If you can move,
you can improve.

Evidence-based coaching for those who won’t compromise on their goals. Whether you’re learning to walk again or preparing for the bodybuilding stage, your personalized program evolves with you—meeting your changing needs and driving reliable, predictable progress.

Who I Help

Chronic Illness and Injury

In my practice, I specialize in working with clients navigating chronic illness, hypermobility, connective tissue disorders, and persistent pain. My method is holistic and integrative—blending manual therapy, progressive strength training, mindset coaching, and supportive nutrition and lifestyle strategies to foster resilience, improve stability, and restore function.

1) Manual Therapy

Manual therapy helps relieve muscle spasms, reduce protective tension patterns, and guide the nervous system toward safety, balance, and release where needed. I use touch and gentle engagement to help clients redirect their attention into the body, reconnect with sensation, and rebuild trust in their physical experience—especially when pain has led to fear or dissociation. This helps lay the groundwork for safer, more confident movement.

2) Movement Repatterning & Strength Training

Rather than chasing PRs, we focus on developing strength and awareness through pain-free, functional ranges of motion, and on learning how to move effectively. This means retraining the nervous system to better recruit key muscles, improving proprioception, and building resilience through every movement pattern. Clients not only gain physical strength—they gain the neuromuscular control and awareness needed to move safely, confidently, and do the things they want to do without hurting themselves.

3) Mindset Coaching to Reframe the Pain Experience

A core part of this work is helping clients stay grounded and present with their experiences, especially when navigating pain. We work together to distinguish physical sensations from emotional reactions, reducing fear-based responses that can cloud progress. Through mindset coaching, clients learn to down-regulate stress, approach movement with curiosity and confidence, and stay engaged with the process of incremental progress and self-awareness—even when challenges arise.

4) Nutrition and Lifestyles

True resilience is built in everyday routines. I provide guidance on recovery-enhancing nutrition, sleep optimization, and stress management—tailored to each client’s biology, capacity, and lifestyle. Where appropriate, I recommend targeted supplements to support tissue repair, nervous system regulation, and hormonal balance, while considering how these supplements might interact with your current medications.

5) Navigating the Medical System

Many clients come to me feeling lost in the healthcare maze. I help them communicate clearly with providers, organize their care plan, and pursue the right tests, referrals, and treatments without wasting time or energy running in circles. I help translate complex medical and fitness information into a coordinated, client-centered approach so clients can advocate for themselves and move forward with clarity and confidence.

Neurological Conditions

I work with clients recovering from strokes, Parkinson’s disease, multiple sclerosis, traumatic brain injury, and other neurological conditions. My approach bridges the gap between traditional rehab and everyday life—focusing on restoring movement, improving balance and coordination, and helping clients reclaim independence and confidence.

1) Neuromuscular Re-education

After neurological injury, the brain and nervous system can re-learn how to move through repetition, feedback, and carefully designed challenges. I use targeted exercises to improve motor control, coordination, and proprioception, along with assisted stretching/manual therapy to reduce spasticity, improve joint mobility, and create an environment where healthy movement patterns can be reestablished more effectively. This combination helps rebuild the neural pathways needed for stable, efficient movement.

2) Strength & Functional Capacity

We progressively build strength and endurance in ways that support daily tasks—standing, walking, transferring, reaching, carrying—while protecting joints and tissues. Manual therapy and stretching are used strategically to improve comfort and range of motion so you can train more effectively and safely. Training is tailored to your current ability and gradually expands what you can do, reducing fatigue and fall risk while increasing resilience and independence.

3) Gait, Balance & Coordination

For many neurological clients, balance and mobility are key goals. We use balance training, gait retraining, and dynamic stability work to make walking, turning, and everyday movement smoother and safer. Each step is built on clear, objective progressions rather than guesswork.

