Podcasts about Cortisone

Steve sits down with Tessymol Jose — the inspiring mother of Erica, one of our incredible students — to tell the full, raw story of their college admissions journey.This isn't a sugar-coated success story. It's a front-row seat to the overwhelming pressure, confusion, and heartbreak that so many ambitious students (and their families) experience when they follow the wrong roadmap to college admissions — the "just do more, be more impressive" roadmap that leads straight to burnout.

What if the real test in college admissions isn't the one you think it is?In this episode, we unpack “The Hidden Test”—the one that's not on any syllabus and can't be studied for with flashcards. Drawing from a powerful psychological experiment, wisdom from Ivy League deans Lee Coffin (Dartmouth) and Logan Powell (Brown), and real insights from the admissions process, we reveal how selective colleges are not just looking for the most impressive applicants. They're looking for the ones who live with purpose, character, and impact.You'll learn:Why authenticity beats strategy in college prepHow admissions officers “investigate” your values through your applicationWhy students who stop chasing prestige often stand out the mostHow to align your high school experience with what actually mattersThis episode is a must-listen for students, parents, and educators who want to understand what selective colleges really value—and how to focus on becoming, not just getting in.-----To register for the Ivy League Challenge, visit our websiteTo follow on Instagram:  @TheIvyLeagueChallengeTo join us on our Facebook group for parents

(00:00-16:25) Doug, you wanted Gloria? You got it. Cardinals celebration songs over the years. The Vengaboys. Buzz wants to talk it over with the boys. Total fat in Buzz's jalapeño and cheese sausage roll. Buzz's abstinence has lead to this Blues run. Festus flare ups. The female listeners are lining up for the Real Housewives of TMA. Be better, not bitter. (16:33-39:02) Doug didn't watch much Glee. Jane Lynch. 90 minute White Lotus finale this weekend. Enthusiasm towards the Cardinals. Rays North. Has the Marmol hate lessened at all? Nolan Gorman to IL, Saggese with the call up. The Battle Turf. Bring the Bengals home. (39:12-44:02) Puck Cancer charity game tonight. Joel Quenneville. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Send us a textIn this episode of 'Ask the Chiropractor,' Dr. Brant Hulsebus explores the effectiveness of cortisone shots for back pain and spinal conditions, referencing recent research from the American Academy of Neurology. He discusses short-term and long-term success rates for both radiculopathy and spinal stenosis, compares these to chiropractic solutions, and emphasizes the importance of considering chiropractic adjustments as a primary treatment option for acute lower back and neck pain. Tune in to learn about the research, statistics, and Dr. Hulsebus's professional insights on managing back pain effectively.www.rockforddc.com

Send us a textIn this episode of 'Ask the Chiropractor,' Dr. Brant Hulsebus explores the effectiveness of cortisone shots for back pain and spinal conditions, referencing recent research from the American Academy of Neurology. He discusses short-term and long-term success rates for both radiculopathy and spinal stenosis, compares these to chiropractic solutions, and emphasizes the importance of considering chiropractic adjustments as a primary treatment option for acute lower back and neck pain. Tune in to learn about the research, statistics, and Dr. Hulsebus's professional insights on managing back pain effectively.www.rockforddc.com

If you've ever felt helpless watching your teen struggle with stress, you're not alone. Many parents want to help but don't know how to do it in a way that actually works. In this episode, we dive into why today's teens feel more overwhelmed than ever, the common mistakes even well-meaning parents make, and how to shift your parenting approach to truly support your child. Learn how to move from "boss" to "coach" so your teen can build resilience, confidence, and the skills to manage stress in a healthy way.

What if you could see yourself, right now, as a student at your dream college? What if you could feel what it's like to walk across campus, sit in a classroom, and engage with world-class professors and peers?In this special guided visualization, I'll take you through an immersive experience where you'll:✅ Step into the shoes of your future self at your dream university✅ Feel the excitement and confidence of belonging in that environment✅ Discover what kind of student you want to be—not just where you want to go✅ Leave with a clear sense of purpose and steps you can take right now to become that personThis isn't just about college admissions—it's about becoming the kind of student who thrives, no matter where you go.

you know why you're here. To hear me discuss the return of another virus. To talk about 'Bigballs' Cortisone, Mr. Brute and his boy *rump. Also about one of his EOs that has some of my friends stressing. Also, i discuss this murder of the telemundo reporter and my theory.

For 35 years, Kandie-Rae suffered from crippling pain caused by 3 cervical disc bulges (C1-C2, C3-C4, C6-C7) and 2 lumbar disc bulges (L4-L5, S1), sciatica, thoracic nerve pain, arm tingling and numbness, and chronic neck pain. This podcast shares how Kandie-Rae became pain free, avoided surgery, and got off all medications at 56 years old - when Doctors told her she would never fix her back. She wasted over $20,000 in the medical system desperately searching for relief, but nothing worked—until the Whealth Limitless Program. Before Whealth, she tried it all: ❌ Chiropractic care – Multiple visits per week, but relief never lasted ❌ Acupuncture – Temporary improvement, but pain always came back ❌ Physiotherapy – Generic exercises that didn't address the root cause ❌ Cortisone injections (2 in her neck) – One provided 3 weeks of relief, the other did nothing ❌ Medications: • Gabapentin – Nerve pain relief that didn't last • Muscle relaxers – Left her feeling groggy with no real improvement • Nerve blockers – Zero long-term results Finally, Doctors told her surgery was her only option (which she did not want to do) For 35 years, she lived in fear, unable to trust her body. She could barely walk, had numbness in her face, arms, and legs, and even experienced pseudo-seizures from the pain. She thought she was out of options—until she found an approach that finally worked... our LIMITLESS PROGRAM. Today, she says she has 0/10 pain in her body... she is off all medications, and stronger than ever. In this episode, Kandie-Rae, 56 years old, shares: ✅ Why everything failed her for 35 years in the medical system ✅ How she healed her disc bulges without surgery ✅ The exact movements and mindset shifts that changed everything ✅ How she got rid of sciatica, nerve pain, and fear around movementIf you're struggling with disc bulges, sciatica, or chronic nerve pain, watch this. There is hope. Join Kandie-Rae and 1000s of others world-wide. FIX your chronic pain today with our Limitless Program, risk free with our 30 day money back guarantee: Have questions about your pain? Wondering if our programs are right for YOU? Get in touch with us today: https://spreadwhealth.com/contact-whealth

