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Strength coach and clinician: handing off pain and building confidence

Episode 161

64 Minutes – Oct 16, 2019

0:00 / 64:42

Chapters

Questions this episode answers

When should my personal trainer send me to a chiropractor or physical therapist?
Jesse's rule is roughly two weeks. If foam rolling and tension work in the gym haven't helped by then, it's time for another set of eyes, and if manual therapy doesn't change it either, he moves on to an MD.
Can strength training help low back pain instead of surgery?
Jesse's view is that strengthening can relieve a lot of pain before you go down the road of surgery or medication. Pain usually ties back to a trigger in your daily life, so how you move matters.
What does creating tension mean for hip pain?
It means building strength and bracing through your midsection, pelvic floor and spine, often starting with diaphragmatic breathing. That support gives your hips the freedom to squat, deadlift, lunge and run with less pain.
Why am I scared to lift again after my pain got better?
That's common. Fear goes both ways: fear of what's wrong inside and fear of what you can do now that you're stronger. Feeling supported by your coach and clinician makes it easier to take that next step.
How do I choose the right clinician if I lift weights or run?
Interview them. If their default is passive care or telling you to quit what you love, that's a problem; outside of something like a fracture, there's usually a way to scale your activity.

When a trainer should hand you off

Most people in pain tell their trainer first. Not their doctor.

Jesse Macedo is a strength coach with a kinesiology degree from Cal State Fullerton and an NSCA certification. His first step is simple. Clients ask if they should foam roll, so he tries it. Then he gives them tension cues and exercises that create tension.

If it still isn't getting better after about two weeks, Jesse takes a back seat. He suggests a chiropractor, a massage or other manual therapy. If that doesn't make a change, he keeps going down the line to an MD and possibly an MRI. His phrase for it: four eyes are better than two.

I like that order. It starts with what you can do, then adds people as needed.

Tension, not just foam rolling

When I show people corrective work and we're not going the passive care route, a lot of it is simply tension.

Jesse's take on a hip problem: create more strength through your midsection, pelvic floor and spine. That can start with diaphragmatic breathing, learning to expand and brace. A braced trunk gives your hips the freedom to squat, deadlift, lunge and run with less pain.

We also have one advantage in the clinic. We can use pain and daily activities as an outcome measure. If tension reduces symptoms during the task, we picked the right thing. Pain isn't the only goal. Function is. But pain tells us quickly if we're making things better or worse.

Fear runs both ways

When Jesse suggests seeing a clinician, people often get scared. They worry it's deeper than something they can handle. His answer is to stay calm: we don't know yet, so let's take a closer look.

I see the other side. After we get someone feeling better, I want them lifting something significant and playing again. Some don't want to. They feel good and they're afraid to push it.

Jesse put it well: fear goes in both directions. Fear of what's going on inside. And fear of what you can do now that you have the horsepower. That's why support matters. The more supported you feel by everyone around you, the more willing you are to take risks.

It also matters who you see. Some people love lifting. Some love running. Early in practice, people liked that I didn't tell them to stop doing what they loved. If you have a fracture, yes, stop. Otherwise there's usually a way to scale it. Interview your practitioner. If their default is passive care, or swapping weightlifting for pickleball when you don't want pickleball, that's a problem for you.

Train for the life you want

Jesse asks his clients where they're going this summer or winter. Mountains, snowboarding, Yosemite. Then he prepares them for it.

He also hunts for fear points. For him personally it's scaling a boulder. As he says, if you're in pain, you're never going to scale that boulder. Our job in the clinic is to get you there. His job is to push you up it. If you get hurt, we both talk you off the ledge and remind you you're not fragile.

He builds small wins into sessions. One example: kettlebell deadlifts, calories on a ski erg and sandbag slams. Stage one is 5, 5 and 15. The slams come down while the other two climb, until stage six lands at 10, 10, 10. People look forward to the finish.

Strength training is a stepping stone. For me, it's baseball. For you, maybe bouldering. Jesse's challenge to the gym crowd: if you keep chasing strength, ask why. Take that strength and move it into experiences.

Build each other up

Chiropractors, physical therapists, strength coaches, trainers and surgeons all want the same thing. Help people move and feel better.

Jesse has had clinicians dismiss his notes. He's also had great ones trade videos and full conversations with him. That's when it gels. A coach watches you for hours. He sees your compensations and hears your history. That information helps us.

Asked how people stereotype chiropractors, Jesse said many picture moving bones around, not corrective exercise or tension. In his experience it's maybe 50-50.

Key takeaways

  • If gym fixes like foam rolling and tension cues haven't helped in about two weeks, get another set of eyes on it.
  • Bracing through your trunk, starting with breathing, can give your hips more freedom to move.
  • Fear goes both ways: fear of what's wrong and fear of what you can now do.
  • Pick a clinician who understands what you love doing and won't just tell you to stop.
  • Strength is a stepping stone to the experiences you actually want.
  • Coaches and clinicians sharing information helps you take bigger chances safely.

At a glance

Conditions and injuries
  • Low back pain
  • Hip pain
  • Lateral elbow tenderness when curling
  • Fear of reinjury
Anatomy involved
  • Hips
  • Midsection and trunk
  • Pelvic floor
  • Spinal column
  • Diaphragm
Symptoms described
  • Persistent aches beyond two weeks
  • Flare-ups in active people
  • Compensation patterns
  • Fear of movement
Treatments and exercises
  • Tension and bracing exercises
  • Diaphragmatic breathing
  • Foam rolling
  • Referral to chiropractic, massage or MD
  • Deadlift, ski erg and sandbag slam circuit
Episode Transcript

This transcript was generated automatically (whisper.cpp large-v3-turbo) and may contain errors.

Yeah. And I think sometimes when you're stuck in the strength training world or the realm of strength training alone is I think you got to look inside a little bit and ask yourself a question as to why do you continue to seek out being so strong? Maybe a part of you perceives yourself to be a little weak. And so you're trying to get all kinds of tools to make yourself even stronger. Right. And I think if you can kind of just take that strength and move it into experiences, that's really where like the sweet stuff is. You're listening to the Restoring Human Movement podcast, where movement experts discuss the latest evidence-based practices to help you and your clients move with mastery.

And now your host, Dr. Sebastian Gonzales. Hey guys, this is Dr. Sebastian Gonzales, your host with the Restoring Human Movement podcast. Thanks for joining the Movement Movement. This podcast today, if you have not heard it before, it's targeted at healthcare professionals, movement docs, I guess as we say, as well as their patients. So we can all help better communicate better between our patients and our clinicians. So I think everyone understands like when you go to a doc, they're like, we don't know the heck they're saying, right? As patients, we don't know the heck they're saying. We don't know 100% what's expected of us.

And you kind of walk out feeling a little bit confused. And so part of this podcast, the goal is to actually improve the communication of your clinicians as well as the patients to better understand what's going on. I like to think of it as like we're all going to a bar, having a beer. Today we're having a, I'm going to go with a Four Suns Hazer Face local, HB. And then you decided to get an amalgamator from Beachwood. Good choice. So our friend is actually on the side. He's actually a utility repairman. And so he doesn't know what the heck we're talking about. So we're trying to improve our communication amongst all three of us to have a friendly conversation.

This is your first time to the podcast. There's tons of great interviews back in the archives where it will help make you a better clinician. And also some of them are targeted at actually improving your patient's understanding of what's going on. So those ones are very patient-friendly. Today's a patient-friendly one. It's actually Jesse Macedo. I've known Jesse for a long time, but I never, he never corrects me in his last name apparently until now. I've had him on the podcast before around number 85, 90, something like that. Last time we talked about painless squatting. This time, I kind of like, he's been bugging me about being on the show.

