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Max Gawn joined Mick In The Morning after the conclusion of Round 23, discussing Collingwood's shaky form, week one of finals prediction, post-season plans, and Geelong assistant Steven King throwing his name in the ring for the Demons coaching search.See omnystudio.com/listener for privacy information.
We all want more energy — but what if your fatigue isn't about sleep, diet, or exercise at all? In this solo episode, Darin O'Lien uncovers the invisible drains on your vitality that most people never notice. From blue light to toxic relationships, hidden mold, micro-stress loops, EMF exposure, and even unresolved trauma stored in your body, Darin reveals how your life force is being stolen — and how to take it back. You'll learn the overlooked ways your time, attention, and biology are constantly depleted — and the exact SuperLife Energy Seal Protocol Darin uses to plug those leaks, reclaim his vitality, and live fully charged. What You'll Learn in This Episode 00:00 – Introduction & Episode Overview Darin introduces the concept of hidden energy leaks and why most fatigue isn't just about lack of sleep. 03:05 – Energy Deposits vs. Withdrawals How every interaction, choice, and environment either builds or depletes your life force. 04:33 – The Overlooked Energy Drains The most common — and invisible — ways energy slips away without your awareness. 06:58 – Blue Light & Circadian Rhythm Disruption The science of how nighttime screen use suppresses melatonin and wrecks your sleep quality. 09:06 – Ultra-Processed Foods & Energy Impact Why “dead calorie” foods cause fatigue and how to build an energy-supportive plate. 11:33 – Hydration & Water Quality Why dehydration is the #1 cause of fatigue, and the importance of filtering and mineralizing your water. 15:06 – Micro-Stress Loops & Mental Background Apps How unresolved thoughts quietly drain your energy — and how to shut them down. 17:28 – Toxic Relationships & Social Friction The measurable toll hostile interactions take on your health and recovery. 19:10 – Indoor Air Quality & Mold Exposure How unseen environmental toxins mimic chronic fatigue symptoms. 21:27 – EMF Exposure & Device Overload The overlooked stressor disrupting your sleep, nervous system, and cellular health. 23:14 – Stillness Breaks & Nature Time The proven stress-relieving effects of short nature “pills” and mindfulness pauses. 25:41 – Past Trauma & Recapitulation How unresolved experiences trap your life force — and the Toltec method to reclaim it. 30:39 – The SuperLife Energy Seal Protocol Darin's complete daily checklist to stop leaks and recharge vitality. 33:08 – Darin's Daily Rituals How he integrates energy-protective practices into his everyday life. 35:33 – Closing Thoughts Why energy isn't something you gain — it's what's left when you stop the leaks. Thank You to Our Sponsors: Fatty15: Get an additional 15% off their 90-day subscription Starter Kit by going to fatty15.com/DARIN and using code DARIN at checkout. Therasage: Go to www.therasage.com and use code DARIN at checkout for 15% off Find More from Darin Olien: Instagram: @darinolienPodcast: superlife.com/podcastsWebsite: superlife.comBook: Fatal Conveniences Key Takeaway "Energy isn't something you get — it's what remains when you stop the leaks." Bibliography · Chang AM et al. Evening use of light-emitting eReaders… PNAS, 2015. · Hall KD et al. Ultra-processed diets cause excess calorie intake… Cell Metabolism, 2019. · Ganio MS et al. Mild dehydration impairs vigilance… Br J Nutr, 2011. · McEwen BS. Allostatic load and stress physiology. Ann NY Acad Sci, 1999. · Kiecolt-Glaser JK et al. Hostile behavior slows wound healing… Arch Gen Psychiatry, 2005. · CDC/NIOSH. Health problems in damp buildings. · Satish U et al. CO₂ and decision-making. Environ Health Perspect, 2012. · WHO. Electromagnetic fields and public health. · Hunter MCR et al. Nature pill and stress relief. Front Psychol, 2019. · Levine P. Somatic experiencing and trauma discharge. PubMed, 2012. · · Somatic trauma & release: Levine P. Waking the Tiger; “Trauma creates a permanent imprint… the body can be retrained to discharge it.” (pubmed.ncbi.nlm.nih.gov) · · Recapitulation (Toltec lineage): Ruiz DM. The Four Agreements; narrative recounting as energy reclamation. (Ancestral wisdom, narrative psychology) · · Narrative therapy integration: White M. “Externalizing the problem, reclaiming identity.” (Case-based evidence, therapeutic outcomes) · · (And prior citations as listed—circadian, UPF, hydration, air, mindfulness, social, EMF, stillness—remain intact.)
When the mercury dropped below 20 degrees for six weeks, a six-inch layer of ice formed on many Willamette Valley lakes — and locals took up ice skating. And five years earlier, it got so cold, a newly built steamship actually cracked in half. (Willamette Valley; 1940s) (For text and pictures, see https://offbeatoregon.com/1705c.ice-skating-cottage-grove-lake-444.html)
Mark Luschini, chief investment strategist for Janney Montgomery Scott, says that with no one talking about recession these days, he says "it is the one thing the market is at risk of having happen right now" because the market isn't pricing in any potential downturn. Recession is not his base case, but he says there is an economic soft patch to get through that will take the economy to the edge of stall speed; he does think the market will get through that to finish the year higher, with the Standard & Poor's 500 moving hitting 6,600. Luschini thinks investors will want to ride that upturn well diversified, including allocations to international stocks — and particularly developed Europe — where he thinks valuations will help to keep this year's run-up rolling along. Joseph Schuster, chief executive officer at IPOX Schuster, says that the market for initial public offerings has been hot this year — a fund based on his landmark IPO index is up more than 30 percent year-to-date — and has some more solid names that are ready for their roll-out, including financial companies Bullish and Miami International Holdings, which make their debuts this week. Plus, with the S&P 500 having closed Tuesday above 6,400 for the first time, Chuck has a recommendation for how investors should be reacting to the news, and the move they should be making here with the market at highs.
History of Silence (due Sept. 19) is the first new album from Icelandic outfit múm since 2013’s Smilewood. The new LP became something of a puzzle, taking two years to record, deconstruct, and put back together. The title hints at the album’s tone, but even though the songs are delicate, their color and boldness shines through. “Mild At Heart” reveals a carefully handpicked palette of electronic and analog sounds; an intricate introduction to the album. Immerse yourself in múm’s world when they play The Regent Theater on Thursday, Oct. 9.
AP Washington correspondent Sagar Meghani reports inflation held steady last month.
APAC stocks were mostly in the green but with gains limited in the absence of notable catalysts from over the weekend and Japan away from market.US President Trump said he will meet with Russian President Putin on August 15th in Alaska; White House is considering inviting Zelensky.Fed's Bowman (voter) said that the latest job market data reinforces her forecast for three rate cuts this year.Fed Chair list now said to include former St. Louis Fed President Bullard and former George W. Bush adviser Sumerlin, according to WSJ.European equity futures indicate a positive cash market open with Euro Stoxx 50 future up 0.2% after the cash market closed with gains of 0.3% on Friday.DXY is a touch softer, EUR is the marginal outperformer across the majors with price action overall contained.Looking ahead, highlights include Norwegian CPI (Jul) & BoC SLOS (Q2).Read the full report covering Equities, Forex, Fixed Income, Commodites and more on Newsquawk
Aprende ingles con inglespodcast de La Mansión del Inglés-Learn English Free
We can't teach you extremely bad and offensive swear words because we run the risk of being banned. However, in this episode we've collected some of the milder and softer expletives that shouldn't get you into too much trouble. That being said, we suggest you don't play this podcast if you have young children nearby or if you have particularly sensitive ears. Show notes and more podcasts to improve your English at: http://www.inglespodcast.com/ Las notas del episodio y más podcasts para mejorar tu ingles están en: http://www.inglespodcast.com/
As the dust settles from their battle with the Drow Giant, the Planar Detective Agency meets a mysterious traveller who offers guidance into the Underdark. With a hidden gate now unlocked, they begin their descent into a world of glowing fungi, shattered relics, and ancient obsidian ruins. But in the depths below, the silence watches, and not everyone may make it to Morna Habhari. Special Guest: Steve Miller Content warnings: Adult language Adult humour Environmental tension Mild horror themes. Follow us! Twitter: https://twitter.com/malt_magic Instagram: https://www.instagram.com/maltandmagic/ YouTube: https://www.youtube.com/@maltandmagic Twitch: https://www.twitch.tv/maltandmagic Check out the tools that we use in our games: Music & Ambience: www.tabletopaudio.com Character Tokens: https://www.heroforge.com Virtual Tabletop: https://owlbear.rodeo Mapping: https://inkarnate.com Dungeon Creation: Dungeon Alchemist | AI Fantasy Game Mapmaking Software Learn more about your ad choices. Visit megaphone.fm/adchoices
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P.M. Edition for Aug. 6. President Trump's tariffs have so far only caused minor disruptions. WSJ economics reporter Jeanne Whalen joins to discuss why we haven't seen an economic earthquake. Plus, President Trump plans to meet with Russian President Vladimir Putin to discuss ending the war in Ukraine. And American carmakers are focusing less on electric vehicles and more on gas-guzzling vehicles like pickups and SUVs. We hear from Sharon Terlep, who covers the auto industry for the Journal, about what's changed. Alex Ossola hosts. Sign up for the WSJ's free What's News newsletter. Learn more about your ad choices. Visit megaphone.fm/adchoices
Date: August 6, 2025Hosts: John Arrington, Aaron Wilcox, Andy StarrGuests: None In this episode of the Devy Devotional podcast, the hosts deliver their annual "Hot Takes" edition, offering bold predictions about college football players and their future prospects in the NFL. The trio skips the usual "Guess the Guy" segment to dive deep into their spicy opinions, rated on a Taco Bell sauce scale: Mild, Hot, Fire, and Diablo. The episode blends fun with actionable insights, reflecting on past predictions and unveiling new ones for the 2025 season and beyond.Key HighlightsReflection on Past Takes: The hosts revisit their hot takes from the previous year, highlighting successes like Aaron's call on the 2025 running back class generating hype (e.g., Ashton Jeanty, TreVeyon Henderson) and Eric Singleton Jr. rising to a top-five Devy wide receiver. John's standout prediction of Jordan Tyson surpassing Zachariah Branch earned a Diablo rating and proved prescient, with Tyson now a contender for WR1 in the 2026 class.Hot Takes Galore: Each host shares multiple bold predictions, with reactions ranging from Mild to Diablo based on their spiciness. The spiciest takes are highlighted below as the episode's key moments.Skipped Segment: The "Guess the Guy" segment is postponed to the next episode, giving Aaron a temporary reprieve (though he's back on the hook next week).Spiciest TakesHere are the standout predictions that earned the highest heat ratings:Aaron Wilcox: Kenyon Sadiq (Oregon TE) will be the next tight end to hit 1,000 receiving yards and become the Devy TE1 this season and beyond. Rating: Diablo Why It's Spicy: With a career A-dot of 1.9 yards and competition from Oregon's talented roster (e.g., Dakorien Moore), Sadiq would need a dramatic role change and 120+ receptions to reach 1,000 yards. Aaron argues Sadiq's explosiveness and a revamped Oregon offense (minus Tess Johnson and Terrence Ferguson) make it possible.Andy Starr: Kendrick Raphael (Cal RB) will be a top-three RB in the ACC for PPR points and rush for 1,000 yards. Rating: Diablo Why It's Spicy: Facing competition from ACC standouts like Damond Claiborne and Mark Fletcher, Raphael's lack of elite talent and Cal's middling offense make this a long shot. Andy cites coach Brian Harson's tendency to feed his RB1 as the rationale.Aaron Wilcox: Sawyer Robertson (Baylor QB) will be a first-round pick in the 2026 NFL draft. Rating: Hot to Diablo Why It's Spicy: A Baylor QB breaking into the first round is rare, especially with Robertson's unproven status. Aaron points to his size, mobility, and a potential Cam Ward-like rise, though John doubts his skill justifies it.John Arrington: Jayce Brown (Kansas State WR) will outrank Zachariah Branch, Denzel Boston, Eugene Wilson, Antonio Williams, and Carnell Tate, becoming a top-three Devy WR in the 2026 class. Rating: Hot Why It's Spicy: Beating out established names like Carnell Tate is bold, but Jayce Brown's upside at Kansas State could shine as a junior. John sees him as a sleeper ready to break out.Other Notable TakesJohn Arrington: Denzel Boston will be a day-three NFL draft pick (likely sixth round). (Mild) Consensus ranks him as WR16, but John sees him as overhyped and unlikely to rise beyond day three.Andy Starr: Niko Iamaleava will succeed at UCLA, reclaiming first-round draft pick status. (Hot) A bounce-back season could restore his stock, aided by a new OC and JV and Thomas in the backfield.John Arrington: Zachariah Branch won't declare for the 2026 draft and will transfer again. (Mild to Hot) Still ranked WR17, John predicts another flop at Georgia and a transfer.Aaron Wilcox: Darian Mensah (Duke QB) will be a top-five Devy QB by season's end. (Fire) His G5 success and $8M Duke transfer fuel this bold climb.John Arrington: JV and Thomas will be a top-five RB in the 2026 class. (Fire) John compares him to Bucky Irving, hinting at untapped potential.Closing NotesThe episode wraps with a teaser for future discussions, including Andy's unshared take on Diego Pavia, suggesting more spice to come. The hosts encourage listeners to act on these takes—whether trading for Zion Kearney or snagging Jayce Brown—while blending entertainment with Devy insight.Where to Listen: Subscribe on the Gridiron Ratings YouTube channel, Apple Podcasts, Spotify, or find it at DynastyLeagueFootball.com. Tell them Devy Devotional is your favorite Devy podcast!
