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PODCAST

The Spine PT Podcast

Dr. Ramez Antoun PT, DPT, PNF, OMT, FRCms

Teaching Physical Therapists practical tips for assessing and treating back pain so that they can help their patients get back to training and peak performance.

health & fitness

All Episodes

00:07:02

E57. Handling The Difficult - "Just-Fix-Me" - Patient

The Spine PT Podcast ·

2025/05/21

Ever had a patient walk into the clinic expecting you to do all the work?You know the type, the “just fix me” attitude, minimal ownership, and max frustration on your end.In this episode, we dive into a simple way to interrupt that dependency mindset, and why how you start the relationship might be the most important part.If you’ve ever found yourself dreading those patients who treat you like you need to be some "guru healer", this one’s for you.www.spinePTuniversity.com

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00:21:57

E56: The Lie PTs Believe That’s Sabotaging Their Evals

The Spine PT Podcast ·

2025/05/14

Why do so many brilliant physical therapists still feel shaky when tricky LBP evals walk in the door?If its not a lack of courses, skill or effort then what is it? Its something deeper and its holding too many high level PTs from becoming elite diagnosticians.In this episode, Mez opens up about an "oh-shit" moment in the clinic that left him feeling defeated, and how that experience exposed a toxic narrative/belief.If you're a physical therapist and you’ve ever:Doubted whether you’re

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00:23:51

E55: Coaching Movement Through the Senses: Motor...

The Spine PT Podcast ·

2025/05/06

For clinicians who know coaching goes deeper than the spoken word, this episode explores how the sensory system, perception, and context unlock movement options. Mez shares motor learning principles from the trenches of neuro rehab, offering a fresh lens on coaching patients toward autonomy and trust in their own bodies. A must-listen for physical therapists who value nuance, intuition, and the art of coaching movement.www.SpinePTuniversity.com

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00:36:45

E54. Why PNF Reduces Low Back Tone Faster Than...

The Spine PT Podcast ·

2025/04/29

Your patient moves OK has decent strength, decent mobility But everything still feels tight... guarded & they always seem to be bracing.What if they don’t need more mobility drills or core strength?What if the real issue is neurological tone aka "The CNS e-brakes"?In this episode, I share a framework of a system that you’ve probably heard of—PNF—to help reduce neurological tone, and improve access to true spinal column control from the ground up.And no—it has nothing to do with D1/D2 patterns or

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00:36:08

E53: How Breathing Impacts Low Back Pain & The...

The Spine PT Podcast ·

2025/04/22

In this episode, Mez unpacks how breath work directly influences the autonomic nervous system—and why that matters for patients stuck in a cycle of flare-ups, back tension, or stalled progress.You'll learn:The neuro-cardio physiology behind why & how mindful breathing stimulates parasympathetic activity & vagal tone . Basic step-by-step breath coaching you can use in the clinic today even if you've never coached breathing before.How to integrate breath into strength, mobility, and motor

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00:21:28

E52: Stop Setback Spirals: Why Exercising Adults with...

The Spine PT Podcast ·

2025/04/15

Why do active adults keep flaring up their low back—even when they're doing “all the right things”? In this episode, Mez breaks down the #1 mistake lifters make during rehab and how it leads to setbacks. Plus, I’ll share a dead-simple fix to stop the cycle and build real, long-term progress.

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00:53:52

E52: What exactly is The LBP Intensive Program?

The Spine PT Podcast ·

2025/04/07

Click here to learn more about The LBP Intensive Program.People have been asking a lot of questions like:- What's The LBP Intensive program? - Who's it for? - what do I get? - What exactly is covered in the curriculum?Mez dives deep and answers all of these questions and more in this week's episode...

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00:15:01

E51: What Do I do With a Rib Cage That Won't Move?

The Spine PT Podcast ·

2025/04/01

Join the Free Sciatica Class: "4-Shocklingly Simple Steps to Solve 'Unfixable' Sciatica" ⁠⁠CLICK HERE⁠⁠In this episode, Mez dives into a game-changing framework & technique for extremely stiff thoracic spines— i.e the rigid construction worker who moves as easily as a Lego piece. The self-mob drill discussed is designed for patients with:Extremely limited thoracic mobilityDifficulty performing basic movements like cat-camelPersistent stiffness in the T-spine and rib cageKeys

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00:11:55

E50: The Shift From Orthopedics to Neuro

The Spine PT Podcast ·

2025/03/25

Join the Free Sciatica Class: "4-Shocklingly Simple Steps to Solve 'Unfixable' Sciatica" ⁠CLICK HERE⁠Mez shares his thoughts on the pros & cons of the PT industry's shift from orthopedics/biomechanics to neuro/central nervous system in the last few decades. He also shares how he's been able to develop a bullshit filter for course instructors who were just being "neuro-parrots" for real industry leaders.

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00:22:27

E49: What Did I Do Wrong If Flexion Sensitivity...

The Spine PT Podcast ·

2025/03/18

Join the Free Sciatica Class: "4-Shocklingly Simple Steps to Solve 'Unfixable' Sciatica" CLICK HEREIn this episode Mez discusses a tough and sad case of a 97 year old patient with a long history back pain who was a high fall risk and many issues with general mobility. He shares what he did to reduce this patient's fall risk and to keep him moving toward functional independence despite the LBP changing throughout the POC.