And so I said, yeah, let's do it. Let's, what do you got to say? And so he sprung the conversation on me. So I'm just kind of following where he's going. But as you'll see in the interview, the, we're talking about when is kind of that handoff between strength coach and PT, DC, orthopedic surgeon, when's the appropriate time for these types of things. And so it's interesting to see this from his side as a, the training setting versus how we get it in the clinic here for chiropractic, or I guess we'd be more of a, of someone came to you for a problem versus those people going to the gym that typically don't necessarily have a problem or they might have a small problem.

And at some point it'll maybe awake and they'll start to talk to the trainer about it. And so that's the interesting part of this conversation to me anyways, but you're going to get lots of little tidbits there. Also too, if this is your first time to the podcast, I tend to share a little short story about my life just so you guys can learn more about me as your host. So we'll get right into that and then we'll get right into the content. Don't forget to actually subscribe to this and actually share it with a fellow movement doc. Okay. The only way this podcast ever will become more popular, by the way, it's popular.

Thank you. It's popular right now. The only way it will get more popular is if you physically share it with another friend. You have to hit the save, the share button and send it to another friend right now. Do it. Thank you so much. And let's enjoy the show. Okay. This is just one thought about weddings, weddings overall. I mean, I've gone to my fair share of weddings. I've noticed that, you know, when people have them in like springtime, summertime, August time, summer, you know, like late summer, I'm, I'm more drawn to go to the ones that are a little earlier in the year just because I know that it's going to be chill.

It's going to be cool. Right. You go to those ones like in October, especially around where I live. It's like you are, you are destined to melt like a fucking candle, especially if you're a guy. And if you look around, you see the attire on these things. It's like, like you got jacket, you got layers upon layers upon layers of clothes on dudes, closed toed shoes. Girls can wear the thinnest material, like a sundress, have open arms. You can have it up to your knees. So your legs are exposed. Open toed shoes. Man, it's like nice, right? It's like stuff you'd wear to the beach because it's so cool.

Right. Not like cool as being like rad, but temperature cool. All right. Guys in the other hand, just like sweating it off. So I think we come to a middle ground here. I'm thinking either number one that maybe all weddings should be in the wintertime and all of a sudden the, uh, the guys get a little bit more comfortable, let's say, and women just bundle up a little bit more. I mean, there's nice clothes for women that are bundly or maybe we just change the, change the wedding attire. And I think this may be the way to go. Maybe we have some type of, um, cultural consensus where we just have like formal male shorts and then formal male tank tops, you know, something nice.

Like I always tell the interns to come to my office, they're like, Hey, what do I wear? You know, like, like shirt and ties. Like, like, no, no, no, let's, let's not, you don't have to do a polo, right? Just something nice. Like, I don't want to see like dirt stains on stuff. I don't want to see the oldest pair of gym shorts you have. But if you wear like, I mean, consider people are wearing like Lululemon shorts and stuff, Lululemon pants. By the way, it's not sponsored by Lululemon. I'm sure there's other clothes out there that are the same just coming to mind. But they're, but they're just nicer, you know, they're, they're presentable.

So I say that we, we start to do that with weddings, you know, for guys, for guys' sake. Women can speak up on their own regard on this because I don't know, I'm not a woman and I have never experienced a woman, uh, a wedding as a woman, but as a guy, you just literally sweat your balls off. Oh my gosh. So think about this. Let's, let's come to the conclusion on this darn thing here. Let's get into the content. Okay. Whatever. We're recording it right now. Live. We're going live. Um, yeah, I, no, I said, I said Machado and then I changed it last time to Machado. Yeah. No, it went from Machado to Machado to, so tell everybody your name.

So my name is Jesse Macedo. Macedo. What an asshole. There's a, it's a, it's with a C, but it sounds like an S man. Macedo. There you go. Okay. Got it. Um, okay. So you've been on before. I know, I know Jesse, we bullshit already, um, about stuff and, um, he wanted to come on and talk again. So I said, yeah, let's do this thing. And so we have a nice, uh, this time what we have last time we had boat swing. I think this time we have a spicy mango cart, which I don't know what to think about this thing. Either way, if you get sponsored, it's good. Oh God, that is spicy. I don't think I would do that again.

You might have to like pause this podcast halfway just to dump this thing out. Yep. That sounds about right. Okay. I'm going to pause this podcast one second. Too spicy. Okay. We're back again. Um, that was horrible. This is a little too spicy. Yeah. So I actually, we had to pause the podcast and I had to go over and dump out the spicy mango cart and he brought a mango cart now. Sorry, Golden Road. By Golden Road. Golden Road. If you were listening, don't produce any more spicy cart. It was a little too much. Yeah. Let's see what this one tastes like then. It tastes like a mango cart. So still not a hundred percent of my style, but I like it.

Um, okay. So, uh, Jesse is a strength coach and we thought we would cover a few random topics today. I'll let Jesse kind of lead the conversation and we'll see where we go. What do you want to talk about? Sure. Um, so when I reached out to you, I mean, first, first I want to give credit where credit's due. The last time I was on this podcast, we talked about squatting and we went through the joint by joint approach and the joint, joint by joint approach was created by, um, Mike Boyle and Greg Cook and Greg Cook's physical therapist, Mike Boyle's strength coach out of the Boston area. And those two guys are amazing when they came up with that, um, theory or understanding of biomechanics in the human body.

Um, what we wanted to talk, what I wanted to talk about today is just how there are so many delineations in our field in terms of, um, what a chiropractor is supposed to do, what a physical therapist is supposed to do, what a strength and conditioning coach is supposed to do, what a personal trainer is supposed to do and how there are certain expectations of those categories. And there's also certain limits that are placed on those categories. When in reality, we're all just kinesiologists and we all just want to make people feel and move better. Um, and I have a pretty extensive background in human movement now.

And it started with Cal State Fullerton. Um, I went through their kinesiology program, uh, my advising track was clinical exercise science and I got certified as strength and conditioning coach through the NSCA after working with Lee Brown. He was the president of the NSCA at the time. Um, and I also worked at a general kinesiology center. And when you see human movement from such a broad spectrum, it's so much better to understand that, you know, performance is key if you, if it's something that's valuable to you, but ADLs are also important. Um, because if you don't feel like you can live a comfortable life, it just gets really hard to go through your day to day.

I actually wonder how many people really truly care about performance like in themselves, or if they say that they wanted, they want this for performance, but they really just want to be able to do normal stuff like chase a child, swim in a pool, you know, like, but it's maybe the verbiage is different, you know, like I know that there's, there's a lot of symposiums I've gone to where they talk about like, Oh, this is what we do with, with this professional athlete. We're going to do that. And the other, we need to optimize that. And it's like, I know, but we're just working with most of us work with general people, you know, who I think you just want to feel good, look good, be able to do stuff on a whim.

Like, like a cop, like, dude, they got a hard job. They're supposed to get out of a cop car and sprint. Like from a, from a dead seated position, you know, totally that's a, that's a challenging job, you know? Yeah. And giving credit to our police officers, I mean, they're there to protect and serve our communities. And it is not a, not an easy job when, when the shit hits the fan, these guys have to get out there and perform at a high level. Yeah. You're right. They're going from a seated position. I mean, hips flexed, they're already wearing vests. Like, it's crazy that they have to go and take control of a situation that maybe is getting out of hand.

So much lateral movement. So much, getting out of the car is so hard. It is hard. They got to, they got to push off that wheel. But yeah, I, but yeah, the, the, the joint by joint, we did cover that last time. And if you guys have not already seen it before, it's been around for quite a while. I'm going to say 10 plus years now. And so, but if you're just a patient or a general population person listening to this, podcast, it is a really good starting point to kind of get a basic understanding of, of when we're looking to rehab somebody, like why we might not want to do excessive mobilizations in your knee or your elbow.