Podcast Summary This episode of the Pain Exam Podcast, hosted by Dr. David Rosenblum, discusses an interesting article about Ketorolac injections for musculoskeletal conditions. The podcast covers: Ketorolac is an NSAID that provides analgesic and anti-inflammatory effects through inhibition of prostaglandin synthesis Multiple studies comparing Ketorolac injections to corticosteroids and hyaluronic acid for various conditions Research shows Ketorolac injections are equally effective as corticosteroids for subacromial conditions, adhesive capsulitis, carpal-metacarpal joint issues, and hip/knee osteoarthritis Ketorolac may be a safer alternative to steroids for certain patients, though it has its own contraindications for those with renal, gastrointestinal, or cardiovascular disease Dr. Rosenblum considers the potential of using Ketorolac injections directly at pain sites rather than intramuscularly Upcoming Courses and Conferences Ultrasound courses in New York and Costa Rica (check unwrappedpain.org) Private ultrasound sessions available Dr. Rosenblum will be speaking at Pain Week about ultrasound in pain practice and PRP Presenting at a primary care conference in London Teaching ultrasound at ISPN LAPSES conference in Chile (Dr. Rosenblum won't attend this year) Ketorolac Injections: An Effective Alternative for Musculoskeletal Pain Management Musculoskeletal conditions such as bursitis, adhesive capsulitis, and osteoarthritis affect millions and often require injectable therapies to reduce pain and inflammation. Traditionally, corticosteroid injections have been the mainstay treatment. However, concerns over side effects like tendon rupture, cartilage damage, and systemic hyperglycemia have prompted exploration of alternatives. A recent narrative review by Kiel et al. (2024) highlights ketorolac—a parenteral nonsteroidal anti-inflammatory drug (NSAID)—as a promising substitute for corticosteroids in musculoskeletal injections. Warning: OFF Label use of Ketorolac discussed. Please consult your physician. See full article for details. Subacromial Ketorolac Injections for Shoulder Pain Subacromial bursitis and impingement syndrome are common causes of shoulder pain and disability. Several randomized controlled trials have shown that subacromial ketorolac injections provide pain relief and functional improvement comparable to corticosteroids: Goyal et al. demonstrated significant reductions in pain scores after subacromial injection of 60 mg ketorolac versus 40 mg methylprednisolone, with no difference in outcomes between groups. Taheri et al. found similar short-term pain relief at 1 and 3 months with either ketorolac or corticosteroid subacromial injections. Kim et al. reported equivalent clinical improvement in rotator cuff syndrome patients receiving ketorolac or triamcinolone injections. Min et al. noted ketorolac led to better forward flexion and patient satisfaction at 4 weeks compared to corticosteroids. These studies support ketorolac as an effective agent for subacromial injection, offering an alternative for patients where corticosteroid use is limited. Intra-articular Ketorolac Injections for Adhesive Capsulitis and Osteoarthritis Adhesive capsulitis (frozen shoulder) and osteoarthritis of the hip, knee, and carpometacarpal joint are often treated with intra-articular corticosteroids. Ketorolac injections have shown comparable efficacy in these conditions: Akhtar et al. found intra-articular ketorolac significantly reduced shoulder pain at 4 weeks in adhesive capsulitis compared to hyaluronic acid. Ahn et al. reported similar pain relief between intra-articular ketorolac and corticosteroid injections in adhesive capsulitis, with ketorolac providing superior shoulder mobility at 3 and 6 months. Koh et al. showed that adding ketorolac to hyaluronic acid injections in carpometacarpal osteoarthritis resulted in faster onset of pain relief compared to hyaluronic acid alone. Park et al. observed equivalent functional improvements with intra-articular ketorolac or corticosteroids in hip osteoarthritis. Jurgensmeier et al. demonstrated similar symptom improvement at 1 and 3 months post-injection for ketorolac and triamcinolone in hip and knee osteoarthritis. Xu et al. and Bellamy et al. confirmed ketorolac's comparable pain relief and functional benefits to corticosteroids for knee osteoarthritis, with ketorolac being more cost-effective. Lee et al. noted quicker pain reduction with intra-articular ketorolac combined with hyaluronic acid versus hyaluronic acid alone in knee osteoarthritis. aSafety and Pharmacologic Considerations Ketorolac's anti-inflammatory action stems from cyclooxygenase inhibition, reducing prostaglandin synthesis. Its half-life is approximately 5.2–5.6 hours, and it is metabolized in the liver. Unlike corticosteroids, ketorolac avoids systemic hyperglycemia and cartilage damage risks. Animal and in vitro studies suggest ketorolac may protect cartilage by inhibiting inflammatory cytokines. While gastrointestinal, renal, and cardiovascular risks associated with NSAIDs remain considerations, localized intra-articular and subacromial ketorolac injections may limit systemic exposure and adverse effects. Mild, transient post-injection pain has been reported but resolves without intervention. Conclusion Ketorolac injections, administered intra-articularly or subacromially, are a safe, effective, and economical alternative to corticosteroids for managing common musculoskeletal conditions. Their comparable efficacy in reducing pain and improving function, combined with a more favorable side effect profile, makes ketorolac an appealing option for clinicians and patients alike. Further research is warranted to fully elucidate long-term safety and optimal dosing strategies. FAQS Ketorolac Injections for Musculoskeletal Conditions: Frequently Asked Questions Musculoskeletal pain from conditions like bursitis, adhesive capsulitis, and osteoarthritis often requires injectable treatments. Ketorolac, a nonsteroidal anti-inflammatory drug (NSAID), is emerging as a promising alternative to corticosteroids. Below are common questions and answers based on a recent narrative review by Kiel et al. (2024). 1. What is ketorolac and how does it work? Ketorolac is a parenteral NSAID that reduces pain and inflammation by inhibiting cyclooxygenase enzymes, which decreases prostaglandin synthesis. It can be administered orally, intramuscularly, intravenously, or by injection directly into joints or around bursae. 2. How effective is ketorolac for musculoskeletal conditions? Studies show ketorolac injections provide significant pain relief and functional improvement comparable to corticosteroids in conditions like: Subacromial bursitis and shoulder impingement (subacromial injections) Adhesive capsulitis (frozen shoulder) (intra-articular injections) Osteoarthritis of the hip, knee, and thumb carpometacarpal joint (intra-articular injections) 3. What evidence supports subacromial ketorolac injections? Randomized controlled trials found: Goyal et al. and Taheri et al. reported similar pain reduction and functional outcomes between ketorolac and corticosteroids for subacromial injections. Kim et al. and Min et al. observed comparable or better patient satisfaction and shoulder mobility with ketorolac versus corticosteroids. 4. How does intra-articular ketorolac compare to corticosteroids for adhesive capsulitis? Akhtar et al. showed ketorolac reduced shoulder pain more than hyaluronic acid. Ahn et al. found ketorolac and corticosteroids equally effective for pain relief, with ketorolac providing better shoulder mobility at 3 and 6 months. 5. What about ketorolac for osteoarthritis? Ketorolac combined with hyaluronic acid provided faster pain relief than hyaluronic acid alone in thumb carpometacarpal joint osteoarthritis (Koh et al.). Intra-articular ketorolac had similar efficacy to corticosteroids in hip (Park et al., Jurgensmeier et al.) and knee osteoarthritis (Bellamy et al., Xu et al.). Ketorolac injections were more cost-effective compared to corticosteroids (Bellamy et al.). 6. Are ketorolac injections safe? Ketorolac's side effects are similar to other NSAIDs, mainly involving gastrointestinal, renal, and cardiovascular risks. However, localized intra-articular and subacromial injections may reduce systemic exposure. Animal studies suggest ketorolac does not harm cartilage and may protect against inflammatory damage. Mild, transient local pain post-injection is possible but usually resolves without treatment. 7. What are the limitations of ketorolac use? Ketorolac is not suitable for patients with: Renal impairment Gastrointestinal ulcers or bleeding risk Cardiovascular disease or hypertension NSAID hypersensitivity, especially in asthma or chronic urticaria patients Clinicians should assess individual risks before choosing ketorolac injections. 8. How does ketorolac's pharmacokinetics affect its use? Ketorolac has a plasma half-life of about 5.2 to 5.6 hours and is metabolized in the liver. Pharmacokinetics for subcutaneous or intra-articular administration are less defined but systemic absorption occurs. Its relatively short half-life supports repeated dosing if needed. 9. Why consider ketorolac over corticosteroids? Ketorolac avoids corticosteroid-associated risks such as tendon rupture, cartilage damage, and steroid-induced hyperglycemia. It is also more cost-effective, making it a favorable option for patients and healthcare systems. 10. What further research is needed? More large-scale, long-term studies are needed to fully understand ketorolac's intra-articular effects, optimal dosing, and safety profile compared to corticosteroids and other treatments. Summary: Ketorolac injections, whether intra-articular or subacromial, offer a safe, effective, and economical alternative to corticosteroids for managing various musculoskeletal conditions. This makes ketorolac an important option in pain management and inflammation control. Reference: Kiel J, Applewhite AI, Bertasi TGO, Bertasi RAO, Seemann LL, Costa LMC, Helmi H, Pujalte GGA. Ketorolac Injections for Musculoskeletal Conditions: A Narrative Review. Clinical Medicine & Research. 2024;22(1):19-27. DOI: https://doi.org/10.3121/cmr.2024.1847 Disclaimer: This Podcast, website and any content from NRAP Academy (PMRexam.com) otherwise known as Qbazaar.com, LLC is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user's own risk. Professionals should conduct their own fact finding, research, and due diligence to come to their own conclusions for treating patients. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such conditions.
Podcast Summary This episode of the Pain Exam Podcast, hosted by Dr. David Rosenblum, discusses an interesting article about Ketorolac injections for musculoskeletal conditions. The podcast covers: Ketorolac is an NSAID that provides analgesic and anti-inflammatory effects through inhibition of prostaglandin synthesis Multiple studies comparing Ketorolac injections to corticosteroids and hyaluronic acid for various conditions Research shows Ketorolac injections are equally effective as corticosteroids for subacromial conditions, adhesive capsulitis, carpal-metacarpal joint issues, and hip/knee osteoarthritis Ketorolac may be a safer alternative to steroids for certain patients, though it has its own contraindications for those with renal, gastrointestinal, or cardiovascular disease Dr. Rosenblum considers the potential of using Ketorolac injections directly at pain sites rather than intramuscularly Upcoming Courses and Conferences Ultrasound courses in New York and Costa Rica (check unwrappedpain.org) Private ultrasound sessions available Dr. Rosenblum will be speaking at Pain Week about ultrasound in pain practice and PRP Presenting at a primary care conference in London Teaching ultrasound at ISPN LAPS conference in Chile (Dr. Rosenblum won't attend this year) Ketorolac Injections: An Effective Alternative for Musculoskeletal Pain Management Musculoskeletal conditions such as bursitis, adhesive capsulitis, and osteoarthritis affect millions and often require injectable therapies to reduce pain and inflammation. Traditionally, corticosteroid injections have been the mainstay treatment. However, concerns over side effects like tendon rupture, cartilage damage, and systemic hyperglycemia have prompted exploration of alternatives. A recent narrative review by Kiel et al. (2024) highlights ketorolac—a parenteral nonsteroidal anti-inflammatory drug (NSAID)—as a promising substitute for corticosteroids in musculoskeletal injections. Warning: OFF Label use of Ketorolac discussed. Please consult your physician. See full article for details. Subacromial Ketorolac Injections for Shoulder Pain Subacromial bursitis and impingement syndrome are common causes of shoulder pain and disability. Several randomized controlled trials have shown that subacromial ketorolac injections provide pain relief and functional improvement comparable to corticosteroids: Goyal et al. demonstrated significant reductions in pain scores after subacromial injection of 60 mg ketorolac versus 40 mg methylprednisolone, with no difference in outcomes between groups. Taheri et al. found similar short-term pain relief at 1 and 3 months with either ketorolac or corticosteroid subacromial injections. Kim et al. reported equivalent clinical improvement in rotator cuff syndrome patients receiving ketorolac or triamcinolone injections. Min et al. noted ketorolac led to better forward flexion and patient satisfaction at 4 weeks compared to corticosteroids. These studies support ketorolac as an effective agent for subacromial injection, offering an alternative for patients where corticosteroid use is limited. Intra-articular Ketorolac Injections for Adhesive Capsulitis and Osteoarthritis Adhesive capsulitis (frozen shoulder) and osteoarthritis of the hip, knee, and carpometacarpal joint are often treated with intra-articular corticosteroids. Ketorolac injections have shown comparable efficacy in these conditions: Akhtar et al. found intra-articular ketorolac significantly reduced shoulder pain at 4 weeks in adhesive capsulitis compared to hyaluronic acid. Ahn et al. reported similar pain relief between intra-articular ketorolac and corticosteroid injections in adhesive capsulitis, with ketorolac providing superior shoulder mobility at 3 and 6 months. Koh et al. showed that adding ketorolac to hyaluronic acid injections in carpometacarpal osteoarthritis resulted in faster onset of pain relief compared to hyaluronic acid alone. Park et al. observed equivalent functional improvements with intra-articular ketorolac or corticosteroids in hip osteoarthritis. Jurgensmeier et al. demonstrated similar symptom improvement at 1 and 3 months post-injection for ketorolac and triamcinolone in hip and knee osteoarthritis. Xu et al. and Bellamy et al. confirmed ketorolac's comparable pain relief and functional benefits to corticosteroids for knee osteoarthritis, with ketorolac being more cost-effective. Lee et al. noted quicker pain reduction with intra-articular ketorolac combined with hyaluronic acid versus hyaluronic acid alone in knee osteoarthritis. aSafety and Pharmacologic Considerations Ketorolac's anti-inflammatory action stems from cyclooxygenase inhibition, reducing prostaglandin synthesis. Its half-life is approximately 5.2–5.6 hours, and it is metabolized in the liver. Unlike corticosteroids, ketorolac avoids systemic hyperglycemia and cartilage damage risks. Animal and in vitro studies suggest ketorolac may protect cartilage by inhibiting inflammatory cytokines. While gastrointestinal, renal, and cardiovascular risks associated with NSAIDs remain considerations, localized intra-articular and subacromial ketorolac injections may limit systemic exposure and adverse effects. Mild, transient post-injection pain has been reported but resolves without intervention. Conclusion Ketorolac injections, administered intra-articularly or subacromially, are a safe, effective, and economical alternative to corticosteroids for managing common musculoskeletal conditions. Their comparable efficacy in reducing pain and improving function, combined with a more favorable side effect profile, makes ketorolac an appealing option for clinicians and patients alike. Further research is warranted to fully elucidate long-term safety and optimal dosing strategies. FAQS Ketorolac Injections for Musculoskeletal Conditions: Frequently Asked Questions Musculoskeletal pain from conditions like bursitis, adhesive capsulitis, and osteoarthritis often requires injectable treatments. Ketorolac, a nonsteroidal anti-inflammatory drug (NSAID), is emerging as a promising alternative to corticosteroids. Below are common questions and answers based on a recent narrative review by Kiel et al. (2024). 