<p><strong>Dr. Justin Farnsworth</strong> is a highly respected physical therapist who emphasizes <strong>strength training, movement, and education</strong> as foundational tools for managing pain and injury.</p><p>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.</p><p>Justin brings clarity, nuance, and evidence to a conversation that affects almost everyone at some point in their life.</p><p>Justin and Andrew explore:<br />• Why surgery performs no better than placebo for many common injuries<br />• Which injuries truly require surgery and why elite athletes may make different choices than the general population<br />• New understandings around <strong>ACL injuries</strong> and how many can heal without surgery<br />• Why <strong>belief and expectation</strong> are often stronger predictors of pain than tissue damage<br />• Why <em>not exercising</em> is a greater long-term health risk than many feared behaviors<br />• How running can be protective for knee cartilage<br />• How to safely and progressively reintroduce running into your life<br />• How to train around pain without making it worse<br />• And much more</p><p><br /></p><p><strong>CHAPTERS</strong></p><p><br /></p><p>01:36 The Role of Imaging in Diagnosing Pain<br />02:54 Understanding Degenerative Conditions<br />03:37 The Placebo Effect in Surgery<br />04:21 FAI and Other Common Diagnoses<br />07:48 When Surgery is Necessary<br />09:18 The Importance of Second Opinions<br />24:20 Manual Therapy and Pain Management<br />28:53 Manual Therapy and Its Effects<br />29:23 Understanding ACL Injuries and Treatments<br />35:47 The Role of Exercise in Long-Term Health<br />38:37 Challenges and Solutions in Promoting Exercise<br />45:15 Running and Knee Health<br />54:23 Programming Around Pain</p><p><br /></p><p><strong>SUPPORT THE SHOW</strong></p><p><br /></p><p>If this episode helped you, you can help me by:<br />• Subscribing and checking out more episodes<br />• Sharing it on your social media (tag me - I'll respond)<br />• Sending it to a friend who needs this</p><p><br /></p><p><strong>FOLLOW ANDREW COATES</strong></p><p><br /></p><p>Instagram: @andrewcoatesfitness<br /><a href="https://www.andrewcoatesfitness.com" target="_blank" rel="ugc noopener noreferrer">https://www.andrewcoatesfitness.com</a></p><p><br /></p><p><strong>PARTNERS AND RESOURCES</strong></p><p><br /></p><p><strong>RP Strength App (use code COATESRP)</strong><br /><a href="https://www.rpstrength.com/coates" target="_blank" rel="ugc noopener noreferrer">https://www.rpstrength.com/coates</a></p><p><strong>Just Bite Me Meals (use code ANDREWCOATESFITNESS for 10% off)</strong><br /><a href="https://justbitememeals.com/" target="_blank" rel="ugc noopener noreferrer">https://justbitememeals.com/</a></p><p><strong>MacrosFirst - FREE PREMIUM TRIAL</strong><br />Download MacrosFirst and during setup you’ll be asked <strong>“How did you hear about us?”</strong><br />Type in: <strong>ANDREW</strong></p><p><strong>KNKG Bags (15% off)</strong><br /><a href="https://www.knkg.com/Andrew59676" target="_blank" rel="ugc noopener noreferrer">https://www.knkg.com/Andrew59676</a></p><p><strong>Versa Gripps (discount link)</strong><br /><a href="https://www.versagripps.com/andrewcoates" target="_blank" rel="ugc noopener noreferrer">https://www.versagripps.com/andrewcoates</a></p><p><strong>TRAINHEROIC - FREE 90-DAY TRIAL (2 steps)</strong></p><ol><li><p>Go to <a href="https://www.trainheroic.com/liftfree" target="_blank" rel="ugc noopener noreferrer">https://www.trainheroic.com/liftfree</a></p></li><li><p>Reply to the email you receive (or email <a rel="ugc noopener noreferrer" target="_blank">[email protected]</a>) and let them know I sent you</p></li></ol>