Podcasts about Knee replacement

What can a new knee do for your hiking? Heck! What can TWO new knees do?? This week we talk about knee replacement with special guest Kim Weiler.                 Links- Hiking after Knee Replacements - https://jointreplacementcenterscottsdale.com/blog/hiking-after-knee-replacement/ Hiking after Knee Replacement 2 - https://www.jointreplacementhawaii.com/hiking-after-knee-replacement/?srsltid=AfmBOoq5vpScT7oJ3mXBP4fK5LpI4PwV7JU-NvTWX0p6imlOqFCDrQI9 Connect with Anna, aka Mud Butt, at info@traildames.com You can find the Trail Dames at: Our website: https://www.traildames.com The Summit: https://www.traildamessummit.com The Trail Dames Foundation: https://www.tdcharitablefoundation.org Instagram: https://www.instagram.com/traildames/ Facebook: https://www.facebook.com/groups/traildames/ Hiking Radio Network: https://hikingradionetwork.com/ Hiking Radio Network on Instagram: https://www.instagram.com/hikingradionetwork/ Music provided for this Podcast by The Burns Sisters "Dance Upon This Earth" https://www.theburnssisters.com

Send a textWe're working back through our Total Knee Replacement podcasts and trying to give them a "refresh".  Tune in to hear what you should expect and how to manage this difficult post-op week #1 timeframe.  www.Peakrehabfitperform.com

Send a textWe've officially hit a milestone—Episode 365! That means we have a full year's worth of audio for you to binge (if you're brave enough). On this episode, the mood is a mix of celebration and nerves as Matt prepares to go under the knife for his full knee replacement surgery the very next morning.In this episode:The Bionic Leg: Matt talks about the high-tech recovery gear dropped off by Cobra Medical and discusses the timeline for his return to the links (Landmand or bust!).Tour Talk: We recap the chaos and "cultural experience" that was the Waste Management Open and look ahead to the 80-man, no-cut field at Pebble Beach.Halftime Hot Takes: The crew debates the Super Bowl halftime show—was it a vibe or a snooze fest compared to Prince?Tech & Trivia: Matt terrorizes the guys with creepy AI-generated videos, and we play a round of "Google Gemini" trivia regarding the most important dates in modern golf history.Plus, we talk TGL failures, Disneyland horror stories, and give away some fresh Garson gear.Special thank goes out to our show sponsors:

Last year at the 2025 AAHKS Annual Meeting, our host William B. Kurtz, MD spoke with the James A. Rand, MD, Young Investigator’s Award recipient Michael E. Neufeld, MD, MSc, FRCSC about his study on Synovial Metal Ions in “Nickel Free” vs. Standard Cobalt-Chrome Containing Total Knee Replacement.  Dr. Neufeld shared that the aim of his study was to compare intraarticular synovial fluid levels of metal ions in patients who underwent cemented primary TKA with a hypoallergenic implant vs. a matched cohort of standard cobalt-chromium (Co-Cr) containing implants at a minimum two-year follow-up. A case-controlled study was conducted using prospectively collected data from a single institution – 22 cases and 19 controls.  Interestingly, the study uncovered that patients with hypoallergenic implants had intraarticular synovial Ni ion levels 3.6 times higher vs. standard implant controls, contesting the use of this hypoallergenic implant for Ni allergy/hypersensitivity. Listen to the full discussion and make sure you click subscribe! Thanks for listening to AAHKS Amplified! In This Episode: William B. Kurtz, MD Michael E. Neufeld, MD, MSc, FRCSC The post Synovial Metal Ions in Nickel Free vs. Standard Cobalt-Chrome Containing Total Knee Replacement first appeared on AAHKS.

In this episode of PodMD, Orthopaedic Surgeon Dr Jason Hockings will be discussing the topic of kinematic and functional alignment techniques in knee replacement. We discuss when knee replacement surgery becomes necessary, signs and symptoms GPs should look out for, what knee replacement surgery involves today, and more.