And so we might start looking above or below and it really opens up that conversation of like, well, this, this is why things kind of link together. Like grandma's song, like the, maybe we should make a new version of the song, like the thigh bones connected to the hip bone. Yeah, maybe we, we had the big toes connected to the occipital. No, I don't, it's just, it's, yeah. But yeah, um, yeah, I think we all are kind of just like, a lot of us are just movement based. Funny, actually, last time I was talking to a guy that he, he didn't quite understand what, you know, chiropractic would be. And, uh, I started rambling around how I usually do about explaining.

He's like, he's like, so between difference between you and, so there was a bunch of MDs at the, um, uh, at the, at the party. Yeah. And so I was like, I'm like, you know, probably I'm like, they, I'm like, they have more experience in internal medicine than I do in pharmacology for sure. You know, but I think we have a little bit more education in musculoskeletal. And he's like, so kind of like your, your destiny was picked very early about what you were going to do because it was all musculoskeletal based education. I'm like, yeah, I guess, I mean, I guess the whole thing was a musculoskeletal residency.

Yeah. You know, so is that what you're talking about with like raw kind of movement, right? Yes, absolutely. Um, it's, uh, whenever somebody has pain, usually the pain is related to what they're doing in their daily life that's causing them pain. Right. So I think like if they've, if they're feeling lower back pain, um, they're feeling that because they've already kind of had a trigger or something that set it off. Right. And we know now that through strengthening, you can alleviate a lot of that pain before going to, uh, surgery or going further down the rabbit hole, um, with medicine even. So if that's part of the client or patient's understanding, then really we can kind of bridge the gap between when it is necessary to have a surgery and when it's necessary to get medication.

So when you're working with somebody who's, who's experienced stuff like that, um, even though they're like say high function, they don't really feel that like all the time, um, maybe it has flare ups and so on. Uh, do they ever ask you about like, Hey, do you think I should try this? Do you think I should try that? And yeah, totally. And this is where the conversation is coming from, from my end is, um, you are as a strength and conditioning coach, or even as a personal trainer, you are asked to kind of create overload and find that, that point where they can stress themselves out enough to, to really change and adapt.

Um, there's a lot of easy ways to do that without putting them in danger. Um, but at the same time, you know, a lot of people will maybe tend to take it too far on their own. Or even, um, when, when they do start to feel those aches and pains of maybe compensation or compensatory patterns, then it's important for me to say, you know, maybe this, this is time for me to seek someone else's eyes or some have, have a second opinion, right? Just four eyes are better than two and six eyes are better than, you know, I think spiders might be the best animals on the planet then. Spotters? Spiders. Oh yeah.

They have, they got like, I don't know their legs are eight. I think their eyes are like maybe flies. You know, flies are the ones that have like, yeah, that's right. Flies are the best. Like, uh, like that movie with that guy from Independence Day? Wait, Will Smith? No, the other guy. Uh, Tommy Lee Jones? No, the other guy. Men in Black? That's not Men in Black. That's not, that's not. What are we talking about? There's a movie called The Fly with Jeff Goldblum, buddy. Yeah, that's old, it's old, old, right? It is old, yeah. Yeah, when he like goes into that, uh, oh, he was like in a, not a time machine, he was in that thing and a fly got in there with him, right?

Yep. And he becomes the fly. That's right. And he eventually just kind of implodes, doesn't he? Yeah. Like he becomes a puddle of goo. Yeah, I think so. Is that what happens? I think so. I think he loses all relationships and all kinds of crazy things happen. Wait, is Jeff Goldblum the guy, the chaos man from Jurassic Park? Yes. Ah, yes. Okay. Is he Men in Black? Wait, he's in Independence Day? He's in Independence Day. I just started going to Men in Black because I was thinking about Fly Man. I hear you. So then, so then when people approach you about it, because I would imagine like they probably approach a lot of, you know, running coaches, like personal trainers, like yoga instructors, like, hey, I got this going on.

What do you think I should do? What are the common things that they might kind of start asking you about? Like, hey, do you think I should try X or do you think I should try Y? And how's that conversation typically go? Because I don't think a lot of the clinicians tend to hear this too often. Sure. So, I mean, a lot of times that a basic thing that people will start with is, you know, should I be foam rolling? Should I be doing this to alleviate some of my symptoms? And we can try that in the gym setting. But if it doesn't, if it isn't getting any better and I can give them tension cues or exercises that are more related to creating tension, which will alleviate some of their pain.

But if it's still not continuing to get better, then it's important at that point in time that I take a backseat and say, you know, it seems like this is two weeks now and you've had a consistent problem. Why don't we go see a chiro and have them take a look at what's going on? Or why don't you get a massage, see if that helps out, get some manual therapy. If that doesn't make a change, then it's important for us to continue to go further down the line. For me, it would be seeking an MD and having them do an MRI or having somebody take a look at just what's going on inside the body. Yeah. So then at that point when you suggest, whatever you suggest, the massage or the chiro, the PT or whatever, what's their typical response?

Are they open to that? Are they just like, yeah. Yeah. I'm just curious because I have my side of suggesting things to people. I have my experience anyways, but I want to hear yours. I think their initial reaction is that they get scared and they're worried that maybe it's deeper than something that they can fix on their own. And I think that's hard to kind of come to terms with sometimes for them. I think that when that does happen, it's easier if the coach is in a strong position to say, hey, we don't know yet what's going on, but let's take a look a little deeper. Yeah, that's good. I think in my experience, sometimes when, like, let's just say if I suggest, like, after we get someone feeling better, we want them to go back into it.

I want them to actually go strength train, lift something significant, challenge themselves, have a good time, go play or whatever. And so sometimes if they've been dealing with something for a very long time, they say, well, I feel pretty good right now. I don't want to do it. Like, they become fearful. And so although they say they would want to do something again, when you say, go ahead and do that, they're like, no, I don't really want. Like, it's kind of like sometimes they just want to talk about it. They want to feel heard. And so, like, I don't know if when they brought it to you, it's like, hey, Jesse, I want you to hear about this versus Jesse, help me find a solution to it.

Sure, absolutely. And I think that is absolutely true. And I think they're trying to get four eyes instead of two on their own body, right? I think that that's kind of their way of asking me as their coach to take a look at what's going on and to see if maybe it's something that can be fixed pretty quickly or not. But I think you're right. I think fear goes in both directions. Finding out the unknown about what's going on inside versus finding out what you're capable of now that you've got the raw horsepower, you know, to be able to drive it and maneuver it. It's a whole nother animal, right? So it's kind of scary because we don't want to put ourselves at risk.

And usually if you're an adult in your 30s or 40s, you're thinking about taking care of your family or making your mortgage or doing any of that stuff. So you don't really want to push to those next levels, right? I think it's easier to have a maintenance position and go about your daily life. Yeah. You just want to just get a little bit jacked, but not too jacked. That's right. It's like how people do skydiving with like buddies. Like you have to get strapped. Like I'm only going to go if someone's strapped onto my back. Yeah. Yeah, exactly. I'm going to feel a little bit of danger. That's right.

Just enough. The wind in my face. Yeah. That's why people go on like free fall rides at Disneyland and stuff. Yep. They want to feel it. That's right. That's why I go on elevators. From just that drop, that feeling? Do you create tension? Yeah, man. I pulse in there. So I think we should circle back to this because you mentioned tension a couple times in case people don't know what you're referring to. How would you describe, you said when someone has a problem, sometimes you'll go through tension-based exercises or teach them how to create tension. Can you explain that in relationship to, let's just say, like a hip problem?

