The Power of Doing What Matters Transistor (https://transistor.fm) https://feeds.transistor.fm/the-power-of-doing-what-matters What helps people move beyond pain and limitation, build resilience, and keep doing the things that give life meaning? The Power of Doing What Matters is hosted by Dr. Clayton Skaggs, founder and CEO of the Central Institute for Human Performance and author of the book that inspired the show. For more than three decades, Dr. Skaggs and his team have worked at the intersection of persistent pain, rehabilitation, movement, and human performance. His career has included years of study with pioneering Czech neurologists Vladimir Janda and Karel Lewit, service on postdoctoral and research faculties at eight universities, published clinical research, and work with people ranging from those facing unresolved pain to elite athletes, military professionals, and executives. Dr. Skaggs and his team have found that the best stories and learning come from the patients and clients. Each episode will combine stories from and about real-life experiences with clients, practitioners, athletes, researchers and others. Episodes combine practical knowledge, lived experience, and a CIHP Insight—a short reading that opens a larger conversation about the mind, body, and the choices that shape our capacity. Reading, contemplation and learning. The conversations are educational and are not a substitute for personalized medical advice, diagnosis, or treatment. ©2026 Central Institute for Human Performance. All rights reserved. 6e5dd1b0-194a-52d5-acf6-52a1b41f19b2 yes en Fri, 21 Aug 2026 15:42:37 -0500 Fri, 21 Aug 2026 15:43:13 -0500 https://cihp.com https://img.transistorcdn.com/AVt0MdN2hCUt7-QITfm3q7SHaSMUFnpGeGg-xSGSBfs/rs:fill:0:0:1/w:1400/h:1400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS9iNjlj/YWI2NWZhZTM2NzA3/OWRhOGEzYzMxM2Rk/NmEzZC5qcGc.jpg The Power of Doing What Matters https://cihp.com episodic Clayton Skaggs What helps people move beyond pain and limitation, build resilience, and keep doing the things that give life meaning? The Power of Doing What Matters is hosted by Dr. Clayton Skaggs, founder and CEO of the Central Institute for Human Performance and author of the book that inspired the show. For more than three decades, Dr. Skaggs and his team have worked at the intersection of persistent pain, rehabilitation, movement, and human performance. His career has included years of study with pioneering Czech neurologists Vladimir Janda and Karel Lewit, service on postdoctoral and research faculties at eight universities, published clinical research, and work with people ranging from those facing unresolved pain to elite athletes, military professionals, and executives. Dr. Skaggs and his team have found that the best stories and learning come from the patients and clients. Each episode will combine stories from and about real-life experiences with clients, practitioners, athletes, researchers and others. Episodes combine practical knowledge, lived experience, and a CIHP Insight—a short reading that opens a larger conversation about the mind, body, and the choices that shape our capacity. Reading, contemplation and learning. The conversations are educational and are not a substitute for personalized medical advice, diagnosis, or treatment. What helps people move beyond pain and limitation, build resilience, and keep doing the things that give life meaning. Clayton Skaggs, Central Institute for Human Performance, CIHP, human performance, resilience, recovery, persistent pain, healthy aging, movement, strength, poise, doing what matters Central Institute for Human Performance No No Poise(d) to Win: Chris Shepherd on Doing the Hard Things 7 7 Poise(d) to Win: Chris Shepherd on Doing the Hard Things full 467b88c4-5539-40fb-9960-c7ec27a79b1b https://share.transistor.fm/s/53e85250 Chris Shepherd had spent much of his life playing competitive sports. Then, during a squash tournament, he could no longer feel his feet. His condition progressed until he could not walk more than 20 yards without numbness—and he received a recommendation for at least a two-level spinal fusion.

In this episode, Chris joins Dr. Clayton Skaggs to discuss his personal decision to seek another opinion and commit to a long recovery process at the Central Institute for Human Performance. Subjective improvement took approximately 18 months, even as the CIHP team documented smaller objective changes along the way.

Chris explains why returning to sport mattered far beyond competition, how training became something like taking his medicine, and why he now considers himself stronger than ever as he approaches 60. He also shares what happened when he was thrown from a horse in Breckenridge, landed directly on his lower back, and discovered how much capacity he had built.

Dr. Skaggs reads “Poise(d) to Win,” a CIHP insight about preparation, relaxation, and responding well under stress. The reading considers Ash Barty's decision to retire from professional tennis while ranked number one and a CIHP client's response to an unexpected fall.

In this episode:

  • Losing feeling in his feet during a squash tournament
  • Chris's personal response to a spinal-fusion recommendation
  • Staying persistent when meaningful improvement took approximately 18 months
  • Why returning to sport also meant restoring friendship, competition, and joy
  • Feeling stronger than ever as he approaches 60
  • Choosing to do the hard things and see the process through
  • Building a reservoir of stability and relaxation before stressful events
  • How a horseback fall tested the resilience Chris had accumulated
  • Slowing down and remembering that recovery is not a race against time


Click here to view the episode transcript.

Guest: Chris Shepherd, lifelong competitive athlete and CIHP client  
Host: Dr. Clayton Skaggs, Founder, Central Institute for Human Performance

Learn more about the Central Institute for Human Performance: https://cihp.com/

This podcast is for educational purposes only and is not a substitute for personalized medical advice, diagnosis, or treatment. Chris is describing his individual experience and decisions; results and appropriate care vary by person.

]]> Chris Shepherd had spent much of his life playing competitive sports. Then, during a squash tournament, he could no longer feel his feet. His condition progressed until he could not walk more than 20 yards without numbness—and he received a recommendation for at least a two-level spinal fusion.

In this episode, Chris joins Dr. Clayton Skaggs to discuss his personal decision to seek another opinion and commit to a long recovery process at the Central Institute for Human Performance. Subjective improvement took approximately 18 months, even as the CIHP team documented smaller objective changes along the way.

Chris explains why returning to sport mattered far beyond competition, how training became something like taking his medicine, and why he now considers himself stronger than ever as he approaches 60. He also shares what happened when he was thrown from a horse in Breckenridge, landed directly on his lower back, and discovered how much capacity he had built.

Dr. Skaggs reads “Poise(d) to Win,” a CIHP insight about preparation, relaxation, and responding well under stress. The reading considers Ash Barty's decision to retire from professional tennis while ranked number one and a CIHP client's response to an unexpected fall.