Can Therapists Start a Union? The Antitrust Trap, the Shadow Committee, and the Economic Strangulation of American Psychotherapy Analyzing America's Healthcare Regulations and Their Effect on Us: Why the Law Prevents Therapists from Organizing While Allowing a Private Committee to Fix Prices for the Entire Medical System https://gettherapybirmingham.com/can-therapists-start-a-union-spoiler-alert-they-cant/ The Monthly Rage Thread If you hang around therapist forums long enough, you will see it happen. It operates with the regularity of the tides. Someone posts a thread, usually after receiving a contract from an insurance company offering 1998 rates for 2025 work, and asks the obvious question: “We are the ones providing the care. The system collapses without us. Why don't we just all go on strike? Why don't we form a union and demand fair pay?” It is a logical question. In almost every other sector of the economy, workers who feel exploited band together to negotiate better terms. Screenwriters shut down Hollywood to get paid for streaming residuals. Auto workers walk off the line. Teachers fill the state capitol. Nurses at major hospital systems have successfully unionized and won significant concessions. So why, in the midst of a national mental health crisis, does the mental health workforce remain so politically impotent? The answer is not that we lack will. It is not that we lack organization. The answer is that for private practice therapists, forming a union is a federal crime. This is not a political manifesto. It is an analysis of the bizarre regulatory environment that governs American healthcare, a system of antitrust laws, shadow committees, and bureaucratic classifications that effectively strips clinicians of their bargaining power while empowering the corporations that pay them. If you want to understand why corporate tech monopolies are ruining therapy, or why the corporatization of healthcare feels so suffocating, you have to understand the legal straitjacket we are all wearing. And you have to understand the one group that is allowed to set prices, the one group exempt from the rules that bind the rest of us. Part I: You Are Not a Worker, You Are a Standard Oil Tycoon The primary reason therapists cannot unionize dates back to the era of oil barons and railroad tycoons. The Sherman Antitrust Act of 1890 was designed to prevent massive corporations like Standard Oil from colluding to fix prices and destroy the free market. It prohibits “every contract, combination… or conspiracy, in restraint of trade.” The law was a response to genuine abuses: companies buying up competitors, dividing territories, and coordinating prices to gouge consumers who had no alternatives. Here is the catch: In the eyes of the federal government, a private practice therapist is not a “worker.” You are a business entity. Even if you are a solo practitioner struggling to pay rent in a subleased office, seeing clients between crying in your car and eating lunch at your desk, the law views you as the CEO of a micro-corporation. You are classified as a 1099 independent contractor, not a W-2 employee, and that distinction makes all the difference in the world. If two workers at Starbucks talk about their wages and agree to ask for a raise, that is “collective bargaining,” which is protected by the National Labor Relations Act. But if two private practice therapists talk about their reimbursement rates and agree to ask Blue Cross for a raise, that is “price-fixing.” It is legally indistinguishable, in the eyes of the Federal Trade Commission, from gas stations conspiring to raise the price of unleaded. It sounds absurd, but the FTC takes it deadly seriously. When independent contractors organize to demand higher rates, when they share information about what they are being paid and coordinate their responses, they are engaging in horizontal price-fixing, one of the most serious violations of antitrust law. The Sherman Act provides for criminal penalties, including fines and imprisonment. The law that was meant to break up monopolies is now used to prevent social workers from asking for a cost-of-living adjustment. The irony is crushing. The same regulatory framework that prevents two therapists from discussing their rates allows massive insurance conglomerates to merge repeatedly, concentrating buyer power in fewer and fewer hands. UnitedHealth Group, for example, has acquired dozens of companies over the past two decades, becoming the largest healthcare company in the United States. When they offer a “take it or leave it” contract to providers, they do so with the full knowledge that fragmented, legally prohibited from organizing therapists have no counter-leverage. The antitrust laws, designed to prevent monopoly power, have created a system where sellers are atomized and buyers are consolidated. Economists call this “monopsony,” and it is precisely the market distortion the Sherman Act was supposed to prevent. Part II: The Day the “Learned Profession” Died For a long time, doctors and lawyers thought they were exempt from these laws. They argued that they were “learned professions,” not mere tradespeople, and therefore above the grubby laws of commerce. They believed that their ethical obligations to patients and clients set them apart from the rules that governed steel mills and meatpacking plants. Medicine was a calling, not a business, and surely the government would not regulate the sacred doctor-patient relationship as if it were a commercial transaction. That illusion was shattered in 1975 by the Supreme Court case Goldfarb v. Virginia State Bar. The case involved lawyers, not doctors, but its implications cascaded through every licensed profession in America. The Goldfarbs were purchasing a home and needed a title examination. The Virginia State Bar had established a minimum fee schedule for such services, and every lawyer they contacted quoted the exact same price. They sued, arguing that this fee schedule was illegal price-fixing. The Supreme Court agreed. In a unanimous decision, the Court ruled that professional services, including legal and medical advice, are “trade or commerce” subject to antitrust laws. The “learned profession” exemption, which had been assumed but never explicitly established in law, was declared a myth. “The nature of an occupation, standing alone,” the Court wrote, “does not provide sanctuary from the Sherman Act.” This ruling was intended to lower prices for consumers by preventing lawyers from setting minimum fees, and in that narrow sense it was a good thing. But in healthcare, it had a catastrophic side effect: it made it illegal for doctors and therapists to band together to resist the pricing power of insurance companies. The “learned profession” exemption is dead. We are now just businesses, and businesses are not allowed to hold hands. This creates the illusion of progress: we have “free market” competition among providers, but monopsony power among payers. It is a market where the sellers are forbidden from organizing, but the buyers are allowed to merge until they are too big to fail. The result is not a free market at all. It is a market designed to transfer wealth from one class (providers) to another (insurers and administrators), with the law itself serving as the enforcement mechanism. Part III: The Cartel in the Basement If therapists cannot collude to set prices, surely nobody else can, right? Wrong. There is one group in American healthcare that is allowed to meet in a room, decide what every doctor's time is worth, and set prices for the entire industry. It is called the RUC, the AMA/Specialty Society Relative Value Scale Update Committee. And understanding the RUC is the key to understanding why talk therapy is dying in the medical model, why psychiatrists abandoned the couch for the prescription pad, and why your insurance company offers you a ghost network of providers who never answer the phone. The Birth of a Shadow Government To comprehend the current crisis in mental health economics, one must excavate the foundations of the physician payment system. Prior to 1992, Medicare reimbursed physicians based on a system known as “Customary, Prevailing, and Reasonable” charges. Under this system, physicians were paid based on their historical billing charges. It was inherently inflationary; it rewarded those who raised their fees most aggressively and created wide geographic disparities for identical services. In response to spiraling costs, Congress passed the Omnibus Budget Reconciliation Act of 1989, mandating a transition to a fee schedule based on the resources required to provide a service. This birthed the Resource-Based Relative Value Scale. The intellectual architecture for this system was developed by a team of economists at Harvard University, led by William Hsiao. Hsiao's team sought to create a “unified theory” of medical value, attempting to quantify the “work” involved in disparate medical acts, comparing the cognitive intensity of a psychiatric evaluation with the technical skill of a hernia repair. The Harvard study was revolutionary. It promised to level the playing field, suggesting that cognitive services, the thinking and talking that comprises primary care and mental health, were vastly undervalued relative to surgical procedures. Had Hsiao's original recommendations been implemented purely, the income gap between generalists and specialists might have narrowed significantly. But the administrative complexity of assigning values to over 7,000 Current Procedural Terminology codes overwhelmed the Health Care Financing Administration. Into this administrative vacuum stepped the American Medical Association. The AMA, fearing that the government would unilaterally set prices, proposed a “partnership.” They would convene a committee of experts to maintain and update the relative values, providing this labor-intensive service to the government at no cost. The government accepted. Thus, in 1991, the RUC was born, not as a government agency, but as a private advisory body with unparalleled influence over public funds. The Architecture of Control The RUC's claim to legitimacy rests on its status as an “expert panel.” But a structural analysis of its composition reveals a profound bias that mimics the governance of a cartel designed to protect incumbent interests. The committee consists of 32 members, but power is concentrated in the 29 voting seats. Of these, 21 seats are appointed by major national medical specialty societies. The distribution is not proportional to the volume of services provided to Medicare beneficiaries, nor is it proportional to the physician workforce. Instead, it is frozen in a historical moment that favored high-technology specialties. Primary care physicians, who perform roughly 45 to 50 percent of Medicare work, hold approximately 4 to 5 seats, giving them about 17 percent of the vote. Procedural and surgical specialties, including surgery, radiology, and anesthesiology, hold 15 to 18 seats, giving them roughly 60 percent of the vote despite performing only 35 to 40 percent of Medicare work. The American Psychiatric Association holds a single seat. One seat. This lone representative must negotiate with a supermajority of specialists, neurosurgeons, cardiothoracic surgeons, radiologists, and ophthalmologists, whose financial interests are often diametrically opposed to the valuation of cognitive work. The cartel dynamic is enforced by a statutory requirement of budget neutrality. The Medicare Physician Fee Schedule is a zero-sum game. If the total relative value units projected for a given year exceed the budget, a “scaler” is applied to reduce the conversion factor, effectively cutting everyone's pay. Therefore, any proposal to increase the value of psychotherapy, which would increase the total RVU spend, effectively asks every surgeon in the room to take a pay cut to fund the raise for psychiatrists. Given that a two-thirds majority is required to pass a recommendation, the procedural bloc holds absolute veto power over any redistribution of wealth. The Secret Chamber A hallmark of cartel behavior is the restriction of information. For nearly two decades, the RUC operated in near-total secrecy. While recent years have seen minor concessions to transparency, such as the publication of vote totals, the core deliberative process remains opaque. RUC meetings are private. The public, the press, and even non-RUC physicians are largely barred from attending the deliberations where billions of tax dollars are allocated. Participants, including the specialty advisors who present data, must sign strict non-disclosure agreements. These agreements prevent them from discussing the specific tradeoffs, deals, or arguments made within the chamber. A former RUC participant described these agreements as “draconian,” designed to insulate the committee from public accountability. The Government Accountability Office and the Center for American Progress have noted the inherent conflict of interest. The individuals setting the prices are the same individuals who receive the payments. Unlike a regulatory agency, where officials are salaried and divested of industry assets, RUC members are practicing physicians whose personal incomes are directly tied to the decisions they make. This secrecy serves a functional purpose: it allows for “logrolling.” A representative from Orthopedics might support an inflated value for a Cardiology code in exchange for Cardiology's support on a Knee Replacement code. This “I'll scratch your back” dynamic creates an upward pressure on procedural values that excludes those outside the dominant coalition, specifically primary care and mental health. The Antitrust Shield Why has the Department of Justice not broken up this cartel? The legal shield is the Noerr-Pennington Doctrine. This Supreme Court doctrine establishes that private entities are immune from antitrust liability when they are petitioning the government. Because the RUC technically only “recommends” values to CMS (that is petitioning), and CMS “decides” (that is government action), the RUC is protected by the First Amendment right to petition. This legal loophole allows the RUC to operate with monopolistic characteristics without fear of prosecution, provided CMS continues to go through the motions of “reviewing” the recommendations. And CMS accepts those recommendations over 90 percent of the time. Because private insurance companies generally base their rates on Medicare, this private committee effectively sets the price of healthcare for the entire country. If independent therapists did this, if they gathered in a room and agreed on what their services should cost, they would face criminal prosecution. But because the RUC operates under the fiction of “advising” the government, it is protected. The same regulatory framework that criminalizes therapist solidarity provides cover for industry-wide price coordination by the most powerful