Podcasts about Sports medicine

Chuck speaks with Jason A. Smith DO, FAOASM, Sports Medicine about Platelet Rich Plasma (PRP). In part 3, they discuss the importance of a high platelet delivery system for PRP treatment to be most effective. Please see below for studies referenced in this interview: Leukocyte rich versus leukocyte poor. pubmed.ncbi.nlm.nih.gov/29383445/ pubmed.ncbi.nlm.nih.gov/26118749/ pubmed.ncbi.nlm.nih.gov/30866049/ Importance of dosage in PRP pubmed.ncbi.nlm.nih.gov/15085519/ pubmed.ncbi.nlm.nih.gov/39331322/ Learn more about Dr. Smith - toledosportsdoc.com/

The main question this episode answers is: What is the LESS (Landing Error Scoring System) test, and how can fitness professionals use its research-based assessment to reduce ACL injury risk in clients, especially when considering anticipated versus unanticipated movement? The LESS test is a movement assessment that helps identify lower extremity dysfunction and ACL injury risk by evaluating how clients land from a jump, whether they know what to expect (anticipated) or are reacting to new stimuli (unanticipated). NASM experts Wendy Batts and Marty Miller break down recent, peer-reviewed NASM research from the open-access Journal of Fitness, Wellness, and Human Performance to demonstrate how to accurately use the LESS test with athletes and everyday clients. This “Master Instructor Roundtable” guides listeners through the test's setup, scoring system, practical applications, and the science supporting both anticipated and unanticipated testing situations. Listeners will learn how to integrate this assessment safely, score it correctly using video, and interpret results to inform program design that decreases ACL and other lower limb injury risks. By the end of the episode, fitness professionals will be equipped to decide when and how to use the LESS test and adapt their programs for better, safer movement performance. Chapters: 00:00:05 What is the LESS test and why is it important for injury risk?00:01:43 How does the LESS assess lower extremity function for athletes and non-athletes? 00:03:12 Why is power training and assessment needed for all clients?00:05:18 How is the LESS test set up and what exactly does it measure?00:08:13 What are the preconditions for using the LESS safely and effectively? 00:09:05 Who developed and validated the LESS and what is its research foundation? 00:14:55 What is the difference between anticipated and unanticipated LESS testing? 00:16:30 How does the LESS test scoring system work and what do scores mean? 00:22:31 Why does unanticipated movement increase ACL injury risk according to the research? 00:26:38 How can trainers use LESS results to design better injury-prevention programs? 00:33:59 What practical strategies can I use to apply LESS research in my client sessions? 00:34:16 What types of unanticipated reactive training can reduce real-life injury risk? Show References: Hewett, T. E., Myer, G. D., Ford, K. R., Heidt, R. S., Jr, Colosimo, A. J., McLean, S. G., van den Bogert, A. J., Paterno, M. V., & Succop, P. (2005). Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: a prospective study. The American Journal of Sports Medicine, 33(4), 492–501. https://doi.org/10.1177/0363546504269591 Padua D.A, DiStefano L.J, Beutler A.I, de la Motte S.J, DiStefano M.J, Marshall S.W. (2015). The Landing error scoring system as a screening tool for an anterior cruciate ligament injury-prevention program in elite-youth soccer athletes. Journal of Athletic Training, 50(6), 589-595. doi: 10.4085/1062-6050-50.1.10 Silvers-Granelli, H. J., Bizzini, M., Arundale, A., Mandelbaum, B. R., & Snyder-Mackler, L. (2017). Does the FIFA 11+ injury prevention program reduce the incidence of acl injury in male soccer players? Clinical Orthopaedics and Related Research, 475(10), 2447-2455. https://doi.org/10.1007/s11999-017-5342-5 If you like what you just consumed, leave us a 5-star review, and share this episode with a friend to help grow our NASM health and wellness community!  The content shared in this podcast is solely for educational and entertainment purposes. It is not intended to be a substitute for professional advice, diagnosis, or treatment. Always seek out the guidance of your healthcare provider or other qualified professional. Any opinions expressed by guests and hosts are their own and do not necessarily reflect the views of NASM.  Introducing NASM One, the membership for trainers and coaches. For just $35/mo, get unlimited access to over 300 continuing education courses, 50% off additional certifications and specializations, EDGE Trainer Pro all-in-one coaching app to grow your business, unlimited exam attempts and select waived fees. Stay on top of your game and ahead of the curve as a fitness professional with NASM One. Click here to learn more. https://bit.ly/4ddsgrm

In this episode, Eric highlights a recent study on the sports medicine impacts of pitch count implementation in Japanese youth baseball.Thank you to today's sponsor 1st Phorm. 1st Phorm International is the premier supplement line in the industry. Head to https://1stphorm.com/cressey to get free shipping on orders over $75. 

In this episode of the AAOS Now Podcast, host Doug Lundy, MD, MBA, FAAOS, sits down with two guests who offer differing perspectives about the American Board of Orthopaedic Surgery (ABOS) Knowledge, Skills, and Behavior (KSB) Program. David F. Martin, MD, Executive Director of the ABOS, offers the board's perspective on why the Knowledge, Skills, and Behavior (KSB) Program exists, why it is now required, and where it's headed; Ellen Lutnick, MD, a PGY5 at the University of Buffalo and chair of the AAOS Resident Assembly Executive Committee, shares her experience of living with the program day to day. Together, they trace the KSB Program from its 2018 launch through its 2025 requirement for residents entering the ABOS Part I exam pathway.  Dr. Martin explains that the program grew out of decades of interest in competency-based medical education and a recognition that time alone doesn't guarantee a resident has developed adequate orthopaedic knowledge, surgical skill, and professional behavior. He walks through why the ABOS made participation mandatory, how the program integrates with ACGME case logging, and the distinction between formative feedback – meant to help residents improve – and summative feedback, like board exams, that produces a pass or fail outcome. Dr. Lutnick describes how the program was rolled out at Buffalo, what it's actually like to request feedback after or before a case, and how she's learned to be strategic about which cases to submit for evaluation. She also speaks candidly about receiving feedback she disagreed with, how professional behavior assessments surface blind spots, and what other residents have told her they would like to see change about the KSB Program. The conversation closes with a look at where the program might go next, including whether the ABOS will eventually tie participation to specific performance scores rather than just completion numbers. Dr. Martin encourages residents to reach out with feedback so ABOS can continue to make the assessments even more helpful and easier to incorporate into a resident's busy schedule. Key topics covered in this episode: The origins of the KSB Program and its roots in competency-based medical education Why the ABOS chose to make KSB participation a requirement for the Part I exam Integration between the ABOS case entry system and the ACGME The difference between formative and summative assessment in residency training Strategies to help residents decide which cases to submit for surgical skills evaluation How professional behavior assessments are designed to identify outliers rather than track linear growth The role of verbal vs. written feedback in resident education Resident perspectives on receiving and processing critical feedback Survey fatigue and efforts to streamline the evaluation process What residents want to see improved, including access to individual professional behavior results Where the program may be headed, including the possibility of performance-based scoring requirements Residents starting to navigate the KSB Program will find real value in hearing how a peer has learned to use the tool strategically, not just to meet a requirement, but to actively shape the feedback they receive. Host: Doug Lundy, MD, MBA, FAAOS, Deputy Editor, AAOS Now; Chair, AAOS Now Podcast Workgroup Guests: David F. Martin, MD, Executive Director, American Board of Orthopaedic Surgery; Professor, Orthopaedic Surgery and Rehabilitation (Winston-Salem), Wake Forest University School of Medicine Ellen Lutnick, MD, Chair, AAOS Resident Assembly Executive Committee; PGY5 and Resident Research Coordinator, University of Buffalo Department of Orthopaedics and Sports Medicine

Chuck speaks with Jason A. Smith DO, FAOASM, Sports Medicine about Platelet Rich Plasma (PRP). In part 2, they discuss optimizing platelet output, volume and density. They also discuss A2M. Please see below for studies referenced in this interview: Leukocyte rich versus leukocyte poor. pubmed.ncbi.nlm.nih.gov/29383445/ pubmed.ncbi.nlm.nih.gov/26118749/ pubmed.ncbi.nlm.nih.gov/30866049/ Importance of dosage in PRP pubmed.ncbi.nlm.nih.gov/15085519/ pubmed.ncbi.nlm.nih.gov/39331322/ Learn more about Dr. Smith - toledosportsdoc.com/

Dr. Charlie Shuman from Lattimore Physical Therapy joins Gene to break down Bills injury news, including Keon Coleman, and Aaron Judge's rehab process.

Gene is fired up about what Deone Walker can become for the Bills. Dr. Charlie Shuman from Lattimore Physical Therapy joins the show to discuss Bills injury news and Aaron Judge's timeline. Plus, Gene received a voicemail from a listener who thinks he's been too critical of the new Highmark Stadium and Joe Brady.

Gene believes Deone Walker can become a star for the Bills this season. Plus, Dr. Charlie Shuman from Lattimore PhysicalTherapy joins the show to discuss Bills injury news and Aaron Judge's rehab process, and Gene received a disgruntled voicemail.

Send us Fan MailSarah Tyndall, PT, MPT, OCS, is a Sports Medicine and Orthopedic Physical Therapist who trained in Classical Ballet growing up, ultimately deciding to pursue a career in Physical Therapy to help other dancers reach their dreams and highest potential. Dance has remained an integral part of Sarah's life, branching into Latin and Salsa style performance training even after grad school.Over Sarah's more than 20 years of practice and nearly 14 years as a Board-Certified Orthopedic Specialist, her experience ranges from children to older adults with focused niche skills in Dance Medicine and Performing Arts and Foot & Ankle injuries.Sarah has previously worked with performers and students of Philadelphia Ballet, Rock School for Dance Education, University of the Arts, touring shows “Phantom of the Opera” and “So You Think You Can Dance”, and many others in the Philadelphia region. She also worked with internationally competitive Figure Skaters and gained exposure through medical and therapy team members for the Philadelphia Phillies, Eagles and Flyers, bringing a strong understanding of the importance of truly cross-training the body to achieve maximal performance.Her time spent as a therapist in this setting has helped her develop a deeper understanding of fast-paced triage, treatment planning and return to training programs for strength and conditioning. Sarah also decided to pursue more in-depth Pilates training through Balanced Body, to draw on and expand treatment concepts she has used throughout her career.Find Sarah at-https://restore-reform-pt.com/IG- @restore.reform.ptFB- @Restore.Reform.PTFind Boundless Body at-myboundlessbody.comBook a session with us here! 

