Transcript of Zach Cogen on Elite Recovery, Rehab, and Mental Resilience

When I hurt my shoulder at LSU, it was like, If you're not ready in eight months, we're going to cut you. And I did that. But my recovery to performance wasn't there. I was never the same guy.

Return to performance means that you're getting to a level of function before you even got hurt to begin with. Let's say you're a top 10 player in the league, we're getting you back to that top 10 level, not just to a level of an athlete in general, getting back on the field. The jet boots are my favorite piece of recovery modality out there. It feels like your legs are lighter afterwards. It feels like you're able to go and your legs aren't as heavy.

I also like that there's that LED infrared light in there, too. That is a big component of it as well.

That LED light, that gives it a little bit of heat, much like our infrared saunas, so you can get some of the benefit of the infrared lighting that's in there to help with some increasing circulation through the area.

Yes, so for the audience, if you're going to use them, wear shorts. What's up, guys? Welcome back. You're going to be listening to the recovery segment sponsored by Therabody today. I have with me Zack Cogen. He's the head of rehab for the New York Red Bulls, and he works with athletes on recovery, injury rehabilitation, and is an overall really amazing professional. He's done a lot of things, specifically getting these players back on the pitch and getting them ready to play. One notable Comeback Player of the Year, Louis Morgan, he was at the head of rehabilitating his hip injury a couple of years ago. Louis came back a lot stronger because of this guy. Zack, welcome to the show, buddy.

John, thanks a lot for having me on. Excited to be on here and chat things, recovery and rehab and wellness. Just excited to talk to your audience.

Yeah, man. Thank you for coming, man. I'm really excited to have you on. We haven't had someone like you on yet. It's been something that I really wanted to do because I truly feel recovery and injury prevention and rehabilitation is applicable for everyday human being as well as an athlete. Before we get into all things Zack and all things TheraBody and recovery, walk us through your story. Walk us through the journey of how and why you got involved in this type of work.

Yeah. As a human, I grew up as an athlete, as a lot of people in my profession, my field and area, getting on this track just because we were once there. Typically, we're athletes who have had injuries. I myself grew up as a wrestler in high school and college, and I battled injuries all the time, and I was exposed to the world of rehab and particularly physical therapy as I'm a physical therapist by trade. I saw the changes that it can do, not just for the body, but also for the mind, and how you can teach somebody independence in building robustness and in trying to take care of their bodies. It just helped me to say, Hey, this is what I want to do for a living. This is pretty damn cool. From then on, it just got me on track, went to physical therapy school. I ended up to specialize in being a practitioner for athletes, particularly elite athletes. I ended up doing a sports residency after that. I moved way away from family to not just grow as a professional, but as a human as well as the first time, I was really away from family and home.

I lived out in LA for about 5-6 years, did my residency, moved into my fellowship. I worked with UCLA Athletics. Then on to that, I worked as physical therapist Performance PT at Exos, which is a sports performance company that's globally worldwide that work with elite professional athletes, as well as tactical athletes as well in our military and armed services. I spent a few years with Xos, and then I wanted to jump over into soccer or football, however we want to classify it, depending on where our audience is from. I moved over to DC, and was with DC United as a head of rehabilitation for a few years. Then me being from New work originally. It was time to come back home, so I accepted a role with New York Red Bulls and currently head of Athletic Rehab with them. It's really a long list of things to say that I'm a human who likes working with people and connecting with the actual human behind the face, understanding what makes them tick, understanding what motivates them to get up in the morning, to go out about their days, and to do their jobs, and It happens to be that these people have to perform on a field as their job, as their occupation.

So teaching them how to take care of their body because that's their livelihood. That's how they make a paycheck. That's how they bring food home to their families. Being able to help in that and see them get back onto the field and perform at what they love doing is what I love to do.

That's just in a nutshell, a little bit behind what I do, why I do it, and where it came from. Well, I love it, Thank you for that recap and giving the audience a little context behind your background and what you've done. What I find very impressive is just the trajectory of your career. Again, a lot of people want to be a physical therapist or head of rehab for elite athletes, and not everybody gets to do it. It's not everybody's plan. What was it about you? Because like you said, you did some things with UCLA, then you went to DC United, and you've been involved with some elite athletes and some elite athletes within the military as well. That's a big deal. I don't know if you've ever taken the time to stop and say, Man, I'm really actually doing this because there's probably thousands of people that would love to be in the position you're in. So congratulations.

I appreciate that. Sometimes, I guess, I don't really sit back and look at that. It's something that I'm just buried in the weeds of it. You go about day to day. I guess when you're in it, you really just view them. They're just everyday people. When you get to know these people first-name basis, that mop handshakes in the morning, and they're just like any patient as if when I was working in an outpatient clinic in the beginning of my career. When you're in it, it's a day to day. But at the end of the day, it's something special for sure. It's pretty cool.