4) Adaptive Strategies, Assistive Devices & Ergonomic Support

Living with a neurological condition often means adapting your environment so you can stay as independent and safe as possible. I help you and your caregivers identify and integrate assistive devices—from mobility aids (walkers, canes) to tools that make transfers, reaching, or self-care easier. We also work on ergonomic setups at home: positioning furniture, optimizing workspaces, and arranging commonly used items to support recovery, reduce fatigue, and let you focus on practicing movement instead of fighting your environment.

5) Mindset & Emotional Resilience

Recovery is not just physical—it’s also mental and emotional. We work on staying engaged with the process, celebrating small wins, and reducing fear or frustration that can stall progress. Caregivers are included where helpful so everyone feels confident and supported.

Post-Injury/Surgery in Athletes

Physical therapy is excellent for getting you functional in daily life—but it often stops short of returning you to (and beyond) your pre-injury performance. That’s where I come in. I help athletes move from acute recovery back to full performance, blending coordinated care, phase-based loading, movement retraining, objective return-to-play criteria, and recovery/lifestyle support so you come back confident, robust, and competition-ready.

1) Coordination & Case Review

I collaborate with your surgeon, physical therapist, or athletic trainer to align on restrictions, timelines, and priorities. When available, I review post-operative notes and protocols, then translate them into a practical training plan with clear weekly goals. This reduces mixed messages, protects the repair, and keeps everyone working toward the same milestones.

2) Progression Model

We progress by criteria, not calendar, following a clear sequence:

  • Restore range of motion as the primary endpoint, while
  • Ensuring stability throughout the expanding range so control grows with motion.
  • Rebuild strength through the full range of motion, with extra emphasis on positions and patterns most vulnerable to (re)injury.
  • Integrate sport-specific movements in a safe, controlled, and progressive manner—gradually exposing tissues to the actual forces and speeds of your sport.

This approach restores capacity quickly without re-aggravation, and sets you up to exceed your former level with greater resilience than before the injury.

3) Objective Return-to-Play Criteria

Return is measured, not guessed. We use objective markers—strength symmetry, range of motion, movement quality, and tolerance to speed, deceleration, and change of direction—to green-light each step. Field or court work ramps from controlled drills to full-speed exposures and live play, with structured minutes or contact limits and clear symptom checks. When the criteria are met, you’re ready—and you know why.

4) Recovery Foundations

Recovery speed hinges on two factors: the resources your body has to rebuild and the extra stress it must fight through. I coach clients to secure the first—adequate energy, protein, hydration, and micronutrients—and reduce the second by protecting consistent, high-quality sleep, using simple stress-regulation practices, and shaping daily activity and ergonomics to avoid needless aggravation. This combination maximizes repair and adaptation while minimizing avoidable load, so progress is faster and more predictable.

5) Supplementation

We use supplements to correct deficiencies and support the body’s ability to heal, adapt, and perform—grounded in fundamentals, individualized to the athlete, and monitored for clear benefit and tolerance. Where your sport’s regulations and your personal risk tolerance allow, we can also consider pharmaceutical or performance-enhancing strategies to increase the speed and magnitude of healing and adaptation beyond what would otherwise be feasible. These decisions are evidence-informed, safety-first, compliant with all applicable rules, and coordinated with medical oversight.

6) Mindset & Accountability

Setbacks happen; uncertainty is normal. We keep you grounded and task-focused: know where you are, know the next step, and execute. I design the plan so you don’t have to second-guess—your job is consistent action. Regular check-ins and data reviews drive small, strategic adjustments so you stay on track and return better than before, not just “cleared.”

Physique and Bodybuilding

From those building muscle and losing fat recreationally to those aiming to earn their pro card, I work with a diverse range of physique and bodybuilding clients. My approach is individualized, evidence-informed, and designed to maximize physique development while protecting joint integrity, supporting recovery, and building sustainable routines that fuel long-term progress.