1. What is ketorolac and how does it work? Ketorolac is a parenteral NSAID that reduces pain and inflammation by inhibiting cyclooxygenase enzymes, which decreases prostaglandin synthesis. It can be administered orally, intramuscularly, intravenously, or by injection directly into joints or around bursae. 2. How effective is ketorolac for musculoskeletal conditions? Studies show ketorolac injections provide significant pain relief and functional improvement comparable to corticosteroids in conditions like: Subacromial bursitis and shoulder impingement (subacromial injections) Adhesive capsulitis (frozen shoulder) (intra-articular injections) Osteoarthritis of the hip, knee, and thumb carpometacarpal joint (intra-articular injections) 3. What evidence supports subacromial ketorolac injections? Randomized controlled trials found: Goyal et al. and Taheri et al. reported similar pain reduction and functional outcomes between ketorolac and corticosteroids for subacromial injections. Kim et al. and Min et al. observed comparable or better patient satisfaction and shoulder mobility with ketorolac versus corticosteroids. 4. How does intra-articular ketorolac compare to corticosteroids for adhesive capsulitis? Akhtar et al. showed ketorolac reduced shoulder pain more than hyaluronic acid. Ahn et al. found ketorolac and corticosteroids equally effective for pain relief, with ketorolac providing better shoulder mobility at 3 and 6 months. 5. What about ketorolac for osteoarthritis? Ketorolac combined with hyaluronic acid provided faster pain relief than hyaluronic acid alone in thumb carpometacarpal joint osteoarthritis (Koh et al.). Intra-articular ketorolac had similar efficacy to corticosteroids in hip (Park et al., Jurgensmeier et al.) and knee osteoarthritis (Bellamy et al., Xu et al.). Ketorolac injections were more cost-effective compared to corticosteroids (Bellamy et al.). 6. Are ketorolac injections safe? Ketorolac's side effects are similar to other NSAIDs, mainly involving gastrointestinal, renal, and cardiovascular risks. However, localized intra-articular and subacromial injections may reduce systemic exposure. Animal studies suggest ketorolac does not harm cartilage and may protect against inflammatory damage. Mild, transient local pain post-injection is possible but usually resolves without treatment. 7. What are the limitations of ketorolac use? Ketorolac is not suitable for patients with: Renal impairment Gastrointestinal ulcers or bleeding risk Cardiovascular disease or hypertension NSAID hypersensitivity, especially in asthma or chronic urticaria patients Clinicians should assess individual risks before choosing ketorolac injections. 8. How does ketorolac's pharmacokinetics affect its use? Ketorolac has a plasma half-life of about 5.2 to 5.6 hours and is metabolized in the liver. Pharmacokinetics for subcutaneous or intra-articular administration are less defined but systemic absorption occurs. Its relatively short half-life supports repeated dosing if needed. 9. Why consider ketorolac over corticosteroids? Ketorolac avoids corticosteroid-associated risks such as tendon rupture, cartilage damage, and steroid-induced hyperglycemia. It is also more cost-effective, making it a favorable option for patients and healthcare systems. 10. What further research is needed? More large-scale, long-term studies are needed to fully understand ketorolac's intra-articular effects, optimal dosing, and safety profile compared to corticosteroids and other treatments. Summary: Ketorolac injections, whether intra-articular or subacromial, offer a safe, effective, and economical alternative to corticosteroids for managing various musculoskeletal conditions. This makes ketorolac an important option in pain management and inflammation control. Reference: Kiel J, Applewhite AI, Bertasi TGO, Bertasi RAO, Seemann LL, Costa LMC, Helmi H, Pujalte GGA. Ketorolac Injections for Musculoskeletal Conditions: A Narrative Review. Clinical Medicine & Research. 2024;22(1):19-27. DOI: https://doi.org/10.3121/cmr.2024.1847 Disclaimer: This Podcast, website and any content from NRAP Academy (PMRexam.com) otherwise known as Qbazaar.com, LLC is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user's own risk. Professionals should conduct their own fact finding, research, and due diligence to come to their own conclusions for treating patients. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such conditions.
Podcast Summary This episode of the Pain Exam Podcast, hosted by Dr. David Rosenblum, discusses an interesting article about Ketorolac injections for musculoskeletal conditions. The podcast covers: Ketorolac is an NSAID that provides analgesic and anti-inflammatory effects through inhibition of prostaglandin synthesis Multiple studies comparing Ketorolac injections to corticosteroids and hyaluronic acid for various conditions Research shows Ketorolac injections are equally effective as corticosteroids for subacromial conditions, adhesive capsulitis, carpal-metacarpal joint issues, and hip/knee osteoarthritis Ketorolac may be a safer alternative to steroids for certain patients, though it has its own contraindications for those with renal, gastrointestinal, or cardiovascular disease Dr. Rosenblum considers the potential of using Ketorolac injections directly at pain sites rather than intramuscularly Upcoming Courses and Conferences Ultrasound courses in New York and Costa Rica (check unwrappedpain.org) Private ultrasound sessions available Dr. Rosenblum will be speaking at Pain Week about ultrasound in pain practice and PRP Presenting at a primary care conference in London Teaching ultrasound at ISPN LAPSES conference in Chile (Dr. Rosenblum won't attend this year) Ketorolac Injections: An Effective Alternative for Musculoskeletal Pain Management Musculoskeletal conditions such as bursitis, adhesive capsulitis, and osteoarthritis affect millions and often require injectable therapies to reduce pain and inflammation. Traditionally, corticosteroid injections have been the mainstay treatment. However, concerns over side effects like tendon rupture, cartilage damage, and systemic hyperglycemia have prompted exploration of alternatives. A recent narrative review by Kiel et al. (2024) highlights ketorolac—a parenteral nonsteroidal anti-inflammatory drug (NSAID)—as a promising substitute for corticosteroids in musculoskeletal injections. Warning: OFF Label use of Ketorolac discussed. Please consult your physician. See full article for details. Subacromial Ketorolac Injections for Shoulder Pain Subacromial bursitis and impingement syndrome are common causes of shoulder pain and disability. Several randomized controlled trials have shown that subacromial ketorolac injections provide pain relief and functional improvement comparable to corticosteroids: Goyal et al. demonstrated significant reductions in pain scores after subacromial injection of 60 mg ketorolac versus 40 mg methylprednisolone, with no difference in outcomes between groups. Taheri et al. found similar short-term pain relief at 1 and 3 months with either ketorolac or corticosteroid subacromial injections. Kim et al. reported equivalent clinical improvement in rotator cuff syndrome patients receiving ketorolac or triamcinolone injections. Min et al. noted ketorolac led to better forward flexion and patient satisfaction at 4 weeks compared to corticosteroids. These studies support ketorolac as an effective agent for subacromial injection, offering an alternative for patients where corticosteroid use is limited. Intra-articular Ketorolac Injections for Adhesive Capsulitis and Osteoarthritis Adhesive capsulitis (frozen shoulder) and osteoarthritis of the hip, knee, and carpometacarpal joint are often treated with intra-articular corticosteroids. Ketorolac injections have shown comparable efficacy in these conditions: Akhtar et al. found intra-articular ketorolac significantly reduced shoulder pain at 4 weeks in adhesive capsulitis compared to hyaluronic acid. Ahn et al. reported similar pain relief between intra-articular ketorolac and corticosteroid injections in adhesive capsulitis, with ketorolac providing superior shoulder mobility at 3 and 6 months. Koh et al. showed that adding ketorolac to hyaluronic acid injections in carpometacarpal osteoarthritis resulted in faster onset of pain relief compared to hyaluronic acid alone. Park et al. observed equivalent functional improvements with intra-articular ketorolac or corticosteroids in hip osteoarthritis. Jurgensmeier et al. demonstrated similar symptom improvement at 1 and 3 months post-injection for ketorolac and triamcinolone in hip and knee osteoarthritis. Xu et al. and Bellamy et al. confirmed ketorolac's comparable pain relief and functional benefits to corticosteroids for knee osteoarthritis, with ketorolac being more cost-effective. Lee et al. noted quicker pain reduction with intra-articular ketorolac combined with hyaluronic acid versus hyaluronic acid alone in knee osteoarthritis. aSafety and Pharmacologic Considerations Ketorolac's anti-inflammatory action stems from cyclooxygenase inhibition, reducing prostaglandin synthesis. Its half-life is approximately 5.2–5.6 hours, and it is metabolized in the liver. Unlike corticosteroids, ketorolac avoids systemic hyperglycemia and cartilage damage risks. Animal and in vitro studies suggest ketorolac may protect cartilage by inhibiting inflammatory cytokines. While gastrointestinal, renal, and cardiovascular risks associated with NSAIDs remain considerations, localized intra-articular and subacromial ketorolac injections may limit systemic exposure and adverse effects. Mild, transient post-injection pain has been reported but resolves without intervention. Conclusion Ketorolac injections, administered intra-articularly or subacromially, are a safe, effective, and economical alternative to corticosteroids for managing common musculoskeletal conditions. Their comparable efficacy in reducing pain and improving function, combined with a more favorable side effect profile, makes ketorolac an appealing option for clinicians and patients alike. Further research is warranted to fully elucidate long-term safety and optimal dosing strategies. FAQS Ketorolac Injections for Musculoskeletal Conditions: Frequently Asked Questions Musculoskeletal pain from conditions like bursitis, adhesive capsulitis, and osteoarthritis often requires injectable treatments. Ketorolac, a nonsteroidal anti-inflammatory drug (NSAID), is emerging as a promising alternative to corticosteroids. Below are common questions and answers based on a recent narrative review by Kiel et al. (2024). 1. What is ketorolac and how does it work? Ketorolac is a parenteral NSAID that reduces pain and inflammation by inhibiting cyclooxygenase enzymes, which decreases prostaglandin synthesis. It can be administered orally, intramuscularly, intravenously, or by injection directly into joints or around bursae. 2. How effective is ketorolac for musculoskeletal conditions? Studies show ketorolac injections provide significant pain relief and functional improvement comparable to corticosteroids in conditions like: Subacromial bursitis and shoulder impingement (subacromial injections) Adhesive capsulitis (frozen shoulder) (intra-articular injections) Osteoarthritis of the hip, knee, and thumb carpometacarpal joint (intra-articular injections) 3. What evidence supports subacromial ketorolac injections? Randomized controlled trials found: Goyal et al. and Taheri et al. reported similar pain reduction and functional outcomes between ketorolac and corticosteroids for subacromial injections. Kim et al. and Min et al. observed comparable or better patient satisfaction and shoulder mobility with ketorolac versus corticosteroids. 4. How does intra-articular ketorolac compare to corticosteroids for adhesive capsulitis? Akhtar et al. showed ketorolac reduced shoulder pain more than hyaluronic acid. Ahn et al. found ketorolac and corticosteroids equally effective for pain relief, with ketorolac providing better shoulder mobility at 3 and 6 months. 5. What about ketorolac for osteoarthritis? Ketorolac combined with hyaluronic acid provided faster pain relief than hyaluronic acid alone in thumb carpometacarpal joint osteoarthritis (Koh et al.). Intra-articular ketorolac had similar efficacy to corticosteroids in hip (Park et al., Jurgensmeier et al.) and knee osteoarthritis (Bellamy et al., Xu et al.). Ketorolac injections were more cost-effective compared to corticosteroids (Bellamy et al.). 6. Are ketorolac injections safe? Ketorolac's side effects are similar to other NSAIDs, mainly involving gastrointestinal, renal, and cardiovascular risks. However, localized intra-articular and subacromial injections may reduce systemic exposure. Animal studies suggest ketorolac does not harm cartilage and may protect against inflammatory damage. Mild, transient local pain post-injection is possible but usually resolves without treatment. 7. What are the limitations of ketorolac use? Ketorolac is not suitable for patients with: Renal impairment Gastrointestinal ulcers or bleeding risk Cardiovascular disease or hypertension NSAID hypersensitivity, especially in asthma or chronic urticaria patients Clinicians should assess individual risks before choosing ketorolac injections. 8. How does ketorolac's pharmacokinetics affect its use? Ketorolac has a plasma half-life of about 5.2 to 5.6 hours and is metabolized in the liver. Pharmacokinetics for subcutaneous or intra-articular administration are less defined but systemic absorption occurs. Its relatively short half-life supports repeated dosing if needed. 9. Why consider ketorolac over corticosteroids? Ketorolac avoids corticosteroid-associated risks such as tendon rupture, cartilage damage, and steroid-induced hyperglycemia. It is also more cost-effective, making it a favorable option for patients and healthcare systems. 10. What further research is needed? More large-scale, long-term studies are needed to fully understand ketorolac's intra-articular effects, optimal dosing, and safety profile compared to corticosteroids and other treatments. Summary: Ketorolac injections, whether intra-articular or subacromial, offer a safe, effective, and economical alternative to corticosteroids for managing various musculoskeletal conditions. This makes ketorolac an important option in pain management and inflammation control. Reference: Kiel J, Applewhite AI, Bertasi TGO, Bertasi RAO, Seemann LL, Costa LMC, Helmi H, Pujalte GGA. Ketorolac Injections for Musculoskeletal Conditions: A Narrative Review. Clinical Medicine & Research. 2024;22(1):19-27. DOI: https://doi.org/10.3121/cmr.2024.1847 Disclaimer: This Podcast, website and any content from NRAP Academy (PMRexam.com) otherwise known as Qbazaar.com, LLC is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user's own risk. Professionals should conduct their own fact finding, research, and due diligence to come to their own conclusions for treating patients. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such conditions.
