Dr. Peter Attia

speaker

5,258 appearances 36 recordings 6 series first heard Jan 2024 last heard Jun 2025

Dr. Peter Attia’s voice in public audio — every appearance, attributed to the second.

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The Peter Attia Drive · #350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C. · 26 May 2025 podcast

And more importantly, what does this mean for me? Long-term? Yeah. Because right now, it doesn't matter. If this keeps happening and I'm in my 80s, this is the difference between reacting and not reacting and being able to get around and not. So how do I prevent this from being a lifelong problem?

So I don't want to jinx myself and I hope I'm not doing it by saying this. Is this why, despite all the crazy stuff I've done, all the miles I ran growing up, never really had a knee issue, but boy, do I get these feet issues?

Yeah. Let's talk about something that you touched on a few minutes ago, which is around fear. We see this a lot. We see this in the medical practice where we have patients where we're overseeing all their training. Sounds like you see this at 10 Squared as well, where you have clients that are just coming in for obviously the training piece of this.

So is there any common thread to this or does it come in all walks of life? I've seen it in former athletes. who are injured, but the injury is so bad that they just never quite want to go back down that path, especially if they've had multiple re-injuries. I assume you see this in people who are not necessarily athletes.

So what do you think is going on there and how do you work up the confidence to accept that the pathway back isn't necessarily pain-free or injury-free, but it's more of a trajectory that's going to get better?

So it's really about empowerment with education. What is it that you would see when somebody comes in that would make you say, actually, we need to immobilize you? Is that something that's only going to be on an exam where you see a motor weakness, for example? Immobilize how? Like put them in a boot? Let's look at the lower back.

So if somebody shows up with a lower back complaint to you, what's going to make you say, no, actually the answer is seeing a surgeon or complete and total rest. What is kind of your algorithm on people presenting with lower back pain?

So this means you're going to do the rectal exam, make sure sphincter tone is there.

Describe for people what that is.

Can people do these by themselves or do they need to be? Yeah, very easy. We can link to where people can go and look at these.

It's almost always the sign of a great spine surgeon, which is once you rule out the Acute weakness, the thing that is a surgical necessity, the ones that want to wait are generally the better surgeons.

It must be amazing how often we all encounter, hopefully not personally, but professionally, people with lower back pain. The statistics are, I can't imagine there's too many people listening to us who don't have personal or indirect experience with it, either obviously through themselves or through somebody they know closely.

There is something about it that I can really relate to being nerve wracking. It can be terrifying and also demoralizing, I think is how I would describe it. Just demoralizing when your lower back hurts in a way that's not the same as if your shoulder, elbow, knee, or hip hurt.

Do you think this is scalable? I feel fortunate that we're able to take care of people where we have the luxury of doing this very bespoke approach. You can integrate your strength and conditioning with your cardio, with your PT rehab and all that stuff, and it's all great.

But do you see a day when this could all be app and AI driven, where any person out there with any set of lower back symptoms could be provided with the feedback that they would need to take care of themselves? If they execute, absolutely. How would you get the feedback?

If you have good enough image recognition software, would that be a necessary step that if you were using such a device like an app, you would have to be able to set up your phone on a tripod to be at least able to capture you doing it? Because the advantage of being able to do this the first few times with an actual person like you is the cueing is so important.

A lot of these exercises are not natural.

100%.

100%. Yeah. Image recognition is one thing, but it's knowing what to do with that information.

And why did you gravitate towards this? I mean, we didn't really get into telling people your story, but you went to chiro school, but then you immediately went out and did a sports medicine thing. You worked with the New York Giants.

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