Published on:
5/11/2025

How Isabella, 34-Year-Old Hygienist, Overcame Pain & Fear

Isabella feared squats for years due to chronic knee pain. Through structured strength training and coaching adjustments, she became pain-free and confident.
Kasper Vinther Personal Trainer and Physiotherapist at Nordic Performance Training Copenhagen.

Written by Kasper Vinther - Personal Trainer and Physiotherapist

Every transformation here is real — written by the client’s own coach.

These stories show how structured, consistent strength training works across different goals, ages, and starting points.

How Isabella, a 33-Year-Old Dental Hygienist, Went From Fearing Squats to Looking Forward to Them

Isabella was recommended to us nine months before she finally booked her start-up consultation. Not because she doubted the quality — she had seen the gym, felt the atmosphere, and experienced the professionalism. But after years of visiting physiotherapists for her chronic knee pain, she had been disappointed too many times by approaches that promised results but didn’t deliver.

"I had tried so many things that were supposed to fix my knee," Isabella explained. "Every solution sounded convincing. Every single one failed. I wasn’t sure anything would actually work."

What made her finally reach out was honesty. We don’t promise to “fix” anyone — we help people get stronger systematically and let their body adapt. Sometimes the pain disappears completely. Sometimes it’s reduced. And sometimes, people just get strong enough that the pain stops taking up space in their lives.

After nine months of structured training with regular coaching adjustments, Isabella is now completely pain-free, has a 97% attendance rate, and actually looks forward to squats — an exercise she used to fear.

Here’s how a 33-year-old dental hygienist discovered that overcoming chronic pain wasn’t about repairing what was “broken,” but about patiently rebuilding confidence in movement — one training session at a time.

Years of Pain — Years of Fear

Isabella had lived with constant knee pain for years. Not from a dramatic injury, but from persistent discomfort that made certain movements unpleasant and created anxiety about making it worse.

"I had been to many physiotherapists," she said. "Each had their own theory about what was wrong, but the pain never really went away — and I became afraid to load my knee."

The fear centered around squatting. Every time Isabella tried to squat, it hurt. So she did what felt sensible — she avoided squats altogether.

"I was afraid of squats," she admitted. "I had tried everything — different variations, techniques, professional advice. Nothing worked, and eventually I just stopped altogether."

It’s a classic pattern: when movement becomes associated with pain, the nervous system learns that movement is dangerous. The fear becomes just as limiting as the pain itself.

Finding What Doesn’t Hurt

When Isabella started training with us, the goal wasn’t to “fix” her knee, but to find exercises she could perform completely pain-free.
It’s about breaking the connection between training and discomfort. When the body learns that movement feels good, the nervous system starts to relax.

"I was never pushed to do anything that hurt," Isabella recalled. "We tried different movements and angles. The focus was on what felt good — never on forcing anything."

She was met with questions like:
– How does this feel?
– What about this angle?
– Can you do this without discomfort?

"It was such a relief," Isabella said. "For the first time in years, no one told me what was wrong. They found out what my knee could actually do."

The Power of Small Adjustments

During the first few months, I made small, continuous adjustments — not dramatic changes, but subtle tweaks that gradually expanded what Isabella could do pain-free.

Sometimes we changed the exercise: “Let’s try split squats instead of hack squats.”
Other times it was technique: “Shift your weight a little farther back.”
Or load: “Let’s take 20% off and adjust the tempo.”
And always with reassurance: “Your knee is getting stronger. This is progress.”

"The adjustments were small," Isabella said, "but each one made a difference. And every improvement gave me more confidence."

These “aha moments” are crucial. When a client suddenly experiences something feeling better, training stops being a chore and becomes a positive experience.

"I always left training feeling better than when I came," Isabella said. "I proved to myself that my knee wasn’t fragile."

From Fear to Excitement

The biggest change happened with squats — the movement she had avoided for years.

I didn’t rush the process. We began with pain-free movements: glute bridges, leg extensions — exercises that made her feel capable and safe. As her strength increased, I gradually introduced squat variations. First light, then deeper, then progressively heavier.

"The progression felt natural, never forced," Isabella said. "Every step made sense, and every success made me trust my knee more."

After three months, she could perform split squats without pain — a movement she had once feared.
"And now," she smiled, "I actually look forward to squats. That shift from fear to excitement changed my whole relationship with training."