What are topical steroids? Often prescribed for chronic skin conditions, I'll bet you've probably used them at some point during your treatment.Sure, they work quickly, but are they without side effects? To answer that question, we need to talk about glucocorticoids, which are hormones naturally produced by the adrenal glands as part of the stress response.Topical steroids fall under the glucocorticoids category, and due to those who've experienced something called topical steroid withdrawal, some people are described by physicians as “steroid phobic.”While there are serious downsides, glucocorticoids can have some incredible anti-inflammatory effects on various health conditions. That's why it's crucial for us to have a nuanced conversation about this!Dr. Luis Franco joins me to discuss everything you've wanted to know about topical steroids, types of glucocorticoids, and concerns about side effects from using topical steroids.Dr. Luis Franco is a Tenure-Track Investigator at the National Institute of Musculoskeletal and Skin Diseases (NIAMS). He was born in Colombia and grew up between Colombia, Brazil, Mexico, and the United States. He attended medical school in Colombia before returning to the United States, initially as a postdoctoral fellow at Duke University. Dr. Franco attended Baylor College of Medicine for specialty training in internal medicine and medical genetics. In 2014, he moved to the National Institute of Health (NIH).In This Episode:What are topical steroids versus glucocorticoids?Are topical steroids + glucocorticoids bad?Cortisone vs cortisol (and glucocorticoids examples by name)Side effects of glucocorticoidsWhat is topical steroid withdrawal?How glucocorticoids modulate your immune systemQuotes“Glucocorticoids exist naturally. They are hormones that are produced by our bodies. And they're produced by this very particular gland that's above our kidneys, that's called the adrenal gland or the suprarenal gland. And so our adrenal glands produce these chemicals called glucocorticoids. And those chemicals have many, many roles in biology and the one that is sort of best understood is that they are part of the stress response.”“I think the side effects that are important to know for topical glucocorticoids are one, something called skin atrophy, which is kind of a thinning of the skin that people notice when they've been applying glucocorticoids for a long time. Some people also notice little, kind of red, blood vessels that come up. These are called telangiectasias. These are like reddish blood vessels that become very visible on the skin of people who have used topical glucocorticoids.”LinksFind Dr. Franco onlineHealthy Skin Show ep. 344: NEW RESEARCH On Topical Steroid Withdrawal Symptoms + TSW Red Skin TriggerTopical Steroids Potency ChartImmune regulation by glucocorticoids can be linked to cell type–dependent transcriptional responsesGlucocorticoid-induced eosinopenia results from CXCR4-dependent bone marrow migration

In today's podcast episode, we are going to look at a condition called gluteal tendinopathy, which is a common cause of lateral hip pain due to an irritation of two of the gluteal tendons (gluteus medius & gluteus minimus).  Previously, this type of pain was thought to be caused by trochanteric bursitis, but more recent research has shown that bursitis only accounts for approximately 20% of these cases (see references below). The majority of lateral hip pain cases are now thought to be due to gluteal tendinopathy or irritation of the gluteal tendons where they attach on the side of the hip (greater trochanter).  Risk factors for developing gluteal tendinopathy include: female gender (4:1 female to male ratio), increased body mass index (BMI), excessive hip adduction during walking/running, prolonged hip flexion (sitting) and weak hip abductors muscles (especially gluteus medius and minimus).  Treatment of this disorder is similar to other tendinopathies in that the focus is on gradually loading and strengthening the gluteal tendons via resistance training exercises that target the hip abductor muscles. These types of exercises not only improve the working capacity of the muscles and their tendons, but also help reduce tendon pain.  My YouTube video below includes a a few exercises that typically help people suffering from gluteal tendinopathy. YouTube Link Here are a couple of articles that you can read to learn more about this disorder. 1. Long SS, Surrey DE, Nazarian LN. Sonography of greater trochanteric pain syndrome and the rarity of primary bursitis. AJR Am J Roentgenol. 2013;201(5):1083-1086.  2. Pianka MA, Serino J, DeFroda SF, Bodendorfer BM. Greater trochanteric pain syndrome: Evaluation and management of a wide spectrum of pathology. SAGE Open Med. 2021.  3. Ladurner A, Fitzpatrick J, O'Donnell JM. Treatment of Gluteal Tendinopathy: A Systematic Review and Stage-Adjusted Treatment Recommendation. Orthop J Sports Med. 2021;9(7):23259671211016850. I hope the information in this episode was helpful and you feel better equipped to treat gluteal tendinopathy related pain. Besides the YouTube video I linked, my book contains comprehensive programs for the 50 most common orthopedic conditions, including one for gluteal tendinopathy. The programs are broken into three phases and include exercises that can be used to help prevent injuries as well as help you recover from an injury. If you want to learn more about my book, visit my website or click HERE to view the book on Amazon. Thanks for reading and I hope you have a great day! Dr. Tom

Saisha walks us through her journey to an impact project that she is excited about. It took time, probing, and effort for her to land where she is today, and we get to listen in to discover how she has transformed a very frustrating, stressful high school experience into a thriving high school experience. Listen in to learn from Saisha!-----To register for the Ivy League Challenge, visit our websiteTo follow on Instagram:  @TheIvyLeagueChallengeTo join us on our Facebook group for parentsOr schedule a meeting with Steve here

Summary Points of this week's podcast:* Stephen Covey's Quote: The podcast emphasizes the quote "What you do has far more impact than what you say," highlighting the importance of actions over words.* VIP Life and Leadership Lessons: Dr. Allan Mishra shares lessons from speaking at the Campbell Trophy Summit, including insights from Condoleezza Rice (be twice as good, proactive comforting, diverse news sources), Ronnie Lott (mantra "let's go"), Steve Young (have a dream and a plan), and Admiral McRaven (make your bed, deal with obstacles, be your best in dark moments).* Cambridge University Lessons: At Cambridge, Dr. Mishra learned the importance of sacrifice and hard work, the value of time as a precious non-renewable asset, and the necessity of having fun.* Longevity Fest Insights: From the Longevity Fest in Las Vegas, Dan Buettner's lessons on Blue Zones emphasize living near ideal weight with a plant-based diet, maintaining deep family and social networks, regular physical activity, and fostering a strong sense of faith through community.* Cortisone Shots Caution: Dr. Mishra discusses why cortisone shots are not ideal for long-term relief, highlighting the risks of worse outcomes, higher infection rates, and better alternatives like PRP (platelet-rich plasma).Level up your vitality with the VyVerse LIVE VITAL Hat This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit vitalityexplorers.substack.com/subscribe

I was just on a second opinion call with a runner. He is a triathlete, and he has had a long course of foot trouble. He was diagnosed with a plantar plate injury, but was not getting better.  We figured out some missing pieces of his recovery puzzle and developed a plan of action. Well, he acted on that game plan and turns out he had been misdiagnosed. What he has is a neuroma (not a plantar plate sprain). He went back to his doctor and she then wanted to inject his foot with cortisone, but he had a race coming up. And then he said, “Well, this is the problem. This is why I am calling you again, is that when I saw her, she said you have a neuroma so let's go ahead and inject it with cortisone.” Can I run a race after a corticosteroid injection for a neuroma?  Well, that is a great question and that is what we're talking about today on the Doc On The Run Podcast. 