6 to 8 Weeks: Perspectives in Sports Medicine Episode: Getting Into Med School — GPA, MCAT, Shadowing, Gap Years & Research Episode Overview In this episode, the hosts step away from injury talk to answer one of their most common inbox questions: how do you actually get into medical school? They break down what really moves the needle in an application — GPA and MCAT, choice of major and undergrad school, how to approach shadowing, whether a gap year helps, and what admissions committees are actually looking for in research experience. Disclaimer As always, this discussion is for informational purposes only and isn't professional medical (or admissions) advice — please consult your own advisor for guidance specific to your situation. Key Topics GPA & MCAT — the two numbers that still matter most Despite everything else on an application, GPA and MCAT remain the primary screening tools admissions committees use. Grade inflation is real and varies significantly by school — a 3.6–3.8 GPA range is roughly where competitive applicants land, but the same GPA means different things depending on the school and major. A tougher major at a rigorous school isn't automatically valued over an "easier" major elsewhere — committees weigh context, but it's not a simple apples-to-apples comparison. Does your major or college choice matter? There's no official "pre-med major" — the actual requirement is a specific run of prerequisite coursework (calculus, bio, chemistry, etc.), and the rest of your major is up to you. Study what you're genuinely interested in; passion for the subject matters more than picking a major purely for strategy. MCAT prep: courses vs. self-study, and when to take it Prep courses can help people who need external structure and a set schedule, but self-motivated students often do just as well studying independently. Timing matters — many students benefit from a dedicated, uninterrupted block of study time (e.g., over a school break) rather than squeezing prep into a busy semester. Retaking the test once is reasonable if there's a clear explanation for an underperforming score; diminishing returns set in after that unless there's a specific circumstance (e.g., testing in a non-native language). MCAT scoring context Competitive applicants generally cluster in a fairly narrow score band, with average matriculant scores in the low 510s and top-tier scores in the high teens (out of the 472–528 scale). Small point differences can matter less than people assume — the scale rewards consistency more than chasing a marginal few extra points once you're already in a strong range. Shadowing: what it's actually for The hosts are candid that shadowing's educational value is debatable, but it remains an expected, near-universal part of applications (most students log somewhere in the 60–100 hour range). Its real purpose may be less about clinical knowledge and more about exposure — understanding what a doctor's day actually looks like, including the less glamorous parts (documentation, charting) that TV medical dramas skip over. How to find a shadowing opportunity Cold-emailing physicians is common — and volume is high on the receiving end, so personalized, well-written outreach stands out. Small details matter: get the doctor's name right, be specific about why you're reaching out, and keep it concise. A personal connection (a family doctor, a referral) significantly increases response rates compared to a cold email. Gap years Increasingly common and not a red flag — the key is what you do with the time. Strong gap years tend to involve meaningful international work, high-level athletics, or substantive clinical/research experience — not just "time off." What matters is being able to articulate what you learned and how it shaped your decision to pursue medicine. Research: it's not about the publication count Admissions committees care less about how many papers you've published and more about whether you can demonstrate scientific thinking — forming a hypothesis and working through ways to prove or disprove it. This is explicitly contrasted with clinical reasoning, which tends to follow a more structured, rule-based diagnostic process. Research quantity matters more later on, at the residency/fellowship stage — for med school applications, quality of experience and what you took from it matters more. Does the prestige of your undergrad school matter? Less than people think. What matters more is how well you did there and whether you took advantage of the opportunities available to you. A student at a smaller or less "name brand" school who fully used the resources available (research, clinical opportunities, leadership) can stand out just as much as someone at an elite feeder school who coasted. The personal statement Life context matters — family obligations, financial circumstances, or nontraditional paths (e.g., pursuing elite athletics before switching focus to medicine) can meaningfully shape and strengthen an applicant's story when explained well. Where to Listen Available on Apple Podcasts, Spotify, and YouTube — search "6 to 8 Weeks: Perspectives in Sports Medicine." Please subscribe to our podcast at Apple PodcastsCheck out our website on Simplecast

Hip morphology and hip injuries have been receiving increasing attention, which is a good thing given their prevalence and impact on athletes' health and performance. Today's guests combine the hip and groin field, with the attention that female athletes deserve to their health and performance.Dr Pim van Klij, who works with Dutch football/soccer powerhouse, Ajax, and Pirette Claes, who is starting her career in sports medicine, discuss the PROFE study. We focus on the work they have been leading to quantify the relationship between groin symptoms, and pubic symphysis radiological findings and skeletal maturity.Dr van Klij is sports medicine physician and Assistant Professor at Amsterdam University Medical Centre, Department of Orthopaedic Surgery and Sports Medicine. Pirette Claes is a medical intern at Leiden University Medical Centre, and an early-career researcher.------------------------------RESOURCESPrevalence of symphyseal radiographic findings and relationship to groin symptoms (PROFE study): https://www.jospt.org/doi/10.2519/jospt.2026.13580JOSPT focused issue on hip and groin research (July 2026): https://www.jospt.org/toc/jospt/56/7

Specialist sport and exercise medicine physician, Professor Jon Patricios, speaks to John Maytham about the consequences of failing to rein in doping in school rugby. Afternoon Drive with John Maytham is the late afternoon show on CapeTalk. Presenter John Maytham is an actor and author-turned-talk radio veteran and seasoned journalist. His show serves a round-up of local and international news coupled with the latest in business, sport, traffic and weather. The host’s eclectic interests mean the program often surprises the audience with intriguing book reviews and inspiring interviews profiling artists. A daily highlight is Rapid Fire, just after 5:30 pm. CapeTalk fans call in to stump the presenter with their general knowledge questions. Another firm favourite is the humorous Thursday crossing with award-winning journalist Rebecca Davis, called “Plan B”. Thank you for listening to a podcast from Afternoon Drive with John Maytham Listen live on Primedia+ weekdays from 15:00 and 18:00 (SA Time) to Afternoon Drive with John Maytham broadcast on CapeTalk https://buff.ly/NnFM3Nk For more from the show, go to https://buff.ly/BSFy4Cn or find all the catch-up podcasts here https://buff.ly/n8nWt4x Subscribe to the CapeTalk Daily and Weekly Newsletters https://buff.ly/sbvVZD5 Follow us on social media: CapeTalk on Facebook: https://www.facebook.com/CapeTalk CapeTalk on TikTok: https://www.tiktok.com/@capetalk CapeTalk on Instagram: https://www.instagram.com/ CapeTalk on X: https://x.com/CapeTalk CapeTalk on YouTube: https://www.youtube.com/@CapeTalk567 See omnystudio.com/listener for privacy information.

Achilles tendon ruptures have historically been an injury of 40-50 year olds. The recent uptick in Achilles ruptures in younger athletes has been a point of concern in the Sports Medicine community, particularly when some of the NBA's brightest stars have sustained this devastating injury in their 20-30s. Dr. Nirav Pandya, MD, Pediatric Sports Medicine Specialist from UCSF joins us to discuss his group's findings as well as the viral response to his study.

Chuck speaks with Jason A. Smith DO, FAOASM, Sports Medicine about orthobiologics and what some of the latest applications are. In part 1, Dr. Smith discusses PRP, and recently published guidelines regarding the importance of dosing. Please see below for studies referenced in this interview. Leukocyte rich versus leukocyte poor. https://pubmed.ncbi.nlm.nih.gov/29383445/ https://pubmed.ncbi.nlm.nih.gov/26118749/ https://pubmed.ncbi.nlm.nih.gov/30866049/ Importance of dosage in PRP https://pubmed.ncbi.nlm.nih.gov/15085519/ https://pubmed.ncbi.nlm.nih.gov/39331322/ Learn more about Dr. Smith - https://toledosportsdoc.com/

How do you challenge long-held beliefs in pelvic health?  You ask better questions.This week, we're joined by Gráinne Donnelly—pelvic health physiotherapist, researcher, educator, editor-in-chief of the Journal of Pelvic, Obstetric and Gynaecological Physiotherapy, and one of this year's featured PelviCon 2026 speakers. Gráinne has built a career around asking questions that matter, from postpartum return to sport and diastasis recti to compression garments and pelvic floor function. In this conversation, she shares what she's learning through her PhD research, why clinical curiosity should drive research, and how our profession continues to evolve.In this episode, we discuss:

Episode 228: Ben Ashworth chats to Gus Morrison, BSc, MSc, ASCC. Gus earned his Bachelor's degree in physiotherapy from the University of Southampton in 2013, followed by a Master's degree in Sports Medicine at University College London. During this period, he sought mentorship from Ben, focusing on refining his expertise in data-driven shoulder assessments and rehabilitation. Together they published his Master's dissertation in the Journal of Physical Therapy in Sport, exploring the Athletic Shoulder Test's application in amateur rugby players. Alongside this, Gus achieved full accreditation as a Strength and Conditioning Coach through the UKSCA. He went on to establish the Shoulder Assessment Unit at the Institute of Sport, Exercise and Health, delivering a data-driven assessment service for athletes recovering from shoulder injuries. Recognised for his expertise, he has spoken at webinars and conferences, and recently co-authored a publication with Ben in the Strength and Conditioning Journal on the synergy between testing and training for shoulder injuries. Gus joined Athletic Shoulder in July 2023, where he provides comprehensive testing and rehabilitation services to a diverse clientele of athletes and patients returning to sport and exercise post-injury. Topics Discussed - The Four Buckets: Range, Endurance, Strength and Power - Why Capacity Is the Biggest Driver of Pain - Outcome, Performance and Process Goals in Rehab - Quality Assuring Tests: Spotting Compensation Before You Trust the Number - Motor Learning, Joint Position Sense and the L and Y Holds - RFD and the Athletic Shoulder Test as a Force Transfer Test - From Closed Gym Skills to Chaos: Return to Contact   Where you can find Gus:   •LinkedIn   Sponsors Gameplan is a rehab Project Management & Data Analytics Platform that improves operational & communication efficiency during rehab. Gameplan provides a centralised tool for MDT's to work collaboratively inside a data rich environment VALD Performance, makers of the Nordbord, Forceframe, ForeDecks and HumanTrak. VALD Performance systems are built with the high-performance practitioner in mind, translating traditionally lab-based technologies into engaging, quick, easy-to-use tools for daily testing, monitoring and training Hytro: The world's leading Blood Flow Restriction (BFR) wearable, designed to accelerate recovery and maximise athletic potential using Hytro BFR for Professional Sport.  BTL: BTL Industries develops advanced rehabilitation and performance technologies, including SIS DUO, Shockwave Therapy, High-Intensity Laser, TR-Therapy, Lymphastim and R-FORCE. BTL systems are designed to support recovery, pain management, functional rehabilitation and return-to-play pathways across clinical and elite sport settings. -  Where to Find Us Keep up to date with everything that is going on with the podcast by following Inform Performance on: Instagram Twitter Our Website - Our Team Andy McDonald Ben Ashworth Nicola Graham Steve Barrett  Pete McKnight