In this episode:

  • Losing feeling in his feet during a squash tournament
  • Chris's personal response to a spinal-fusion recommendation
  • Staying persistent when meaningful improvement took approximately 18 months
  • Why returning to sport also meant restoring friendship, competition, and joy
  • Feeling stronger than ever as he approaches 60
  • Choosing to do the hard things and see the process through
  • Building a reservoir of stability and relaxation before stressful events
  • How a horseback fall tested the resilience Chris had accumulated
  • Slowing down and remembering that recovery is not a race against time


Click here to view the episode transcript.

Guest: Chris Shepherd, lifelong competitive athlete and CIHP client  
Host: Dr. Clayton Skaggs, Founder, Central Institute for Human Performance

Learn more about the Central Institute for Human Performance: https://cihp.com/

This podcast is for educational purposes only and is not a substitute for personalized medical advice, diagnosis, or treatment. Chris is describing his individual experience and decisions; results and appropriate care vary by person.

]]> Fri, 21 Aug 2026 08:51:25 -0500 Clayton Skaggs Clayton Skaggs 1828 Chris Shepherd had spent much of his life playing competitive sports. Then, during a squash tournament, he could no longer feel his feet. His condition progressed until he could not walk more than 20 yards without numbness—and he received a recommendation for at least a two-level spinal fusion.

In this episode, Chris joins Dr. Clayton Skaggs to discuss his personal decision to seek another opinion and commit to a long recovery process at the Central Institute for Human Performance. Subjective improvement took approximately 18 months, even as the CIHP team documented smaller objective changes along the way.

Chris explains why returning to sport mattered far beyond competition, how training became something like taking his medicine, and why he now considers himself stronger than ever as he approaches 60. He also shares what happened when he was thrown from a horse in Breckenridge, landed directly on his lower back, and discovered how much capacity he had built.

Dr. Skaggs reads “Poise(d) to Win,” a CIHP insight about preparation, relaxation, and responding well under stress. The reading considers Ash Barty's decision to retire from professional tennis while ranked number one and a CIHP client's response to an unexpected fall.

In this episode:

  • Losing feeling in his feet during a squash tournament
  • Chris's personal response to a spinal-fusion recommendation
  • Staying persistent when meaningful improvement took approximately 18 months
  • Why returning to sport also meant restoring friendship, competition, and joy
  • Feeling stronger than ever as he approaches 60
  • Choosing to do the hard things and see the process through
  • Building a reservoir of stability and relaxation before stressful events
  • How a horseback fall tested the resilience Chris had accumulated
  • Slowing down and remembering that recovery is not a race against time


Click here to view the episode transcript.

Guest: Chris Shepherd, lifelong competitive athlete and CIHP client  
Host: Dr. Clayton Skaggs, Founder, Central Institute for Human Performance

Learn more about the Central Institute for Human Performance: https://cihp.com/

This podcast is for educational purposes only and is not a substitute for personalized medical advice, diagnosis, or treatment. Chris is describing his individual experience and decisions; results and appropriate care vary by person.

]]> Chris Shepherd, Clayton Skaggs, Central Institute for Human Performance, CIHP, POISE(d) to Win, doing hard things, persistent back pain, numb feet, spondylolisthesis, spinal stenosis, spinal fusion decision, pain resilience, recovery story, self-efficacy, healthy aging, strength after 50, squash, padel, horseback fall, Breckenridge, Ash Barty, mind-body resilience No Poised to Recover: Scott Kuhta on Rebuilding Trust and Resilience 6 6 Poised to Recover: Scott Kuhta on Rebuilding Trust and Resilience full 731107fe-e2b0-4298-80b6-d528cf32e4ed https://share.transistor.fm/s/b32d468c After years of recurring pain and setbacks following back surgery, Scott Kuhta had become accustomed to climbing toward recovery only to experience another painful crash. He wanted more than a short-term fix—he wanted the strength, confidence, and capacity to get his life back.

In this episode, Scott joins Dr. Clayton Skaggs to reflect on his three-year journey with the Central Institute for Human Performance. He describes moving from difficulty sitting, standing, and balancing on one leg to lifting more weight than ever, returning to outdoor activities, playing music, and meeting new physical challenges with far less fear.

Their conversation centers on poise: the ability to relax, act with appropriate intensity, and relax again. Scott shares how trust in his practitioners, objective evidence of progress, and gradually accumulated physical capacity helped change his response to pain and injury.

Dr. Skaggs also reads “Poised to Recover,” a CIHP Insight built around Ash Barty's return from a significant groin injury to win Wimbledon—and the role the mind, environment, preparation, and physical capacity can play in recovery.

In this episode:

  • Scott's long journey through back injury, surgery, recurring pain, and setbacks
  • Why being active did not necessarily mean his system was prepared to recover
  • The one-leg balance test that changed how Scott saw his fitness
  • Recovering from a hamstring injury while preparing for a fishing trip
  • Learning not to make pain his identity
  • How music, games, movement, and meaningful activities helped him relax
  • The transition from fearing new exercises to trusting his capacity
  • Why recovery became a long-term lifestyle rather than a six-week fix


Click here to view the episode transcript.

Guest: Scott Kuhta, CIHP client from Spokane, Washington  
Host: Dr. Clayton Skaggs, Founder, Central Institute for Human Performance

Learn more about the Central Institute for Human Performance: https://cihp.com/

This podcast is for educational purposes only and is not a substitute for personalized medical advice, diagnosis, or treatment. Scott is describing his individual experience; results and appropriate care vary by person.

]]> After years of recurring pain and setbacks following back surgery, Scott Kuhta had become accustomed to climbing toward recovery only to experience another painful crash. He wanted more than a short-term fix—he wanted the strength, confidence, and capacity to get his life back.

In this episode, Scott joins Dr. Clayton Skaggs to reflect on his three-year journey with the Central Institute for Human Performance. He describes moving from difficulty sitting, standing, and balancing on one leg to lifting more weight than ever, returning to outdoor activities, playing music, and meeting new physical challenges with far less fear.

Their conversation centers on poise: the ability to relax, act with appropriate intensity, and relax again. Scott shares how trust in his practitioners, objective evidence of progress, and gradually accumulated physical capacity helped change his response to pain and injury.