HEALING AND MIRACLE PODCASTINCLUDES FULL WRITTEN TEXTwith Prince HandleyWWW.REALMIRACLES.ORG 16 YEARS OF HEALING & HEALTH SUBJECTS HEALING FROM SHOULDER, ARM & HAND PAINOPTIONS FOR RELIEFYou can listen to the above message NOW.LISTEN HERE >>> LISTEN NOW 24/7 Blogs and Podcasts > STREAM Twitter: princehandley Prince Handley on MINDS LinkedIn ~ Geopolitics and Health Subscribe FREE to Prince Handley Teaching and Newsletter Links to KEY RESOURCES at bottom. ________________________________________ DESCRIPTION Pain in the shoulder for some people is at times almost unbearable―especially when trying to sleep at night. For somepeople there is NO permanent relief. However, what many people―even some in the medical profession―don't realize is that there are sometimes multiple factors involved. The purpose of this teaching is to present some IDEAS that may help in reducing pain significantly OR altogether. Our GOAL is YOUR complete DELIVERANCE, HEALING and FUTURE HEALTH. ________________________________________ HEALING FROM SHOULDER, ARM & HAND PAINOPTIONS FOR RELIEF The normal treatment sequence for shoulder pain is: as follows: 1. Physical Therapy; 2. Cortisone injections; and, 3. Surgery (after MRI analysis) if #1 and #2 above do NOT help. Notice that #1 and #2 above may sometimes be scheduled by a medical practitioner in reverse order OR simultaneously. THE SEVERITY OF CHRONIC PAIN If left unattended―or IF treatment is suspended due to NO relief―chronic pain can escalate, causing depression and anxiety, sleep deprivation, social isolation, and even economic and financial burden. ____________________________________________ Data from the National Center for Health Statistics finds that more than 1 in 10 adults 65 and older say they have pain that limits their life most days, or all the time! ____________________________________________ Pain management in the last 10 years has been disheartening. Efforts at treating chronic pain with medication resuted in opioid abuse; overdoses are now among the leading causes of death for adults age 50 to 70. In this teaching I want to share with you some non-drug options that may help you. PAIN CAN BE MORE THAN PHYSICAL Your body and your emotions both feel pain: especially chronic pain. You can experience emotional, social and psychological damage in addition to physical damage. FIND OUT WHAT IS DRIVING YOUR PAIN Sometimes it is easy to identify. For example house painters who have reached overhead for years may end up with severe shoulder pain. Or certain athletes who do repeated arm movements may exacerbate the situation. In addition to the “area of pain” there MAY be some other “culprits” contributing to the problem. Ask yourself these questions: When did my pain start? Do I feel other part(s) of my body that seem to be connected to the KEY area at times? What causes my pain to increase: sitting, standing, computer use, reclining (i.e., at night), lifting, eating, driving (steering wheel operation)? What makes my pain feel better? (Does it help for long?) Does my pain ever go away? You may find a “co-conspirator” or the actual cause … like I did! YOU CAN TRY THESE STEPS STEP ONE Schedule an appointment with an Orhopedic Surgeon and explain your problem. They may suggest Physical Therapy and/or Cortisone shots. NOTE: Cortisone injections should NOT be taken over three (3) times a year in a single joint [and no more than six (6) times a year in total if in different joints] preferably four (4) months apart IF needed, Any more can cause deterioration of the soft muscle tissue and is NOT advised. Getting too many cortisone shots can cause serious problems like damaged cartilage and bone death. It can also make it harder to manage other conditions such as diabetes. HOW CORTISONE INJECTIONS WORK The goal of a cortisone injection is to improve pain and inflammation. Cortisone does not treat the underlying condition; it only treats the symptoms. Cortisone injections are used to treat many joint problems, including: Bursitis Tendonitis (including shoulder and arm) Trigger finger (can aggravate OR cause shulder pain) Carpal tunnel syndrome Tennis elbow Knee arthritis Many types of overuse injuries NOTICE: You may find that the cortsone shot helps successfully after the first few days BUT in some cases it may start to “wear off” after a couple months; hopefully, it will last longer. Cortisone is a type of steroid hormone that works by decreasing inflammation. Inflammation is the body's normal response to an injury, infection, or disease as a means to heal itself. However, when a condition is persistent and the inflammation is chronic, the symptoms of inflammation—including pain and swelling—can become intolerable. Ultrasound can also be used to guide injections. Ulrasound isn't just a diagnostic tool. When some type of injection treatment is needed, such a corticosteroid shot into a joint, unltrasound can be used to visualize the structure to ensure that the needle is placed in the correct location. Image-guided joint injections also are done with X-Rays or CT Scans. But with ultrasound, there's NO radiation and NO need to inject a contrast dye. STEP TWO Your Physician OR Medical Assistant MAY recommend Physical Therapy. Physical Therapy usually is done two or three times a week. Most insurance plans cover it BUT check with you insurance before starting. You will probably find out IF it is relieving your pain or not after several treatments (if it is beneficial in reducing your pain). The same with the cortisone shots. You should findout immediately (within the first few days IF the shot is reducing your pain. STEP THREE See if other parts of your arm or hand at times feel pain that seems to connect up your arm to the shoulder. I found that my use of the computer mouse was causing some pain in my right hand near the wrist but between my thumb and right index finger. I went to an Orthopedic Surgeon and had an Ultra Sound of my right hand. Musculoskeletal ultrasound can help to diagnose a range of injuries and chronic conditions, including tendonitis, bursitis, carpal tunnel syndrome, rotator cuff tears, joint problems, and masses such as tumors or cysts. The ultrasound showed that the cushion between my right thumb and index finger had competely eroded. Years of texting plus hours a day operating keyboard and mouse on computers eroded the cushion between my right thumb and index finger. [I have several social media sites plus large websites and large podcast websites.] I got a shot of cortisone near my right thumb plus purchased a MetaGrip (photo below) produced by HealthLab which the doctor recommended. Immediately I noticed a difference. Then I started to remember―and recall―that in the past operating the mouse would send pain up my arm and to my shouder. I go to the gym two or three times a week plus lift at home and use strength bands plus cardio. I have NOT had a pain in weeks, even after working out at the gym with heavy weights. Only once did I sense some slight discomfort in one side of my neck due to heavy curling exercises with probably too heavy of weights but it went away. On my last visit to the Specialist (Orthopedic Surgeon who was giving me advice for the terrible pain in my shoulder) I asked him, “Is there anything I can take to relieve OR heal inflammation in my shoulder?” He said, “Yes, Tumeric.” I started taking Tumeric Curcumin right away. Immediately I noticed a profound affect: NO PAIN. MY TESTIMONY Check with your medical advisor and try Tumeric Curcumin Herbal Supplement and see IF it provides healthy imflammatory response. I have used it successfully. I experienced such terrible shoulder pain. It would keep me awake at night, at times causing me to cry. Even in the daytime, sometmes liftng a light weight small plastic cup of water would cause me such severe pain that I would cry out. Or when driving, just lifting my arm to turn the steering wheel slightly would cause me to cry out. After trying physical therapy and cortisone treaments I got serious about seeking God for the cause of my chronic pain. The physical therapy did NOT seem to help AND the cortisone shots were only helpting reduce pain for two months at the most. What was the problem? WHEN and HOW did it start? Then I got serious about seeking GOD for healing. Of course I had prayed before the shots and the physical therapy BUT figured I would jusr pray and go to a specialist. But when the pain continued to be chronic and affect my emotions AND my life style I then decided to get serious about asking God for help. Especially when I realized that this was NOT a little thing that was going away with normal treatments. I did NOT want to have it the rest of my life! Through prayer―and with several friends praying―I was healed permanently by God. It doesn't matter HOW God works … just so He works. One of God's Names is YHWH Rapha: the LORD who heals.” PRAY THIS PRAYER “Father in Heaven, I ask you to heal me of all pain. I don't care HOW you work, just so you work. I am really hurting and I need your help. Your name is YHWH Rapha: the LORD who heals. If you want me to use any physical means to assist my healing please direct me. I am listening to you. Lead me by your Holy Spirit. I ask you to forgive my sins. I ask Your Son, Yeshua―Jesus the Messiah―to save me and to take over my life. Please help me to live for you here on earth, and take me to Heaven when I die.” If you prayed the prayer above, God heard you. You are now on your way to Heaven, and the God who HEALS is your Father. Honor Him … and He will honor you! Baruch haba b'Shem Adonai Your friend, Prince Handley President / RegentUniversity of Excellence OPPORTUNITY Donate to Handley WORLD SERVICES Incorporated and help Prince Handley do EXPLOITS in the Spirit. A TAX DEDUCTIBLE RECEIPT WILL BE SENT TO YOU _________________________________ OTHER KEY RESOURCES Prince Handley Videos and PodcastsRabbinical & Biblical StudiesThe Believers' IntelligentsiaPrince Handley Portal (1,000's of FREE resources)Prince Handley BooksVIDEO Describing Prince Handley Books _________________________________

Now that exams have finished up, it is time to shift your focus to your college application essays. I will be hosting a workshop to help you get started, and to make sure that you avoid the biggest mistakes most people make in these essays. Participation in the workshop is free, but you need to register.you can register at TILC.to/BestEssay-----To register for the Ivy League Challenge, visit our websiteTo follow on Instagram:  @TheIvyLeagueChallengeTo join us on our Facebook group for parentsOr schedule a meeting with Steve here

Are you always getting injured even though you do the right things? If you are someone who is constantly injured what the heck can you do about it. The Bulletproof boys bring some alternative answers that you may not expect. Friend of the podcast Pablo dislocated his shoulder and is not sure when is the right time to get back to training BJJ, so JT & Joey give a guideline on how to know when you are ready. Return caller Rae talks about dealing with Bursitis of the hip and getting a Cortisone InjectionGet all the juicy details on everything BJJ - Tap,Nap and Snap! The Newsletter for grapplershttps://www.tapnapandsnap.com/?utm_source=BPYouTubeStay Hydrated with Sodii the tastiest electrolytes in the Game! Get 15% OFF: BULLETPROOF15 https://sodii.com.au/bulletproofParry Athletic - Best training gear in the game... Get 20% OFF Discount Code: BULLETPROOF20 https://parryathletics.com/collections/new-arrivalsSupport the Show.

