The Pain and Performance Podcast

In this episode of the Pain and Performance Podcast, Dr. Derrick Hines breaks down the science behind hyperbaric oxygen therapy (HBOT) and why it's becoming one of the most talked-about tools in healing, recovery, brain health, and longevity.He explains how hyperbaric oxygen therapy works, the difference between mild and higher-pressure chambers, and how oxygen and pressure impact mitochondria, stem cells, inflammation, circulation, and tissue repair.Dr. Hines also discusses the growing research around HBOT for brain health, recovery, chronic inflammation, and healthy aging while clearing up common misconceptions around dosing, pressure, and treatment protocols.In This Episode-- What hyperbaric oxygen therapy (HBOT) actually does-- How oxygen and pressure impact healing and recovery-- The connection between HBOT, mitochondria, and stem cells-- Differences between mild and higher-pressure hyperbaric therapy-- Why HBOT is gaining attention for brain health and longevity-- Common misconceptions about hyperbaric oxygen therapy#HyperbaricOxygenTherapy#HBOT#Longevity#Recovery#BrainHealth

In this episode of the Pain and Performance Podcast, Dr. Derrick Hines breaks down why magnesium may be one of the most important and overlooked nutrients for energy, recovery, sleep, brain function, and overall health.He explains the growing problem of magnesium deficiency, why modern lifestyles increase magnesium depletion, and how low levels can contribute to fatigue, muscle cramps, anxiety, poor sleep, brain fog, and nervous system dysfunction.Dr. Hines also breaks down the differences between common forms of magnesium including glycinate, malate, and threonate and how each one supports different systems in the body.In This Episode-- Why magnesium deficiency is so common-- Common signs and symptoms of low magnesium-- How stress and processed foods impact magnesium levels-- The differences between magnesium glycinate, malate, and threonate-- Which forms may support sleep, recovery, energy, and brain health#Magnesium#SleepHealth#BrainFog#Recovery#HealthOptimization

In this episode of the Pain and Performance Podcast, Dr. Derrick Hines breaks down why VO2 max may be one of the most important predictors of long-term health, resilience, and longevity.He explains what VO2 max actually measures, why it matters far beyond athletics, and how improving your body's ability to use oxygen impacts energy, inflammation, cardiovascular health, and overall performance.Dr. Hines also walks through practical VO2 max training methods including the popular Norwegian 4x4 protocol and short high-intensity intervals designed to improve endurance, resilience, and long-term health.In This Episode-- What VO2 max is and why it matters-- The connection between oxygen use and longevity-- Why VO2 max is linked to overall health and resilience-- How the Norwegian 4x4 protocol works-- Simple ways to improve VO2 max safely and effectivelyInstagram:https://www.instagram.com/derrickbhines/Youtube:https://www.youtube.com/@DrDerrick

In this episode of Tea with Dr. D, Dr. Derrick Hines answers listener questions on healing, inflammation, longevity, peptides, recovery, metabolic health, and performance. From AFib and sleep apnea to allulose, fasting, mitochondrial health, and muscle recovery technologies, this episode breaks down practical strategies for improving health, resilience, and long-term function.In This Episode- The connection between sleep apnea, inflammation, and AFib- Why allulose is gaining attention for blood sugar and cravings- How fasting impacts inflammation and recovery- The role of mitochondrial health in longevity and performance- What peptides actually do and how they support healing- Why mindset and health foundations impact recovery speed

In this episode of the Pain and Performance Podcast, Dr. Derrick Hines sits down with Rob Hannapole to break down the science behind photobiomodulation, regenerative laser therapy, and how light-based treatments are changing the future of healing.They discuss the differences between red light therapy, LED panels, and high-powered medical lasers, along with how laser therapy impacts mitochondria, inflammation, tissue repair, circulation, and recovery.The conversation also explores non-surgical approaches to chronic pain, disc injuries, brain health, longevity, and why energy-based medicine may become a major shift in healthcare.In This Episode-- The difference between red light therapy and medical laser therapy-- How laser therapy supports healing and cellular energy-- Why mitochondria are critical for recovery and longevity-- Using laser therapy for chronic pain and disc injuries-- The future of bioelectric and energy-based medicine-- Why regenerative therapies are changing healthcareLinks: DERRICKInstagram:https://www.instagram.com/derrickbhines/Youtube:https://www.youtube.com/@DrDerrickROBhttps://reliefnowlaser.com/

In this episode, Dr. Derrick Hines breaks down a rare sugar called allulose and why it's gaining attention for its impact on blood sugar, cravings, and weight management.Unlike regular sugar, allulose is metabolized differently and may help reduce glucose spikes while supporting better appetite control.He also explains how it works on a similar pathway as GLP-1 medications like Ozempic, and why it could be a useful tool for improving metabolic health.In This Episode- What allulose is and how it differs from regular sugar- How it affects blood glucose and insulin response- Its connection to GLP-1 pathways and appetite control- Why it may help reduce cravingsInstagram:https://www.instagram.com/derrickbhines/Youtube:https://www.youtube.com/@DrDerrick

In this episode, Dr. Derrick Hines explains why most people struggle to improve their health.It's not a lack of effort it's trying to do too much at once.Instead of overwhelming yourself with multiple changes, he introduces the concept of health momentum starting with one small, consistent action that leads to bigger results over time.In This Episode- Why doing too much leads to inconsistency- What health momentum is- How small habits create real change- Why consistency beats intensityInstagram:https://www.instagram.com/derrickbhines/Youtube:https://www.youtube.com/@DrDerrick

