In this episode, we break down the new 2026 American College of Sports Medicine position stand on resistance training—and why it’s not what the internet gurus were hoping for.

Instead of doubling down on rigid rules, this update does the opposite: it expands the evidence base, loosens the prescriptions, and makes one thing very clear—there is no single “best” way to train. Most resistance training works. What matters more is consistency, effort, and aligning your training with your actual goals.

We unpack what the ACSM looked at (including 137 systematic reviews and over 30,000 participants), what’s changed since 2009, and what the evidence actually says about strength, hypertrophy, power, endurance, and physical function. We also break down why “optimization” is often overhyped, why going from nothing to something is still the biggest win, and how power training may play a bigger role in real-life function than you think.

If you’ve ever felt overwhelmed by conflicting fitness advice—or like you’re doing it “wrong”—this episode will simplify what actually matters and what you can safely ignore.

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Resources:

ACSM 2026 Position Stand

ACSM 2009 Position Stand

POST about “strength span” from Stronger by Science

(Nuzzo, 2024) PMID: 38781472

In this episode, Sarah looks at two broad pain patterns, people who tend to push through pain and people who tend to avoid it, and explains how each one can shape your relationship with exercise. Before getting into those categories, she lays out a key foundation of modern pain science: pain is not a simple one-to-one signal of tissue damage. Instead, pain is a subjective experience shaped by the brain’s interpretation of threat, context, past experiences, beliefs, and emotions. She also explains why the common zero-to-10 pain scale is often misunderstood, what it is useful for, and why phrases like “I have a high pain tolerance” or “my pain is a 10 out of 10” may not communicate what people think they do.

From there, the episode walks through the fear avoidance model, pain catastrophizing, and the avoidance-endurance model to explain why some people stop moving the moment something feels wrong while others ignore pain until it becomes a much bigger problem. Sarah breaks down the strengths and liabilities of both patterns, including how pain avoiders can become deconditioned by steering clear of normal exercise discomfort and how pain endurers can blow past clear warning signs and delay recovery. She also talks through how these patterns show up in real life, how to tell which direction you tend to lean, and how better pain literacy, gradual progression, and thoughtful exercise programming can help you recalibrate your response to pain without swinging all the way to the opposite extreme.

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RESOURCES

Fear Avoidance Model revisited

Pain Catastrophizing Model

Avoidance-Endurance Model

Pain Catastrophizing Scale

Avoidance-Endurance Questionnaire

Dr. Vanessa Komarek, PsyD joins Laurel for a conversation about strength training, trauma myths, gymtimidation, training through pregnancy, and what it actually means to be trauma informed as a coach. They talk about how lifting can support mental health, why fear-based messaging can backfire, where coaching ends and therapy begins, and which evidence-based PTSD treatments deserve more attention than social media trauma narratives.

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RESOURCES

Dr. Vanessa Komarek, PsyD

Instagram @HeavyLiftingPychologist

Website www.weightsforwellbeing.com