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whats up everybody welcome back to pain points where dr miles nicholas and i are talking about the hottest trends in fitness and rehab today were going to talk about using tolerance as a guide for prescribing exercise intensity in people that have pain versus exertion but before we start talking about training to tolerance lets talk about using rpe or rating of perceived exertion rpe is used traditionally in the performance realm by personal trainers and strength coaches to help increase performance-based goals but we like to use it also to guide loading decisions in the rehab process as well and if we go by the concept that you mentioned in a prior video of starting starting low and going slow a good general guideline is that you can reintegrate exercise at the rpe three to four out of ten range so this is something we teach in our online courses if you go through it this is something we teach in our live courses but recently ive been thinking and weve had a couple questions com