The Back Pain Podcast by Core Balance

Dr. Ryan Peebles DPT

This podcast brings you expert strategies to reverse chronic back pain, improve posture, and protect your spine for life. In each episode, Dr. Ryan answers real questions and breaks down practical steps anyone can use to overcome issues like sciatica, herniated discs, stenosis, SI joint pain, disc degeneration, and everything in-between. With 20+ years of experience, from healing his own chronic lower back pain, to helping thousands worldwide through Core Balance Training, Dr. Ryan reveals the proven system that makes his program so effective. Whether you’re an athlete, desk worker, or simply tired of living in pain, this podcast is your roadmap to moving better, living stronger, and staying pain-free for the long run. Learn more about the Core Balance Training program at https://www.corebalancetraining.com/program. ⚠️ Disclaimer: All content is for educational purposes only. Always consult a healthcare professional before starting any new exercise program.

  1. The Right Strategy for Back Pain Exercises

    9H AGO

    The Right Strategy for Back Pain Exercises

    In this episode, Dr. Ryan Peebles, Doctor of Physical Therapy and founder of Core Balance Training, breaks down the right strategy for back pain exercises and why lasting recovery has far more to do with mindset and movement quality than chasing the “best” exercise. He explains why exercises are tools, not the solution, and how true progress comes from relearning how to move with deep core support. You’ll learn why less is often more, how to avoid reinforcing imbalances, and how listening to your body over time leads to permanent change rather than temporary relief.   This episode covers:   The long-term approach to healing chronic back pain Consistency vs. intensity: what actually creates lasting change Quality over quantity in movement retraining What “tune in, turn on” really means for your core and spine Why exercises don’t fix pain Using breathing and awareness to support movement When stretching helps and when it doesn’t Student insights: breakthroughs with the Back Anchor, shoulder surgery, SI joint pain, and exercise selection   Watch the free Core Balance Masterclass and start your 7-day free trial to experience the Back Anchor lesson firsthand and begin retraining your movement patterns from the inside out: https://www.corebalancetraining.com/masterclass    Disclaimer: All content is for educational purposes only. Consult a qualified healthcare professional before beginning any exercise or rehabilitation program.   Episode Chapters:   00:00 – The right strategy for back pain exercises (overview) 02:10 – “Tune in, turn on”: the mindset behind movement retraining 05:30 – Long-term game: why healing isn’t overnight 09:10 – Consistency is key: small daily practice vs intensity21:00 – Turning on the deep core during movement 30:40 – Maintenance mindset: “tissue debt” and using exercises as tools37:30 – Listening to your body: review what helped vs what flared symptoms 40:10 – Student Q&A begins: shoulder opener + lats + leverage cues 44:10 – Q&A: spinal rotation stretches (when they help vs aggravate) 47:20 – Q&A: chair pose rib flare, tight lats, and hanging for decompression 49:40 – Q&A: SI joint soreness, car rides, and scaling Running Man/Typewriter 53:30 – Q&A: stiffness at night/morning, PT machines, stretching, mattress advice 57:40 – Q&A: tubing on a river, hiking, and pacing

