Physical therapist and Perfect Stride founder Vikash Sharma joins us to unpack how a one-on-one, education-first model can take people from pain to performance. We trace his origin story in NYC, why “perfect” is a moving target, and how clinical reasoning plus honest communication outperforms cookie-cutter protocols. Vikash breaks down bridging rehab and sport, VO₂ max as a practical longevity tool, when recovery trends help or hurt, and why most injuries come from doing more than your tissues are prepared to handle. We talk about tech he loves, coaching runners through busy life seasons, and the identity side of long-term pain. He also shares how to build trust, mentor clinicians, and bring community education outside the clinic. A valuable listen for PTs, coaches, runners, and anyone who wants to move well for life.