Sure. Anytime that you can create a little more strength through your midsection, through your pelvic floor, and through your spinal column, it's going to be easier for your hips to move and you're going to get a little more hip mobility. But it's about creating that pattern where even if it's working on diaphragmatic breathing and learning to expand and protect and brace your spine, that's going to create, it's going to give you freedom to be, it's going to give you the freedom to be, have no pain and to move your hips and to squat, deadlift, lunge, run, etc. Okay, cool. Yeah, actually, so a lot of, when I show people stuff in here too, like corrective-wise, if we're not going down a passive care route and we're not going down, like your foam rolling and stretching and so on, it is just a lot of times about tension.

Yeah. You know, and especially if they're like, well, it hurts to pick up this bucket of water that I wanted to deliver to my village. Yeah, yeah. It's like you teach them how to do it better and it's like, huh, okay, I just got to do like that for a little bit. Yeah, yeah, just got to do that, you know. Yeah. And then the air desensitizes and you feel better, you know. Yeah. But what other experience did you have with people? Like, do they ask, actually, I'm curious, do they ask you like, do they have an opposition to go to a chiropractor or a PT? Like, is there like a, is there, does it seem like they're accepting one way or another?

You know, it's, that's going to vary from person to person. I mean, some people have more optimism toward like a non-traditional medical route and some have more optimism toward a medical route. So, they trust the PTs more than they trust the chiros and some people trust the chiros more than they trust the PTs. It's an interesting thing that you get from different people. And I think that's part of the conversation is, you know, is when I was asking, when I asked people, if you don't have a physical therapist that actually practices tension or lifts weights, then, I mean, really, it's going to be hard for me personally to trust that person.

Because they don't understand what the end goal is for my client and my patient. Well, I know, I know that there's a lot of people out there that they, if they're, let's just say if they want to weight lift, that's just what they like, you know. Or even like this happens with runners as well. It's like, well, my knee hurts. Well, just stop running. You know, it's like the, I know early in practice, like people who really like to see me is that they really like that I didn't tell them to stop doing what they were doing. Yeah. Obviously, if they had a fracture, I would tell them to stop doing what they're doing.

But there's, I think there's a time and place to scale it, you know. And it's, I think interviewing the practitioner is probably really important because you can figure out if, like, what they're going to suggest, you know. And if you, if they really want to, the person really wants to go there or not, you know. But you're right, it is hard with, if the person has not had experience, the clinician has not had experience doing what the person is doing. Or if their bias is towards, like, a passive care approach or, like, changing them from weightlifting to pickleball and they don't want to play pickleball, then that's probably a problem for the patient, you know.

Yeah. I mean, something that even stands out in what you said is interviewing the clinician, even from a personal trainer standpoint, you really have to have an open-minded clinician at that point, right? Because sometimes it's not easy to get somebody who's a personal trainer, say, hey, I'm referring somebody to you. And I think these are the concerns that we've seen come up during their training hours. The person might be like, you don't really have the education nor the expertise to be giving us that information. So, I think sometimes it's really, you have to be very nuanced in your selection and careful who you're listening to.

Yeah. Do they, so they actually, when you've talked to people before, like, they say, like, let's just say elbow pain. Well, they got some tenderness around the lateral epicondial, like, when they're curling. And they said, you shouldn't be talking about that. Yeah. Yes. Really? Yes. But I've also had some very good people that I've worked with that will, like, exchange videos back and forth or have full-on conversations back and forth where we both know that we're doing the right thing for the person and the client. And that's when it really kind of starts to gel because the more that the person that's in front of us feels supported by everybody around them, the more willing they are to advance and take more risks.

And that's, that's the thing is you, when you build strength, you take more risks, I think. Yeah, I agree. I mean, I'm really surprised that there's people that, well, I guess I'm not surprised, but I'm thinking there's going to be more people, the young docs that come out, they're more open to, you know, this type of communication. If they're not already, then you guys probably should be. Because you, as the coach, you have more hours of watching this person do their thing and their compensation and what they typically report about with their problems. Do they have any tingling in the hand? What's their past history?

Like, even, like, I remember I had this one guy before, like, he came in with a, he had a hip, like, he said he had one of his hip flexor worked on, right? And so I was like, is there anything here that I need to know about that you think is important to your problem? He's like, nope. I go in there and feel around. He physically has a box under his skin. And I was like, what's this? He's like, oh, it's my insulin pump. And I'm like, this is kind of important, you know? But anyway, so people tend to, I think my observation is people either forget things on the first day or in the history taking, whether we might not drag it out of them enough.

And so if you can laundry list all the stuff that's kind of already happened, you know, in a HIPAA friendly way, then it's very helpful for us to treat the person. But, so I'm really surprised, but I'm sure there'll be more people who are going to be talking to you pretty soon. Yeah, good. I hope so. Because the exchange of information can just only help the client and patient do better. Yeah. I think it's funny that you, when you mentioned even the role, the role that people take on when they work with a personal trainer or a strength coach is they, a lot of times they don't want to do the quote unquote regressed exercises or the tension exercises because they perceive that the time with their personal trainer should be focused on, like kicking ass, like kicking ass taking names, and so whenever the clinician does get the opportunity to reinforce that, the high tension exercises, then, and they actually held accountable to accomplishing the homework or doing the extra time, then the results are just incredible.

Yeah. Well, I definitely like using, I guess we have the advantage a little bit because we can use pain and activities daily living as an outcome measure to see if the person's doing their stuff, whether we pick the right thing or not. And if tension does reduce their symptoms during which or not, you know, like, I don't think, we don't want to be using necessarily pain as the only thing we're addressing. We want function. Totally. But pain is a great, it's a great motivator. It's a great way for us to figure out if we're, if we're making things worse or better. And so I think we have the advantage on that a little bit.

Totally. Yeah. He is winning there. So in, um, uh, if anyone, if everyone hasn't heard it already, um, I did interview Dennis Dunphy from stick mobility, uh, probably it's probably gonna be a couple months back from now. So scroll back through the feed and you'll, you'll see it there. It just introduced me to him. Notice I said Dennis Dunphy's name correctly. Dunphy. Yeah. Scottish. Yeah. He is. It was a good conversation, but we do, we do talk about tension there a little bit too. So if you guys are interested more in the concept of, of creating tension, that's a good one to go through. So what else do you want to talk about?

Um, so I've been listening a little bit to your, your podcast. So tell me the last time you really cheered pretty hard when you were playing a game of baseball cheered. Yeah, man. Oh, so there is. So this last season, Oh, when you do the personal story twice, yeah, man, let's get some more. So actually this last season, so our team kind of sucks. Uh, I mean, we just lose almost every game. I think our record was like three and 15 this year, but sorry, three, 15. And so the one is where the cheering happened actually. And so I don't cheer at normal baseball games cause I don't watch baseball anymore, but the, uh, besides web gems is great.

And so we, uh, we were, we were up, I think by two or one or something like that in like the ninth inning. And so they scored, they scored to, to, um, they scored to tie it, but then they had a runner on second. There was two outs. And so I was, I was playing center. And so, um, guy hit a bloop, you know, and Texas leaguer out there. And so I threw him out the plate. We were all so damn excited that this happened like, cause it was a bang, bang play, you know? And like, like we were jumping around shit and almost dogpiling, but we're like, we tied, but it was exciting. And like, even, even the other team was like, dude, that was a good game.

Like we were back and forth the whole game. So it was just an exciting game. I think what I'm, what, when it comes to like performance for me, those are the kind of moments I think that stay with you and are like, that's what I want my clients to experience. Those little moments when they feel like they can clap again or they can like really be excited about just three minutes of time that went by. You know what I mean? Well, I think that, um, just, just something I've been thinking about lately too, and this will probably tie into it from, uh, uh, a mental route anyways, is that being very, being very mindful in the moment versus being distracted and playing with your phone and so on.