    59 min
  2. The Biggest Exercise Mistake People Make With Chronic Back Pain

    12/30/2025

    The Biggest Exercise Mistake People Make With Chronic Back Pain

    In this episode, Dr. Ryan Peebles, Doctor of Physical Therapy and founder of Core Balance Training, explains why “pushing it harder” is often the worst possible strategy for chronic back pain recovery. Drawing from his clinical experience and a real conversation with a longtime friend struggling with severe back pain, Ryan breaks down why intensity, heavy resistance, and rushing the process can actually reinforce the very dysfunctions people are trying to fix. He explores the neurological and biomechanical reasons aggressive exercise fails in chronic pain, clarifies the difference between deep stabilizing muscles and surface power muscles, and explains why true spinal support must be rebuilt slowly through awareness, connection, and low-intensity engagement. This episode emphasizes patience, nervous system retraining, and sustainable progress over force, intensity, and willpower.   This episode covers: Why “pushing harder” is a natural instinct but the wrong strategy for chronic back pain A real story: why trying to rush recovery can backfire The difference between global power muscles and deep stabilizing muscles Why high-intensity exercise can worsen muscle imbalances How chronic pain shuts down deep core stabilizers Why heavy resistance training misses the muscles that protect the spine The role of neuromuscular retraining in long-term recovery Why low-intensity, long-duration engagement is essential for spinal stability Why awareness-based exercises feel subtle but are highly effective How repetition and time rebuild lost neural connections Why the body resists rapid change and adapts best gradually Lessons from footwear, posture, and repetitive stress injuries How to safely integrate weight training during recovery Turning everyday movement into a core-stability exercise Why slow progress leads to the most durable results Student Q&A: weight training, numbness, rowing machines, balance, sleep, and soreness   Watch the free Core Balance Masterclass and start your 7-day free trial to experience the foundational lessons firsthand and begin rebuilding spinal stability through awareness-based movement: https://www.corebalancetraining.com/masterclass   Disclaimer: All content is for educational purposes only. Consult a qualified healthcare professional before beginning any exercise or rehabilitation program.   Episode Chapters: 00:00:00 – Why pushing exercises harder fails in chronic back pain 00:02:30 – A real story: trying to rush recovery 00:06:00 – Why intensity feels productive but causes setbacks 00:08:00 – Global muscles vs. deep stabilizing muscles 00:14:00 – Why power training reinforces imbalance 00:18:45 – Weigh training during the CBT program 00:21:00 – Why low-intensity training activates spinal support 00:25:30 – Lifetime impact of training 00:28:00 – Pushing away concept 00:32:00 – Are core muscles not ready? 00:35:30 – Why the program is intentionally slow 00:38:30 – Weight training during recovery: what’s safe 00:42:30 – Turning any movement into a core exercise 00:46:30 – Q&A: numbness, nerves, and healing timelines 00:49:30 – Q&A: rowing machines and repetitive motion 00:53:30 – Q&A: balance, sleep positions, and soreness 00:58:00 – Final takeaway: slow progress is sustainable progress

    50 min
  3. How to Make Progress While Living With Chronic Back Pain

    12/24/2025

    How to Make Progress While Living With Chronic Back Pain

    In this episode, Dr. Ryan Peebles, Doctor of Physical Therapy and founder of Core Balance Training, breaks down how to make real progress while living with back pain, without fear, flare-ups, or setbacks. Drawing from his own decade-long journey through chronic lower back pain, Ryan explains how to safely progress exercise and daily movement even when pain is present. You’ll learn how to distinguish “good pain” from “bad pain,” why pushing harder is often the wrong strategy, and how listening to your body is the most valuable skill for reversing chronic pain. He also walks through practical applications using Core Balance concepts like the Front Anchors, Push Away, and the 10% rule, showing how to keep moving forward without aggravating sensitive joints, discs, or nerves. This episode covers: Why pain is not black and white, and how to understand it as a spectrum The difference between “good pain” (stiffness, muscular discomfort) and “bad pain” (sharp, deep, or intuitive warning pain) How to safely progress exercises when pain is present The 10% rule: gaining benefits without pushing into pain Why doing less can sometimes create more long-term progress How to apply the Push Away concept without compressing the spine Common mistakes during Front Anchor exercises and how to correct them Why overusing superficial back muscles creates fatigue and instability How core stability protects the spine better than bracing or forcing movement Q&A on running, hiking, knee pain, disc bulges, stenosis, and nerve symptoms Why balance, moderation, and awareness beat intensity and volume Watch the free Core Balance Masterclass and start your 7-day free trial to experience the Back Anchor lesson firsthand and begin retraining your movement patterns from the inside out: https://www.corebalancetraining.com/masterclass Disclaimer: All content is for educational purposes only. Consult a qualified healthcare professional before beginning any exercise or rehabilitation program. Episode Chapters: 00:00:00 – What this episode is about: making progress in your exercise routine 00:03:30 – Why listening to your body is the most important skill 00:06:15 – Understanding pain as a spectrum (good pain vs bad pain) 00:10:00 – Is sharp, intense pain, “Bad” pain? 00:13:00 – Muscle stiffness, movement pain, and when pushing is beneficial 00:19:30 – The 10% rule and how to progress without setbacks 00:23:45 – Applying the rule to Front Anchors and Push Away 00:31:00 – Why intensity often slows healing instead of speeding it up 00:34:00 – Q&A: discs, stenosis, knee pain, hiking, and running 01:07:20 – Final takeaways: balance, patience, and long-term resilience

