads.Athletes often learn what not to care about over time.Coaching should adapt to the athlete's experience level.Both high and low volume training can be effective.Communication and teamwork are vital in coaching.The Evolution of Weightlifting CoachingNavigating Perfectionism in Weightlifting The Art of Feedback in WeightliftingUnderstanding the Evolution of CrossFit"I think it's being open-minded to change.""Teaching independence is crucial for athletes.""You don't need perfect training to have a perfect performance.""CrossFit has changed a lot over the years.""We could do CrossFit.""We get better well-rounded weightlifters."CHAPTERS:00:00 - Introduction to the Barbell Therapy Podcast01:59 - Danny Camargo's Journey in Weightlifting04:04 - The Importance of Open-Mindedness in Coaching08:03 - Coaching Philosophies: Independence and Collaboration11:59 - The Role of Self-Awareness in Weightlifting15:57 - Perfectionism in Weightlifting: A Double-Edged Sword20:10 - The Impact of Technology on Athlete Expectations24:10 - Mental and Emotional Attributes of Successful Athletes27:58 - Conflict Resolution and Adaptability in Training32:08 - The Role of Genetics in Weightlifting Success36:05 - Preventing Burnout in Weightlifting39:47 - The Dangers of Early Specialization in Sports50:45 - The Evolution of CrossFit and Weightlifting54:36 - The Role of Video Feedback in Training01:00:04 - Finding Balance in Coaching and Feedback01:11:40 - CrossFitters Supplementing Weightlifting for Performance

The AI-powered Podcast Player

Save insights by tapping your headphones, chat with episodes, discover the best highlights - and more!
App store bannerPlay store banner
Get the app