Are you stressed about what is coming when you fill out the Common Application? Do you worry that you might have gaps in your story that need to be filled, but don't know how to find them ahead of time?I will be hosting a masterclass on May 8th in order to help you answer these questions, and give you clarity about what is important vs activities that are not important. At the end of the masterclass, you'll have a good idea of how your application will be read, and which area of your application you will need to supplement in order to have the strongest application possible. To register (for free), go to TILC.to/college-appSee you there!-----To register for the Ivy League Challenge, visit our websiteTo follow on Instagram:  @TheIvyLeagueChallengeTo join us on our Facebook group for parentsOr schedule a meeting with Steve here

Should you sign up for NHS? Is it worth the effort?What about volunteering in general? How much should I volunteer? How many hours is enough? Which type of volunteering is best for my application?Listen in to learn the answers to these questions and more.-----To register for the Ivy League Challenge, visit our websiteTo follow on Instagram:  @TheIvyLeagueChallengeTo join us on our Facebook group for parentsOr schedule a meeting with Steve here

Dr. Amy West, a Sports Medicine Physiatrist, is at the forefront of a paradigm shift in understanding the root causes of joint pain, tendon issues, and other musculoskeletal problems. Sponsored Message: Support your Intermittent Fasting lifestyle with the Berberine Fasting Accelerator by MYOXCIENCE: https://bit.ly/berberine-fasting-accelerator Save with code podcast at checkout Link to Video Interview, Research and Show Notes: https://bit.ly/3U5RIaS Show Notes: 02:00 CrossFit trains all three energy pathways: glycolytic, anaerobic, and aerobic. It is based on function. Physiatry and CrossFit focus on function and living better. 08:00 Metabolic health impacts recovery, injury propensity, pain levels and physical function. Leptin worsens osteoarthritis and pain issues. 12:15 Osteoarthritis is from the dysfunction of chondrocytes within the joint from inflammation and fragility of cartilage within the joint. Metabolic disease causes a downward spiral. There is more inflammation and more cartilage damage and more boney hypertrophy. 14:00 Trigger finger is often a first sign of metabolic disease. Tendons are also impacted by the inflammation of metabolic disease. Healing process is impacted by the chronic inflammation of metabolic disease. 14:54 Bone and bone density are impacted inflammation. This can appear as stress fractures. Treat the fracture and the reason why. 17:00 Hemoglobin A1C is a marker of overall glycation in the body. Non-painful things become painful with increased glycation. 17:30 The burden of age-related changes is dependent upon your metabolic state and physical wellbeing. 96% of American adults have some sort of metabolic dysfunction, making them predisposed to accelerated aging and physical decline. 23:00 Time is a major reason for not exercising. Short 20-minute bouts of more intense exercise are easier to fit in and you get the same metabolic benefits in a shorter time. 23:40 Functional movement training increases strength and supports life functions. It uses multiple joints and practices coordination. 24:30 Heavy resistance training induces the benefits of bone density and muscle integrity. 24:45 Osteosarcopenic obesity: as you gain weight, you lose muscle mass and bone. 26:00 Weakened tendons, tendonitis, and fibrosis are often a result of chronic inflammation from metabolic dysfunction like diabetes. Arthritis is the leading cause of disability in the US. 27:25 Cortisone is a potent anti-inflammatory that brings short-term pain relief. It can raise blood sugar. Repeated cortisone injections can further degrade cartilage, worsening arthritis. You can build up a tolerance to it. 29:00 Hormones affect joint pain. Menopausal decreased estrogen levels correlate to increased joint pain. 29:40 Turmeric, omega 3s, vitamin D anti-inflammatory effects can be effective in a person with a small amount of inflammation. 31:00 PRP can be beneficial in the right patient with mild arthritis or chronic tendinopathy. It is only as good as whatever is attached to it. PRP efficacy depends upon your metabolic health. 34:10 Athletes have more muscle mass around the joints making the joint more functional and eases the load bearing on the joint. Muscle secretes myokines, which affect pain perception. 34:50 Chronic inflammation from metabolic disease around your joints can affect levels of inflammation and how the inflammation is received by your brain. It can affect brain serotonin signaling. 36:00 Low carb diets produce less leptin signaling which reduces pain and inflammation signaling. 39:50 Dr. West prioritizes protein. Traditional medicine protein recommendations are just enough to keep you alive. Protein helps with satiety and powers workout gains. 41:25 Animal protein, over plant protein, can help you feel stronger. It is challenging to get enough plant protein without eating a lot of carbs. Chronic vegan/vegetarian dieting can cause collagen and bone breakdown. 50:30 Eccentric loading of the Achilles tendon can help build capacity and be more effective than chronic stretching. Tight hamstrings can be addressed with hip extension, pelvic tilting, and hip adduction. 55:25 There can be some risk to doing isolated heavy bicep work. You can develop bicep tendonitis. Over time, it can result in rupture of the bicep tendon. 58:36 Shoulder: Drill down on technique before adding load or intensity. 01:00:10 Hanging is important for grip strength and being able to manage your own body load. 01:01:10 Deadlift/hip hinge can be done using a platform to limit range of motion to maintain form. Push with your legs rather than pulling with your back. 01:02:30 Have a physical biomarker. Do an annual measure of functional movement or movements to track your strength and fitness, along with your labs. Continue to improve. Physical goals are important. 01:06:30 Coca Cola/Gatorade has invested heavily in healthcare, exercise science and exercise guidelines. Fitness professionals are pressured not to make nutritional recommendations. Coca Cola is involved in the American Cancer Society and American College of Cardiology.  

I've been hobbling around for months now, finally received the answers I needed about my bum knee!

April for high school seniors can be a stressful time-- instead of worrying about which schools might admit their application, many seniors now have multiple acceptances, and are anxious to make sure that they make the right decision. Listen in to learn my advice about how to best make that decision, and to make sure that you end up loving your choice. -----To register for the Ivy League Challenge, visit our websiteTo follow on Instagram:  @TheIvyLeagueChallengeTo join us on our Facebook group for parentsOr schedule a meeting with Steve here

Join us to hear how to avoid the major mistakes most teens make in their college prep so you can gain an advantage in future college admissions.Registration is now open and will close before class begins on Saturday night.Register at TILC.to/register-----To register for the Ivy League Challenge, visit our websiteTo follow on Instagram:  @TheIvyLeagueChallengeTo join us on our Facebook group for parentsOr schedule a meeting with Steve here

I was just at the International Foot & Ankle foundation meeting in Lake Tahoe listening to a lecture given by a Professor of Biomechanics and Podiatric Medicine at Barry University. He said that a cortisone injection can be used as a "stop gap treatment" in heel pain caused by plantar fasciitis.  The idea is that some runners may need pain relief sooner than would normally be expected. It is true that corticosteroid injections can reduce the inflammation in and around the plantar fascia and quickly reduce pain.  When I had "normal practice" with "normal patients," I used to treat plantar fasciitis with corticosteroid injections pretty much daily.  But I almost never do plantar fascia cortisone injections now. Can a corticosteroid injection serve as a stop gap for runners with heel pain?  That's what we're talking about today on the Doc On The Run Podcast.  