    1h 11m
  4. Is Back Pain Physical or Emotional? A Physical Therapist Explains the Truth

    12/16/2025

    Is Back Pain Physical or Emotional? A Physical Therapist Explains the Truth

    In this episode, Dr. Ryan Peebles, Doctor of Physical Therapy and founder of Core Balance Training, explores the mind–body connection in back pain and addresses a common question from students, “How emotional and psychological factors interact with physical causes of pain.” Drawing from clinical experience, student questions, and influential ideas such as Dr. John Sarno’s work, Ryan explains why back pain is rarely only physical or only emotional and why a combined, holistic approach leads to better long-term outcomes. This episode covers: What the mind–body connection really means in chronic back pain A student question that sparked the discussion: emotional vs. physical healing Dr. John Sarno’s theory of repressed emotions and tension-based pain Why muscle tension and reduced blood flow can create real pain How posture, joint friction, and muscle imbalances contribute to degeneration Why emotional stress can worsen existing physical back problems How chronic pain can create fear-based movement and reinforce dysfunction When back pain may start emotionally and later become physical Why modern lifestyle factors (sitting, screens, stress) are driving back pain rates up Why addressing both emotional awareness and physical mechanics matters Core stabilization as the foundation for spinal protection Why slow, mindful progress beats intensity in rehab The role of breathing as the “foundation of the foundation” How excessive effort can increase tension and delay healing Understanding left–right vs. front–back imbalances Why unilateral training helps correct asymmetries The importance of movement quality over forcing strength How fear, stress, and rushing can instantly worsen symptoms Practical reflections to reduce emotional tension in daily life A holistic view: awareness, patience, and consistency over quick fixes   Watch the free Core Balance Masterclass and start your 7-day free trial to experience the Back Anchor lesson firsthand and begin retraining your movement patterns from the inside out: https://www.corebalancetraining.com/masterclass   Disclaimer: All content is for educational purposes only. Consult a qualified healthcare professional before beginning any exercise or rehabilitation program.   Episode Chapters: 00:00:00 – Introduction: The mind–body connection in back pain 00:02:10 – A student’s question that sparked this discussion 00:04:15 – Dr. John Sarno’s theory: emotional causes of back pain 00:07:00 – How stress and tension create real physical pain 00:10:10 – Do emotional and physical causes overlap? 00:15:20 – The perfect bridge pose & the mattress you use 00:18:15 – Activating core muscles 00:22:50 – Back anchor progression and Breathing in core control 00:25:00 – Student Q&A: Doing a typewriter squat 00:28:40 – Student Q&A: Will CBT help with back pain symptoms? 00:32:50 – Having the right posture for exercises 00:36:15 – Student Q&A: How to walk uphill 00:37:45 – Connecting better with body and body imbalances 00:41:50 – Front anchors and Push away explained 00:48:30 – Final thoughts: awareness, and mind-body connection

