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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

00:21:41

E78. Smarter Exercise Progressions | The 4 Pillars...

The Spine PT Podcast ·

2025/10/28

Exercise progressions and programming can get messy once your LBP patients are “out of pain”You know they need strength and load, but the number of exercise options can feel endless & overwhelming.This episode is a clip from a live coaching call where Mez breaks down the exact framework he teaches inside his new upcoming course Back to Gym (B2G) After Sciatica™ for organizing exercise progressions and regressions with clarity.You’ll hear how he uses a simple 4-pillar system to make exercise

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00:29:36

E77. How to Stop "People-Pleasing" Difficult LBP...

The Spine PT Podcast ·

2025/10/21

Ever felt drained by that one difficult patient?If you’ve ever taken that emotional baggage home because you didn't meeting that patient's expectation of “fixing them” fast, then listen to this episode. If "those patients" make you feel bad & make you question your clinical skill despite knowing what you're doing, then definitely listen to this episode.You’ll learn:What I wish someone taught me at the beginning of my PT career.How I let my "people pleasing" habits

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00:23:54

E76. Are Your Back Pain Patients Training Hard...

The Spine PT Podcast ·

2025/10/14

In this episode of The Spine PT Podcast, we’re blending two of the most powerful tools I use in rehab:The OMNI Scale (0–10 RPE), andThe Traffic Light Pain System.Too often, we either underdose or overdose our back pain patients — especially when symptoms linger and confidence is shaky. And without a clear system, it’s easy to keep yo-yo’ing between pushing too hard… or not pushing at all.In this episode, I’ll show you how I blend these tools to build trust, scale loading, and help patients get

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00:22:47

E76. Traffic Lighting Pain: How to Tell If Your...

The Spine PT Podcast ·

2025/10/07

In this episode, Mez breaks down a simple framework to help you decide when to push, pause, or pull back while rehab and training a patient with low back pain. You’ll learn how to use the Traffic Light Pain System to interpret symptoms by first creating clear language around acceptable vs un-acceptable symptoms. The traffic light system also allows you to strategically adjust your patients exercise program in a collaborative way which helps build patient confidence and self-efficacy without fear of

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00:12:55

E75. The 3 Pillars of Spine Health & Resilience

The Spine PT Podcast ·

2025/09/30

Most physical therapists want to know what "corrective exercise" or manual therapy technique to use solve back pain. In this behind‑the‑scenes clip from one of The LBP Intensive live calls, I flip that question on its head.Instead of giving you another “X‑Y‑Z” method, we zoom out to the principles that sit beneath every program, every exercise, every manual technique, the stuff that keeps your patients (and you) in the game long‑term.You’ll hear:Why focusing on “what” exercises &

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00:30:38

E74. Case Study: Progressing Acute Sciatica to...

The Spine PT Podcast ·

2025/09/25

In this episode, Mez walks you through a real patient case study breaking down the exact progression used to take a patient from an acute sciatica flare-up to confidently deadlifting pain-free.You'll learn key clinical decisions made in the acute & performance phase that made full recovery possible for this patient.Acute Phase:How diagnosing the specific pain pattern helps you know exactly where to start & avoid flaring symptomsWhy traditional PT makes it worse and how to avoid making

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00:16:32

E73. Back Pain & The Uncoordinated Patient: A Motor...

The Spine PT Podcast ·

2025/09/18

Ever work with a patient who just can’t seem to get it, no matter how many cues you give?In this episode, Mez shares a powerful clinical story that flips the script on traditional verbal cueing and exposes one of the biggest blindspots we have as PTs when it comes to motor learning.You’ll learn:Why more cues ≠ better motor learningThe power of “silent sets” (where the idea came from)How closed environments, not just changing your cue, can unlock motor learning even with your most uncoordinated

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00:24:35

E73. Low Back Pain Intensive™ Program for Physical...

The Spine PT Podcast ·

2025/09/11

Click Here⁠ ⁠to enroll in last round of The LBP Intensive™ 2025 ⁠⁠⁠⁠⁠This episode is a direct clip from the end of a webinar where Mez shares all the details of The LBP Intensive™ 12 week program including:Who its forWhat it isEverything you getWhenWhere How⁠Click Here⁠ ⁠⁠to enroll in the last LBP Intensive™ for 2025 | Limited Spots

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01:23:08

E72. 3-Steps Physical Therapists Need to Solve...

The Spine PT Podcast ·

2025/09/09

Click Here⁠ to enroll in last round of The LBP Intensive™ 2025 ⁠⁠⁠When was the last time you were really, publicly embarrassed?? For me it was this past Saturday while presenting to a live audience on Zoom.I really wanted to edit it out...but I decided not to because I believe a lot of strength comes from the right doses of vulnerability, especially when it comes to leading & mentoring others.But that’s not why I’m sharing the entire masterclass replay on my podcast. I’m sharing it

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01:34:10

E71: A PT's Secrets of Success: A Story of an Ironman...

The Spine PT Podcast ·

2025/09/02

To learn more & enroll in 2025's final round of The LBP Intensive™ ⁠⁠Click Here⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Enrollment doors officially close Tues Sept 16th 2025 at midnight.In this episode, Mez sits down with his first PT mentor, longtime clinic owner ,and coach Todd Houghton for a raw conversation on what happens when the passion fades and how to find your way back.Todd opens up about the hidden weight of being the go-to PT, the emotional toll of trying to "fix" every patient, and what shifted for

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00:11:45

E70. Why Do Sciatica Patients Get Stuck in "Rehab...

