Find related articles and learn more about our process at SPC.
When exercise makes you feel worse instead of better, motivation isn’t the problem. Learn why this happens and how to avoid “exercise hell.”
Why injuries keep coming back after the first one. Learn how tissue capacity, compensation, and the therapeutic gap lead to recurrent injury.
Stretching is supposed to make your hamstrings feel better—looser, lighter, more flexible. So why are you experiencing only temporary relief at best—and often feel even more sore after stretching? There’s a deep cultural belief in the power of stretching to reduce pain, improve mobility, and prevent injury. The support for those claims is, at best, inconsistent or non-existent. 1,2 If you’ve found this article, you’ve likely noticed a pattern yourself: every time you stretch your hamstrings, they get worse. At Smith Performance Center, we see this pattern constantly. The sensation of “tight” hamstrings is rarely about flexibility—even in those with limited motion. We hear people complain of tightness in tissue disorders that actually cause more motion than normal. More often, it’s a protective signal that something is off in how your system is moving, processing information, or managing load. In this article, we’ll walk through what actually causes post-stretching soreness
Learn how Smith Performance Center helps people with osteoporosis and lifting programs that build stronger bones safely through progressive strength and impact training in Tucson.
At Smith Performance Center, the home plan is a central feature of your rehabilitation experience. If you’ve worked with physical therapy in the past, you’ve probably been given a list of exercises to do on your own, most often called a ther-ex list or home exercise plan. Our approach is different. The purpose of your home plan isn’t just to give you something to do between visits — it’s to improve your tissue capacity and help you progress safely toward your goals. And the strategy often changes as you move from Phase 1, where we identify and outline what is causing your pain, to Phase 2, where you learn to manage your symptoms, to Phase 3, where we work to build your tissue capacity and progress your activity. Learn more about this process in our article “What are the phases at Smith Performance Center?“ Why the Home Plan Matters To
During recovery, there comes a pivotal moment when symptoms improve, and the client feels like they’ve turned a corner. Life feels good again, and naturally, activity levels increase. This change is often unconscious or unintentional—but its consequences can be significant. A rehabilitation flare-up is defined as a return or increase in the original symptoms that led the patient to seek care. The natural reaction to a flare-up is often to question whether the real problem is being addressed. Read: the diagnosis is wrong. But this reaction can lead to a critical misstep—focusing on the wrong issue and missing an opportunity for patient empowerment. Diagnostic Errors vs. Rehabilitation Flare-Up Mismanagement Achieving the correct diagnosis involves identifying potential tissue pain generators, noting local and regional contributors, considering central modulation, and uncovering triggers. This process requires careful collection, analysis, and prediction. And there can be many reasons that diagnosis is hard, but once
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 to push through effort and accumulate work over time. It’s what most people think of as “fitness.” It includes: Exercise capacity reflects what you’re capable
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.
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 it be successfully rehabbed without going under the knife?” The Traditional View: Meniscus Surgery vs. Rehab For years, meniscus tears were considered a primary cause
Structuring your endurance and strength programming can make or break your training. To help clarify your training schedule, we use three key questions to correctly scaffold the program. While the typical question we hear circles around sport-specific exercises, more important questions often get missed—questions that can make or break the season and influence your performance on race day. Question 1: Are You In-Season or Off-Season? Your immediate reaction might be, “I’m not sure what the difference is.” To clarify, our strength coach, Spencer, offers this guidance: “If you’re building up to a specific race and tapering to maximize fitness while reducing fatigue, you’re in-season. Out of season might still include races, but it’s not aimed at peak performance.” To put it succinctly, here’s how our team defines it: So, which one are you currently in? Once you know, we can get specific. If You’re In-Season: For athletes training in-season, here’s
