Dr. Justin Farnsworth is a highly respected physical therapist who emphasizes strength training, movement, and education as foundational tools for managing pain and injury. In this episode, Justin joins me to challenge some of the most deeply held beliefs in modern healthcare - particularly the assumption that pain automatically requires surgery or rest. Justin brings clarity, nuance, and evidence to a conversation that affects almost everyone at some point in their life. Justin and Andrew explore: • Why surgery performs no better than placebo for many common injuries • Which injuries truly require surgery and why elite athletes may make different choices than the general population • New understandings around ACL injuries and how many can heal without surgery • Why belief and expectation are often stronger predictors of pain than tissue damage • Why not exercising is a greater long-term health risk than many feared behaviors • How running can be protective for knee cartilage • How to safely and progressively reintroduce running into your life • How to train around pain without making it worse • And much more CHAPTERS 01:36 The Role of Imaging in Diagnosing Pain 02:54 Understanding Degenerative Conditions 03:37 The Placebo Effect in Surgery 04:21 FAI and Other Common Diagnoses 07:48 When Surgery is Necessary 09:18 The Importance of Second Opinions 24:20 Manual Therapy and Pain Management 28:53 Manual Therapy and Its Effects 29:23 Understanding ACL Injuries and Treatments 35:47 The Role of Exercise in Long-Term Health 38:37 Challenges and Solutions in Promoting Exercise 45:15 Running and Knee Health 54:23 Programming Around Pain SUPPORT THE SHOW If this episode helped you, you can help me by: • Subscribing and checking out more episodes • Sharing it on your social media (tag me - I'll respond) • Sending it to a friend who needs this FOLLOW ANDREW COATES Instagram: @andrewcoatesfitness https://www.andrewcoatesfitness.com PARTNERS AND RESOURCES RP Strength App (use code COATESRP) https://www.rpstrength.com/coates Just Bite Me Meals (use code ANDREWCOATESFITNESS for 10% off) https://justbitememeals.com/ MacrosFirst - FREE PREMIUM TRIAL Download MacrosFirst and during setup you’ll be asked “How did you hear about us?” Type in: ANDREW KNKG Bags (15% off) https://www.knkg.com/Andrew59676 Versa Gripps (discount link) https://www.versagripps.com/andrewcoates TRAINHEROIC - FREE 90-DAY TRIAL (2 steps) Go to https://www.trainheroic.com/liftfree Reply to the email you receive (or email
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