And at least on the baseball field, like with that, it's like, okay, so I really have to pay attention for about 30 seconds here. Yeah. But you remember that moment, you know? Totally. And so with, um, like with, with weightlifting, I remember last time we talked about like you had saw some guy gobbled squatting and you made him take his shoes off. You're like, hey bro, how's that feel? Yeah. But you remember the feeling. Yeah. And I think remembering that moment then is something you can reflect on. Yeah. Whether you want to tell yourself a bedtime story. Yeah. Or if you want to go back to it again and generate tension, go through a lift again, you know?

Sure. So when you're looking to, to create that moment with people, um, or that, that cheering moment, then what are some, what are some tools that we can use for that? Is there a, is there anything that you're like, dude, I'm going to, I'm going to, I'm going to do this strategy on this guy. Sure. I mean, what, what, what I do right now, and, and I've done a lot with my clients, they're going to listen to this and be like, oh my God, I can't believe he's talking about it. Oh, because, because they know, they're like, they know what's coming. They're like, dude, he did this to me already. So I'll have them do something super simple.

Uh, for example, let's say they've already learned tension. They've already learned the deadlift. Then I'll give them a kettlebell that's super manageable and, and I'll give them an exercise. It's pretty simple. Sandbag slam, slam the sandbag. Uh, we'd slam it to an Eric's pad and it bounces and they catch it and they get some reflexive stability while they're doing it. And they do a ski ergometer and the structure goes like this. You do five deadlifts, you do five, five calories on the ski ergometer and you do 15 sandbag slams. That's stage one. We make it to stage six, which is 10 deadlifts, 10 calories on the ski ergometer and 10, um, 10, 10, 10 bag slams.

And by the end they're like, oh, it all just added up to 10 because the, because the sandbag went down and the other two kept scaling up. And when they were done at stage six, they were like, I was like, do you know, uh, what stage is coming? 10, 10, 10. And they're like, I'm like, yeah, go ahead and finish. And they're just excited to finish the 10, 10, 10 and get done with their day. And it's a cool feeling because they're like, he just did some easy basic math, but it worked. Cause I was looking forward to that one that was going down, bro. After that, do you give, do you give them three high fives?

At least at minimum. A double hand. So 10, 10, actually, sorry. They would have five as well. So that'd be, yeah, that'd be a single handed three. Three slaps. That's right. One at every station. Yeah. Or I was thinking maybe kind of like top gun. Like we do one of these ones. Like you're, yeah. Little Tom Cruise Mavericks coming out too. A new movie. Oh yeah. I don't think I'm going to see that. No, I don't think so either. Sorry, bro. By the way, do you notice that Disney was starting to redo the same movies again, same script, but now with an animatronic style or with a, with a, with a non-animated style?

Yes. Bro. I miss the cartoons, man. Dude, I do too. I don't get, so I, I'll take Beauty and the Beast. I'll even watch Little Mermaid, but it's got to be in cartoon. Dude, it's got to be in cartoon form. Yeah. The other day, actually, I bought on Amazon. I was looking for, I was looking for, so I got DuckTales, season three, the entire thing. The first, the first episode sucks, by the way. They're trying to get this horse back. It sucks. But you go on beyond that. They're going underwater and getting their Scrooge's money and so on. And I was really looking for the season that had RoboDuck. Do you remember the?

GizmoDuck. Gizmo, or the guy with the accountant, the accountant, right? I don't know. But it was GizmoDuck, wasn't it? I thought it was RoboDuck. Which one's the one with the wheel? Yeah, that guy. And I couldn't find, like, like, I was looking on the internet. And I was like, I can't figure it out. They said he was in Darkwing Duck. I'm like, I'm not going to buy that. I'm going to buy DuckTales. I know he's in there. And so, I was looking for, I'm like, screw it. Season three's got to be in there. He wasn't, he's not in there yet. Dude, I think it's Darkwing Duck, dude. No, no. Because he's Scrooge's accountant.

He's Fenton Quackwell or whatever. Are you sure? Yeah. Because I looked at stuff too. And so, then he becomes RoboDuck. Okay. Or whatever the, maybe. Gizmo, GizmoDuck. It might be RoboDuck in DuckTales. It was GizmoDuck in Darkwing Duck. That's why they're getting confused. Oh, wait. He was another character. I don't know. He had those cool shades on? Yes. Oh. Yeah, I really get it. We're talking about some classic cartoons now. Dude, yeah. But they have a new season of DuckTales, which is why I think I brought this up. So, again, it's the same, I heard it's the same script now with new style.

It's not really drawing, just like computer generated. And I heard they have iPhones in it, like the kids have iPhones, which sucks. This is weird. Dude, it's like they're going on an adventure, but the adventure's not an adventure. It's like they're Pokemon hunting with their damn phones. That's what I would assume. They have GPS and everything these days. They don't even actually. Dude, I don't know. No exploration whatsoever? Disney, you're teaching bad things to kids, like carrying around these iPhones and playing with them. They're supposed to be on an adventure, going underwater, like fighting with seamen and shit.

Totally. I mean, back in the day, you know, you had to like rescue the girl and do all kinds of funny things and take down a dragon. You don't have to do that anymore. You just open up your phone and it's game over. Yeah. You just have to battle the Beagle Boys, you know, like that was a thing. That's right. The Beagle Boys. They probably don't have the Beagle Boys anymore, for all I know. What happened to Crane the Brain, dude, on Ninja Turtles, buddy? Like, you know? Crane the Brain. There was a... Wasn't it the Brain? Oh, wait. He was a Brain on a Glass. There you go. Now, let's take a real quick break for the sponsor.

The sponsor for the show is Pro Chiro Online CE. It is a online chiropractic CE platform developed by myself, Philip Snell, and Ben Ramos, all the people you already trust and like, that intended to attack the problem of going online and having really subpar learning experiences, just because you got to get your continued education hours. If you've been a chiropractor for a while, you're going to know that not all the workshops you go to offer CE hours. And so, what we've attempted to do is continue your learning process, continue to give clinical pearls by curating amazing content, amazing presenters on certain topics on an online platform, because that has not been done before.

So, please go through and check it out. Ten minutes of every module is free already, and if you don't like what you see, you just stop. So, if your birthday is coming, or it's coming in the next couple months, check it out. You're going to love this stuff. I promise. It will change the way you practice. Now, back to the show. Bebop, Rocksteady, those guys were deadly, bro. You can't mess with them. I forgot. Oh, it was a rhino, right? You had to get around Bebop and Rocksteady. That's a cool name, Rocksteady. By the way, this was an original joke. I had it a couple weeks ago. All right. I'm ready.

So, my office manager here, he was shredding something. It was just taking forever, right? And then he finally took the thing off, and he starts like, because he jammed the shredder, and so he started pulling the stuff out, and he's fighting with this thing for like five minutes, and I walked up, and I was like, what are you, Ninja Turtle? He's like, what? And I said, you're fighting with Shredder. And I just walked out. Ho! Dude! You nailed it, buddy. That was a good one. Original joke. If anyone's heard that before, by the way, I'd never heard it, so it's mine. Ellen, don't steal it this time.

So... I mean, wait, hold on. I do got to mention that I love your videos on Instagram and the bro intro. Bro. You're like, I haven't done it the last few times. No, you have not. So, Jesse claims fame of the bro, what's up? That's so fun, though. Well, when you start posting those ones, I want to see that happen. You go, you will. No, but I think, to be honest, I think that that's so much more relatable to, like... Yeah. I think it's easy. I just started realizing the other day, actually, that I... People are relating to those. Like, they're catching traffic, by the way, at PerformanceHB, if you haven't looked at them already on Instagram.

