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In this comprehensive episode, we dismantle the pervasive myth that the human body is a fragile machine susceptible to catastrophic injury from minor technique flaws. This narrative, often perpetuated by social media influencers screaming "Snap City," creates widespread fear avoidance behavior (kinesiophobia) that does more harm than good.
By reviewing extensive epidemiological data, we demonstrate that obsessing over "perfect" technique has virtually zero correlation with injury risk. Instead, we explore the true drivers of pain and injury: improper load management (doing too much, too fast) and hyper-specialization (lack of movement variability).
We also introduce the REP Model (Repeatable, Efficient, Points of Performance) as a practical compass for movement and provide a new framework for staying healthy: focus on robustness and managing your training dose, not fear-based mechanics.
Want to support the show and get early, ad-free access to all episodes plus exclusive bonus content? Subscribe to Barbell Medicine Plus and get ad-free listening, product discounts, and more. Try it free for 30-days.
Unsure which training plan is right for you? Take the free Barbell Medicine Template Quiz to be matched with the ideal program for your goals and experience level.
For media, support, or general questions, please contact us at [email protected]
Action plan : https://www.barbellmedicine.com/injury-risk-action-plan/
The fitness industry has long relied on the "body-as-a-machine" metaphor to explain pain. The logic suggests that if your alignment is off—much like a car with bad wheel alignment—your parts will wear out and fail. This has led to a culture of fear where athletes spend 30 minutes warming up rotator cuffs or obsessing over a single degree of spinal flexion during a deadlift.
However, this mechanical model is fundamentally flawed. Unlike a car, human tissues are adaptable.
The Brake Pad vs. The Callus: If you drive a car daily, the brake pads get thinner until they break. If you expose your skin to a barbell daily, it doesn't wear away; it builds a callus.
Wolf’s Law & Davis’ Law: Bones get denser, and tendons/ligaments thicken when exposed to appropriate stress.
The greatest risk in the gym isn’t a rounded back; it’s the nocebo effect. This is the phenomenon where negative expectations or beliefs lead to negative outcomes. When influencers draw red lines on videos and catastrophize movement, they are socially transmitting pain and fear. This "socially transmitted kinesiophobia" convinces you that you are fragile, leading to hyper-vigilance and, ironically, a higher sensation of pain.
Key Takeaway: You do not need to be fixed. You are robust and adaptable. The industry profits from your fragility, but the science supports your resilience.
To understand the true risk of the gym, we must look at the epidemiology of injury. Unfortunately, the scientific community struggles to agree on a definition of "injury." Some studies count a stubbed toe, while others only count surgery.
Despite this methodological mess, the trends in the data are clear: The gym is one of the safest places to be.
Injury Rates by Activity (Per 1,000 Hours)
The perception that lifting heavy weights is dangerous while recreational sports are "safe fun" is backward. The gym is a controlled environment where you dictate the load, tempo, and rest. In contrast, field sports are chaotic, "dirty" environments with high impact forces and unpredictable variables.
Modern medicine often over-relies on imaging. Studies on asymptomatic populations (people with no pain) show:
High rates of disc bulges and degeneration in healthy adults.
"Abnormalities" in 100% of elite baseball pitchers' shoulders.
These findings are often adaptations, not pathologies. Just as you get wrinkles on your skin as you age, you get "wrinkles" on your spine. Treating an MRI finding rather than the person leads to unnecessary fear and medical interventions.
If technique isn't the primary driver of injury, what is? The answer lies in the balance between Load and Capacity.
Think of your body as a Bank Account:
Pain occurs when the training load exceeds your current tissue capacity. The form police believe the overdraft happened because you swiped the debit card with your left hand (technique). In reality, the overdraft happened because you spent too much money.
We analyzed the common scapegoats for gym injuries to determine their actual guilt based on the evidence.
We have been taught that elite lifters move like robots—that every rep is identical. However, motion capture data reveals that elite athletes exhibit significant movement variability (motor noise) from rep to rep. This variability is a feature, not a bug; it allows the biological system to solve the problem of "lifting the weight" in real-time.
Instead of forcing your body into a rigid, robotic ideal, we utilize the REP Model as a compass for technique.