Dr. Skaggs also reads “Poised to Recover,” a CIHP Insight built around Ash Barty's return from a significant groin injury to win Wimbledon—and the role the mind, environment, preparation, and physical capacity can play in recovery.

In this episode:

  • Scott's long journey through back injury, surgery, recurring pain, and setbacks
  • Why being active did not necessarily mean his system was prepared to recover
  • The one-leg balance test that changed how Scott saw his fitness
  • Recovering from a hamstring injury while preparing for a fishing trip
  • Learning not to make pain his identity
  • How music, games, movement, and meaningful activities helped him relax
  • The transition from fearing new exercises to trusting his capacity
  • Why recovery became a long-term lifestyle rather than a six-week fix


Click here to view the episode transcript.

Guest: Scott Kuhta, CIHP client from Spokane, Washington  
Host: Dr. Clayton Skaggs, Founder, Central Institute for Human Performance

Learn more about the Central Institute for Human Performance: https://cihp.com/

This podcast is for educational purposes only and is not a substitute for personalized medical advice, diagnosis, or treatment. Scott is describing his individual experience; results and appropriate care vary by person.

]]> Fri, 21 Aug 2026 08:51:18 -0500 Clayton Skaggs Clayton Skaggs 1867 After years of recurring pain and setbacks following back surgery, Scott Kuhta had become accustomed to climbing toward recovery only to experience another painful crash. He wanted more than a short-term fix—he wanted the strength, confidence, and capacity to get his life back.

In this episode, Scott joins Dr. Clayton Skaggs to reflect on his three-year journey with the Central Institute for Human Performance. He describes moving from difficulty sitting, standing, and balancing on one leg to lifting more weight than ever, returning to outdoor activities, playing music, and meeting new physical challenges with far less fear.

Their conversation centers on poise: the ability to relax, act with appropriate intensity, and relax again. Scott shares how trust in his practitioners, objective evidence of progress, and gradually accumulated physical capacity helped change his response to pain and injury.

Dr. Skaggs also reads “Poised to Recover,” a CIHP Insight built around Ash Barty's return from a significant groin injury to win Wimbledon—and the role the mind, environment, preparation, and physical capacity can play in recovery.

In this episode:

  • Scott's long journey through back injury, surgery, recurring pain, and setbacks
  • Why being active did not necessarily mean his system was prepared to recover
  • The one-leg balance test that changed how Scott saw his fitness
  • Recovering from a hamstring injury while preparing for a fishing trip
  • Learning not to make pain his identity
  • How music, games, movement, and meaningful activities helped him relax
  • The transition from fearing new exercises to trusting his capacity
  • Why recovery became a long-term lifestyle rather than a six-week fix


Click here to view the episode transcript.

Guest: Scott Kuhta, CIHP client from Spokane, Washington  
Host: Dr. Clayton Skaggs, Founder, Central Institute for Human Performance

Learn more about the Central Institute for Human Performance: https://cihp.com/

This podcast is for educational purposes only and is not a substitute for personalized medical advice, diagnosis, or treatment. Scott is describing his individual experience; results and appropriate care vary by person.

]]> Scott Kuhta, Clayton Skaggs, Central Institute for Human Performance, CIHP, Poised to Recover, persistent back pain, back surgery recovery, pain resilience, self-efficacy, physical capacity, strength training, balance, pain and identity, trust in recovery, healthy aging, fly fishing, hamstring injury, Ash Barty, Wimbledon, mind-body resilience, Spokane Washington No Relaxation Is Power: Dr. Jim George on Poise Under Pressure 5 5 Relaxation Is Power: Dr. Jim George on Poise Under Pressure full 14f4af2f-6f2e-46f8-97dd-c14024e0861a https://share.transistor.fm/s/cf3d7ea9 What separates a fluid professional golf swing from an amateur gripping the club as tightly as possible? According to Dr. Jim George, one of the biggest differences is the ability to regulate tension: relax, contract powerfully at the right moment, and then relax again.

In this episode, Dr. George joins Dr. Clayton Skaggs to explore how that same principle applies far beyond sport. They discuss muscle activation, contract-relax techniques, responding to pain signals, preparing for stressful moments, and deliberately building more relaxation into ordinary life.

Jim also reflects on more than two decades at the Central Institute for Human Performance—from student and intern to Clinical Director and partner. He shares practical ways he resets during the day, including breathing, elevating his legs at lunch, and walking outside without headphones.

Dr. Skaggs reads “Free Kick,” a CIHP Insight about United States soccer player Malik Tillman's relaxed execution under pressure. The reading considers how relaxation before, during, and immediately after a powerful action can support precision, performance, recovery, movement, sleep, and our response to challenging thoughts.

In this episode:

  • Why professional golfers remain relaxed until the moment of contact
  • The difference between relaxed power and simply trying harder
  • How contract-relax techniques influence the nervous system
  • Why incomplete relaxation can limit a therapeutic or athletic movement
  • Malik Tillman's free kick and the relax-contract-relax principle
  • What youth soccer in Norway and Erling Haaland can teach us about childlike play
  • Jim's experience learning to loosen his grip while playing padel
  • Breathing, midday resets, and time outside as practical relaxation habits
  • The high-pressure presentation that tested Jim early in his career


Click here to view the episode transcript.

Guest: James George, DC, Clinical Director and partner at CIHP  
Host: Dr. Clayton Skaggs, Founder, Central Institute for Human Performance

Learn more about the Central Institute for Human Performance: https://cihp.com/  
Meet the CIHP team: https://cihp.com/about/

This podcast is for educational purposes only and is not a substitute for personalized medical advice, diagnosis, or treatment.

]]> What separates a fluid professional golf swing from an amateur gripping the club as tightly as possible? According to Dr. Jim George, one of the biggest differences is the ability to regulate tension: relax, contract powerfully at the right moment, and then relax again.

In this episode, Dr. George joins Dr. Clayton Skaggs to explore how that same principle applies far beyond sport. They discuss muscle activation, contract-relax techniques, responding to pain signals, preparing for stressful moments, and deliberately building more relaxation into ordinary life.

Jim also reflects on more than two decades at the Central Institute for Human Performance—from student and intern to Clinical Director and partner. He shares practical ways he resets during the day, including breathing, elevating his legs at lunch, and walking outside without headphones.