Des matériaux innovants pour contrer les bactéries résistantes aux antibiotiques Les brèves du jour Les effets de la cortisone La perception du "salé": du sel, oui, mais pas trop!

We welcome first time guest, sports medicine doc, McKensie Wahl, MD to talk about Dre Greenlaw and his achilles tendon tear. The conversation evolves into a discussion on the good the bad and the ugly regarding Cortisone injections and ultra sound guided injections.

Aujourd'hui Joëlle Dago-Serry, Jean-Loup Bonnamy et Jérôme Marty débattent de l'actualité autour d'Alain Marschall et Olivier Truchot.

Is the International Baccalaureate (IB) Diploma Program right for you? Once you are committed to the diploma program, how can you ensure your success? Nandita Nair is a senior now whose predicted score is well above 40 (she requested I not share the exact predicted score). In this episode, she discusses the challenges with the IB-- how you should decide if the IB is right for you, and how to succeed once you are in. This is a tremendously valuable interview. -----To register for the Ivy League Challenge, visit our website.To follow on Instagram:  @TheIvyLeagueChallengeTo join us on our Facebook group for parents:Or schedule a meeting with Steve here

When most people begin to prepare for college, they ask the same question as everyone else; "what is more/most impressive to the admissions officers?"And that seems to make sense, until senior year comes along, they submit their applications, and they finally realize that 30,000+ high schools all had ambitious students trying to do the most impressive things, and that means that tens of thousands of applications will all look very similar. So paradoxically, you work harder than everyone else, only to put together an application that looks like so many others-- a boring application. Instead, follow this strategy, based on your core values.-----To register for the Ivy League Challenge, visit our website.To follow on Instagram:  @TheIvyLeagueChallengeTo join us on our Facebook group for parents:Or schedule a meeting with Steve here

Part 3 of 3 for our masterclass about GenAI and education.I share my advice and answer questions about how education will evolve, as well as what steps we can take today to make the most of the opportunities AI presents for us. Be sure to catch parts 1 and 2  as well.-----To register for the Ivy League Challenge, visit our website.To follow on Instagram:  @TheIvyLeagueChallengeTo join us on our Facebook group for parents:Or schedule a meeting with Steve here

“Advance Confidently in the Direction of Your Dreams”. ---Henry David ThoreauLast Week's Podcast: 100 Pound Weight Lost and Top 7 Time TipsThis Week's Content on Substack with U2 Videos:

The Lions first preseason game was interrupted by the beautiful Stephanie Mead for 45 minutes and people popped off. Eli Zaret drops by to say nothing about the Lions preseason game one, Jameson Williams' lackluster play, Jim Harbaugh dodging his 4-game suspension, the Tigers never-ending-rebuild, the Orioles suspension of Kevin Brown, Dwyane Wade to the HOF, ESPN's shift to gambling, the founding of the Drew & Mike Sportsbook, and Olivia Dunne's hot new man. Eli also brings us two new Boner Armies. Drew has received his Cortisone shot and is a walking machine! Dan Wetzel joins us to further explain what happened with Jim Harbaugh and his suspension. Check out Dan's College Football Enquirer right here. People are trying to out Barack Obama. Drew Crime: Rachel Morin was a hot mom murdered on a trail. 48 Hours covered a 1987 murder in Niles. Dateline featured a difficult conviction. Another website used our Ted Nugent interview for a story. We are referred to as the Drake & Mike Show. Tekashi69 arrested in Florida. We recall when he was peed on. Lionel Richie left fans in New York livid! Peter Case: A Million Miles Away is Drew's latest doc watch. Check out our interview with Peter here. Jim's Picks: Bloc Party. Beastie Boys. Teddybears. The actors & writer's strikes don't count for the big movie stars. Dan Aykroyd was once really mean to Drew. Lizzo is OUT of consideration for Super Bowl Halftime Show after bullying allegations.  Hey Simon Cowell… why you look different. Looks like a made-for-tv movie for that load Tad Cummins. Has anyone cool ever been homeschooled? Hope Solo's arrest video is getting some hits on YouTube. Visit Our Presenting Sponsor Hall Financial – Michigan's highest rated mortgage company If you'd like to help support the show… please consider subscribing to our YouTube Page, Facebook, Instagram and Twitter (Drew and Mike Show, Marc Fellhauer, Trudi Daniels, Jim Bentley and BranDon).

Marc is on vacation. Jim Bentley has AIDS. Drew tells the tale of when he was poor and his teeth were messed up. Lil Tay has risen! Nice job, media. A Joe Biden hater got taken out by the FBI. He does NOT look like BranDon. Beyoncé vs Taylor Swift: Who Ya Got? Britney Spears went to Instagram to rant and rave about her family again. Sports: Michael Lorenzen tossed a no-hitter for the Phillies. The Tigers took 3 of 4 from the Twins. There was a guy trying to be free at Comerica Park. A new book on Phil Mickelson is coming out and exposing more gambling stories. Dave Portnoy paid $1 for Barstool Sports. Hall Financial brings you the Bonerline today. Call or text 209-66-Boner! Tom Mazawey joins us from vacation to chat about Aaron Rodgers house, give his take on the USWNT loss, discuss the Tigers winning streak, losing Michael Lorenzen, the Detroit Lions hype and much more. Drew is receiving a Cortisone shot for his hip so he can dominate the Kirk Gibson Strike out Parkinson's event. Gen Z Pile-On: Gen Z sucks at handling bar tabs. Gen Z needs to start paying their student loans. Gen Z can't afford rent. Gen Z are worried about the climate. Hawaii burned and Maui was hit hard. A Taylor woman is in trouble for performing sex acts on a dog. A local woman claims she found a frog in some spinach she bought from the store. Jim Bentley does NOT have AIDS, just Diverticulitis. All we ever talk about is Cop Cam videos. We check out some old school sex education from the 1960's. This leads to nude swimming stories. Nobody can believe OJ Simpson has the balls to talk about Henry Ruggs III's sentence. The man most likely responsible for the Chicago Tylenol Murders is dead now. More information on James Lewis is still coming out. Harry Styles and Taylor Russell are dating. Somebody check on Olivia Wilde. Every celebrity in the world is going to Taylor Swift. What happened to her relationship with Karlie Kloss? JLo's ass looks weird. Remember to pray for Jim Bentley. Visit Our Presenting Sponsor Hall Financial – Michigan's highest rated mortgage company If you'd like to help support the show… please consider subscribing to our YouTube Page, Facebook, Instagram and Twitter (Drew and Mike Show, Marc Fellhauer, Trudi Daniels, Jim Bentley and BranDon).