The REP ModelIf your lift meets these criteria, your technique is likely safe and effective. You do not need a "neutral spine" to be safe—in fact, keeping a truly neutral spine during a heavy deadlift is anatomically impossible.
V. Actionable TakeawaysIt is time to stop playing defense with your training and start playing offense.
Aagaard, P., et al. (1996). Neural adaptation to resistance training: changes in evoked V-wave and H-reflex responses. Journal of Applied Physiology.
Aasa, U., et al. (2017). Injuries among weightlifters and powerlifters: a systematic review. British Journal of Sports Medicine.
Aasa, U. (2019). (Likely referring to a follow-up study or commentary on powerlifting injuries, e.g., Preventing injuries in weightlifting and powerlifting).
Bahr, R. (2009). No injuries, but plenty of pain? On the methodology for recording overuse symptoms in sports. British Journal of Sports Medicine.
Bahr, R., et al. (2011). International Olympic Committee consensus statement: Methods for recording and reporting of epidemiological data on injury and illness in sport. British Journal of Sports Medicine. (PMID: 21719329)
Bartlett, R. M., et al. (2007). Fast bowling laws of cricket and their impact on the lumbar spine. Journal of Sports Sciences. (PMID: 17449180)
Behm, D. G., & Sale, D. G. (1993). Velocity specificity of resistance training. Sports Medicine.
Berger-Roscher, N., et al. (2017). Complex loading of the lumbar spine changes the failure mode of the intervertebral disc. Clinical Biomechanics.
Bible, J. E., et al. (2010). Normal functional range of motion of the lumbar spine during 15 activities of daily living. Journal of Spinal Disorders & Techniques.
Callaghan, J. P., & McGill, S. M. (2001). Intervertebral disc herniation: studies on a porcine model exposed to highly repetitive flexion/extension motion with compressive force. Clinical Biomechanics.
Campbell, B., et al. (2014). International Society of Sports Nutrition position stand: energy drinks. Journal of the International Society of Sports Nutrition. (Note: "Campbell 2014" often refers to this, though a specific biomechanics paper is possible given the context).
Claudino, J. G., et al. (2018). CrossFit Overview: Systematic review and meta-analysis. Sports Medicine - Open.
Clausen, M. B., et al. (2014). High injury incidence in adolescent female soccer. American Journal of Sports Medicine.
Colado, J. C., et al. (2009). Technique and safety aspects of resistance exercises: a systematic review of the literature. Physician and Sportsmedicine.
Dhawale, A. A., et al. (2017). The prevalence of scoliosis in children with spinal cord injury. Journal of Pediatric Orthopaedics.
Dominski, F. H., et al. (2018). Profile of injuries in CrossFit training. Physical Therapy in Sport.
Faigenbaum, A. D., et al. (2010). Youth resistance training: updated position statement paper from the National Strength and Conditioning Association. Journal of Strength and Conditioning Research.
George, P. E., et al. (1989). Acute back injuries in weight lifters. The Physician and Sportsmedicine.
Gooyers, C. E., et al. (2015). The flexion–relaxation phenomenon: A review of the literature and update on the underlying biomechanics. Journal of Biomechanics. (PMID: 26162399 / PMC4505796)
Hak, P. T., et al. (2013). The nature and prevalence of injury during CrossFit training. Journal of Strength and Conditioning Research. (PMID: 24022651)
Hay, D. C., et al. (2015). Spinal injuries in golf. Asian Journal of Sports Medicine. (PMID: 25646361)
Hill, A. V. (1922). The maximum work and mechanical efficiency of human muscles, and their most economical speed. The Journal of Physiology.
Jacobsson, J., et al. (2013). Injury patterns in Swedish elite athletics: annual incidence, injury types and risk factors. British Journal of Sports Medicine.
Keogh, J. W., & Winwood, P. W. (2017). The Epidemiology of Injuries Across the Weight-Training Sports. Sports Medicine. (PMID: 28597618)
Kim, M. H., et al. (2014). Effects of different trunk exercises on trunk muscle activation. Journal of Physical Therapy Science.
Klimek, C., et al. (2018). Are injuries more common in CrossFit training than other forms of exercise? Journal of Sports Rehabilitation.
Kristiansen, E., et al. (2019). A comparison of muscle activation during the bench press and dumbbell fly. Journal of Sports Sciences.