Dr. Skaggs reads “Free Kick,” a CIHP Insight about United States soccer player Malik Tillman's relaxed execution under pressure. The reading considers how relaxation before, during, and immediately after a powerful action can support precision, performance, recovery, movement, sleep, and our response to challenging thoughts.

In this episode:

  • Why professional golfers remain relaxed until the moment of contact
  • The difference between relaxed power and simply trying harder
  • How contract-relax techniques influence the nervous system
  • Why incomplete relaxation can limit a therapeutic or athletic movement
  • Malik Tillman's free kick and the relax-contract-relax principle
  • What youth soccer in Norway and Erling Haaland can teach us about childlike play
  • Jim's experience learning to loosen his grip while playing padel
  • Breathing, midday resets, and time outside as practical relaxation habits
  • The high-pressure presentation that tested Jim early in his career


Click here to view the episode transcript.

Guest: James George, DC, Clinical Director and partner at CIHP  
Host: Dr. Clayton Skaggs, Founder, Central Institute for Human Performance

Learn more about the Central Institute for Human Performance: https://cihp.com/  
Meet the CIHP team: https://cihp.com/about/

This podcast is for educational purposes only and is not a substitute for personalized medical advice, diagnosis, or treatment.

]]> Fri, 21 Aug 2026 08:51:11 -0500 Clayton Skaggs Clayton Skaggs 1491 What separates a fluid professional golf swing from an amateur gripping the club as tightly as possible? According to Dr. Jim George, one of the biggest differences is the ability to regulate tension: relax, contract powerfully at the right moment, and then relax again.

In this episode, Dr. George joins Dr. Clayton Skaggs to explore how that same principle applies far beyond sport. They discuss muscle activation, contract-relax techniques, responding to pain signals, preparing for stressful moments, and deliberately building more relaxation into ordinary life.

Jim also reflects on more than two decades at the Central Institute for Human Performance—from student and intern to Clinical Director and partner. He shares practical ways he resets during the day, including breathing, elevating his legs at lunch, and walking outside without headphones.

Dr. Skaggs reads “Free Kick,” a CIHP Insight about United States soccer player Malik Tillman's relaxed execution under pressure. The reading considers how relaxation before, during, and immediately after a powerful action can support precision, performance, recovery, movement, sleep, and our response to challenging thoughts.

In this episode:

  • Why professional golfers remain relaxed until the moment of contact
  • The difference between relaxed power and simply trying harder
  • How contract-relax techniques influence the nervous system
  • Why incomplete relaxation can limit a therapeutic or athletic movement
  • Malik Tillman's free kick and the relax-contract-relax principle
  • What youth soccer in Norway and Erling Haaland can teach us about childlike play
  • Jim's experience learning to loosen his grip while playing padel
  • Breathing, midday resets, and time outside as practical relaxation habits
  • The high-pressure presentation that tested Jim early in his career


Click here to view the episode transcript.

Guest: James George, DC, Clinical Director and partner at CIHP  
Host: Dr. Clayton Skaggs, Founder, Central Institute for Human Performance

Learn more about the Central Institute for Human Performance: https://cihp.com/  
Meet the CIHP team: https://cihp.com/about/

This podcast is for educational purposes only and is not a substitute for personalized medical advice, diagnosis, or treatment.

]]> Jim George, James George DC, Clayton Skaggs, Central Institute for Human Performance, CIHP, Relaxation Is Power, Poise Under Pressure, Free Kick, relaxation and performance, nervous system regulation, contract relax, pain recovery, sports performance, professional golf, Malik Tillman, Erling Haaland, youth sports, breathing exercises, stress recovery, padel, mind-body resilience, clinical director No Lights Will Guide You Home: Robin Feder on Noticing What’s Working 4 4 Lights Will Guide You Home: Robin Feder on Noticing What’s Working full 02fdc157-c57e-4950-b063-16fc24597413 https://share.transistor.fm/s/2bd24322 After years of traveling with a neck pillow, a back pillow, and a brace Robin Feder wanted a more sustainable way to keep doing what mattered to her.

In this episode, Robin joins Dr. Clayton Skaggs to reflect on 11 years at the Central Institute for Human Performance. She shares how her relationship with movement, travel, gardening, and occasional pain signals has changed, and how small daily cues have become tools she can use with greater confidence.

The conversation centers on a simple but powerful idea: progress is easier to recognize when we learn to notice the lights. Those lights may be moving better, growing stronger, understanding what a signal means, or seeing objective measures improve before every symptom has resolved.

Dr. Skaggs also reads “Patience: Lights Will Guide You Home,” a CIHP Insight about perspective, self-efficacy, strength, simplicity, and continuing to put attention toward the good things we can do.

In this episode:

  • How back trouble had made travel increasingly cumbersome for Robin
  • The small movement cues she uses during ordinary activities
  • Why she thinks of her CIHP lessons as tools in a toolkit
  • Learning to treat pain as useful information rather than an automatic crisis
  • How movement, strength, and other objective measures can reveal progress
  • Why positivity and a data-driven approach work together in Robin’s experience


  • (00:00) - Cold open: Traveling without the supports
  • (00:25) - Welcome and meet Robin Feder
  • (02:15) - How Robin found CIHP
  • (03:20) - When travel became increasingly cumbersome
  • (04:45) - Leaving the pillows and back brace behind
  • (05:20) - What changed after joining CIHP
  • (06:35) - The lights will guide you home
  • (08:05) - Small daily tools for everyday movement
  • (10:45) - Knowledge is power
  • (12:00) - Treating pain signals as useful information
  • (12:35) - “Patience: Lights Will Guide You Home”
  • (15:20) - Robin responds to the insight
  • (16:15) - Data, measurement, and seeing progress
  • (18:05) - The value of a coordinated CIHP team
  • (19:00) - A way of life built around doing what matters
  • (19:40) - Closing: Robin is a light for CIHP

Click here to view the episode transcript.

Guest: Robin Feder, Executive Director Emeritus, Central Institute for the Deaf  
Host: Dr. Clayton Skaggs, Founder, Central Institute for Human Performance

Learn more about the Central Institute for Human Performance: https://cihp.com/  
Learn more about the Central Institute for the Deaf: https://cid.edu/

This podcast is for educational purposes only and is not a substitute for personalized medical advice, diagnosis, or treatment.