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00:16:17

E48: Part 2. McKenzie + Neurodynamics progress to the...

The Spine PT Podcast ·

2025/03/11

Wanna a Free Class? "4 Shockingly Simple Steps to Solve 'Unfixable' Sciatica" ⁠⁠⁠⁠⁠⁠Click Here⁠⁠⁠⁠⁠⁠ This episode builds on last weeks case study and Mez quickly reviews the case and discusses how he progressed this patient back to lifting in the gym. He also shares what didn't work to get back to the gym, why it didn't work, and how the exercise selection was modified to find the patients entry point for loading in a safe yet therapeutic way.

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00:15:57

E47: Part 1. Is Mckenzie + Neurodynamic Treatment Magic?

The Spine PT Podcast ·

2025/03/04

Wanna a Free Class? "4 Shockingly Simple Steps to Solve 'Unfixable' Sciatica" ⁠⁠⁠⁠⁠Click Here⁠⁠⁠⁠⁠ In this episode, Mez discusses an interesting case study where McKenzie repeat extensions and Neurodynamic treatment would have been magic if he didn't forget to address this critical element at the very start of the plan of care.

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00:15:04

E46: Is it Plantar Fasciitis or Sciatica?

The Spine PT Podcast ·

2025/02/26

Mez discusses the differential diagnostic power of the slump test using a case study of a 60 y/o male with intense burning foot/arch "plantar fasciitis".The burning foot pain was so bad that the patient couldn't tolerate wearing a sneaker on his right foot and had to wear a sandal.Listen in to hear Mez discuss how he differentiated between plantar fasciitis & lumbar radiculopathy.www.SpinePTuniversity.com

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00:18:27

E45: Are Pelvic Tilts Relevant?

The Spine PT Podcast ·

2023/05/18

In this episode, Mez discusses his stance on the relevance of pelvic tilts in the management and recovery of low back pain... Some say "they don't matter... why might they be relevant from a pain science lens AND a biomechanics leverage lense?CLICK HERE to learn more about The LBP Intensive Program. Join the wait list to be the first to know when registration doors open.

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00:20:33

E44. PNF Patterns of Facilitation. Part 6: PNF Basic...

The Spine PT Podcast ·

2022/04/04

You know, the PNF patterns you memorized in PT school? The ones you were told "weren't functional" or "evidence-based"? Yeah, we're talking about those patterns... are PNF patterns functional? Are they "evidence-based"? Do they NEED to be "evidence-based"? Mez dissects all of these questions and more. In this episode he dives into: The history of PNF patterns The thought processes behind their development. Correlation between PNF Patterns & Thomas Myer's work with fascial anatomy. Correlation

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00:14:24

E43: Proximal Stability for Distal Mobility: PNF...

The Spine PT Podcast ·

2022/02/08

In this episode we get into proximal stability for distal mobility or distal fixation for proximal mobilization as it relates to open chain vs closed chain function. We discuss how various systems like Dynamic Neuromuscular Stabilization (DNS) & Postural Restoration Institute (PRI) utilize the same principle in their systems to create therapeutic rehab strategies. Sign up for our --> weekly newsletter for more rehab content Apply Now --> Application to Neuropedics' 12 Week Motor Control

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00:10:36

E42: PNF Basic Principles Deep Dive - Part 4:...

The Spine PT Podcast ·

2022/01/25

This week Mez dives into the nuances of the next well known PNF Basic Principle: Irradiation. Topics he discusses: How the practical concept of Irradiation ties into the core PNF philosophy "use a positive approach" How the anatomy of the sensorimotor homunculus & a propagating action potential can help explain irradiation. How irradiation can be used to teach the skill of relaxation as well as the skill of tension production. Sign up for our --> weekly newsletter for more rehab

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00:23:56

E41: PNF Basic Principles Deep Dive (Part 3): The...

The Spine PT Podcast ·

2022/01/10

In this episode, Mez discusses how a basic understanding of the stretch reflex can help guide our clinical thought process & problem solving skills when it comes to manual therapy and self-care mobility training. He covers: Stretch reflex sensitivity & action potential (AP) threshold CNS modulation The importance of breath work & progressive isometrics to desensitize the stretch reflex for long term mobility gains. The myth of "Reciprocal Inhibition" (read blog below for more

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00:18:18

E40: PNF Basic Principles Deep Dive (Part 2):...

The Spine PT Podcast ·

2021/11/30

In part 2 of this series Mez explains the why and how to apply approximation & traction into your practice from a "neuro" and "ortho" perspective. This PNF checklist item is a subcategory of the proprioceptive input principle. Sign up for our --> weekly newsletter for more rehab content Apply Now --> Application to Neuropedics' 12 Week Motor Control Mentorship Program Visit our website www.NeuropedicsPT.com Questions for Mez? You can email him: Ramez@NeuropedicsPT.com

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00:54:54

E39: What Sparked the Inception of The Neuropedics...

The Spine PT Podcast ·

2021/11/23

This episode is a re-cast episode that Mez did with Zak Gabor PT, DPT, CSCS at The Level Up Initiative. Zak was Mez's first student who asked him to create a residency that blended what he learned during his Neuro and Orthopedic residency & fellowship. In this episode Zak & Mez reflect on their experience together and Mez shares key milestones from his past that sparked the inception of The Neuropedics brand. Sign up for our --> weekly newsletter for more rehab content Apply Now -->

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