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cover of episode #350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

2025/5/26
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The Peter Attia Drive

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Peter Attia: 我在肩部手术后,与Kyler Brown合作,将康复与边缘十年的训练理念相结合。我意识到,仅仅依靠单一技术或服务是不够的,需要一个全面的方法。我害怕手术,不想用疼痛和不稳定换取行动不便,因此我尽力加强肩袖肌肉来避免手术。手术后,Alton医生和Kyler合作,打破了传统的康复观念,让我能够在24小时内脱掉吊带,并迅速恢复活动能力。这种个性化的方法让我能够为未来的边缘十年做好准备。 Kyler Brown: 在Peter肩部手术前,我们进行了大量的肩袖训练,特别是针对冈上肌。手术后,我们密切合作,确保Peter能够尽快恢复活动能力。我们采取了一种全面的方法,不仅关注肩部本身,还关注周围的肌肉和身体的整体功能。我们与Alton医生详细讨论了Peter的情况,并根据他的具体需求制定了康复计划。我们还密切关注Peter的康复进展,并根据需要进行调整。这种个性化的方法使Peter能够成功地从手术中恢复,并为未来的运动做好准备。

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This chapter explores a personalized rehab strategy for shoulder surgery, emphasizing the importance of prehab and post-op approaches that prioritize function and mobility. It highlights the collaboration between a surgeon and a rehab professional, along with the use of various techniques, such as BFR and isometric exercises, to support long-term strength and health.
  • Personalized rehab strategy for shoulder surgery
  • Prehab and post-op approaches focusing on function and mobility
  • Importance of rotator cuff strengthening
  • Use of BFR and aggressive core stability work
  • Post-operative approach emphasizing early mobility and range of motion

Shownotes Transcript

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Kyler Brown is a sports rehab chiropractor who specializes in injury recovery, pre- and post-surgical rehabilitation, and guiding clients from rehab back to peak performance. As co-founder of the private training program 10 Squared alongside Peter, Kyler shares his approach to injury prevention and performance optimization—highlighting how overlooked movement patterns can quietly lead to chronic issues over time. He outlines a practical framework for assessing and treating individuals, highlights the importance of understanding movement dynamics and asymmetries, and discusses personalized rehab strategies through real-world case studies. The conversation also explores the psychological side of recovery, including the role of fear and mental barriers in rehabilitation. Kyler shares actionable tools to evaluate movement patterns and implement training strategies that support long-term strength and health.

A companion video series demonstrating exercises for common problem areas—such as the lower back, neck, shoulders, and knees—is available exclusively to subscribers on the show notes page.

We discuss:

  • The personalized rehab strategy for Peter’s shoulder surgery that sparked creation of a training program called 10 Squared [3:00];
  • Training for the marginal decade: why precision and purpose are essential for quality of life [11:00];
  • The Centenarian Decathlon: how training for long-term capacity enhances both current and future quality of life [18:00];
  • How the shortcomings of conventional rehab and performance systems led to the creation of 10 Squared, a personalized training model focused on long-term physical capacity and individualized care [23:45];
  • Case study: how personalized assessment and treatment at 10 Squared helps uncover the root causes of injuries [31:00];
  • The role of the “core” in movement and injury prevention, and the importance of training stability before strength [40:15];
  • The layered assessment process used at 10 Squared to determine whether a person is ready to perform dynamic movements [47:45];
  • Case study: the rehab plan designed to treat a hamstring injury while preserving fitness and preventing reinjury [51:45];
  • Training approach for clients with minimal training history: risk reduction, habit-building, and long-term consistency [55:30];
  • How to train foot reactivity, tendon resilience, and explosive capacity in a safe, progressive way [1:00:00];
  • Peter’s foot and ankle pain: how to diagnose, treat, and strengthen the lower extremities [1:04:15];
  • How fear and perception influence recovery, what drives back pain, and when to choose surgery vs. treatment [1:13:15];
  • Could AI and app technology eventually deliver an individualized rehab and training experience? [1:22:30];
  • Kyler’s professional evolution from traditional chiropractic care to a degree-agnostic, performance-based rehab philosophy [1:25:00];
  • How 10 Squared provides precision rehab and training in a remote format [1:30:30];
  • How Peter resolved a severe back pain flare-up using DNS-guided isometric exercise instead of passive treatments [1:33:15];
  • How to identify and treat common joint pain (neck, back, knee, shoulder) using a rehab framework that strengthens supporting structures and helps avoid surgery [1:39:00]; and
  • More.

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