The Boom Boom Performance Podcast

#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