Absolute Edge: Performance & Rehab

Dr. Nicolas Kuiper
  • 5.0 (1)
  • HEALTH & FITNESS

Absolute Edge: Performance & Rehab - Your Daily Health Authority Welcome to Absolute Edge: Performance & Rehab, the daily podcast that gives Ontarians the competitive advantage in health, wellness, and recovery. Hosted by an AI-powered narrator and brought to you by Dr. Nick Kuiper of Absolute Rehabilitation and Wellness in Burlington, Ontario, this show delivers evidence-based health strategies in just 3-5 minutes every weekday. Whether you're dealing with chronic pain, recovering from a sports injury, managing stress and mental health, or simply want to optimize your physical performance, Absolute Edge provides actionable protocols you can implement immediately.

  1. 2D AGO

    Episode 62: Debunking Ontario Wellness Myths — The "You Need 10,000 Steps" Myth: The Arbitrary Number That's Missing the Point

    **The "You Need 10,000 Steps" Myth: The Arbitrary Number That's Missing the Point** Today we're debunking one of the most pervasive fitness myths out there: the idea that you need 10,000 steps a day to be healthy. You've seen it on your fitness tracker. You've heard it from friends. You've probably felt guilty on days when you didn't hit that magic number. But here's the truth: **10,000 steps was never based on science. It was a marketing campaign.** --- **The Origin of 10,000 Steps** The 10,000 step goal originated in Japan in 1965. A company was marketing a pedometer and named it "Manpo-kei"—which translates to "10,000 step meter." Why 10,000? Because it was a nice, round number. Catchy. Marketable. It had nothing to do with scientific research on optimal health outcomes. That's it. A marketing decision from nearly 60 years ago that somehow became gospel—embedded into fitness trackers, workplace wellness programs, and public health messaging worldwide. --- **What the Research Actually Shows** Studies show health benefits from walking increase as step count goes up—but they don't increase linearly forever. There's a point of diminishing returns. Key findings: - **7,000-8,000 steps:** Where most mortality benefits plateau for many adults - **4,000 steps:** Provides measurable health benefits compared to being sedentary - **6,000-8,000 steps:** Optimal range for older adults in some studies The point isn't that 10,000 steps is bad. It's that fixating on that specific number misses the bigger picture—and can discourage people who think anything less is worthless. --- **Why Step Count Misses the Point** Step count is a quantity metric. It tells you how much you moved, but nothing about how well you moved. **Movement quality matters—arguably more than movement quantity.** You could hit 10,000 steps shuffling around with terrible posture, collapsed arches, and forward head position. You've hit your number, but reinforced dysfunctional movement patterns for 10,000 repetitions. Or you could take 5,000 intentional steps with good posture, proper hip engagement, and mindful foot placement—and get far more benefit. **What step count doesn't capture:** - **Movement variety:** Your body needs strength work, mobility work, and movement in different planes - **Intensity:** A leisurely stroll and a brisk power walk register the same steps but have completely different demands - **Strength training:** A person who walks 10,000 steps but never strength trains is missing a massive piece of the health puzzle We know that muscle mass and strength are among the strongest predictors of longevity and quality of life as we age. --- **The Movement Snacking Approach** Instead of trying to bank all your movement in one long walk, distribute movement throughout your day in smaller bouts. Research shows that breaking up prolonged sitting with short movement breaks—even just a few minutes every hour—provides health benefits independent of total exercise time. For Ontarians with desk jobs, long commutes, or demanding schedules, finding 90 minutes for a 10,000 step walk feels impossible. And when something feels impossible, we don't do it at all. But finding 5 minutes every hour to move? That's achievable: - Quick walk around the office - Stretches at your desk - Lap around the house during a phone call These movement snacks add up. They interrupt the metabolic harm of prolonged sitting in ways a single long walk at day's end cannot fully compensate for. **The enemy isn't failing to hit 10,000 steps. The enemy is prolonged, uninterrupted sedentary time.** --- **What Should You Focus on Instead?** ✅ **Reduce prolonged sitting** — Set a timer. Get up and move for a few minutes every hour. This single habit might be more valuable than any specific step count. ✅ **Prioritize movement quality** — Walk with intention. Stand tall. Engage your glutes. Pay attention to foot strike. Quality repetitions build a resilient body. ✅ **Include strength training** — Walking isn't enough. Your muscles need resistance to maintain mass and strength. Two to three sessions per week is a good target. ✅ **Work on mobility** — Your joints need full range of motion regularly. Daily CARs (Controlled Articular Rotations) keeps your movement system functioning optimally. ✅ **Find movement you enjoy** — Sustainability matters more than optimization. Consistency over years beats perfection for weeks. --- **The Real Goal** The goal isn't 10,000 steps. The goal is an active, capable body that can do what you need it to do—today and for decades to come. Steps are one input. But so is strength. So is mobility. So is recovery. So is movement quality. If tracking steps motivates you, great—keep doing it. But don't let an arbitrary number become a source of guilt or an excuse to ignore other aspects of physical health. And don't let falling short of 10,000 convince you that your 6,000 steps were worthless. They weren't. Every bit of movement counts. --- **Your Tuesday Takeaway** This week, shift your focus from hitting a step number to interrupting sedentary time. Set a reminder to get up and move for 2-5 minutes every hour. Take a short walk. Do some stretches. Climb a flight of stairs. Move your joints through their full range. At the end of the week, notice how you feel. --- **Tuesday Truth** The wellness industry loves simple numbers. They're easy to market. Easy to track. They give us a clear target to hit or miss. But health isn't that simple. Your body doesn't care about round numbers invented by marketing departments. It cares about consistent movement, adequate challenge, proper recovery, and quality repetitions. 10,000 steps isn't magic. 7,000 steps isn't failure. And zero steps because you couldn't find time for a long walk is the real problem we should be solving. **Stop chasing arbitrary numbers. Start building sustainable movement habits.** --- **About Absolute Rehabilitation and Wellness:** Located in Burlington, Ontario, we help Ontarians build strength, resilience, and capacity for life. **Connect with Us:** 🌐 Website: absoluterw.com 📞 Phone: 905-332-7000 📧 Email: frontdesk2@absoluterw.com --- *Absolute Edge: Performance & Rehab is brought to you by Dr. Nick Kuiper of Absolute Rehabilitation and Wellness in Burlington, Ontario.*