medical specialties. Part IV: The Mechanics of Suppression To control a market, one must control its currency. In American medicine, that currency is the Relative Value Unit. Every medical service, from a 15-minute therapy session to a heart transplant, is assigned a total RVU value. This value is the sum of three components: the Work RVU, which accounts for physician time, technical skill, mental effort, and judgment; the Practice Expense RVU, which covers overhead costs like rent, staff, and equipment; and the Malpractice RVU, which reflects professional liability insurance costs. The Work RVU, which comprises roughly 50 to 55 percent of the total value, is determined by RUC surveys. When a code is flagged for review, the relevant specialty society distributes a survey to a sample of its members. These respondents are asked to estimate the time and intensity of the service compared to a “reference service.” This methodology violates several principles of statistical validity. The surveys are voluntary and distributed by the specialty societies themselves. The respondents are typically those most active in the society and most invested in maximizing reimbursement, advocates rather than neutral observers. The sample sizes are often shockingly small; RUC surveys frequently rely on fewer than 50 or 70 respondents to set the price for services performed millions of times annually. A sample of 30 orthopedic surgeons might determine the value of a procedure costing Medicare billions. The Time Arbitrage The most critical variable in the RUC equation is time. The Work RVU is conceptually derived from the formula: Work equals Time multiplied by Intensity. Therefore, inflating the time estimate is the most direct route to inflating the price. Independent studies by RAND and the Urban Institute, often using objective data like Operating Room logs, have consistently shown that the RUC overestimates the time required for surgical procedures. A procedure valued by the RUC as taking 60 minutes may, in reality, take 30 minutes. This creates an arbitrage opportunity. If a gastroenterologist can perform a “60-minute” colonoscopy in 20 minutes, they can effectively perform three procedures in the time allotted for one. They bill for three hours of work in one hour of real time. This “efficiency gain” is captured entirely by the physician as profit. Psychotherapy cannot utilize this arbitrage. CPT codes for psychotherapy are explicitly time-based in their definition. Code 90832 requires 16 to 37 minutes. Code 90834 requires 38 to 52 minutes. Code 90837 requires 53 minutes or more. A psychiatrist cannot perform a 60-minute therapy session in 20 minutes; doing so constitutes fraud. Therefore, the revenue of a psychotherapist is capped by the linear passage of time. They can sell, at maximum, roughly 8 to 10 units of labor per day. A proceduralist, aided by RUC-inflated time assumptions, can sell 20 or 30 units of “RUC time” in the same day. This structural discrepancy creates a widening income gap that no amount of “hard work” by the therapist can close. It is not a market failure. It is market design. The “Thinking” Penalty The RUC's bias is not merely structural; it is philosophical. The committee, dominated by surgeons and proceduralists, consistently values “doing things to people,” cutting, scanning, injecting, far more highly than “talking to people,” diagnosing, counseling, managing complex chronic conditions. This creates a regulatory environment that functions as a de facto wealth transfer from cognitive care to procedural care. In 2013, a major revision of psychiatry codes exposed this bias in stark relief. Previously, psychiatrists used codes that bundled the medical evaluation with the psychotherapy. The new system required psychiatrists to bill an E/M code for the medical management plus an “add-on” code for psychotherapy. While intended to improve transparency, this change exposed psychotherapy to the raw mechanics of the RUC's valuation bias. By isolating the “therapy” component, the committee could subject it to rigorous cross-specialty comparison. And the committee, dominated by surgeons, views “talking to a patient” as low-intensity work compared to “operating on a patient.” The economic signal was clear. This created the 15-minute med check culture not because psychiatrists stopped caring, but because the regulatory environment made relational care financial suicide. It effectively “illegalized” the practice of deep, slow psychiatry for anyone who wanted to take insurance. Part V: The “Messenger Model” and Other Legal Fictions When therapists ask about collective bargaining, lawyers will often point them to the only legal loophole available: the “Messenger Model.” In this model, a third party (the messenger) acts as an intermediary between a group of providers and an insurance company. The messenger takes the insurance company's offer and conveys it to each therapist individually. Each therapist must then make a unilateral, independent decision to accept or reject it. The messenger is strictly forbidden from negotiating. They cannot say, “The group rejects this.” They cannot say, “We want 10% more.” They cannot advise the therapists on what to do. They can only carry messages. This is why “Independent Practice Associations” are often toothless. In the 2008 case North Texas Specialty Physicians v. FTC, the Fifth Circuit Court of Appeals made clear that if an IPA actually tries to leverage its numbers to demand better rates, it violates antitrust laws. If it follows the messenger model, it has no leverage. It is a “heads I win, tails you lose” regulatory structure designed to protect payers, not providers. The only exception is “clinical integration,” where providers genuinely merge their practices, share infrastructure, and accept joint financial risk. But this requires substantial capital investment and essentially means ceasing to be an independent practitioner. It is a legal pathway available mainly to large physician groups and hospital systems, not to solo therapists working out of rented offices. Part VI: Market Distortions and the Flight to Cash When a cartel sets a price below the market equilibrium, suppliers exit the formal market. This is precisely what has happened in psychotherapy. Mental health providers generally have lower overhead than surgeons. They do not need MRI machines or sterile surgical suites. And they face high consumer demand; the national mental health crisis ensures a steady stream of people seeking services. This gives them an “exit option” that proceduralists do not have. They can refuse to accept insurance and operate as cash-only businesses. The statistics are stark. Nearly 50 percent of psychiatrists do not accept commercial insurance, compared to less than 10 percent of other specialists. A 2023 survey indicated that 64 percent of private practice therapists planned to increase their cash-pay rates. Research published in Health Affairs Scholar found that patients are 10.6 times more likely to go out-of-network for mental health care than for medical/surgical care. This mass exodus is a rational economic response to RUC-suppressed rates. If the RUC says an hour of therapy is worth $100 via the RVU-to-dollar conversion, but the market demand is willing to pay $250, the provider will leave the RUC-controlled sector. They are not abandoning their profession; they are abandoning a pricing regime that values their work at less than half its market rate. Ghost Networks The RUC's pricing failure creates “Ghost Networks,” directories filled with providers who are ostensibly “in-network” but are functionally inaccessible. They are either full, not accepting new patients, retired, have moved, or simply do not respond to inquiries from insurance-based patients because the administrative burden of prior authorizations and clawbacks outweighs the suppressed fee. This is not a “shortage” of providers in the absolute sense. There is no shortage of therapists in private practice. There is a shortage of therapists willing to work at the RUC-determined price point. The insurance directories are graveyards of phantom availability, creating the illusion of access where none exists. The Cost Paradox The central thesis of the RUC's defenders is that they “control costs.” By strictly managing RVUs, they claim to save taxpayer money. In psychotherapy, this logic backfires catastrophically. By suppressing reimbursement rates to a level that drives providers out of the network, the RUC forces patients into the cash market. The theoretical in-network cost might be a $20 copay with the insurer paying $100. The actual out-of-network cost is $250 cash out-of-pocket, paid in full by the patient. Thus, the “cost of therapy” for the consumer skyrockets. Therapy becomes a luxury good, accessible only to those with disposable income. For the poor and middle class, the “cost” is effectively infinite, because the service becomes inaccessible. The RUC's cost-control measure for the system becomes a cost-multiplier for the patient. It shifts the financial burden from the risk pool, where it belongs, to the individual, where it causes maximum harm. The Signal to Students The RUC sends powerful economic signals to medical students making career decisions. When a student observes that a dermatologist or radiologist can earn $500,000 working regular hours, while a psychiatrist earns $240,000 handling emotional trauma and on-call emergencies, while a primary care doctor earns even less, the choice is clear for those motivated by financial security. The undervaluation of cognitive codes discourages the best and brightest from entering mental health and primary care. The cartel's pricing structure creates a perpetual labor shortage in the fields most needed for public health, while creating a surplus in high-margin procedural specialties. We then wonder why there are not enough psychiatrists, why primary care is in crisis, why mental health access is collapsing. The answer is in the price signal, and the price signal is set by a committee of proceduralists meeting behind closed doors. The Hands Are Tied The question “Why can't therapists start a union?” is not just a labor question. It is a window into the broken soul of American healthcare. We have built a system where a secret committee of proceduralists can legally fix prices to favor surgery over therapy, but a group of social workers cannot band together to ask for a living wage. We have utilized laws meant to break up Standard Oil to break up the solidarity of caregivers. The same regulatory framework that criminalizes therapist coordination provides legal cover for industry-wide price coordination by the most powerful medical specialties. The result is a regulatory environment that drives doctors crazy, burns out therapists, and leaves patients navigating a fragmented, assembly-line system that was never designed to heal them. It was designed to process them. Until we confront the legal architecture of this system, the RUC, the Sherman Act, the 1099 trap, we will remain powerless to change it. And the reality of therapy is that quick fixes, whether in treatment or in policy, usually end up costing us more in the end. Some states are beginning to push back. New York and California have implemented strict network adequacy standards requiring mental health appointments within 10 business days. These regulations force insurers to expand their networks, which means they must attract providers, which means they must raise reimbursement rates above the RUC/Medicare floor. It is effectively a state-level override of the RUC cartel, forcing capital back into the mental health labor market. The Medicare Payment Advisory Commission has long advocated for stripping the RUC of its power, proposing the use of empirical data, tax returns, payroll records, practice invoices, to set values automatically. But these are patchwork solutions to a systemic problem. The fundamental issue remains: we have created a healthcare system that knows the price of everything and the value of nothing. We have engineered a system where the only way to survive is to stop acting like a healer and start acting like a factory. And we have wrapped this system in a legal framework that criminalizes resistance while protecting the status quo. The hands are tied. But at least now we can see the ropes. Bibliography For those interested in the primary sources and legal texts that underpin this analysis, the following external resources provide high-trust verification of the claims made above: Goldfarb v. Virginia State Bar, 421 U.S. 773 (1975): The Supreme Court decision that ended the “learned profession” exemption from antitrust laws. Read the Oyez Summary. The Sherman Antitrust Act (15 U.S.C. §§ 1–7): The foundational text of US antitrust law prohibiting restraint of trade. Read the Document at the National Archives. North Texas Specialty Physicians v. Federal Trade Commission (5th Cir. 2008): A key ruling establishing that independent physicians cannot collectively bargain on fees without financial integration. Read the Court Opinion. FTC/DOJ Statements of Antitrust Enforcement Policy in Health Care (1996): The federal guidelines explaining the “Messenger Model” and the narrow exceptions for clinical integration. Read the Guidelines (PDF). The RUC (AMA/Specialty Society RVS Update Committee): The AMA's own description of the committee structure and its role in valuing physician work. Visit the AMA RUC Page. “Special Deal” by Haley Sweetland Edwards (Washington Monthly, 2013): An investigative deep-dive into how the RUC operates and its impact on primary care vs. specialty pay. Read the Investigation. The National Labor Relations Act (NLRA): The law governing the right to unionize, which specifically excludes independent contractors. Read the NLRA. Laugesen, Miriam J. Fixing Medical Prices: How Physicians Are Paid. Harvard University Press, 2016. The definitive scholarly analysis of the RUC's history, structure, and influence on American healthcare pricing. Government Accountability Office. “Medicare Physician Payment Rates: Better Data and Greater Transparency Could Improve Accuracy.” 2015. GAO's critical analysis of RUC methodology and conflicts of interest. Center for American Progress. “Rethinking the RUC.” 2015. Policy analysis of the RUC's structural bias against primary care and cognitive services. Health Affairs Scholar. “Insurance Acceptance and Cash Pay Rates for Psychotherapy in the US.” 2023. Empirical research on out-of-network utilization in mental health care. Medicare Payment Advisory Commission (MedPAC). “Report to the Congress: Medicare and the Health Care Delivery System.” 2024. Annual policy recommendations including proposals for reforming physician fee schedule methodology. Joel Blackstock, LICSW-S, is the Clinical Director of Taproot Therapy Collective in Hoover, Alabama. He specializes in complex trauma treatment and writes at GetTherapyBirmingham.com.  