    51 min
  5. Back Pain Setbacks: Why They Happen and How to Recover Faster

    12/09/2025

    Back Pain Setbacks: Why They Happen and How to Recover Faster

    In this episode, Dr. Ryan Peebles, Doctor of Physical Therapy and founder of Core Balance Training, takes a clear and compassionate look at setbacks on the healing journey. He covers why they happen, why they’re normal, and how to respond in a way that accelerates long-term progress instead of derailing it. Drawing from student questions and real examples, Dr. Ryan explains the psychology behind setbacks, how to return to training safely, and why the fundamentals of breathing, anchors, and core connection are your most powerful tools when things flare up. You’ll learn how to interpret soreness, stiffness, and flare-ups, how to adjust your practice without losing momentum, and why setbacks often become turning points for deeper body awareness and more sustainable healing. This episode covers: Why setbacks are inevitable and why progress is never linear The psychology of setbacks: mindset, acceptance, and learning How inflammation, irritation, and muscular shutdown follow a flare-up The predictable pattern: why core muscles “turn off” under stress When to rest, when to move, and why prolonged rest slows healing How to “go back to the basics” without losing your progress Using the back anchor, front anchors, and breathing to re-establish control Overuse vs. intensity: how doing “too much” creates flare-ups How to troubleshoot stiffness, soreness, and morning tightness Why quads and lower-back muscles often dominate early training How to shift movement patterns toward core-dominant movement Shoulder impingement vs. tendinitis: key differences and safe training ranges How to train at the edge of pain without aggravating injury Posture limitations, breathing challenges, and realistic timelines for change Cardio as a tool to reduce stiffness through improved blood flow How to handle discouragement and avoid the biggest mistake: quitting Why setbacks become easier to bounce back from over time Watch the free Core Balance Masterclass and start your 7-day free trial to experience the Back Anchor lesson firsthand and begin retraining your movement patterns from the inside out: https://www.corebalancetraining.com/masterclass Disclaimer: All content is for educational purposes only. Consult a qualified healthcare professional before beginning any exercise or rehabilitation program. Episode Chapters 00:00:00 – What this episode is about: setbacks on the back pain healing journey 00:01:20 – The psychology of setbacks: mental game, acceptance, learning 00:03:00 – Physical and practical strategies to overcome setbacks 00:09:30 – Why core muscles “turn off” after a flare-up 00:10:30 – How to restart: breathing, anchors, and reconnecting 00:12:30 – Front anchors, walking, and over-intensity 00:17:40 – Shoulder pain, tendinitis vs. impingement, and how to train safely 00:22:00 – The “painful arc” principle and threshold-based strengthening 00:24:00 – Bridge mechanics: quads, lower back dominance, and corrections 00:27:30 – Morning tightness, sitting too much, and mattress factors 00:31:20 – Using cardio to reduce muscle soreness and stagnation 00:32:00 – Posture limitations, breathing challenges, and patience 00:38:00 – When quads cramp during bridges, and how to fix it 00:46:20 – Gratitude and mindset: navigating the hardest stage of setbacks 00:48:00 – Final guidance: get on the floor, reconnect, and keep going