    9 min

  2. 6D AGO

    Episode 61: Weekend Wellness Prescription — TENS Therapy: Why Every Home Should Have One

    **TENS Therapy: Why Every Home Should Have One** Today's Weekend Wellness Prescription equips you with something practical—something you can use this weekend and every weekend after to stay ahead of pain and keep your recovery on track when the clinic is closed. --- **What Is TENS?** TENS stands for Transcutaneous Electrical Nerve Stimulation. Those little electrodes that deliver a tingling electrical sensation. You don't need to go to a clinic to benefit—you can own one yourself for a very affordable price. And here's what even fewer people realize: **TENS isn't just for pain relief. It's also a powerful tool for performance and building a stronger mind-muscle connection.** --- **How TENS Works: Three Mechanisms** **1. Gate Control Theory** Your nervous system has limited capacity to transmit signals—like a highway with only so many lanes. TENS floods nerve fibers with non-painful electrical signals that "occupy the lanes" and block pain signals from reaching your brain. Immediate relief. **2. Endorphin Release** At certain frequencies, TENS stimulates your body to release endorphins—your natural painkillers. Lower frequencies (2-10 Hz) trigger this longer-lasting relief that continues even after you turn off the device. **3. Neuromuscular Re-education & Mind-Muscle Connection** This is where TENS goes beyond pain management into performance territory. When you use electrical stimulation on a muscle, you're activating motor neurons and causing muscle fibers to contract. This teaches your nervous system the pathway to that muscle. Think about muscles you struggle to activate—glutes that don't fire properly, deep core stabilizers you can't engage, one side weaker than the other. These are often **nervous system problems, not muscle problems.** The muscle is there, but your brain has a weak connection to it. Electrical muscle stimulation strengthens that neural pathway. It's like clearing a trail through the forest—the more you walk that path, the clearer it becomes. This is why professional athletes use devices like Compex—not just for recovery, but for performance. --- **Why Every Home Should Have One** ✅ **Accessibility** — Pain doesn't wait for business hours. Saturday back flare-up? Sunday stiff neck? Take action immediately. ✅ **Cost-effectiveness** — Surprisingly affordable. Pays for itself quickly compared to repeated clinic visits or medications. ⚠️ **Important:** TENS is NOT a replacement for proper treatment. But it bridges the gap between appointments—keeping you comfortable and functional. Think of it as extending your care beyond the clinic walls. ✅ **Empowerment** — Shifts you from passive patient to active participant. That psychological sense of control actually reduces pain perception. ✅ **Performance Enhancement** — Wake up muscles before workouts. Reinforce activation patterns. Accelerate post-training recovery. Build a better nervous system. ✅ **Frequency of Use** — At home, you can use it for an hour while watching TV. Twice a day. All weekend during a flare-up. More consistent use = better outcomes. --- **How to Use TENS Effectively** **Electrode Placement:** - Pain relief: Bracket the painful area (one above, one below) - Muscle activation: Place on the muscle belly you're targeting - Never directly on the spine **Intensity:** - Pain relief: Strong but comfortable tingling, no muscle contraction - Muscle activation: Increase until you see/feel the muscle contracting **Duration:** - 20-60 minutes typical - Muscle stimulation: 15-30 minutes per muscle group **Frequency Settings:** - High (80-120 Hz): Fast gate control relief - Low (2-10 Hz): Endorphin release, longer-lasting - EMS modes: Muscle contraction for activation/strengthening --- **When NOT to Use TENS** 🚫 Pacemaker or implanted defibrillator 🚫 Over chest with heart conditions 🚫 Pregnancy (over abdomen/low back) 🚫 On throat, eyes, or broken skin 🚫 While driving, operating machinery, or in water 🚫 Epilepsy, cancer, or uncertain conditions—consult your provider --- **Your Weekend TENS Protocol** **Pain-free?** Keep it charged and ready. Use muscle stimulation to enhance training. **Managing discomfort?** 30-minute sessions morning and evening. **Overdid it?** Apply TENS immediately at first sign of flare-up. **Recovering from injury?** Manage pain + maintain muscle activation. **Training this weekend?** Muscle stim before to activate, after to recover. --- **What We Use and Recommend: Compex** At Absolute Rehabilitation and Wellness, we use and recommend **Compex devices**. Compex is a leader in electrical stimulation technology—trusted by elite athletes, professional sports teams, and rehabilitation clinics worldwide. What sets Compex apart: - Programs beyond basic TENS: muscle recovery, strengthening, warm-up activation, performance enhancement - High-quality, long-lasting electrode pads - Durable and intuitive units - Same technology we trust for our patients If you're serious about taking control of your recovery AND your performance, Compex is worth the investment. Ask us next time you're in—we'll help you choose the right model. --- **Your Friday Takeaway** If you have a TENS unit: Charge it. Know where it is. Have extra pads ready. If you don't: Consider picking one up. One of the best investments for your weekend wellness toolkit—for pain AND performance. Ask your practitioner about optimal electrode placement for your specific condition or goals. --- **Friday Truth** Weekends are when many people lose ground on recovery. The clinic is closed. Help feels far away. A minor flare-up turns into a major setback. A TENS unit changes that equation. It puts effective, evidence-based pain relief AND performance enhancement in your hands—literally. That's what weekend wellness looks like. Not hoping pain doesn't show up. Being prepared when it does. And taking your performance to the next level while you're at it. Have a great weekend, Ontario. Stay active, stay prepared. --- **About Absolute Rehabilitation and Wellness:** Located in Burlington, Ontario, we help Ontarians build strength, resilience, and capacity for life. **Connect with Us:** 🌐 Website: absoluterw.com 📞 Phone: 905-332-7000 📧 Email: frontdesk2@absoluterw.com --- *Absolute Edge: Performance & Rehab is brought to you by Dr. Nick Kuiper of Absolute Rehabilitation and Wellness in Burlington, Ontario.*