In this episode of the Pain and Performance Podcast, Dr. Derrick Hines breaks down a common misconception:If a treatment isn't working, it doesn't mean it's ineffective. It means you're targeting the wrong system.Instead of viewing physical therapy as just exercises and stretches, Dr. Hines explains how true physical health depends on multiple interconnected systems including the nervous system, immune system, and mental-emotional health.If you're not improving, the real issue may not be what you're doing but what you're missing.In This Episode- Why “this doesn't work” is often the wrong conclusion- The real definition of physical health- How different body systems impact recovery- Why symptoms persist even with treatment- The importance of identifying the root causeInstagram:https://www.instagram.com/derrickbhines/Youtube:https://www.youtube.com/@DrDerrick

In this episode of the Pain and Performance Podcast, Dr. Derrick Hines breaks down key factors that contribute to injury risk and athletic performance across all levels, from youth athletes to professionals. Drawing from recent clinical experience, he explains how limitations in hip mobility, poor foot stability, and weak tendons can lead to preventable injuries like ACL tears. He also shares simple, practical strategies coaches and parents can implement to improve movement quality, build resilience, and keep athletes performing at a higher level for longer.In This Episode- How limited hip mobility increases injury risk, especially for the knees and ACL- Why foot strength and stability are critical for athletic performance- The role of tendon strength in preventing injuries and improving resilience- Practical training tools like footboards and strength shoes- Simple strategies coaches and parents can use to protect young athletesInstagram:https://www.instagram.com/derrickbhines/Youtube:https://www.youtube.com/@DrDerrick

In this episode of the Pain and Performance Podcast, Dr. Derrick Hines breaks down one of the most common questions in health: where do I actually start?Using a simple six-question framework, Dr. Hines explains how to identify whether you need to focus on foundational habits like sleep, movement, and nutrition, or move into more advanced, targeted health strategies. This episode provides a clear roadmap to help you stop guessing and start building real, sustainable progress in your health.In This Episode- The six key questions that reveal where your health is breaking down- How to determine if you need to focus on foundations or functional health- The core pillars of health including sleep, movement, nutrition, hydration, and stress- Why most people try to skip the basics and slow down their progress- How to identify your starting point and take immediate actionTikTok:https://www.tiktok.com/@drderrickInstagram:https://www.instagram.com/derrickbhines/Youtube:https://www.youtube.com/@DrDerrick

In this episode of the Pain and Performance Podcast, Dr. Derrick Hines takes a deep dive into glutathione, often called the body's master antioxidant, and explains why it plays a critical role in nearly every aspect of health.From detoxification and immune function to brain health, inflammation, and aging, Dr. Hines breaks down how glutathione works, why so many people are depleted, and what happens when levels are too low. He also shares practical strategies to naturally boost glutathione, reduce oxidative stress, and improve overall energy, recovery, and resilience.In This Episode- What glutathione is and why it's called the master antioxidant- How oxidative stress and free radicals impact your health- The connection between low glutathione and chronic disease and inflammation- Common signs of depletion including fatigue, brain fog, and slow healing- Practical ways to increase glutathione through nutrition, supplements, and lifestyleTikTok:https://www.tiktok.com/@drderrickInstagram:https://www.instagram.com/derrickbhines/Youtube:https://www.youtube.com/@DrDerrick

In this episode of the Pain and Performance Podcast, Dr. Derrick Hines answers real-time health questions covering pain, recovery, metabolism, and overall performance.From identifying nerve vs muscle pain to optimizing cortisol, fasting strategies, and brain health, this episode is a rapid-fire breakdown of practical tools and insights you can apply immediately. Dr. Hines also shares specific treatment options, supplements, and frameworks he uses in clinic to help patients improve healing and long-term health.In This Episode- How to tell the difference between nerve pain and muscle pain- Why movement makes muscle pain better but nerve pain worse- Treatment options for nerve-related pain, including PEA and GHK-Cu- The role of glutathione in brain health and neurodegenerative diseases- How often to use fasting mimicking diets based on your health status- Why MRIs can miss injuries like labral tears- How to reset your cortisol rhythm for better energy and sleep- The impact of light exposure, movement, and meal timing on hormonesTikTok:https://www.tiktok.com/@drderrickInstagram:https://www.instagram.com/derrickbhines/Youtube:https://www.youtube.com/@DrDerrick

In this episode of the Pain and Performance Podcast, Dr. Derrick Hines breaks down a powerful concept that most people misunderstand about aging: it is not a slow, steady process.Instead, aging happens in bursts. There are specific periods in life where the body accelerates aging, followed by slower phases. Dr. Hines explains how understanding these windows, especially in your mid-40s and mid-60s, allows you to take control and dramatically influence how you feel, function, and perform for decades to come.This episode focuses on how to strategically approach these phases by dialing in muscle, metabolism, recovery, and overall health so you can slow biological aging and maintain long-term freedom and performance.In This Episode- Why aging does not happen linearly and what “aging in bursts” actually means- The two critical windows (mid-40s and mid-60s) that most impact long-term health- How a few years of focused effort can improve the next 10–20 years of your life- Why building muscle is one of the most important factors in slowing aging- How metabolism and blood sugar control directly influence aging and disease risk- The role of nutrition, fasting, and supplementation during high-impact periods- Why sleep, stress management, and recovery become non-negotiable in these phasesTikTok:https://www.tiktok.com/@drderrickInstagram:https://www.instagram.com/derrickbhines/Youtube:https://www.youtube.com/@DrDerrick