They... I don't... I used to, in YouTube videos, I would say, hey, my name's Sebastian Gonzales, and I'm going to talk to you about today, blah, blah, blah, right? Yeah. I'm located in Huntington Beach, and blah, blah. And, like, these ones are like, they don't know your name, they don't know... Like, you just walk up on someone, just like, you're sitting across like, bro, what's up? What are you doing? Stretching my piriformis. Don't do that. Let's do something else. Let's create tension. Yep. It's so good, dude. So good. Yeah. So, what else do you want to talk about? What else is new? What else you got?

Load it up. Load it up, bro. Load it up. Don't make me start asking you questions. You're the host in this show. I'm the host in this show? Mm-hmm. This is fantastic. I'm basically a mirror just reflecting back of what I believe that you're trying to... What the message you're trying to convey. Okay. Unless you tangent me, and I'll talk about Ninja Turtles and stuff. All right. So, besides that, I mean, I think, like, one of the things I really wanted to talk about is just, I think it's important to take a look at your patient or client and where they are in their life at this point. So, like, are they 20 years old, 30 years old, 40 years old, 50 years old, 60 years old, 70 years old, and what are they trying to accomplish?

Because it's going to be different for every person. So, they're going to trust and need different things from you at those different times in their lives. So, I mean, I've worked with people now for 10 years, so when I met them, sometimes they were 50 and now they're 60, right? That's a whole different ballgame in terms of what they're capable of and how much free testosterone they have and how much muscle they're going to be able to put on, but how they feel and how they move, that can still be worked on and still be perfected. Do they, so do they ever come to a training session and say, like, say their goals got like, like, say you've established their goals, it's like, I want to do, I want to be able to squat to a toilet, you know?

On my last day, I want to be able to walk to a mailbox, Dan John. Do they ever, like, come one day, they're like, you know, I decided I need to snatch overhead. And you're like, why? And like, I saw it, you know? Yeah. Do you have to reel them back in ever and it's like, well, this was your goal, you still want that or you want to change it? Absolutely. I mean, what I ask them now is like, more so is like, where are you going this summer or where are you going this winter? Um, so that I know kind of what they're going to be doing when they're there. Some people go to the mountains, some people go snowboarding, some people go skiing.

Um, some people take vacations to Yosemite or something like that, um, during the summertime, you know? So when I know what somebody's doing in the summer or somebody's doing in the winter, then I can prepare for that a little bit better. Does that make sense? Yeah. And I think the experience of life and having them feel fearless and capable throughout the experience of life is the most important thing that I'm trying to accomplish with my clients. Do you ever, do you ever, uh, figure out them what your fear points are or what they feel like they're not capable of? And then that's my favorite thing to do.

And they know that too. They ever say those spiders that come out in Southern California around this time of year, around August, those red, green ones, walking into a web. Those guys are dangerous. More so like I'm afraid of, I've never been rock climbing or I haven't been rock climbing in 20 years. So even scaling a boulder is scary for me, you know, or doing something like that. But you're a human being and environmental navigation is a part of being a human being should be able to scale that boulder, buddy. So let's get you comfortable scaling that boulder. It's not that big of a deal. Right.

And I think when you can give somebody the feeling that it's not that big of a deal, then that's important and it can, it can change their perspective and allow them to take more risks. Um, but also it's just from my standpoint, if they're in pain, they're never going to scale that boulder. You get what I'm saying? Yeah, definitely. There, um, but I, I know on the other side of it, like you mentioned or you mentioned prior to, so yes. And being in pain is like, it makes complete sense, you know, why they might not want to do that boulder. Cause they're fearful that they might be breaking something or whatever, you know, but then just the avoidance of, it does make sense on a different level, but it's like, no dude, you're good.

Like scale that boulder, you know, um, and I think this is probably where our, you know, our, our industries kind of come together is like, we're, we're there to push them into your part and your part is to push them up the boulder. Um, and if they get hurt scaling the boulder, we both kind of, kind of talk them off the ledge of thinking that they're not fragile. That's right. So absolutely. I mean, that, I think that's the big takeaway that I wanted to get through today. Um, is I think sometimes we like to vilify, um, people or different competitors in the industry. And I think that, um, when you do that, you really limit the opportunity for growth amongst all of us as professionals.

Um, and I think sometimes you got to give somebody permission to take it, take a chance. And if they fall down taking that chance, you just got to help them back up. Um, and if you can't do it alone, you ask for help and you look for other people. Um, but you, that is, that is the main takeaway is that you give them permission, you strengthen them enough to give them permission to take chances. And I think that if you can do that, I mean, you're really going to affect what a lot of people do in a lot of their lives and a lot of their careers and a lot of their professions and a lot of their families.

And, and I don't, I don't know too, if a lot of, uh, I know that when, when I first started using, uh, resistance training with people, I never really thought beyond that. I know they wanted to, I know they wanted to go out and do their thing. And I, and I thought that, uh, strength training was supportive of that and generating tension was supportive of that. But, but also to resistance training, although a lot of them, a lot of people hang in that realm and it's like, this is what I need to feel good. It's like, you also need to do things that are in fitness. If, if for strength training is not enjoyable to you, you need to do something enjoyable to you and strength training, as well as your, your things that make you feel better, whatever that might be, um, those are stepping stones to get you to the enjoyable part of life, which is doing them for my case, baseball for this guy, bouldering or whatever it might be, you know?

Yeah. And I think sometimes when you're stuck in the strength training world or the realm of strength training alone is, uh, I think you got to look inside a little bit and ask yourself a question as to why do you continue to seek out being so strong? Um, maybe a part of you perceives yourself to be a little weak and so you're trying to get all kinds of tools to make yourself even stronger. All right. And I think if you can kind of just take that strength and move it into experiences, that's really where like the sweet stuff is. I was wondering too with like, uh, I know people have tried to quantify this, but how strong is strong enough, you know, to be, to be doing what you want to do.

And at what point is, uh, so much strength actually hinders to what your goal was in the first place, you know? Absolutely. So, uh, I had a story. I forget what it was now. Damn it. We were right there. Oh God. It would have just floated right into there. Right. It would. Anyways, that's all I got. Damn. I had some real good shit. Glad these shows aren't live. Uh, your viewership right now is dropping. They're just, I don't know. Logged off the podcast. Actually, I think that funny, like some of the other interviews that I've done with people, right. And so our, our last one when I think went really well, I think it was, if you're listening on iTunes, if you can find a number system, cause they started getting rid of it.

I want to say it's like 91 around there. It's around the nineties. Um, it was early last year. Yeah. Um, but yeah, ours was, I think like I, I listened to it. I'm like, man, I'm entertained. Like I think it was fun. Yeah. In other ones. And I can, I can, I can feel myself in my, in my head, in the interview when I'm listening to it, thinking I could have asked this question better. Like the flow is kind of awkward. It's like an awkward first date type of thing. Yeah. You know? And it's just like. We got chemistry, Sebastian. Dude. You and I got chemistry. Well, all you needed was a, it was a mango cart and I'm, and I'm totally down.

You're a cheap date there, buddy. Yeah. Right. A mango cart. Um, yeah. By the way, did you notice that the mango cart, they're trying to hide the fact that it's, it's a wheat ale. Oh, I did not know that. You didn't know that? No. So this is non-sponsored by the way. Uh, if you want to, uh, pay us some money, Golden Road, you can. Uh, yeah. Mango cart, mango wheat ale. Hmm. Cause I, I typically don't like wheat ones. Yeah. Me either. Yeah. So, oh, good filler there. Cause you saw I was leaning away from the mic. Yeah. I had to make sure we were on task. Yeah. Good. Um, I will say this though. I do enjoy the fact that I've, I've been to so many different workshops and I've never been fed at one.

