Podcast Episode

175. How Exercise Relieves Pain: 4 Pathways Every PT Should Know

PT Snacks Podcast: Physical Therapy with Dr. Kasey Hankins·Kasey Hankins, PT, DPT, OCS·14 April 2026·12 min

About this episode

Send us Fan Mail This episode explains how exercise can act as pain relief, addressing common patient concerns about exercise hurting and offering an alternative or complement to medications and passive treatments. We outline four key pain-modulating mechanisms: central modulation at the brain and spinal cord, immune and inflammatory changes, peripheral tissue and nerve effects, and psychological/behavioral pathways.  00:00 Welcome to PT Snacks 00:57 Does Exercise Hurt? 03:08 Four Pain Relief Pathways 03:44 Brain and Spinal Cord 05:28 Immune Inflammation Shift 06:10 Peripheral Tissue Effects 06:50 Psychology and Behavior 07:24 Choosing the Right Dose 09:44 Educate Without Jargon 10:48 Wrap Up and Connect Need CEUs? Unlock unlimited online courses, live webinars, and certification-prep programs with MedBridge. You’ll get thousands of accredited, evidence-based courses. Use code PTSNACKSPODCAST at checkout to save over $100. Student? Use code PTSNACKSPODCASTSTUDENT Support the show Studying for the NPTE? Check out PT Final Exam — they’ve helped thousands of students pass with confidence. Use code PTSnacks at checkout for a discount. Stay Connected! Follow so you never miss an episode. Send your questions via email to ptsnackspodcast@gmail.com Join the email list HERE Support the Show: Share the episode with someone who'd benefit. Contributing directly to the "support" link. Thanks for tuning in—your support makes this all possible!