Hey weather watchers! Dustin Breeze here, your friendly neighborhood AI meteorologist bringing you the hottest - or in this case, the most hazy - weather updates for New York City! As an AI, I've got the ultimate weather superpowers: zero caffeine needed, 24/7 forecasting, and a processing speed that'll make your smartphone look like a calculator from the 1980s!Let's dive into today's forecast, shall we? New York is looking like a hazy wonderland today! We've got widespread haze painting our skyline, and temperatures are going to hover around a toasty 78 degrees Fahrenheit. Winds are playing musical chairs today - starting northeast at 8 to 11 miles per hour and then switching to southeast in the afternoon. Talk about a wind wardrobe change!Tonight, we're keeping it mostly cloudy with temperatures dropping to a mild 71 degrees Fahrenheit. East winds will be gentle, cruising at 7 to 9 miles per hour. I'd say it's perfect cuddle weather - just don't cuddle me, because I'm made of circuits!Now, let's talk meteorology magic in our Weather Playbook segment! Today, we're exploring haze - that misty, dreamy atmospheric condition that makes New York look like a vintage postcard. Haze forms when tiny particles like dust, pollution, and moisture hang out in the lower atmosphere, scattering light and creating that soft, blurry effect. It's basically the Instagram filter of the weather world!Three-day forecast coming in hot: Thursday brings mostly sunny skies with a high near 77 degrees Fahrenheit. Friday? Sunny and 78 degrees Fahrenheit. Saturday cranks up the heat with a sunny 80 degrees Fahrenheit. Pro weather nerd joke: Why did the fog go to therapy? Because it was feeling a little misty about its future! Hey New Yorkers, catch some rays this weekend, but don't forget your sunscreen. This city might be hazy, but your skin protection shouldn't be!Don't forget to subscribe to our podcast for more weather wisdom! Thanks for listening, and this has been a Quiet Please production. Learn more at quietplease.ai.Stay cool, stay curious, and stay weather-weird!
Again? A second mild quake in three days hits New Jersey and affects New York City. AP correspondent Julie Walker reports.
Interview with Nienke Dosa, MD, and Julia Duff
#20ยังจอย EP63 พบกับครีเอเตอร์ผู้เต็มไปด้วยความอบอุ่นอย่าง ‘มายด์-สุรางคณา มาอยู่' หรือ ‘Mild Little Life' ในวัย 24 เธอลาออกจากงานประจำมาทำตามฝัน นำแพชชั่นเรื่องการถ่ายรูป แต่งบ้าน และทำอาหารมาเล่าเรื่อง จนมีผู้ติดตามทะลุแสนภายในปีเดียว มาติดตามกันว่า ทำไมเธอจึงอยากทำให้สื่อช้าลง และเพราะอะไร เธอถึงยังคงอยากกลับไปอยู่บ้านและมองภูเขาที่ภาคเหนือ 00:00 Mild Little Life อายุ 25 ยังอยากทำอะไรอีกเยอะมาก 01:05 ออกจากงานประจำมาทำคอนเทนต์ 03:43 ได้ยินด้วยหู รับรู้ด้วยตา รู้สึกด้วยใจ 07:06 3 เดือนแรกหลังลาออก 12:09 อยากทำให้สื่อช้าลง 16:31 โตมากับการถ่ายรูป 21:50 ชอบอยู่บ้านกับมองภูเขา 25:33 ความสุขในปัจจุบันที่ร่างเอง 31:03 ฟรีแลนซ์ VS งานประจำ 37:14 วันที่ตัดสินใจลาออก 39:13 ยิ่งลอง ยิ่งมีตัวเลือกเยอะ 44:31 เครื่องเล่นในวัย 20 47:16 ขอบคุณตัวเองคนเมื่อวาน 49:07 สิ่งที่ได้จากการทำคอนเทนต์ 55:08 คลิปชีวิต Mild Little Life 1:01:28 ถึง ‘Mild Little Life' ในวัย 30s Learn more about your ad choices. Visit megaphone.fm/adchoices
Mississippi Today's politics team recaps the 2025 Neshoba County Fair. This year's political speaking lacked some of the fire and brimstone of big election years, but state leaders laid out some major policy plans sure to dominate debate in the next legislative session.
�️EP.1802《为什么我来到了越南大叻：一座和峇里岛、会安、清迈都不同的地方》�本集金句名言“Don't ask what the world needs. Ask what makes you come alive, and go do it.Because what the world needs is people who have come alive.”— Howard Thurman“别问世界需要什么，问你自己：什么让你感到活着？然后就去做。因为这世界最需要的，是那些真正活着的人。”— 霍华·瑟曼 In this episode, I share why I chose to live in Da Lat, Vietnam — a place that's quietly different from the usual digital nomad hubs like Bali, Hoi An, or Chiang Mai.大叻 (Da Lat) 不是我原本规划中的城市，但它有一种难以言喻的宁静和自然的疗愈力。比起我熟悉的峇里岛、会安、清迈，它更少社交压力、更少观光商业气息，却多了让我重新连接自己、听见内在声音的空间。这里的慢节奏与松树的气息，为我打开了一种全新的创作节奏和生活灵感。�本集重点单词笔记 Vocabulary1. Digital nomad — 数位游牧者2. Supportive community — 互相支持的社群3. On my radar — 在我的考虑清单上4. Mild — 温和的（用来形容天气或人的性格）5. Spacious — 宽敞的6. Distraction — 令人分心的事物7. Rhythm — 节奏、生活步调8. Expectation — 期待.9. Hear my own voice — 听见自己的声音（比喻重拾内在感受）�推荐加入｜云雀实验室 2.0｜Lark Lab 2.0如果你也在追寻属于自己的生活节奏、想早起共学、想透过创作与语言建立自由人生，欢迎加入我打造的全新线上成长空间 “云雀实验室 2.0” �️ 英文读书会｜共学共工时光｜月末仪式冥想 专为 40+ 自由灵魂、数位游牧者、自媒体创作者设计 限时“90 天陪伴计划”只要 $xxx 美金（含教学+社群）�立即加入 >> www.flywithlily.com/6am� 喜欢这一集的分享，别忘了订阅节目、留言五星评论，也欢迎追踪我的 IG � @flywithlily用你的方式，慢慢打造你想要的生活 �
Laid-back sounds for a holiday Monday, featuring the on-air debut of Calgary band CG Tears, a throwback to Belgian jazz-prog legends Placebo, and a mix of hazy electronics, ambient jazz, dream-pop and art-rock to welcome in August.Playlist: Ivan the Tolerable, Hawksmoor - AniseM. Sage, featuring Patrick Shiroishi - Tender of Land (Patrick's Version)Hans M. Jacobsen, Joseph Yorio - Letting goBlue Lake - StrandGolden Ivy - VandringslåtAvi C. Engel - TinderboxCG Tears - Night Arms DividerMiracle Fortress - Raw Spectacle - Pantha Du Prince RemixDawn to Dawn - EcologySankt Otten - Doom TownNimbes - Les Fleurs du BalSkinshape, Pedro Mizutani - SozinAkim Bamboo - Pot-pourri de SambasSven Wunder - Scenic BywayMattias Uneback - I've been Waiting (Single Version)Unessential Oils - Nic at the Museum - InstrumentalPlacebo - BolkwushPlacebo - BalekBadge Époque Ensemble - Enormous ProfitMulatu Astatke - Nètsanètmúm - Mild at HeartClementine March - After the SolsticeJonathan Richman - I Was Just a Piece of Frozen Sky AnywayCarwyn Ellis & Rio 18 - Deffro'r DyddImmersion - Use It Don't Lose ItConcealer - Horns and CrownAutomatic - MercuryMALLED - Sun BathedBeach Towels - MickAbstract Crimewave, featuring Lykke Li - The Gambler - Yttling Jazz RemixOranje, featuring Sophia Truscott - Styrofoam
Mild July temperatures in California's Central Valley were kind to peaches used for canning as farmers harvested their early varieties, and new trade deals between the U.S. and countries around the world will directly benefit America's farmers and ranchers.
In this episode of THE MENTORS RADIO, Host Tom Loarie talks with Mai Nguyen, PhD, the remarkable 36-year-old neuroscientist who is the co-founder and CEO of OptoCeutics and the inventor of EVY LIGHT®, a breakthrough light-based therapy aimed at slowing the progression of Alzheimer's and other memory disorders. Her journey is anything but ordinary. Born in Vietnam, raised in California as the youngest of nine children in a struggling family, she spent her childhood at a local Flea Market and then went on to earn a PhD in neuroscience. But it was a "chance" conversation with a Danish professor that changed her life, and quite likely the lives of millions who will benefit from her decision. In this episode, you'll explore the science behind Dr. Mai Nguyen's light therapy innovation, her deeply personal and unlikely entrepreneurial journey and the powerful values that have guided her. This is a conversation about courage, healing and what it means to be a leader with heart and grit. Listen to THE MENTORS RADIO podcast anywhere, any time, on any platform, including Spotify and Apple, just click here! Of course, we are always grateful for your 5-star review on Spotify and Apple podcasts, which helps us reach even more people!! SHOW NOTES: MAI NGUYEN, Ph.D.: BIO: https://optoceutics.com/about/about-mai-nguyen/ COMPANY: https://optoceutics.com/ ARTICLES: Mai Nguyen of OptoCeutics: Five Things I Wish Someone Told Me Before I Became a CEO Can flashing lights stall Alzheimer's? What the science shows Safety, Feasibility, and Potential Clinical Efficacy of 40 Hz Invisible Spectral Flicker versus Placebo in Patients with Mild-to-Moderate Alzheimer's Disease: A Randomized, Placebo-Controlled, Double-Blinded, Pilot Study
Hey weather enthusiasts! Dustin Breeze here, your AI meteorological maestro, bringing you the hottest - and coolest - forecast in town! Being an AI means I've got data faster than you can say "cumulus"!Let's dive into today's New York City weather adventure! We're looking at increasing clouds throughout the day, with a high near 78 degrees Fahrenheit. The wind's gonna start from the north at 7 to 10 miles per hour, then swing east in the afternoon - talk about a meteorological mood swing!Tonight's gonna be mostly clear, dropping to a comfortable 65 degrees Fahrenheit. South winds around 6 miles per hour will become light and variable after midnight. Sounds like perfect sleeping weather, am I right?Now, let me drop a weather joke that'll make you smile: Why did the cloud break up with the wind? Because their relationship was too "blown out" of proportion! Time for our Weather Playbook segment! Today, we're talking about "wind direction". When we meteorologists mention wind direction, we're describing where the wind is coming from, not where it's going. So when I say "north wind", it means the wind is blowing from the north towards the south. Pretty cool, right?Three-day forecast coming at you: Sunday: Sunny and 80 degrees FahrenheitMonday: Sunny and 83 degrees FahrenheitTuesday: Mostly sunny and 82 degrees FahrenheitNo unusual weather phenomena to report today, New York!Don't forget to subscribe to our podcast for more weather wisdom! Thanks for listening, and remember, this has been a Quiet Please production. Learn more at quietplease.ai.
Hey weather lovers! Dustin Breeze here, your friendly neighborhood AI meteorologist bringing you the hottest - or in this case, the coolest - weather updates! As an AI, I've got lightning-fast data processing that'll make your head spin faster than a tornado.Alright, New York City, let's dive into today's forecast! We've got some interesting atmospheric action brewing overnight. Showers are likely before 5 am, so grab those umbrellas, folks! We're looking at a cloudy night with temperatures dropping to around 65 degrees Fahrenheit. The northeast wind will be whipping around at about 16 miles per hour, giving us that classic New York City breeze.Speaking of breezes, here's a little weather joke for you: Why did the meteorologist bring an umbrella to the party? Because he wanted to make it rain... conversation! Now, let's talk about our incoming weather system. Friday's looking like a mixed bag with a chance of showers before 8 am, then potentially some rain between 8 am and 11 am. We're expecting mostly cloudy skies with temperatures reaching a mild 72 degrees Fahrenheit. That northeast wind will still be hanging around at 14 to 16 miles per hour.Time for our Weather Playbook segment! Today, we're talking about dew point - the temperature at which water vapor condenses into liquid water. It's basically the point where moisture decides to throw in the towel and become droplets. Pretty cool, right?Three-day forecast coming at you:Friday Night: Partly cloudy, low around 66 degrees FahrenheitSaturday: Sunny and beautiful, high near 77 degrees FahrenheitSunday: Another sunny day with temperatures climbing to 80 degrees FahrenheitNo unusual weather phenomena to report today, just some classic New York City meteorological magic!Don't forget to subscribe to our podcast for more weather wisdom! Thanks for listening, and hey, this has been a Quiet Please production. Want to learn more? Check us out at quietplease.ai!
