Smith Performance Center Blog
Your Trusted Physical Therapy and Strength Training Blog for Injury Rehab and Pain Management
Welcome to the physical therapy blog from Smith Performance Center—your source for expert guidance on injury recovery, pain management, strength training, and sustainable health habits. Whether you’re managing chronic pain, recovering from surgery, or building long-term fitness, our team shares actionable strategies backed by clinical experience and real-world success. Stay up to date with new posts on rehab phases, movement progression, exercise programming, and the science behind making healthcare work for you.

Tissue Capacity vs. Exercise Capacity: Why Most People Miss the Mark
You’re Doing the Work—So Why Does Your Body Keep Breaking Down? You show up. You put in the effort. Whether it’s running, lifting, group fitness, or weekend hikes, you’re trying to stay active. But despite the commitment, you keep dealing with recurring injury from exercise. Pain shows up, progress stalls, and your body feels more unpredictable than it should. This isn’t about motivation. It’s about biology.The real issue is a mismatch between what you can make yourself do and what your body is built to tolerate. At Smith Performance Center, we call that gap the difference between exercise capacity and tissue capacity the rehab standard—and it’s one of the most overlooked problems in rehab and training. What Is Exercise Capacity? Exercise capacity is your ability
Triathlon Injury Rehab: How SPC Phases Prevent Setbacks
Recurring injuries derailed Alex’s triathlon training for years—until he adopted a structured, phase-based rehab approach. This case study shows how the Smith Performance Center Phase System helped him move from chronic pain to consistent performance by focusing on what most athletes overlook: building tissue capacity to match training demands.
Meniscus Tears & Knee Pain: Why Rehab Needs More Than Just Cutting Out the Problem
The Evolution of Thought Around Meniscus Injuries Clinical practice is filled with successes and failures. For some reason, failures tend to linger in memory the longest and often drive the biggest changes in how we approach patient care. A significant moment in my clinical career involved a meniscus tear, knee pain, and the need for surgery. One of the most impactful shifts in my approach to knee pain, particularly in cases involving meniscus tears, came from a repeated clinical pattern: patients improving, then regressing, over and over. This frustrating cycle forced me to rethink my process and align it with a more structured framework—one that incorporates the Smith Performance Center Phases. This helped me answer the question, “Does a meniscus tear require surgery, or can
Breaking the Injury Doom Loop with Sean McConnell: Why the Right Support System Matters
Confidence is even more important than strength. People come in with doubt and fear of pain. If they don’t believe they can move safely, they won’t move at all. My job is to assess not just their movement, but also their psychological acceptance of movement. The best exercise is the one you can do, so we start small, monitor the response, and slowly build from there
Understanding Vestibular Issues with Alex Griffis, PT, DPT
When it comes to dizziness and balance issues, few areas of physical therapy are as fascinating and misunderstood as vestibular rehabilitation. Dr. Alex Griffis, PT, DPT, sheds light on common conditions like Benign Paroxysmal Positional Vertigo (BPPV) and the surprising role of vision and proprioception in maintaining balance. With techniques like habituation training, he helps patients regain control over their symptoms. If you’ve been struggling with unexplained falls or dizziness, discover how a multi-layered approach at Smith Performance Center can help you regain confidence and improve your quality of life.
From Pain to Progress: Building an Exercise Habit After Injury
A perfect time to build the exercise habit occurs when you overcome a painful injury. At Smith Performance Center (SPC), this happens during the “activity progression” phase after stabilizing symptoms. Unlike a standard exercise routine, activity progression focuses on managing and improving tissue capacity—your body’s ability to handle physical load without pain or injury. If these terms sound unfamiliar, don’t worry. The following signs indicate you may have skipped the fundamentals of activity progression: Why Delaying Exercise Is a Mistake Many individuals delay exercise until they feel completely better. However, this approach has drawbacks: Your Path at SPC At SPC, we’ve developed a clear plan to help you build fitness while overcoming an injury. Here’s how it works: 1. Your Home Plan: Manage Symptoms and
Tissue Capacity vs. Exercise Capacity: Why Most People Miss the Mark
You’re Doing the Work—So Why Does Your Body Keep Breaking Down? You show up. You put in the effort. Whether it’s running, lifting, group fitness, or weekend hikes, you’re trying to stay active. But despite the commitment, you keep dealing with recurring injury from exercise. Pain shows up, progress stalls, and your body feels more unpredictable than it should. This isn’t about motivation. It’s about biology.The real issue is a mismatch between what you can make yourself do and what your body is built to tolerate. At Smith Performance Center, we call that gap the difference between exercise capacity and tissue capacity the rehab standard—and it’s one of the most overlooked problems in rehab and training. What Is Exercise Capacity? Exercise capacity is your ability
Triathlon Injury Rehab: How SPC Phases Prevent Setbacks
Recurring injuries derailed Alex’s triathlon training for years—until he adopted a structured, phase-based rehab approach. This case study shows how the Smith Performance Center Phase System helped him move from chronic pain to consistent performance by focusing on what most athletes overlook: building tissue capacity to match training demands.
Meniscus Tears & Knee Pain: Why Rehab Needs More Than Just Cutting Out the Problem
The Evolution of Thought Around Meniscus Injuries Clinical practice is filled with successes and failures. For some reason, failures tend to linger in memory the longest and often drive the biggest changes in how we approach patient care. A significant moment in my clinical career involved a meniscus tear, knee pain, and the need for surgery. One of the most impactful shifts in my approach to knee pain, particularly in cases involving meniscus tears, came from a repeated clinical pattern: patients improving, then regressing, over and over. This frustrating cycle forced me to rethink my process and align it with a more structured framework—one that incorporates the Smith Performance Center Phases. This helped me answer the question, “Does a meniscus tear require surgery, or can
Breaking the Injury Doom Loop with Sean McConnell: Why the Right Support System Matters
Confidence is even more important than strength. People come in with doubt and fear of pain. If they don’t believe they can move safely, they won’t move at all. My job is to assess not just their movement, but also their psychological acceptance of movement. The best exercise is the one you can do, so we start small, monitor the response, and slowly build from there
Understanding Vestibular Issues with Alex Griffis, PT, DPT
When it comes to dizziness and balance issues, few areas of physical therapy are as fascinating and misunderstood as vestibular rehabilitation. Dr. Alex Griffis, PT, DPT, sheds light on common conditions like Benign Paroxysmal Positional Vertigo (BPPV) and the surprising role of vision and proprioception in maintaining balance. With techniques like habituation training, he helps patients regain control over their symptoms. If you’ve been struggling with unexplained falls or dizziness, discover how a multi-layered approach at Smith Performance Center can help you regain confidence and improve your quality of life.
From Pain to Progress: Building an Exercise Habit After Injury
A perfect time to build the exercise habit occurs when you overcome a painful injury. At Smith Performance Center (SPC), this happens during the “activity progression” phase after stabilizing symptoms. Unlike a standard exercise routine, activity progression focuses on managing and improving tissue capacity—your body’s ability to handle physical load without pain or injury. If these terms sound unfamiliar, don’t worry. The following signs indicate you may have skipped the fundamentals of activity progression: Why Delaying Exercise Is a Mistake Many individuals delay exercise until they feel completely better. However, this approach has drawbacks: Your Path at SPC At SPC, we’ve developed a clear plan to help you build fitness while overcoming an injury. Here’s how it works: 1. Your Home Plan: Manage Symptoms and