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TSW—Topical Steroid Withdrawal—when you're hooked on steroid creams for a skin condition and can't get off; Can diet, supplements, or Traditional Chinese Medicine help eczema? Strange bedfellows—when your hospital assigns you a homicidal roommate; Every step you take may reduce your risk of dying; Vitamin D and Omega-3 supplements reduce risk of autoimmune conditions; How long to curtail fish oil before a medical procedure or surgery? Supplements for neuropathy.

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Dr. Chris Caldwell is an Orthopedic surgeon with Willis Knighton Pierremont Orthopaedics in Shreveport. He discusses the non-operative treatments for osteoarthritis (the most common reason for joint replacement surgery), as well as, when it's time to consider joint replacement surgery to increase quality of life. Additionally, he talks about the robotic techniques he uses in his practice, how the surgery has advanced over the years, and the recovery process.

In this episode of the Live Yes! With Arthritis podcast, we'll explore insights and tips to properly prepare you for joint surgery — from pre-hab to coming home and beyond. *Visit the Live Yes! With Arthritis Podcast episode page to get show notes, additional resources and read the full transcript: https://arthr.org/liveyes-ep138 (https://arthr.org/liveyes-ep138) * We want to hear from you. Tell us what you think about the Live Yes! With Arthritis Podcast. Get started by emailing podcast@arthritis.org (podcast@arthritis.org). Special Guest: Alan H. Beyer, MD, FACS .

Three whistleblowers brought a durable medical equipment (DME) provider to its knees.In two separate cases, the whistleblowers targeted Exactech, a manufacturer of total knee replacement (TKR) systems, resulting in a settlement of $8 million to resolve alleged violations of provisions of the False Claims Act (FCA).Famed whistleblower attorney Mary Inman, partner in the law firm of Whistleblower Partners, LLP, will report the excoriating details of the settlement during the next live edition of Monitor Mondays.The weekly broadcast will also include these instantly recognizable features:• Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will be making his Monday Rounds.• The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Nelson Mullins, will report the latest news about auditors.• Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Byron, will join the broadcast with his trademark segment.• Legislative Update: Cate Brantley at Zelis, will report on the news happening at the intersection of healthcare and congressional action.

ASK UNCUT: What do you do if you find out that your husband's best friend is cheating on his partner? We revisit the moment Britt & Laura chatted to some of the women who were scammed by the Tinder Swindler and we take your calls on the WEIRDEST things your mum has held onto. See omnystudio.com/listener for privacy information.

Welcome to Season 2 of the Orthobullets Podcast.In this episode, we review the high-yield topic of ⁠⁠⁠⁠⁠⁠⁠⁠⁠Unicompartmental Knee Replacement⁠⁠ from the Recon section.Follow ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Orthobullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on Social Media:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Facebook⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Twitter⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠LinkedIn⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠YouTube

The “China Study” is cited as evidence vegetarian diet is best—but big new study shows vegetarians age less well than omnivores; Can a popular men's health supplement ward off prostate cancer? MAHA officials hit pause on looming natural thyroid ban; Can diet alleviate symptoms of lipedema? Precision-engineering your gait can alleviate knee pain better than NSAIDs; After a lifetime of profound depression, novel brain implant enables man to experience joy for the first time.

You've seen the promotions – “Get a new Knee and walk the same day.” Sounds too good to be true – but is it? Let's learn the truth about what muscle sparing knee replacement really entails and who is truly a candidate for it.