]]> After years of traveling with a neck pillow, a back pillow, and a brace Robin Feder wanted a more sustainable way to keep doing what mattered to her.

In this episode, Robin joins Dr. Clayton Skaggs to reflect on 11 years at the Central Institute for Human Performance. She shares how her relationship with movement, travel, gardening, and occasional pain signals has changed, and how small daily cues have become tools she can use with greater confidence.

The conversation centers on a simple but powerful idea: progress is easier to recognize when we learn to notice the lights. Those lights may be moving better, growing stronger, understanding what a signal means, or seeing objective measures improve before every symptom has resolved.

Dr. Skaggs also reads “Patience: Lights Will Guide You Home,” a CIHP Insight about perspective, self-efficacy, strength, simplicity, and continuing to put attention toward the good things we can do.

In this episode:

  • How back trouble had made travel increasingly cumbersome for Robin
  • The small movement cues she uses during ordinary activities
  • Why she thinks of her CIHP lessons as tools in a toolkit
  • Learning to treat pain as useful information rather than an automatic crisis
  • How movement, strength, and other objective measures can reveal progress
  • Why positivity and a data-driven approach work together in Robin’s experience


  • (00:00) - Cold open: Traveling without the supports
  • (00:25) - Welcome and meet Robin Feder
  • (02:15) - How Robin found CIHP
  • (03:20) - When travel became increasingly cumbersome
  • (04:45) - Leaving the pillows and back brace behind
  • (05:20) - What changed after joining CIHP
  • (06:35) - The lights will guide you home
  • (08:05) - Small daily tools for everyday movement
  • (10:45) - Knowledge is power
  • (12:00) - Treating pain signals as useful information
  • (12:35) - “Patience: Lights Will Guide You Home”
  • (15:20) - Robin responds to the insight
  • (16:15) - Data, measurement, and seeing progress
  • (18:05) - The value of a coordinated CIHP team
  • (19:00) - A way of life built around doing what matters
  • (19:40) - Closing: Robin is a light for CIHP

Click here to view the episode transcript.

Guest: Robin Feder, Executive Director Emeritus, Central Institute for the Deaf  
Host: Dr. Clayton Skaggs, Founder, Central Institute for Human Performance

Learn more about the Central Institute for Human Performance: https://cihp.com/  
Learn more about the Central Institute for the Deaf: https://cid.edu/

This podcast is for educational purposes only and is not a substitute for personalized medical advice, diagnosis, or treatment.

]]> Fri, 21 Aug 2026 08:50:58 -0500 Clayton Skaggs Clayton Skaggs 1212 After years of traveling with a neck pillow, a back pillow, and a brace Robin Feder wanted a more sustainable way to keep doing what mattered to her.

In this episode, Robin joins Dr. Clayton Skaggs to reflect on 11 years at the Central Institute for Human Performance. She shares how her relationship with movement, travel, gardening, and occasional pain signals has changed, and how small daily cues have become tools she can use with greater confidence.

The conversation centers on a simple but powerful idea: progress is easier to recognize when we learn to notice the lights. Those lights may be moving better, growing stronger, understanding what a signal means, or seeing objective measures improve before every symptom has resolved.

Dr. Skaggs also reads “Patience: Lights Will Guide You Home,” a CIHP Insight about perspective, self-efficacy, strength, simplicity, and continuing to put attention toward the good things we can do.

In this episode:

  • How back trouble had made travel increasingly cumbersome for Robin
  • The small movement cues she uses during ordinary activities
  • Why she thinks of her CIHP lessons as tools in a toolkit
  • Learning to treat pain as useful information rather than an automatic crisis
  • How movement, strength, and other objective measures can reveal progress
  • Why positivity and a data-driven approach work together in Robin’s experience


  • (00:00) - Cold open: Traveling without the supports
  • (00:25) - Welcome and meet Robin Feder
  • (02:15) - How Robin found CIHP
  • (03:20) - When travel became increasingly cumbersome
  • (04:45) - Leaving the pillows and back brace behind
  • (05:20) - What changed after joining CIHP
  • (06:35) - The lights will guide you home
  • (08:05) - Small daily tools for everyday movement
  • (10:45) - Knowledge is power
  • (12:00) - Treating pain signals as useful information
  • (12:35) - “Patience: Lights Will Guide You Home”
  • (15:20) - Robin responds to the insight
  • (16:15) - Data, measurement, and seeing progress
  • (18:05) - The value of a coordinated CIHP team
  • (19:00) - A way of life built around doing what matters
  • (19:40) - Closing: Robin is a light for CIHP

Click here to view the episode transcript.

Guest: Robin Feder, Executive Director Emeritus, Central Institute for the Deaf  
Host: Dr. Clayton Skaggs, Founder, Central Institute for Human Performance

Learn more about the Central Institute for Human Performance: https://cihp.com/  
Learn more about the Central Institute for the Deaf: https://cid.edu/

This podcast is for educational purposes only and is not a substitute for personalized medical advice, diagnosis, or treatment.

]]> Robin Feder, Clayton Skaggs, Central Institute for Human Performance, CIHP, Lights Will Guide You Home, back pain recovery, traveling with back pain, pain signals, self-efficacy, movement assessment, strength, resilience, patience, healthy aging, gardening, mind-body resilience, Central Institute for the Deaf No Patience + Precision: Melissa Filla on Building Trust in Recovery 3 3 Patience + Precision: Melissa Filla on Building Trust in Recovery full 1de15313-7144-4edc-895b-c89a66be2691 https://share.transistor.fm/s/59f853e7 Patience in recovery is not passive waiting. It works alongside trust, precision, clear objectives, and the gradual accumulation of physical capacity.

In this episode, Melissa Filla joins Dr. Clayton Skaggs to offer a practitioner's perspective on helping people through persistent pain and long recovery processes. Melissa explains why simple recommendations can require tremendous trust and why understanding a client's perspective matters when progress takes time.

The conversation includes a clip from Mark's recovery story and another example of a highly active client who temporarily stepped away from paddle boarding, pickleball, hiking, and weightlifting. After reassessment showed consistent neuromuscular progress, he could begin grading meaningful activities back into his life with greater capacity and support.