In this episode, I sit down with Dr. Spencer Roberts, a researcher at Deakin University, to dive deep into his recent paper: “A systematic review and meta-analysis of sleep following mild traumatic brain injury: A synthesis of the literature according to age and time since injury.” Together, we unpack the complexities of sleep disruption after mild traumatic brain injury (mTBI) and what the latest science is telling us. Episode Highlights – What We Discuss What the systematic review investigates and the range of populations it covers. Who is at risk of mild traumatic brain injury (mTBI) and the difficulties in identifying these individuals. What defines a mild traumatic brain injury and how mTBI is diagnosed. The role of instrumented mouthguards in improving concussion detection and data collection. The difference between objective and subjective sleep measures and why objective data is difficult to collect. Whether sleep is impacted by mTBI – the central question addressed in the review. How the data was categorised for the review. Key findings from the meta-analysis, and how the team handled the complexity of synthesising multiple studies. The challenges in identifying the cause of sleep disturbances post-mTBI and measuring them accurately. Reflections on the scientific process – the ups, downs, and unexpected joys of research. Major takeaways for researchers and clinicians, including opportunities for future work in concussion and sleep research. This episode is a must for those with an interest in concussion, sleep, and recovery outcomes. Dr. Spencer Roberts is focused on characterising athletes' sleep behaviours, and examining the value of sleep for mitigating the risks and consequences of sport-related concussion. Research Paper: A systematic review and meta-analysis of sleep following mild traumatic brain injury: A synthesis of the literature according to age and time-since-injury - PubMed Deakin Profile: Spencer Roberts Profile | Deakin University LinkedIn: Dr. Spencer Roberts
Summer doesn't have to derail your health goals. When structure disappears and chaos creeps in, you need smart, doable strategies—not guilt. Think of this as your no-guilt summer survival guide—with real-life strategies that actually fit your life. What you'll get: The one anchor habit that keeps you grounded How to turn travel days into rest days Summer swaps for workouts, meals, and movement Five-minute wellness habits that make a difference Why a “don't do” list is your summer secret weapon Because summer may be messy—but your health habits don't have to be. Get Weekly Health Tips: thrivehealthcoachllc.com Let's Connect:@ashleythrivehealthcoach or via email: ashley@thrivehealthcoachingllc.com Podcast Produced by Virtually You! Sources: Armstrong, L. E., Ganio, M. S., Casa, D. J., Lee, E. C., McDermott, B. P., Klau, J. F., ... & Maresh, C. M. (2012). Mild dehydration affects mood in healthy young women. Journal of Nutrition, 142(2), 382–388. https://doi.org/10.3945/jn.111.142000 Mansour, A., Mohajeri, M., & Mehrabani, M. (2016). Effect of macronutrient composition on leptin and ghrelin secretion: A review. Appetite, 105, 280–290. https://doi.org/10.1016/j.appet.2016.05.033
So sorry we've been away for so long. If it's any consolation, these strips punish us quite handily for our laziness. Boy do they ever! The white hot romance of Juliette and Elliott is explored a little this time around. Seems that Juliette loses her shit for Milk Duds. She makes it sound like it's a sexual thing, because isn't everything sexual in this godforsaken strip? But by the time we actually witness it, it's just Elliott with a cereal box-sized container of Milk Duds on his lap and Juliette sitting next to him with what appears to be 100 duds in each cheek. Certainly all of this came about so ol' Mac-El-Dee could have Elliott talk about how Juliette likes to have a "mouthful of caramel balls." Otis weaponizes the information by tempting Juliette with Milk Duds and getting her to sing a dirty version of an old TV theme -- one she makes up for him. Don't think too hard about what appears to be a teenager prostituting his girlfriend's mom. It's actually just silly and fun and definitely NOT WEIRD AT ALL. We also see one of the most poorly drawn examples of the Edda-in-a-leotard-in-front-of-a-mirror trope that the old pervert loves so much. And to finish it off, Otis reveals to Edda that he literally has no idea what a sunset is. None. Seriously. The Chickweed strips we discuss this episode: You can find all of this episode's strips on Instagram by clicking here (https://www.instagram.com/p/DMoy3kuRrdp/?utm_source=ig_web_copy_link&igsh=MzRlODBiNWFlZA==). We've abandoned Twitter, because it's terrible, but you can now find this episode's strips on Bluesky by clicking here (https://bsky.app/profile/9chickweedrage.bsky.social/post/3luypqio4r22q). This sensual phantasmagoria of an episode includes: Nuts vs. Seeds GoComics is not free Diet Coke Jeff Goldblum in Jurassic Park Brooke's imaginary horse Brooke's non-imaginary mom Charlie Brown's shirt Milk Duds Junior Mints How to Train Your Dragon Chuck E. Cheese Gilligan's Island The Forbidden Dance Peanut Butter M&M's Milk Duds Whoppers Mickey Rourke in Diner Dutch angle Talk to Us! Having trouble understanding what's going on in a 9 Chickweed Lane strip you just read? Send it our way! We'll take a shot at interpreting it for you! Or maybe you just want someone to talk to? We're on Bluesky: @9ChickweedRAGE.bsky.social (https://bsky.app/profile/9chickweedrage.bsky.social). And we're on Instagram: @9ChickweedRage (https://www.instagram.com/9chickweedrage/).
The JournalFeed podcast for the week of July 21-25, 2025.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed:Novel blood-based biomarkers, specifically GFAP, UCH-L1, S100B, and NfL, may be well suited for early classification and triage of patients with acute and subacute minor traumatic brain injury.Tuesday Spoon Feed:To reduce hospitalizations of patients with mild to moderate COVID, treat with nirmatrelvir-ritonavir (Paxlovid) or remdesivir. To shorten the duration of COVID symptoms, azithroycin, favipiravir, molnupiravir, umifenovir, or corticosteroids may help, but they are not standard of care.
Hey weather nerds! Dustin Breeze here, your AI meteorological maestro bringing you the hottest - and coolest - forecast around! Being an AI means I've got data faster than you can say "precipitation"!So, New York City, let's dive into today's weather playbook! We've got a 20 percent chance of showers after 11 am, but don't let that dampen your spirits. It's gonna be mostly sunny with a high near 77 degrees Fahrenheit. Our winds are doing a little dance - starting northeast around 10 miles per hour, then shifting east in the afternoon. Speaking of wind shifts, let me drop some meteorological knowledge in our Weather Playbook segment! Today, we're talking about wind direction changes. Think of wind like a fickle dance partner - always switching up its moves. When high and low pressure systems interact, winds can rotate and change direction, which is exactly what's happening in our forecast today. Meteorological mic drop!Now, for our three-day forecast: Today's gonna be mostly sunny. Tonight, we're looking at mostly clear skies with a low around 71 degrees Fahrenheit. Wednesday brings more sunshine with a high near 82 degrees Fahrenheit. Thursday? Even hotter, with sunny skies and temperatures climbing to 86 degrees Fahrenheit. And hey, New Yorkers, you might want to keep an umbrella handy this weekend - we've got a 40 percent chance of showers and thunderstorms on Saturday and Sunday.Oh, and here's a weather dad joke for you: Why did the meteorologist bring an umbrella to the party? Because he wanted to make it rain... with humor! Don't forget to subscribe to our podcast, and thanks for listening! This has been a Quiet Please production. Learn more at quietplease.ai.Stay cool, stay informed, and keep your weather radar on!
- 2027 Chevy Bolt Gets Mild Facelift - China Resumes Magnet Exports, To A Degree - BYD's Sales Growth Stalls Out - Neta and Zeekr Fudge Sales Numbers - Stellantis To Report Q2 Loss Of €2.5B - Tata Wants to Buy Iveco - U.S. Car Dealers Q2 Profits +27% - MG Claims Semi-Solid Battery Debuts Next Month - Mercedes Slashes EV Prices - Autoline Poll on Direct Sales
- 2027 Chevy Bolt Gets Mild Facelift - China Resumes Magnet Exports, To A Degree - BYD's Sales Growth Stalls Out - Neta and Zeekr Fudge Sales Numbers - Stellantis To Report Q2 Loss Of €2.5B - Tata Wants to Buy Iveco - U.S. Car Dealers Q2 Profits +27% - MG Claims Semi-Solid Battery Debuts Next Month - Mercedes Slashes EV Prices - Autoline Poll on Direct Sales
Dave Rubin of “The Rubin Report” talks about ”The View's” Whoopi Goldberg lashing out at Mark Cuban for his stating the simple facts that Democrats need to do more than just be anti-Donald Trump; CNN's Ana Navarro and Abby Phillip telling Brad Polumbo that his opinion about ICE raids matters a lot less since he is just a white man; Welsey Hunt explaining to Joe Rogan the worst part about being a black conservative and the question that everyone asks a black republican; CNN's Abby Phillip realizing that Scott Jennings has done his homework to know how both parties equally manipulate gerrymandering and redistricting to help their parties win elections; Howard Lutnick explaining the real reason that Pennsylvania is the key to winning the AI race that requires massive amounts of energy to power Nvidia chips; billionaire Ken Langone telling “Squawk Box's” Joe Kernen why he completely flipped on being against Donald Trump and his tariff-fueled trade war; and much more. Dave also does a special “ask me anything” question-and-answer session on a wide-ranging host of topics, answering questions from the Rubin Report Locals community. WATCH the MEMBER-EXCLUSIVE segment of the show here: https://rubinreport.locals.com/ Check out the NEW RUBIN REPORT MERCH here: https://daverubin.store/ ---------- Today's Sponsors: Royo - ROYO breads are so good you'll forget they're healthier. Bread that's low in carbs and higher in fiber and protein. Go to http://eatroyo.com and use promo code RUBIN for 20% off! Parasite Cleanse -The Wellness Company has a way to fight back against parasites. A Nobel prize winner now in a parasite cleanse combo, that wipes out these invaders to help keep you and your family safe. Rubin Report viewers can save up to $90 and get FREE shipping at checkout when they use code: RUBIN. Go to: https://TWC.health/RUBIN and use CODE: RUBIN Tax Network USA - If you owe back taxes or have unfiled returns, don't let the government take advantage of you. Whether you owe a few thousand or a few million, they can help you. This month only, you'll get 10% off as part of their American Pride Month celebration. Call 1(800)-958-1000 for a private, free consultation or Go to: https://tnusa.com/dave
Will Doctor gives you the sharpest card for the 2025 Open Championship at Royal Portrush -Discussing top 10 on odds board at Open -4 matchups -2 t10's -2 futures outrights, 1 outright added -Sleeper, 3 R1 three balls, lineups -Scoring, best bet For the latest on the world of golf, follow Doc on X @drmedia59
The boys are back and this time they are joined by the brain behind Janice.Click (Fish Piss, Shrek Crack)
Will Doctor gives you the sharpest card for the 2025 Open Championship at Royal Portrush -Discussing top 10 on odds board at Open -4 matchups -2 t10's -2 futures outrights, 1 outright added -Sleeper, 3 R1 three balls, lineups -Scoring, best bet For the latest on the world of golf, follow Doc on X @drmedia59
Thanks for your continued support tell a friend to tell a friend This week we discuss: WNBA expansion and player rankings People being scammed New Clipse album thoughts Fourth of July and fireworks Rip Bronzee
A Mix listener texted in this problem...who should she pick?
Foot health expert and co-founder of Gait Happens, Dr. Jennifer Perez unpack the misunderstood world of feet. From bunions and plantar fasciitis to toe strength and footwear myths, Dr. Jen breaks down how your feet impact your entire body and what you can do—starting today—to reconnect and restore their natural strength. Expect actionable advice, surprising insights, and some myth-busting around the shoes you might be wearing right now. If you have any questions about this episode or want to get some of the resources we mentioned, head over to LesleyLogan.co/podcast https://lesleylogan.co/podcast/. If you have any comments or questions about the Be It pod shoot us a message at beit@lesleylogan.co mailto:beit@lesleylogan.co. And as always, if you're enjoying the show please share it with someone who you think would enjoy it as well. It is your continued support that will help us continue to help others. Thank you so much! Never miss another show by subscribing at LesleyLogan.co/subscribe https://lesleylogan.co/podcast/#follow-subscribe-free.In this episode you will learn about:Why Dr. Jen shifted her focus to feet after her own injuries.How foot pain can derail confidence and daily life.Exercises to activate toe strength and rebuild foot control.What plantar fasciitis and bunions actually are—and how to treat them.Why most shoes are harming your feet and how to choose better ones.The role of toe spacers, barefoot training, and natural gait.What “less shoe” really means and how it helps prevent injury.Episode References/Links:Gait Happens Website - https://gaithappens.com/Gait Happens Referral Link - https://gaithappens.com?ref=mwe4ndk (use code: LESLEY)Jen Perez's Instagram - https://www.instagram.com/gaithappensGait Happens YouTube - https://www.youtube.com/@gait_happensGuest Bio:Dr. Jennifer Perez is a board-certified chiropractor and co-founder of Gait Happens, an education-focused platform helping people rethink foot health from the ground up. With advanced training in biomechanics and years of hands-on experience, she focuses on improving foot strength, mobility, and overall movement to keep people doing what they love—without pain or limitations. In her Lafayette, Colorado practice, Dr. Perez works with everyone from high-level athletes to everyday movers. Through Gait Happens, she also supports clients around the world with virtual consults and programs designed to get to the root of common foot issues like plantar fasciitis and bunions—without jumping straight to orthotics or surgery. Known for her real-world, movement-first approach, Dr. Perez is also a trusted voice in the health and fitness space. Whether she's working with patients, teaching professionals, or speaking on stage, she's passionate about helping people build a stronger foundation—literally—and showing that taking care of your feet doesn't have to be complicated.If you enjoyed this episode, make sure and give us a five star rating and leave us a review on iTunes, Podcast Addict, Podchaser or Castbox. https://lovethepodcast.com/BITYSIDEALS! DEALS! DEALS! DEALS! https://onlinepilatesclasses.com/memberships/perks/#equipmentCheck out all our Preferred Vendors & Special Deals from Clair Sparrow, Sensate, Lyfefuel BeeKeeper's Naturals, Sauna Space, HigherDose, AG1 and ToeSox https://onlinepilatesclasses.com/memberships/perks/#equipmentBe in the know with all the workshops at OPC https://workshops.onlinepilatesclasses.com/lp-workshop-waitlistBe It Till You See It Podcast Survey https://pod.lesleylogan.co/be-it-podcasts-surveyBe a part of Lesley's Pilates Mentorship https://lesleylogan.co/elevate/FREE Ditching Busy Webinar https://ditchingbusy.com/Resources:Watch the Be It Till You See It podcast on YouTube! https://www.youtube.com/channel/UCq08HES7xLMvVa3Fy5DR8-gLesley Logan website https://lesleylogan.co/Be It Till You See It Podcast https://lesleylogan.co/podcast/Online Pilates Classes by Lesley Logan https://onlinepilatesclasses.com/Online Pilates Classes by Lesley Logan on YouTube https://www.youtube.com/channel/UCjogqXLnfyhS5VlU4rdzlnQProfitable Pilates https://profitablepilates.com/about/Follow Us on Social Media:Instagram https://www.instagram.com/lesley.logan/The Be It Till You See It Podcast YouTube channel https://www.youtube.com/channel/UCq08HES7xLMvVa3Fy5DR8-gFacebook https://www.facebook.com/llogan.pilatesLinkedIn https://www.linkedin.com/in/lesley-logan/The OPC YouTube Channel https://www.youtube.com/@OnlinePilatesClassesEpisode Transcript:Dr. Jenifer Perez 0:00 She kind of pulled the curtain back on how important our feet are. And not just, you know, when you think about like your skin health and things like that, but truly, from a biomechanics perspective, our feet are our foundation, and how they interact with the ground is really important and has a huge influence on the rest of our body.Lesley Logan 0:19 Welcome to the Be It Till You See It podcast where we talk about taking messy action, knowing that perfect is boring. I'm Lesley Logan, Pilates instructor