  We are continuing our series of podcasts called “Pediatric Sport Medicine Profiles.” There have been some individuals who have been significantly influential in this pediatric sports medicine, whether it be training many of us, people who have completed critical research, those who have been […]

Episode Summary Dr. Brian Feeley interviews Dr. Nirav Pandya about the recently published study he co-authored on short-term workload patterns preceding Achilles tendon ruptures in NBA players — how the paper came together, what it did (and didn't) find, and why it caught national media attention. The discussion also digs into the difference between correlation and causation, the study's limitations, and what the finding might mean for how teams monitor player workload going forward. Timestamps & Topics 0:00 – Introduction & study overview Dr. Feeley sets up the paper's title and premise — a descriptive study looking at NBA Achilles tendon ruptures over roughly a ten-year period, prompted by a recent cluster of high-profile tears. Dr. Pandya walks through what triggered the research question and the study's basic design (no control group; retrospective look at workload leading into injury). 2:00 – The pattern in the data Dr. Pandya lays out the central finding: an increase in minutes played in the 10–15 games immediately before an Achilles rupture, even when season-long workload looked unremarkable. Early caveat that this is an observed trend, not a proven cause. 4:00 – Correlation vs. causation, sanity-checking the finding Dr. Feeley raises a lighter aside about spurious correlations (jokingly noting you could "find" a correlation with almost anything), which Dr. Pandya uses to frame why the workload spike is a plausible signal but not confirmed as causal. Comparison of modern soft-tissue injury patterns to blunt-force injuries seen decades ago. 6:00 – How big is the difference, really? Dr. Feeley presses on the actual magnitude of the workload increase (on the order of ~1–2 additional minutes per game); Dr. Pandya explains why that's clinically meaningful at the NBA level, given how much cumulative high-intensity activity is packed into that time. 8:00 – What are players actually doing with that extra time? Dr. Pandya speculates on mechanism — intensity, deceleration/jumping load, and fatigue accumulation over a 10–15 game stretch rather than any single game. He notes that back-to-back games did not show a correlation with Achilles injury risk in the data, which Dr. Feeley flags as somewhat surprising given how much back-to-backs are discussed in load-management conversations. Consistency of minutes over time floated as possibly more relevant than any single spike. 10:00 – Original hypothesis vs. what was found Dr. Pandya discusses going in expecting more of a cumulative, season-long load story and being surprised the signal clustered in that shorter pre-injury window instead. Discussion of confounders — hamstring injuries and other soft-tissue injuries as comparison points, and acknowledgment that the cohort skews toward star/veteran players logging heavy minutes. 12:00 – Limitations, and the media's reaction Dr. Pandya directly acknowledges the study's limitations (small cohort, no control group, correlation not causation) and voices frustration that some media coverage ran with the headline finding without engaging the full paper. He calls for the NBA and other leagues to be more open to collaborating with outside researchers so questions like this can be studied with better data access. 14:00 – What would you change? / closing thoughts Dr. Feeley asks what Dr. Pandya would do differently if responsible for NBA player health and safety — Dr. Pandya answers with more consistent, science-based load monitoring (tracking, muscle/movement monitoring) rather than ad hoc minute restrictions, and better use of player-reported feel/symptoms alongside objective data. Episode closes with the standard subscribe/follow call-to-action (Spotify, Apple, YouTube). Key Takeaways The study found a workload spike in the 10–15 games before Achilles rupture — not a season-long overuse pattern. No correlation was found between back-to-back games and Achilles injury risk in this cohort. The paper is explicitly descriptive/observational — the hosts are careful to frame it as hypothesis-generating, not proof of cause and effect. Media coverage tended to oversimplify the finding; the hosts encourage listeners to read the full paper rather than headlines. Consistency of workload over time may matter more than any single game or back-to-back stretch. Please subscribe to our podcast at Apple PodcastsCheck out our website on Simplecast

Dr. Brad Bellard is a board-certified Sports Medicine physician at CommonSpirit's The Sports Center. He has served as a physician for multiple professional sports teams, including his current role as assistant team physician for the Denver Broncos and his prior role as assistant team physician for the Dallas Mavericks. Whether working with elite pros or everyday fitness enthusiasts, his goal is to help active individuals safely accelerate recovery, break performance plateaus, and optimize their physical health. In his clinical practice, he utilizes cutting-edge regenerative medicine and minimally invasive procedures that help patients avoid the burden of surgery and return to the lifestyle they enjoy. In this episode, sports medicine physician Dr. Brad Bellard breaks down how high performers can prevent and recover from injury—covering rotator cuff and tendon overuse, regenerative treatments like BMAC and PRP, plantar fasciitis, lessons from pro athletes, and why sleep is the ultimate performance multiplier.   RESOURCES: Learn more about Dr. Brad Bellard here: https://www.mountain.commonspirit.org/provider-search/bradford-bellard-md  Get 10% off Peluva minimalist shoe with coupon code COACHTARA here: http://peluva.com/coachtara   CHAPTERS: 00:00 – Meet Dr. Brad Bellard, sports medicine physician 01:26 – Sponsor: Peluva Shoes ad 03:13 – Why recovery matters most 07:21 – Rotator cuff injuries from repetitive weightlifting 10:54 – Warming up vs. stretching before workouts 13:58 – What is bone marrow aspirate concentrate (BMAC)? 16:34 – Case studies: BMAC saves a knee and a hamstring 18:19 – PRP explained and how it differs from BMAC 21:03 – How BMAC is collected: the in-office procedure 23:17 – Calcific tendonitis and in-office debridement 24:54 – Most common cases: tendonitis vs. arthritis 28:38 – Pro athlete mindset: lessons from Broncos and Mavericks 32:24 – What else drives arthritis: genetics, hormones, nutrition 34:58 – Tennis elbow, golfer's elbow, and when to get PRP 40:41 – Treating plantar fasciitis and ankle mobility 44:22 – Sponsor: Higher Coaching, app, and retreats 49:13 – Physical therapy first: fixing the root cause 50:05 – Common threads: pro athletes vs. everyday gym-goers 52:36 – Why sleep is the ultimate performance multiplier   WORK WITH TARA: Are You Looking for Help on Your Wellness Journey? Here's how Tara can help you: TRY TARA'S APP FOR FREE: http://taragarrison.com/app INDIVIDUAL ONLINE COACHING: https://www.taragarrison.com/work-with-me CHECK OUT HIGHER RETREATS: https://www.taragarrison.com/retreats   SOCIAL MEDIA:  Instagram @coachtaragarrison TikTok @coachtaragarrison Facebook @coachtaragarrison Pinterest @coachtaragarrison   INSIDE OUT HEALTH PODCAST SPECIAL OFFERS: ☑️ Upgraded Formulas Hair Test Kit Special Offer: https://bit.ly/3YdMn4Z ☑️ Upgraded Formulas - Get 15% OFF Everything with Coupon Code INSIDEOUT15: https://upgradedformulas.com/INSIDEOUT15 ☑️ Rep Provisions: Vote for the future of food with your dollar! And enjoy a 15% discount while you're at it with Coupon Code COACHTARA: https://bit.ly/3dD4ZSv   If you loved this episode, please leave a review! Here's how to do it on Apple Podcasts: Go to Inside Out Health Podcast page: https://podcasts.apple.com/us/podcast/inside-out-health-with-coach-tara-garrison/id1468368093 Scroll down to the 'Ratings & Reviews' section. Tap 'Write a Review' (you may be prompted to log in with your Apple ID). Thank you!  

Hello & welcome to this episode of the podcast, where I'm joined by Dr Megan James who has had a great year so far in terms of research output! Not only does Megan have a great chapter in Grainne Donnelly's book Sports Medicine and the Pelvic Floor, but she's published TWO other great papers on postpartum pelvic loading and return to exercise!Megan discussed her academic journey from studying sport and exercise science to completing a PhD focused on pelvic injuries and running, particularly postpartum return to running. She explained her recent work developing a graded loading pathway using external pelvic acceleration variables, which aimed to create evidence-based return-to-run protocols for postpartum athletes by measuring pelvic acceleration rather than just ground reaction force.We discussed the forces on the pelvic floor during different activities, particularly running. Megan explained that while vertical forces are significant, the direction and absorption of forces vary depending on movement patterns and landing techniques. We explored the concept of grounded running as a potential way to reduce pelvic acceleration by increasing duty factor, which is the ratio of ground contact time to stride time. Megan noted that grounded running naturally maintains a duty factor over 50%, which could help in reducing pelvic stress.We also discussed Megan's research paper on postpartum return to running, focusing on the Double Diamond co-design framework used in the study. Megan explained that the framework was chosen to incorporate end users' perspectives throughout the research process, covering four stages: Discover, Define, Develop, and Deliver. I think this discussion highlights the importance of considering both barriers and enablers to postpartum exercise, so we can (hopefully!) see more research aiming to bridge the gaps between evidence-based studies and practical clinical applicationsWe also chatted about an online return-to-running resource that Megan and her team developed, which provides a flexible 150-minute weekly exercise plan tailored for women. Megan's PhD research focused on developing a postpartum exercise guide, which provides individualized exercise recommendations for new mothers based on their specific needs and symptoms. Megan explained that the guide offers a "buffet of choices" allowing mothers to select appropriate exercises, with POGP involvement adding credibility and trustworthiness to the resource. We talked about potential future research directions, including testing the guide's effectiveness through controlled studies and validating the relationship between movement variables and pelvic floor dysfunction mechanisms. I really love this work's practical impact on improving maternal health and well-being and I think it gives such a strong foundation for future research in this field.Here's a link the resource we talked about:Guide for return to running: https://doi.org/10.25401/cardiffmet.26403592want to learn more about supporting the postpartum woman on the road back to exercise and health? My online course, Perinatal Pelvic Rehab, covers the evidence and how to apply it, from pre-conception to pregnancy and postpartum (with a little bit of perimenopause as well!) All of the info on my online courses, from menstrual health to menopause, from female pelvic pain to back pain, bowel health to hysterectomy, breast cancer to pelvic oncology rehab, can be found at CelebrateMuliebrity.comUntil next time, Onwards & Upwards! Mx #celebratemuliebrity