File on 4 Investigates reveals how surgeons had raised concerns about a faulty replacement knee eight years before its US manufacturer finally decided to withdraw it from use.Knee replacement surgery is one of the most common operations carried out by the NHS, with over 100,000 procedures carried out each year. It's a surgical success story - but things can go wrong. Around 10,000 problematic 'NexGen' knee implants, made by the US medical tech giant Zimmer Biomet, were fitted into UK patients over the past decade or so, until they were withdrawn in 2022. But File on 4 Investigates exclusively reveals that warnings were given to both the company and the government regulator eight years before the product was recalled. Reporter Adrian Goldberg talks to patients who had to endure the agony of new corrective surgery and orthopaedic surgeons whose reputations were thrown into doubt.Reporter: Adrian Goldberg Producer: Jim Booth Story and Development Producer: Nazrin Wilkinson Technical Producer: Nicky Edwards Production Coordinator: Tim Fernley Editor: Richard Fenton-Smith

"Don't wait one minute. It is not worth giving up one minute of your quality life"... Teddy Koukoulis, avid elite level golfer and one of Dr. Richard Berger's knee replacement patients. Join us for this enlightening conversation that blends sports, science, and personal triumph, and discover how innovation in medicine is reshaping the future of golf! In this milestone episode of The ModGolf Podcast, host Colin Weston celebrates the 200th episode with two remarkable guests: Dr. Richard Berger, a pioneering orthopedic surgeon, and his knee replacement patient Teddy Koukoulis, who is an avid golfer and PGA Teaching Pro. They discuss Dr. Berger's innovative knee and hip replacement techniques that are transforming the outcomes and recovery process for golfers, high performance athletes and everyday people wanting to reclaim their quality of life. During this episode you will discover these inspiring takeaways: Revolutionary Recovery: Dr. Berger's minimally invasive knee replacement technique allows patients to recover faster and more completely than traditional methods. This innovation not only reduces pain and swelling but also enables golfers like Teddy to return to the game in record time—Teddy shot a two-over-par 74 just three weeks post-surgery! Empowerment Through Action: Both Dr. Berger and Teddy emphasize the importance of not waiting to address joint pain. Teddy's journey illustrates how taking proactive steps can lead to a significant improvement in quality of life, allowing individuals to engage in activities they love without the burden of chronic pain. Mental, Physical and Social Transformation: This episode highlights the profound impact of physical health on mental well-being. Teddy shares how overcoming his knee pain has not only improved his golf game but has also revitalized his overall lifestyle, enabling him to participate in activities he once thought were lost to him. https://media24.fireside.fm/file/fireside-uploads-2024/images/1/1ea879c1-a4a2-4e10-bea4-e5d8368a3c7a/H09fhOy0.jpg Are you more of a watcher than a listener? Then enjoy our video with Teddy and Dr. Berger on The ModGolf YouTube channel (https://youtu.be/N-l34doMpq0). Click on this link (https://youtu.be/N-l34doMpq0) or the image below as they extend their podcast conversation with commentary on Teddy's post-surgery golf swing video, along with more life-changing inspirational patient success stories from Dr. Berger. https://media24.fireside.fm/file/fireside-uploads-2024/images/1/1ea879c1-a4a2-4e10-bea4-e5d8368a3c7a/mbt40VIT.jpg (https://youtu.be/N-l34doMpq0) Want to connect with Teddy and/or Dr. Berger? Check out their bio pages to make that happen! Dr. Richard Berger's bio >> https://modgolf.fireside.fm/guests/dr-richard-berger Teddy Koukoulis' bio >> https://modgolf.fireside.fm/guests/teddy-koukoulis Dr. Richard Berger is a renowned orthopedic surgeon at Midwest Orthopaedics at RUSH in Chicago and is a pioneer of minimally invasive knee and hip replacement surgery. His groundbreaking approach preserves muscles, ligaments, and tendons, promoting quicker recovery and less post-surgical pain. Dr. Berger developed The BEST (Berger Elective Surgery and Telemedicine) Experience, a program designed to streamline the joint replacement process with virtual consultations, pre-surgery guidance, and a seamless recovery plan. Dr. Berger's approach, which minimizes trauma to soft tissue, tendons and ligaments, allows for a significantly faster recovery time. “Patients experience less pain, fewer complications, and are able to return to normal activities much sooner,” says Dr. Berger. Visit Outpatient Hip and Knee Surgery (https://outpatienthipandknee.com) or click on the image below for more information on Dr. Berger's innovative techniques and to schedule an appointment. https://media24.fireside.fm/file/fireside-uploads-2024/images/1/1ea879c1-a4a2-4e10-bea4-e5d8368a3c7a/oskEbHU7.png (https://outpatienthipandknee.com) And don't forget to check out Teddy's inspiring golf swing video on our YouTube channel (https://youtu.be/N-l34doMpq0)! ---> https://youtu.be/N-l34doMpq0 Join our mission to make golf more innovative, inclusive and fun... and WIN some awesome golf gear! As the creator and host of The ModGolf Podcast and YouTube channel I've been telling golf entrepreneurship and innovation stories since May 2017 and I love the community of ModGolfers that we are building. I'm excited to announce that I just launched our ModGolf Patreon page to bring together our close-knit community of golf-loving people! As my Patron you will get access to exclusive live monthly interactive shows where you can participate, ask-me-anything video events, bonus content, golf product discounts and entry in members-only ModGolf Giveaway contests. I'm offering two monthly membership tiers at $5 and $15 USD, but you can also join for free. Your subscription will ensure that The ModGolf Podcast continues to grow so that I can focus on creating unique and impactful stories that support and celebrate the future of golf. Click to join >> https://patreon.com/Modgolf I look forward to seeing you during an upcoming live show!... Colin https://files.fireside.fm/file/fireside-uploads/images/1/1ea879c1-a4a2-4e10-bea4-e5d8368a3c7a/q_IZwlpO.jpg (https://patreon.com/Modgolf) We want to thank our Episode Presenting Partner Golf Genius Software who have supported The ModGolf Podcast since 2019! Are you a golf course owner, manager or operator looking to increase both your profit margins and on-course experience? https://media24.fireside.fm/file/fireside-uploads-2024/images/1/1ea879c1-a4a2-4e10-bea4-e5d8368a3c7a/K9NPjjAv.jpg (https://www.golfgenius.com) Golf Genius powers tournament management at over 10,000 private clubs, public courses, resorts, golf associations, and tours in over 60 countries. So if you're a golf professional or course operator who wants to save time, deliver exceptional golfer experiences, and generate more revenue, check them out online at golfgenius.com (https://www.golfgenius.com). Special Guests: Dr. Richard Berger, Founder of Outpatient Hip and Knee Surgery and Teddy Koukoulis, elite level golfer and Dr. Berger knee replacement recipient.

Knee Replacement Recovery for Women: Your Guide to Strength & Renewed Mobility - Meet Susanna | The Bee's Knees Podcast.

This week, Ron Murphy talks with Dr. Jesse Wolfstadt, doctor of orthopaedic surgery from Mount Sianai Hospital about knee replacements and the advancements that have been made in recent times. He explains what robotic surgry is and how it can help the surgeon and the patient.

Send us a textDuring my supposed break, I wrote a 45-page booklet called "Jenny Needs a New Knee, But She's Too Fat to Get One"—complete with 29 clinical references proving that denying joint replacements based on weight is medically unjustified and harmful. Coz that's what people do during their time off, right?Instead of moving on to the next project like I always do, I'm trying something different and terrifying: staying put. In this vulnerable episode, I explore my lifelong pattern of pivoting when things get uncomfortable, the childhood trauma that drives my need to run, and why I'm fighting every instinct to abandon this work when fat patients desperately need advocates willing to stick around for the long haul. Check out the eBook Jenny Needs a New Knee, But She's Too Fat to Get OneGot a question for the next podcast? Let me know! Connect With Me FREE GUIDES: evidence-based, not diet nonsense NEWSLETTER: Life-changing insights straight to your inbox UNSHRINKABLE: Find out why your body is not designed to shrink MASTERCLASSES: All the evidence doctors should give you NO WEIGH PROGRAM: Join the revolution against weight-loss lies THE WEIGHTING ROOM: A community where authenticity thrives and every voice matters CONSULTATION: For the ultimate transformation in your healthcare journe Find me on Instagram, YouTube, and LinkedIn.

