the Coach's Guide

Training Clients With Pain

Training Clients With Pain


Learn the simple 4-Step Framework we use to help coaches make better training decisions when pain shows up.


  • Optimize form and programming
  • Modify lifts without guesswork
  • Know when to keep training and when to refer out
  • Apply it to the squat, bench press, deadlift, and overhead press

Free 23-page guide + squat, bench press, deadlift, and overhead press video tutorials and form checklists




What's Included

This free guide gives personal trainers and strength coaches a practical framework for navigating pain-related training decisions while staying within your scope. 

STEP 1
Optimize Form & Programming
Start by improving technique and adjusting the training plan before anything else.
STEP 2
Change Modifiable Factors
Manipulate load, tempo, stance, grip, ROM, or setup to create a more tolerable training stimulus.
STEP 3
Substitute a Tolerable Variation
If needed, swap the aggravating lift for a similar variation that still trains the pattern.
STEP 4
Reintegrate & Rebuild
Gradually reintroduce the original lift and rebuild confidence, strength, and work capacity.

Bonus Included

Plus: squat, bench press, deadlift, and overhead press video tuorials and form checklists
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About the Author


Dr. Michael Mash, DPT, CSCS, BRM
Owner/Founder Barbell Rehab

Dr. Michael Mash is the founder of Barbell Rehab, a continuing education company for fitness and rehab professionals. He helps coaches and clinicians better manage clients with pain using practical, evidence-based training strategies. Dr. Mash and the Barbell Rehab team have taught 250+ live continuing education events worldwide.
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