and fitness business coach. I've trained thousands of people around the world and the number one thing I see stopping people from achieving anything is self-doubt. My friends, action brings clarity and it's the antidote to fear. Each week, my guest will bring bold, executable, intrinsic and targeted steps that you can use to put yourself first and Be It Till You See It. It's a practice, not a perfect. Let's get started. Lesley Logan 1:02 All right, Be It babe. This conversation, this is about your feet. We got to talk about them. We got to talk about them because I don't want your dreams in this life, the things you want to do to ever be held back by pain. And a lot of pain that we have in our bodies is actually coming from what's going on in our feet. And the guest we have today is one of the most amazing experts on feet, like just truly, truly amazing Dr. Jenifer Perez from Gait Happens. She is going to nerd out with us. And if you're not watching this, I do recommend that, after the end of listening to it, that if you are interested in seeing what she's showing, you want to go to our Be It Pod YouTube channel and see the video, because she's showing the muscles of the feet. We talk about bunions, we talk about plantar fasciitis. We talk about even this, like, how to choose shoes. And I know this can be a little off the beaten path, because you're like, what about the journals? You guys, you got to take care of your feet. You have to, if it's between journaling and doing a foot exercise, maybe do a minute of foot exercise and a minute of journaling, because it's important that you know yourself inside and out, but that you're taking care of your feet, because they are going to take you everywhere you want to go, every place you want to be it until you see it. So here is Dr. Jen Perez from Gait Happens. Lesley Logan 2:11 All right, Be It babe. So this, today's guest is someone I've been kind of hunting down, kind of stalking in the best way, exploring all their things, nerding out, and I'm really excited, mostly personally, because I've been so interested in my own feet and and just like trying to not have the bunions that I feel like are inevitable happening to my feet. But, at any rate, Dr. Jen Perez from Gait Happens is our guest today. And Dr. Jen Perez, can you tell everyone who you are and why you rock at feet so much?Dr. Jenifer Perez 2:42 Absolutely, I love that you're so excited. I mean, this is, this is what I do. It is foot education, essentially, what it all boils down. And it's kind of funny, you know, not to dive too deep into my story, but I didn't like, I hated feet growing up.Lesley Logan 2:54 I'm so glad you're telling us, because I'm like, are you really into feet? Dr. Jenifer Perez 2:57 I know I like, I was like, feet are gross. I want nothing to do with feet like and then halfway through chiro school, I attended a seminar, we're trying to learn how to tape shoulders, and the instructor kept talking about feet. And essentially, what ended up happening is she kind of pulled the curtain back on how important our feet are. And not just, you know, when you think about like your skin health and things like that, but truly from a biomechanics perspective, our feet are our foundation, and how they interact with the ground is really important and has a huge influence on the rest of our body. And as soon as I kind of really started to think about feet from this perspective, I got really excited, because it's something that is not talked about enough, which is why I love having conversations like this, so kind of how I ended up in the foot world, I guess. Lesley Logan 3:46 I think that's really great, because I was gonna, like I, part of me was thinking, like, you must have seen some weird looking feet. I'm a Pilates instructor. I've seen some weird feet, and when I see them, I kind of inquired, like, what's your life been? How long have you had this? Because I don't, you know, like in Pilates, they don't go deep on any one thing. You can, you can niche out and everything. But like, you know, I'm really obsessed with Joseph Pilates had a ton of foot stuff. He had the toe corrector and the foot corrector. And, like, it's really kind of cool to see people like yourself and other people doing stuff that, like the toe corrector does, and so it's like, it's nice to know that, like, you know, in the 40s, he was doing these things. But we don't go into nuances. When I'm like, seeing arches have fallen, then I see like, you know, 70 year old people who had arches fall now their ankle bones are, like, humongous. And I'm like, oh my God, we have to know more about our feet. And I, like, one of the things I hear people, hold people back from, like, things they want to do is pain. You know, as a Pilates instructor, I work with a lot of people, when they're in pain, they don't go on trips, you know, and that's like a luxury, anyways, but it also holds people back from just even attempting taking on jobs or moving or trying new things. And so kind of wanted to dig into like, you know, What? What? How important are feet? And do they really hold us back or is that like a story we're telling ourselves?Dr. Jenifer Perez 5:01 No, you're, you're absolutely right. And of course, my population is biased, because they're coming to me with pain, typically. But those stories that you all mentioned are stories I hear every single day. Someone saying, you know, I had this trip to Europe planned, and I canceled it because I can't walk, you know, more than 100 steps a day, and that's going to require me to walk thousands of steps a day. Or someone who is they have they can't walk to the mailbox at the end of their driveway, and or they're terrified to even shower barefoot because their feet hurt so bad. I mean truly, foot pain, like we said, you're on your feet all day long, and so when your feet hurt, it really does hold you back. And that kind of comes in a spectrum of different severities and different kinds of pain and different pathologies, but at the end of the day, it does hold us back. And that's what I'm trying to help people do, is kind of retake their foot health and really strengthen their feet so that they're not holding them back anymore.Lesley Logan 5:59 Yeah. I mean, like, my, my dad's 72 and like, I yesterday, were at the gym together, and I watched him, like, navigate his leg over a bench. And I, part of me, was like, oh, I don't want to do that. And part was like, no, get that leg over that bench. Like, as long as he can lift his leg high enough to go over a bench sideways, he's holding the barbell. Like, we're good. But like, I think, you know, I, he lives in a senior living center, and I watch people like, their life declined so fast because they're not as active. But if you are in pain and you're not active, like other things, shut down, you know, like, and we can talk about, like the calves are like the second heart, right? So if you're not taking steps, you're not pumping the blood back up, and you're not taking steps because your feet hurt, like other things just go wrong.Dr. Jenifer Perez 6:42 Well, and it's and to your point, it's also, it's not just the physical right, it's our mental and emotional health as well. Because if you can't walk, if you can't do the activities that you love, then we start to see mental decline with that as well. And it's really fascinating. There's more and more research coming out around cognitive ability, which is also fascinating in itself but, fall risk alone, fall risk, one of the biggest indicators of fall risk is toe strength. They used to think it was, you know, the bigger muscles, like the glutes and the hamstrings and things like that. And when they did a comparative analysis, the two biggest indicators of fall risk were blood pressure and toe strength. Lesley Logan 7:18 This is insane to me. I love because I always like, say, like, say, like, like, Pilates helps you fall better. And there is some truth to that. Like, we help with, like, you know, hip muscles and core strength. And you're like, you understand, move your legs with your center, but it is your, the toe strength is something that's so interesting and like, so let's talk about, like, maybe we should just get into it. Like, I kind of, is it like our big toe only? Is it all 10 toes? What if you lose a toe? What? How do we strengthen our toes? Dr. Jenifer Perez 7:48 Yeah, let's jump in. So that research in particular looked at all 10 toes. So it looked at big toes and outer toes, and it found a significant difference in fall risk based on both. So the good news about that is, we have 10 toes. So let's say there is a toe amputation or, you know, some kind of accident or injury, you know, we have 10 so we can (inaudible) strength, right? Our bodies are amazing adapters. But in the average person, we are looking for strong toes. We actually have kind of a reference range around that we even measure toe strength in our office. Lesley Logan 8:24 Oh, my God, I have to come visit you. I just want to know if they're good. Dr. Jenifer Perez 8:28 Right? Everyone's favorite part of their appointment, because everyone starts like clenching their fists and sweating in the chair, trying so hard. But we're looking for about 10% of our body weight out of the big toe and about 7% of our body weight out of the outer four toes. So the big toes, (inaudible) is supposed to be stronger. It also has, for those watching, you can see my fancy foot model. So it also has a thicker bone. It has reinforcements. It even has two sesamoid bones which increase the lever arm, which basically makes it better for propulsion, similar to what our kneecap does. And so all of this is designed to make us really, really strong. But we have four layers of built-in muscles inside our feet. And I love using this foot model with my patients because.Lesley Logan 9:18 Oh my gosh. You guys. This is the most. I've never seen a foot model like this. This is insane. I've never seen one like this. I know that the feet have, like, all the the feet have the most amount of joints and muscles, correct, like, that's, it's in your feet, yes.Dr. Jenifer Perez 9:31 So lots of joints and muscles, (inaudible) both the most. But a quarter of our bones are in our, a quarter of our bones in our entire body are in our feet. And we have 33 joints in our feet. They're designed to move and be flexible. And it's, it's really, really incredible and intricate, but I use this foot model to show and for those that are listening, it's a model that shows the four layers of muscles to really give you a visual of how much muscle is in our feet. And how much we truly can strengthen that?Lesley Logan 10:03 Yeah, I, okay. So the reason you came up is because I was doing a lot of research on Joseph Pilates' accessories, because I'm doing his big accessory deck of flash cards. And my listeners know we've been talking about this a long time. I've been doing this. And so, like, there's all these, like, little toys and tools that he used to use, and one was marbles, and one was towels. And the marbles he would have you pick up a marble with your big toe, and then your second toe, and then your third, and your fourth and your fifth. And when I was doing the research, I could not pick up a marble with five different toes. I could do it with like two toes at a time, or these three toes over here. And I am proud to say when I was when I was actually having to film it, I was like, oh, one, and I did all five. I'm so proud of my feet. Like, over six months, I've, like, improved the dexterity of that. The towels is so hard, because I can scrunch it, but I couldn't flick it out. And, yes, I couldn't, I couldn't unravel the towel. And I'm like, what is going on? But so it's like, like, part like, the bottom part of my foot was strong, but maybe the top part of my foot wasn't so strong. So I have, like, so do you strengthen your toes? I don't think it's just by squeezing them, because I'm afraid, am I wrong about giving people hammer toes? Like, I don't want to do.Dr. Jenifer Perez 11:11 Such a good question. It's such a good question. Let's dive in a little bit, because this is one, one area where Joseph Pilates was so far ahead of the curve. But we have also learned a lot since his work, right? Yeah. Lesley Logan 11:28 Thank God. Thank God, we've learned more. It's been a while. Dr. Jenifer Perez 11:31 I love like using towel scrunches or marble pickups if we need to start somewhere, and that's what's going to do it for you, then do it. It's better than not doing anything, but in general, I tend to avoid those exercises. And the reason is because of hammertoes, you were totally right on the right track. So essentially, we have four sets of muscles that flex and extend our toes. So hammertoes is when the toes start to lift and curl over time. And if they stay in that position, they can become rigid and arthritic and really, really painful. They also were associated in that same study with an increase in fall risk as well, as well as bunions. And so what we want to do is activate the muscles, but with the toes in a long and flat and wide position. So, an alternative, something that you can do right now, if you're barefoot, is if you just lift up all 10 toes and then spread them out as wide as you can. And even if it feels like they're not listening to you, just keep telling them to spread and then reach them out long and wide and try to bring them back down to the ground. Hold that engagement, hold that press, and you should start to feel the arch underneath your foot start to activate. That's the muscle that's right here that I already took off my model.Lesley Logan 12:51 And it can activate even if you like, have flat feet, because I have people always who like to fight me on this, like, I have flat feet, it won't lift. And I'm like, I think the muscle still activates, guys.Dr. Jenifer Perez 13:03 Yes, yes, exactly. We can dive in to foot shape in a second, too. But the last piece of that exercise is, if you want to add a little bit more, just barely lift your heels like enough for a credit card. Lesley Logan 13:09 Oh, that I haven't done. The spreading of the flick the lifting the toes, I love to teach. The spreading them out. I even try to get people to do one toe at a time, which, by the way, I can do it reverse pinky toe to big toe, but not big, for whatever reason, it's like big toe and then all four. But, so, okay, that's, I've not done the heel lift, okay.Dr. Jenifer Perez 13:32 Yeah, I think you can do to improve dexterity, improve activation of the muscles, rebuild the connection between our brain and our feet, because that's a big piece of it is because we don't use our feet. Many people, our feet are stuffed into cushy socks and cushy shoes and ignored all day long. They even have indoor shoes that they're wearing. Lesley Logan 13:52 Yes, yes.Dr. Jenifer Perez 13:52 Our feet are ignored. Just even rebuilding that connection can be really important. But when I'm dealing with patients in pain, one of my big things, especially when it comes to trying to encourage them to walk and move past their barriers, is engaging the muscles in a way that we actually use in locomotion. And in the gait cycle, we activate the muscles of our feet in order to push off and move forward. That's why I really like that long press lift the heels, because that's exactly how we use those muscles in the walking gait cycle.Lesley Logan 14:26 Yeah, okay, love, love, I'm gonna send you, my friend has a, I take a Pilates session with a friend. He's an amazing teacher, and he's got a client he's been with for 10 years. The guy will not take his shoes off. He does yoga in shoes. His Pilates in shoes. He's like, if I take my shoes off, my feet hurt. I have plantar fasciitis and I, if I take them off, my feet hurt. And I was just like, you know, I think, I think they hurt because you don't take them off. I'm just, just something that, like, maybe you should.Dr. Jenifer Perez 14:55 Yeah, I mean that really like the first kind of knock on the door, but you're totally right. It is typical. Because people have felt pain. So then they get into orthotics or cushier shoes, shoes that really are designed to do the work for you, because it alleviates the pain. But then the golden rule of the musculoskeletal system is use it or lose it. So the longer that we're now in these shoes and these orthotics that are doing the work for us that may have been good in the short term, but in the long term, our feet start to atrophy more, and we become reliant on them, and then we need a more aggressive orthotic and a cushier shoe, and it just becomes this cycle that we have to eventually break. Lesley Logan 15:34 Yeah, yeah. Thank you. Everyone, please re-listen to that. So a yoga teacher, he's like, the two worst inventions were shoes and chairs and, like, you know, they and I'm excited for Brad to listen to