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Guest Episode Episode 33

How to Train Without Pain (Back, Shoulders, Mobility & Strength) | Dr. John Rusin

  1. Dr. Andy Galpin

    The science and practice of enhancing human performance for sport, play, and life. Welcome to Perform. I'm Dr. Andy Galpin. I'm a professor and scientist of human performance. Today I'm talking with Dr. John Rusin. John is a physical therapist and world expert in pain and performance. In this conversation, you're going to learn a tremendous amount about how to stay out of and return from chronic pain. We're talking about back, neck, shoulder, knee, and all of those nagging areas that just won't seem to go away. John's career over the last several decades has focused on specifically that question: how do we make sure we're using things like your warm-up, corrective exercises, soft tissue, and foam rolling tools to make real, measurable, and significant changes? So regardless of whether you are someone who is in a lot of pain or not, there are so many useful tools in this conversation that I think everyone's going to enjoy it.

  2. Dr. Andy Galpin

    So with that being said, please enjoy today's conversation with Dr. John Rusin. Dr. John Rusin, you're finally here.

  3. Dr. John Rusin

    Finally here. Glad to be here. Thanks so much.

  4. Dr. Andy Galpin

    You have done such a good job, in my opinion, of blending these fields of performance and physical therapy. I've not always saw eye to eye personally with the field of physical therapy. That's your academic degree. Your doctorate is in that side. But you moved in this direction. I'm wondering, right out the gates here, can you just share with me how did that get into your brain? Why did you start developing this model that has this combination of being out of pain, being out of injury, moving well, but at the same time trying to perform at your best? How did that come about?

  5. Dr. John Rusin

    As cliche as it sounds, I grew up as an athlete myself, and I lived in a household that was very unique because I had my mom, who had a PhD, and she worked at Daemen College in Buffalo, New York, where I'm from, and my dad also had a doctorate, and he had a doctorate in education, and he was the athletic director of 27 schools in the Western New York area. And that's the house that I lived in, Dr. and Dr. Rusin, and I played sports growing up, and I took that to a college level, and after I was done with my collegiate baseball career, I took a job as a strength and conditioning coach.

  6. Dr. Andy Galpin

    Mm.

  7. Dr. John Rusin

    Division One, it was my epitome of everything. And very clearly, I knew that I needed to chase some more academics because always been good in school. And I didn't know what I wanted to do because I was already in the weight room. I was already working with high-performance athletes. That was my forever job. And I got introduced to this topic, which was new at the time, doctorate of physical therapy.

  8. Dr. Andy Galpin

    Right.

Read the full transcript

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In this episode, my guest is Dr. John Rusin, a physical therapist and strength coach who bridges rehabilitation and human performance.

We discuss his approach to persistent back, shoulder, and knee pain and how to build a body that can handle demanding training for the long term. John walks through his six-phase warm-up, a 10–12-minute sequence that combines foam rolling, stretching, corrective exercises, activation, movement practice, and explosive drills. He explains why breathing matters during soft tissue work, how mobility differs from flexibility, and why feeling tight doesn't necessarily mean you just need more stretching. We cover simple movement breaks for desk workers, detailed cues for hip and shoulder stability, face-pull technique, bracing, lifting belts, and how to adapt exercise form to your body and goals. We also discuss progressing back to heavier training, maintaining strength, muscle, and power as you age, and using loaded carries to build and assess full-body capacity. This episode is for anyone who wants to move more comfortably, train consistently, and keep getting stronger.

Show notes

Books

  • Pain-Free Performance by John Rusin and Glen Cordoza: features the six-phase warm-up, movement progressions, and training programs

Articles

People Mentioned

  • Dr. Charlie Weingroff: physical therapist and strength coach, discussed as an early example of blending rehabilitation and performance
  • John Meadows: bodybuilder and coach known as the Mountain Dog, whose emphasis on training around pain influenced John’s career

Other Resources

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