Statins are one of the most commonly prescribed medications for managing high cholesterol, but many people experience muscle pain, fatigue, and weakness while taking them. In this episode of the Pain and Performance Podcast, Dr. Derrick Hines explains the science behind statin-associated muscle symptoms (SAMS) and why these issues occur in some patients. He breaks down how statins can affect CoQ10 levels and mitochondrial energy production, leading to muscle dysfunction. The episode also explores evidence-based lifestyle strategies, metabolic interventions, and supplement options that may help support cardiovascular health for those who struggle to tolerate statins.In This Episode- What statin-associated muscle symptoms (SAMS) are and why they occur- How statins can affect CoQ10, mitochondrial energy production, and muscle function- Important tests that give a clearer picture of cardiovascular risk beyond a standard lipid panel- Lifestyle strategies including nutrition, fasting protocols, and exercise to improve metabolic health- Supplements and therapies that may support cholesterol balance and vascular healthTikTok:https://www.tiktok.com/@drderrickInstagram:https://www.instagram.com/derrickbhines/Youtube:https://www.youtube.com/@DrDerrick

In this episode of the Pain and Performance Podcast, Dr. Derrick Hines sits down with nutrition coach Ben Brown to discuss the real drivers of sustainable health, fat loss, and long term lifestyle change. Ben shares how his own struggle with severe gut issues led him into the world of functional nutrition and behavior-based coaching. The conversation explores why most people fail with diets, the psychology behind lasting behavior change, and how simple systems around nutrition, movement, sleep, and accountability can create meaningful progress. Together they break down practical frameworks that help people build healthier habits without extreme restriction.In This Episode- Ben Brown's personal journey from chronic gut issues to becoming a nutrition coach- Why most diets fail and the dangers of an overly restrictive mindset- How structure, planning, and accountability drive real behavior change- The nutrition pyramid: calories, food quality, protein, nutrient timing, and supplementation- Why exercise alone is not a reliable fat loss strategy and how to approach training more effectivelyLinks: DERRICKTikTok:https://www.tiktok.com/@drderrickInstagram:https://www.instagram.com/derrickbhines/Youtube:https://www.youtube.com/@DrDerrickBen Brown:Website: https://bodysystems.com/ IG: https://www.instagram.com/bodysystemscoaching/

Big goals are important, but they can often feel overwhelming. In this episode of the Pain and Performance Podcast, Dr. Derrick Hines explains why progress often comes from thinking smaller rather than bigger. By focusing on small, consistent actions, people can build momentum and create meaningful change over time. Using the story of British cycling coach Dave Brailsford and his strategy of “aggregation of marginal gains,” Dr. Hines shows how tiny improvements can compound into extraordinary results in health, performance, and personal growth.In This Episode- Why big goals can sometimes create paralysis instead of progress- The concept of “aggregation of marginal gains” and how small improvements compound- How the British cycling team transformed from struggling to world dominant- Why focusing on the next small action can build momentum and discipline- Practical ways to apply small daily improvements to health, habits, and performanceTikTok:https://www.tiktok.com/@drderrickInstagram:https://www.instagram.com/derrickbhines/Youtube:https://www.youtube.com/@DrDerrick

Collagen has become one of the most popular supplements in the world, but there is still confusion about what it actually does. In this episode of the Pain and Performance Podcast, Dr. Derrick Hines breaks down the latest research on collagen supplementation, including a major 2026 analysis reviewing 113 randomized controlled trials. He explains where collagen shows clear benefits, where the evidence is weaker, and how to use it properly for joint health, muscle recovery, and tissue repair. Dr. Hines also highlights common mistakes people make when taking collagen and how combining it with the right nutrients and movement can dramatically improve results.In This Episode- What collagen is and why it is the most abundant structural protein in the human body- The latest research showing collagen's benefits for osteoarthritis, joint pain, and mobility- How collagen supports muscle strength, tendon health, and connective tissue recovery- Why vitamin C is essential for collagen synthesis and why many people take collagen incorrectly- How combining collagen with hyaluronic acid and proper movement can improve joint health and tissue repairTikTok:https://www.tiktok.com/@drderrickInstagram:https://www.instagram.com/derrickbhines/Youtube:https://www.youtube.com/@DrDerrick

Many people believe that living healthy means restriction while unhealthy habits represent freedom. In this episode of the Pain and Performance Podcast, Dr. Derrick Hines challenges that idea and explains why the opposite is often true. He explores how discipline, strength, and metabolic health create the real freedom to move, travel, think clearly, and fully participate in life. Through practical examples and research on VO2 max and strength, Dr. Hines shows how building health today expands the opportunities and independence we have later in life.In This Episode- Why the belief that healthy living is restrictive is one of the biggest myths in modern health- How VO2 max and strength strongly correlate with longevity and independence- Why discipline and short term discomfort are necessary for long term freedom- The connection between health, energy, and the ability to fully participate in life- How building physical and mental resilience creates greater freedom over timeTikTok:https://www.tiktok.com/@drderrickInstagram:https://www.instagram.com/derrickbhines/Youtube:https://www.youtube.com/@DrDerrick

Trying to change your habits without changing your identity is one of the biggest reasons transformation fails. In this episode of the Pain and Performance Podcast, Dr. Derrick Hines explores how journaling can become a powerful tool for mental reprogramming. By intentionally changing the story we tell ourselves and reinforcing the identity we want to build, journaling can help align our mindset, habits, and actions. Dr. Hines shares the story of Olympic speed skater Dan Jansen to illustrate how shifting internal dialogue can transform performance and resilience, even after repeated setbacks.In This Episode- Why lasting change requires shifting identity, not just behavior- How journaling activates the brain's reticular activating system to reinforce new beliefs- The story of Olympic champion Dan Jansen and how mindset transformed his performance- Simple journaling prompts that can help reshape internal dialogue and daily focus- How consistent reflection and identity-based habits can drive long term transformationTikTok:https://www.tiktok.com/@drderrickInstagram:https://www.instagram.com/derrickbhines/Youtube:https://www.youtube.com/@DrDerrick