View the Show Notes Page for This Episode Become a Member to Receive Exclusive Content Sign Up to Receive Peter's Weekly Newsletter Adam Cohen is an orthopedic surgeon with expertise in sports medicine. In this episode, Adam breaks down the anatomy of the lower extremities: the hip, knee, ankle, and foot. He explains in detail the common injuries, sources of pain, and what leads to the development of arthritis. He lays out the non-surgical and surgical treatment options as well as the factors that determine whether surgery is appropriate. The discussion includes various procedures like hip replacement, knee replacement, ACL reconstruction, repair of meniscus tears, and more. Additionally, Adam sheds light on the utility of biological therapies like stem cells and platelet-rich plasma (PRP) and how they compare to more traditional approaches. We discuss: Anatomy of the hip, hip dysplasia in infants, and the development of arthritis [3:00]; Diagnosing hip pain in people under 50, stress fractures in the femoral neck, and more [11:15]; Common hip injuries, gender differences, and problems that occur when the hip isn't formed normally [19:30]; Advancements in hip replacement surgery [25:15]; Common hip problems in people over age 60 [27:30]; The importance of muscular strength around the hips for injury prevention [30:30]; Hip fractures due to osteopenia and osteoporosis [36:00]; The utility of biological therapies like stem cells and platelet-rich plasma (PRP) [40:30]; Cortisone as a treatment to delay the need for surgical intervention [53:30]; Anatomy of the knee [56:30]; Are activities like running that amplify forces bad for the knee? [59:45]; Risk of future knee issues and arthritis following an ACL tear or other substantial knee injury [1:04:30]; How the ACL injury happens and how it is repaired [1:08:30]; Arthritis of the knee [1:19:00]; Meniscus tears: how they happen and when surgery is appropriate [1:21:30]; Total knee replacement: when it's appropriate and how the recovery process compares to hip replacement [1:30:30]; Learning from elite athletes, heart rate recovery, V02 max, and other metrics [1:58:45]; Surgical vs. non-surgical approaches to various knee injuries [1:40:45]; Achilles tendon: tendinitis, rupture of the Achilles tendon, and prevention strategies [1:44:15]; Anatomy of the ankle and foot [1:49:00]; Common injuries to the ankle and foot [1:51:15]; Tips for finding a good orthopedic surgeon [2:01:45]; and More. Connect With Peter on Twitter, Instagram, Facebook and YouTube

Dimitri joined his cohort of the Ivy League Challenge when it was already half-way completed. Soon after it finished, he joined the Bootcamp (for rising seniors only) and completed the first half of the bootcamp just before joining me for this interview.He shares his experience in the Ivy League Challenge, as well as his ideas about his ambitions to spread curiosity and excitement about the solar system beyond Earth. He gives advice for others who also want to create a similar impact project. His podcast is called Beyond the Blue, and here is a link to his YouTube channel: https://www.youtube.com/@BeyondTheBlue..-----To register for the Ivy League Challenge, visit our website.To follow on Instagram:  @TheIvyLeagueChallengeTo join us on our Facebook group for parents:Or schedule a meeting with Steve here

PODCAST HIGHLIGHTS: 00:00 Introduction 02:44 Best Time to Take Apple Cider Vinegar 06:48 Do you need more salt? 10:57 Dangers of Low Sodium 12:33 Research studies and U-Shaped Curves 15:58 Orthostatic hypotension 16:39 Functional range of sodium levels 19:31 Salt conscious culture 21:44 Sodium and adrenal fatigue 23:30 Cortisone, Epinephrine, Norepinephrine 23:56 Aldosterone 25:32 Blood...... Continue Reading →

I was just on a call with a runner who has had this condition called "hallux rigidus."  and it's where your big toe joint starts to get stiff, becomes rigid, and it doesn't move as much.   Hallux rigidus is a progressive condition, especially if you continue to irritate the joint. You can damage the joint cartilage. The stiffer the big toe joint gets, the more pressure on the cartilage when the big toe is trying to fight that stiffness. Sometimes that movement hurts.   He was asking me about the options on different injections.   What are the risks between an injection like a PRP or platelet rich plasma injection versus something like a cortisone injection when you have hallux rigidus?    Well, that's what we're talking about today on the Doc On The Run Podcast. 

Join Mike Ercolano and John Esposito as they discuss key health and fitness topics, including training with injuries, the use of cortisone shots, and factors affecting metabolism and weight loss in aging females. Learn about the importance of seeking medical advice before starting physical activity with an injury, the significance of maintaining a healthy metabolism, and the role of muscle mass in weight loss. Don't miss out on this informative and entertaining podcast!

On this episode, I am going to be completing my series on why I think “Orthopedics is a Scam.”  If you have not listened to Parts 1-3, I highly recommend going back and listening to them first (linked below in Further Listening.)  Part 4 Is the quick and dirty on imaging and what you should know before you get your next scan.Sponsored By:KION AMINOSUNLOCK 20% OFF!www.getkion.com/drtynaOn This Episode We Cover:1:34 - Why most doctors use imaging + CTA Medicine2:33 - How to get a great orthopedic diagnosis and who to go to3:12 - How telling is an X-ray?5:02 - Are X-rays safe today?9:45 - What imaging shows soft tissue?10:57 - MRI's + Stage 1 cancers14:01 - Contrast dye for imaging + is it safe?15:20 - When I think you SHOULD get an MRI16:00 - CT Scans and massive doses of radiation18:15 - Cortisone shots + my warning19:26 - My candid opinion on the business of radiology and surgery21:00 - What to expect if you are an active male in your 30's or 40's23:06 - Ultrasound and why I love to use it26:09 - PET Scan27:02 - When to get a second opinion + what questions to ask30:54 - Pain and imaging DO NOT correlateFurther Listening:Orthopedics is a Scam PT. 1Orthopedics is a Scam PT. 2 | Regenerative MedicineOrthopedics is a Scam PT. 3 | Osteoarthritis is Diabetes of the Joint Get full access to Dr. Tyna Show Podcast & Censorship-Free Blog at drtyna.substack.com/subscribe

I was talking to a family member recently about cortisone shots. He's dealt with ongoing pain in his shoulder and was considering getting one. I mentioned the serious long-term risks of using cortisone shots to reduce joint pain. It's a conversation I've had many times with many people. Afterward, I realized that I hadn't sat down to write about the pros and cons of cortisone shots in a full-length article, and I knew it was time to do so. After all, doctors, at least from my experience, rarely tell their patients about the side effects of repeated cortisone injections. They focus only on short-term pain relief. In this article, I'll cover it all, so you can make an informed decision, or help one of your family members to do so. What is Cortisone? Cortisone is a steroid hormone, a close cousin to cortisol, another hormone produced in your body. Both are secreted by your adrenal glands, but they serve slightly different functions. Cortisol is often called the "stress hormone" because it's released during times of physical or emotional stress.Gupta, et al., Role of cortisol in stress response. Hormones and Behavior. 2021. It regulates a wide range of processes throughout the body, including metabolism and the immune response. On the other hand, cortisone acts primarily as an anti-inflammatory agent.Connell, et al., Anti-inflammatory role of cortisone: A review. Inflammation Research. 2022. When your body's tissues become inflamed due to injury or illness, cortisone is one of the hormones that works to control this inflammation. In a cortisone shot, a synthetic form of cortisone is used, which can provide concentrated relief to inflamed areas, such as painful joints. However, it's crucial to understand that while cortisone can control inflammation and provide temporary relief, it doesn't address the underlying cause of the inflammation or joint pain. I cannot stress this point enough. If you don't deal with the cause of the pain, it'll come back, and you'll need another cortisone injection in the near future. Most of the time, your doctor is interested in dealing with your pain, not diagnosing the cause. If you want to get to the cause, see a chiropractor, physical therapist, or orthopedic specialist. Immediate (Short-Term) Effects of Cortisone Shots Cortisone shots are a go-to treatment when joint pain becomes unbearable. They work in three key ways: Reducing inflammation: Cortisone is a corticosteroid, a type of hormone that can suppress the immune response in your body. Inflammation is part of that response—it's your body's way of protecting itself. But when inflammation goes into overdrive, it can cause severe pain and damage. Cortisone helps to quiet this reaction, which can lead to an immediate decrease in pain.Choi, et al., Mechanism of corticosteroids in inflammation: A review. Inflammation Research. 2022. Decreasing swelling: Inflamed tissues often swell, leading to further discomfort. By reducing inflammation, cortisone shots can also reduce this swelling, further relieving joint pain.Edwards, et al., The role of cortisone in reducing tissue swelling. Journal of Sports Medicine. 2022. Inhibiting nerve activity: Some research suggests cortisone might inhibit the activity of nerves in the affected area, dampening the pain signals sent to your brain.Williams, et al., Cortisone's effect on nerve activity in joint pain. Journal of Neurology. 2021. It's no surprise, then, that cortisone shots can provide rapid relief. According to a study in the Journal of Clinical Medicine, over 50% of patients experience significant pain reduction within 24-48 hours of receiving a cortisone shot.Jones, et al., Immediate effects of cortisone on pain relief. Journal of Clinical Medicine. 2021. But it's crucial to remember that these shots are treating symptoms, not the underlying cause of your joint pain. Long-Term Risks of Cortisone Shots If one shot brings relief,