They creak, they crunch, they catch. But mostly they hurt. Every year, about 800,000…

Can't walk because of knee pain? This could save your legs AND your knees! Join hosts Kym McNicholas and Dr. John Phillips as they interview interventional cardiologist Dr. Sid Rao about Genicular Arterial Embolization (GAE) – a groundbreaking minimally-invasive procedure targeting the root cause of osteoarthritis knee pain. What makes GAE revolutionary: • Performed through a tiny nick in the skin • Targets inflamed blood vessels feeding the painful knee • Can provide significant pain relief without major surgery • Potentially delays or eliminates the need for knee replacement • Quick recovery compared to surgical alternatives This innovation is especially crucial for peripheral artery disease (PAD) patients caught in a dangerous cycle: They need to walk to improve circulation and grow natural bypasses around blocked arteries, but knee arthritis pain prevents them from this essential exercise. Dr. Rao will explain how this procedure works, who's an ideal candidate, and how it could be a game-changer for maintaining mobility and independence. ] #KneePain #PAD #ArterialDisease #MinimallyInvasive #WalkForHealth #InnovativeMedicine #VascularHealth

Canadians are paying to jump the surgical wait list. It's unravelling the fabric of public health care. About AMIAMI is a not-for-profit media company that entertains, informs and empowers Canadians who are blind or partially sighted. Operating three broadcast services, AMI-tv and AMI-audio in English and AMI-télé in French, AMI's vision is to establish and support a voice for Canadians with disabilities, representing their interests, concerns and values through inclusion, representation, accessible media, reflection, representation and portrayal.Find more great AMI Original Content on AMI+Learn more at AMI.caConnect with Accessible Media Inc. online:X /Twitter @AccessibleMediaInstagram @AccessibleMediaInc / @AMI-audioFacebook at @AccessibleMediaIncTikTok @AccessibleMediaIncEmail feedback@ami.ca

We have done some research recently on the incidence of MUA after TKA: Women This is considered a Literature Review.

Book your regenerative solutions with Allure Medical: https://allureregenerative.com/schedule-an-appointment/ Can stem cell therapy make knee replacement surgery optional in the future?In this episode, Dr. Charles Mok explores the potential of stem cell therapy to make knee replacement procedures obsolete.Dr. Mok discusses regenerative therapies for joint health, including Platelet-Rich Plasma (PRP), Platelet-Rich Fibrin (PRF), and stem cell treatments.He examines how joint replacement can restrict physical activity, highlighting the promising effects of stem cell therapy for managing arthritis, enhancing longevity, and improving health span.He also touches on recent medical breakthroughs, such as the ability to generate embryonic stem cells from a patient's own skin.Tune in to Inside The Cure Podcast — How Stem Cell Therapy Can Make Knee Replacement ObsoleteSubscribe to the podcast and leave a 5-star review!You can also catch this show on our YouTube channel and on all your favorite podcast platforms.Read the latest research and advice from the doctors at Allure Medical: https://www.alluremedical.com/books/Dr. Charles Mok received his medical degree from Chicago College of Osteopathic Medicine, Chicago, Illinois in 1989. He completed his medical residency at Mount Clemens General Hospital, Mt. Clemens, Michigan. He has worked with laser manufacturing companies to improve their technologies; he has performed clinical research studies and has taught physicians from numerous other states. His professionalism and personal attention to detail have contributed to the success of one of the first medical spas in Michigan.LinkedIn: https://www.linkedin.com/in/charles-mok-4a0432114/ Instagram: https://www.instagram.com/alluremedicals/ Website: https://www.alluremedical.com/ YouTube: https://www.youtube.com/@AllureMedical TikTok: https://www.tiktok.com/@alluremedical Amazon Store: https://www.amazon.com/stores/Dr.-Charles-Mok/author/B0791M9FZQ?ref=ap_rdr&store_ref=ap_rdr&isDramIntegrated=true&shoppingPortalEnabled=true Join the Allure Medical Inner Circle Membership:https://www.alluremedical.com/inner-circle-membership/ 

Send us a textIf you think joint pain is just part of getting older… think again. In this episode, I sit down with Jeff Bailey - founder of Avita Yoga and author of the upcoming book Mobility for Life: Healthy Joints, Strong Bones, and a Peaceful Mind - to talk about a radically different approach to joint health, healing, and pain relief after 50. After a devastating ski accident at 50 left Jeff with a wrecked hip and grim medical predictions, Jeff turned his pain into purpose by developing a practice that helps restore mobility and joint function - without surgery, without extreme stretching, and without feeling like a pretzel in spandex. We cover everything from why stretching isn't the answer, to how compression actually heals your joints, to what you should be doing right now to bulletproof your hips, shoulders, knees, and spine for the long haul. Whether you're dealing with joint pain, facing a possible replacement, or just want to stay strong, mobile, and independent for decades to come - this one's for you. 

Carolyn McMakin, MA, DC - contact @ frequencyspeicfic.com Kim Pittis, LCSP, (PHYS), MT - info @ fsmsports365.com 01:52 Patient Case Study: Chronic Pain and Nerve Treatment 08:20 Explaining FSM to Patients and Practitioners 09:51 Addressing Common Pain Complaints 13:01 Mechanics and Engineering of Pain 24:57 Knee Replacement and FSM Treatment 28:21 Hamstring Treatment Techniques 29:50 Patient Case Study: Tracy's Journey 33:03 Crime Scene Investigation Approach in Treatment 33:53 The Seven S's of Crime Scene Investigation 42:12 Case Study: Medically Induced Rigidity 53:07 Meditation and Frequency Specific Microcurrent A Case Study Approach: Aligning Techniques with Patient Needs Imagine a patient presenting with low back and neck pain lasting over 20 years, compounded by more recent symptoms such as a numb left thigh due to an injury from a decade ago. As practitioners, we're often tasked with unraveling a rich tapestry of patient history to identify the underlying causes of such chronic pain. In this case, FSM can be applied following a multi-step approach: 1. Initial Assessment and History Gathering: Begin by engaging the patient in a thorough discussion of their history, including any incidents or accidents that may have led to their current condition. In our example, the patient's story revealed an auto accident and past falls, crucial in pinpointing the injury's origin. 2. Targeting Nerve Pain: When the patient mentions numbness, FSM provides a targeted approach by addressing the lateral femoral cutaneous nerve. Application of specific frequencies, such as 40 Hz for reducing inflammation, and 81 Hz for increasing secretion, can begin to alleviate symptoms that have persisted for years. 3. Sequential Treatment: Prioritize treating the most significant pain sources first. In complex cases like the one described, precedence was given to treating the low back before addressing the neck, which was expected to respond more quickly. 4. Patient Education and Exercises: Educate the patient on exercises that complement FSM treatments. Encouraging the adoption of proper posture and ergonomics can sustain improvements achieved through FSM, specifically by instructing on sitting positions that align and support the spine. 5. Continuous Evaluation and Adjustment: Encourage follow-up visits to track progress. Adjust treatments based on changes observed, ensuring the patient remains engaged in their care plan. --- Addressing Complex Injury and Pain Cases with a Holistic View FSM is not isolated to a single treatment approach but integrates with the broader biological and anatomical understanding of each patient's unique case. For instance, treating another patient's inability to achieve full knee extension post-replacement could involve: - Understanding Surgical Impact: Acknowledge the surgical trauma and resulting tightness in tendons due to the procedure. - Applying FSM with Precision: Utilize frequencies that target scarring and torn connective tissues. Application should focus on areas identified as problematic, such as the hamstrings in this scenario. --- Implementing FSM with Confidence Medical practitioners must prepare themselves to confidently implement FSM. This involves: - Training and Education: Participate in FSM training programs to fully understand precise frequency applications and device manipulations tailored to patient-specific conditions. - Collaborative Practice: Work closely with a team of healthcare professionals, sharing insights and results to improve overall patient outcomes. - Patient Communication: Maintain clear, informed communication with patients about their condition, treatment rationale, and expected outcomes, fostering trust and active participation in their care. By weaving FSM into clinical practice, practitioners can uncover new pathways to treat chronic pain effectively and positively impact patient recovery journeys. Remember, the key is integrating FSM with a patient-centered, comprehensive plan that acknowledges the intricacy of each individual's condition.