I definitely can relate to that because in everything Everything that I do, I talk to a lot of people. At the end of the day, everybody wants to know, What was that person like? What was that person like? What's it like interviewing these types of people? I don't even know how to answer the question because I become friends with them. I realize and learn that they put their pants on one leg at a time just like I do and just like you do. Having deep conversations with them is actually enjoyable, and I don't ever stop to think about like, Wow, did that just happen?

Yeah, it's hard to It's hard to remember sometimes when you're watching somebody on a screen that they had a family at home. They have three kids. They didn't sleep last night because their child was up crying in the middle of the night five times. It's just like all of us, even though you watch them behind a screen. It is unique, but again, they just teaches you that we're all the same.

We're all the same person. Absolutely, man. Absolutely. I love that. Let's jump in, man. Let's talk Let's talk about recovery. Let's talk about rehabilitation. I want to start with, excuse me, just the lowly person. People like me in the audience here, I think it's super important to really focus on not just injury prevention or recovery, but proper warmup as well. Some of the things that I've been utilizing is a lot of the Pro Series from Therabody. I have the jet boots, those things are sick. After a leg day, I'll throw them on, and there's no wires and nothing like that. There's a lot of different LED light therapy in there, the pneumatic compression, and it really helps me. I did legs yesterday, and I pounded them. Today, I recover quicker and I'm not sore, so I'm able to perform better. Have you seen anybody or have you used those things, those jet boots? Because I'm going to tell you right now, man, that is a pristine recovery process.

I'm not just going to try to plug it right now, but I will say that the jet boots are my favorite piece of recovery modality out there, not just for elite athletes, but for myself. And just common way person. Again, we're all humans. Compression, pneumatic compression, just as an overarching theme and principle in the literature and research, is found to be one of, if not the best recovery modality out there for a multitude of reasons. Particularly the jet boots, I gravitate towards. Subjectively, and I know you know this, it feels good. It feels like your legs are lighter afterwards. It feels like some of the soreness has gone after a big leg day. It feels like you're able to go and your legs aren't as heavy and sluggish. That is my go-to for myself, but also for other people when people ask me these types of questions, what What's the best thing I can do for my body? What can I use to enhance recovery? Or how to get myself going before the day starts? That's usually my go-to.

Yeah, it's pretty interesting. I did a leg day yesterday, like I said, and then I hopped on the moving stairs for 30 minutes and then hopped in the sauna for 20, got home, put the boots on. I never really noticed how light my legs feel afterwards until you actually mentioned it. I just go through my day and I'm like, Okay, cool. I feel better. Yeah.

That's the big thing is how do you feel? The subjective part of it. Forget the objectivity theory and all the studies, but it's also how does it make the person feel as well? Because our mind is a huge It's a huge trick that we can play on each other and we can play on ourselves. It's a nice mediator or modulator to how we can make ourselves feel at the end of the day because pain is also a subjective thing. What we feel matters the most, physically. Then that drives our emotions as well. That's something that's just nice that can give a little bit of a boost to the human body, just feel better in general.

I love it. For the audience, though, because the word or the phrase pneumatic compressions, they may not know what that is. Can you give them a little bit of background on what that actually means?

Yeah. So pneumatic compression is essentially utilizing some modality or device or some garment, something that will give compression to the skin or the layers of tissue in our body. Essentially, what that does is it helps move fluid, and it's a bit fluid dynamics. Pressure gradients, we're trying to flush fluid, flush lymphatic drainage, which is almost our sewage system in our body. Trying to flush almost toxins and build up and things that just sit stagnant and get fluid moving. Especially in the morning we're laying down, we're not moving, our muscles aren't pumping, we're not getting as much fluid moving from head to toe. It's a nice thing, especially in the beginning of the day, to get things moving. Compression, pneumatic compression, using tightness or graded types of amounts of pressure in different parts of the body to help shunt and move fluid up and down.

That's That's pretty cool. And thank you for that because that word or that phrase pneumatic compression, people are like, Wait a second, what does that actually mean? So thank you for explaining that. I also like that there's that LED infrared light in there, too. That is a big component of it as well.

Absolutely. That LED light that gives it a little bit of heat that helps to aid in infrared, much like our infrared saunas. So on the skin, so hint, hint, skin-to-skin contact, try to have that on in so you can get some of the benefit of the infrared lighting that's in there, but to help with some increasing circulation through the area. It's an all-encompassing. It also has vibration in it as well, which helps with some of the fluid dynamics and moving some fluid and tissue around. Yeah, it's a nice all-encompassing feature in there.

Yes. For the audience, if you're going to use them, wear shorts. Wear shorts so you can get that in for that skin to skin. There you go. Well, Thank you for that. Giving the audience a background on what the boots can do and how it can aid them in recovery and feel less sore quicker and recover better. Hey, guys, we're going to take a quick break and we're going to slide into our recovery segment brought to you by the TheraBody. What an amazing technology that Therabody has. It was founded on a really cool story by Dr. Jason Worshland. It was founded on pain. He got into an accident and had this extreme pain in his arm and found that percussive therapy really helped. So he created the very first version of the TheraGun with a makita drill, just a pilot and test to see if his pain could be relieved by percussive therapy. Overall. And surely it was. So now, birth to the TheraGun, and now Therabody, who has a multitude of products to help you recover emotionally and physically. And some of the products even help with stress, meditation, and better sleep, and just overall, better wellness.