    15 min

  3. 6D AGO

    Episode 60: Accelerate Your Healing Journey — The Collagen Myth: Why Your Body Doesn't Care About the Label

    **The Collagen Myth: Why Your Body Doesn't Care About the Label** Today, I'm going to save you some money. Potentially a lot of money. Collagen supplements—the powders, pills, gummies, and creams—are a massive industry. But here's what the marketing doesn't tell you: collagen is just protein with a particular amino acid profile. Your body breaks it down into individual amino acids the exact same way it breaks down chicken, beef, eggs, or any other protein source. Your body doesn't know or care whether those amino acids came from a $60 collagen powder or a $10 chicken breast. --- **What Is Collagen?** Collagen is a structural protein—the most abundant in your body (~30% of total protein). It's found in skin, bones, tendons, ligaments, cartilage, and connective tissue. Your body makes its own collagen from amino acids + Vitamin C. It's not a unique substance you can only get from "collagen sources." --- **The Amino Acid Profile** Collagen is high in three amino acids: glycine, proline, and hydroxyproline. Here's what the marketing doesn't emphasize: - **Glycine** — Non-essential. Your body synthesizes it. - **Proline** — Non-essential. Your body makes it from other amino acids. - **Hydroxyproline** — Created during collagen synthesis. Your body makes it as part of the process. The "special" amino acids in collagen are ones your body can produce itself, given adequate overall protein intake. --- **What Happens When You Eat Collagen** Your digestive system breaks it down into individual amino acids—just like every other protein you eat. These enter your body's general amino acid pool. Critical point: Once in your bloodstream, your body has no idea where those amino acids came from. It doesn't prioritize "collagen-derived" amino acids for collagen synthesis. --- **The Marketing vs. The Science** Do some studies show benefits from collagen supplementation? Yes. But here's what those studies often don't control for: **total protein intake.** Many people taking collagen are simply increasing their overall protein consumption. If you added 20g of protein from chicken or whey, you'd likely see similar benefits. A $10 chicken breast will give you more usable protein than a $60 tub of collagen powder. --- **What Actually Matters for Tissue Repair** ✅ **Adequate total protein intake** — 1 gram per pound of body weight daily, especially during recovery ✅ **Vitamin C** — Essential cofactor for collagen synthesis (why scurvy causes connective tissue breakdown) ✅ **Complete protein sources** — All essential amino acids (animal proteins or combined plant proteins) ✅ **Adequate calories** — Your body prioritizes survival over tissue repair in caloric deficit ✅ **Sleep** — Growth hormone released during deep sleep supports tissue repair ✅ **Reduced inflammation** — Chronic inflammation impairs tissue repair --- **What About Bone Broth?** Bone broth is fine—nutritious with benefits beyond collagen content. But the collagen is broken down and absorbed the same way as any other protein source. Nothing magical about it. --- **Topical Collagen?** Even more problematic. Collagen molecules are too large to penetrate your skin barrier. They sit on the surface and don't integrate into your skin's collagen structure. For skin health, focus on internal factors: hydration, nutrition, and sleep. --- **If You're Struggling to Hit Protein Targets** PerfectAmino by BodyHealth provides the eight essential amino acids your body cannot make, in a precise ratio optimized for human protein synthesis: - Absorbed within 20-30 minutes - 99% utilization rate (vs. 16-48% for most dietary proteins) - No digestive burden of processing large amounts of food Particularly useful for athletes, those recovering from injury, older adults with reduced appetite, or anyone struggling to hit protein targets through diet alone. --- **Thursday Truth** The supplement industry thrives on making the simple seem complicated. Collagen is protein. Protein is amino acids. Your body breaks down all protein into amino acids and uses them to build whatever it needs. You don't need special collagen from marine sources or grass-fed bovine. You need adequate protein, Vitamin C, and the basics of good nutrition. Your body doesn't read labels, Ontario. It just needs the raw materials. --- **About Absolute Rehabilitation and Wellness:** Located in Burlington, Ontario, we help Ontarians build strength, resilience, and capacity for life. **Connect with Us:** 🌐 Website: absoluterw.com 📞 Phone: 905-332-7000 📧 Email: frontdesk2@absoluterw.com --- *Absolute Edge: Performance & Rehab is brought to you by Dr. Nick Kuiper of Absolute Rehabilitation and Wellness in Burlington, Ontario.*

    11 min

  4. FEB 4

    Episode 59: The Science of Sustained Recovery & Integrated Care — The Strength Coach's Role in Recovery