"I’ve seen many physiotherapists over the years, but after a long period of knee pain I decided to contact Nordic. During my training my knee pain disappeared, and through adjustments and improvements I can now squat pain-free — an exercise I used to be afraid of, but now look forward to!" — Isabella

Building Trust Through Calm Expertise

Isabella highlighted the calm, professional approach as the foundation of her progress.

"Kasper explained the exercises clearly, never rushed, and never made me feel like I should be able to do more than I could," she said. "That calm confidence made me trust the process, even when my knee still hurt a little."

Explaining movements professionally builds trust. Adjusting technique so exercises feel better creates safety. And when every session includes a small breakthrough, motivation grows naturally.

"I wasn’t just working toward a distant goal," Isabella said. "Every session had value — a movement that felt better, a tweak that clicked, reassurance when I needed it. It made me look forward to coming back."

The Pain Circle Metaphor

Early in the process, I introduced what we call the Pain Circle metaphor.

"Imagine your pain as a small circle," I said. "That’s the discomfort itself. Around it is a larger circle representing everything you can do — your capacity, strength, and confidence."

When Isabella began, the pain circle filled everything because her capacity circle was so small. But as we built her strength, that outer circle grew.

"The pain didn’t disappear overnight," Isabella said, "but it took up less space because I had built so much capacity around it. My nervous system calmed down because I proved to myself that I could move without fear."

After nine months, she was completely pain-free.

Isabella’s Transformation

After 9 months of 3x weekly training with regular coaching adjustments:

Pain Elimination:

  • Pain-free
  • No limitations in training or daily life
  • Can squat pain-free for the first time in years

Strength Progress:

  • Split Squat: 15 kg → 40 kg (+167%)
  • Incline Dumbbell Shoulder Press: 12.5 kg → 17.5 kg (+40%)
  • Glute Bridge: 75 kg → 125 kg (+67%)
  • Visible muscle development

Psychological Transformation:

  • From fear to enjoyment
  • From limitation-focused to capability-focused
  • From uncertainty to confidence

Consistency:

  • 97% attendance over 9 months
  • Training as a fixed weekly routine
  • Leaving each session feeling better than when she arrived

Identity Shift:

  • From “My knee can’t handle squats” to “I’m strong and capable”
  • From avoidance to enthusiasm
  • From fragile to robust
Kasper Vinther
By Kasper
Personal Trainer, Licensed Physiotherapist & Co-Founder of Nordic Performance Training
Isabella’s progress shows why the coaching process matters just as much as the training program itself. When she started, she had chronic knee pain and feared squat movements. Several physiotherapists had offered theories, but the pain persisted.
My approach was different. I didn’t diagnose — I found pain-free movements and built from there through small, controlled adjustments:
Exercise selection: only what felt good
Technical tweaks: small changes with immediate effect
Load: the right dose — challenging but safe
Calm communication: professional explanations that build trust
Immediate value: every session should feel meaningful
Throughout the process, Isabella gradually separated pain from movement. Squats went from feared to anticipated. Her nervous system learned that movement is safe.
Her 97% attendance rate shows what happens when training feels good and delivers value in the moment.
Isabella’s knee wasn’t “fixed” through treatment — it became stronger through systematic training and a gradual rebuilding of trust in movement and physical activity.

Ready to Turn Fear Into Confidence?

Isabella spent years fearing squats because of pain.
Nine months later, she’s pain-free — and looks forward to them.

If you’ve avoided certain exercises out of fear of pain, or if you’re tired of approaches that promise results but don’t deliver, try something different: honest coaching with patient adjustments.

Book your free start-up conversation at our private gym in Copenhagen and experience how structured strength training can transform your relationship with movement.

Because we don’t promise to cure your pain — we help you become systematically stronger while your body adapts.

Kasper Vinther Personal Trainer and Physiotherapist at Nordic Performance Training Copenhagen.

Hi, I’m Kasper

Personal Trainer, authorized Physiotherapist & Co-Founder of Nordic Performance Training

I’ve worked as a personal trainer for over 12 years and as a physiotherapist for over 10 years — and co-founded Nordic Performance Training with Lucas 8 years ago to give clients a professional and structured way to train. Since then, I’ve helped hundreds of people build strength, stay consistent, and feel better through evidence-based methods that actually work. 

Along the way, I’ve completed advanced certifications, mentored under leading experts, and I’ve taught many trainers and physiotherapists internationally.

On this page, I share real client stories — so you can see what structured, consistent training looks like in practice.

All client stories feature real people and real results.
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