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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Appearances
Why did you just opt into the role you're doing now, which is much more in the PT rehab space than it is what people, I think, assume of traditional chiropractic, which is here's a 40 adjustment schedule. I don't have a point of view on that, but what drew you more towards the side of things you're on now?
What is the role for what most people think of when they hear chiropractic, the adjustments? What does it do? I don't want to ask you to sort of be critical if that's the word of a profession that you remember of it, but the fact that you aren't out there
doing it 24-7 suggests either you think it's really, really valuable, but it's just not something you want to do, or you don't think that it's valuable enough. How would you advise somebody that came to you and said, hey, Kyler, I have injury X, my neck, my back, whatever. I got this awesome package of 40 visits for X number of dollars with my local chiropractor.
I see him for eight minutes a week, twice a week, actually. It's really special. Do you think that's a great plan?
So is it safe to say then that whatever the suite of underlying modalities are, from adjustments to taping to cupping to needling to active release to manual, you name it, the goal of all of these, and the more of them you can utilize the better, is to create a window in which the individual is safe and out of pain so that they may do the work to retrain a movement pattern and increase strength?
Okay, so let's kind of put this now all back together, right? We've kind of gone really deep down one of the three pillars. You now have basically two things you're trying to do. You're trying to do everything you're doing in concert with a broader agenda of change.
creating a precision training program, not an exercise program, not a workout program, a training program for an athlete whose sport happens to be life. And you have to be able to do it with the strength and conditioning coaches, the cardio coaches. And then the other thing you have to be able to do is you have to be able to do this remote because most of the 10 squared clients are remote.
They come to Austin for two days, they do a whole bunch of assessments, They go away for six months, then they come back. Some of them go away for less, but a lot of them, they go away for a year. It's because they're out of the country and it's just not easy for them to be here. So how are you able to do this remotely? What are the challenges and what enables it to make sense?
What do they need when they're back home?
I want to tell a story on that vein that is one of the most incredible experiences I ever had. This would have been in 2018 or 2019. And I had the first flare up I'd ever had of my lower back since 2000, when I had my botched surgery and all that nonsense. So I'd gone 18, maybe 19 years, maybe it was early 2019 without a single flare up. And then it happened. I get the flare up.
At the time I was working with this guy, it was my first person I'd ever met who did DNS. I had already learned about intra-abdominal pressure. We were doing all stuff. In fact, when I went to see him, my back was totally fine. I had tennis elbow. So I had this tennis elbow and he figured out pretty quickly that my tennis elbow was completely due to my scapular instability.
And my chief complaint was when I do a lot of pull-ups, my elbow hurts. I don't even play tennis. So we had fixed all that, but I kind of was like, this is amazing. I want to know what else is going on. And then independent of that, I get this lower back flare up. And so I'm in there seeing him on one day when I'm in, honestly, like about the worst pain I'd been in, in years.
His training, by the way, is also a chiro. So he's chiro by training who probably hasn't done an adjustment in 20 years, just doing DNS. And I'll never forget the exercise he had me do. Cause I was like, I don't know how this is going to work, dude. So he laid me on my back and he had me get into like an imaginary leg press position.
You know, those old school leg press machines where you're pressing up. Yeah. Not the one where it's on a slope, but the rack moves vertically. Super old school. Yep. So I'm on my back. I'm in that position. And he is now laying on top of me. So he's got his pecs basically on my feet. And he's cueing me through really good intra-abdominal pressure and isometric contraction, pushing.
And lo and behold, my back is getting better and better. And we're doing sets, 10 second, 20 second, 30 second. At some point, I'm getting so strong, we need more resistance.
So now we go and build a makeshift thing under the squat rack, where I forget if I was on a Smith machine or on a squat rack, where basically now I have infinite resistance, kind of like how you described it with the partial deadlift. I am getting to the point where when I walked in there, I wouldn't have been able to push 10 pounds away from me. That's how much pain I was in. And now-
I'm convinced I was pushing 600 pounds of force against that immovable bar, and I've never felt better. And I couldn't understand how that could happen. How is it that I could not walk, but limp into that guy's gym in so much pain and spasm, and an hour later... I feel like a million bucks. How could that happen?
Yeah. I consider that one of the most profound experiences of my life from a physical perspective and also in how much it changed my point of view about what back pain is and isn't. I don't want to suggest for a moment that if you're sitting here listening and you have back pain, that's the answer. Go and find a guy to do that.
But I'm saying that there's so much more going on than we realize and so much of back pain is not surgical and so much of back pain can be healed with retraining a movement pattern and getting our nervous system to kind of get out of the way.
So speaking of that, I think what we'll do is we'll now pivot over to the gym and kind of work on a few issues. So we identified four areas that we want to highlight for folks. We're going to do neck, lower back, knee, and shoulder. I guess you picked those because that's 80% of what people complain about.
Showing 341–360 of 5,258 · page 18 of 263
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