#89 - Dr. Sean Pastuch: Why 55 Million Americans Need Better Coaches (Not More Treatments)
Choose Hard with Cody McBroom
Cody McBroom
4.8 • 812 Ratings
🗓️ 23 December 2025
⏱️ 83 minutes
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Summary
#89 - Dr. Sean Pastuch: Why 55 Million Americans Need Better Coaches (Not More Treatments)
DESCRIPTION:
In this episode of Choose Hard, I sit down with Dr. Sean Pastuch, founder of Active Life RX, to unpack one of the biggest opportunities—and responsibilities—in the fitness and coaching industry: chronic musculoskeletal pain.
With over 55 million Americans living in chronic pain, Sean explains why this is no longer just a medical issue—but a coaching problem. We dive into how coaches can play a massive role in resolving pain through better communication, movement confidence, and client engagement, rather than overwhelming people with complexity or fear-based narratives.
We also discuss why niching should be about problems—not demographics, how personal development directly impacts coaching success, and why building real community relationships is often the missing link in both business growth and client outcomes.
This conversation is for coaches who want to:
- Help clients move out of pain without overcomplicating the process- Communicate more effectively and build deeper trust- Identify valuable problems that actually matter to people- Grow their business by solving real-world issues- Choose hard by confronting blind spots and committing to personal growth
If you’re a coach, trainer, or practitioner who wants to make a bigger impact—this episode will challenge how you think about pain, coaching, and your role in the industry.
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Transcript
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| 0:00.0 | In today's episode of the Choose Hard podcast, I have Dr. Sean Pastush on with me. And Sean has been a friend of |
| 0:06.5 | mine for nearly eight years now. He has known me for a long time since I was Cody Boom Boom |
| 0:11.2 | McBroom running Boom Boom Performage, which sounds just God awful and hilarious now. But the point is, |
| 0:17.0 | is he's been in my life as a colleague, as a mentor from afar, as a good friend |
| 0:22.9 | that can provide a lot of wisdom, and as another person really creating a lot of impact |
| 0:27.1 | in the industry. |
| 0:28.4 | Sean helps coaches who are striving to help people get out of pain because he was once |
| 0:34.1 | a chiropractic and spent a lot of years in the PT slash chiropractic world, |
| 0:39.2 | as well as the CrossFit world as he built Active Life RX, which was a company that he founded |
| 0:44.4 | in really the pursuit of helping CrossFit athletes get out of pain and perform better while |
| 0:49.2 | recovering optimally to continue performing at their best. |
| 0:52.9 | But Sean has transformed and transcended his levels |
| 0:55.9 | of success over the years tremendously. And it's been so cool to watch. And today to be able to |
| 1:00.7 | extract so much information and wisdom and knowledge out of him for you, the listener, |
| 1:05.5 | to take home with you. So if you're somebody who is in pain or you're somebody who is |
| 1:09.5 | really struggling with identity and |
| 1:12.5 | creating change in their life and being stuck where you're at because you're not willing to |
| 1:17.7 | accept reality and make a breakthrough to create more change or you're a coach you're a |
| 1:23.2 | cairo you're a business owner you're a gym owner you're somebody who needs to understand |
| 1:27.2 | this aspect of change behavior psychology, psychology, in order to be more successful financially. |
| 1:33.4 | This is the guy and this is the podcast. |
| 1:35.9 | Sean shares stories, he shares tactics and strategies, and he shares a lot of wisdom today |
... |
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