FDA Advisory Panel Backs Six Peptides for Compounding Pharmacies Phil kicks things off with an update on the torn upper horn of his lateral meniscus, sustained just before a meet he ran anyway (600 lb squat, 600 lb deadlift) rather than sit out with his son. From there the hosts pivot to a Verywell Health piece by Amber Raiken on the FDA's Pharmacy Compounding Advisory Committee recommending looser restrictions on six peptides — BPC-157, TB-500, KPV, MOTS-c, Selank, and Epitalon — while rejecting a seventh, Emoxypine, over weak human results. Mike, drawing on a recent conversation with attorney Rick Collins, explains the split between FDA researchers (mostly opposed) and the non-physician advisory panel (mostly in favor), and why compounding-pharmacy oversight could at least guarantee sterile, accurately-dosed product versus the unregulated grey market. The group works through the thin evidence base for BPC-157 — including a sham-surgery knee trial showing a large placebo effect — alongside real anecdotes, including Phil's own faster recovery after hip surgery. They also cover the money and politics behind the FDA's shift, the rise of pre-loaded peptide pens mirroring GLP-1 marketing, sermorelin's prior FDA history, grey-market use of unapproved compounds like retatrutide, and how peptides moved from underground research-chemical circles in the '90s to today's mainstream, driven largely by biohacker influencers and the normalization of GLP-1 injections — now increasingly popular with women as well as men. They close by comparing peptide-assisted recovery in elite athletes (citing Patrick Mahomes) to the old anabolic-era "impossible" recovery stories, and debate what a sane regulatory and tracking system for peptides could look like. 00:00 Welcome and Hosts 00:20 Phil's Meniscus Tear and Meet Recovery 05:02 Transition to Peptide Regulatory News 06:18 FDA Advisory Panel and the Six Peptides 12:11 BPC-157 History and Anecdotal Evidence 17:02 Network Announcements and Newsletter 19:58 FDA Politics and Compounding Pharmacy Incentives 30:07 Six Peptides List and Emoxypine Rejection 34:59 A Proposal for Peptide Regulation and Tracking 37:28 How Peptides Reached the General Public 46:48 Elite Athletes and Faster Recovery Anecdotes 50:06 Wrap and Disclaimer Donate to the show via PayPal HERE.You can also join Dr Mike's Insider Newsletter for more info on how to add muscle, improve your performance and body comp - all without destroying your health, go to www.ironradiodrmike.com Thank you!Phil, Jerrell, Mike T, and Lonnie

Join Dr. Miho Tanaka and special guest Dr. Dan Wascher for a timely conversation recorded at the 2026 AOSSM Annual Meeting. In this bonus episode, they discuss Dr. Wascher's recently published article, "Artificial Intelligence Cannot Replace Peer Reviewers but May Help Editors Triage: A Comparative Analysis of a Large Language Model and Human Reviewer Recommendations at the American Journal of Sports Medicine," exploring how large language models (LLMs) may someday support—but not replace—the critical work of human peer reviewers.

[00:00] Introduction — what's new in rotator cuff research [00:39] Breaking down the new JAMA Internal Medicine paper: a Finnish population-based study of 600+ patients (ages 40–75) who received bilateral shoulder MRIs [01:00] Key finding: imaging findings were nearly identical between asymptomatic (96%) and symptomatic (98%) patients; full-thickness tears were the only finding more common in symptomatic patients (14% vs. 6%), and even that difference lost statistical significance after adjustment [01:32] What it means: most rotator cuff MRI findings are normal, age-related changes — and MRI may be overused when the clinical diagnosis is already clear [02:22] The "hair loss" analogy: a tear is often a normal part of aging, not automatically something that needs fixing [02:55] The "50-to-60-year-old house inspection" analogy for interpreting an MRI report [03:41] Can you just watch a rotator cuff tear? Reviewing natural history data out of Washington University (Yamaguchi, Keener) [04:02] Partial-thickness tears: roughly one-third progress over 5–7 years. Full-thickness tears: roughly half progress over 5 years [04:50] Bottom line: if a patient is asymptomatic and fully functional, there is no indication to intervene — annual reassessment is reasonable [05:27] Physical therapy as first-line treatment — does it actually work, and how? [05:47] The mechanism: rotator cuff strengthening counterbalances the deltoid, maintaining subacromial space during overhead motion [07:21] PT success rates by diagnosis: ~70% for full-thickness tears, ~95% for impingement/tendinopathy and partial-thickness tears [07:55] When is surgery the right answer? Distinguishing acute traumatic tears from degenerative tears [08:10] Acute traumatic tears (e.g., a fall) are generally treated surgically [08:26] Degenerative tears that fail 6–12 weeks of non-operative management are reasonable surgical candidates [08:53] Tear location matters — tears involving the "rotator cuff cable" carry more biomechanical load and may be more likely to fail non-operative treatment [09:07] Timing is rarely urgent — most degenerative tears can be addressed within 6 months to a year without changing outcomes [10:22] Acute traumatic tears in younger, active patients: counsel surgery within 2–3 months; short delays (including during COVID) didn't appear to change outcomes [10:59] Injections: is a steroid shot still a good first option? [11:15] How corticosteroid injections work — and why they're different from narcotics (reducing inflammation vs. masking the pain signal) [13:05] General guidance: one or two injections is reasonable; by the third without improvement, it's time to discuss surgery [14:00] The data linking 5+ injections to higher retear rates — and why confounding by sicker, more chronic patient populations makes this hard to interpret cleanly [15:15] PRP (platelet-rich plasma): does it actually work for the rotator cuff? [16:11] Referencing this month's American Journal of Sports Medicine review — PRP shows mixed, short-term pain relief for impingement and partial-thickness tears, roughly comparable to physical therapy [16:52] The cost consideration: PRP is cash-pay, often $3,000–$4,000, for benefits similar to physical therapy alone [17:48] Deciding on surgery: introducing the Rotator Cuff Healing Index (age, tear size, muscle quality, bone quality, and shoulder demand) as a clinical decision tool [19:22] Why not just jump straight to a reverse total shoulder replacement for everyone with a good repair success rate? [19:57] Repair vs. reverse: repair typically preserves better strength and function for younger, active patients; reverse offers excellent pain relief but carries bigger stakes if complications (dislocation, infection) occur [21:37] The mystery of imaging that shows a tendon hasn't fully healed — yet the patient feels great and the shoulder functions well [23:23] Tendon transfers as an option for irreparable tears in younger, active patients without arthritis [23:50] The lower trapezius transfer explained — how it works and its ~80% success rate [24:53] Wrap-up and where to subscribe Key Takeaways • A positive MRI finding does not automatically mean a rotator cuff tear needs to be fixed — most changes seen on imaging are normal, age-related findings, and imaging findings are similar in symptomatic and asymptomatic patients. • Natural history data suggests roughly one-third of partial-thickness tears and about half of full-thickness tears will progress over 5–7 years — most do not need urgent intervention. • Physical therapy — specifically targeted rotator cuff strengthening — is genuinely effective, not just a placeholder step, with especially strong success rates for impingement and partial-thickness tears. • Surgical timing is rarely an emergency for degenerative tears; acute traumatic tears in younger patients warrant a shorter window (2–3 months). • Corticosteroid injections are safe and effective for short-term relief when used judiciously (generally one to two); repeated injections (5+) are associated with higher retear rates, though this is confounded by patient population. • PRP is safe but not regenerative for the rotator cuff — its benefit is comparable to physical therapy, at a meaningfully higher out-of-pocket cost. • The Rotator Cuff Healing Index can help predict repair success and guide the choice between repair and reverse total shoulder replacement, particularly in older patients. • Lower trapezius tendon transfer is a strong option for younger, active patients with irreparable tears and no arthritis, with roughly 80% success in appropriately selected patients. Please subscribe to our podcast at Apple PodcastsCheck out our website on Simplecast

When Performance Becomes Personal: Mental Health, Identity, and the Injured Athlete Part 3 with Dr. Karolina ShanderIn the final segment of our three-part series, Dr. Shander shares practical guidance on how providers can build referral relationships with mental health and performance psychology professionals, where to look for support resources, and how to help patients find care that fits their needs and circumstances.We also discuss the role of AI in mental health and performance care — where it may help with finding resources or simplifying education, and where it falls short. As Dr. Shander explains, therapy is rooted in human connection, relationship, and understanding the full person in context.This episode closes with a powerful reminder for healthcare providers: stay curious. When a patient says they are in pain, struggling, frustrated, or stuck, asking better questions can help uncover what is really happening beneath the surface.Key Themes in Today's Episode:How to find mental health and performance psychology referral partnersWhy provider relationships make referrals easierResources for patients who may need lower-cost supportWhere AI can support resource-finding and educationWhy curiosity is one of the most important tools a provider can useHow better questions can help patients better understand their pain and recovery

Welcome back to Sports Medicine on Tap! Today we're running a rapid-fire "Around the Horn" style breakdown of the biggest injury headlines in pro sports. Episode Highlights: - Conor McGregor's devastating ACL/meniscus tear at UFC 329 - Joshua Kuroda-Grauer's emergency testicular surgery & sideline triage - Ben Askren's miraculous wrestling comeback 1 year after a double lung transplant - LeBron James signing with the Philly 76ers: Old Man vs. Joel Embiid Injury Watch Special thanks to our sponsors Virtua Health (Virtua.org/ortho) and Protect3D (www.protect3d.io)