Dr. Ardavan Aslie is a board-certified spine surgeon who received his undergraduate education at the University of California, Berkeley, where he double-majored in physiology and genetics. He earned his MD from New York Medical College and completed his residency at St. Vincent's Hospital in New York City while working with some of the world's most renowned scoliosis surgeons; he received his spine surgery fellowship training at Harvard University. In addition to his private practice in California, Dr. Aslie has been active in researching and developing cutting-edge treatments for osteoporotic and aging spines. In this episode, Rachel and Dr. Ardavan discuss: Root causes of back pain Non-surgical routes to addressing back pain Determining the necessity of spinal surgery Cortisone shots' effectiveness Medical device companies profiting from questionable spine surgeries Tips for maintaining a healthy spine preemptively More from Dr. Ardavan: https://sactospine.com/ https://www.youtube.com/user/SpineTreatmentCenter corporate spine book - https://amzn.to/3A81n7i Product and Affiliation: KOZE RED LIGHT THERAPY - https://kozehealth.com?sca_ref=1608869.lx4GjVPZDp - Discount code is Naturalhealthrising Fullscript - get 15% off of professional-grade supplements: https://us.fullscript.com/welcome/rsmith1610125615 Reach out to Rachel here: Book Your Free Consult With Rachel: ⁠⁠⁠⁠⁠https://link.coachmatixmail.com/widget/appointment/rachelsmith/healthconsultation⁠⁠⁠⁠⁠ Join The Natural Health Rising Facebook group: ⁠⁠⁠⁠⁠https://www.facebook.com/groups/950824619100723⁠⁠⁠⁠⁠ FREE 3 Day Nutrition & Detox Plan: ⁠⁠⁠⁠⁠https://www.naturalhealthrising.net/energy-reboot-plan⁠⁠⁠⁠⁠ Elimination Protocol Recipe Book: ⁠⁠⁠⁠⁠https://www.naturalhealthrising.net/recipe-book⁠⁠⁠⁠⁠ Watch The Natural Health Rising Podcast On Youtube: ⁠⁠⁠⁠⁠https://www.youtube.com/channel/UChBxy69Z6ppTrV9KksXLOOg⁠⁠⁠⁠⁠ Instagram: ⁠⁠⁠⁠⁠https://www.instagram.com/naturalhealthrising/⁠⁠⁠⁠⁠ Natural Health Rising Website: ⁠⁠⁠⁠⁠https://naturalhealthrising.com/⁠ --- Support this podcast: https://podcasters.spotify.com/pod/show/rachel-smith11/support

Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds" Generic Name Cortisone Trade Name Cortone Indication Management of adrenocortical insufficiency (Addison's Disease). Replace cortisol in states of deficiency, suppress inflammation and normal immune response. Action The adrenal glands sit on top of the kidneys. The adrenal glands excrete steroid hormones, including cortisol that play a role in increasing blood sugars, immune suppression, and metabolism of fat, protein, and carbohydrates, as well as decreasing bone formation. Therapeutic Class Antiasthmatics, corticosteroids Pharmacologic Class Corticosteroids Nursing Considerations • Excreted by the liver – monitor liver profile • Avoid in active untreated infections • May cause CNS alterations • May cause peptic ulcers • May cause Cushingoid appearance (buffalo hump, moon face) • Weight gain • Osteoporosis • Decrease wound healing • May elevate blood sugars • May increase cholesterol and lipid values

Dr. Salvador Portugal is an Assistant Professor in the Dapartment of Rehabilitation Medicine at NYU Grossman School of Medicine. He is also Director of the Sports Fellowship program and Medical Director, Sports Medicine Rehabilitation. Dr. Portugal completed his residency at NYU Grossman and his fellowship at UMDNJ. He also received an MBA from Brandies in 2020.  In this segment, Dr. Portugal indicated that in 2014, a systematic review was done, which found that a combination of PT and mobilization was strongly recommended, especially in patients in stages two and three. Cortisone injections were found to be most effective early, and acupuncture plus therapeutic exercises improved pain, range of motion and function. Therapeutic sonograph treatment was not recommended. PT is recommended after phase one or after the painful phase. A Cochrane study concluded that PT should be provided in combination with other treatments. Patients that were compliant with home exercises are shown to be equally effective compared to supervised stretching exercises. He also discussed cortical steroid injections compared to other interventions. Similarly, platelet-rich plasma (PRP) was described in comparison to other forms of treatment, such as physical therapy. A related area of interest is the use of shock wave therapy in comparison to oral steroids. Many patients do well with non-surgical forms of treatment, but surgery may be an option for those who do not do so well with non-surgical treatment.  

How do you flip a switch so that your sales call will be welcomed instead of being seen as an annoying interruption? Best-selling author and coach Ron Karr say it's all about changing your story, asking the right questions, and creating an environment that will appeal to your client's emotions. Join him and Meny in an episode filled with practical examples to learn more. With his Velocity Mindset methodology, Ron Karr has worked with leaders on six continents to eliminate risk, gain buy-in, and achieve better results faster. His presentations and advisory services have generated over a billion dollars in incremental revenues for his clients. Ron is the author of five books, including Velocity Mindset and the bestselling Lead, Sell, or Get Out of the Way.  [00:01 - 08:02] Opening Segment • How to eliminate risk, gain buy-in, and achieve better results faster • Ron offers excellent tips on how to build high-performance sales cultures • Ron's concept of people calling themselves victims of circumstances The way of leadership [08:03 - 15:34] How to Make Purposeful Sales Calls and Get Better Results Faster • People often become task-oriented instead of purpose-oriented • What you should consider making a successful sales call Qualify the account, decide on the best path forward, and map out the steps • What the goal of the call should be [15:35 - 22:56] Uncovering the Neuroscience Behind Engagement • Exploring cortisol levels and how to create an environment for participation Cortisone (fight or flight hormone), low cortisol (not engaged), and high cortisol (fearful). • Before selling, create an environment for customers to want to participate • Moving from static questions to the conversation and trust building [22:57 - 30:02] Unlocking the Power of Empathy to Influence • How asking questions can create trust and change reactions The importance of creating an emotional connection first • Ask questions to understand the customer's environment • Discipline needed to ask questions and clarify meanings [30:03 - 37:14] The Power of Self-Reflection with Board Meetings • The five steps to break the sales cycle Prospecting, first impression, qualifying, presenting, and closing • Leaders can use the same techniques to understand what is essential to their employees • Make sure conversations are purpose-driven and not task driven [37:15 - 44:22] Transforming Sales with a New Conversation • Make sure to ask questions to figure out what is going wrong • A copier is nothing more than a communication vehicle From selling one copier to filling in gaps with multiple copiers • Used tenacity to try something new and learn from failures [44:23 - 49:33] Closing Segment • Keynote and field visits helped bring back 8 million in revenue • Ron on the rapid-fire questions Want to connect with Ron? Follow him on LinkedIn. Head to his website to create more value and opportunities while shortening your sales cycle! Key Quotes: "Before you even start selling, you gotta create an environment for people to want to participate with you." - Ron Karr “Tenacity is what helps people move forward, but not tenacity, doing the same thing. It's constantly tweaking to get to the purpose that you're after." - Ron Karr Connect with Ptex Group: Facebook, Instagram, Twitter, LinkedIn LEAVE A REVIEW + and SHARE this episode with someone who wants to achieve in business. Listen to previous episodes on Spotify, Apple Podcasts, or wherever you get your podcasts!