Kwon, Y. J., et al. (2011). The effect of core stability training on performance. Journal of Strength and Conditioning Research.
Latash, M. L. (2012). The bliss of motor abundance. Experimental Brain Research. (PMC3445213)
Martimo, K. P., et al. (2008). Effect of training on the perception of back pain and disability: a meta-analysis of randomized controlled trials. Spine. (PMID: 18244957)
McGill, S. M. (2012). Low Back Disorders: Evidence-Based Prevention and Rehabilitation. Human Kinetics. (See also PMID: 22773066)
Montalvo, A. M., et al. (2017). Retrospective injury epidemiology and risk factors for injury in CrossFit. Journal of Sports Science & Medicine.
Morin, J. B., et al. (2016). Technical ability of force application as a determinant factor of sprint performance. Medicine & Science in Sports & Exercise.
Mueller-Wohlfahrt, H. W., et al. (2013). Terminology and classification of muscle injuries in sport: the Munich consensus statement. British Journal of Sports Medicine. (PMC3607100)
Mundt, D. J., et al. (1993). An epidemiologic study of low back pain. Spine.
Myer, G. D., et al. (2009). The effects of plyometric vs. dynamic stabilization and balance training on lower extremity biomechanics. American Journal of Sports Medicine.
Nordin, M., & Frankel, V. H. (2019). Basic Biomechanics of the Musculoskeletal System. (Textbook).
Panjabi, M. M. (1992a). The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement. Journal of Spinal Disorders.
Panjabi, M. M. (1992b). The stabilizing system of the spine. Part II. Neutral zone and instability hypothesis. Journal of Spinal Disorders.
Potvin, J. R., et al. (1991). Trunk muscle and lumbar ligament contributions to dynamic lifts with varying degrees of trunk flexion. Spine.
Raske, A., & Norlin, R. (2002). Injury incidence and prevalence among elite weight and power lifters. American Journal of Sports Medicine.
Ribeiro, A. L., et al. (2012). Exercise selection and resistance training. Journal of Strength and Conditioning Research.
Rodriguez, M. A., et al. (2020). Injury in CrossFit: A systematic review of epidemiology and risk factors. The Physician and Sportsmedicine. (PMC7318830)
Schollum, M. L., et al. (2018). Sense of effort and force production in the spine. Journal of Biomechanics.
Setchell, J., et al. (2017). Individuals' explanations for their persistent or recurrent low back pain: a cross-sectional survey. BMC Musculoskeletal Disorders.
Shaw, G., et al. (2020). (Likely Shaw et al. regarding concussion or injury epidemiology).
Siewe, J., et al. (2014). Injuries and overuse syndromes in competitive and elite bodybuilding. International Journal of Sports Medicine. (PMID: 24886919 / PMC3960980)
Sjöberg, H. (2018). (Associated with the Aasa/Strömbäck powerlifting injury studies, likely a thesis or co-authored paper).
Strömbäck, E., et al. (2018). Prevalence and Consequences of Injuries in Powerlifting: A Cross-sectional Study. Orthopaedic Journal of Sports Medicine.
Veres, S. P., et al. (2010). Sub-failure pressurization of the intervertebral disc causes herniation. Spine.
Vialle, R., et al. (2005). Radiographic analysis of the sagittal alignment and balance of the spine in asymptomatic subjects. Journal of Bone and Joint Surgery. (PMID: 15972618)
Vigotsky, A. D., et al. (2015). Biomechanical effects of good morning, spinal flexion, and spinal extension exercises. Journal of Strength and Conditioning Research. (PMID: 25951917)
Wade, S. M., et al. (2017). Injury risk of CrossFit participants. Orthopaedic Journal of Sports Medicine.
Weisenthal, B. M., et al. (2014). Injury rate and patterns among CrossFit athletes. Orthopaedic Journal of Sports Medicine.
Williams, S., et al. (2013). Kinesio taping in treatment and prevention of sports injuries: a meta-analysis. Sports Medicine.
Winwood, P. W., et al. (2014). Retrospective injury epidemiology of strongman athletes. Journal of Strength and Conditioning Research. (PMID: 25031367)
Wu, X., et al. (2014). Effects of core strength training on core stability. Journal of Physical Therapy Science.
