LA Sports & Spine

05/01/2026

04/30/2026

Golden Birthday 💛🎂 30 times round the ☀️. You epitomize warmth & generosity - I’m inspired by your kind heart everyday ❤️.

04/30/2026

Q’s riff on why
1) rehab isn’t training if load is insufficient to trigger physiological adaptations.
2) if statistical effect sizes reveal there is minimal difference between manual therapy, low load exercise or training then treatment pluralism argues for moving on from internet claims about having the “best” treatment for X MSK pain.
3) since anyone one treatment isn’t superior to another that MSK healthcare providers need to lean into their role in promoting meeting the PAGs to mitigate risk of future NCDs.

“So we need better treatments for pain?”
Kate Purcell
“That would be amazing! But I’m not sure it’s coming anytime soon. Maybe it’s time we leaned into more preventative approaches. Strategies that reduce over-diagnosis, build resilience, and ease suffering might serve us better than reactive care - what do you think?”

04/23/2026

Our intent is for all our coaches & clinicians to have a positive impact in their communities. A theme was for everyone to have more resources than their demands so they burn in not burn out. Ideally we gain confidence in co-creating meaningful, personalized plans with people which are reassuring & ⬆️ self-efficacy.

These weekends in LA & NY were for establishing connections so we’re all part of a crew supporting each other regardless where we live. .ryanchow

I hope everyone joins our FPM Roundtable for our new series “Q It Up w/ Q” which starts Saturday, May 3rd. Other Roundtable “Meet Up” guests coming up include co-author of the new ACSM RT Guidelines & tendon health expert.

Our community are Badasses challenging the status quo by focusing on transformational relationships rather than transactional services. It’s about being present with people, rather than simply “doing” things. Most of all it’s about de-complexifying so we can apply what we learn efficiently w/out feeling like an imposter or burning out.

Many more courses coming soon such as with & in November at EXOS w/ all of our faculty.

04/18/2026

.ryanchow

Our special group at .pt has come from Philly, MD, Montreal & throughout the NY Metropolitan area. Ryan getting into “How to Create Alignment” for the process of building the relationship necessary for consistent investments in building functional reserve.

“It’s about telling people what you’re trying to do, why you think you’re going do it, why you think it’s going to work, what they should expect to feel, when you need to report back, how we’re going to make the next decision, to debrief it, and then to do that again, and again, and again, and again, and again, forever. Because things change. Things will always change.

My clients always think I’m going copy and paste. “I’m going do this Monday, Wednesday, Friday for the rest of my life.”I tell them it’s the opposite. It’s actually the rule is that everything’s going to change.

You’re going to travel, you’re going get sick. You’re going have to take care of a family member. You’re going to get tired. You’re going to feel great. You’re going to meet your goals.

Everything is constantly changing, and so to me, this is what we do on Day One. We establish that this is a process, and that I’m gonna figure it out. I tell people on the phone before they come in that we’re, we’re gonna figure it out. They say, “I don’t know what to do.” I say, “Well, generally, you’ve got to let it calm down, and then build it up. Then integrate it into the rest of your life. If you know how to do that, like, go for it.

If you want details, if you want us to figure it out, I know how to help you with that. I don’t know when it’s going get better. I don’t know what it’s going to take. I don’t know how much you can pick up. I don’t know how much you can do on your own, but we’ll figure that out together. And, you’d be surprised how many people are actually okay with that.”

04/17/2026

hosted in LA on Sunset Blvd. riveted the room for 2 days of collaborative learning. helped us tie things together & I couldn’t have had a better experience with this learn it all community.

Much of the intent for our community is distilled here -
Rehab is Training - Phillip Glasgow
Training = Healthcare
“If you’re a healthcare provider provide health” - Q

Des’ impact will be felt for awhile as she walked us step by step through how to co-create plans around the Q “what matters to you?”. Without this we wouldn’t feel confident we could apply what we learned to build hospitality relationships that can drive consistent behavior change.