What if you could bounce back from surgery or an injury faster, stronger, and healthier than ever? In this Salad with a Side of Fries episode, gerontologist and biohacker Zora Benhamou joins health coach Jenn Trepeck for a deep dive into surgery and injury recovery, biohacks, and minimizing scars—the essential nutrients for optimizing your healing journey post surgery. Together, they bust myths around menopause, aging, and nutrition while unpacking the science behind inflammation reduction, amino acid supplementation, peptide therapy, and more. From osteoporosis prevention to scar management, Zora shares expert strategies to supercharge recovery and reclaim vitality at any age. Whether preparing for surgery or simply wanting to boost your longevity and performance, this conversation delivers actionable tools for real-life wellness.The Salad With a Side of Fries podcast is hosted by Jenn Trepeck, who discusses wellness and weight loss for real life, clearing up the myths, misinformation, bad science & marketing surrounding our nutrition knowledge and the food industry. Let's dive into wellness and weight loss for real life, including drinking, eating out, and skipping the grocery store.IN THIS EPISODE: (05:15) Zora's story of two hip replacements (in three months) and super-charged surgery recovery through muscle maintenance and protein intake(11:02) Delaying surgery until quality of life is significantly impacted is deeply a personal decision(16:47) Pre-surgery mental preparation and muscle building/maintenance within mobility limits(20:00) Nutrition focus: high protein intake, amino acids, whole foods and nutrient-rich supplements for surgery recovery(22:34) Long-term nutritional deficiencies contribute to bone health issues; commitment to nutrition needed, and a radiation protection hack(29:22) Managing surgery recovery by reducing inflammation(36:33) Discussion of post-surgery nutrition focuses on protein, collagen, anti-inflammatory foods and scar treatments(44:32) Recovery strategies apply to various surgeries, and having a positive mindset for surgery recoveryKEY TAKEAWAYS:Pre-surgery muscle maintenance is critical. Build and maintain muscle mass before surgery through exercise, even with limited mobility, to enhance surgery recovery and quality of life before and after surgery.Increase protein intake before and after surgery to support muscle growth, tissue repair, and ligament recovery.Eliminate processed foods and prioritize whole foods to reduce inflammation and aid healing. Use supplements for radiation protection.To improve scar texture and appearance, apply copper peptides, rosehip oil, and silicone tape, and consider micro needling or lasers.QUOTES: (17:27) “Going into that surgery with muscle mass and strength is so important for your recovery. That is key number one.” - Zora Benhamou(22:49) “When our body is not getting all the nutrients it needs to function, it will pull them from our bones.” - Jenn Trepeck(35:59) “In post-op procedures, because of various things, people often are not hungry, but we need nutrients to heal.” - Jenn Trepeck(45:34) “Try to turn it around to a positive and say, this is a great time to work on my health, focus on recovery, and build a better person. - Zora  Benhamou(46:20) "It's never too late to start."  - Jenn TrepeckRESOURCES:Become A Member of Salad with a Side of FriesJenn's Free Menu PlanA Salad With a Side of FriesA Salad With A Side Of Fries MerchA Salad With a Side of Fries InstagramReverse Menopause Weight Gain: New Blood Sugar Balancing Tips – Jenn Trepeck – Hack My AgeNutrition Nugget: Methylene BlueThe Algae Advantage (feat. Catharine Arnston)Bone Health & the Problem with Bone Density Scans (feat. Dr. John Neustadt)GUEST RESOURCES:Hack My Age - WebsiteBiohacking Menopause - Membership ProgramZora Benhamou Instagram (@hackmyage)Hack My Age - FacebookZora The Explorer (@hackmyage) | TikTokHack My Age - YouTubeBiohacking Menopause Support Group | FacebookGUEST BIOGRAPHY:Zora Benhamou is a gerontologist and biohacker dedicated to challenging menopause stigma and ageist stereotypes. As the dynamic host of the Hack My Age podcast, she focuses on empowering women navigating the menopausal transition through biohacking techniques and information from forward-thinking experts.At 54 years old, Zora embodies the essence of a digital nomad and is a passionate menopause educator. She is the visionary behind HackMyAge.com and the author of the Longevity Master Plan and cookbook, "Eating For Longevity," offering invaluable resources and programs for women in peri-menopause and post-menopause. Zora's commitment to normalizing menopause conversations is evident through creating the support group and community, Biohacking Menopause. She completed the Institute of Bioidentical Medicine's Menopause Method training and Dr. Stacey Sims' Menopause for Athletes course and is an active member of esteemed organizations such as the Gerontological Society of America, the Aging Society of America, the British Menopause Society and the European Menopause and Andropause Society. With a Master's degree in Gerontology from the prestigious University of Southern California, Zora's expertise extends to sports nutrition coaching and Oxygen Advantage Breathing instruction, further enriching her holistic approach to women's wellness.

Blood flow restriction ahead of surgery could be key.

CW for the o-word In this rather passionate episode of The Fat Doctor Podcast, I take on World Obsity Day and use this farce to challenge the very foundation of weight-centric healthcare. We take a look at how organizations like the World Obsity Federation medicalize and pathologize fatness while claiming to fight weight stigma, exposing the contradictions and financial interests behind these narratives. Key moments:Why ob*sity is not a disease but a descriptor (fat) that has been unnecessarily and intentionally medicalizedHow weight stigma and weight cycling, as opposed to fatness itself, contributes to negative health outcomesA critical analysis of the UK medical guidelines for fatty liver disease that recommend weight loss despite zero supporting evidenceResearch showing that preoperative weight loss before joint replacement surgery provides no benefits, yet is still routinely requiredMy revolutionary approach to medicine: simply not mentioning patients' weight and instead focusing on providing evidence-based care. Find out more at noweigh.org. Want to learn more about Fatty Liver Disease or Osteoarthritis, then check out my free resources. For a deep dive, you'll find both masterclasses in the masterclass membership. Make sure you're subscribed to my mailing list for daily moments of awesomeness delivered straight to your innbox. The journal article I referenced is: Laperche, Jacob et al. “Obesity and total joint arthroplasty: Does weight loss in the preoperative period improve perioperative outcomes?.” Arthroplasty (London, England) vol. 4,1 47. 4 Nov. 2022 Got a question for the next podcast? Let me know! Connect With Me FREE GUIDES: evidence-based, not diet nonsense NEWSLETTER: Life-changing insights straight to your inbox UNSHRINKABLE: Find out why your body is not designed to shrink MASTERCLASSES: All the evidence doctors should give you NO WEIGH PROGRAM: Join the revolution against weight-loss lies THE WEIGHTING ROOM: A community where authenticity thrives and every voice matters CONSULTATION: For the ultimate transformation in your healthcare journe Find me on Instagram, YouTube, and LinkedIn.

In this episode of Freedom Talks, host Joe Ogden dives into the ins and outs of creating a specific rehabilitation program for a total knee replacement—a daunting process for many, but one that can lead to life-changing results. While we focus on knee replacements, the principles discussed can be applied to any joint replacement.At Freedom Physical Therapy, we specialize in guiding patients through every step of the recovery process. Our goal? To get your knee moving and stronger as quickly and safely as possible, reducing pain effectively and helping you return to doing what you love.If you're considering or recovering from a joint replacement, this episode is packed with valuable insights to help you on your journey. Tune in and take the first step toward freedom from pain! #FreedomTalks #JointReplacement #KneeReplacementRecovery #PhysicalTherapy #MoveBetterFeelBetter

Weight loss, NSAIDs, physical therapy, you've done it all and your knees are even more painful. Stefan Coombs, an orthopedic surgeon at Johns Hopkins, says when surgery seems to be the best option, so called knee replacement should be understood. … What does ‘knee replacement' really mean? Elizabeth Tracey reports Read More »

Doc goes down all the options for caller Steve.

I had a total knee replacement and I recently caught COVID for the second time. Happy 2025

Send us a textThis episode Luke sits down with Dr. Meredith to discuss questions like:  What are the metals that make up the knee implants or prosthesis?  Are there plastic components in my knee?  What happens to the kneecap (patella)?  Tune in to hear the discussion of all of these questions and more.  Don't forget to "follow" the show.  Got questions?  Look for the tab in the show notes that says "Text the show".  We're happen to discuss any diagnoses or surgical procedures that interest you!www.Peakrehabfitperform.com

In this episode, Dr. Ravi K. Bashyal, Director of Outpatient Hip and Knee Replacement Surgery at Endeavor Health, discusses groundbreaking research on infection prevention in joint replacements. Learn how his innovative use of advanced irrigation techniques has led to a remarkable 0% infection rate over three years, revolutionizing patient outcomes and healthcare costs.