1) Mindset and Accountability

True transformation isn’t just about your physique—it’s about developing a mindset rooted in pragmatism, discipline, and task-oriented execution. The goal isn’t perfection—it’s recognizing where you are, identifying where you want to go, and committing to the most effective path forward. That path is my job to design—so instead of second-guessing, you can focus on execution and build the mental clarity to stay consistent, even when motivation or confidence wavers.

Accountability isn’t about pressure or punishment—it’s about structure, reflection, and strategic adjustments. Clients have regular check-ins, data reviews, and coaching support to help them course-correct when needed and stay aligned with their goals without losing momentum.

2) Intelligent Training

Training is where most of the results (and problems) start—so we treat it with respect. I help clients find the optimal balance between training intensity and recovery by carefully managing both workload and movement quality. The goal is to effectively stimulate muscle growth while minimizing joint stress, systemic fatigue, and mental burnout.

We find exercises that effectively stimulate the target muscles while also suiting the client’s structure, training experience, and injury history. Rather than forcing exercise form to fit the textbook, I help clients refine the form that fits them—maximizing mechanical tension where it matters and minimizing stress where it doesn’t. In doing so, we not only build strength and size, but also improve flexibility, mobility, and resilience by reinforcing high-quality movement through thoughtful exercise selection and execution.

3) Personalized Nutrition

Whether it’s learning to hit a consistent protein target or dialing in detailed meal plans, we aim to make only the most effective and sustainable modifications necessary—focusing on the lowest-hanging fruit needed to reach your goals without compromising adherence or quality of life.

Regardless of the goal, we ensure that micronutrient needs are met—not just to prevent deficiencies, but to optimize cellular function, recovery, hormone regulation, and performance. Whether we’re working on body composition, training output, or general well-being, the goal is to give the body every raw material it needs to perform at a high level, adapt to stress, and recover efficiently.

4) Lifestyle Optimization

Muscle isn’t built in the gym—it’s built in the hours between sessions. That’s why we work on aligning lifestyle habits to support recovery, mood, and long-term resilience. This includes:

  • Sleep quality and sleep hygiene
  • Stress management tools and routines
  • Ergonomic awareness and daily movement patterns
  • Time management and habit stacking for consistency
  • Light exposure, meal timing, and circadian rhythm support

Rather than simply “training harder,” clients learn to train smarter and recover better—making every rep count and every hour between sessions work for them instead of against them, while also improving overall well-being and quality of life.

5) Supplementation, Natural and Enhanced

Supplements are used intentionally and strategically to correct deficiencies, often using lab work or symptom patterns, to support recovery, energy, and overall resilience. When appropriate, we also incorporate goal-oriented supplements to enhance things like performance, focus, sleep, or stress management. The emphasis is always on building from a solid foundation, then adding targeted support without compromising safety or sustainability.

For enhanced athletes, I provide guidance on how to use performance-enhancing drugs in ways that minimize risk, stay within the client’s personal risk tolerance, and help them achieve their goals. This includes using intelligent, evidence-based polypharmacy strategies to keep doses as low as possible while maximizing effectiveness, as well as implementing supportive compounds and supplements to mitigate the long-term health risks associated with PED use.

6) Posing and Presentation

A great physique only matters if you know how to present it. I coach clients on posing techniques that highlight their strengths, minimize weak points, and enhance their visual impact on stage. We refine each mandatory pose and develop confident, fluid posing routines that showcase symmetry, proportion, and presence—so clients don’t just show their physique, they command attention.

Client Reviews

Who I Am

Aaron Spira — coaching and recovery specialist

About Me

If you saw me walking down the street, you might assume I’m just a gym bro. The truth is I’ve spent over a decade navigating serious chronic illnesses and a long list of injuries. I live with Fibromyalgia (chronic pain), Ehlers–Danlos Syndrome (fragile connective tissue), Postural Orthostatic Tachycardia Syndrome (nervous system dysregulation/fainting), and Mast Cell Activation Syndrome (overactive immune responses).

