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THE NEW STUDENT Enrollment Timeline

From the onset our treatment process is deliberately structured around timing. The assessment, follow-ups, and coaching cadence happen on a schedule for a reason: it protects momentum, reduces flare cycles, and improves outcomes. If a student can’t follow the timeline, results are compromised—so scheduling readiness matters.

Limited Enrollment

Precision care, delivered on schedule.

Because enrollment is limited—and each student requires substantial time and attention—new students are carefully screened for fit and scheduling readiness.

 

A high level of self-motivation and follow-through is required. Persistent and complex cases, including individuals who have worked with multiple clinicians without durable results, are often best served here.

 

Once accepted, Brent Morehouse commits fully to your progress and execution through the timeline.

At Pain to Performance, the work begins before the assessment. Coach Brent Morehouse uses a structured enrollment timeline to ensure each new student arrives prepared, is assessed with precision, and leaves with a clear plan that can be executed immediately.

 

This process is built for people who want results, and can follow a schedule. Mechanical low back pain is often driven by repeatable triggers and loading patterns. The goal of the assessment and early coaching is to identify the pattern, remove the provocation, reinforce symptom-reducing movement strategies, and build durable capacity without flare cycles.

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ENROLLMENT TIMELINE 

Step 1 

Initial Phone Consultation (~20 minute Screening Call )

Consultation calls are scheduled Mondays only, between 12:00–3:00 PM (Eastern). This call is a screening conversation to review your back pain history, current symptoms, and scheduling readiness.

 

If it’s a match, you will be scheduled for both:

 

  • A) The In-Person Mechanical Low Back Pain Assessment (3+ hours)

  • B) The In-Person Reinforcement Session (90 minutes, exactly one week later)

 

Immediately after the call, you will receive your prep packet (intake forms + instructions) by email.

Step 2

Assessment Preparation (typically 2 weeks) 

Preparation is part of the process—not an optional extra. The goal is to ensure the in-person assessment is efficient, high-quality, and actionable from Day 1.

 

Before your assessment, you must:

 

  • Read Back Mechanic (Stuart McGill): Parts 1 and 2 (purchase link provided via Brent’s Amazon store)

  • Complete all intake forms thoroughly—details drive accuracy

  • Gather imaging (if applicable): bring a CD-ROM with DICOM files (not JPEG screenshots) and the radiology report if available

  • Bring imaging in person on assessment day

 

Incomplete prep slows momentum and compromises outcomes.

Step 3

In-Person Mechanical Low Back Pain Assessment 

A 3+ hour process that starts with a deep-dive interview and medical history review, followed by a precise physical assessment to identify the exact movements, postures, and loading strategies that trigger your symptoms.

 

The goal is to identify your “pattern”—the repeatable combination of positions, movement choices, and daily exposures that reliably provoke pain—and then establish the most dependable starting point that reduces symptoms so progress begins immediately.

 

You will leave the assessment with an initial plan, including:

 

  • Positions of respite (symptom-reducing positions)

  • Immediate movement modifications (spine-sparing strategies for daily life)

  • Early corrective work (as appropriate)

  • Walking and tolerance guidelines​

 

Post-assessment report + individualized plan is delivered once analysis and program design are complete—typically within 2–5 business days, depending on assessment day and case complexity.

Step 4

Post-Assessment Debrief Call

A short 30-min call to confirm understanding, answer early questions, and ensure both coach and student are aligned before the in-person reinforcement session. This prevents confusion, improves execution, and keeps momentum intact.​

Step 5

Post Assessment Follow-up (Reinforcement Session)

This is where execution gets locked in. Technique is refined, daily movement strategies are reinforced, and imaging is integrated when relevant.

 

What happens in this session:

 

  • Program walkthrough + priorities

  • Technique refinement (Big 3, corrective work, walking)

  • Movement strategy reinforcement (bending, transitions, loading)

  • MRI/CT review (DICOM) + interpretation in context of your mechanical presentation (optional jump link to “How imaging fits”)

  • Student education using Dynamic Disc Designs biofidelic spine models

  • Video capture of key drills and strategies for at-home precision

 

This session separates “knowing what to do” from doing it correctly under real-life constraints.​

Step 6

Coaching Phase (8 weeks)

This is where the plan becomes durable. Coaching is a feedback loop built around your real-world tolerance—not isolated appointments.

 

Included:

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  • Weekly log submission (one consistent day per week, set in advance)

  • Detailed written feedback and program adjustments based on your logs

  • Virtual coaching calls every other week (technique review, troubleshooting, progression decisions)

  • Support and communication Monday–Friday as questions arise

Step 7

Performance Transition (Optional | Location-dependent)

Once pain-free days are consistent, triggers are controlled, and tolerance is dependable, students may transition into strength and conditioning progressions (in-person at The Strength Yard, when feasible). This phase is optional and depends on goals, location, and readiness.

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