In this episode of the Pain and Performance Podcast, Dr. Derrick Hines sits down with nutrition researcher Dr. John Lewis to discuss groundbreaking research on polysaccharides derived from aloe vera and rice bran. Dr. Lewis shares how his early background in bodybuilding shaped his view of nutrition and led him into clinical research exploring how specific nutrients can support the body's natural healing systems. The conversation dives into clinical trials involving Alzheimer's disease and multiple sclerosis, the role of immune balance in chronic illness, and how complex plant compounds may help restore cellular function. Together, they explore how nutrition can influence inflammation, immune signaling, and long term brain health.In This Episode- How complex polysaccharides from aloe vera and rice bran may influence immune signaling and cellular repair- Clinical trial findings showing improvements in cognitive function in people with moderate to severe Alzheimer's disease- Research exploring reduced infections and improved physical function in patients with multiple sclerosis- Why immune balance, inflammation, and cellular signaling are central to brain health and chronic disease- Nutritional strategies and compounds that may support long-term neurological health and resilienceLinks: DERRICKTikTok:https://www.tiktok.com/@drderrickInstagram:https://www.instagram.com/derrickbhines/Youtube:https://www.youtube.com/@DrDerrickJOHNWebsite:https://drlewisnutrition.com/YouTube:https://www.youtube.com/channel/UC5xvuUBaSGsAuSo4ZxhNR0A

Heart disease remains one of the leading causes of death, yet it rarely develops overnight. In this episode of the Pain and Performance Podcast, Dr. Derrick Hines discusses why cardiovascular disease builds gradually over time and how early testing and lifestyle interventions can significantly reduce risk. He explains the most important markers to monitor, why VO2 max is one of the strongest predictors of longevity, and how exercise, sauna therapy, nutrition, and targeted nutrients can support long-term heart health.In This Episode- Why heart disease develops slowly over years and why prevention should start early- The key cardiovascular tests that reveal risk, including ApoB, C-reactive protein, fasting insulin, and coronary calcium scores- Why VO2 max is one of the strongest predictors of longevity and cardiovascular health- How combining zone two training with high-intensity intervals can significantly improve heart function- The roles of sauna therapy, targeted nutrients, and anti-inflammatory nutrition in supporting long-term cardiovascular healthTikTok:https://www.tiktok.com/@drderrickInstagram:https://www.instagram.com/derrickbhines/Youtube:https://www.youtube.com/@DrDerrick

In this episode of Tea with Dr. D, Dr. Derrick Hines answers a variety of health questions from the community, covering topics ranging from nerve pain and regenerative therapies to brain health, fasting protocols, and cortisol balance. The conversation highlights how identifying the root cause of symptoms can dramatically change outcomes, whether the issue is nerve entrapment, metabolic dysfunction, or hormonal imbalance. Dr. Hines also shares practical strategies and research-backed tools people can use to improve healing, energy, and long-term health.In This Episode- How to tell the difference between nerve pain and muscle pain- Why treatments sometimes fail when the wrong tissue is targeted- Therapies that help decompress and heal irritated nerves- The potential role of glutathione in brain health and neurodegeneration- How often to use a fasting mimicking diet for metabolic health- Whether hip labral tears can be missed on MRI scans- Simple ways to reset a dysregulated cortisol cycle- Why morning light, movement, and earlier dinners matter for hormone balance- Small daily habits can have a powerful effect on healing, energy, and overall health.TikTok:https://www.tiktok.com/@drderrickInstagram:https://www.instagram.com/derrickbhines/Youtube:https://www.youtube.com/@DrDerrick

Cortisol often gets blamed for stress and poor health, but the real problem is not cortisol itself. It is when cortisol shows up at the wrong time of day. In this episode, Dr. Derrick Hines explains the natural cortisol rhythm, why it should peak shortly after waking and decline through the evening, and what happens when that cycle becomes dysregulated. If your mornings feel sluggish, your energy crashes midday, or you struggle to fall asleep at night, your cortisol rhythm may be out of sync. The good news is that simple daily habits can help restore a healthy cycle.In This Episode- What the healthy cortisol curve should look like- Signs your cortisol rhythm is dysregulated- Why morning sunlight helps reset your hormonal clock- The role of early movement and exercise in hormone balance- How late meals and evening light disrupt sleep and cortisol- The impact of evening screen time and stress exposure- Simple routines to restore energy, sleep, and circadian rhythm- When cortisol rises and falls at the right times, sleep improves, energy stabilizes, and your body functions the way it was designed to.TikTok:https://www.tiktok.com/@drderrickInstagram:https://www.instagram.com/derrickbhines/Youtube:https://www.youtube.com/@DrDerrick

Not all pain comes from muscles or joints. In many cases, the real source is a trapped or irritated nerve. In this episode, Dr. Derrick Hines explains how to recognize the difference between nerve entrapment and typical musculoskeletal pain. He walks through the common symptoms of nerve irritation, why traditional pain medications often fail, and how identifying the true source of pain can completely change the treatment approach and recovery timeline.In This Episode- How nerve pain feels different from muscle or joint pain- The common symptoms of nerve entrapment (burning, tingling, radiating pain)- Why anti-inflammatories and pain medications often fail- Common nerve entrapments in the body (cluneal, ulnar, median, fibular, pudendal)- Treatments that help restore nerve mobility and blood flow- Therapies used for nerve decompression and healing- How compounds like PEA and GHK-Cu may support nerve recovery- Understanding the source of your pain is the first step toward fixing it.TikTok:https://www.tiktok.com/@drderrickInstagram:https://www.instagram.com/derrickbhines/Youtube:https://www.youtube.com/@DrDerrick