Melissa and Dr. Skaggs also discuss a particularly difficult part of recovery: the period when pain signals remain even though objective measures are improving. Better movement tolerance, increased strength, changes in body composition, and the ability to perform previously unavailable movements may all provide evidence that the process is moving forward.

Melissa closes with a principle that brings the conversation together: when patience is paired with precision and clear objectives, it can help build the self-efficacy people need to keep doing what matters.

In this episode:
Why patience, trust, and recovery are closely connected
Seeing the process through the client's perspective
Mark's reflection on years of pushing through pain
Temporarily limiting meaningful activities to build capacity
Using reassessment and objective measures to guide the next step
Grading paddle boarding, pickleball, hiking, and strength work back into life
Progress that may be present even while pain signals remain
How new responses to familiar movements can develop over time
Why patience becomes more useful when paired with precision

Click here to view the episode transcript.

Guest: Melissa Filla, ATC, Program Lead, Resilience at CIHP  
Host: Dr. Clayton Skaggs, Founder, Central Institute for Human Performance

Learn more about the Central Institute for Human Performance: https://cihp.com/  
Meet the CIHP team: https://cihp.com/about/

This podcast is for educational purposes only and is not a substitute for personalized medical advice, diagnosis, or treatment. The examples discussed are individual experiences; results and appropriate care vary by person.

]]> Patience in recovery is not passive waiting. It works alongside trust, precision, clear objectives, and the gradual accumulation of physical capacity.

In this episode, Melissa Filla joins Dr. Clayton Skaggs to offer a practitioner's perspective on helping people through persistent pain and long recovery processes. Melissa explains why simple recommendations can require tremendous trust and why understanding a client's perspective matters when progress takes time.

The conversation includes a clip from Mark's recovery story and another example of a highly active client who temporarily stepped away from paddle boarding, pickleball, hiking, and weightlifting. After reassessment showed consistent neuromuscular progress, he could begin grading meaningful activities back into his life with greater capacity and support.

Melissa and Dr. Skaggs also discuss a particularly difficult part of recovery: the period when pain signals remain even though objective measures are improving. Better movement tolerance, increased strength, changes in body composition, and the ability to perform previously unavailable movements may all provide evidence that the process is moving forward.

Melissa closes with a principle that brings the conversation together: when patience is paired with precision and clear objectives, it can help build the self-efficacy people need to keep doing what matters.

In this episode:
Why patience, trust, and recovery are closely connected
Seeing the process through the client's perspective
Mark's reflection on years of pushing through pain
Temporarily limiting meaningful activities to build capacity
Using reassessment and objective measures to guide the next step
Grading paddle boarding, pickleball, hiking, and strength work back into life
Progress that may be present even while pain signals remain
How new responses to familiar movements can develop over time
Why patience becomes more useful when paired with precision

Click here to view the episode transcript.

Guest: Melissa Filla, ATC, Program Lead, Resilience at CIHP  
Host: Dr. Clayton Skaggs, Founder, Central Institute for Human Performance

Learn more about the Central Institute for Human Performance: https://cihp.com/  
Meet the CIHP team: https://cihp.com/about/

This podcast is for educational purposes only and is not a substitute for personalized medical advice, diagnosis, or treatment. The examples discussed are individual experiences; results and appropriate care vary by person.

]]> Fri, 21 Aug 2026 08:49:30 -0500 Clayton Skaggs Clayton Skaggs 1022 Patience in recovery is not passive waiting. It works alongside trust, precision, clear objectives, and the gradual accumulation of physical capacity.

In this episode, Melissa Filla joins Dr. Clayton Skaggs to offer a practitioner's perspective on helping people through persistent pain and long recovery processes. Melissa explains why simple recommendations can require tremendous trust and why understanding a client's perspective matters when progress takes time.

The conversation includes a clip from Mark's recovery story and another example of a highly active client who temporarily stepped away from paddle boarding, pickleball, hiking, and weightlifting. After reassessment showed consistent neuromuscular progress, he could begin grading meaningful activities back into his life with greater capacity and support.

Melissa and Dr. Skaggs also discuss a particularly difficult part of recovery: the period when pain signals remain even though objective measures are improving. Better movement tolerance, increased strength, changes in body composition, and the ability to perform previously unavailable movements may all provide evidence that the process is moving forward.

Melissa closes with a principle that brings the conversation together: when patience is paired with precision and clear objectives, it can help build the self-efficacy people need to keep doing what matters.

In this episode:
Why patience, trust, and recovery are closely connected
Seeing the process through the client's perspective
Mark's reflection on years of pushing through pain
Temporarily limiting meaningful activities to build capacity
Using reassessment and objective measures to guide the next step
Grading paddle boarding, pickleball, hiking, and strength work back into life
Progress that may be present even while pain signals remain
How new responses to familiar movements can develop over time
Why patience becomes more useful when paired with precision

Click here to view the episode transcript.

Guest: Melissa Filla, ATC, Program Lead, Resilience at CIHP  
Host: Dr. Clayton Skaggs, Founder, Central Institute for Human Performance

Learn more about the Central Institute for Human Performance: https://cihp.com/  
Meet the CIHP team: https://cihp.com/about/

This podcast is for educational purposes only and is not a substitute for personalized medical advice, diagnosis, or treatment. The examples discussed are individual experiences; results and appropriate care vary by person.

]]> Melissa Filla, Clayton Skaggs, Central Institute for Human Performance, CIHP, patience and precision, trust in recovery, persistent pain, pain signals, graded exposure, objective measures, movement assessment, self efficacy, return to activity, strength and resilience, paddleboarding, pickleball, hiking, healthy aging, doing what matters No Looking for a Brake: Mark on Patience and Building Capacity 2 2 Looking for a Brake: Mark on Patience and Building Capacity full ac0a08fc-7132-434c-8fb8-5e1eb748c361 https://share.transistor.fm/s/c9778d11 For Mark, patience meant temporarily stepping away from two activities that had shaped much of his life: golf and strength training. After living with low-back pain for roughly twenty years, he came to CIHP ready to try a different process but the early weeks still required trust.

In this episode, Mark joins Dr. Clayton Skaggs to describe the gradual changes he experienced through consistent daily work, breathing exercises, careful activity limits, and a progressive return to strength training and golf. He also reflects on a familiar back spasm that once would have derailed him for weeks. This time, his response was different: he drew on the work he had already done, returned to his exercises, and was hitting range balls two days later.