He coached Michael Chang and Wes Welker, co-founded the Johnson & Johnson Human Performance Institute, and built one of the most decorated careers in sports science. Then a hospital bed, a broken relationship with his father, and a mountain in Africa taught him what none of the trophies could. This is Dr. Jack Groppel's story of achievement addiction, faith, and fatherhood.Dr. Jack Groppel has operated at the highest levels of human performance for four decades. Co-founder of the Johnson & Johnson Human Performance Institute, Hall of Fame tennis coach, author of The Corporate Athlete, and coach to legends like Michael Chang and Wes Welker, his professional resume reads like a highlight reel.But in this conversation, Jack takes us underneath the resume. He talks about growing up under a demanding father, using achievement as a way to prove his worth, and building a career on that pattern for decades before it caught up with him. He shares the hospitalization that forced him to confront who he actually was, the faith journey that followed, adopting his son from China at nearly 60 years old, and the moment on Mount Kilimanjaro when the two of them stood at the summit together.This is a conversation about ambition, identity, fatherhood, and the difference between a life that looks successful and a life that feels well lived.Key Takeaways1. Achievement can become an addiction when it's used to prove worth rather than pursue purpose2. Facing truth about yourself is its own form of conflict and often the harder one3. Writing a personal mission statement gives you a filter for every decision that follows4. Journaling by hand has research behind it for actually rewiring the brain around old stories5. The question "what matters most right now" is a daily calibration tool, not a one-time exercise6. Breaking a generational pattern requires naming it out loud before you can choose differentlyGuest BioDr. Jack Groppel is an internationally recognized authority in human performance and well-being. He is co-founder of the Johnson & Johnson Human Performance Institute, a former professor, and a trusted advisor to organizations ranging from Fortune 50 companies to global policy groups. He is a Hall of Fame tennis coach and sports scientist, a fellow of both the American College of Sports Medicine and the American College of Nutrition, and has presented his work at the United Nations and before Congress. He is the author of the landmark book The Corporate Athlete and the new memoir Mountains Within, an account of achievement, loss, fatherhood, and faith. He has coached Hall of Fame players including Michael Chang and Stan Smith, and worked with NFL veteran Wes Welker.Connect with JackWebsite: jackgroppel.netLinkedIn: @JackGroppelBook: Mountains Within (available in ebook, paperback, and hardcover, audiobook narrated by Jack himself)Connect with Kevinhttps://linktr.ee/kevinmcnultyBook: The Gap Between Two Worlds#growyourself #JackGroppel #MountainsWithin #humanperformance #CorporateAthlete #personalgrowth #fatherhood #faith #resilience #leadership #tenniscoach #TheGapBetweenTwoWorlds

Snigdha Kalidindi, MD, Sports Medicine at Riverside Healthcare, reviews common fall sports injuries, explains step‑by‑step prevention, and when to take action.  Learn more about Dr. Kalidindi 

In this episode with Professor Rana Hinman, we discuss telehealth vs in-person physiotherapy for knee OA. We explore:The benefits of telehealthSituations where telehealth may be better than in-person careWhat makes telehealth work well for individualsLimitations of telehealth

"When should I see someone about my knee pain?" Knee pain evaluation is the topic. Nikhil Pandhi, DO, Board Certified Orthopedic Surgery and Sports Medicine physician practicing at Franciscan Health, explains how clinicians decide when to evaluate knee pain. You'll learn which symptoms (trouble walking, pain climbing stairs, swelling, focal pain with kneeling) warrant an exam, what an evaluation looks like (history, physical exam, X-rays), and the next steps—conservative care versus referral for surgical options.

Ergogenics: supplements NOT substitutes. On this episode of BackTable Bone & Sports, host Larry Balle joins Dr. Ryan Rhodes, a sports medicine physician and Army National Guard flight surgeon, in a discussion about ergogenic aids and supplements in athletic and military populations. They distinguish supplements from substitutes and define ergogenics broadly, noting limited evidence for popular peptides and the “bro science” culture. The doctors review historical and modern pharmacologic performance enhancers including anabolic steroids, selective androgen receptor modulators (SARMs), growth hormone and hormone replacement therapy (HRT). --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction 04:03 - Ergogenics Overview07:17 - A Brief History Lesson in Performance Hacks14:54 - SARMs Explained18:00 - Supplement Industry Economics24:28 - Growth Hormone and HRT Nuance34:50 - Stimulant Use in Sports37:30 - The Hype Around Creatine 44:03 - Addressing the Renal Safety Myth with Creatine Use46:02 - The Rundown on Protein Intake Basics49:47 - Future Discussions on Ergogenic Aids52:02 - Closing Key Point: Five Point Supplement Test57:14 - Wrap Up --- More about this episode This episode also features case discussion surrounding injury risks from exogenous testosterone use and nuances associated with hormone-replacement. Dr. Rhodes shares his appreciation for creatine, highlighting its strong evidence and safety profile. Key takeaways include the five-point framework for evaluating supplements: safety, claims, meaningful impact, correcting deficiency, and cost. --- Resources Dr. Ryan Rhodeshttps://www.ochsner.org/doctors/ryan-rhodes/ --- BackTable Bone & Sports is the go-to podcast for orthopedic surgeons, sports medicine docs, pain specialists, and MSK radiologists. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app

Are you new to the fitness world or looking to level up your personal training expertise? In this episode of the “Master Instructor Roundtable,” hosted by award-winning NASM Master Instructors Wendy Batts and Marty Miller—we dive deep into the top 10 mistakes beginners make at the gym and in training programs. Whether you're just starting out or you're a seasoned trainer helping clients break through plateaus, this episode is packed with actionable tips and science-backed strategies you don't want to miss!

The future of sports medicine isn't shaped solely in the operating room—it is also driven by visionary leadership, collaboration, education, and innovation. Live from the AOSSM Annual Meeting in Seattle, Drs. Catherine Logan and Ashley Bassett sit down with Corey Parker, MPA, the newly appointed CEO of the American Orthopaedic Society for Sports Medicine (AOSSM), to discuss his vision for one of the world's leading sports medicine organizations.With more than two decades of executive leadership experience in healthcare, academic medicine, and national physician organizations, Corey shares what drew him to AOSSM and how he plans to help the society continue advancing education, research, advocacy, and member engagement in an era of rapid change.The conversation explores how AOSSM is preparing surgeons for emerging technologies like artificial intelligence and biologics, expanding mentorship and leadership opportunities for early-career members, and strengthening collaboration across the multidisciplinary sports medicine team. Corey also discusses the importance of serving both academic and private practice surgeons while ensuring the organization remains innovative, financially strong, and increasingly valuable to its members.Whether you're a resident just beginning your career or a seasoned sports medicine surgeon, this episode offers an inside look at the leadership shaping the future of our specialty.In This Episode Corey Parker's journey to becoming CEO of AOSSM  Why AOSSM continues to be a global leader in sports medicine  Supporting residents, fellows, and early-career surgeons through mentorship and leadership development  Strengthening connections between academic and private practice sports medicine physicians  Developing the next generation of leaders within AOSSM  Building stronger partnerships across the sports medicine care team  Corey's vision for the future of AOSSM and the legacy he hopes to leave Key Takeaways Leadership is essential to advancing sports medicine beyond clinical innovation.  Lifelong education and evidence-based guidance remain central to helping surgeons navigate an evolving field.  Mentorship and early career engagement are critical investments in the future of the specialty.  Collaboration across physicians, therapists, athletic trainers, researchers, and industry drives better patient care.  A strong professional society must continue evolving while remaining focused on its mission and its members. About Our GuestCorey Parker brings more than 20 years of progressive executive leadership in healthcare, academic medicine, and national medical societies. He currently serves as Chief Operating Officer of the American Association of Neurological Surgeons, where he oversees a complex enterprise of 65 staff and a combined operating budget exceeding $30 million. Previously, he served as Executive Director of Surgical Accreditation at the Accreditation Council for Graduate Medical Education, where he led accreditation efforts for orthopedic surgery and other surgical specialties nationwide. Earlier leadership roles within major academic health systems further reflect his expertise in operational excellence, financial stewardship, and large-scale team development.Parker will join the AOSSM professional team on April 6, 2026. He succeeds CEO Greg Dummer, who announced his intent to retire last August. Dummer has served as CEO since July 2016 and will remain with the organization through the 2026 Annual Meeting to support a smooth and successful transitionFollow The Sports Docs Podcast for conversations with leading surgeons, researchers, and innovators who are advancing the field of sports medicine through cutting-edge science, education, and collaboration.https://www.cloganmd.com/https://orthopedicnj.com/physicians/ashley-bassett

Get the 200+ Page Optimal Living Daily Workbook (PDF) — Free. Want to turn today's episode into an actionable plan? Join the Optimal Living Weekly newsletter and I'll send you our 200-page digital workbook immediately. It's packed with the best takeaways from the show, formatted for easy reading and implementation at home. Get your free PDF workbook here: ⁠⁠https://oldpodcast.eo.page/join⁠ Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 3476: Dr. Neal Malik answers a listener's question about whether saunas and cold showers are worth prioritizing for better health and longevity, separating popular claims from what the research actually supports. He explains why traditional steam saunas appear to offer cardiovascular and other health benefits for many people, while the current evidence for cold water immersion is much weaker and may even suggest potential downsides. Quotes to ponder: "When we spend time in the environments I just described or really when we're exposed to a lot of heat our bodies respond by dilating our blood vessels which means the inner lining of our blood vessels get bigger." "Some researchers have found that regular use of saunas may decrease pain levels in those experiencing chronic pain like those that suffer from arthritis." "The reason you hear so much about the benefits of antioxidants is because they help our bodies get rid of free radicals." Episode references: American College of Sports Medicine: https://www.acsm.org/ Bastyr University California: https://bastyr.edu/ Learn more about your ad choices. Visit megaphone.fm/adchoices

