The Performance Rehab Authority

He Had a Low Back Protocol That Worked — Until It Didn't. Here's What Fixed It


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This episode is for chiropractors and rehab clinicians doing online coaching who feel competent in most cases but hit a wall when things go sideways and realize they don't have a system to fall back on. Elliot is a 23-year chiropractor who transitioned to online low back pain coaching, had a structured rehab protocol he was running, but kept running into cases where things reversed and he didn't know why or what to do next. After going through PRA, he used pattern recognition and the PRA framework on a client who had been in pain for 19 years — and within weeks that client reported feeling the best he had in nearly two decades. Send this to any clinician in the online coaching space, or anyone transitioning out of in-person care, who isn't sure if a clinical reasoning system can translate to their model.


He had a low back protocol. He had the business coaching. He had 23 years of chiropractic behind him. And when a client reversed course and got significantly worse, he didn't know what to do next.


Elliot Sherman is a chiropractor-turned-online rehab coach who helps people with low back pain and sciatica. This episode is for any clinician in the online space — or thinking about it — who wonders if a clinical reasoning framework can actually translate when you can't put your hands on anyone.


In this episode you'll see how:


Elliot went from not being sure where to go when patients didn’t progress as expected while running an online low back pain coaching program to having a framework that tells him exactly what the body is communicating and what to do next.


Pattern recognition through PRA replaced the guessing that came with having multiple conflicting tools and no system for deciding between them.


A client who had been in chronic pain for 19 years reached a 10 out of 10 on a wellbeing scale within weeks of Elliot applying the PRA framework.


The fear of taking someone's money without knowing if he could actually help them — the thing that was undermining his ability to sell — got resolved by developing genuine clinical confidence.


PRA applied directly to an online-only practice without hands-on testing, with Elliot building a movement-based assessment process he can run over Zoom.


Elliot used what he learned to help another clinician in a group setting who was stuck in an extension-flexion protocol loop with no idea what the body was actually asking for.

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The Performance Rehab AuthorityBy Dr. Roger St. Onge