    **The Strength Coach's Role in Recovery** Most people stop their recovery too early. They get pain-free and assume they're done. Then they're surprised when the injury recurs six months later. Pain-free isn't the finish line. It's the halfway point. --- **The Rehab Gap** Traditional rehabilitation focuses on reducing pain, restoring range of motion, and returning basic function. This is essential work—but basic function isn't the same as robust capacity. Being able to bend over without pain isn't the same as being able to shovel snow for an hour, play hockey, lift your kids repeatedly, or sit at a desk for eight hours. Real life demands more than basic function. It demands capacity—the ability to handle load, volume, and variability without breaking down. This is the gap the strength coach fills. --- **The Three Phases of Complete Recovery** **Phase One: Pain Reduction** - Hands-on treatment: adjustments, soft tissue mobilization, acupuncture - Practitioner does most of the work - Success = pain is under control **Phase Two: Function Restoration** - Exercises, mobility work, movement retraining - You're doing more of the work - Success = you move well, range of motion restored **Phase Three: Capacity Building** *(The phase most people skip)* - Progressive loading to handle real-world demands - Building strength, endurance, and resilience beyond baseline - This is where the strength coach becomes essential --- **What a Strength Coach Brings** - **Progressive loading expertise** — Periodized programming that respects tissue healing while pushing adaptation - **Movement pattern refinement under load** — Good mechanics when fatigued, not just when fresh - **Capacity assessment and benchmarking** — Objective metrics beyond pain - **Confidence building** — Psychological resilience through progressive challenge - **Training for real-world demands** — Specificity for your life (hockey, parenting, desk work) --- **When the Strength Coach Enters** ✅ **Ready for strength coach:** - Baseline pain control achieved - Basic movement patterns are sound - Mentally ready to be challenged - Treating practitioners give the green light ❌ **Not ready yet:** - Still in acute pain - Significant movement dysfunction - Red flags or complications present - Not mentally ready to shift from "healing" to "building" --- **Our Integrated Clinic Model** What makes our model work is that our strength coach knows the typical rehabilitation exercises inside and out. They understand the progressions. They know what you've been doing in your rehab phase. When you're out of acute pain and ready to build, they can seamlessly take those foundational exercises and gradually progress them into load-bearing movements. There's no gap, no confusion, no starting over—just a smooth escalation from rehab to strength. The chiropractor and strength coach communicate daily. Movement compensations are flagged. Struggles are reported. Care is coordinated. --- **Capacity Is King** Your body's capacity is its ability to handle load, stress, and demand. When capacity exceeds demands, you function well. When demands exceed capacity, you break down. Traditional rehab restores capacity to baseline—which wasn't enough to prevent injury in the first place. Strength training builds capacity beyond baseline. This buffer zone is your insurance policy against re-injury. **Example:** Your back injury occurred while shoveling snow. - Traditional rehab → shoveling is *possible* - Strength training → shoveling is *easy* That difference is the difference between recurring injury and lasting resilience. --- **Common Misconceptions Debunked** ❌ **"I don't want to get bulky."** Recovery-focused strength training builds function, not size. ❌ **"Lifting weights is dangerous for my injury."** Properly progressed strength training is one of the safest things you can do. Strong tissues are resilient tissues. ❌ **"I'm too old for strength training."** You're never too old. Strength training becomes MORE important with age. ❌ **"I'll just do cardio instead."** Cardio doesn't build tissue resilience. Running doesn't make your back stronger. --- **Your Wednesday Takeaway** If you're recovering from an injury and you've achieved basic pain control and movement quality, ask your practitioner: *"When should I start working with a strength coach to build capacity?"* If they don't have a good answer, you may need to expand your team. --- **Wednesday Truth** The strength coach is the bridge between recovery and resilience, between pain-free and performance-ready, between surviving and thriving. Don't skip this phase, Ontario. It's the phase that makes the difference. --- **About Absolute Rehabilitation and Wellness:** Located in Burlington, Ontario, we help Ontarians build strength, resilience, and capacity for life. Our integrated model includes an on-site gym with strength coaches who work hand-in-hand with our chiropractors, physiotherapists, and massage therapists. **Connect with Us:** 🌐 Website: absoluterw.com 📞 Phone: 905-332-7000 📧 Email: frontdesk2@absoluterw.com --- *Absolute Edge: Performance & Rehab is brought to you by Dr. Nick Kuiper of Absolute Rehabilitation and Wellness in Burlington, Ontario.*

    6 min

  5. FEB 3

    Episode 58: Debunking Ontario Wellness Myths — Detox Cleanses Remove Toxins: Your Liver Already Does That