HEALTH NEWS   Curcumin shows the best balance against cancer, study shows First trial confirms swimming reduces disability from chronic back pain Nanoplastics in Drinking Water May Be Making Dangerous Bacteria Stronger, New Study Warns Kids remember veggie scents from womb, study finds Watermelon Contains Compounds Linked to Cardiovascular and Metabolic Health, Studies Show   Curcumin shows the best balance against cancer, study shows Wroclaw Medical University (Poland), July 22 2026 (News-Medical) Curcumin, berberine, and other plant-derived compounds have long attracted scientific interest because of their anti-inflammatory and anticancer properties. A new study by researchers from Wroclaw Medical University, however, shows that not all natural compounds act in the same way, and strong anticancer activity does not always go hand in hand with a good safety profile. The researchers compared five compounds: curcumin, berberine, biochanin A, cucurbitacin E, and CAPE (caffeic acid phenethyl ester), a component of propolis. They investigated how these substances affected fibrosarcoma cells and healthy muscle cells. The study focused on the NF-κB signaling pathway, which regulates inflammation, metabolism, cell survival, and cellular aging. The tested compounds disrupted mitochondrial function, reducing the cancer cells' ability to produce energy. In fibrosarcoma cells, ATP levels decreased by approximately 83–92%, compared with reductions of around 23–73% in healthy muscle cells. This suggests that cancer cells are more vulnerable to disturbances in energy metabolism. The compounds also affected mitophagy, the process responsible for removing damaged mitochondria. All five compounds induced features of cellular senescence in fibrosarcoma cells. In this state, cells remain alive but permanently lose their ability to divide. The strongest effect was observed with curcumin. The proportion of senescent cancer cells increased from approximately 16.5% to more than 75%. For the other compounds, the percentage exceeded 66% as well. Healthy muscle cells generally showed a weaker response, suggesting a degree of selectivity towards cancer cells.   First trial confirms swimming reduces disability from chronic back pain Macquarie University, July 21 2026 (Eurekalert)   Australian research has shown for the first time that a program of swimming can be clinically effective in reducing disability from chronic low back pain.  Publishedin the British Journal of Sports Medicine, the clinical trial found an eight-week individualised program of swimming and education, guided by a physiotherapist, improved function and pain significantly more than education alone in people with back pain.  The researchers recruited 76 adults aged 26 to 74 (average 41 years) who were experiencing some disability due to low back pain lasting for at least 12 weeks and allocated them at random to one of two groups. One group received an eight-week individualised program of swimming and education, supported by four telehealth coaching sessions with a physiotherapist. They weren't regular swimmers, but they were able to swim 25 metres and feel confident in the water.  The swimming programme was based on a goal of achieving three sessions of 30-45 minutes by the end of the eight weeks.  After eight weeks, disability was significantly lower in the swimming group.  They improved by about 50 per cent from where they were before starting the program. Compared to the control group who received education only, swimmers scored on average 2.5 points or 30 per cent lower on a widely used disability scale.     Nanoplastics in Drinking Water May Be Making Dangerous Bacteria Stronger, New Study Warns Virginia Tech University, July 21 2026 (Natural News) A study published in the journal Water Research found that nanoplastics, tiny plastic particles invisible to the naked eye, can increase the mechanical strength of bacterial biofilms and make them more resistant to disinfectants. The research, conducted by Virginia Tech and an international team, examined how these particles affect microbial communities inside drinking water systems.  The findings indicate indirect public health risks through water systems. The nanoplastics can make the antimicrobial-resistant pathogens better survive, which could be harmful to the environment and would have public health implications.   The study focused on biofilms containing E. coli and Pseudomonas aeruginosa, two bacteria commonly associated with waterborne infections. When exposed to nanoplastics, the bacteria activated multiple defense mechanisms, resulting in thicker, heavier biofilms. These strengthened biofilms pose a greater challenge for water treatment facilities, according to the researchers. Biofilms are communities of bacteria that attach to surfaces, such as the interior walls of water pipes. These bacterial colonies produce a protective matrix that shields them from environmental threats, including disinfectants. While some biofilms are beneficial, those formed by pathogenic bacteria can pose risks inside drinking water distribution systems.   Waterborne nanoplastics are already widespread. A French government study found that glass bottles can contain five to 50 times more microplastics than plastic bottles, with contamination often originating from painted caps.   Kids remember veggie scents from womb, study finds Durham University, May 13 2026 (Medical Xpress) Experiencing bitter or non-bitter flavors before birth can shape taste likes or dislikes after being born, according to new research led by the Durham University Department of Psychology. Researchers found that young children are less likely to react negatively to the smell of vegetables they were repeatedly exposed to in the womb. They say their findings could have implications for establishing healthy eating habits in children. The researchers examined the facial reactions of 12 three-year-olds to the non-bitter smell of carrot or the bitter smell of kale. They found that the three-year-olds whose mothers had taken carrot powder capsules as part of a controlled experiment when pregnant were less likely to show negative facial reactions toward the smell of carrot. Similarly, those whose mothers had taken kale powder capsules while pregnant reacted less negatively to the smell of kale. The researchers say their latest finding supports the argument that exposure to flavors in late pregnancy can result in long-lasting odor or flavor memory in children.   Watermelon Contains Compounds Linked to Cardiovascular and Metabolic Health, Studies Show UCLA, July 22 2026 (Natural News)   Watermelon contains bioactive compounds that have been linked to improvements in cardiovascular function and metabolic healths. The fruit is a source of the amino acid citrulline, which the body converts to arginine, and the antioxidant lycopene, both of which have been associated with positive health outcomes. According to a review in the journal Nutrition clinique et métabolisme, watermelon consumption increases plasma arginine concentrations in adults. The body converts citrulline into arginine, which then supports nitric oxide production, a molecule that helps relax blood vessels. Lycopene, the carotenoid responsible for watermelon's red color, is also present in notable amounts and acts as an antioxidant. Watermelon's L-citrulline and L-arginine content improves arterial function and blood pressure Another report states that citrulline is useful for blood pressure regulation and metabolic health.  

LeBron at 41: The Sports Medicine Case for (and Against) Signing Him 6 to 8 Weeks: Perspectives in Sports Medicine Episode Summary: With LeBron James's free agency dominating headlines, the hosts break down what it actually means, medically, for a team to sign a 41-year-old former MVP — covering his historic longevity, his known injury history, and what a "physical" and medical clearance process looks like for a star with a well-documented body of wear and tear. They close with lighter East/West playoff predictions. Timestamps: 00:00 — Intro & disclaimer, plus setup: LeBron's free agency and reports he's drawing interest from multiple teams 02:30 — Career longevity in context: LeBron as the oldest active NBA player; discussion of how sports science, year-round body maintenance, and "load management" have extended elite athletes' careers over the last 10-15 years 05:00 — The record book: LeBron's all-time scoring record, games played, minutes — and a comparison to other players (Chris Paul, Kyle Lowry) who extended careers by reducing role/minutes 05:00–07:30 — His back issue: Discussion of LeBron's sciatica/low back pain, put in context — low back pain is the #1 reason people see a doctor in primary care, and in the vast majority of cases (including elite athletes) it's manageable with rest, load modification, and injections rather than surgery. Comparison to Larry Bird's back problems, and how differently that might be managed with today's medicine. 07:30–10:00 — Why feet, not backs, usually end careers: The hosts note that for aging elite players, foot and lower-extremity issues are often more career-limiting than back problems, since there's less that can be done to fully resolve them compared to back-focused treatments. 10:00–12:30 — Load management strategy: How a team would realistically manage LeBron's playing time — resting for back-to-backs, strategic game selection — as a template similar to how other aging stars have been managed. 12:30–15:00 — The medical clearance process: A behind-the-scenes look at what happens medically when a team considers signing or trading for a star with an extensive injury history — physicals, history review, and how teams weigh "red flags" against known, well-documented issues for a player as publicly tracked as LeBron. 15:00–17:30 — Playoff predictions: Lighter closing segment on who they like coming out of the East (Knicks, Heat, 76ers roster discussion) and a nod to the West being “loaded.” Please subscribe to our podcast at Apple PodcastsCheck out our website on Simplecast

On the second hour of Nuanez Now, Colter Nuanez kicks off the show with another edition of the Mo Club Museum, highlighting some of the coolest sports memorabilia and historic pieces found inside the legendary Missoula Club bar in downtown Missoula.Next, the man behind the glass Hayden Smith challenges Colter with another NFL question, this time discussing the ceiling of the Indianapolis Colts heading into the upcoming season. After a surprising start last year that was derailed by injuries, Colter breaks down whether Indianapolis has what it takes to make a run in the AFC.To wrap up the hour as part of the Sports Medicine Journal segment, Colter is joined by Dr. Tim Durkin for a conversation about Achilles injuries, the challenges of recovery, and the impact these injuries can have on athletes.

Get the 200+ Page Optimal Living Daily Workbook (PDF) — Free. Want to turn today's episode into an actionable plan? Join the Optimal Living Weekly newsletter and I'll send you our 200-page digital workbook immediately. It's packed with the best takeaways from the show, formatted for easy reading and implementation at home. Get your free PDF workbook here: ⁠⁠https://oldpodcast.eo.page/join⁠ Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 3476: Dr. Neal Malik answers a listener's question about whether saunas and cold showers are worth prioritizing for better health and longevity, separating popular claims from what the research actually supports. He explains why traditional steam saunas appear to offer cardiovascular and other health benefits for many people, while the current evidence for cold water immersion is much weaker and may even suggest potential downsides. Quotes to ponder: "When we spend time in the environments I just described or really when we're exposed to a lot of heat our bodies respond by dilating our blood vessels which means the inner lining of our blood vessels get bigger." "Some researchers have found that regular use of saunas may decrease pain levels in those experiencing chronic pain like those that suffer from arthritis." "The reason you hear so much about the benefits of antioxidants is because they help our bodies get rid of free radicals." Episode references: American College of Sports Medicine: https://www.acsm.org/ Bastyr University California: https://bastyr.edu/ Learn more about your ad choices. Visit megaphone.fm/adchoices