Many people think regenerative therapy means jumping straight to stem cells. In reality, healing follows a hierarchy. From natural cell regeneration to catalyzed therapies, regenerative therapeutics like PRP and peptides, and finally cell-based medicine, each level builds on the one below it. None of them work well without the right environment. Sleep, blood flow, hydration, proper loading, and anti-inflammatory nutrition all directly impact outcomes. Regeneration is not passive. It requires your participation.In This EpisodeThe 4 levels of regenerative therapyWhy sleep and blood flow drive tissue repairWhen to introduce pain-free loadingThe role of protein and inflammation controlWhy advanced therapies fail without foundational habitsHealing is not something done to you. It is something done with you.TikTok:https://www.tiktok.com/@drderrickInstagram:https://www.instagram.com/derrickbhines/Youtube:https://www.youtube.com/@DrDerrick

In this episode, Dr. Derrick Hines breaks down the consistent patterns he sees in people who heal well: they protect their sleep, keep moving (even if modified), track their daily activity, focus on progress instead of pain, stay consistent with treatment, and view pain as information rather than danger. Most importantly, they approach recovery with curiosity and ownership instead of fear. These small shifts compound into dramatically better outcomes.In This Episode-- Why sleep is a non-negotiable for tissue repair-- How modified movement speeds up recovery-- The power of tracking steps during healing-- Why focusing on pain can slow progress-- How consistency compounds healing results-- The link between fear of movement and poor outcomes-- Why curiosity beats catastrophizing in recoveryTikTok:https://www.tiktok.com/@drderrickInstagram:https://www.instagram.com/derrickbhines/Youtube:https://www.youtube.com/@DrDerrick

In this episode, Dr. Derrick Hines sits down with Coach Tyler Bram to unpack what most people get wrong about fitness, rehab, and long-term movement health. They explore why fear and insecurity often drive people into exercise, how injuries can become powerful teachers, and why true progress comes from slow, intentional, coordinated movement. From shoulder stability to sit-to-stand mechanics, this conversation breaks down how to rebuild strength the right way, reduce pain, and create lasting consistency without burning out.In This Episode-- Why self-care beats fear as a long-term motivator for fitness-- How injuries can reshape your entire philosophy on movement-- The progression model: from isometrics to full power and athleticism-- Why most people skip stability and coordination (and pay for it later)-- A simple fix for shoulder pain during planks and overhead movements-- How to rebuild a pain-free sit-to-stand from the ground up-- Why breathing mechanics may be the missing link in chronic neck tension-- The psychology of consistency and why small wins in the first 90 days matter-- How to avoid the “one step forward, one step back” fitness cycle

In this episode, Dr. Derrick Hines shares one of the simplest ways to create a healing environment in your body before the day even begins. He breaks down the SHINE routine, a practical morning framework designed to improve energy, hormone balance, focus, recovery, and long-term health. When your internal environment is set up well, healing becomes easier. When it is not, even great treatment struggles to work. This routine is about stacking small daily actions that multiply over time.In This Episode-- Why healing is difficult in a stressed or “toxic” internal environment-- S – Sunlight: how morning light resets circadian rhythm and cortisol timing-- H – Hydration: why mild dehydration slows healing, focus, and performance-- I – Intention: setting identity and direction for the day-- N – Nutrition: prioritizing protein and stabilizing blood sugar-- E – Exercise: why morning movement improves energy, sleep, and consistency-- How to implement SHINE for five days and track the difference in sleep, stress, and focusTikTok:https://www.tiktok.com/@drderrickInstagram:https://www.instagram.com/derrickbhines/Youtube:https://www.youtube.com/@DrDerrick

Cold exposure is one of the simplest tools to improve discipline, resilience, and immune function, but most people quit because they don't know how to do it properly. In this episode, Dr. Derrick Hines breaks down his exact step-by-step cold shower protocol, including how to use breathwork to make the cold tolerable, how to avoid common mistakes, and how to train your brain to lean into discomfort instead of avoiding it. This is not about shock value. It is about building discipline, reducing inflammation, improving stress tolerance, and strengthening your immune response in a safe and repeatable way.In This Episode- Why cold exposure goes far beyond fat loss or “toughness”- The discipline benefits of activating your anterior mid-cingulate cortex- How breathwork changes your physiological response to cold- A detailed 5-step cold shower protocol- Why you should never skip the base-of-the-neck exposure- Safety guidelines for Wim Hof style breathing- How to avoid lightheadedness and blackouts- Why commitment for five days changes everything- How cold exposure may improve inflammation and immune resilience- The mental trigger that means you must do it that dayTikTok:https://www.tiktok.com/@drderrickInstagram:https://www.instagram.com/derrickbhines/Youtube:https://www.youtube.com/@DrDerrick

Fasting is not just about weight loss. In this episode, Dr. Derrick Hines breaks down what actually happens inside your body when you stop eating. He explains the metabolic switch from glucose to fat, the rise in ketones, and why hitting the 72-hour mark unlocks autophagy, your body's built-in cellular cleanup system. From reducing inflammation and improving insulin sensitivity to increasing natural stem cell production, fasting can act as a powerful metabolic reset. Dr. Hines also shares why he often prefers a fasting-mimicking approach over water-only fasting, especially to protect muscle and hormone balance.In This Episode-- Why fasting is more than calorie restriction-- The 12 to 24 hour metabolic shift explained-- When ketones rise and why that matters-- What autophagy is and why it's a cellular superpower-- The connection between fasting, inflammation, and stem cells-- How fasting supports metabolic health and insulin sensitivity-- Why Dr. Hines recommends fasting mimicking over water-only fastsTikTok:https://www.tiktok.com/@drderrickInstagram:https://www.instagram.com/derrickbhines/Youtube:https://www.youtube.com/@DrDerrick

