FREE ASSESSMENT

Back Pain Setbacks: Why They Happen and How to Recover Faster


In this episode, Dr. Ryan Peebles, Doctor of Physical Therapy and founder of Core Balance Training, takes a clear and compassionate look at setbacks on the healing journey. He covers why they happen, why they’re normal, and how to respond in a way that accelerates long-term progress instead of derailing it. Drawing from student questions and real examples, Dr. Ryan explains the psychology behind setbacks, how to return to training safely, and why the fundamentals of breathing, anchors, and core connection are your most powerful tools when things flare up. You’ll learn how to interpret soreness, stiffness, and flare-ups, how to adjust your practice without losing momentum, and why setbacks often become turning points for deeper body awareness and more sustainable healing.

This episode covers:

  • Why setbacks are inevitable and why progress is never linear
  • The psychology of setbacks: mindset, acceptance, and learning
  • How inflammation, irritation, and muscular shutdown follow a flare-up
  • The predictable pattern: why core muscles “turn off” under stress
  • When to rest, when to move, and why prolonged rest slows healing
  • How to “go back to the basics” without losing your progress
  • Using the back anchor, front anchors, and breathing to re-establish control
  • Overuse vs. intensity: how doing “too much” creates flare-ups
  • How to troubleshoot stiffness, soreness, and morning tightness
  • Why quads and lower-back muscles often dominate early training
  • How to shift movement patterns toward core-dominant movement
  • Shoulder impingement vs. tendinitis: key differences and safe training ranges
  • How to train at the edge of pain without aggravating injury
  • Posture limitations, breathing challenges, and realistic timelines for change
  • Cardio as a tool to reduce stiffness through improved blood flow
  • How to handle discouragement and avoid the biggest mistake: quitting
  • Why setbacks become easier to bounce back from over time

Watch the free Core Balance Masterclass and start your 7-day free trial to experience the Back Anchor lesson firsthand and begin retraining your movement patterns from the inside out:
https://www.corebalancetraining.com/masterclass

Disclaimer: All content is for educational purposes only. Consult a qualified healthcare professional before beginning any exercise or rehabilitation program.


Episode Chapters

00:00:00 – What this episode is about: setbacks on the back pain healing journey
00:01:20 – The psychology of setbacks: mental game, acceptance, learning
00:03:00 – Physical and practical strategies to overcome setbacks
00:09:30 – Why core muscles “turn off” after a flare-up
00:10:30 – How to restart: breathing, anchors, and reconnecting
00:12:30 – Front anchors, walking, and over-intensity
00:17:40 – Shoulder pain, tendinitis vs. impingement, and how to train safely
00:22:00 – The “painful arc” principle and threshold-based strengthening
00:24:00 – Bridge mechanics: quads, lower back dominance, and corrections
00:27:30 – Morning tightness, sitting too much, and mattress factors
00:31:20 – Using cardio to reduce muscle soreness and stagnation
00:32:00 – Posture limitations, breathing challenges, and patience
00:38:00 – When quads cramp during bridges, and how to fix it
00:46:20 – Gratitude and mindset: navigating the hardest stage of setbacks
00:48:00 – Final guidance: get on the floor, reconnect, and keep going