What if some of the most powerful ways to improve your health didn't require expensive gadgets, complicated routines, or the latest supplement trend? In this rapid-fire solo episode, Darin shares 15 unusual, science-backed habits that can dramatically improve longevity, mobility, brain function, nervous system regulation, digestion, and overall vitality. From dead hangs and deep squats to humming, sunlight, boredom, and chewing your food more thoroughly, each practice is grounded in published research, not internet biohacking hype. These are simple, practical habits you can start today that may have an outsized impact on your health over time. If you're looking for evidence-based ways to optimize your body without spending a fortune, this episode is packed with actionable takeaways. What You'll Learn Why grip strength may be one of the strongest predictors of longevity How deep squats improve mobility and joint health The surprising connection between balance and lifespan Why humming boosts nitric oxide production The science behind mouth taping and nasal breathing How cold water can instantly calm your nervous system Why boredom fuels creativity and brain function The health benefits of intentional silence How awe can reduce inflammation Why soil microbes strengthen your immune system The importance of chewing for nutrient absorption Why sunlight is one of the most powerful daily health tools Chapters 00:00:00 – Welcome to SuperLife 00:00:32 – Sponsor: Tru Niagen 00:02:35 – 15 science-backed health habits you probably aren't doing 00:04:18 – #1 Grip strength and longevity 00:06:40 – #2 The deep squat rest 00:08:16 – #3 Single-leg balance 00:09:36 – #4 Why humming boosts nitric oxide 00:11:01 – #5 Mouth taping and nasal breathing 00:12:41 – #6 Cold water face immersion 00:14:05 – #7 Ice on the back of your neck 00:14:59 – Sponsor: Manna Vitality 00:16:55 – #8 Getting bored on purpose 00:18:34 – #9 Scheduling daily silence 00:20:01 – #10 Chasing awe instead of scrolling 00:21:20 – #11 Why getting your hands dirty boosts immunity 00:23:00 – #12 Chewing your food more thoroughly 00:24:20 – #13 Squatting while using the bathroom 00:25:41 – #14 Get sunlight before your phone 00:26:59 – #15 Sunlight on your skin 00:28:28 – The complete 15-step daily protocol 00:29:05 – Start with one habit today 00:29:26 – Final thoughts and closing message Thank You to Our Sponsors Tru Niagen: Boost NAD+ levels for cellular health and longevity. Get 20% off with code DARINOLIEN20 at truniagen.com. Manna Vitality: Go to mannavitality.com/ and use code DARIN for 20% off your order. Join the SuperLife Community Get Darin's deeper wellness breakdowns — beyond social media restrictions: Weekly voice notes Ingredient deep dives Wellness challenges Energy + consciousness tools Community accountability Extended episodes Join for $7.49/month → https://patreon.com/darinolien Connect with Darin Olien: Website: darinolien.com Instagram: @darinolien Book: Fatal Conveniences Platform & Products: superlife.com New Show: Roadmap to Happiness Key Takeaway "Better health doesn't always come from doing more—it often comes from returning to the simple things humans have done for thousands of years. Move your body naturally. Breathe through your nose. Spend time in silence. Get into the sun. Touch the earth. Challenge your balance. Strengthen your grip. These aren't expensive biohacks—they're timeless biological signals that remind your body how to thrive. Small daily actions, repeated consistently, can create extraordinary long-term health." Bibliography/Sources Physical Function & Biomechanics Araujo, C. G., et al. (2022). Successful 10-second one-legged stance performance predicts survival in middle-aged and older individuals. British Journal of Sports Medicine https://www.frontiersin.org/journals/sports-and-active-living/articles/10.3389/fspor.2022.1066913/full Deep squat / ankle dorsiflexion as clinical mobility assessment. (n.d.). PubMed Central. https://pmc.ncbi.nlm.nih.gov/articles/PMC7276781/ https://pmc.ncbi.nlm.nih.gov/articles/PMC12358486/ Leong, D. P., et al. (2015). Prognostic value of grip strength: Findings from the Prospective Urban Rural Epidemiology (PURE) study. The Lancet, 386(9990), 266–273. https://doi.org/10.1016/S0140-6736(14)62000-6 Sikirov, D. (2003). Comparison of straining during defecation in three positions: Results and implications for human health. Digestive Diseases and Sciences, 48(7), 1201–1205. https://doi.org/10.1023/A:1024180319005 Respiratory & Nervous System Effects of cold stimulation on cardiac-vagal activation in healthy participants: A randomized controlled trial. (n.d.). PubMed Central. https://pmc.ncbi.nlm.nih.gov/articles/PMC6334714/ Systematic review of mouth taping for sleep-disordered breathing. (2024). PLOS One. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0323643 Trigeminocardiac / mammalian dive reflex response to cold facial immersion. (2023). PubMed Central. https://pmc.ncbi.nlm.nih.gov/articles/PMC10295257/ Weitzberg, E., & Lundberg, J. O. N. (2002). Humming greatly increases nasal nitric oxide. American Journal of Respiratory and Critical Care Medicine, 166(2), 144–145. https://pubmed.ncbi.nlm.nih.gov/12119224/ Brain, Silence & Emotion Bartoli, E., et al. (2024). Default mode network electrical stimulation effects on creativity. Brain, 147(10), 3409+. Bernardi, L., Porta, C., & Sleight, P. (2006). Cardiovascular, cerebrovascular, and respiratory changes induced by different types of music in musicians and non-musicians: The importance of silence. Heart, 92, 445–452. https://pubmed.ncbi.nlm.nih.gov/16199412/ Mann, S., & Cadman, R. (2014). Does being bored make us more creative? Creativity Research Journal, 26(2), 165–173. https://doi.org/10.1080/10400419.2014.901073 Münzel, T., et al. (2024). Noise causes cardiovascular disease: It's time to act. Journal of Exposure Science & Environmental Epidemiology. https://pmc.ncbi.nlm.nih.gov/articles/PMC11876066/ Stellar, J. E., John-Henderson, N., Anderson, C. L., Gordon, A. M., McNeil, G. D., & Keltner, D. (2015). Positive affect and markers of inflammation: Discrete positive emotions predict lower levels of inflammatory cytokines. Emotion, 15(2), 129–133. Immune, Digestion & Environmental Light Cassady, B. A., Hollis, J. H., Fulford, A. D., Considine, R. V., & Mattes, R. D. (2009). Mastication of almonds: Effects of lipid bioaccessibility, appetite, and hormone response. The American Journal of Clinical Nutrition, 89(3), 794–800. https://pubmed.ncbi.nlm.nih.gov/19144727/ Liu, D., Fernandez, B. O., Hamilton, A., et al. (2014). Isolated UVA irradiation of human skin generates dermal nitric oxide and lowers blood pressure independent of vitamin D. Journal of Investigative Dermatology, 134(7), 1839–1846. https://pubmed.ncbi.nlm.nih.gov/24445737/ Morning light exposure and circadian phase-shifting / dim-light melatonin onset. (n.d.). PubMed Central. https://pmc.ncbi.nlm.nih.gov/articles/PMC10594521/ Rook, G. A. W., et al. (2023). The old friends hypothesis: Evolution, immunoregulation and essential microbial inputs. Frontiers in Allergy. https://pmc.ncbi.nlm.nih.gov/articles/PMC10524266/ Strachan, D. P. (1989). Hay fever, hygiene, and household size. BMJ, 299(6710), 1259–1260. https://doi.org/10.1136/bmj.299.6710.1259

The advent of Name, Image, and Likeness (NIL) legislation has changed college sports profoundly. NIL now extends beyond the collegiate ranks to high school athletes and younger. While the financial stakes now in play for young athletes have had obvious impacts on the sports they play, what may be less obvious are the ramifications for Sports Medicine providers caring for these athletes. We welcome Dr. George Richard, MD from Rothman Orthopaedics Florida & Dr. Kevin Farmer, MD from University of Florida to discuss the changing landscape for those of us caring for youth athletes in this age of NIL.

In this episode of The Birth Lounge Podcast, HeHe sits down with pelvic floor physical therapist Hayley Kava, founder of UMA Pelvic Health, to tackle one of the most common pregnancy complaints that doesn't get nearly enough attention: SI joint pain. If you've been told pregnancy pain is "just part of it," this conversation is your reminder that you don't have to simply suffer through it. Hayley explains what's actually happening in your pelvis during pregnancy, why SI joint pain develops, and how your pelvic floor, core, ribcage, breathing, and overall movement patterns all work together. Together, HeHe and Hayley break down why treating the pelvis in isolation often misses the bigger picture, how pregnancy hormones and your changing biomechanics influence pain, and why small changes to the way you move, stand, breathe, and rest can make a huge difference. They also discuss practical tools like SI belts, belly support bands, Pilates balls, yoga blocks, and gentle movement strategies, along with when those tools can help... and when they might not. Hayley also shares why pelvic floor physical therapy isn't just about internal exams (and yes, those are always optional), how to build a supportive birth team, and why individualized care is one of the best investments you can make during pregnancy. Whether you're already dealing with pelvic pain or hoping to prevent it, this episode is packed with practical, evidence-based strategies to help you move more comfortably, feel more supported, and better understand your changing body throughout pregnancy. 00:00 Stop Blaming Pelvic Floor 01:03 Pelvic Floor Basics 01:56 Meet Hayley Kava 03:19 Why SI Pain Matters 06:43 SI Joint Anatomy 09:18 Normal Asymmetry Patterns 12:20 Pubic Pain and Rolling 15:52 Inhibit Then Retrain 17:56 Rubiks Cube Body Model 20:10 Stop Bracing to Sneeze 21:34 Pregnancy Posture Fixes 25:31 Preparing for Labor Moves 29:14 Build Your Care Team 33:39 Pregnancy Compensation Patterns 34:36 Spotting Habitual Postures 36:46 Mindful Pain Check Ins 38:29 Shifting Stance And Sitting 41:29 Tension Beyond Pelvic Floor 43:23 Guarding And SI Joint Myths 46:16 Ribs Hip And Big Picture 47:57 Internal Exam Is Optional 50:38 Daily Tools And Movement 56:43 Services Access And Wrap Up   Guest Bio: Hayley became a pelvic floor therapist in 2017 after a birth injury opened her eyes to the limitations in traditional pelvic rehab. Hayley took her Postural Restoration and Sports Medicine background and dug deep into the literature. Over the years developing an integrative whole person method to treat the pelvic floor. She has become passionate about sharing this method with not only her clients and staff but to the masses via social media, online classes and various trainings for clinicians looking to take a different approach to pelvic rehab. You can learn more about those offerings at hayleykavapt.com   SOCIAL MEDIA: Connect with HeHe on Instagram: https://www.instagram.com/tranquilitybyhehe/  Connect with Hayley on IG: https://www.instagram.com/hayleykavapt/ BIRTH EDUCATION: Learn how to stay in control of your birth and reduce the risk of unnecessary interventions in our Avoid a C-Section Webinar. HeHe breaks down the cascade of interventions, explains what's really happening in the hospital, and shares practical strategies to protect your birth plan, advocate for yourself, and navigate labor with confidence. Perfect for anyone who wants a positive, informed hospital birth experience: https://www.thebirthlounge.com/csection Feeling nervous about speaking up in labor? Our Scripts for Advocacy give you the exact words to handle the most common conversations that can make or break your birth experience. From declining unnecessary interventions to asking the right questions about procedures, these scripts empower you to stay in control, speak confidently, and protect your birth plan — even when the pressure is on. Think of it as your personal toolkit for advocating like a pro, so you can focus on your baby, not the stress: https://www.thebirthlounge.com/Scripts-for-Advocacy And if you haven't grabbed it yet… Snag my free Pitocin Guide to understand the risks, benefits, and red flags your provider may not be telling you about, so you can make informed, powerful decisions in labor: https://www.thebirthlounge.com/pitocin Join The Birth Lounge for judgment-free, evidence-based childbirth education from HeHe that shows you exactly how to navigate hospital policies, avoid unnecessary interventions, and have a trauma-free labor experience, all while feeling wildly supported every step of the way: https://www.thebirthlounge.com/ Want prep delivered straight to your phone? Download The Birth Lounge App for bite-sized birth and postpartum tools you can use anytime, anywhere: https://www.thebirthlounge.com/app   LINKS AND RESEARCH MENTIONED: www.umapelvichealth.com www.hayleykavapt.com Kiapour A, Joukar A, Elgafy H, Erbulut DU, Agarwal AK, Goel VK. Biomechanics of the Sacroiliac Joint: Anatomy, Function, Biomechanics, Sexual Dimorphism, and Causes of Pain. Int J Spine Surg. 2020 Feb 10;14(Suppl 1):3-13. doi: 10.14444/6077. PMID: 32123652; PMCID: PMC7041664. Joukar, Amin MS∗; Shah, Anoli MS∗; Kiapour, Ali PhD∗; Vosoughi, Ardalan Seyed MS∗; Duhon, Bradley MD†; Agarwal, Anand K. MD∗; Elgafy, Hossein MD∗; Ebraheim, Nabil MD∗; Goel, Vijay K. PhD∗. Sex Specific Sacroiliac Joint Biomechanics During Standing Upright: A Finite Element Study. SPINE 43(18):p E1053-E1060, September 15, 2018. | DOI: 10.1097/BRS.0000000000002623

This episode was brought to you by Mouser, our go-to source for electronics parts for any hobby or prototype. Click HERE to discover how modern engineering has revolutionized the construction and durability of wearable tech. Become a founding reader of our newsletter: http://read.thenextbyte.com/ As always, you can find these and other interesting & impactful engineering articles on Wevolver.com.