Really? So the fact that you take care of people, man, I really appreciate that. Yeah. I always have to bring my own stuff and I have like nuts and yogurt and shit. And I'm like, dude, so, so when, uh, actually the first time that I was ever really fed well was, I was so impressed. I went to, I think it was level three TPI. Um, and you go to their Oceanside one and it was literally like, it was, it was like goblets of water, like round tables, salmon. I'm like, God, this is nice. You know? Yeah. And you spend over a grand to go and it's like, there's like a hundred people here. I know you guys are making a hundred grand.

Maybe you can give us a, like treat us well, you know? Yeah, yeah, yeah, yeah. And you go to these ones that cost like two grand and it's like, I got granola. This sucks. You know? Yeah. Um, perform better. I think did a good job a couple of years back when I went is that they hosted it in the Long Beach Convention Center. And then it was like open bar, hors d'oeuvres. Yes, totally. Perform better does it, does it right every time too. Yeah, it was nice. They do it right. I mean, you want to feel like, you know, like you're part of something. Yeah, totally. The social. They call it the social.

Is that, oh, they call it the social? Yeah. The social. It's a good place to get to know people. If I had the barbecue here at the office, like I would totally do it probably at lunchtime. Yeah. But we didn't have that. Uh, so yeah, afterwards we did three tomahawk steaks. It was, it was a bunch of beer, a bunch of salad. Yeah. Very keto. Hmm. Except for the beer. I could also tell that you were cooking those steaks upright. Hmm. Just a little pink on the inside. I don't mess around, dude. I got one of those saver, those saver knives. Someone was talking shit on like, so they, they saw me like sawn this, this, this steak apart a little bit.

And so I'd gotten a new knife for Christmas with my mom and it was like a $70, $80 knife and so on. And so I didn't pick it. And so I was trying it. It was like the second time you used it. And so on, someone messaged me and they're like, bro, you need a new knife? Like, and he, so he started me, he started showing me these like sabers, right? And I'm like, dude, that's like $300 a knife. I'm not buying that. And so, and then my, my, my friend for my birthday this year, he got me one. He went to like a chef's depot type of thing and got one of those big old ones. That thing is like deadly. Like I washed it.

I literally sliced my sponge. Like not even trying. I, I sliced the sponge. Dude. Yeah. Slick. Dude. So when we're like, when we're cutting these things, like people are like talking to me and stuff. I'm like, please leave me alone. Yeah. You're afraid to take off a finger. Dude, that thing is sharp. I don't even think that thing is that expensive though. Take a piece of your forearm off. What happened? Got the saber. Yeah. Pretty nasty. Yeah. Have you made a tomahawk steak? I have not. Where do you get them at? I get it. I've been getting them at Costco. Costco. I heard Sam's Club has a longer handle though.

Do you have them cut it? No, they're just in there. No, already made? Yeah. Just pick them up? Yeah. Apparently there's something called a ribeye cap. What is that? It's the cap of the ribeye tomahawk steak, but you just get the cap. There's no bone. It's just the cap, which has a good blend of fat and meat in there. And it's supposed to be one of the better parts. I can't find them at my Costco. Okay. But if they're your Costco, I heard they're in San Diego County. You're kind of losing me because I do like that bone, man. I know. Me too. Funny. My friend, we're so off topic. So, yeah. So, Ben's been on the podcast before.

Ben's, Ben Ramos. So, he's like, he texted me. He's like, hey, man, you got to get this ribeye cap. And so, I look at it. I'm like, it looks pretty good. And so, I go to Costco and I look for it. I'm like, I see tomahawks. And I kind of scan. I'm like, I don't see that one. Cool. I get the tomahawk, you know. And so, I get a text later. Hey, man, you should have got that ribeye cap. I'm like, I didn't see it. And so, I did this a couple of times. And he's like, you got to ask them. I'm like, I guess I don't want it that bad. Yeah. Because I like the bone. It's so true. Yeah. You don't want it that bad.

No. Yeah. So, back on to like interaction with clients then. I'm curious then with, this is selfish for the healthcare providers out there. We're probably going to want to know from a, like how it happens over at the gym. Because a lot of referrals do come from gyms and so on. What do people stereotype chiropractic as, maybe, and maybe PT? Because I think they, in my experience, they're like, which one should I go to for what, you know? Yeah. Is there a qualifier in there? Is there something they kind of stereotype as, good or bad? Sure. I think the average person that I've met, when they talk about a physical therapist, they think of MDs, doctors, and going through the Western medicine route.

And when they talk to chiros, they think a little more, a little more like moving bones around and alternative medicines. And so, a little more Eastern-based type of rehabilitation or, yeah, rehabilitation. So, with chiropractic, they don't tend to think like, hey, they might show corrective exercise or tension. Not always. In my experience. Yeah. What percentage of time do you think that they would be the, say that they're not doing, like, they would stick to the standard stereotype? You know, maybe 50-50. Oh, okay. I didn't know it was that much even. Yeah. Interesting. Yeah. I was curious because I had someone reach out to me about, they're like, hey, do you think, like, hey, can you help me?

And I'm like, I can't. I'm not by you, but you should go here. And so, I sent them to my past intern who was a chiropractor. And they're like, they got back to me. They're like, so, do you think chiropractic will help me? And I'm like, you were asking for my help, weren't you? Yeah. And they're like, yeah, but chiropractic? Yeah. And I'm like, if you're asking if adjustment would help you, I have no idea. But if you're asking if he can help you, the answer is yes. Totally. And I think that's really where we have to be better communicators in every part of the field in terms of personal trainers building up other personal trainers, chiropractors building up other chiropractors, physical therapists building up other physical therapists, orthos building up other orthos, I think, in general.

We really should work to build each other up and continue to learn together and grow together as opposed to kind of breaking each other down. What do you think the solution is there? How can we all get in a room and bro down? Tomahawk steaks? Tomahawk steaks, man. I think that's a good way. Food is always a good way to get people to bond. I truly believe that. But I think as the science gets tighter and tighter and more refined, I think it's definitely going to be an improvement on the field. I mean, I remember when I got a degree in kinesiology 10 years ago and I was like, oh, I want to go into physical therapy.

And then I was like, ah, maybe I don't want to do that. So I became a personal trainer. And I was like, you know what? I really like training people. And I really like this end of the training curriculum, you know, in somebody's physical capacity. And when you make choices, it's important to know where other people are coming from. So, for example, where the clinical exercise person is coming from, it's important for me to know that before I make decisions with my clients. So no matter where you are, you keep growing, you keep learning, and if you find other like-minded people, I think it's going to be easier for, for example, perform better socials, social media.

There's just a lot of places now where people can be more connected. There's a lot of places now where people can be more connected and trust each other better. And also sometimes it's just you just watch people work. I mean, I have no problem giving my clients a reference for another personal trainer that has a similar philosophy as mine inside of even my own studio when I'm out of town. You know, like it's more about that person continuing on the path of their health and their wellness as opposed to my ego and what I perceive myself to be as a personal trainer. You know, it's not really that important.

Yeah, that's good. I'm thinking, I'm brainstorming now. I see it, a vision. I think we just have a big old barbecue. You invent all the, you, you, uh, damn it. I had to add a rap song in my head. Um, I want you to invite your homies. Okay. I'll invite my homies. I know, no, you invite your friends. I'll invite my friends. We can all be friends. Oh! We get some orthos, some PTs, some strength coaches, some chiros in there. That'd be awesome. Everyone, everyone similar minded or open minded just to chat about stuff. Oh, man. Dude, that'd be, that'd be legit. That would be legit. Who wants to do this?