By Barbell Medicine4.8
11791,179 ratings
In this comprehensive episode, we dismantle the pervasive myth that the human body is a fragile machine susceptible to catastrophic injury from minor technique flaws. This narrative, often perpetuated by social media influencers screaming "Snap City," creates widespread fear avoidance behavior (kinesiophobia) that does more harm than good.
By reviewing extensive epidemiological data, we demonstrate that obsessing over "perfect" technique has virtually zero correlation with injury risk. Instead, we explore the true drivers of pain and injury: improper load management (doing too much, too fast) and hyper-specialization (lack of movement variability).
We also introduce the REP Model (Repeatable, Efficient, Points of Performance) as a practical compass for movement and provide a new framework for staying healthy: focus on robustness and managing your training dose, not fear-based mechanics.
Want to support the show and get early, ad-free access to all episodes plus exclusive bonus content? Subscribe to Barbell Medicine Plus and get ad-free listening, product discounts, and more. Try it free for 30-days.
Unsure which training plan is right for you? Take the free Barbell Medicine Template Quiz to be matched with the ideal program for your goals and experience level.
For media, support, or general questions, please contact us at [email protected]
Action plan : https://www.barbellmedicine.com/injury-risk-action-plan/
The fitness industry has long relied on the "body-as-a-machine" metaphor to explain pain. The logic suggests that if your alignment is off—much like a car with bad wheel alignment—your parts will wear out and fail. This has led to a culture of fear where athletes spend 30 minutes warming up rotator cuffs or obsessing over a single degree of spinal flexion during a deadlift.
However, this mechanical model is fundamentally flawed. Unlike a car, human tissues are adaptable.
The Brake Pad vs. The Callus: If you drive a car daily, the brake pads get thinner until they break. If you expose your skin to a barbell daily, it doesn't wear away; it builds a callus.
Wolf’s Law & Davis’ Law: Bones get denser, and tendons/ligaments thicken when exposed to appropriate stress.
The greatest risk in the gym isn’t a rounded back; it’s the nocebo effect. This is the phenomenon where negative expectations or beliefs lead to negative outcomes. When influencers draw red lines on videos and catastrophize movement, they are socially transmitting pain and fear. This "socially transmitted kinesiophobia" convinces you that you are fragile, leading to hyper-vigilance and, ironically, a higher sensation of pain.
Key Takeaway: You do not need to be fixed. You are robust and adaptable. The industry profits from your fragility, but the science supports your resilience.
To understand the true risk of the gym, we must look at the epidemiology of injury. Unfortunately, the scientific community struggles to agree on a definition of "injury." Some studies count a stubbed toe, while others only count surgery.
Despite this methodological mess, the trends in the data are clear: The gym is one of the safest places to be.
Injury Rates by Activity (Per 1,000 Hours)
The perception that lifting heavy weights is dangerous while recreational sports are "safe fun" is backward. The gym is a controlled environment where you dictate the load, tempo, and rest. In contrast, field sports are chaotic, "dirty" environments with high impact forces and unpredictable variables.
Modern medicine often over-relies on imaging. Studies on asymptomatic populations (people with no pain) show:
High rates of disc bulges and degeneration in healthy adults.
"Abnormalities" in 100% of elite baseball pitchers' shoulders.
These findings are often adaptations, not pathologies. Just as you get wrinkles on your skin as you age, you get "wrinkles" on your spine. Treating an MRI finding rather than the person leads to unnecessary fear and medical interventions.
If technique isn't the primary driver of injury, what is? The answer lies in the balance between Load and Capacity.
Think of your body as a Bank Account:
Pain occurs when the training load exceeds your current tissue capacity. The form police believe the overdraft happened because you swiped the debit card with your left hand (technique). In reality, the overdraft happened because you spent too much money.
We analyzed the common scapegoats for gym injuries to determine their actual guilt based on the evidence.
We have been taught that elite lifters move like robots—that every rep is identical. However, motion capture data reveals that elite athletes exhibit significant movement variability (motor noise) from rep to rep. This variability is a feature, not a bug; it allows the biological system to solve the problem of "lifting the weight" in real-time.
Instead of forcing your body into a rigid, robotic ideal, we utilize the REP Model as a compass for technique.
