What actually makes someone better — experience, repetition, or feedback?

In this episode of KIMEcast, Tony and Russ break down the power of feedback loops and why the speed and quality of feedback can dramatically change how we learn, coach, rehabilitate, and perform.

They explore how auditory, visual, and kinesthetic feedback influence movement; why external cues can be more effective than telling someone which muscles or body parts to move; and how creating the right environment can allow athletes and patients to discover better movement rather than simply being told what to do.

The conversation expands into clinical practice and the importance of having repeatable systems. If every patient is treated completely differently, how do you know what actually worked? Tony and Russ discuss how consistency creates a feedback loop that allows clinicians to recognize patterns, identify exceptions, and ultimately develop better clinical judgment.

They also take the concept beyond healthcare into sports, business, and life: fail fast, fail small, gather feedback, and iterate. Waiting for perfection can actually slow improvement. The goal is to create opportunities to test, learn, adjust, and keep moving forward.

In this episode:

• Why faster feedback accelerates learning

• Auditory vs. visual vs. kinesthetic coaching

• Internal vs. external movement cues

• Creating exercises that teach through constraints

• Why protocols can actually improve clinical reasoning

• The difference between experience and wisdom

• Using small failures to accelerate development

• Why perfection can become the enemy of progress

• Applying feedback loops to business and performance

• Measuring what matters — and getting the information fast enough to act on it

Whether you're a clinician, coach, athlete, leader, or simply trying to get better at what you do, the principle is the same:

Do. Get feedback. Adjust. Repeat.

What does great rehab actually look like—and have we let the pendulum swing too far?

In this episode of KIMEcast, Tony sits down with longtime friend and colleague Dr. Jess Elis of Rehab Code for a wide-ranging conversation about clinical decision-making, professional sports, manual therapy, exercise, technology, and the importance of understanding what is actually happening beneath the surface of an injury.

Jess shares lessons from his career working in elite performance and professional sports, including his time with the Portland Trail Blazers and New York Knicks, and pulls back the curtain on some of the realities clinicians face inside professional sports organizations—from load management and return-to-play decisions to the politics and pressure surrounding athlete availability.

The conversation then turns to a growing divide in physical therapy: manual therapy vs. exercise, research vs. clinical experience, and technology vs. the fundamentals of being a great clinician.

Tony and Jess challenge the idea that clinicians need to choose a side. Instead, they make the case for understanding structure, pathology, biomechanics, load, and context—and using all of those tools to make better decisions for the individual in front of you.

They also dive into:

• Why working in professional sports isn't always what young clinicians imagine
• The role of manual therapy in modern rehabilitation
• Why “all roads lead to exercise”—but getting there matters
• The danger of copying exercises and trends from social media
• How pathology changes mechanics and should influence rehab
• Meniscus tears, Baker's cysts, cartilage lesions, and tissue-specific loading
• Building systems and progressions without becoming trapped by protocols
• Why technology and data should support—not replace—clinical reasoning
• Developing better return-to-run and return-to-sport progressions
• Why the best clinicians learn to operate somewhere between the extremes

At its core, this episode is about learning how to think.

Research matters. Experience matters. Technology matters. Manual therapy matters. Exercise matters.

But none of them replace the ability to understand the person, understand the tissue, and make the right decision at the right point in the rehab process.

Special Guest: Dr. Jess Ellis | Rehab Code

How do elite athletes actually improve?

Former Major League pitcher Ryan Mattheus, founder of Optimum Athletes, joins Evan Hauger to explore what separates great coaching from great player development.

Drawing from his MLB career and years of developing high school, collegiate, and professional baseball players, Ryan explains why objective assessment, biomechanics, movement capacity, and individualized programming have transformed the way athletes should train. Together, Ryan and Evan discuss why many so-called "mechanical" problems are actually capacity problems, how collaboration between rehabilitation and performance creates better outcomes, and why the best coaches know when to lean on experts instead of trying to have every answer.

Whether you're a physical therapist, strength coach, coach, or athlete, this conversation offers practical insights into developing athletes through evidence-based coaching rather than guesswork.

• Why player development is a long-term process
• How biomechanics and movement assessments improve performance
• Capacity vs. mechanics: solving the real problem
• The importance of collaboration between rehab and performance
• Using force plates and objective testing to guide programming
• Why individualized coaching outperforms generic training plans
• Building athletes who become self-sufficient, not coach-dependent
• The relationship between performance and injury prevention

In this episode:

Why do some clinicians consistently earn trust, build stronger patient relationships, and achieve better outcomes—while others with the same clinical knowledge struggle?

In this episode of KIMEcast, Tony Mikla, DPT, and Evan Hauger, DPT, explore one of the most overlooked skills in rehabilitation: building patient buy-in.

Clinical expertise matters—but knowledge alone isn't enough. Great clinicians understand how to communicate with people, not just diagnose injuries. They know how to create trust through empathy, establish authority through education, and develop clear plans that patients actually believe in and follow.