Does anyone want to? It's just, everyone message, message Jesse. In that, in that vein, I'll give a shout out to, uh, Leslie Trujillo and Z Health. She's amazing. Uh, she's a strength coach at Harvard College. Brought me on for a semester. Lee Brown. Um, he was a great, great mentor, PhD, strength and conditioning professional. Andy Galpin, what he's doing. And I think you talked to him already over at Cal State Fullerton. Um, just, there's enough, the body of knowledge, another great podcast. There's a lot of really good people out there. There's a lot of really good people in a lot of different fields.

I mean, they could be, they don't even have to be practicing in the field. They could be in school and putting out, you know, um, research studies or research papers and we're learning from them. Cause honestly, I don't know how to read that research stuff as much as Brett Contreras or Andy Galpin do. So, yeah. Shout out to you guys for doing what you do. Um, I appreciate the, that mine is more on a emotional social level and I like that part of it and I don't want to change that part of it. Yeah. I think actually, uh, so, uh, Andy, uh, Andy and Kenny interviewed, um, uh, uh, Professor Brown on their podcast.

Yes. So that, that was actually one of my favorite. It was a great podcast. He's a good dude. Yeah. Dude. He retired, I think, right? He did. Um, if everyone wants to hear that, that's body and all just one of the only podcasts I actually listened to. Yeah. So that's a good podcast. They season three just came out. Just came out. Yeah. Um, yeah. So on the, on a soft ideas, if anyone really has an interest of getting together, then maybe we do that thing. Maybe we do that. That'd be great. That'd be sick. Seriously. It would be really cool. Yeah. Just clean up that for yourself. Put your, put your weights away.

Yeah. Put your, put your, put your weights away. You know, we, we'd be kind of like, like, you're not allowed to speak unless you're doing a bicep curl. Uh huh. Kind of like pain gain, like Mark Wahlberg. Yeah. Dude, I gotta get a pump on. I can't think. Yeah. I think that would be cool, man. I think if we got more physical therapists talking to chiropractors and chiropractors talking to physical therapists and orthopedics talking to all three of them and personal trainers and strength coaches listening and learning and giving their ideas, I think that'd be a great, great way for anybody who studies and for the listeners for, I mean, you have a lot of clinicians.

Kinesiology is the study of human movement. You know, that would be like, actually if everyone like, so when this podcast comes out, like we'll see, I don't know if this will really happen or not, but let's, let's just do, let's just, let's just, since this is going to be pre-recorded, we'll just see. Why don't we do this then? What, uh, Jesse, what's your handle? At Jesse? At Strength Coach Macedo. At Strength, how do you spell Macedo? M-A-C-E-D-O. I knew it was Macedo. At Strength Coach Macedo. Yeah. Machado. Macedo. Uh, on, at Instagram or, uh, at PerformanceHB. Uh, if you're in the Southern California area, actually, uh, just message one of us, uh, and maybe we do like, uh, we do it like an Applebee's.

That'd be great. Let's do it. Just like, like we crowd an Applebee's and just like. Tell it to take a night style. Just. Yeah. Just like, yeah, we'll spider monkey you. So, yeah, we just bro down and get a handful of people and see if we can get. The hard thing, I don't know if you got habit at your thing, your, uh, in your profession too, is that, so I was fortunate to hang out with, uh, Cody D-Mac when he was here. Yeah, he was great on the, I heard, I was listening to him with, on your podcast. Yeah, he was right around the corner. So we bro down on a lot of stuff, you know, and, but there's not like, like one of my best friends going through Cairo school, like he, he lives like literally less than a mile away from me.

Yeah. And like, we don't see each other. And so like, you get stuck on this island of like, you're seeing patients, which, which is cool because they're fun. But at the same time, it's like, I just want to bro down with people who are like-minded as well and not to speak on, speak about this one case. I just want to figure stuff out, you know? Yeah. And so if everyone's open to that, really probably not Applebee's, but maybe like a restaurant, like a little standing room bar area, some, some tops going on there, just have some drinks, get some apps, bro down, do a couple hours. And to your point, man, the problem is the good get busy.

And I know that. And I understand that the good people, the good trainers, the good coaches, the good physical therapists, the good chiros, they get busy, you know? But whenever the good can have a good, great conversation, that's when ideas start to come together and people start to see real change and real results. Yeah. Even those are the, like, I think the ideas will get out of people too. They're like the quote unquote non-published things. It's just observations and, you know, things that they don't want to stick their neck out to like, to, to say yet. But it's like, hmm, maybe this, maybe this would help you in our observation, you know?

Yeah. So, yeah, that's, what else do you want to talk about? We got a couple minutes left. What's going to be in your gravestone? I know we've done that with four people. Not in my gravestone. Bro, do you feel that? Put your feet on my grave. Do you feel the sand? Do you feel the sand between your toes? That might have to be. It'll just be footprints all over your grave at the headstone. Like, you'll put, like, the softest sand and the other one has gravel, like, hard gravel. It's like, do you feel the difference between the sand? Keep going of it, yeah. That might have to be it. You know, that's a deep question, man.

That's some philosophical stuff right there. I don't think I have the answer for that today. Yeah. Okay. That's okay. Well, is there anything that you would like to recap on or top off on this podcast before we exit? I think, for me personally, it's just something to say that I'm proud of being in this field. And I'm proud of making the decision I did when I made it. And, you know, sometimes you just take a chance and you don't look back. And I can truly say that. And I'm appreciative of all the people that give their time to work with me and trust me. So, I think that's pretty much it, man. Do you want any shout-outs to any clients?

Or is that confidentiality? I think that might be confidentiality. Okay. They know who they are. Love you guys. Cool. All right. So, I think we'll close this part up. Then I'll let Jesse be part of the closing process today. So, thank you so much for being on. That's good. If everyone has not already visited Jesse's Instagram, that's at StrengthCoach... Macedo. And how do you spell Macedo again? M-A-C-E-D-O. Machado. So, everyone visit him there. And also, too, if you heard the sponsorship part of this podcast, again, part of the curriculum that we are promoting, that I am promoting, I do make some money on the side of it, is called Pro Cairo Online CE.

It's where the Badass Cairo's go for their online CE curriculum. So, please go there. Like, there's things that I wish I would have known years ago. And actually, after doing the editing process and watching Cody do his stuff and Ben Ramos and Philip Snell do their stuff, I learned a lot of parts in there that really helped my clinical practice. So, they're things that you would even think. And so, every section has about a 10-minute segment that's free. Also, there's snippets on the Facebook page as well. So, you can check them out there at Pro Cairo Online. I was thinking about, actually, this might be the first podcast, Jesse, where, you know how, like, people have, like, their people?

Like, they have their following? So, I was advised that somebody, that if you have a show, a podcast, you should start by having, like, you should have your followers being called something. And so, I thought, man, that's a douchey thing at first. But I thought, hey, it might be cool if we make t-shirts, you know? And so, I started the podcast with, thanks for being part of the movement movement. And so, maybe we just call the listeners, you're the movement. I like it, dude. Yeah. And so, maybe it makes a t-shirt say, restoring human movement and said, I'm part of the movement. Dude, I love that.

Dude. No one else can take it, by the way. Don't take that shit, all right? I was thinking, I was going to do the movers, but then I think MoveU has that, so I won't go there. So, we're going to be the movement. Yeah, I like it. The first time I heard you say it, the movement movement, I was like, oh, on point. That was, that was an accident. It was an accident one day. So, I'll probably start capping off the podcast note, though, is I'll give one last shout out to the old exit, which was, leave people better on how you found them, and if you're dating Eagle Scout. In this case, we're going to go with, thanks for being part of the movement.

Thanks for being part of the movement, man. Cool. Thanks, everybody.