Dr. Skaggs reads “Patience: Looking for a Brake,” a CIHP Insight about a child's bicycle with a stuck handbrake. The brake itself appeared broken, but the actual problem was a cable wound too tightly after the handlebars had twisted. The story becomes a way to consider why the area producing pain or dysfunction may not always be the source of the larger problem.

Mark connects that insight to years of pushing through pain in the gym and on the golf course. Later, he describes recovering from a hard fall during a round of golf and recognizing that his accumulated capacity, experience, and belief gave him a different way to respond.

In this episode:

How a friend's recovery and The Power of Doing What Matters led Mark to CIHP
Why early progress required patience and consistent daily work
Temporarily stepping away from golf and strength training
The lesson Mark learned from trying to chip before it was on the plan
Why precision can be especially important in the early stages of recovery
Returning to golf and responding differently to a familiar back spasm
Dr. Skaggs' “Patience: Looking for a Brake” CIHP Insight
Why the painful or restricted area may not be the main problem
Building resilience, self-efficacy, and confidence through experience
Why belief works together with genuine physical capacity

Click here to view the episode transcript.

Guest: Mark, CIHP client 
Host: Dr. Clayton Skaggs, Founder, Central Institute for Human Performance

Learn more about the Central Institute for Human Performance: https://cihp.com/ 
Learn about The Power of Doing What Matters: https://powerofdoingwhatmatters.com/

This podcast is for educational purposes only and is not a substitute for personalized medical advice, diagnosis, or treatment. The experiences discussed are individual; results and appropriate care vary by person.

]]> For Mark, patience meant temporarily stepping away from two activities that had shaped much of his life: golf and strength training. After living with low-back pain for roughly twenty years, he came to CIHP ready to try a different process but the early weeks still required trust.

In this episode, Mark joins Dr. Clayton Skaggs to describe the gradual changes he experienced through consistent daily work, breathing exercises, careful activity limits, and a progressive return to strength training and golf. He also reflects on a familiar back spasm that once would have derailed him for weeks. This time, his response was different: he drew on the work he had already done, returned to his exercises, and was hitting range balls two days later.

Dr. Skaggs reads “Patience: Looking for a Brake,” a CIHP Insight about a child's bicycle with a stuck handbrake. The brake itself appeared broken, but the actual problem was a cable wound too tightly after the handlebars had twisted. The story becomes a way to consider why the area producing pain or dysfunction may not always be the source of the larger problem.

Mark connects that insight to years of pushing through pain in the gym and on the golf course. Later, he describes recovering from a hard fall during a round of golf and recognizing that his accumulated capacity, experience, and belief gave him a different way to respond.

In this episode:

How a friend's recovery and The Power of Doing What Matters led Mark to CIHP
Why early progress required patience and consistent daily work
Temporarily stepping away from golf and strength training
The lesson Mark learned from trying to chip before it was on the plan
Why precision can be especially important in the early stages of recovery
Returning to golf and responding differently to a familiar back spasm
Dr. Skaggs' “Patience: Looking for a Brake” CIHP Insight
Why the painful or restricted area may not be the main problem
Building resilience, self-efficacy, and confidence through experience
Why belief works together with genuine physical capacity

Click here to view the episode transcript.

Guest: Mark, CIHP client 
Host: Dr. Clayton Skaggs, Founder, Central Institute for Human Performance

Learn more about the Central Institute for Human Performance: https://cihp.com/ 
Learn about The Power of Doing What Matters: https://powerofdoingwhatmatters.com/

This podcast is for educational purposes only and is not a substitute for personalized medical advice, diagnosis, or treatment. The experiences discussed are individual; results and appropriate care vary by person.

]]> Fri, 21 Aug 2026 08:49:19 -0500 Clayton Skaggs Clayton Skaggs 1899 For Mark, patience meant temporarily stepping away from two activities that had shaped much of his life: golf and strength training. After living with low-back pain for roughly twenty years, he came to CIHP ready to try a different process but the early weeks still required trust.

In this episode, Mark joins Dr. Clayton Skaggs to describe the gradual changes he experienced through consistent daily work, breathing exercises, careful activity limits, and a progressive return to strength training and golf. He also reflects on a familiar back spasm that once would have derailed him for weeks. This time, his response was different: he drew on the work he had already done, returned to his exercises, and was hitting range balls two days later.

Dr. Skaggs reads “Patience: Looking for a Brake,” a CIHP Insight about a child's bicycle with a stuck handbrake. The brake itself appeared broken, but the actual problem was a cable wound too tightly after the handlebars had twisted. The story becomes a way to consider why the area producing pain or dysfunction may not always be the source of the larger problem.

Mark connects that insight to years of pushing through pain in the gym and on the golf course. Later, he describes recovering from a hard fall during a round of golf and recognizing that his accumulated capacity, experience, and belief gave him a different way to respond.

In this episode:

How a friend's recovery and The Power of Doing What Matters led Mark to CIHP
Why early progress required patience and consistent daily work
Temporarily stepping away from golf and strength training
The lesson Mark learned from trying to chip before it was on the plan
Why precision can be especially important in the early stages of recovery
Returning to golf and responding differently to a familiar back spasm
Dr. Skaggs' “Patience: Looking for a Brake” CIHP Insight
Why the painful or restricted area may not be the main problem
Building resilience, self-efficacy, and confidence through experience
Why belief works together with genuine physical capacity

Click here to view the episode transcript.

Guest: Mark, CIHP client 
Host: Dr. Clayton Skaggs, Founder, Central Institute for Human Performance

Learn more about the Central Institute for Human Performance: https://cihp.com/ 
Learn about The Power of Doing What Matters: https://powerofdoingwhatmatters.com/

This podcast is for educational purposes only and is not a substitute for personalized medical advice, diagnosis, or treatment. The experiences discussed are individual; results and appropriate care vary by person.

