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Sam Lived in Constant Pain for Nine Years After a Military Injury. He Chose to Amputate His Leg, Woke Up Pain-Free, and Turned It Into a Coaching Mission.

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For Coaches

Published on: 

October 23, 2026

By: The Active Life Team

Sam, Active Life Professional, sharing his story

Sam was willing to cut off his own leg for a chance at freedom. He got it — and then he built a career helping other people find theirs.

Sam is an Active Life Professional in St. Louis, Missouri. Nine years before he coached his first client, he was injured in the military and developed complex regional pain syndrome — a condition where, as he puts it, the wiring gets crossed and the body never stops sending pain signals. His never let up. Here's how he got out, and why it became his life's work.

Nine years of a pain that only got worse.

The injury came in 2011. The pain that followed didn't behave like an injury that heals — it escalated. Year after year the signals increased, his function dropped, and the list of things he couldn't do kept growing.

By his late twenties he was using a forearm crutch to get around, with a real chance of ending up in a wheelchair. He weighed an option most people never have to consider.

Betting the leg.

Elective amputation carried its own risk: if the prosthetic didn't take, the wheelchair was still waiting. But he had already run the numbers on the life he was living.

"The cost of doing nothing was about the same as the amputation not working, except I wouldn't have to live with this feeling that I had one more punch to throw and I didn't throw it."

So he threw it. He woke up from surgery with his first moment out of pain in nine years, and no nerve pain since.

"I've never bet on myself in a better way."

From his own pain to other people's.

Getting out of pain gave him clarity, and a reason to understand what he'd survived. Long before he'd heard of Active Life, he'd lived the thing it talks about constantly — that pain isn't only physical, it's a psychology that shapes how you show up for your whole life. He started sharing his story to help other people in their worst moments.

Sean Pastuch saw one of those posts on Instagram and reached out: you're exactly the kind of person we'd want in this. Sam already respected what Active Life was doing to professionalize coaching, and the invitation was a no-brainer — the next level of what he already wanted to do.

Out of survival mode.

The clearest professional change was the end of desperation. He makes more now and lives more comfortably, but the bigger shift is that he no longer coaches from scarcity.

"When you're desperate to find more, you start trying to do whatever will get them to say yes. When you're charging what you're worth, instead of being desperate for them to say yes, you're like: if you're the right person, you're going to say yes."

That one change lightens everything else.

Saying yes.

Since the amputation, Sam has been working through the things he was once afraid to do. He took the first real vacation of his life and found out vacations are pretty great. He got into endurance sports, which his body could never tolerate before. He became the first amputee in Missouri licensed to compete, and has taken two fights. He climbed a mountain in Ecuador. He learned to skateboard, for no reason other than he'd always wanted to.

"The memory of so-and-so's bachelor party used to be 'Sam couldn't do X.' Now people are more concerned about it than I am, and I'm like: no, I got this."

Building freedom.

Next he wants to build more of his coaching remotely. The logic is the same one that put him on the operating table.

"I have worked so hard that I was willing to cut my leg off for some freedom in life."

A business he can run from anywhere, alongside a partner who loves to travel, sounds like a good way to do life. That's Sam's experience — one coach who understood pain from the inside and built a career out of helping other people through it.

You don't have to live through what Sam did to help the people who are. You just need the skills to work in the gap between healthcare and fitness.

Start inside the assessment system. The L1 Biomechanics & Assessment Workshop is two days, live online, $19 (it was $1,500 in-person).

GRAB A SPOT — $19

FAQ

A: No. What Sam brought was a deep understanding of what living with pain does to a person. Active Life teaches the assessment skills, frameworks, and business systems to help clients in pain whatever your background.

A: Sam isn't a clinician either. Active Life trains coaches to work in the gap between healthcare and fitness, with people who've been told to just live with it.

A: Yes. Sam is building his coaching remotely for exactly the freedom he wanted; the systems work in person or online.

A: For Sam it was getting out of survival mode — charging his worth and no longer being desperate for every client to say yes.

A: The $19 L1 Biomechanics & Assessment Workshop. It's four hours, live and online, and the lowest-risk way to find out if this is the work you want to be doing.

This is Sam's story in his own words — an Active Life Professional in St. Louis, Missouri. Video above.

📖 Every coach should read this one.

Live More. Hurt Less. by Dr. Sean Pastuch is the thinking behind the method — how pain actually works, and why the members who've "tried everything" are still stuck. Read it to sharpen how you coach, then put it in your clients' hands.

ORDER the book

Active Life Professional | Turn Pro.