    51 min
  6. Tendonitis and Back Pain: The Hidden Cause No One Talks About

    12/02/2025

    Tendonitis and Back Pain: The Hidden Cause No One Talks About

    In this episode, Dr. Ryan Peebles, Doctor of Physical Therapy and founder of Core Balance Training, breaks down an often-overlooked contributor to chronic lower back pain: tendonitis. While people frequently associate tendonitis with knees, elbows, or Achilles pain, Dr. Ryan explains why inflamed, overworked spinal and hip tendons are extremely common in back-pain sufferers and why they’re rarely recognized as such. He walks through what tendons are, why they become irritated, how muscle imbalances make tendonitis worse, and the surprising reason resting too much can actually prolong your pain. Dr. Ryan also answers student questions about tailbone pain, deep core activation, bridge mechanics, glute tendinopathy, hamstring tightness, and nerve symptoms in the legs and feet.   This episode covers: What tendonitis really is and why it commonly shows up along the “belt line” of the lower back Why overactive muscles and underactive deep core muscles lead to irritated tendons How repetitive stress and compensation patterns create tendon breakdown Why rest alone often makes tendonitis worse  The “middle ground” principle: how to stay active without overdoing it How to reflect on yesterday’s activities to understand delayed pain today Why eccentric exercises are often prescribed for tendon healing Why tight hamstrings are not the enemy Core Balance Training’s approach: balance muscle activity, build deep core support, and follow your body’s signals   Watch the free Core Balance Masterclass and start your 7-day free trial to experience the Back Anchor lesson firsthand and begin retraining your movement patterns from the inside out: https://www.corebalancetraining.com/masterclass Disclaimer: All content is for educational purposes only. Consult a qualified healthcare professional before beginning any exercise or rehabilitation program. Episode Chapters:   00:00:00 – Why tendonitis matters in chronic back pain 00:02:00 – What tendons are and how they become irritated 00:05:00 – Overactive vs. underactive muscles and why imbalance stresses tendons 00:08:00 – Why tendonitis is common along the belt line of the lower back 00:10:00 – The powerful strategy: listen to your body & reflect on delayed pain 00:14:00 – Overuse vs. underuse: finding the middle zone for tendon healing 00:17:00 – Why rest alone worsens tendonitis  00:19:00 – Using eccentric exercises to strengthen irritated tendons 00:22:00 – Q&A: modifying Back Anchor Awareness for tailbone pain 00:25:00 – Q&A: upper vs. lower abdominals during Back Anchor work 00:38:00 – Q&A: outer-hip pain during bridges & gluteal tendinopathy 00:32:00 – Q&A: tight hamstrings, bridge breathing, and avoiding over-stretching the back 00:36:00 – Q&A: nerve pain into the legs/feet, MRI findings, and EMG decisions

    35 min
  7. The Foundational Skill for Reversing Chronic Back Pain: Recovery Through Body Awareness

    11/25/2025

    The Foundational Skill for Reversing Chronic Back Pain: Recovery Through Body Awareness

    In this episode, Dr. Ryan Peebles, Doctor of Physical Therapy and founder of Core Balance Training, explains the single most valuable skill anyone can develop to reverse chronic back pain: listening to your body. Drawing from years of clinical experience and his own recovery journey, he breaks down why pain is communication, not an enemy, and how learning to interpret your body’s signals can guide every decision you make. Ryan discusses why most people stay stuck in the pain cycle, how to identify the activities that help versus harm, and why only you can feel the sensations that matter most. He also explains how to use body awareness to determine how much exercise you should do, the importance of reaching an appropriate level of challenge, and why rigid “sets and reps” don’t work for real-life back pain recovery.   This episode covers:   Why listening to your body is the foundational skill for reversing back pain How pain acts as communication and why it’s often misinterpreted The importance of reflecting on daily activities to identify triggers Why good sensations matter and how to notice them beneath the pain How the back-pain cycle works and how to break it How to know exactly how much to exercise using your body’s feedback Why rigid “3 sets of 10” protocols fail most people with pain Why posture, muscle imbalances, and predictable patterns influence recovery How Core Balance Training uses neuromuscular re-education to rebuild movement Listener Q&A: degeneration at L5–S1, upper/mid-back pain, inversion tables, forward-head posture, TFL/quad overuse, SI joint injury Why nothing in the CBT program can harm you—and how to adapt if you’re acute   Watch the free Core Balance Masterclass and start your 7-day free trial to experience the Back Anchor lesson and begin retraining your movement patterns from the inside out:https://www.corebalancetraining.com/masterclass    Disclaimer: All content is for educational purposes only. Consult a qualified healthcare professional before beginning any exercise or rehabilitation program.   Episode Chapters 00:00:00 – The most valuable skill for reversing back pain00:01:30 – Why pain is communication, not the enemy00:04:30 – Linking pain signals to your daily activities00:07:00 – Good sensations: the signals most people overlook00:10:00 – Breaking the pain cycle through awareness and small changes00:15:00 – How to use body awareness to guide exercise00:18:00 – Challenge, fatigue, and why sets/reps don’t work00:25:00 – Q&A: severe L5–S1 degeneration and realistic improvement00:30:00 – Q&A: inversion tables, decompression, and delayed reactions00:39:00 – Q&A: forward-head posture and adapting to discomfort00:42:00 – Q&A: shoulder tension, compensation, and firing-pattern retraining00:45:00 – Q&A: TFL/quad overuse in bridges and simple fixes00:50:30 – Q&A: SI joint injury, referral pain, and whether CBT is safe