When I had Dr. J on the show earlier in 2025, it really spoke to me because his platform was founded out of physical pain, and the Determined Society was founded out of emotional pain. So it felt natural for us to partner up. So here we are, an official partnership with Therabody. I want to talk to you about some of the products today that I've been enjoying that I think you need to understand and know more about so you could potentially implement them into your life. I'm not going to get into a big deep dive of the actual science and everything like that. I'm just going to give you some anecdotal information based on the products that I'm using and that my wife is actually using, too, that is helping us out a great deal at home. Because the great thing about these products, guys, is you can use them anywhere. You can use them in the gym, you can use them at home, in your bed, in your living room. Hell, you can even drive with the Theragun Pro Plus in your car and use it on your quads, use it on your arms, whatever that is.

The first thing I want to talk about is the Theragun Pro Plus. I bring that in my gym bag every day to the gym, and when I'm warming up, I use it to warm up. I put it on my arms. Whatever body part I'm using that day, I activate those muscles. What I find is I'm able to move my body a lot quicker, and I'm a lot stronger on those days that I do actually bring it and utilize it. I just think it's a great way to understand your body and the connection between your strength and your muscles and being warm and being able to perform because it's one thing to go workout, but it's another thing to perform while you're doing it. The Theragun Pro Plus helps me do that. Another thing that I really truly enjoy is the Jet Boots Pro Plus. These things are wire-free. There's no hassle. There's no cords. There's infrared LED light. There's that compression therapy therapy. I've been having bad pains in my ankles, both of them actually, for about a year, and I don't understand where it's coming from. But when I started using the boots, religiously after a leg day or after a cardio session, I throw those boots on and I find myself a lot looser afterwards.

I find myself lighter, and then the next day, there's no pain in my lower extremity, like my feet. The other thing that I really enjoy is that product really helps me recover a lot quicker. Let's face it, that's the most important thing when we're trying to move our bodies or we're trying to succeed in life is we want quick recovery, emotionally and physically. These products help me do that, and they can help you do that Well, one of the other things that I really want to go into, because it's helping my wife out a ton, with headaches and being able to distract from the noise in her mind. Honestly, it helps me with that, too, is the smart goggles. Whenever we feel a slight headache coming on or things are getting really heavy, just in our minds, just thinking about all the stressors, all the things out there that we can't control, we throw the goggles on, get in a quiet place, and there's different cycles on there and different intensities of vibrations and massaging that you can either turn it up or turn it down. And what I really enjoy is it allows me to focus on what's going on with just me and I think about things.

And the massaging with the smart goggles relieves either headaches and it relaxes me and relaxes my wife to a point where we can fall asleep better. We are preparing to downshift and shut down and slow down for the evening. I heavily recommend them. The other thing it's really good for is just creating a peaceful time in your day. And what I found since using the smart goggles and then the other products is it works for me, it works for my family, and I know it can work for you too. I want you guys to think about things that you are struggling with. If it's lower back pain or you wake up in the morning, your neck is tight, I'm going to tell you, the Theragun Pro Plus will help that out. They have cold therapy on it, hot therapy. I mean, think about that. When I opened that box and realized that I could have heat therapy and cold therapy in a Theragun, changed everything for me. Also, really made the thing that I hate doing the most is warm up. Made that very easy for me just by applying it to the muscle group that I'm going to use before I do it and in between sets, which promotes quicker recovery between sets.

If you're looking to go high volume or to lift heavy weights, I strongly consider that. All these products are there to help you move along in your day with less pain recover quicker. Go check it out because now, like I said, the official partnership has begun. From now until the end of March, in your first order, you get 15% off your first order. Not every order. If you're going to buy some stuff, load up there in that car for that first time and you get 15% off, go to therabody. Com, and at checkout, the code is determined. Let me know how you guys like it. Until then, stay determined. I want to really dive into the story of Louis Morgan. We have that hip injury that you helped him through. The video that you sent me, I paid very close attention to this certain point. I want the audience, and some of the audiences are former athletes. Let me give you a little bit of background. When I hurt my shoulder at LSU, my throwing shoulder, I was a catcher. I was in a run down and I dove and I hit my elbow and it just came up and had a little bit of a labrum tear.

Then I already had an acromium, it was hooked. They had to shave that and then they heat my capsule up, the capsule or shrinkage. Back then, once they heat that up, it's like, you have a 70% chance of coming back. I did that. But performance-wise, the recovery to performance Otherwise, the recovery to performance of what you spoke about, and I won't steal your thunder here, I want you to explain it, but my recovery to performance wasn't there. I was never the same guy.

I'm sorry, I have to go through that. It sucks. It's definitely a tough one. It's a tough one to come back from, especially for a throwing athlete. When they shrink that capsule up, your target gets pretty tight and stiff, and that mobility is super tough to get back. That's a grind.