In this episode, Dr. Derrick Hines breaks down the consistent patterns he sees in people who heal well: they protect their sleep, keep moving (even if modified), track their daily activity, focus on progress instead of pain, stay consistent with treatment, and view pain as information rather than danger. Most importantly, they approach recovery with curiosity and ownership instead of fear. These small shifts compound into dramatically better outcomes.In This Episode-- Why sleep is a non-negotiable for tissue repair-- How modified movement speeds up recovery-- The power of tracking steps during healing-- Why focusing on pain can slow progress-- How consistency compounds healing results-- The link between fear of movement and poor outcomes-- Why curiosity beats catastrophizing in recoveryTikTok:https://www.tiktok.com/@drderrickInstagram:https://www.instagram.com/derrickbhines/Youtube:https://www.youtube.com/@DrDerrick

In this mini episode, Dr. Derrick Hines breaks down one of the most consistent findings in neurodegenerative research: low glutathione levels in the brain are strongly associated with Alzheimer's and Parkinson's disease.Rather than focusing on genes or medications, this conversation highlights the role of oxidative stress, inflammation, and the brain's heavy oxygen demand and why glutathione, the body's master antioxidant, is so critical for long-term brain health.Dr. Hines explains where glutathione acts in the brain, why levels decline, and how supporting glutathione may play a protective role, especially for those with a family history of neurodegenerative disease.Topics Covered:-- Why glutathione is called the body's master antioxidant-- The brain's high oxygen use and oxidative stress burden-- Glutathione depletion in Alzheimer's and Parkinson's-- The role of glutathione in inflammation and cellular cleanup-- Different ways to support glutathione levels-- Why this matters for long-term brain and nervous system health

Join me for a very special episode of the Pain & Performance Podcast...Episode 200!!! This has been an amazing journey with ups and downs but I can't explain how thankful I am for you and this community. Y'all are amazing. On this episode I'm sharing my lessons from 200 episodes of the Pain & Performance Podcast. We'll talk nutrition, science, research, technology, mindset, motivation and much more! TikTok:https://www.tiktok.com/@drderrickInstagram:https://www.instagram.com/derrickbhines/Youtube:https://www.youtube.com/@DrDerrick

In this episode of the Pain and Performance Podcast, Dr. Derrick Hines sits down with coach, Olympic weightlifter, and author Jerzy Gregorek to discuss why long-term health depends less on motivation and more on daily discipline.The conversation centers on how small, consistent choices compound over time. Jerzy explains why hard choices made early make life easier later, and how avoiding discomfort leads to physical decline, loss of strength, and reduced resilience as we age.They explore aging through the lens of performance and lifestyle medicine, challenging the idea that getting weaker, slower, or more fragile is inevitable. Jerzy outlines how mindset, training consistency, and personal responsibility shape how well we move, recover, and function over decades.If you are struggling to stay consistent, feel weaker than you used to, or want a clearer framework for aging with strength and purpose, this episode offers a grounded and practical perspective.Topics CoveredWhy discipline matters more than motivationHow daily choices shape long-term healthThe difference between aging and deteriorationWhy strength and resilience decline without structureMindset and its role in recovery and consistencyThe importance of mentorship in health and trainingHow community reinforces long-term habitsPrinciples behind The Happy Body frameworkChoosing responsibility over convenience

In this mini episode, Dr. Derrick Hines breaks down the four foundational pillars that determine long-term physical health and performance. Instead of chasing a single “magic fix,” this episode explains why true health is built by balancing multiple systems working together.Dr. Hines walks through mobility, strength, stability, and cardiovascular capacity, and explains how being deficient in even one of these areas can lead to pain, injury, and stalled progress. This episode offers a simple framework to audit your current routine and identify the weakest link holding you back.If you've been training consistently but still feel limited, fatigued, or injury-prone, this episode will help you see what's missing.Topics Covered:-- The four pillars of physical health: mobility, strength, stability, and cardio-- Why no single pillar works in isolation-- How imbalance leads to pain, breakdown, and injury-- The most commonly neglected pillar in training programs-- Simple ways to audit your current routine-- How to prioritize the area you're avoiding or undertraining

In this mini episode, Dr. Derrick Hines explains why most health goals don't fail because of lack of motivation, but because people rely on motivation instead of systems and identity.This conversation reframes goal setting away from willpower and New Year's resolutions, and toward building simple systems and repeating behaviors until they become part of who you are. Dr. Hines breaks down why consistency beats motivation every time, and how identity-based habits dramatically increase long-term success.If you've ever started strong and fallen off weeks later, this episode explains exactly why, and what actually needs to change.Topics Covered:-- Why motivation always fades-- The role of systems in long-term success-- How identity shapes daily decisions-- Why consistency matters more than intensity-- Turning goals into habits that stick-- How to build momentum instead of relying on willpower

In this mini episode, Dr. Derrick Hines breaks down what regenerative therapy actually means and why most injuries never fully heal with traditional, scar-based approaches.This episode explains the difference between scar tissue repair and true tissue regeneration, and walks through the essential steps the body needs to rebuild healthy, native-like tissue. Dr. Hines outlines why chronic injuries stall, how regenerative therapies restart the healing signal, and why stacking the right tools matters more than any single treatment.If you've ever wondered why old injuries keep resurfacing or why rehab, injections, or surgery didn't fully resolve the problem, this episode offers a clearer framework for how deep healing actually happens.Topics Covered:-- The difference between scar-based healing and true tissue regeneration -- Why chronic injuries stop healing over time -- The six requirements for regenerating healthy tissue -- How regenerative therapies restart the healing signal -- The role of environment, energy, blood flow, and activity in recovery -- Why missing one piece can stall healing completely

