#513 Steven Sahyoun - Injury Rehab Through Training

<p>Steven Sahyoun coaches performance and rehabilitation, helping people move from injury back toward the demands of training and sport.</p><p><br></p><p>Steven joins me to discuss why rehab should look more like training, how to appropriately load injured tissue, and why simply becoming pain-free does not necessarily mean someone is ready to perform.</p><p><br></p><p>We discuss:</p><p><br></p><p>• What Steven means when he says “tendons need load, not needles”</p><p>• Why passive treatments alone rarely rebuild physical capacity</p><p>• Peptides, needling, and the temptation to search for shortcuts</p><p>• Why rehab is still training</p><p>• Why aggressively pushing knees over toes may not be the best starting point for an irritated knee</p><p>• Adjusting exercises around symptoms instead of forcing one movement philosophy</p><p>• How Steven thinks about constraints in coaching</p><p>• Isometrics and where they may fit into rehabilitation</p><p>• Why pain relief does not necessarily equal readiness</p><p>• The difference between low-stimulus rehab and higher-performance demands</p><p>• How to progressively rebuild the qualities required for sport</p><p>• Late-stage rehabilitation</p><p>• Return-to-sport decision making</p><p>• Steven’s “hardware versus software” analogy</p><p>• How rehab changes in-season versus off-season</p><p>• The mental challenge of Steven’s own Achilles tear</p><p>• Training around an injury instead of stopping everything</p><p>• Why knowing an injury is likely to improve can be psychologically reassuring</p><p>• Lifestyle factors and persistent pain</p><p>• What happens when pain or injury becomes part of someone’s identity</p><p>• Coaching through curiosity rather than simply telling people what to do</p><p>• And much more</p><p><br></p><p>Follow Steven:</p><p><br></p><p>@coach_steven_sahyoun</p><p><br></p><p><strong>CHAPTERS</strong></p><p><br></p><p>00:16 Meet Steven Sahyoun</p><p>01:19 Tendons Need Load</p><p>01:30 Needles and Peptides</p><p>05:28 Rehab Is Training</p><p>07:38 The Knees-Over-Toes Debate</p><p>11:01 Constraints and Movement</p><p>14:14 The Isometrics Controversy</p><p>23:08 Pain-Free Doesn’t Mean Ready</p><p>27:24 Low Stimulus vs. High Stimulus</p><p>30:20 Building Toward Sport Demands</p><p>33:53 Return-to-Sport Constraints</p><p>35:15 The Hardware vs. Software Analogy</p><p>37:21 In-Season vs. Off-Season Training</p><p>39:29 Achilles Rehab and Mindset</p><p>42:32 Training Around an Injury</p><p>44:00 Your Inju