The ball never came out of my hand again the same. Never.

I guess to define what those two things are, Return to play is defined as something happens and you're able to step back onto the field or the court or the ice or whatever your playing surface is in your sport in competition. But there's a difference between just getting back to being safe to play, because that's what it is in my profession is my job is to make sure your athletes are safe to get back on the field. We're minimizing risk. We're making sure Okay, you can tolerate the forces to the best of your possible ability right now within your body that can protect yourself against contact, against all of the motions you have to do. But return to performance means you're getting to a level of function and just physical performance metrics that you're putting out before you even got hurt to begin with. You're getting back to a level of, let's say, your a top 10 player in the league, we're getting you back to that top 10 level, not just to a level of, Hey, this is a professional athlete getting back on the field or an athlete in general getting back on the field.

We need them to perform at a level that they're an athlete who's getting Can get a certain amount of money. There's an expectation as well from the club in front office that they need to perform at a certain level. They need a certain amount of goals per year, assists. They need to be running at a certain speed, a certain distance, play a certain amount of minutes in a game. There are all these different things to be objective about. But at the end of the day, to look 10,000 foot is, does this absolutely looks the same as before they got hurt, or do they look any different? A lot of people say that when you watch, and I'm a big NFL fan, I don't know if you are as well, but when you watch, let's say, football and someone The one that's coming back from an ACL tear. You always hear that it takes not just someone comes back from 9-12 month rehab, which is typical for an ACL reconstruction rehab. Someone's coming back after an ACL, then I use that because that's just a An easy example. Now, a lot of the times, they don't return to a trial of performance after two years, which is actually pretty typical because it takes a little bit of time to get some of that power and robustness back.

Just to give you an idea and explain to the audience that there's a difference between the two. When you see and you're watching sports on TV, when someone comes back, not just physically, but mentally as well. I brought up mentally several times in this, emotionally as well. It's not easy. You went through a surgery, You were used to playing at a certain level, and you said you never got back to a certain point that you wanted to go to. I'm sure that was how frustrating. It lives in these people, too, especially some of the top players in the world. That's tough. That's tough.

For me, and I want to touch on this, too, because a lot of the athlete recovery, there's even someone that is in their 40s that used to be an athlete but is wanting to still train. When injuries happen and you're not able to move or do the things that you used to be able to do, even on a broader and in a bigger, actually more pinpointed scale with these athletes, when they don't come back to that level of performance, it can really impact their mental health, man. How do you work with them through that? Because not just the return to play or return to performance, but the initial. Let's use Lewis Morgan as an example. I mean, for The months this guy would be injured and try to come back and injured again. There's a big mental issue that can happen with athletes there because their worth is tied to how they perform. How did you work with Louis on that? What are some of the things that he did to come back mentally strong as well as physically?

I think the best way to start with this is that I'm lucky enough that I work in a setting that we call a high performance department, where I work alongside multiple professionals that are like minded, that have the best in the athlete in mind, who are in the medical field and performance field. I work alongside a team of people that provide a service to the athletes on our squad and our roster. Us as a collective, we were able to tap into him as a human. We have performance therapists, we have, or rather say, mental performance therapists, we have athletic trainers on staff, we have performance coaches on staff, diet on staff. We have this conglomerate of professionals that we all trust each other's expertise to support the athlete in the best way possible. I think that's number one. That's the biggest thing to highlight is that this is a team effort. So us together are able to... I guess you see somebody every day, 6-7 days a week, we're working with these people. And you get to know them on a different level and more of an intimate level. And you know their unique characteristics and what drives them, what motivates them, when to push on the brakes, but when to actually hit the brakes.

I'm sorry, when to push on the gas, when to hit the brakes, and when to slow down in a day. I mentioned this before, we're all people. If you got into a fight with your girlfriend the night before or your wife and you're not feeling it today, recovery is, let's say you have a six-month recovery, that's a decent window where you have a lot of time to play with and to schedule things. If you're not feeling it for that day, let's maximize. Because you have to be there mentally to be able to attack that day and get the most out of it. If you're not there that day, then that's fine. We pivot and we reschedule things, and you listen to the athlete. Because the athlete, just as much as myself or some of the other people I work with, they drive the shit. They drive the car. This is their body, their livelihood, their professional. We're there to support them. They're essentially running the show as They're such a huge integral part to this. For however hard this is, it's building that trust in the beginning for them to trust you and to tell you when they're feeling it, when they're not feeling it, when they're struggling with things.

I think that's the most important thing is just connecting with the human in front of you.

That right there is so important. I want the audience to really key in on that. It's focusing on the human being. I can remember when I was coming back. It was like, If you're not ready in eight months, we're going to cut you. I was forced to come back sooner because I didn't want to lose my position. I didn't want to transfer. I wanted to be at LSU. I didn't want my release. But I didn't feel like that was a very humanistic approach. That put me in a fight or flight situation while trying to get better. I didn't have that luxury of, I don't feel it today, or Hey, my arm hurts a little bit more. I can't really throw 120 feet. I did 80% today. But I was consistently, extrinsically pushed. I kept hearing that voice inside my head of, If you don't get better and you're not ready for fall, you're going to have to leave. I didn't want that. The fact that you guys are really dialing into the human being, I think, is a very important aspect because without that, you don't know when to push, like you said, and you don't know when to put on the brakes.