    **Detox Cleanses Remove Toxins: Your Liver Already Does That** The detox industry has built a billion-dollar empire on a myth. They've convinced people that their bodies are accumulating dangerous toxins that only special products can remove. The reality? Your body already has a sophisticated, highly effective detoxification system running 24/7. --- **Your Built-In Detoxification System** **The Liver** - Performs over 500 functions including primary detoxification - Converts toxic substances into less harmful compounds through specialized enzymes - Processes alcohol, medications, environmental chemicals, hormones, and metabolic waste - Does this continuously without assistance from celery juice **The Kidneys** - Filter approximately 180 litres of blood every day - Remove waste products, excess minerals, and water-soluble toxins - Maintain precise control over fluid balance, electrolytes, and blood pressure **The Digestive System** - Eliminates waste through feces - Intestinal lining prevents harmful substances from entering bloodstream - Gut microbiome processes certain compounds **The Lungs, Skin & Lymphatic System** - Expel carbon dioxide and volatile compounds - Provide physical barriers against toxins - Remove cellular waste --- **The Detox Industry's False Premise** Most detox products never specify which "toxins" they're removing. Ask a detox company exactly which compounds their product eliminates, and you'll get vague answers about "impurities" or "buildup." **The truth:** If your liver and kidneys weren't effectively detoxifying your body, you wouldn't need a cleanse—you'd need emergency medical care. --- **The Harm of Detox Cleanses** - **Nutritional deficiency** — Inadequate protein, fats, and micronutrients lead to muscle loss, fatigue, and weakened immunity - **Blood sugar instability** — Fruit sugar without fiber causes spikes and crashes - **Electrolyte imbalances** — Can cause muscle cramps, heart palpitations, and dangerous arrhythmias - **Disordered eating patterns** — The cleanse-binge cycle mirrors eating disorder patterns - **False sense of security** — "I'll just do a cleanse next month" enables poor choices - **Wasted money** — Better spent on whole foods or evidence-based healthcare --- **Why Cleanses "Feel" Like They Work** - **Elimination of processed foods** — Not the "detox," but cutting out junk - **Increased attention to health** — Mindfulness improves how you feel - **Placebo effect** — Powerful, but not detoxification - **Short-term weight loss** — Primarily water and glycogen, not fat - **Breaking unhealthy patterns** — Psychological reset, not toxin removal --- **What Actually Supports Detoxification** - **Eat adequate protein** — Liver needs amino acids for phase two detox - **Eat plenty of vegetables** — Broccoli and Brussels sprouts support liver enzymes - **Stay hydrated** — Light yellow urine indicates adequate intake - **Limit alcohol** — Single most effective thing for liver health - **Maintain healthy weight** — Prevents non-alcoholic fatty liver disease - **Exercise regularly** — Improves circulation and lymphatic function - **Get adequate sleep** — Brain's glymphatic system most active during sleep - **Minimize unnecessary supplements** — Everything must be processed by your liver --- **The Real "Toxins" to Address** - **Reduce alcohol consumption** — Less burden on your liver - **Don't smoke** — Quitting is the most significant detox you could ever do - **Minimize ultra-processed foods** — Whole foods reduce processing burden - **Filter water if needed** — Depending on local quality - **Be mindful of environmental exposures** — Cleaning chemicals, air quality, personal care products - **Avoid unnecessary supplements** — Many contain fillers and contaminants --- **Your Tuesday Takeaway** Stop buying detox products and invest that money in whole foods instead. The next time you see a detox cleanse advertised, ask yourself: which specific toxins does this remove, and what's the evidence? You won't find satisfactory answers. **Tuesday Truth:** The best thing you can do for your body's detoxification capacity is also the most boring: eat whole foods, stay hydrated, limit alcohol, exercise regularly, sleep well, and stop taking unnecessary supplements. No juice fast required. No tea detox needed. No expensive protocols necessary. Your liver's got this, Ontario. --- **SEO Keywords:** Detox cleanse myth, liver detoxification, kidney function, juice cleanse dangers, detox industry, wellness myths debunked, natural detoxification, liver health, Burlington chiropractor, Ontario wellness, Dr. Nick Kuiper, Absolute Rehabilitation and Wellness, evidence-based health, detox products scam --- **About Absolute Rehabilitation and Wellness:** Located in Burlington, Ontario, we help Ontarians build strength, resilience, and capacity for life. **Connect with Us:** 🌐 Website: absoluterw.com 📞 Phone: 905-332-7000 📧 Email: frontdesk2@absoluterw.com --- *Absolute Edge: Performance & Rehab is brought to you by Dr. Nick Kuiper of Absolute Rehabilitation and Wellness in Burlington, Ontario.*

    7 min

  6. JAN 30

    Episode 57: Weekend Wellness Prescription — Digital Detox: How Screen Time Affects Your Physical Recovery

