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 moreCHAPTERS01:36 The Role of Imaging in Diagnosing Pain02:54 Understanding Degenerative Conditions03:37 The Placebo Effect in Surgery04:21 FAI and Other Common Diagnoses07:48 When Surgery is Necessary09:18 The Importance of Second Opinions24:20 Manual Therapy and Pain Management28:53 Manual Therapy and Its Effects29:23 Understanding ACL Injuries and Treatments35:47 The Role of Exercise in Long-Term Health38:37 Challenges and Solutions in Promoting Exercise45:15 Running and Knee Health54:23 Programming Around PainSUPPORT THE SHOWIf 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 thisFOLLOW ANDREW COATESInstagram: @andrewcoatesfitnesshttps://www.andrewcoatesfitness.comPARTNERS AND RESOURCESRP Strength App (use code COATESRP)https://www.rpstrength.com/coatesJust Bite Me Meals (use code ANDREWCOATESFITNESS for 10% off)https://justbitememeals.com/MacrosFirst - FREE PREMIUM TRIALDownload MacrosFirst and during setup you’ll be asked “How did you hear about us?”Type in: ANDREWKNKG Bags (15% off)https://www.knkg.com/Andrew59676Versa Gripps (discount link)https://www.versagripps.com/andrewcoatesTRAINHEROIC - FREE 90-DAY TRIAL (2 steps)Go to https://www.trainheroic.com/liftfreeReply to the email you receive (or email [email protected]) and let them know I sent you

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