I just think that when we're dealing with athletes and when we're dealing with certain injuries is to understand the person and what drives them, but also what can temper them on days, and then just adjust the plan accordingly?

100%. I take for granted sometimes how many days a week I see these athletes. Working with someone 6, 7 seven days a week is not of the norm in my profession. I typically in an outpatient environment, a physical therapist is seeing somebody for anywhere from one to three times a week in your typical insurance-based outpatient facility for orthopedics. They only have a script for three months, not for six to eight months, sometimes with what they need. I take for granted in that, but also as a practitioner, me being able to do that, it's It's important for me to take advantage of that time to really take the necessary steps of the roller coaster of what rehab should look like. You have big days, you have small days, and you need those days looped in. It's not just go, go, go, go, go. There are rest days in there. There are region, recovery days where we utilize the recovery modalities. That also helps the psychology of the athlete, too, where they're not just on the grunt every single day. It makes them feel like they have some time to catch up with themselves, not just physically, but mentally as well.

Yeah, that's difficult because you have to find that balance. It's like, do I really feel like I can't do this today, or is it just I don't want to? Because, I mean, shoot, dude, that happens in my daily life more than I care to admit? I'm like, I can't do this today. Then I have to ask myself, is it that I can't or I don't want to? If it's the latter, then I do it anyway. If I can't, then I adjust. How do these elite athletes like Lewis Morgan, how do they filter through that information? Do they ever get honest with you and like, Hey, I just don't want to?

I'm glad you asked that because I was just about to say that it's also our job to make sure that if they say, I'm just not feeling it today, me understanding why they're not feeling it today and say, Too bad, we're getting after it today, or We're doing this, this, and this, or maybe I'll pivot away from this if we make sure to get this done. There are levels to how you can manipulate a session, but really understanding what's driving that. Is there something actually going on, or is it time for me to just step in and say, No, we have to get this done. It's crunch time, whatever. It has to happen.

How do you diagnose that, you personally? How do you as a counsel the athlete? What are some of the questions that you would ask to see where the root of this I don't want to or I can't, is coming from at that given time?

Similar to what I said before, Dave. How was your night? What did you do last night? Knowing, is there something personal going on outside of here? Do they have some family issues going on? Did they just have a recent breakup? There's so many things that go on in this person's life that could be way paying on them. So just conversation. Simple conversation. It doesn't even have to be a line of questioning, like A, B, C, and D. I don't have to ask these three questions, but the more you talk to these athletes, the more you talk to these people on a day-to-day, the more you'll understand what mood they're in, what's driving them. Well, okay, they're probably like this because they had a tough day yesterday, or maybe they're like this because the gym work was too much, or maybe they're like this because they really slept three hours because their baby was up, eating them up all night. It's just the nuance of knowing and matching, connecting the dots, not necessarily these three questions, this is how it has to happen, but more so just guiding it because you also don't want them to really feel like they're being questioned.

I want them to feel like I care and I understand, and I'm listening to them. I'm listening, active listening.

I think it's important. I think anything can be solved with an actual authentic conversation. When we're talking to an athlete, especially an athlete that's always used to getting peppered with questions, whether it's in the media or whatever that might be, having a common understanding and just by having an open conversation of, Hey, talk to me. What's going on? Was it a rough night? Or, Tell me about your night. Or then they say, Hey, I didn't sleep, and I ate something, and it didn't agree with me, or, Hey, my baby was up. I didn't sleep. Then you know know that this is probably something that you need to pull back on a little bit today because rest is important in recovery. People talk about seven to eight hours of sleep, but if an athlete gets any less, and they are athletes, specifically like a soccer player that is constantly running, and it takes a lot of energy, especially if they're injured, too, and not enough sleep, the recovery process slows. How, in your mind, do you ever have sleep conversations with them, or how important is sleep with your athletes?

It's probably the most common question you'll hear me ask an athlete within the first five minutes of talking to them at the beginning of the day is, How did you sleep last night? I can't talk enough about sleep and nutrition. I was like, Those are your two money makers right there. Sleep is so vital to your recovery and what we do. Our bodies do so much when we sleep. Also, the fuel we put in our body matters so much. If I can narrow down two of those things and really we can dive into sleep as well, that is the first thing that I ask every athlete that is getting onto the table in the morning and I'm about to work with is, How did you sleep last night? I can be a record almost, but it is so really important to know what the night was like for them. Sometimes I can even just tell. You just tell by looking at them.