    **Digital Detox: How Screen Time Affects Your Physical Recovery** Your screens are affecting more than your attention. They're affecting your posture, your nervous system, your sleep, and your recovery. If you're dealing with chronic pain, recovering from an injury, or trying to build resilience and capacity, your screen habits might be working against you in ways you haven't considered. --- **The Physical Reality of Screen Time** **Text Neck** - Your head weighs 10-12 pounds in neutral position - At 45 degrees forward tilt (common phone angle), your neck experiences 50 pounds of load - Result: Neck pain, headaches, upper back tension, nerve irritation **Rounded Shoulders & Thoracic Kyphosis** - Chest muscles shorten, upper back muscles weaken - Compromises shoulder mechanics, restricts breathing - Creates compensatory stress on lower back **Hip Flexor Shortening** - Hours of sitting shortens hip flexors, weakens glutes - Affects pelvis, lower back, and entire lower body kinetic chain --- **Beyond Posture: Nervous System Effects** **Sympathetic Activation** - Notifications, news, social media trigger micro-doses of cortisol and adrenaline - Constant connectivity keeps you in low-grade stress - Recovery happens in parasympathetic state—you're limiting healing time - Chronic pain is amplified by sympathetic dominance **Sleep Disruption** - Blue light suppresses melatonin production - Content keeps brain active when it should wind down - Compromised sleep directly impairs tissue repair and healing **Reduced Body Awareness** - Screen absorption disconnects you from physical sensations - You miss feedback your body is providing - Body awareness atrophies with disuse --- **The Weekend Amplification** Weekends lack weekday structure—the vacuum gets filled with screens. - Saturday morning scroll becomes an hour - Sunday Netflix binge - Constant social media checking Weekends should be prime recovery time. Instead, many emerge more depleted—partly due to screen use. --- **The 5-Step Digital Detox Protocol** **Step 1: Establish No-Phone Zones** - Bedroom: Charge phone outside, use actual alarm clock - Meals: Be present with food and people - First hour after waking, last hour before bed **Step 2: Create Friction** - Turn off non-essential notifications - Move apps off home screen - Set phone to grayscale **Step 3: Replace, Don't Just Remove** - Have alternatives ready: books, walks, conversations, hobbies - Movement is ideal replacement—5-minute mobility routine, CARs, stretching - Replace nervous system activator with nervous system regulator **Step 4: Schedule Your Screen Time** - Make offline the default - "I'll check social media at 10 AM and 4 PM" - Scheduled = intentional; Default = reactive **Step 5: Prioritize Sleep Protection** - Minimum 30 minutes screen-free before bed - **Ideally 90 minutes** screen-free before sleep - Light reading, gentle stretching, conversation, relaxation - Blue light filters only partially mitigate effects --- **The Body You're Building** Every hour of screen time is shaping your body: - The posture you hold becomes your default - The nervous system state you maintain becomes your baseline **Body shaped by excessive screen time:** Rounded forward, chronically tense, poorly rested, disconnected from sensation **Body shaped by intentional screen limits:** More upright, relaxed, better rested, more aware Which body do you want to live in? --- **Your Friday Takeaway** Choose ONE element of the digital detox protocol and implement it fully this weekend: - Screen-free mornings - No screens in bedroom - Replace evening scrolling with 15-minute mobility routine Pick one thing. Commit to it. Notice the effects. Small, consistent changes compound. By protecting your weekends from digital overload, you're protecting your recovery, sleep, posture, and nervous system. --- **Friday Truth** This weekend, reclaim some time. Put the phone down. Step away from the screen. Move your body. Rest your nervous system. Sleep without the glow of blue light. Your body will thank you. Your recovery will accelerate. And you might just rediscover what genuine rest actually feels like. Disconnect to reconnect—with your body, your health, and your weekend. --- **SEO Keywords:** Digital detox, screen time recovery, text neck, phone posture, sleep and screens, blue light sleep, nervous system recovery, weekend wellness, chronic pain screens, Burlington chiropractor, Ontario physiotherapy, Dr. Nick Kuiper, Absolute Rehabilitation and Wellness, phone addiction health, posture correction, sympathetic nervous system, parasympathetic recovery --- **About Absolute Rehabilitation and Wellness:** Located in Burlington, Ontario, we help Ontarians build strength, resilience, and capacity for life. **Connect with Us:** 🌐 Website: absoluterw.com 📞 Phone: 905-332-7000 📧 Email: frontdesk2@absoluterw.com --- *Absolute Edge: Performance & Rehab is brought to you by Dr. Nick Kuiper of Absolute Rehabilitation and Wellness in Burlington, Ontario.*

    5 min

  7. JAN 29

    Episode 56: Accelerate Your Healing Journey — Your Beliefs Are Slowing Your Recovery: The Nocebo Effect

