In this episode, Dr. Ryan Peebles, Doctor of Physical Therapy and founder of Core Balance Training, explores the mind–body connection in back pain and addresses a common question from students, “How emotional and psychological factors interact with physical causes of pain.” Drawing from clinical experience, student questions, and influential ideas such as Dr. John Sarno’s work, Ryan explains why back pain is rarely only physical or only emotional and why a combined, holistic approach leads to better long-term outcomes.
What the mind–body connection really means in chronic back painA student question that sparked the discussion: emotional vs. physical healingDr. John Sarno’s theory of repressed emotions and tension-based painWhy muscle tension and reduced blood flow can create real painHow posture, joint friction, and muscle imbalances contribute to degenerationWhy emotional stress can worsen existing physical back problemsHow chronic pain can create fear-based movement and reinforce dysfunctionWhen back pain may start emotionally and later become physicalWhy modern lifestyle factors (sitting, screens, stress) are driving back pain rates upWhy addressing both emotional awareness and physical mechanics mattersCore stabilization as the foundation for spinal protectionWhy slow, mindful progress beats intensity in rehabThe role of breathing as the “foundation of the foundation”How excessive effort can increase tension and delay healingUnderstanding left–right vs. front–back imbalancesWhy unilateral training helps correct asymmetriesThe importance of movement quality over forcing strengthHow fear, stress, and rushing can instantly worsen symptomsPractical reflections to reduce emotional tension in daily lifeA holistic view: awareness, patience, and consistency over quick fixesWatch the free Core Balance Masterclass and start your 7-day free trial to experience the Back Anchor lesson firsthand and begin retraining your movement patterns from the inside out: https://www.corebalancetraining.com/masterclass
Disclaimer: All content is for educational purposes only. Consult a qualified healthcare professional before beginning any exercise or rehabilitation program.
00:00:00 – Introduction: The mind–body connection in back pain
00:02:10 – A student’s question that sparked this discussion
00:04:15 – Dr. John Sarno’s theory: emotional causes of back pain
00:07:00 – How stress and tension create real physical pain
00:10:10 – Do emotional and physical causes overlap?
00:15:20 – The perfect bridge pose & the mattress you use
00:18:15 – Activating core muscles
00:22:50 – Back anchor progression and Breathing in core control
00:25:00 – Student Q&A: Doing a typewriter squat
00:28:40 – Student Q&A: Will CBT help with back pain symptoms?
00:32:50 – Having the right posture for exercises
00:36:15 – Student Q&A: How to walk uphill
00:37:45 – Connecting better with body and body imbalances
00:41:50 – Front anchors and Push away explained
00:48:30 – Final thoughts: awareness, and mind-body connection