It was someone walks in the blank stairs like, Yeah, you didn't sleep well last night. For sure. A lot of times, too, you mentioned nutrition, what you feel your body with matters, and what you feel your body with does impact your sleep. It truly does. When I eat a certain way, and there's no one recipe for everybody, There's a lot of misdirection. No, carbs aren't bad. Eat your starchy carbs. It's okay. Some people say, No, stay away from those. Just eat fruits and vegetables. For me, it's very specific. I feel better when I am eating a high-protein diet with a lot of fruit. I enjoy it more. I'm never really hungry. If I implement rice or multiple things like I can feel a little bit off at times. For me, I just know what works, and so I stay in those guardrails. But I just think that the most important thing for athletes, like you mentioned, is the sleep, but also proper nutrition. This is a funny question, but I have a reason I'm asking it. I think non-athlets have a very hard time managing what they eat, managing what they put in their body every day.

Do some of these athletes at times go off track nutrition. You have to recounsel them and let them know, Hey, this is why your body is not recovering. You are eating this, and now you have inflammation, and now you have lack of sleep, your cortisol levels are higher, and now your inflammation is even greater because you're not getting proper rest or nutrition. Do you have to have those conversations with these high-level athletes?

Of course, similar conversations. I'm also going to defer to the experts in this answer is, typically when There are issues with nutrition and diet that are almost a little out of my scope of practice. We have people on staff that are experts in that field, too. I'll also just defer to our dietitian to discuss nutrition and eating habits and meal planning and those types of things. I guess it's a luxury to be able to do that. When people ask me those questions, I can give only so much information to that. But then it comes to a point when they probably will ask me a question that maybe I can answer the right way, but there's someone that's better that can give them a way different and way more clear and concise answer that's going to help them a lot further. That's typically my default and what I would say in that is... But I would also say that for the average person is there are people who individuals consult with all the time in diet and food and When you have those questions, just defaulting to the professionals to be able to help with that.

But I think you hit it spot on is that it's so person-specific. I don't think that everybody's body is... We have people who are gluten-intolerant. We have people who are lactozole. Everything is just different for everybody. It's hard to even just give a general blanket statement of, You need to have this to make sure you can have that. But yeah, so just to circle around that, this There's a couple of other things for elite athletes that we focus on post-operatively, particularly, you mentioned protein intake, but it's also supplementation as well, post-operatively. If we're looking to get athletes back in time, there's timelines we have to meet. We have to make sure that we get muscle growth on time. We have to make sure we get muscle strength and power back. We need to make sure that they're also getting these supplements like creatine and protein and collagen, getting good tissue healing, things that are going to support the body from a micronutrient and just molecular level. It goes a little deeper when you're talking about athletes who perform at that level. But at the end of the day, the professionals know the best, so it's really defaulting to them.

I really like that you're really leaning on the different branches of support that you have within the organization of the New York Red Bulls. It is a team. You're helping these athletes get back on track. If you don't know the answer, you're able to pivot to the dietitian That helps the athlete truly feel like they're supported. Because coming back from an injury like Louis Morgan had, that is a grind. I believe in a video I watched, some days he was doing four sessions.

Yeah, he was a machine.

That's a lot. That is a lot on the body, right? It's a tremendous amount of war and terror, physically and mentally. When I'm watching this video and seeing his comeback story and the role that you and the Red Bulls played in it, one word came to mind, obviously, well, two words, is determination and discipline. That's what this show is based on. In order to come back from an injury like that, for the athlete, there has to be a high level of determination and discipline. But also with the staff, you have to be highly determined and highly disciplined in order to get these elite athletes back to performance. It's a big deal. How do you see those two words playing a part in an athlete recovery?

I like this. I'm going to default back to my roots as a wrestler and just talk about discipline, determination, just because I'm not I don't know if you're familiar with the sport of wrestling, but I will talk about it until my last day is on Earth. I am the human I am today for a lot of reasons, but one of the main reasons is because of the sport of wrestling and the grit and the grind daily, the determination, the weight cutting, the atmosphere of what it's like competing just you in front of a bunch of people, and there's no one else to help you. It's not a team sport to a certain extent. There's just much about the sport that taught me about those two key characteristics and character traits. That helped me just push me in my career as a human just to the next level because there's a lot of adversity that we've had to run through, needless to say. To continue to do that and to be there for these guys and to wake up every day and getting in early, making sure I'm motivating the individual's three to four sessions a day.

It takes another level of determination and discipline and hard work. At this point in my life, it just feels a little effortless, almost. It's just part of who I am. It's part of me as a human, and it's something that I enjoy. I enjoy putting in energy to help someone achieve their goals. It It gives me an endorphin release. It's just anybody, I'm sure, who comes on the show has had something in their upbringing, in their childhood, and as they've come through their profession that has taught them a certain level of discipline and determination. Everybody has their own, but it's something that I don't even think twice about anymore.

It was interesting because I look at fighters, whether it's UFC, boxing, wrest, anything that's weight-based. You have classifications. The ultimate discipline to be in that sport. I could imagine you in high school and you in college, trash bags sitting there with a hoodie on, running around the wrestling mats to make weight, spitting, not drinking a certain amount of water a day before you have to be at an event. That takes a high level of discipline, dude. To me, there's nothing more disciplined being like, Okay, I'm not even going to drink water for the next 6 hours. That is so difficult, man. What are your smile? Because bring yourself back to those days.