    **Your Beliefs Are Slowing Your Recovery: The Nocebo Effect** The biggest barrier to your recovery isn't your injury. It's not your age. It's not your genetics. **It's your beliefs.** You've heard of the placebo effect—positive expectations creating positive outcomes. But there's a darker twin most people don't know about: **the nocebo effect.** The nocebo effect is what happens when negative expectations create negative outcomes. When you believe something will hurt you, it often does. When you believe you won't recover, you often don't. --- **The Science of Nocebo** This isn't pseudoscience. It's well-documented neurobiology. - When you expect pain, your brain primes your nervous system to experience pain - It increases sensitivity of pain pathways - It releases neurochemicals that amplify pain signals - It literally turns up the volume on your pain experience **Research proof:** - Same temperature stimulus → participants told it would be "painful" reported significantly more pain than those told it would be "mild" - Same medical procedure → group told "this might hurt" reported substantially more discomfort than group told "this will feel like a warm sensation" **Your expectations change your physiology:** - Stress hormones release (cortisol, adrenaline) - Muscles tense - Blood pressure rises - Inflammation increases - Your body creates the conditions for more pain --- **Where Limiting Beliefs Come From** **1. Previous Healthcare Experiences** - "You have the spine of an 80-year-old" - "Your disc is degenerating" - "You'll probably need surgery eventually" - "This is just something you'll have to live with" These casual statements plant seeds of fear and fragility. Many are inaccurate, out of context, or represent only one possibility among many. **2. Imaging Findings** - Scary-sounding words: disc bulges, degeneration, arthritis, herniations, stenosis - **What you're not told:** These findings are incredibly common in people with NO pain - MRI studies of pain-free people show disc bulges, degeneration, herniations everywhere - Without context, you believe your spine is damaged and fragile - That belief shapes behavior and perpetuates pain **3. Cultural Narratives About Aging** - "You're not as young as you used to be" - "It's all downhill after 40" - "Once you hurt your back, it's never the same" These become self-fulfilling prophecies. Much of what we attribute to aging is actually deconditioning—and deconditioning is reversible at any age. **4. Catastrophizing** - A twinge becomes "my disc is probably herniating" - A sore shoulder becomes "I'm developing arthritis" - Pain that doesn't resolve immediately becomes "this will never get better" Catastrophizing is strongly linked to worse outcomes—not because of worse injuries, but because beliefs create a neurobiological environment that amplifies pain. --- **How Beliefs Shape Behavior** **Avoidance** - You stop exercising, lifting, playing with kids/grandkids - Feels protective but is actually destructive - Body needs movement to heal, tissues need load to strengthen - Avoidance → deconditioning → reduced capacity → more pain → reinforced belief of fragility **Hypervigilance** - Excessive attention to bodily sensations - Normal aches and twinges become alarming - Constant monitoring keeps nervous system on high alert - The attention itself amplifies pain **Reduced Treatment Effort** - "Nothing works for me anyway" - Half-hearted exercises, skipped appointments - Treatment doesn't get a fair chance - Another self-fulfilling prophecy --- **How to Change Your Beliefs** **1. Seek Accurate Information** - Learn what imaging findings actually mean in context - Question old comments from providers - Find practitioners who offer empowering, evidence-based perspectives **2. Reframe Your Narrative** - Instead of "my back is damaged" → "my back is adaptable and capable of getting stronger" - Instead of "I'm falling apart" → "I'm in a temporary state I can change" - Instead of "this is how it is now" → "this is how it is currently—and current states can change" **3. Collect Contrary Evidence** - Notice days when you feel better - Notice activities you can do without pain - Notice progress, even if small - Notice people your age who are thriving **4. Take Action Despite Belief** - Act your way into new belief - Start with light load and prove your back can handle it - Try exercise consistently for 4 weeks and observe results - Action creates evidence → evidence changes belief → changed belief enables more action **5. Work with Practitioners Who Empower You** - Language matters enormously - Seek providers who focus on what you CAN do - Who emphasize your body's capacity to adapt and heal - Who treat you as a capable adult, not a fragile patient --- **Harnessing Positive Expectations** If negative expectations slow recovery, positive expectations accelerate it. - Expect to improve → more likely to improve - Believe treatment will help → more likely to help - Visualize recovery → nervous system moves toward that outcome **Powerful reframe:** Your body wants to heal. Healing is the default state. Your job isn't to force healing—it's to remove obstacles. Often, the biggest obstacle is in your mind. --- **Your Thursday Takeaway** Audit your beliefs about your body and your recovery. - What story are you telling yourself? - Is it based on accurate information or fear? - Is it empowering action or encouraging avoidance? - Is it opening possibilities or closing them? If you find limiting beliefs, challenge them. Seek better information. Collect contrary evidence. Reframe your narrative. Take action that proves the old belief wrong. **Your beliefs are not neutral observers of your condition. They're active participants in creating it.** --- **Thursday Truth** The nocebo effect is real. Negative expectations create negative outcomes. Your beliefs shape your biology. But here's the empowering flip side: if beliefs can slow your recovery, they can also accelerate it. You are not a passive victim. You are an active participant. One of the most powerful tools you have is your own mind. **Choose beliefs that serve you. Expect to improve. Trust your body's capacity. Act accordingly.** Your recovery might be waiting on the other side of a belief change. --- **SEO Keywords:** Burlington physiotherapy, Ontario chiropractor, nocebo effect, placebo effect, pain psychology, chronic pain beliefs, catastrophizing, fear avoidance, recovery mindset, MRI findings, disc bulge, back pain beliefs, pain neuroscience, Dr. Nick Kuiper, Absolute Rehabilitation and Wellness, Burlington rehabilitation, mind-body connection, healing mindset, pain expectations --- **About Absolute Rehabilitation and Wellness:** Located in Burlington, Ontario, we help Ontarians build strength, resilience, and capacity for life. **Connect with Us:** 🌐 Website: absoluterw.com 📞 Phone: 905-332-7000 📧 Email: frontdesk2@absoluterw.com --- *Absolute Edge: Performance & Rehab is brought to you by Dr. Nick Kuiper of Absolute Rehabilitation and Wellness in Burlington, Ontario.*

    7 min

  8. JAN 28

    Episode 55: Science of Sustained Recovery & Integrated Care — Ankle Mobility: The Foundation Most People Ignore

