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 & conditioning program. You’ll learn:Why patients aren’t actually ready to train after PT (even if they’re pain-free)How resistance training builds aerobic capacity resilience at the tissue and metabolic levelWhat Joel Jamieson’s energy systems framework teaches us about programming smarterThe exact volume, tempo, and RPE I use in Phase 1 to reduce flare-ups by 80%+ (aka a lot) even for high advanced athletes like powerlifters & martial artists.And how to reframe strength as a byproduct of aerobic foundations in rehabIf you’ve ever felt stuck in the “rehab, gym, flare-up, rehab” cycle with your patients, this episode is for you.Timestamps:[0:00] Why aerobic capacity matters more than you think in sciatica rehab[0:02] The real cause behind recurring flare-ups after PT discharge[0:06] How the 80/20 rule explains most re-injuries[0:09] Why PTs wrongly blame their manual skills — and what’s actually missing[0:13] The ‘ramp-up’ period no one is teaching after rehab[0:15] Why patients aren’t ready to lift: zero load strategy after discharge[0:18] Intro to Phase 1: High volume, low load programming[0:22] Joel Jamieson's 3 components of aerobic adaptation[0:26] Why hypertrophy of slow-twitch fibers is key to back pain recovery[0:32] How to structure resistance training for aerobic gains[0:37] Why volume accumulation beats intensity in early rehab[0:41] Final guidelines: reps, sets, and RPE for aerobic loading[0:45] The ‘secret weapon’ to stop flare-ups: zone 2 & aerobic resistance work[0:48] Closing thoughts + LBP Intensive waitlist invite

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