I'd rather not. I'd rather not. No, I mean, it's It's you against yourself. You're almost fighting. You're fighting your subconscious. You're fighting yourself. You're fighting your brain. Yeah, it's just getting comfortable with discomfort is the best way I can describe it. It's not comfortable, but you get comfortable with that feeling and you learn to deal with it. That's a lot of what these guys, you see everybody who is cutting weight and whatever, even the jockey or a jockey's cut weight as well. You have to weigh in for that.

I didn't know that. It makes sense.

Yeah, absolutely. You have to weigh in before you're on the horse. There's just a certain level that you get to and you have this reaction. You break down a couple of times, but you pick yourself back up and You learn from it and your body learns from it and biologically learn from it and you adapt. It wasn't easy in the beginning of my time doing it, but as I got used to it, I didn't really think about it anymore. I was just used to it.

Do you feel like determination and discipline is a thing that you are born with or a skill you acquire?

It's a great question. I think that... I'm going to say it's both. I think that there needs to be a certain software in there to build on. I think that even if it's the most minuscule, minute of something, that to have that sensation of wanting to push past the limits that you're comfortable with. That's how I would define determination or discipline, is pushing past our limits, physically, mentally, emotionally, and being able to compound that and multiply on that and build on that and become more robust. I'm going to say both, and I I truly feel that's my gut and my soul.

I agree with you 100%, dude. I really, truly do. I think everybody is born with a certain amount. Like you said, I love how you said software. That's pretty cool, man. To think of that hardware software, whatever you're wired at, right? It's typically genetic. Then you grow up in an environment and you start to learn like, Hey, if I want X, Y, Z, I have to do all these other things and I have to do them consistently. Then you build up that callousness to the hard work. I'm 47 years old, dude. I don't like working out five, six days a week. But I know if I don't do it and if I don't eat right, one, I'm going to look like hell. Two, I'm going to feel like hell. Then three, I'm not going to sleep very well. Then I can't leave my family. When I go through all that, the decision to do things that I said I was going to do, even when I don't want to do them, I still complete the task. I may not be 100% every single day. There's days where I'll go in there and like, My body hurts like hell.

I don't want to work out I'll just go in there and I'll do one set. Then I'm like, Okay, cool. Then I'll do another one. I'm like, I'm starting to feel a little bit better. Then by the fourth set or the first set of the second exercise, I'm fully engaged. I think a lot of people lay off before they can get fully engaged.

Yeah, I can relate to that for sure. There have been so many days I felt that. It's interesting you say that You do something, you dip your toes in the water, and it's almost like getting into a cold pool. It's like, Oh, it's freezing. I can't do this. Then as you get in, you get used to it. Then finally, when you're all the way, and it's like, Okay, this is fine. But I'll even play devil's advocate. For a living, I work with people to try to induce and promote adaptation and change, whether it's strength or tissue resiliency or healing or whatever. I challenge anybody who maybe feels like they don't even have an ounce of it to try to change because I'll throw another really nerdy and big term neuroplastic. We're all neuroplastic. We all have the ability to change. Our brain can change and grow new neural pathways and things like that. We are neuroplastic and we can change, so why not learn and teach ourselves discipline and hard work? Why not? I think challenging the norm of my initial gut reaction, but as I'm listening to you and I'm thinking in my own head, and yeah, we should be able to change and become more disciplined and determined.

I have no issue with saying that either. Just have to throw that back out there because we're humans and we adapt, and that's what we're good at. We're really good at adapting and evolving.

I think I make it my mission every day. If I feel a certain way or I'm weighed down mentally and emotionally and I don't want to do something, I really focus on just doing it. Because Because to your point, if I can create a new neuro pathway of when I'm feeling so bogged down and so heavy emotionally that I can't even begin to fathom doing something physical or completing a work task or whatever it is, but then I actually do it. It's just like lifting weights. It's just like anything physical. You mold that muscle over time through repetition and consistency. I I think that that is a key to most people's success is doing the things they don't want to do when they don't want to do them emotionally, but they still complete it.

I see it every day. I live it every day.

Yeah, man.

Yeah, you're hitting the nail on the head. That's really what it is on a day-to-day. It's a grind being a human. It's a grind whatever job you got to do and get up in the morning Like dog days, same thing every day. But some people, it's easier than others. But at the end of the day, we all got to try to figure out a way.

I want to ask you a specific question because in my line of work, I absorb a lot of energy. There's days where I have one interview There's days where I have two, sometimes three. Today happens to be a day where I have three. I'm going to have three different human beings that I'm absorbing energy from. I have to take care of myself. I really have to take care of myself so I can give my all to you and to whomever else the so it hits the audience where it needs to. You have the same demands. You have the same demands. You have pressures alike. You have to get these... Your job is to get these athletes back to performance. How do you take care of yourself? Because if you don't take care of you, you can't take care of your athletes, you can't take care of your wife, you can't take care of your kid.