    54 min
  8. Acupuncture and Dry Needling for Back Pain: What Actually Works?

    11/18/2025

    Acupuncture and Dry Needling for Back Pain: What Actually Works?

    In this episode, Dr. Ryan Peebles, Doctor of Physical Therapy and founder of Core Balance Training, breaks down acupuncture and dry needling: what they are, how they work, who they help, and where their limitations lie. Drawing from personal experience, clinical knowledge, and years of observing thousands of back-pain cases, he explains why both treatments can feel amazing yet rarely solve chronic back pain at its root. You’ll learn the real difference between acupuncture and dry needling, why both can produce instant relief but not lasting change, and how to think about them inside a long-term healing strategy. Dr. Ryan also dives into the deeper cause of chronic muscle tension, why knots and trigger points keep coming back, and how core stability creates true, lasting change.   This episode covers:   The difference between acupuncture and dry needling What influences acupuncture results Dry needling: how it releases trigger points instantly  Dr. Ryan’s experience with deep hip-flexor dry needling  Why muscle knots form Why chronic tension returns unless you fix the underlying imbalance How tight hip flexors, stiff shoulders, and limited rotation relate to core weakness Why deep core activation reduces full-body tension over time How to approach stubborn hip and shoulder limitations safely Q&A: sitting cross-legged, hip rotation, mobility vs. core strength Q&A: tight hip flexors during the bridge and how to get into a true stretch Q&A: how long to hold front anchors and signs you’re ready to progress   Watch the free Core Balance Masterclass and start your 7-day free trial to experience the Back Anchor lesson firsthand and begin retraining your movement patterns from the inside out: https://www.corebalancetraining.com/masterclass    Disclaimer: All content is for educational purposes only. Consult a qualified healthcare professional before beginning any exercise or rehabilitation program.   Episode Chapters: 00:00:00 – Acupuncture for back pain, does it work adn what it acually does00:01:52 – Dr. Ryan’s experiences with acupuncture00:04:10 – When acupuncture is helpful 00:07:38 – Introducing dry needling: an orthopedic approach to trigger points 00:08:10 – What trigger points are  00:11:18 – Ryan’s intense hip-flexor dry needling experience 00:14:33 – Q&A: sitting cross-legged, hip rotation, and lifelong mobility limitations 00:17:37 – Why muscles tighten 00:26:49 – Tight shoulders, reasons and what to do 00:29:00 – Back anchor concept explained

    38 min

Ratings & Reviews

5
out of 5
20 Ratings

About

This podcast brings you expert strategies to reverse chronic back pain, improve posture, and protect your spine for life. In each episode, Dr. Ryan answers real questions and breaks down practical steps anyone can use to overcome issues like sciatica, herniated discs, stenosis, SI joint pain, disc degeneration, and everything in-between. With 20+ years of experience, from healing his own chronic lower back pain, to helping thousands worldwide through Core Balance Training, Dr. Ryan reveals the proven system that makes his program so effective. Whether you’re an athlete, desk worker, or simply tired of living in pain, this podcast is your roadmap to moving better, living stronger, and staying pain-free for the long run. Learn more about the Core Balance Training program at https://www.corebalancetraining.com/program. ⚠️ Disclaimer: All content is for educational purposes only. Always consult a healthcare professional before starting any new exercise program.

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