In this mini episode, Dr. Derrick Hines breaks down why real consistency has nothing to do with perfection or constant motivation, and everything to do with identity.This episode explains how habits stick when they become part of who you are, not when they rely on willpower or flawless execution. Dr. Hines explores the idea of “casting votes” for the person you want to become, why missing a day isn't failure, and how quickly getting back on track matters more than intensity or perfection.If you've struggled with starting strong but falling off, this episode offers a clearer, more sustainable way to think about habits, healing, and long-term change.Topics Covered:-- Why consistency is identity-based, not motivation-based-- How small actions reinforce who you believe you are-- Why perfection often prevents progress-- The power of “don't miss two days in a row”-- How consistency drives deeper health and healing over time

In this mini episode, Dr. Derrick Hines breaks down how cold exposure can be used as a powerful tool to strengthen immune function, especially during flu season.This episode explains why cold exposure acts like exercise for your immune system, helping reduce inflammation, improve antioxidant capacity, and lower chronic stress markers. Dr. Hines walks through research showing how short, controlled cold exposure combined with breathing techniques can improve immune readiness and resilience against illness.If you find yourself getting sick frequently or want a simple way to support your immune system during colder months, this episode offers a practical, research-backed approach.Topics Covered:-- How cold exposure trains the immune system-- Research on inflammation, stress, and immune markers-- Cold exposure and breathing techniques for immune resilience-- Why cold does not weaken immunity, but strengthens it-- Simple ways to apply cold exposure safely at home-- Supporting immune health with sleep, nutrition, and training

In this mini episode, Dr. Derrick Hines breaks down how cold exposure can be used as a powerful tool to strengthen immune function, especially during flu season.This episode explains why cold exposure acts like exercise for your immune system, helping reduce inflammation, improve antioxidant capacity, and lower chronic stress markers. Dr. Hines walks through research showing how short, controlled cold exposure combined with breathing techniques can improve immune readiness and resilience against illness.If you find yourself getting sick frequently or want a simple way to support your immune system during colder months, this episode offers a practical, research-backed approach.Topics Covered:-- How cold exposure trains the immune system-- Research on inflammation, stress, and immune markers-- Cold exposure and breathing techniques for immune resilience-- Why cold does not weaken immunity, but strengthens it-- Simple ways to apply cold exposure safely at home-- Supporting immune health with sleep, nutrition, and training

In this episode of the Pain and Performance Podcast, Dr. Derrick Hines sits down with Dr. Peter Martone to explore why sleep problems are rarely just about sleep. They break down how pain, nervous system regulation, and body alignment all influence whether the body can truly rest and recover.This conversation reframes sleep as an outcome of overall health, not something you fix in isolation. Dr. Martone explains why pain is often the catalyst for change, how the nervous system determines sleep quality, and why most people struggle despite trying supplements, trackers, or “perfect” sleep routines.If you deal with chronic pain, restless nights, or feel like your body never fully shuts down, this episode offers a clearer framework for understanding what's actually getting in the way of good sleep.Topics Covered-- Why pain is often the turning point for real health change-- Sleep as an outcome of nervous system health-- The role of the autonomic nervous system in sleep quality-- Why alignment and pressure relief matter during sleep-- Creating a sense of safety for deeper rest-- The “Triune of Sleep” explained-- How tracking heart rate and body signals can guide better sleep-- Practical ways to improve sleep without quick fixes

In this mini episode, Dr. Derrick Hines breaks down why pelvic floor dysfunction is far more common than most people realize and why it should not be accepted as a normal part of aging, pregnancy, or surgery.This episode explains how pelvic floor dysfunction affects women and men, contributing to issues like leaking, low back and hip pain, sexual dysfunction, and post-surgical complications. Dr. Hines shares why these problems are often overlooked and highlights emerging treatment approaches that address muscle strength, nerve function, and tissue health.If you or someone you know has been living with symptoms they were told to ignore or “just live with,” this episode offers clarity and hope.Topics Covered:-- How common pelvic floor dysfunction really is-- Why these symptoms are often normalized or ignored-- The link between pelvic floor health and pain, stability, and sexual function-- Modern treatment options beyond basic exercises-- Why pelvic floor dysfunction is solvable, not inevitable

In this mini episode, Dr. Derrick Hines breaks down surprising research on happiness and explains why spending money on other people may increase happiness more than spending it on yourself.This episode explores findings from multiple studies showing that generosity works best when it is freely chosen, done in real time, and when you can clearly see the impact on someone else. Dr. Hines explains why action matters more than intention, how choice amplifies emotional reward, and why experiences of giving can shift mood, meaning, and overall well-being.If you've been chasing happiness through purchases, goals, or upgrades and still feel unfulfilled, this episode offers a simple experiment worth trying.Topics Covered:-- What research says about money and happiness-- Why generosity increases well-being more than self-spending-- The importance of choice and visible impact-- Why action matters more than good intentions-- The “five-dollar happiness experiment”-- Using small acts of giving to improve daily mood