Throughout the conversation, they discuss:

• Why communication is one of the biggest missing pieces in healthcare education
• The relationship between empathy, authority, and trust
• How to inspire hope after injury
• Why patients often fail to follow home exercise programs
• Building individualized treatment plans instead of generic protocols
• The importance of understanding each patient's goals, identity, and lifestyle
• Helping athletes return to sport without losing their identity
• Using objective testing to increase confidence and engagement
• Why elite rehabilitation is about guiding people—not simply treating injuries

Whether you're a physical therapist, athletic trainer, strength coach, healthcare professional, or student, this episode offers practical strategies for creating stronger patient relationships and better clinical outcomes.

Because great rehabilitation isn't just about fixing injuries—it's about helping people believe they can become themselves again.

What if the goal wasn't simply living longer—but living stronger?

In this episode of KIMEcast, Tony Mikla sits down with family physician Dr. Sam Robinson to explore what modern longevity medicine actually looks like—and why most people are focusing on the wrong things.

Rather than chasing the latest supplement or health trend, Dr. Robinson explains the three evidence-based pillars that have the greatest impact on your healthspan:

• Reducing visceral fat
• Building muscle and strength
• Improving cardiovascular fitness

Together they discuss why these metrics matter more than the number on the scale, how advanced testing like DEXA scans and VO₂ Max testing can personalize your health plan, and why preventive medicine should begin long before disease develops.

They also dive into:

• The difference between lifespan and healthspan
• Why muscle is one of your greatest predictors of longevity
• The role of protein, creatine, and nutrition
• Continuous glucose monitors (CGMs) and metabolic health
• The truth about GLP-1 medications like Ozempic and Wegovy
• Why obesity should be treated as a chronic medical condition—not a personal failure
• How to create a sustainable plan for lifelong health

If you're interested in living with more strength, energy, and resilience—not just adding years to your life—this conversation is for you.

Most rehabilitation programs focus on pain, range of motion, and checking boxes on a protocol. But is that enough to truly return someone to sport, performance, or the life they want to live?

In this episode of KIMEcast, Tony Mikla and Russ Dunning explore some of the biggest missed opportunities in physical therapy and sports medicine. They discuss why fear and uncertainty are often the first barriers to recovery, how clinicians can inspire hope through education and coaching, and why successful rehabilitation requires much more than simply following a protocol.

The conversation dives into strength development, tissue adaptation, speed progression, foot mechanics, return-to-sport decision making, and the critical role of individualized coaching. They also challenge common assumptions about injury management, explore why load is essential for healing, and explain how modern rehabilitation should bridge the gap between recovery and high performance.

Whether you're an athlete, clinician, coach, or someone navigating an injury, this episode offers a different perspective on what it really takes to heal, adapt, and perform at your highest level.

Key Topics:

• The psychology of injury and fear
• Why hope is a critical part of rehabilitation
• Protocols vs. individualized coaching
• Building strength after injury
• The importance of load for tissue healing
• Foot function, speed, and athletic performance
• Common mistakes in return-to-sport progression
• Why movement quality and power matter
• Lessons from real patient stories
• The future of physical therapy and sports medicine

Most injuries aren't complicated.

Our thinking about them is.

In Episode 60 of KIMEcast, we break down the framework we use to evaluate injuries, guide rehabilitation, and return athletes safely back to performance. Rather than trying to solve every problem at once, we discuss how identifying the true limiting factor creates clarity and accelerates results.

The conversation explores KIME's Performance Continuum—a step-by-step model that moves athletes from pain and inflammation, to mobility, strength, speed, and ultimately high-level performance.

Topics include:

• The difference between inflammatory pain and mechanical pain
• Why identifying the limiting factor changes everything
• Mobility vs. strength vs. motor control deficits
• The role of manual therapy and neurological "resets"
• Why most stiffness isn't actually scar tissue
• Reset → Reprogram → Reload
• Building strength that transfers to sport
• How speed exposes movement dysfunction
• Return-to-sport testing and performance benchmarks
• Why fatigue is one of the greatest injury risk factors
• The art and science of rehabilitation programming

Whether you're an athlete, coach, clinician, or parent, this episode provides a practical framework for understanding injury recovery and building a more resilient body.

What does it actually mean to be “healed” after an injury?

In Episode 59 of KIMEcast, the team breaks down one of the biggest misconceptions in sports medicine: pain-free does not mean ready to perform. From ankle sprains to ACL tears to throwing injuries, this episode explores why athletes continue to get hurt, how compensation patterns develop, and why true return-to-sport testing matters.

The conversation dives deep into kinetic linking — the body’s ability to transfer force efficiently from the ground up — and how breakdowns in mobility, stability, reaction time, and movement quality create injury risk long before a major injury occurs.

Topics include:

• Why athletes reinjure themselves after “healing”
• The difference between rest and rehabilitation
• Force plate testing and modern injury risk assessment
• ACL recovery and compensation patterns
• Reactive strength index (RSI), plyometrics, and ground contact time
• Mobility limitations that silently increase injury risk
• Throwing mechanics and kinetic chain breakdowns
• Why elite athletes are often elite compensators
• The future of return-to-sport testing and sports performance

This episode is a deep dive into the intersection of biomechanics, rehabilitation, performance training, and injury prevention — and why sports medicine must evolve beyond simply treating pain.