    **Ankle Mobility: The Foundation Most People Ignore** Someone comes in with knee pain. Or hip pain. Or lower back pain. They've tried everything—rest, stretching, strengthening, even injections. Nothing works long-term. And when I assess their movement, I find the problem isn't where they feel the pain. **It's at their ankles.** Your ankles are the first link in the chain between your body and the ground. When that link is compromised, the entire chain suffers. --- **The Ankle as Foundation** Every time you walk, run, squat, lunge, or climb stairs, force travels from the ground up through your body. Your ankles are the first major joint complex to receive and transmit that force. - **Mobile ankles** = force transmits efficiently through the system - **Restricted ankles** = force goes to the next available structures—knees, hips, lower back This is the **kinetic chain principle**: dysfunction at one link creates compensation at every link above it. --- **What Ankle Mobility Actually Means** **Dorsiflexion** — the ability to bring your toes toward your shin (driving knee forward over toes while heel stays down) - **Functional minimum:** 10-15 degrees - **Athletic performance:** 20-30+ degrees Other important movements: - **Plantarflexion** — pointing your toes - **Inversion & Eversion** — side-to-side tilting for uneven surfaces When any of these are restricted, your body finds workarounds. Those workarounds, repeated thousands of times per day, create dysfunction. --- **How Ankle Restrictions Develop** **1. Previous Ankle Sprains (The Big One)** - Creates inflammation, scar tissue, and neurological changes - Studies show reduced dorsiflexion persists years after sprains - Reduced mobility increases risk of re-spraining — a self-perpetuating cycle **2. Prolonged Sitting & Footwear** - Sitting keeps ankles in neutral/plantarflexed position for hours - Dress shoes, heels, and even elevated-heel running shoes reduce dorsiflexion demand - Over years and decades = adaptive shortening **3. Aging & Disuse** - Ranges you don't use, you lose - Joint capsule stiffens, tissues lose extensibility - Happens so gradually most people don't notice --- **The Upstream Consequences** **Knee Compensation** - Restricted ankle → knee can't travel forward normally in squat - Result: **Knee valgus** (collapse inward) or heel rises - Primary mechanism for knee pain, patellofemoral syndrome, ACL injuries - The knee isn't the problem—it's the victim **Hip Compensation** - Altered ankle/knee mechanics force hip to adjust - Excessive hip flexion, altered rotation, asymmetrical loading - Chronic hip pain often originates from ankle restriction **Lower Back Compensation** - Can't achieve squat/lunge depth → pelvis tucks, lower back rounds - **Lumbar flexion under load** = disc injuries, lower back pain - Or hyperextension → facet joint compression - Either way, your lower back absorbs stress from restricted ankles **The site of pain is rarely the source of dysfunction.** --- **Self-Assessment: Find Your Restriction** **1. The Knee-to-Wall Test (Gold Standard)** - Stand facing wall, foot 4-5 inches away - Drive knee to wall, keeping heel flat - Find maximum distance where you can touch wall with heel grounded - **Functional minimum:** 4 inches (fist width) - **Athletic:** 5+ inches - **Test both sides** — asymmetry matters! **2. The Deep Squat Assessment** - Feet shoulder-width, toes slightly out - Squat as deep as possible: heels down, knees tracking over toes, torso upright - If heels rise, knees collapse, or excessive forward lean → ankle restriction likely **3. The Single-Leg Balance Test** - Stand on one foot, barefoot, 30 seconds - Mobile ankle: constant small adjustments - Restricted ankle: stiff, compensation at hip or arms --- **The Ankle Mobility Protocol** **Phase 1: Soft Tissue Preparation** - Target calf complex (gastrocnemius & soleus) - Foam roller or lacrosse ball work - Use **iso-ramping:** pressure on tender spot → contract calf against it (5s ramp up, 5s hold, 5s release) - 3-5 minutes per calf, especially above Achilles tendon **Phase 2: Joint Mobilization** - **Banded ankle mobilization** - Loop band low around front of ankle, anchor behind - Drive knee forward over toes (band pulls talus backward) - Hold 2 seconds at end range, 15-20 reps - Without band: simply drive knee forward, heel grounded **Phase 3: Loaded Stretching** - **Soleus stretch** (knee bent to isolate) - Kneeling, one foot forward, drive knee forward, heel flat - Hold **2 full minutes** (connective tissue adaptation) - Then **PAILS & RAILS:** - PAILS: Push forefoot into ground (10 seconds) - RAILS: Pull toes toward shin (10 seconds) - Repeat 3 cycles **Phase 4: Ankle CARs (Controlled Articular Rotations)** - Seated or single-leg standing - Draw largest circles with foot through full range - 5-10 seconds per rotation - 3-5 rotations each direction, each ankle - Slow, deliberate, controlled --- **Integration & Maintenance** **Integration:** - Squat with full depth, knees traveling forward - Lunge with deliberate forward knee drive - Walk barefoot when possible - May need to retrain squat pattern, gait, knee mechanics **Maintenance (Non-Negotiable):** - **Daily:** Ankle CARs (less than 2 minutes) - **3-4x per week:** Calf soft tissue work + loaded stretching - Think of it like dental hygiene — consistent attention required --- **Your Wednesday Takeaway** Test your ankle mobility today. Do the knee-to-wall test. Note your range and asymmetry. If you're restricted—especially asymmetrically—you've likely found a contributor to problems elsewhere in your body. **Start the protocol:** 1. Soft tissue work on calves 2. Banded joint mobilization 3. 2-minute loaded soleus stretches with PAILS & RAILS 4. Daily ankle CARs If you've been chasing knee pain, hip pain, or lower back pain without results, consider whether the foundation has been overlooked. **Your ankles might be the missing piece.** --- **Wednesday Truth** Your ankles are the foundation of your lower body kinetic chain. Restrictions here don't stay here—they travel upward, creating compensation and dysfunction at every joint above. Most people ignore their ankles. They foam roll their backs, stretch their hips, strengthen their cores—but never address the first link in the chain. Don't make that mistake. The health of your knees, hips, and lower back may depend on mobility that starts at your feet. **Build the foundation. Everything above will benefit.** --- **SEO Keywords:** Burlington physiotherapy, Ontario chiropractor, ankle mobility, dorsiflexion, knee pain, hip pain, lower back pain, kinetic chain, ankle sprain recovery, knee-to-wall test, ankle CARs, PAILS RAILS, soleus stretch, calf mobility, movement assessment, compensation patterns, Dr. Nick Kuiper, Absolute Rehabilitation and Wellness, Burlington rehabilitation, joint mobilization, functional movement --- **About Absolute Rehabilitation and Wellness:** Located in Burlington, Ontario, we help Ontarians build strength, resilience, and capacity for life. **Connect with Us:** 🌐 Website: absoluterw.com 📞 Phone: 905-332-7000 📧 Email: frontdesk2@absoluterw.com --- *Absolute Edge: Performance & Rehab is brought to you by Dr. Nick Kuiper of Absolute Rehabilitation and Wellness in Burlington, Ontario.*

    9 min
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Absolute Edge: Performance & Rehab - Your Daily Health Authority Welcome to Absolute Edge: Performance & Rehab, the daily podcast that gives Ontarians the competitive advantage in health, wellness, and recovery. Hosted by an AI-powered narrator and brought to you by Dr. Nick Kuiper of Absolute Rehabilitation and Wellness in Burlington, Ontario, this show delivers evidence-based health strategies in just 3-5 minutes every weekday. Whether you're dealing with chronic pain, recovering from a sports injury, managing stress and mental health, or simply want to optimize your physical performance, Absolute Edge provides actionable protocols you can implement immediately.

Information

  • Creator
    Dr. Nicolas Kuiper
  • Years Active
    2025 - 2026
  • Episodes
    62
  • Rating
    Clean
  • Copyright
    © 2026 Dr. Nicolas Kuiper