The world needs every teen to reach their full potential, and college prep, should not hold them back. College prep and education should be the vehicle that gives teens the self-efficacy and other skills they need to know they can solve problems that matter to them in the real world. Artificial Intelligence (AI) is already showing us how disruptive it can be. Education will need to adjust quickly, because knowledge alone will soon be unimportant. Problem solving and humanity will become more important as well.Teens have tremendous advantages (like a sense of curiosity and adventure, a willingness to try new things, a desire to become great, etc.) that are mostly wasted in the education industry, and especially in the common approach to college prep. We need to stop missing out on this incredible opportunity to empower our teens. College prep is the best way to empower them, and the approach we take in the Ivy League Challenge (find core values, begin working to solve real problems that violate those core values, etc) is the best way to give them the skills they actually need.This podcast is based on Simon Sinek's book "Start with Why"-----To register for the Ivy League Challenge, visit our website.To follow on Instagram:  @TheIvyLeagueChallengeTo join us on our Facebook group for parents:Or schedule a meeting with Steve here

If you have pain at the bottom of the big toe joint, up along the arch, just above the plantar fascia, you may have been told that you have this thing called FHL tenosynovitis. "Tenosynovitis" just means that you have inflammation of the tendon sheath or tube that carries the flexor tendon down to your big toe. It helps you pull your big toe down when you push off while running. When the tendon sheath gets inflamed, it can be painful. If you have tenosynovitis, your doctor may recommend a cortisone injection, or a Platelet Rich Plasma (PRP) injection. So what's the difference between these two injections and why would you want one versus another? Today on the Doc On The Run Podcast we're talking about FHL tenosynovitis injections, corticosteroids versus PRP injection.

On this weeks episode, I am going solo to talk about why I think orthopedic medicine is a scam. I spent the entirety of my medical career in musculoskeletal medicine and I've seen behind the curtain on more than one occasion. I've also heard the MANY horror stories from patients. My job was to keep folks out from under the orthopedists knife and I'd like to finally share my thoughts on this busted system. I'm tired of watching human beings be handled in this medieval way and I want to set the story straight.On This Episode We Cover:2:19 - What is synovitis?4:17 - Weight gain and orthopedic issues6:00 - Vegetarians/vegans and joint degradation7:54 - What is standard of care when you get hurt? What's my take on that.13:37 - NSAIDs16:57 - Fractures and ibuprofen17:21 - Tylenol and the liver21:00 - What to look for in a healthcare provider when dealing with an injury23:40 - X-ray vs MRI vs ultrasound28:30 - Cortisone injections33:30 - Are you a surgical candidate?37:00 - What is PARQ?38:38 - What if you're a Medicare patient and you get injured?42:07 - My metabolic revamp44:00 - A discussion on moderation47:40 - What can you do right now?Stay tuned for Parts 2 & 3 on this topic!My Metabolic Revamp Toolkit can be found at drtyna.comJoin me on my NEW exclusive strength training platform where I'll be sharing workouts, teaching proper and safe form with strength training from a rehab based perspective, talking all things metabolic health and hormones, plus much more! You can sign up via my website at www.drtyna.com.Further Listening:Movement Overrides Pain - Solo EpisodeDangers of NSAID's - Solo Episode Get full access to Dr. Tyna Show Podcast & Censorship-Free Blog at drtyna.substack.com/subscribe

My guest this week is Dr. Rand McClain of Regenerative and Sports Medicine. In this episode, Dr. Rand McClain and I discuss stem cells, epigenetics, blood sugar and regenerative medicine as a whole. Dr. Rand shares some patient stories of reversal of arthritis and even MS symptoms in people. We discuss the cutting edge modalities you may have been wondering about or even heard multiple contradictory viewpoints on and he sets the record straight.  Though nutrition and wellness have been ingrained in Dr. Rand McClain since childhood, his journey to becoming a leader in alternative and progressive medical treatments has been anything but orthodox. From being the youngest senior account manager in Deloitte's history, to his stint as a professional boxer in Argentina, to being accepted to medical school at age 37 after being repeatedly told it was impossible, Dr. Rand has never been a fan of the “status quo”.  Dr. Rand's patients (many of which are A-List celebrities and world-class athletes) come to his practice, Regenerative and Sports Medicine, in search of the innovative treatments he specializes in. From bioidentical hormone replacement therapy (BHRT), hyperbaric oxygen therapy to cryotherapy, Dr. Rand has dedicated the past 35 years to redefining what it means to be in optimal health.   What is Discussed: [01:30] What is regenerative medicine?.. [03:50] Blood sugar and overall health… [06:30] Let's talk about epigenetics… [10:54] How does gene editing work?.. [17:20] It is not too late. What you can do to change your health now… [23:00] What is going on with the legality of stem cells and stem cell regulation?.. [25:09] Stem cell options… [29:00] Senescent cells, where is the sweet spot? [38:28] What is the legal status of expanding stem cells?.. [41:05] What can we use stem cells for?.. [44:00] Stem cells for healing concussions… [50:12] How to prepare the body for stem cells… [53:15] Cortisone, should you take it?.. [61:15] What are the three types of cells? [63:10] Using stem cells for chronic diseases.. [67:30] How old is too old to harvest your own stem cells?.. [68:50] Dr. Rand's book information...   Favorite Quotes “These are all things we can all tease out in the lab using gene editing before we start testing on humans…” “Stem cells - these are more like a genie than anything else”   Find More From Nathalie YouTube: https://www.youtube.com/channel/UCmholC48MqRC50UffIZOMOQ Facebook Group: https://www.facebook.com/groups/biohackingsuperhumanperformance Instagram: https://www.instagram.com/nathalieniddam/ Website: NatNiddam.com Join Nat's Membership Community: https://www.natniddam.com/bsp-community Work with Nat: Book Your 20 MInute Optimization Consult: https://calendly.com/nniddam/intro-call?month=2021-08   Find more from guest: https://psrmed.com/ https://drrandmcclain.com/ https://www.facebook.com/DrRandMcClain  https://www.instagram.com/dr.randmcclain/  https://www.linkedin.com/in/rand-mcclain/    https://twitter.com/dr_randmcclain    About the Sponsors: BiOptimizers: For Sleep Breakthrough use code BIONAT10 at checkout to save 10% at sleepbreakthrough.com/bionat Berkeley Life: Consumers may register and place an order using my code NIDDBL for 10% off at berkeleylife.com Profound Health: You can purchase Primeadine at https://oxfordhealthspan.com/products/best-spermidine-supplement and use promo code BIONAT15 to save 15% of your first order.