The REP ModelIf your lift meets these criteria, your technique is likely safe and effective. You do not need a "neutral spine" to be safe—in fact, keeping a truly neutral spine during a heavy deadlift is anatomically impossible.
V. Actionable TakeawaysIt is time to stop playing defense with your training and start playing offense.
Aagaard, P., et al. (1996). Neural adaptation to resistance training: changes in evoked V-wave and H-reflex responses. Journal of Applied Physiology.
Aasa, U., et al. (2017). Injuries among weightlifters and powerlifters: a systematic review. British Journal of Sports Medicine.
Aasa, U. (2019). (Likely referring to a follow-up study or commentary on powerlifting injuries, e.g., Preventing injuries in weightlifting and powerlifting).
Bahr, R. (2009). No injuries, but plenty of pain? On the methodology for recording overuse symptoms in sports. British Journal of Sports Medicine.
Bahr, R., et al. (2011). International Olympic Committee consensus statement: Methods for recording and reporting of epidemiological data on injury and illness in sport. British Journal of Sports Medicine. (PMID: 21719329)
Bartlett, R. M., et al. (2007). Fast bowling laws of cricket and their impact on the lumbar spine. Journal of Sports Sciences. (PMID: 17449180)
Behm, D. G., & Sale, D. G. (1993). Velocity specificity of resistance training. Sports Medicine.
Berger-Roscher, N., et al. (2017). Complex loading of the lumbar spine changes the failure mode of the intervertebral disc. Clinical Biomechanics.
Bible, J. E., et al. (2010). Normal functional range of motion of the lumbar spine during 15 activities of daily living. Journal of Spinal Disorders & Techniques.
Callaghan, J. P., & McGill, S. M. (2001). Intervertebral disc herniation: studies on a porcine model exposed to highly repetitive flexion/extension motion with compressive force. Clinical Biomechanics.
Campbell, B., et al. (2014). International Society of Sports Nutrition position stand: energy drinks. Journal of the International Society of Sports Nutrition. (Note: "Campbell 2014" often refers to this, though a specific biomechanics paper is possible given the context).
Claudino, J. G., et al. (2018). CrossFit Overview: Systematic review and meta-analysis. Sports Medicine - Open.
Clausen, M. B., et al. (2014). High injury incidence in adolescent female soccer. American Journal of Sports Medicine.
Colado, J. C., et al. (2009). Technique and safety aspects of resistance exercises: a systematic review of the literature. Physician and Sportsmedicine.
Dhawale, A. A., et al. (2017). The prevalence of scoliosis in children with spinal cord injury. Journal of Pediatric Orthopaedics.
Dominski, F. H., et al. (2018). Profile of injuries in CrossFit training. Physical Therapy in Sport.
Faigenbaum, A. D., et al. (2010). Youth resistance training: updated position statement paper from the National Strength and Conditioning Association. Journal of Strength and Conditioning Research.
George, P. E., et al. (1989). Acute back injuries in weight lifters. The Physician and Sportsmedicine.
Gooyers, C. E., et al. (2015). The flexion–relaxation phenomenon: A review of the literature and update on the underlying biomechanics. Journal of Biomechanics. (PMID: 26162399 / PMC4505796)
Hak, P. T., et al. (2013). The nature and prevalence of injury during CrossFit training. Journal of Strength and Conditioning Research. (PMID: 24022651)
Hay, D. C., et al. (2015). Spinal injuries in golf. Asian Journal of Sports Medicine. (PMID: 25646361)
Hill, A. V. (1922). The maximum work and mechanical efficiency of human muscles, and their most economical speed. The Journal of Physiology.
Jacobsson, J., et al. (2013). Injury patterns in Swedish elite athletics: annual incidence, injury types and risk factors. British Journal of Sports Medicine.
Keogh, J. W., & Winwood, P. W. (2017). The Epidemiology of Injuries Across the Weight-Training Sports. Sports Medicine. (PMID: 28597618)
Kim, M. H., et al. (2014). Effects of different trunk exercises on trunk muscle activation. Journal of Physical Therapy Science.
Klimek, C., et al. (2018). Are injuries more common in CrossFit training than other forms of exercise? Journal of Sports Rehabilitation.
Kristiansen, E., et al. (2019). A comparison of muscle activation during the bench press and dumbbell fly. Journal of Sports Sciences.