]]> Mark, Clayton Skaggs, Central Institute for Human Performance, CIHP, Patience Looking for a Brake, CIHP Insight, low back pain, back spasm, golf recovery, return to golf, strength training, physical capacity, resilience, self efficacy, precision, nervous system, daily exercises, breathing exercises, persistent pain, doing what matters No Come to Your Senses: Tim Sirmon on Thinking What Matters 1 1 Come to Your Senses: Tim Sirmon on Thinking What Matters full 61eb9795-7ade-48a2-a114-fa14d1116ed0 https://share.transistor.fm/s/9f3b11f7 When it is time to perform, what deserves your attention and what should fall away? Tim Sirmon joins Dr. Clayton Skaggs to explore why a singular, meaningful target can help preparation become action.

Dr. Skaggs reads “Come to Your Senses: Thinking What Matters,” a CIHP Insight about sensory focus, preparation, simplicity, and performance. The reading connects a client's “bones and muscle” mantra while pushing a weighted sled with examples from Olympic marathoner Molly Seidel and swimmer Kate Douglass.

Tim brings the idea back to everyday movement. During preparation or remedial work, a person may explore breathing, foot pressure, knee position, and other sensations. During performance (walking, standing, climbing stairs, or returning to a demanding activity) trying to consciously control every detail can cause the person to miss the target.

The conversation also revisits a client whose path moved from being unable to stand on one leg to hiking and biking. His progress required periods of doing less, careful reassessment, and eventually being encouraged to do more when his movement tolerance and readiness had changed.

In this episode:

  • A client's progression from limited balance to hiking and biking
  • Why recovery may require both doing less and doing more
  • Dr. Skaggs' “Come to Your Senses: Thinking What Matters” CIHP Insight
  • Using a simple phrase to focus effort during a difficult task
  • What elite performers can teach us about singular attention
  • The difference between exploring movement and performing it
  • Why excessive conscious control can cause us to miss the target
  • The role of preparation, coaching, and sensory awareness


Click here to view the episode transcript.

Guest: Tim Sirmon, DPT, Lead Practitioner at CIHP 
Host: Dr. Clayton Skaggs, Founder, Central Institute for Human Performance

Learn more about the Central Institute for Human Performance: https://cihp.com/  
Meet the CIHP team: https://cihp.com/about/

This podcast is for educational purposes only and is not a substitute for personalized medical advice, diagnosis, or treatment. The examples discussed are individual experiences; results and appropriate care vary by person.

]]> When it is time to perform, what deserves your attention and what should fall away? Tim Sirmon joins Dr. Clayton Skaggs to explore why a singular, meaningful target can help preparation become action.

Dr. Skaggs reads “Come to Your Senses: Thinking What Matters,” a CIHP Insight about sensory focus, preparation, simplicity, and performance. The reading connects a client's “bones and muscle” mantra while pushing a weighted sled with examples from Olympic marathoner Molly Seidel and swimmer Kate Douglass.

Tim brings the idea back to everyday movement. During preparation or remedial work, a person may explore breathing, foot pressure, knee position, and other sensations. During performance (walking, standing, climbing stairs, or returning to a demanding activity) trying to consciously control every detail can cause the person to miss the target.

The conversation also revisits a client whose path moved from being unable to stand on one leg to hiking and biking. His progress required periods of doing less, careful reassessment, and eventually being encouraged to do more when his movement tolerance and readiness had changed.

In this episode:

  • A client's progression from limited balance to hiking and biking
  • Why recovery may require both doing less and doing more
  • Dr. Skaggs' “Come to Your Senses: Thinking What Matters” CIHP Insight
  • Using a simple phrase to focus effort during a difficult task
  • What elite performers can teach us about singular attention
  • The difference between exploring movement and performing it
  • Why excessive conscious control can cause us to miss the target
  • The role of preparation, coaching, and sensory awareness


Click here to view the episode transcript.

Guest: Tim Sirmon, DPT, Lead Practitioner at CIHP 
Host: Dr. Clayton Skaggs, Founder, Central Institute for Human Performance

Learn more about the Central Institute for Human Performance: https://cihp.com/  
Meet the CIHP team: https://cihp.com/about/

This podcast is for educational purposes only and is not a substitute for personalized medical advice, diagnosis, or treatment. The examples discussed are individual experiences; results and appropriate care vary by person.

]]> Fri, 21 Aug 2026 08:49:01 -0500 Clayton Skaggs Clayton Skaggs 754 When it is time to perform, what deserves your attention and what should fall away? Tim Sirmon joins Dr. Clayton Skaggs to explore why a singular, meaningful target can help preparation become action.

Dr. Skaggs reads “Come to Your Senses: Thinking What Matters,” a CIHP Insight about sensory focus, preparation, simplicity, and performance. The reading connects a client's “bones and muscle” mantra while pushing a weighted sled with examples from Olympic marathoner Molly Seidel and swimmer Kate Douglass.

Tim brings the idea back to everyday movement. During preparation or remedial work, a person may explore breathing, foot pressure, knee position, and other sensations. During performance (walking, standing, climbing stairs, or returning to a demanding activity) trying to consciously control every detail can cause the person to miss the target.

The conversation also revisits a client whose path moved from being unable to stand on one leg to hiking and biking. His progress required periods of doing less, careful reassessment, and eventually being encouraged to do more when his movement tolerance and readiness had changed.

In this episode:

  • A client's progression from limited balance to hiking and biking
  • Why recovery may require both doing less and doing more
  • Dr. Skaggs' “Come to Your Senses: Thinking What Matters” CIHP Insight
  • Using a simple phrase to focus effort during a difficult task
  • What elite performers can teach us about singular attention
  • The difference between exploring movement and performing it
  • Why excessive conscious control can cause us to miss the target
  • The role of preparation, coaching, and sensory awareness


Click here to view the episode transcript.

Guest: Tim Sirmon, DPT, Lead Practitioner at CIHP 
Host: Dr. Clayton Skaggs, Founder, Central Institute for Human Performance

Learn more about the Central Institute for Human Performance: https://cihp.com/  
Meet the CIHP team: https://cihp.com/about/

This podcast is for educational purposes only and is not a substitute for personalized medical advice, diagnosis, or treatment. The examples discussed are individual experiences; results and appropriate care vary by person.

]]> Tim Sirmon, Clayton Skaggs, Central Institute for Human Performance, CIHP, Come to Your Senses, Thinking What Matters, Think What Matters, CIHP Insight, focused attention, sensory awareness, movement cues, human performance, physical therapy, nervous system, weighted sled, balance, recovery, resilience, Kate Douglass, Molly Seidel, doing what matters No