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The Spine PT Podcast
Dr. Ramez Antoun PT, DPT, PNF, OMT, FRCms
78 episodes
1 day ago
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.
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Health & Fitness
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All content for The Spine PT Podcast is the property of Dr. Ramez Antoun PT, DPT, PNF, OMT, FRCms and is served directly from their servers with no modification, redirects, or rehosting. The podcast is not affiliated with or endorsed by Podjoint in any way.
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.
Show more...
Health & Fitness
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E70. Why Do Sciatica Patients Get Stuck in "Rehab Purgatory?
The Spine PT Podcast
11 minutes 45 seconds
2 months ago
E70. Why Do Sciatica Patients Get Stuck in "Rehab Purgatory?

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 performance.

If you’ve ever wondered:

  • “When should I start loading my patient?”

  • “What’s the right entry point into strength training after acute sciatica?”

  • “How do I avoid re-flaring someone… without babying them?”

This episode will give you clarity.

You’ll learn:

  • The 3 critical phases of a post-sciatica S&C program

  • The first step to long-term spine resilience

  • The difference between concentric and eccentric cardiac adaptations (and why it matters)

  • How to avoid jumping the gun with heavy loads too soon

If you’re a performance-minded PT who wants your patients to walk out stronger than when they came in, not more fragile & de-conditioned, this episode is for you.

_____

🕰️ Timestamps:

[00:00]
Why loading patients too soon can backfire — especially with sciatica

[00:17]
The real problem: patients leave PT weaker than they started

[00:36]
Why sciatica patients return to the gym more fragile than before

[01:06]
3 questions every PT should ask before discharging a patient

[01:27]
Common mistakes with load progression inside the clinic

[01:43]
Clip context: this is from the Strength & Conditioning core module inside The LBP Intensive™

[02:00]
Part 1 vs. Part 2 of the LBP Intensive explained — from acute care to progressive loading

[02:18]
Why most PTs were never trained in strength & conditioning (and why that’s a huge problem)

[02:34]
What “pain-free performance” should mean in the clinic

[03:01]
Program overview: a 12-week roadmap from pain to performance

[03:27]
Benefits of offering a rehab-to-fitness bridge (even in insurance-based care)

[04:03]
Cohort 6 of the LBP Intensive opens soon — waitlist details

[04:19]
The goal: breaking down the 3 S&C phases post-sciatica

[04:47]
Who influenced this framework: Joel Jamieson, Boyle, Cressey, Cosgrove

[05:48]
Phase 1 (Weeks 1–5): Aerobic capacity & tissue tolerance

[06:25]
Why Zone 2 training matters for spinal rehab

[07:33]
Vascular adaptations & slow-twitch muscle fiber development

[08:18]
Phase 2 (Weeks 6–7): The transition phase (low-load → moderate-load ramp)

[09:13]
Phase 3 (Weeks 8–12): Strength, tension, and anaerobic loading

[09:54]
The biggest mistake PTs make post-discharge

_____

To learn more about The LBP Intensive™ program ⁠⁠⁠⁠⁠⁠⁠Click Here⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

The Spine PT Podcast
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.