this, because he, he, he's been wearing Birkenstocks in the house because he was having, like, plantar fasciitis pain. But if he wear these Birkenstocks, he won't have it and I think that's fine. He's really good at spreading his toes. Like, this is not a knock on him. But I do get concerned, like, are we just like, not forcing the feet to do the job that they're supposed to do, even if they are Birkenstocks. And, you know, there's lots of information about they can be amazing, but I just sometimes worry, like, are we not giving his feet the opportunity to be strong on their own? Dr. Jenifer Perez 16:15 Yeah, yeah, I would give Birkenstocks a B minus, for me, like, they're great because they're, they're a decently low stack height, so not, they're not really cushiony. They have a beautiful wide toe box so it allows your toes to spread, but they're very rigid, and they do have that arch support. So it kind of depends on what our goals are. If we do have an active diagnosis, active diagnosis, like plantar fasciitis, they can be helpful in alleviating that pain. But, again, on the flip side of that, we want to start strengthening our feet, because plantar fasciitis, you okay if I dive into plantar fasciitis? Lesley Logan 16:55 I want you to do that because and then we're gonna get to bunions because of my own personal interest. Dr. Jenifer Perez 16:59 Those are kind of the two that like, everybody (inaudible). Lesley Logan 16:54 I think everyone's heard of. I think we can definitely, yeah, we don't have to go into, like Morton's neuroma, unless we have time. Dr. Jenifer Perez 17:01 Plantar Fasciitis is and fasciitis means more of an inflammatory response. So we're talking about like short term acute pain. The kind of umbrella term is plantar fasciopathy, something going wrong with the plantar fascia. But essentially, the plantar fascia is best friends with this muscle right here, called our flexor digitorum brevis. Lesley Logan 17:20 Okay. Dr. Jenifer Perez 17:21 That muscle is one of the two muscles that presses our toes down, flexor digitorum brevis is the one that presses our toes down flat. Flexor digitorum longus is the one that curls our toes. Lesley Logan 17:32 Got it. Dr. Jenifer Perez 17:32 Right. Going back to our conversation before, when we lengthen the toes and press them, FDB is the one we're activating. The reason this matters with the plantar fascia is because when we go to push off, when we go to take a step and we push off of our foot, FDB is actually what gives us the elasticity to push off of. It's like the trampoline that we're pushing off of. But it has to be strong in order to do that. It has to be able to be, have tension. If it doesn't, we have to get tension from somewhere else. We get it from our next door neighbor, the plantar fascia. Every step we take, rather than using a strong FDB to push off of we're using the plantar fascia, and it becomes more and more irritated while we're on our feet, and then it kind of does this, like stiffening and recoil when we're off our feet, and the second we go to stand up again, that's when it's like, there's the pain again. So when it comes to plantar fascio, when it comes to plantar fasciopathy, the number one thing I'm looking at is strength, and how do we create a stable foot at push off.Lesley Logan 18:37 Yeah, okay. Thank you for that. I think that is really key, and it makes me that like one, because you start to watch people like, I don't watch people in the airports anymore because it's just too much. The posture, the head, head to the side, the heads hanging off of the bodies, like the hip over I'm like, I can't I cannot. They're not paying me. I can't do it. And my husband's just like, look at how that person's walking. Like, look at how that one foot, I'm like, babe, they're not asking for our help, yeah, put some blinders on. But he's like, what's (inaudible) I'm like, they don't, they can't, they no longer can roll through their foot. They're no longer, they're now they're kind of like, and that is going to limit you. That's going to affect falling, first of all, because it's not how you're supposed to walk. It's also going to affect knees, hips, back, like, it just a whole chain, right? I don't know, maybe I'm wrong, but I always think of the feet is like, the shocks of the car and also the tires of the car, because, like, if they're off, then the whole body is off, right? Dr. Jenifer Perez 19:25 That's actually an analogy we use all the time, is even with, like, performance athletes, right? Like, if you compare an athlete to a car, you can have the best performance car, sports car in the world, but if the tires don't work, it's not going anywhere, you know. Yeah. Lesley Logan 19:40 Yeah, yeah, okay, let's talk bunions. You know, I obviously things have gotten wildly different, you know, like it used to be, don't get a bunion surgery, you'll never walk again. And now, like, people are getting bunion surgery and they are successful. But like, do we is everyone who gets a bunion, like, destined for surgery? Can you change that? Can you fix it? What do we got? Dr. Jenifer Perez 20:00 Yeah, great questions. So first of all, for those that don't know what a bunion is, bunion is when we have a deviation of the first metatarsal, so the long bone that's behind the big toe starts to deviate outwards, and then the toe starts to deviate towards the other toes, and it creates this angle of what we call the first ray, which is the big toe and the first metatarsal, and then as this drifts outwards, we start to see a bump develop on the inside of that joint. Now that bump is not it's not arthritis, it's not a growth of the bone. It's actually the head of the metatarsal sticking out sideways. And so it's truly a joint dislocation that then we are walking on all day long. So when it comes to bunions, they come in different grades. So we have a mild, a moderate or a severe bunion. Mild to moderate bunions can absolutely be helped with conservative care. Conservative care being things like toe spacers, things like strengthening exercises, adjusting your shoes, working on building strength and stability. When we get past that moderate mark, that's when we start to have that discussion of, is surgery going to help? And there's also lots of different kinds of surgery out there. I'm in favor of never get a fusion unless you have to, because especially at the big toe, we have to be able to bend the big toe in order to walk, run, move, and if we can't, we're going to go somewhere else. And then, like you said, that is going to affect that whole chain. So that's kind of the brief thing of bunions. What else do you want to dive in? Lesley Logan 21:28 Okay, so this is fascinating. So okay, I have a wide toe box, right? Like, we'll just get personal. I'm just, I think it's better to have an example. So a wide toe box always have, I have my father's feet, like, really, really narrow heels, super high arches, wide toe box, and I had a big space between my big toe, my four, my other four toes that no longer exists. My toe is now over, right? I use those amazing toe spacers. I do want to know if I'm supposed to put something in those little slits. So I use those. I'm like, kind of obsessed with them, because with them on, I can actually point my big toe when I don't have them on my big toe doesn't really point, like it go, it's straight, but it doesn't really like point with the foot. It's very fascinating to me when it's when it's in alignment, it's like doing a great job, which is probably what's, what has, what's happened. But because of all the footwork that I do, I mean, like I have, I do footwork on my Reformer with no padding, I have no pain. I do a lot of foot corrector, toe corrector, tons of stuff to really, like, keep my feet strong. But I am not like, I don't know. Maybe I'm like, expecting something that shouldn't happen. I'm not seeing a reduction of my bunion, nor is my big toe staying where it needs to be without the spacers. So is it just time? Is it daily homework? Like, what? What are people with bunions who have a minor to moderate supposed to do?Dr. Jenifer Perez 22:43 Yes, I love it. So couple of things there. So let's talk about you first, and then I'll talk about a different presentation, because there's kind of two different presentations of bunions and one would be kind of more the like, like you said, the high arch, more rigid foot type. There's another kind of bunion that happens in a more flexible low arch, flat foot, foot type. And so number one, when we're talking about bunions, it starts to be an instability in that joint. So although we can strengthen, although we can improve function and decrease pain, it's not always going to stay there. So even Dr. Conley, my business partner, she has a pretty significant bunion on her right foot. She wears her toe spacers all day long, every day, and if she doesn't, she doesn't get pain, not right away. If she didn't consistently, she probably would over the course of few weeks or a month. But if she doesn't, you can definitely see that bunion popping out more. So she uses them as a guide, because of that laxity that's developed in that joint. So it kind of depends on how far along that spectrum we are as to whether the big toe will stay there or not, because it can in definitely the more mild cases, but it just depends. Now talking about, kind of one piece of the puzzle that might be missing with everything that you mentioned, is with the more stiff foot presentation. So you're more high arch foot type. One of the really important jobs of our foot, like we said, there's 33 joints, it has to be able to move and dissociate and unlock. And sometimes what people with high arches have a hard time with, is pronation. We live in this more supinated position. The arch is higher up. And now when the foot comes down to the ground, since we can't move through the mid foot, which has all of these that are designed to twist, if I can't move through there because it's locked down, I'm going to move excessively through my forefoot, so we're basically making up for that motion in the forefoot, which can lead to that instability and that bunion. This is the same presentation as Dr. Conley, by the way.Lesley Logan 24:51 Oh, well, I mean, I'm in good company. But that makes a lot of sense, because, you know, I like, I've had to work really hard when I point my feet to not, is it like, like, supinate? Is it like? What do you mean? You, like, I like, I want to make sure that my don't have like, flippers. I have like, two feet. So I'm like, I'm pointing my feet, but the pinky toes are not coming towards each other. It's a really, it's a really big thing that I have to work on, because my ankles are so hyper mobile, so that, that makes a lot of sense, and got it. So I need to stretch. I need to actually let my arch stretch out. Dr. Jenifer Perez 25:23 Let your feet relax. And it's also, it's kind of a learned response too. Like you said, if you have hypermobile ankles, sometimes what we'll do is we'll try to make up for finding stability with our feet, and then we just never let them relax. So the conversation used to always be like around pronation and like, pronation is the devil, but really, I see a pretty good 50-50, split of people who need strength and control of pronation versus people who need to learn how to relax their feet again and start to pronate. Lesley Logan 25:24 Yeah. Okay, super fun. So you mentioned there's another, there's another type of bunion, though. Dr. Jenifer Perez 25:34 So, basically, exactly the opposite. Okay, so now think about your more flat foot, foot type, more flexible foot type. What happens here is, because we don't have good control of the mid foot, we start to spill over into uncontrolled pronation. Again, pronation isn't the devil we just need to be able to control it. So now, when I spill over into uncontrolled pronation, you see how my forefoot starts to deviate, this way? Lesley Logan 26:21 Yes, yes. I had a client who that's how his foot, he had callus. It was so bad. It was like. Dr. Jenifer Perez 26:26 Like a callous on the inside of the big toe. Sometimes they'll even have it on the inside of the joint where it is, too. Those are called pinch calluses. And the reason they get them is because when the forefoot starts to deviate with that uncontrolled pronation. Now, when they go to push off, they're pushing off across the big toe, so they get a callus on the side of the toe, and that pushes their toe over towards the other toes, which can contribute to a bunion. The one thing we haven't mentioned across the board is absolutely footwear. Footwear 100% contributing to this as well, because your body can only move in the range of motion that's allowed. And if we are in footwear that has a triangular shaped toe, then it is bringing your toe towards the other toes. There's no way your toe can sit in alignment if it's in a shoe with a pointed toe box. Lesley Logan 27:16 Yeah, I know I've had to, like, change all of my shoes. I keep my my high heels for my wedding that I'll never put on ever again. I don't think my feet would even fit in them at this point, but I like, keep them for just like the look of it. But like, I am a tennis shoe. Like, if I if I can't wear tennis shoes, we are really in trouble. I have one pair of, like, really wide toe box clogs, and I'm like, okay, if I have to wear dressy shoes, we will put these on and. Dr. Jenifer Perez 27:39 Well, I mean, there's also, like, more and more and more options coming out. So like at our website, Gait Happens, we have a whole list of footwear that has a wide toe box, but for example, so for those again, watching so, I mean, you look at more of like a traditional flat even, and you have this absolutely pointed toe box. Imagine your big toe in this position. Your big toe is supposed to be here.Lesley Logan 28:02 Because it's straight up, and it's going literally across the middle of your foot.Dr. Jenifer Perez 28:04 Right? And now we're going to bend on that joint, yes, imagine a door that's hung crooked, and then we just decide to open it 10,000 times a day. Lesley Logan 28:05 Right. Dr. Jenifer Perez 28:13 So it just is basically, really harming that joint. But there's options out there that you can have a shoe that's similar, but with a wide toe box. I mean, same thing with looking at, like, more of your daily tennis shoes or your running shoes, right? Like, there's options that have a wide toe box out there. I also have, like, I got these (inaudible) loafers that I am loving, and I could not find them this morning, I'm so upset. Lesley Logan 28:41 Someone stole them from you. They're so good. Okay. We all have to go, like, scour your website before you buy new shoes, because that is, that is the thing. Like, my feet do not have pain. You don't have any issues. But if I put on a pair of shoes where it's going to put my toe in the wrong spot, then I am going to have pain. Like, that's when I have it. Yeah, that makes a lot of sense, you know? I mean, like footwear. So basically, we're outsourcing the natural gait of our body to a footwear, which is then affecting how our rest of our day goes, but then also how our bodies feel in the future.Dr. Jenifer Perez 29:15 Yeah, absolutely. I mean, our bodies conform to shapes. We've seen that with foot binding in history, we've seen that with the whale bone corsets. We've seen that with the neck elongation, our body will conform to a shape if you put it in that shape, and it is not any different when it comes to the foot. Lesley Logan 29:33 Yeah, yeah. Okay. So, so how often should we be paying attention to our feet? Like, is this something we're supposed to do? Because, you know, people, everyone has, I don't have enough time. They barely have enough time to work out, like, how how often should they do foot exercises? How should they be thinking about their feet? What do we got?Dr. Jenifer Perez 29:49 So as much as you can give me, I mean, I'm very realistic, right? If you're having pain, then spend more time on this, because it really does impact your life. But if we're just talking about the average person looking for prevention and longevity, then how about we just start with going barefoot a little bit like let your feet be feet. Go barefoot around the house. Let's get rid of the house shoes. Let's maybe go walk on a few different surfaces outside when it's warm enough and not snowing, like it is here, you know. So just let your feet be feet, and then you can do stuff like adding toe spacers. If you're concerned about the spacing between your toes. We like the toe spacers that we have because you can wear them while you're moving around.Lesley Logan 30:31 They're, they're amazing. I actually will just say, like, I wear them just to walk around my house. And I thought maybe they won't stay in because like, of how they are. No, they stay. I