In this mini episode, Dr. Derrick Hines breaks down the new “upside-down” food pyramid and why it represents a meaningful shift away from outdated dietary advice.This episode explains how the updated guidelines prioritize whole, real foods like protein, healthy fats, fruits, and vegetables while significantly reducing recommendations for refined grains and sugar. Dr. Hines walks through what changed, why those changes matter, and how simply eating from the top down can improve health, muscle mass, and overall well-being.If you've been confused by nutrition advice or frustrated by years of conflicting guidelines, this episode offers a clear, practical way to think about food without overcomplicating it.Topics Covered:-- What changed in the new food pyramid-- Why protein and healthy fats are emphasized-- The reduction in grains and added sugar-- Why whole, minimally processed foods matter most-- How simple dietary shifts improve long-term health

In this mini episode, Dr. Derrick Hines breaks down a simple principle that makes or breaks long-term health habits: consistency.This episode introduces the idea of “health multipliers” and explains why small actions, done consistently, create outsized results over time. Dr. Hines shares why intensity is less important than showing up, and how adjusting your plan during challenging days helps you maintain momentum instead of starting over.If you've ever fallen off track because life got busy or your routine wasn't perfect, this episode offers a practical framework to keep moving forward.Topics Covered:-- What health multipliers are and why they matter-- Why consistency beats intensity-- The “modify, but maintain” mindset-- How small habits compound over time

In this mini episode, Dr. Derrick Hines breaks down a single, simple habit that research shows can improve sleep, reduce stress and pain, and support overall well-being.This episode explores a 10-week study that found writing down what you are grateful for just once per week led to meaningful improvements in sleep quality, resilience to stress, symptoms of pain and depression, and even cardiovascular risk. Dr. Hines explains why approaching habits as short experiments, rather than daily obligations, often leads to better consistency and stronger results. He also shares why weekly gratitude journaling may be more effective than doing it every day, helping it stay intentional rather than repetitive.Topics Covered:-- The research behind weekly gratitude journaling and health outcomes-- How gratitude supports better sleep, lower stress, and reduced pain-- Why once-a-week habits can be more sustainable than daily routines-- The connection between gratitude, resilience, and emotional well-being-- How to treat habits as experiments instead of lifelong commitments-- Simple ways to build a weekly gratitude practice into your routine

In this mini episode, Dr. Derrick Hines shares a fascinating case study from one of the world's oldest people and distills the surprisingly simple, powerful lessons for longevity.This episode explores the remarkable story of María Moreira, who lived to 117, and what scientists discovered when they studied her biology and lifestyle. Dr. Hines breaks down why two key factors—healthy mitochondria and low inflammation—were central to her longevity, and how her “basics-first” approach proves you don't need extreme habits to live a long, vibrant life.Topics Covered:-- The case study of 117-year-old María Moreira and what it teaches us about longevity-- Why mitochondrial health is the cornerstone of energy, function, and aging-- The critical link between low inflammation and a exceptionally long life-- The three foundational buckets for staying ahead of inflammation: lifestyle, diet, and supplementation-- Why doing the basics consistently (movement, sleep, connection, faith) matters more than perfection-- Practical, actionable strategies to support your mitochondria and reduce inflammatory load

In this fascinating episode, Dr. Derrick Hines sits down with Dr. Kevin Tracey — a neurosurgeon and pioneering researcher — to explore how the nervous system controls inflammation and healing. They uncover the groundbreaking science behind bioelectronic medicine, the vagus nerve's role in immunity, and how the brain communicates with the immune system to regulate inflammation and recovery.Topics Covered:-- How the brain and nervous system control inflammation-- The discovery of the “inflammatory reflex” and its implications for disease treatment-- How vagus nerve stimulation can reduce pain and improve healing-- The connection between immune function, trauma, and neuroplasticity-- The future of bioelectronic medicine and its potential to replace pharmaceuticals

In this mini episode, Dr. Derrick Hines breaks down a key study that reveals a simple, powerful leverage point for your fitness goals: protein intake.This episode explores how a precise increase in daily protein can dramatically amplify the results of your resistance training. Dr. Hines translates the science into actionable advice, explaining how middle-aged adults in the study gained 27% more muscle mass and 10% more strength from one dietary change, and why this is critical for long-term health and aging.Topics Covered:-- The study linking higher protein intake to significantly greater muscle and strength gains-- The optimal protein target for maximizing training results (grams per pound of body weight)-- Why your body needs the "raw materials" to build muscle, no matter how well you train-- Practical strategies to hit your daily protein goal, from whole foods to supplements-- How to easily track and prioritize protein without counting every calorie

In this mini episode, Dr. Derrick Hines dives into a fascinating study on the "Tenacious Brain" and reveals how a specific part of your brain holds the key to resilience, discipline, and a longer, healthier life.This episode breaks down the science of the anterior mid-cingulate cortex (AMCC) — the brain region that drives us to do hard things. From Navy SEALs to "super-agers" in their 90s, Dr. Hines explores how a well-developed AMCC is linked to resilience and longevity, and more importantly, how you can actively strengthen it through simple, deliberate challenges.Topics Covered:-- What the "Tenacious Brain" study reveals about resilience-- The role of the anterior mid-cingulate cortex (AMCC) in discipline and healthy habits-- How Navy SEALs and super-agers share this powerful brain trait-- The proven link between doing hard things and building a stronger brain-- Practical, daily triggers to grow your AMCC (like cold exposure and intermittent fasting)-- Why making hard choices leads to an easier, healthier life

In this mini episode, Dr. Derrick Hines breaks down why creatine deserves a second look — not just for muscle and performance, but for brain health, mood, energy, and aging.This episode challenges the outdated idea that creatine is only for athletes and explains how it supports cellular energy across the body. From cognitive performance to recovery and resilience, creatine plays a much broader role in health than most people realize.Topics Covered:What creatine actually does in the bodyBenefits beyond muscle: brain, mood, and energyWhy creatine matters more as we ageCommon myths and misunderstandingsWho may benefit most from creatine supplementation