In this episode, Dr. Ravi K. Bashyal, Director of Outpatient Hip and Knee Replacement Surgery at Endeavor Health, discusses groundbreaking research on infection prevention in joint replacements. Learn how his innovative use of advanced irrigation techniques has led to a remarkable 0% infection rate over three years, revolutionizing patient outcomes and healthcare costs.

Send us a textThis episode Luke sits down with Peak RFP veteran and friend, Dr. Randy Meredith, of Legend Orthopedics to discuss how the patient can better prepare for the Total Knee Replacement surgery.  What types of things should the patient be considering - home environment, sleeping arrangements, basic hygiene and food preparation?  These are very important topics that can often be overlooked when the patient is getting ready for their knee replacement procedure. Tune in and get ready!  Send a message to the show on any rehab topics or surgical procedures you'd like the team to cover!www.Peakrehabfitperform.com

Using the daily lunch hour to hang out with everyone in the chat, talk about what is important to each of us in the world.  Today we will talk about the College Football Semifinals happening in the next 2 days!  Health Updates with myself and my wife.  and we will set up the story of CrossFit adding new events to in person semifinals post original announcement.

Kevin's Bilateral Knee Replacement and Recovery. One knee right after the other. Smooth. Seamless. Done! Next stop: the golf course.

Send us a textWhat happens if your post-op rehabilitation after your total knee replacement doesn't go "by the book".  Maybe you have a post-op complication, or two, that slow you down.  Maybe your knee range-of-motion is poor, and you need a manipulation under anesthesia (MUA).  Well, my guest, Mr. Tim Bell, had both.  Listen in and hear Tim's story but pay attention for some important truths about post-op knee rehab to include 1) take responsibility for your knee and 2) never give up!  Do you have orthopedic physical therapy questions or diagnoses you'd like us to address?  Email the show and let us know your questions.  www.PeakRehabFitPerform.com

Chris Hughen sat down with Marc Surdyka to discuss all things Total Knee Replacement. We dive into pre-operative recommendations, early post-op priorities, normalizing knee range of motion and improving quad strength, rehab progressions, and much more. Watch the full episode: https://youtu.be/ZC8FTqkVwuw  Resources:  Total Knee Replacement Blog  Total Knee Replacement YouTube Video Knee OA Blog Knee OA YouTube Video --- Follow Us: YouTube: https://www.youtube.com/e3rehab  Instagram: https://www.instagram.com/e3rehab/ Twitter: https://twitter.com/E3Rehab --- Rehab & Performance Programs: https://store.e3rehab.com/  Newsletter: https://e3rehab.ck.page/19eae53ac1  Coaching & Consultations: https://e3rehab.com/coaching/  Articles: https://e3rehab.com/articles/  Apparel: https://store.e3rehab.com/collections/frontpage  --- Podcast Sponsors: Legion Athletics: Get 20% off using "E3REHAB" at checkout! - https://legionathletics.rfrl.co/wdp5g  Vivo Barefoot: Get 15% off all shoes! - https://www.vivobarefoot.com/e3rehab Tindeq: Get 10% off your dynamometer using code “E3REHAB” at checkout - https://tindeq.com/ --- @dr.surdykapt @tony.comella @dr.nicolept @chrishughen @nateh_24 --- This episode was produced by Matt Hunter

This week, Dr. Scott Sigman is joined by Dr. Ravi Bashyal, a knee and hip replacement specialist out of Chicago, Illinois who serves as Vice Chairman for the Department of Orthopedic Surgery and Director of Outpatient Hip and Knee Replacement at Endeavor Health, an Assistant Clinical Professor at The Chicago School of Medicine, and the Co-Medical Director and Chief of Hip and Knee Surgery for the NBA Retired Players Association. Here, they discuss his background and training, his passion for patient outcomes, and his journey to zero utilizing Next Science's Xperience to significantly minimize the potential risk of infection in his surgery patients. This episode is brought to you by Next Science.

Get Started With Muscle Activation Techniques® To Keep Your Muscles Strong & Functioning Well: http://vagaro.com/muscleactivationschaumburg/services How important are your muscles for the health and function of your joints? On this week's episode of the Exercise Is Health® podcast, we are sharing a crazy story from a client who was given no other option but to have a full knee replacement. If you have ever needed to have a joint replacement or are concerned about having one in the future, listen up! The story we share may change your perspective on how much control and influence you have over your situation. Check out the details in this week's episode! Ready to schedule your first Muscle Activation Techniques® session with us? Click here to get started: http://vagaro.com/muscleactivationschaumburg/services Would you like to have our guidance implementing the 4 Exercise For Life Principles while you workout? Join the Exercise For Life Membership for free for 30 days! Just head to www.exerciseforlifestudios.com to get started! Did you find this episode helpful? Let us know by leaving us a rating and review on the following platforms: – Apple Podcasts: https://podcasts.apple.com/us/podcast/exercise-is-health/id1330420565 – Spotify: https://open.spotify.com/show/6H1CneHjsPiPStrAeFTP25?si=X1IuXkp0T1KCv3gCtt3j5g  Want to grab a free copy of our best-selling book, “The Exercise For Life Method”? Click here to order yours while copies are still available! www.exerciseforlifemethod.com Just cover the cost of shipping and handling to have it delivered right to you. Follow us on Instagram for more exercise tips and content about MAT® here: – Muscle Activation Schaumburg: @muscleactivationschaumburg  – Julie Cates: @julcates  – Charlie Cates: @charliecates

Howdy. I'm Mike (Michael) Saunders. So, I suppose you need to know me and about me. I live just north of the capital of Alabama, which is Montgomery. I want to say I'm retired, but my friends keep asking me to help them with their businesses. (Quality control) I'm 72 and am currently recovering from Knee Replacement surgery.  When I went to the surgeon in December 2023, he, of course, told me that my BMI was too high.I clocked in at 365, then. I'm 6'1".  I got serious in February about losing weight so I could have the surgery. My goal for surgery was 331.  I have a friend in Mississippi who has lost 145 doing IF, so I asked her all about it and then began to research it. I dove in, and by May, I was at 310.  I mostly did a 4:3 for the last two months of that. I would mix it up with OMAD and TMAD.  For years since turning 40, I have yo-yo dieted with South Beach, Atkins and every other craze.  IF has been the only thing that is easy for me to do.  I reached my second goal of 300 a few weeks ago.  Now, on to my third goal of 200. Then, to do IF for life.  Our Patreon Supporters Community Please consider joining the Fasting Highway Patreon community. It has been great for all who have joined. It has become an excellent add-on to our Patreon members' IF lifestyle, who enjoy a lot of bonus content to support them in living an IF life. For less than a cup of coffee a month, you can join and support your own health goals. Graeme hosts Zoom meetings twice monthly in the Northern and Southern hemispheres for members to come and get support for their IF lifestyle, which has proven very popular with our Patreon members. You will not find anywhere that provides that kind of support and accountability for just 0.16 cents a day. There are over 100 exclusive pieces of audio content for Patreon members to help you navigate your IF journey and get more accountability and support. I cannot urge you more strongly to give it your utmost consideration. It has been a game changer for many of the Patreon members. Please go to www.patreon.com/thefastinghighway to see the benefits you get back and how to join. Private coaching is available with Graeme one-on-one. Please go to www.thefastinghighway.com, click help get coaching, and book a time that suits you. All times you see are in your local time zone. Graeme's best-selling book, The Fasting Highway, about his journey and how he did it, is available in paperback and Kindle at your local Amazon store. It is also available on audio at Applebooks, Kobo, Spotify, and many other audiobook platforms. Disclaimer: Nothing in this podcast should be taken as medical advice. The opinions expressed herein are those of the host and guest only.