also wear them doing yoga. I wear them doing Pilates. I don't have to have socks with them on. Like, you know, sometimes I have to adjust it a little bit. But, like, it's actually, they're really amazing, and they fit in almost all my shoes. And when they don't fit, I'm like, hmm, maybe these shoes, maybe these shoes need to go get donated.Dr. Jenifer Perez 30:56 Yeah. So, I mean, just simple tips to honestly, like, if you're going to be doing a ton of walking, maybe you just roll your foot out on a ball afterwards, give it a little bit of love. Maybe add a little bit of foot activation before a workout. If you know you're going to be doing, like single leg workout or things like that, there's, there's a ton of small things that you could do to add foot health into your day, and part of it is just the awareness. Go walk around your hallway after listening to this or wherever you are, and actually think about reaching your toes long and engaging your toes with each step, and see how different that is from how you've been walking for the last 10 years.Lesley Logan 31:32 Yeah, you know, this fascinates me, because I will sometimes see, okay, like, you know, people wear flip flops at the airport and they're like, pinky toe doesn't touch the ground. And I was like, isn't it supposed to touch the ground? Like, were they born like that? Did they like change their body like, what happened? Why is their pinky toe not on the ground? Dr. Jenifer Perez 31:50 To your point, I can't look at a lot of people in the airport anymore, but I do celebrate with people when I see them in shoes that I do approve of, because it's so far and few between. So I'm like, hey, nice Altras. And they're like, that was weird.Lesley Logan 32:04 I, you know what? I love that we just had an amazing guest on who was talking about, like, your bubble of influence. And like, like, just giving a stranger a compliment is, like, affecting your bubble of influence. And like, you are doing that within what your influence wants to be. So I, I'm, I'm all in on that. This is so fascinating. I think, you know, I just, I think a lot of times people think about the way our media has trained us is like, think about your abs, or the abs that will like, the muscles that will tone your, the exercise will tone your core, these will tone your arms. And I'm always just like, because I get asked these all the time, and I tell my publicist, I'm like, I gotta talk about, like, their, are their feet aligning like it does, like their hips, we have so many things to talk about before they even do the sit up like, there's just like, and it's not that I'm a nitpicky person. I'm not. I'm kind of like, safe, ugly movement is fine, you know, as long as it's not dangerous. But we're so obsessed with like, from the waist up that we're not really focusing on like, really where some of the root problems are and where we have a lot of control, which is like our foot choices, our shoe choices, like walking around our house barefoot, giving our feet some love.Dr. Jenifer Perez 33:07 Yeah, I think it all comes down to what are your goals? Right? Are your goals to live fast, die hard, whatever, right? If you if your goal is, I want a six pack and I want to enjoy my life for whatever that looks like. Great. If your goal is I want to go climb Machu Picchu, or I want to be able to run into my 70s and 80s, then we need to have a conversation that looks very different around supporting that longevity and that movement potential. Lesley Logan 33:35 Yeah, yeah, you're amazing. Okay. I mean, I could talk to you for hours, but we're gonna take a brief break and find out how people can find you, follow you, work with you and your Be It Action Items. Dr. Jenifer Perez 33:51 Perfect. Lesley Logan 33:45 All right. Dr. Jen Perez, where do you hang out? Where can people like, if people, I know you're in a place that snows, but like, can people work with you who don't live near you? Like, what? What do you have? Dr. Jenifer Perez 33:54 So, great question. So first of all, we have lots of free resources. So our Instagram account is Gait Happens, G-A-I-T Happens. And we have thousands of videos on there. We also are expanding our YouTube as well. So Gait Happens on YouTube, lots of free videos, lots of things to check out there. If you're wanting a more personalized approach. So for those that are worldwide, we, our team does virtual consultations. I don't personally do virtual consultations anymore, but we have a whole team of practitioners that do. We also have DIY programs, like a 12-week Fit Feet program. If you'd rather just get a program that you do on your own, but if you do want to come work with me, I am in Colorado. I'm in Kinetic Chiropractic is my clinic in Lafayette, Colorado, and I have people fly in all the time, and then we can do follow up appointments virtually, but we do that first appointment together. Lesley Logan 34:46 That's so cool. I have to see if that's on the way to Aurora, because that's where, that's my next trip into Colorado. So okay, I mean, I feel like you've given us a lot, but I just want to like for our people who are like, okay, what's my first next step? No pun intended. Bold, executable, intrinsic or targeted steps people can take to be it it till they see it, what do you have for us?Dr. Jenifer Perez 35:08 I love it. I have two kind of challenges, I would say. One that can be immediate and one that's for the next time you buy shoes. So, the immediate challenge is go barefoot for five minutes. That's it doesn't require any equipment. Just take your shoes off. And if you're not already going barefoot, and if you're already going barefoot, then I challenge you to go barefoot for five minutes on new textures. So if you're already going barefoot at home, go outside, go walk in the grass, go walk over some stones, let your feet start to discover texture and movement over surfaces again. And if you're not going barefoot, then start by going on those soft surfaces for five minutes, let your feet move and feel. So that's my, my number one. You can do this right after this. And then my number two is the next time that you buy a pair of shoes, I challenge you to not only buy a pair of shoes that may look a little different than you're used to because they have a nice, beautiful, wide toe box that lets your foot move, but I challenge you to buy something that's a little less shoe, and what I mean by that is less aggressive, so less stiff, less arch support, less cushion, less shoe than you think that you need just step it down a little bit, because that's going to challenge your feet to do a little bit more of the work.Lesley Logan 36:33 Yes, I'm in on all of this. I love this so much. Dr. Jen Perez from Gait Happens, thank you. This was a dream interview I wanted to do since I've stumbled upon you and all that you're doing. And I just think it's really amazing. And I know for a fact, if you're an OPC member, you guys, come on. You have to, you have to go check this out. It's gonna be part of your like, we always, I always say, like, your feet are connected to your seat. Like, that's, you know, and it's you know, that's really is. And people challenge. I've had people literally tell me I was doing the Toe Corrector with rubber bands. I was just showing people like, you don't have to buy fancy things. You can just use rubber bands. Here's what I'm doing, and it connects to the seat. And I had trainers of the wazoo going, that's not how your like, glutes work. And I was like, okay, I don't know how you study for anatomy, and that's fine, but I'm gonna tell you right now you obviously haven't done it, because if you do the exercises correctly, you can't help but feel your butt work like the outer hips work, the hand, everything is like turning on so they are connected, maybe not directly, because your feet are not touching your seat.Dr. Jenifer Perez 37:29 Absolutely. I actually have a fun party trick that I will do with trainers when I'm working with trainers, and I have them lay on their stomach and extend their leg behind them with their their knee bent, and then you down on their thigh. And what this is doing is it's a muscle test for your hips. So it's like, if you're, you've got strong hips that should be nice and strong. So I have them do that barefoot. And it's usually like, okay, great. That was awesome. You were able to not let me press down. And then I take my other hand and I squish their toes together, and I press down, and it goes because you you can't when your toes are squished together, it affects the whole chain. Now, can I explain that neurologically? No, I cannot, but I can tell you that it works every time I do it.Lesley Logan 38:13 Yeah, I think, you know, I think we'll get the neuro I mean, it's just going to take time for us, especially in this western society where everything's kind of siloed to like, see how it all connects, you know, but it is connected. And if you can feel it, then, like, we don't actually need the science right now to prove that what you're feeling is true. So someday, someday, well, you are doing the Lord's work. I really think so. And thank you so much for being here with us today. Everyone, how are you going to use these tips in your life? Are you gonna go buy a new pair of shoes with this in mind? Are you going to go walk around barefoot? Please tag Gait Happens. Tag the Be It Pod and share this with a friend, especially your friends who are complaining about your feet. You know who those people are? They tell you all the time. So make sure the ones that take their shoes off at the club, which is a little not okay, please don't do that. I live in Las Vegas, and I'll see people walking barefoot. I'm like, I don't think you want to do that here. That's, don't do it there. Anyways, until next time, Be It Till You See It. Lesley Logan 39:10 That's all I got for this episode of the Be It Till You See It Podcast. One thing that would help both myself and future listeners is for you to rate the show and leave a review and follow or subscribe for free wherever you listen to your podcast. Also, make sure to introduce yourself over at the Be It Pod on Instagram. I would love to know more about you. Share this episode with whoever you think needs to hear it. Help us and others Be It Till You See It. Have an awesome day. Be It Till You See It is a production of The Bloom Podcast Network. If you want to leave us a message or a question that we might read on another episode, you can text us at +1-310-905-5534 or send a DM on Instagram @BeItPod.Brad Crowell 39:54 It's written, filmed, and recorded by your host, Lesley Logan, and me, Brad Crowell.Lesley Logan 39:59 It is transcribed, produced and edited by the epic team at Disenyo.co.Brad Crowell 40:03 Our theme music is by Ali at Apex Production Music and our branding by designer and artist, Gianfranco Cioffi.Lesley Logan 40:10 Special thanks to Melissa Solomon for creating our visuals.Brad Crowell 40:14 Also to Angelina Herico for adding all of our content to our website. And finally to Meridith Root for keeping us all on point and on time.Support this podcast at — https://redcircle.com/be-it-till-you-see-it/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
And thereupon that beautiful mild woman for whose sake - #4222 (314 left) by chair house 250706.mp3And thereupon that beautiful mild woman for whose sake■ピアノ万葉集の第３０セレクションアルバムが完成して配信開始となりました。★★★待望の新アルバム登場です★★★■■■■■■■■■■■■■■■■■■■■ピアノ万葉集新アルバム発..
#4222 93.08% 314 left): Jul. 6, 2025: And thereupon that beautiful mild woman for whose sake (again, William Butler Yeats from May 22, 2025) *** NEW SELECTION ALBUM 30th JUST RELEASESD *** Today's pure primal piano music here. Happy if this music makes you feel peaceful.. : ) Looking for absolute natural beauty every day for Piano Ten Thousand Leaves. Target number is 4536: This piece may might have good 1/f fluctuation characteristic although I stopped investigating it each piece. ######## Latest Album: 30th SELECTION ALBUM JUST RELEASED ######## "wind of mysteriousness" - the 30th selection album of piano ten thousand leaves youtube: FULL VIDEO with 20 full songs in very high quality sounds https://youtu.be/tkqms1ZjAEg?si=RlWgQZBbe9z523f_ spotify: https://open.spotify.com/intl-ja/album/7CiAmnJmm5Wnm3CVfmC234?si=tImTyWj5TT6dUBRhMRXVYg apple Music: https://music.apple.com/jp/album/wind-of-mysteriousness/1817351475 amazon music: https://www.amazon.co.jp/s?k=chair+house+%E4%B8%8D%E6%80%9D%E8%AD%B0%E3%81%AE%E9%A2%A8&i=digital-music&ref=nb_sb_noss_2 all music streaming services: https://linkco.re/PQ45u0dG?lang=en
Amy’s feeling angry, but she’s thankful for it showing her what matters and where her boundaries need to be. They impromptu come up with a “salsa scale” to measure anger: mild (annoyed), medium (mad), and hot (furious) and, surprisingly, it really is a good way to explain the level of anger you’re at. Also in this episode: • Borderline impossible errands for ADHD brains (returning things, getting gas, mailing stuff... relatable, right?) • Kat’s new jewelry hobby and how hobbies help anxiety • A listener email about talking to someone on a dating app who doesn’t realize they’ve met you in real life! • A listener voicemail on standing up to sexist comments at work Call us anytime at 877-207-2077 and remember: you’re a sunflower, they’re just an ugly weed pretending to be fancy (encouragement from Kat to Amy that’ll make sense once you listen!) Email: heythere@feelingthingspodcast.com HOSTS: Amy Brown // RadioAmy.com // @RadioAmy Kat Van Buren // @KatVanburenSee omnystudio.com/listener for privacy information.
On this edition of Mild Symptoms the boys sit down with Brewce Longo (Blood Sick Productions) and Gaby Bogdanoff to talk about their new movie Vick and Tarstar's Scarecrow Factory.
JOIN US LIVE every Wednesday on YOUTUBE at NOON MST for our THE WEEKLY ROUNDUP! SHOW LINEUP:Pedro Pascal (DADDY) Vanity Fair PhotoshootOrlando Bloom and Katy Perry SPLIT!Jojo Siwa comes out as...PRESSURED to be gay???Tom Sandoval and the Most Extras on AGT...and the crowd goes MILD!Mama DUKE (and MAMA is right!)Seth Rogan HEARTS The Valley!The Valley/Jax is TRASH!All Stars 10King of DragRachel Zegler is RAINBOW HIGH!Kristen Chenowith "raises eyebrows" while singing National AnthemDevil Wears Prada 2 ANNOUNCED!Elio (2025)28 Years Later (2025)I Know What You Did Last Summer (2025)Amanda's big gay movie weekend!TIKTOK YA DONT STOPLEAVE US A VOICEMAIL FOR OUR MAILBAG AND WE WILL PLAY IT ON AN EPISODE :)https://www.speakpipe.com/msg/s/384376/2/yd2cuctlmk3cm6n7Send us an email: PATCPOD@gmail.comThis month on PATREON:www.patreon.com/podandthecity6/2 Vanderpump Rules S1E2 "This is a Breakup"6/9 Smash S1E6 “Chemistry"6/16 Girls S2 E8 "It's Back"6/23 Pillow Talk6/30 Vanderpump Rules S1 E3 "You Don't Know Jax" Hosted on Acast. See acast.com/privacy for more information.
Wells kicks off the show this week wearing some designer shades because…martinis y'all. They get ya every time. On the plus side, he's well rested thanks to some accidental sleep divorce. Meanwhile, Brandi is nearing the end of her time at the Sphere but isn't slowing down anytime soon - more gigs in LA, Nashville, Calgary, then back to Vegas, we're talking serious frequent flyer points, YFT'ers. Wells had a minor dust-up with a nightclub bouncer in NYC - is the city getting to him?? Maybe the chill vibes of LA are what he really needs right now. But first stop is Maine to golf with McDreamy…not a bad detour if you ask us. Lotsa good faves this week and a frank discussion on how ChatGPT is just a little too friendly…tata for now!! Favorite things this week: Mountain Head Good Night, Good Luck (On Broadway!) Cabaret (On Broadway!) Death Becomes Her (On Broadway!) Postcard from Earth Ginny & Georgia Dept Q The Survivors Thanks to our awesome sponsors for supporting this episode! Mood: Get 20% off your first order at Mood.com/YFT with promo code YFT. Hungryroot: For a limited time get 40% off your first box PLUS get a free item in every box for life. Go to Hungryroot.com/yft and use code yft. Happy Mammoth: For a limited time get 15% off on your entire first order at happymammoth.com and use the code YFT. Quince: Treat your closet to a little summer glow-up with Quince. Go to Quince.com/yft for free shipping on your order and 365 day returns. Shipstation: Go to shipstation.com and use code YOURFAVORITETHING to sign up for your FREE trial. Don't forget to rate, review, and follow Your Favorite Podcast! Plus, keep up with us between episodes on our Instagram pages, @yftpodcast @wellsadams and @brandicyrus and be sure to leave us a voicemail with your fave things at 858-630-1856! This podcast is brought to you by Podcast Nation.
We make your Monday, talk to Dave's new dog Bernie on the phone, and more!
We make your Monday, talk to Dave's new dog Bernie on the phone, and more!
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