I can’t wait for NYC this weekend w/ Des & .ryanchow where we’ll not only emphasize lower & upper body RT basics for muscle health & healthspan, but how to use Design Thinking & AI to support a personalized, human-centered approach.

04/14/2026

The fitness and rehabilitation industry is evolving, emphasizing that passive and active care are equally effective for musculoskeletal pain. Health care providers play a critical role in reassuring patients, reactivating, and progressively building their resilience through strength training and ecologically-relevant exercises. When only 10% of women meet resistance training guidelines its necessary to update our priors & challenge all practitioners to help patients feel empowered rather than limited by diagnoses of wear and tear, ultimately preparing them for the demands of their current and future lifestyles.

04/11/2026

We’re havin fun. Passion to update our priors & focus on what really matters to people.

Reassurance
Self-efficacy

Finding a gap so we can focus on an each persons force multiplier.

“you’re a healthcare provider, you should be providing health” .ryanchow

04/08/2026

Any plan that isn’t crafted from a place of radical genuineness & hospitality is dead on arrival. In contrast, one that dials acceptance of uncertainty and recognition that Plan B thinking is Plan A sets the stage for a process of persistence towards goal achievement to unspool.

These are the guardrails of a culture where authentic communication & community can flower to support agency from Day One all the way until functional independence or return to participation in valued activities is achieved.
ryanchow is the Master of reflections that unearth the precious jewels which illuminate the through line in our collaboration with people aren’t the question “what matters to you?”. This isn’t a “quick fix” or wellness-longevity optimization. Instead Ryan makes the hard task of building lasting relationships easy.

“Classical forms dull your creativity, condition, and freeze your sense of freedom. You no longer
‘be’ but merely ‘do’ without sensitivity.” -
Bruce Lee

With today’s algorithm’s telling us “what to do” I can’t wait to learn from Ryan in NYC how to be, not do.

04/06/2026

Bob turns 91 years young this week. & I are so blessed to have the most Badass community at

For us the force multiplier for healthy longevity or sustainable athleticism is the same - build functional reserve for your demands. Some are universal non-negotiables like lean muscle mass, strength, balance, metabolic health & cardio-respiratory fitness. Others are matched to one’s specific performance goals. But, for every person we want to know “what matters to you?” and keep the main thing the main thing.

04/06/2026

At & I have created a closed-loop clinical communication system:
✅ Input → Processing → Personalized
Output → Reinforcement

✅ Input: Jane forms + history + exam
+ whiteboard
✅ Processing: NotebookLM (closed
corpus = high fidelity, no hallucination)
✅ Personalized Output: patient-specific deliverables
✅ Reinforcement: ongoing touchpoints (texts, calls, community)

This is supported self-management in action, not just a concept.

Communication does not end when the visit does. After the Needs Analysis and co-created planning session, each person receives clear, personalized resources in the format that best fits their learning style- infographic, slide deck, video explainer, or podcast-style audio. The goal is to help people “make sense” of their situation, feel genuinely validated, & leave with tangible hope & a realistic plan they can self-manage with confidence.

The learning-style branching is the piece I’ve always missed. Most practices hand everyone the same PDF or personalized program & call it shared decision-making. Offering an infographic vs. podcast vs. explainer video acknowledges that health literacy and cognitive style vary enormously - & that “understanding the plan” looks different for different people.

The CFT framing underneath is adding potency. The behavioral experimentation baseline + safe starting point + movement snacks gives NotebookLM something coherent to summarize — it’s not just intake noise, it’s a structured clinical/programming narrative. This makes the outputs amazingly personalized while following the principles our faculty use & teach.

& I will be driving this home in our FPM Roundtable while reinforcing the common framework all of us use.

01/15/2025

Who needs this now? Give it a listen.

Join me today for a to January 15th, 1968: the day that "Nefertiti," the fourth album I played on with the Miles Davis Quintet, was released. Wayne Shorter, Herbie Hancock, Miles Davis, , and I knew each other so well by the time we recorded this album... We probably didn’t do more than two takes on the whole thing.

Listen to it here: http://ow.ly/Jig550MpgO7