Kwon, Y. J., et al. (2011). The effect of core stability training on performance. Journal of Strength and Conditioning Research.
Latash, M. L. (2012). The bliss of motor abundance. Experimental Brain Research. (PMC3445213)
Martimo, K. P., et al. (2008). Effect of training on the perception of back pain and disability: a meta-analysis of randomized controlled trials. Spine. (PMID: 18244957)
McGill, S. M. (2012). Low Back Disorders: Evidence-Based Prevention and Rehabilitation. Human Kinetics. (See also PMID: 22773066)
Montalvo, A. M., et al. (2017). Retrospective injury epidemiology and risk factors for injury in CrossFit. Journal of Sports Science & Medicine.
Morin, J. B., et al. (2016). Technical ability of force application as a determinant factor of sprint performance. Medicine & Science in Sports & Exercise.
Mueller-Wohlfahrt, H. W., et al. (2013). Terminology and classification of muscle injuries in sport: the Munich consensus statement. British Journal of Sports Medicine. (PMC3607100)
Mundt, D. J., et al. (1993). An epidemiologic study of low back pain. Spine.
Myer, G. D., et al. (2009). The effects of plyometric vs. dynamic stabilization and balance training on lower extremity biomechanics. American Journal of Sports Medicine.
Nordin, M., & Frankel, V. H. (2019). Basic Biomechanics of the Musculoskeletal System. (Textbook).
Panjabi, M. M. (1992a). The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement. Journal of Spinal Disorders.
Panjabi, M. M. (1992b). The stabilizing system of the spine. Part II. Neutral zone and instability hypothesis. Journal of Spinal Disorders.
Potvin, J. R., et al. (1991). Trunk muscle and lumbar ligament contributions to dynamic lifts with varying degrees of trunk flexion. Spine.
Raske, A., & Norlin, R. (2002). Injury incidence and prevalence among elite weight and power lifters. American Journal of Sports Medicine.
Ribeiro, A. L., et al. (2012). Exercise selection and resistance training. Journal of Strength and Conditioning Research.
Rodriguez, M. A., et al. (2020). Injury in CrossFit: A systematic review of epidemiology and risk factors. The Physician and Sportsmedicine. (PMC7318830)
Schollum, M. L., et al. (2018). Sense of effort and force production in the spine. Journal of Biomechanics.
Setchell, J., et al. (2017). Individuals' explanations for their persistent or recurrent low back pain: a cross-sectional survey. BMC Musculoskeletal Disorders.
Shaw, G., et al. (2020). (Likely Shaw et al. regarding concussion or injury epidemiology).
Siewe, J., et al. (2014). Injuries and overuse syndromes in competitive and elite bodybuilding. International Journal of Sports Medicine. (PMID: 24886919 / PMC3960980)
Sjöberg, H. (2018). (Associated with the Aasa/Strömbäck powerlifting injury studies, likely a thesis or co-authored paper).
Strömbäck, E., et al. (2018). Prevalence and Consequences of Injuries in Powerlifting: A Cross-sectional Study. Orthopaedic Journal of Sports Medicine.
Veres, S. P., et al. (2010). Sub-failure pressurization of the intervertebral disc causes herniation. Spine.
Vialle, R., et al. (2005). Radiographic analysis of the sagittal alignment and balance of the spine in asymptomatic subjects. Journal of Bone and Joint Surgery. (PMID: 15972618)
Vigotsky, A. D., et al. (2015). Biomechanical effects of good morning, spinal flexion, and spinal extension exercises. Journal of Strength and Conditioning Research. (PMID: 25951917)
Wade, S. M., et al. (2017). Injury risk of CrossFit participants. Orthopaedic Journal of Sports Medicine.
Weisenthal, B. M., et al. (2014). Injury rate and patterns among CrossFit athletes. Orthopaedic Journal of Sports Medicine.
Williams, S., et al. (2013). Kinesio taping in treatment and prevention of sports injuries: a meta-analysis. Sports Medicine.
Winwood, P. W., et al. (2014). Retrospective injury epidemiology of strongman athletes. Journal of Strength and Conditioning Research. (PMID: 25031367)
Wu, X., et al. (2014). Effects of core strength training on core stability. Journal of Physical Therapy Science.

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