Those conditions contributed to a cascade of issues over the years: a herniated disc; a full labral tear in my left shoulder; partial labral tears in my right shoulder and left hip; cranio-cervical and SI joint instability; a fully torn ACL in my left knee; carpal tunnel; severe tendinitis in both elbows, knees, and ankles; spondylolisthesis—and more fainting, spasms, and dislocations than I could possibly count.

My Story

I grew up playing multiple sports, but when my illnesses fully manifested, activity started causing significant dislocations and injuries. I was told to avoid heavy lifting and high-impact movement and to accept a poor prognosis. I tried that for years, and everything worsened—I was having dozens of full dislocations a day, relocating them and pushing through constant pain.

Out of stubbornness, I tried powerlifting—and noticed something I hadn’t been told: as I got stronger, my joints dislocated less and my pain decreased. I also made mistakes; I herniated a disc and had to stop training for years. But I’d seen a path: I needed a smarter method that worked for my body when conventional approaches didn’t.

So I dove into the research—every day for years. I studied how advanced bodybuilders stimulate muscle while minimizing joint stress; how physical therapists progress people after injury and surgery; how strength and power athletes train; and the mechanical and biological processes behind connective-tissue and muscle adaptation. I tried, failed, adjusted, and tried again.

Eventually, it clicked. I’ve since addressed every issue above without surgery or invasive procedures. Today, I hike and climb again, live with minimal daily pain, and have even competed in a bodybuilding show. I’ve hit PRs well above “advanced” strength benchmarks in every major lift, with a combined total of over 1,100 lbs across the big three—all while my joints feel more stable than ever.

Why I Do This

For years I was told there was nothing I could do. That led to a lot of hopelessness and far more suffering than was necessary. Over time, I built a methodology that helped me overcome every physical obstacle I faced—and I’ve used that same approach to help clients do the same. Turning that pain into a way to help people restore their function, confidence, and joy is the most meaningful work I can imagine.

If you’re dealing with chronic illness or injury, struggling to return to the activities you love, or aiming to build strength and improve your physique, there is a path forward. I’m here to help you find it—faster and with far less trial-and-error than I had to endure.

BUY THE OUTCOME, NOT THE SERVICE

Invest in Results

You’re not here for another program; you’re here for solved problems, faster progress, and fewer setbacks. The right coaching turns effort into outcomes and prevents the detours that cost you time, pain, and energy.

Mobile Personal Training

One-on-one coaching at your home or gym—ideal for busy schedules, chronic conditions, or those needing extra guidance. Each session combines tailored training with real-time form correction, and where applicable, assisted stretching and manual therapy. Available in San Diego County.

$100

per session

+

Real-time form adjustments

+

Assisted stretching & manual therapy

+

Access to all group classes

+

Flexible scheduling

Live Online Training

Real-time coaching from anywhere in the world. I guide your workouts live, help refine your form, and support you in key areas like nutrition and lifestyle. Perfect if you want personalized feedback in real time without needing me on-site.

$80

per session

+

Live 1-on-1 training via video call

+

Form correction and instant feedback

+

Guidance on nutrition, recovery, and lifestyle

+

Accountability to keep progress on track

Online Personal Training

A fully comprehensive program tailored to your goals. Includes weekly check-ins, daily tracking, individualized training plans with exact weekly targets, in-depth nutrition guidance, supplementation strategies, and exercise form reviews via video. Everything you need to make progress without the guesswork.

$300

per month

+

Weekly check-ins & daily progress tracking

+

Fully individualized training plans

+

Nutrition planning & supplementation guidance

+

Video-based form reviews for correction

+

Ongoing adjustments to keep you progressing


I stand by the quality of my coaching.

If you’re not satisfied with your last personal training session or month of online coaching, you’ll get a full refund.

100% Satisfaction Guarantee. Simple as that.

Ready to reach your goals?

Every day you wait is another day without progress. Get started with Aaron Spira Coaching today.