#471 Dr Meghan Sak-Ocbina - Things Your Physical Therapist Wishes You Knew

#471 Dr Meghan Sak-Ocbina - Things Your Physical Therapist Wishes You Knew

Author: Andrew Coates May 21, 2026 Duration: 53:18

Dr Meghan Sak-Ocbina is a Doctor of Physical Therapy and Strength Coach and joins the show to share her expertise on:


All the things your physical therapist wishes you knew

The issues within the system that make their role more difficult

The challenge between the cost of education and compensation in physical therapy

Their desire to give you the best care conflicting with the insurance model

Why burnout in physical therapy is a potential problem

What Meghan means by: “The problem with most rehab, it never makes it into training. We treat rehab and training like they’re separate lanes, when they’re meant to do the same thing — drive adaptation.”

Why most people have at least one, if not a few, potential joint issues, and why this is normal and not necessarily a problem

Meghan’s response when a client was told by another clinician: “Because she doesn’t do sports, she doesn’t need to train power.”

What Meghan means by: “Your injury isn’t from what you’re doing, it’s from what you’re not doing.”

And much more


Instagram: @dr.megsi.dpt


CHAPTERS


00:39 Insurance and Volume

02:34 Cash Based PT

05:34 Strength Coaching Edge

08:32 PT Training Gaps

11:33 Rehab and the Training Spectrum

13:34 Pain and the Nervous System

18:54 Patient Expectations

21:04 Imaging and Surgery Myths

23:44 Form Fear and Adaptation

24:36 Outfunctioning Structure

26:19 Imaging Fear and Nocebo

27:46 Living With Wear and Tear

30:22 Insurance Model Limits PT

32:32 Burnout, Debt, and Paperwork

35:55 Cash Based and Online Paths

37:54 Choosing a PT Like Choosing a Haircut

44:07 Rehab Meets Real Training

47:27 Power Training For Everyone

50:06 Aging, Capacity, and Injury Risk

51:46 Where To Find Meghan


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Andrew Coates hosts Lift Free And Diet Hard, a conversation grounded in the belief that strength and wellness are built on more than just routines. This podcast moves beyond quick fixes to examine the principles and personal stories that shape a sustainable, intentional life. You’ll hear from a variety of inspiring guests who share not only their expertise but also the real-world challenges and triumphs they’ve faced. The discussions naturally weave together the science of fitness with the practicalities of daily choices, offering a nuanced look at what it means to truly care for your physical and mental health. Each episode is designed to provide actionable insights you can use to navigate your own path, fostering resilience and confidence whether you're in the gym or the kitchen. By focusing on informed decision-making over dogma, the Lift Free And Diet Hard podcast becomes a resource for anyone looking to cut through the noise of wellness culture. Andrew facilitates these explorations with a focus on empowerment, ensuring every conversation adds a layer of understanding to the complex journey of building a strong, healthy life.
Author: Language: English Episodes: 50

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