I am still, at this point in my career, I'm still trying to find out the best way possible to do that. I I'm going to be honest with you, man. I can put full transparency laid on the line for you. But what I will say is the further I go down the road as a physical therapist and the further down the road I go in my career, the more I start to learn how important that really is, and the more I try to start to do for myself, the further down I go. So little things like waking up earlier than I typically would in the morning to take a shower, to eat some breakfast, to get a small workout in, to get myself going before my day really starts and everybody's up, and before my family wakes up, before I even got to work, before then the athletes come in in the morning. I'm able to get things done and have my alone time with Zack and check in with Zack before all the chaos starts. A little things like that, waking up an extra hour and a half earlier than I typically would.

I can relate to that, brother. I really can. When I live through in the morning, I get it done early. I've got that big thing out of the way. But during that time, I'm actually able to check in with me because I can't do that during a day. I can't do that when my kids are home. I can't do that when I'm visiting with the whole family and my wife, I just can't. I have to be able to dial into me. It's almost like when I'm in the gym, that is my active meditation. I I learned so much about myself in those moments because I'm pouring into me. I just think that it's super important for everybody listening and watching on YouTube to really dive into what's going to give you the best insight to yourself and how do you execute that consistently. That's how you win.

I'm going to say it better. It's just we got to love ourselves before we can love anybody else. We make sure we take care of ourselves or else we won't be able to take care of everybody else. It's huge. The more I go on, the more I learn how important that is.

That's awesome. Man, that's awesome. You're doing amazing work, man. You're getting athletes back on the field. You're taking care of yourself and your family, and you've done so many amazing things in your career. Couple more questions. Based on that, what makes you different? There's thousands of you out there, and you have been so successful with your athletes and the organizations that you've been in. What do you think the separator is for you?

It's another really tough question that sometimes I don't necessarily think about a lot. The first thing that comes up into my mind, a lot of people will give this answer But I think if you ask anybody who knows me in my life, family or friends or colleagues, coworkers, they'll say the word passion. That drives just Almost everything for me in what I do in my daily life, whether it's for my family or my friends or for my career, is passion. By being passionate about what I do, it makes me care that much more about all the little things. Have I checked all the boxes before this athlete moved forward in their rehab process? Can I make sure that I can safely say that they're objectively safe enough to do this next phase of rehab? Have I assessed them? Really checking back in with myself, how do I assess them? Well, instead of just doing half of what I need to do and just getting done with the day and going home, they really care. That passion drives how much I actually care and the extent at which I will go to make sure that the athlete no longer feels pain, can perform at an optimal level, can maximally shoot a ball again from 30 feet out of goal, can sprint at their max speed, and maybe, if not, faster.

Because there's also a passion that I get a hit of dopamine and endorphins when I get to see that person back out in the field doing what they love. There's also a selfish aspect to it, too, because that makes me feel good to see them do what they love to do and why they get up in the morning, what their passion is, is getting to play a sport for a living and what they love. It's this theme of passion. I love to see that, and I really do. I think that's the best way to say it is because I can say, yeah, all the technical things and my hands-on skills and my exercise selection and whatever. It's all driven by this passion and this fuel. I just love helping people. I love that. I love seeing them succeed. It makes me feel good.

You say passion. Passion drives action. That's the thing, right? In order to have action or take action in something, you have to be passionate about it, especially at the very beginning. But look, man, I really appreciate you, dude. I Dude, this has been an awesome conversation. After spending the last 53 minutes with you, I can see why you're so damn good at what you do. You take great pride in it. You work hard for the athletes. You have an overall mission of providing passion into the process with your athletes. You're a man. There's no secret or no surprise of seeing you do what you've done and all the success you've created, man.

Sean, I appreciate those kind words. No, this has been awesome. It's my pleasure to get to share my story, share some experiences and some thoughts with your audience and with yourself. Yeah, this was fantastic.

Yeah, man. Thank you very much. Where can the audience find you and learn more about you, man?

I'm only active on Instagram. That's my only social that I'm active on. It's going to be @thesportsphysio_. You can find me on there. Any questions, feel free to DM me. I try to be as reachable as possible and try to answer everybody as I can. So, yeah, please reach out. I have some content on there, some exercises, and you can follow along with some of my stops along the way.

Love it. Hey, guys, it's a cool page. Check it out. I follow them on both my accounts. Really cool Great human, doing great things, supporting athletes, and the preparedness to get back on the field. They call it the pitch in soccer. I'm learning every day, ladies and gentlemen, every single day. But thanks again, man. And for the audience, please share this episode with an athlete or someone that's struggling with some recovery, whether it's physical or mental recovery. And don't be afraid to check out therabody. Com. Look at the Pro Plus series, the Jet Boots, the Thera Gun, and they also have some great sleep aids with the sleep goggles. That way you can get your rest, meditate, and all that stuff. And if you go there and you decide to buy something, use code word Determine for 15% off, valid through January 1, all the way to the end of March, 2026. With that being said, guys, I love you and thank you. Until next time, stay determined.