The Spine PT Podcast ·

2025/08/26

To learn more about The LBP Intensive™ program ⁠⁠⁠⁠⁠⁠Click Here⁠⁠⁠⁠⁠⁠⁠⁠⁠ In this episode, Mez pulls back the curtain on one of the most common (and costly) mistakes physical therapists make with sciatica patients & what PTs can learn from strength & conditioning principles.You’ll get a sneak peek inside the second core curriculum of The Low Back Pain Intensive™, where Mez overviews the 3 key phases of a strength and conditioning he teaches clinicians to help patients transition from pain to

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00:05:28

E69 | 3 Easy Steps to Assess Lumbo-Pelvic Mobility...

The Spine PT Podcast ·

2025/08/19

To learn more about The LBP Intensive™ program ⁠⁠⁠⁠⁠Click Here⁠⁠⁠⁠⁠⁠⁠⁠ In today’s episode, you’ll get a behind-the-scenes listen into a live LBP Intensive™ coaching call, where we dive into the Lumbo-Pelvic section of the Resilient Spine Assessment — the exact system we use after acute symptoms settle and it’s time to rebuild.You’ll learn:The 3 questions that guide every lumbo-pelvic mobility & motor control evalWhy assessing in multiple planes and positions matters more than you thinkHow to use

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00:52:29

E68. What Did The Physical Therapist Say to The Chiro??

The Spine PT Podcast ·

2025/08/14

To learn more about The LBP Intensive™ program ⁠⁠⁠⁠Click Here⁠⁠⁠⁠⁠⁠⁠ In this episode, Mez sits down with a brilliant chiropractor, Dr. Sean Nealon, DC for a raw convo on what it really takes to evolve as a clinician in this day and age.They unpack:Sean's interesting take on "finding your passion" in sports & orthopedic rehab A "con-ed trap" clinicians need to avoid at all cost.His thoughts and struggles trying to blend various rehab approaches like McGill, McKenzie, DNS,

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00:21:03

E67. Breath Work & Back Pain: It's NOT Just a...

The Spine PT Podcast ·

2025/08/12

To learn more about The LBP Intensive™ ⁠⁠⁠Click Here⁠⁠⁠⁠⁠⁠ In this episode we zoom in on an ancient yet powerful tool for low back pain rehab: The Breath 🫁This is a raw, behind-the-scenes clip from a live LBP Intensive™ live call where we dissect how breath work directly influences the autonomic nervous system.You'll learn why it’s foundational for relaxation, reducing muscle tone, and helping your patients come back stronger & more powerful than before.Whether you're a performance PT

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00:31:11

E63. Why is Aerobic Capacity Misunderstood in...

The Spine PT Podcast ·

2025/07/29

To get on the waitlist for The LBP Intensive™ Click Here⁠ Why do so many patients flare up 2 weeks after getting discharged from PT & getting back to the gym even when your clinical care was solid?In this episode, I break down the real reason this keeps happening and how to apply the 80/20 rule & a deeper understanding of aerobic capacity to stop it for good.Spoiler: it’s not about better manual therapy or another mobility drill. It’s about building a SOLID phase 1 of a 3 phase Strength

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00:30:35

E62. The 12-Week Strength & Conditioning Guide to...

The Spine PT Podcast ·

2025/07/22

Click Here to learn more about The LBP Intensive™Getting back to lifting after an acute sciatica/LBP flare can be really messy and a whole different clinical game.In this episode, I break down how to deal with the fear of re-injury, one of the biggest mental roadblocks performance PTs & patients face when returning to training. This episode isn’t just about the psychology behind fear, it’s about what to do when that fear slows progress in the clinic or stalls your strength plan. I’ll walk you

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00:20:51

E61. The Paradox of Choice: Why You’re Overthinking...

The Spine PT Podcast ·

2025/07/15

Click Here to learn more about The LBP Intensive™ and to get on the waitlist for round 6 this September.If you’ve ever spent more time planning a progression than executing it… this episode’s for you.In today’s episode, Mez dives into the BIG reason performance physical therapists struggle with returning back pain patients to lifting: "the paradox of choice" aka too many options and not enough structure.You’ll hear:Why CEUs and con ed courses might actually be feeding the problem (not solving

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00:26:31

E60: The Truth About "Bridge Programs" | Why They’re...

The Spine PT Podcast ·

2025/07/08

What do you do when your sciatica patient is pain-free with ADLs… but still terrified of lifting? In this episode, Mez breaks down the critical (and often ignored) “bridge phase” between rehab and serious training. You'll learn a way to reframe lifting in a way that builds confidence, instead of playing into the fear.This one’s part mindset, part strength & conditioning, part myth-busting.You’ll walk away with a clearer understanding of what it really takes to coach patients with back pain

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00:18:56

E59: When Can You Start Deadlifts After Sciatica?

The Spine PT Podcast ·

2025/07/01

Deadlifts after sciatica can be a bit chaotic & messy...Do you avoid them altogether? Go light and hope for the best? Or wait until your patient is completely pain-free?In today’s episode, I walk through a question from one of our LBP Intensive clinicians, Amin, who asked how I program deadlifts in patients recovering from flexion sensitive LBP with or without neurodynamic sensitivity.I get into:When hinging is actually contraindicated vs. when it’s safe to beginA deadlift regression most PTs

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00:26:30

E58: 8 Reasons Why Fixing This Bottleneck Helps LBP...

The Spine PT Podcast ·

2025/06/03

A big frustration for many performance physical therapists is when patients with LBP get flared up after getting back into core work & lifting in the clinic, the gym with or without a trainer or shortly after PT discharge.A question that keeps coming up is,"if these 'transitional clinic-gym flare ups' keeps happening (assuming mobility is good & no red flags) what could I be missing from my “back to the gym” progression." In this episode, I break down the 8 powerful reasons

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