JOSPT Insights episodes often explore what well-functioning teams look like and how they function. Why? Well there's at least 2 important reasons: Effective athlete centred care depends on the sports medicine, rehabilitation and performance team all co-ordinating to help the athlete get the best out of themselves.Working in teams and leading those teams well is not about telling people what to do - it's about shaping the path and working together to achieve goals. Effective leaders shape the path and bring people along with them - they don't make it all about themselves.Today's guest embodies those leadership qualities. Agnes Makowski is a registered International Sport Physiotherapist and has served as Chief Physiotherapy Advisor for Skate Canada since 2014. Agnes has extensive experience working in interdisciplinary teams and supporting athletes from the recreational level all the way to the pinnacle of Olympic performance. Today, Agnes shares her experiences and approaches to working in interdisciplinary teams.------------------------------RESOURCESWhy screening tests to predict sport injury do not work: https://pubmed.ncbi.nlm.nih.gov/27095747/2022 Bern consensus on shoulder injury prevention, rehabilitation and return to sport: https://www.jospt.org/doi/10.2519/jospt.2022.10952

Youth Soccer, the World Cup, and America's Pay-to-Play Problem 6 to 8 Weeks: Perspectives in Sports Medicine Runtime:~23 minutes Episode Summary With the World Cup underway, the hosts ask a controversial question: why isn't the US better at men's soccer, given a talent pool that dwarfs countries like Belgium and Norway? The conversation pivots from there into the real subject of the episode — how America's pay-to-play youth sports system is driving both a talent gap and a youth injury epidemic, especially ACL and overuse injuries in young athletes. Timestamps 00:00 — Intro Welcome and standard disclaimer: discussion is for informational purposes only, not professional medical advice. 00:30 — Why isn't the US better at men's soccer? Framing question for the episode: the US has far more people than countries that regularly outperform it (Belgium, population 11.8M; Norway, population 5.6M), yet can't compete at the same level on the men's side — a contrast with the sustained success of the US women's national team. 02:30 — Setting up the real topic: youth injuries Transition into ACL and overuse injuries in young athletes, particularly young females, and how that connects to the US youth development model. 03:00 — The pay-to-play system How youth sports shifted over the past ~10–25 years from school and community leagues to private club/travel teams. Families now spend as much as $20,000/year on travel soccer and baseball. 05:00 — The numbers behind the industry Youth sports is cited as a ~$40 billion industry. Comparison of costs: a recreational league (e.g., AYSO) runs roughly $140–150/year, while an entry-level travel team runs about $1,700 and an academy-level club team about $3,500 — before uniforms, extra practices, or private coaching. 07:00 — Is this just a soccer problem? Discussion of whether this trend is soccer-specific or affects baseball, basketball, and volleyball too (it's across the board). The disappearance of casual pickup games and rec leagues in favor of organized, paid leagues. 09:00 — US vs. European development models European countries emphasize multi-sport participation and general athleticism (coordination, core strength) over early performance and specialization. Cited participation gap: roughly 90% multi-sport participation in some European countries vs. a steep drop-off in the US. 11:00 — The scholarship reality check The odds of a young athlete earning a college scholarship or going pro are extremely low. Recommendation: decisions about youth sports should center on the child's enjoyment and development, not a scholarship or pro chase. 13:00 — Why specialization raises injury risk Explanation of how single-sport specialization leads to repetitive stress on the same body parts, and how kids aren't developing the balanced strength, coordination, and movement patterns that protect against injury. European academy model contrasted as more balance- and skill-focused. 15:00 — Specialization and injuries at the pro level Early specialization linked to earlier injuries in professional athletes — for example, NBA players who specialized young tearing Achilles tendons earlier in their careers, and a rise in Tommy John (elbow) surgeries among teenage baseball players. Also: level of soccer access is often a financial decision, not a quality/skill decision — elite club access can cost $30,000+/year. 17:00 — Socioeconomic and geographic inequity Access to elite club teams correlates with socioeconomic status and geography. Talented kids in lower-income areas may never be discovered because showcases and elite coaching are gated by cost. 19:00 — The one big change If they could change one thing about the system: delay specialization and actively encourage multi-sport participation, especially early on, to reduce overuse injury risk. Advice for parents on how to guide kids toward a broader athletic foundation. 21:00 — Wrap-up and World Cup predictions Lighter closing segment with picks for the World Cup winner Key Takeaways The US pay-to-play youth sports model filters talent by financial access rather than ability — a likely contributor to underperformance in men's soccer relative to population size. Early single-sport specialization is linked to higher rates of ACL tears and overuse injuries in youth athletes, and earlier injuries in those who go on to play professionally. European development models emphasize multi-sport participation and general athleticism over early specialization and performance metrics. The likelihood of a scholarship or professional career is very low — a useful reframe for parents weighing time and financial investment in club sports. Socioeconomic and geographic barriers likely mean talented young athletes go undiscovered simply due to lack of access. Show notes generated from an automated transcription pass; timestamps are approximate. Please subscribe to our podcast at Apple PodcastsCheck out our website on Simplecast

Hello & Welcome! I'm so excited to share this discussion with a leader in the field of sports medicine, who brings her personal experience as a high performance athlete, her vast clinical experience and her research insights to today's conversation. I'm talking about Dr Fiona Wilson,who as well as all of the above is also a Deputy Editor of the BJSM; the highest ranking sports and exercise medicine journal globally. She is also a professor of physiotherapy in Trinity College Dublin, as well as Deputy Editor of the Journal of Science and Medicine in Sport, leading their Injury Prevention subsection, and she is on the editorial board of the Journal of Sport Sciences and the German Journal of Sports Medicine.Her research focus is the role of sport and exercise on low back pain (LBP) and on brain health, and she's published many clinical practice papers that are changing how we manage back pain in athletes, as well as a growing interest in menstrual pain in athletes (she was a coauthor on the Harrison 2026 paper that I discussed in a recent episode on menstrual pain, as well as a co-author on Dr Ciara Everard's paper on menstrual health (check out episode 113 where I chatted with Ciara about that paper)In today's episode, Fiona shared her personal journey from becoming an elite rower to transitioning into sports medicine research, including her experience with a career-ending back injury that motivated her to study athlete-specific approaches to back pain management. Our conversation focused on how athletes' back pain differs from general population back pain due to the unique nature of using their bodies as tools for performance, and the importance of keeping athletes' voices centered in research rather than relying solely on average population data. We discussed the specific challenges female athletes face with menstrual pain and pelvic health issues, highlighting gaps in knowledge and the need for better support systems. Fiona emphasised the importance of precision rehabilitation approaches that consider multiple factors including biomechanics, systemic inflammation, and the athlete's individual circumstances rather than using generic interventions like static exercises (planks - we are talking to you!)Our conversation also covered the stigma surrounding menstrual health in sports and the need for athletes to lead conversations about normalising these issues, with Fiona noting that better support could help retain female athletes who might otherwise drop out of sports during their periods.Some of Fiona's publications that we talked about today include:Whittaker JL, Schulz JM, Galarneau JM, Moore IS, Ackerman KE, Butler M, Dane K, Dubé MO, Ferraz Pazzinatto M, Gomez CD, Hayden KA, Marmura H, Mizuta R, Mosler AB, Schneider G, Schneider KJ, Sharma S, Trease L, Wilson F, Thornton JS, Crossley KM, Emery CA., Prevention strategies and modifiable risk factors for spine, chest, abdominal and/or pelvic injury and pain: a systematic review and meta-analysis for the Female, woman and/or girl Athlete Injury pRevention (FAIR) consensus., British Journal of Sports Medicine, 2025"The pain isn't the hardest challenge...it's the frustration at how much it affects my day-to-day life, my mental health and my ability to train”: a qualitative thematic analysis of elite athletes' lived experiences of persisting low back pain'' Trease et al 2026'“I'm breaking my back for this sport and they're not supporting me” Trease et al 2024Fiona is an absolute legend in the world of sports medicine - for good reason, I'm sure you'll agree after listening to this episode!Want to learn more about supporting female athletes? When you join the online course 'The Menstrual Detective'. you'll get access to the bonus course 'Pelvic Health for the Young Female Athlete' for free! All the details are at CelebrateMuliebrity.comUntil next time, Onwards & Upwards! Mx #celebratemuliebrity

This week, Dr. Brian Feeley, Chief of Sports Medicine and Shoulder Surgery at UCSF and team physician for the San Francisco Giants, joins the shoe to share what decades of treating athletes and everyday patients have taught him about movement, strength training, and injury prevention. The discussion covers everything from running, skiing, cycling, and youth sports to shoulder impingement, ACL tears, and the realities of exercising in middle age. Feeley explains why many common beliefs about joint health and injury risk don't hold up to the evidence, how to think about strength training without getting sidelined, and why variety may be one of the most overlooked components of a sustainable fitness routine. They also discuss the hype surrounding peptides, the science of recovery, and the emerging research on muscle regeneration and healthy aging. It's a jam-packed episode and Dr. Feeley is a wonderful guest, hope you enjoy.

Are you looking to get strong and run long? This episode of “Random Fit” is your ultimate guide to becoming a hybrid athlete—mastering both powerlifting and endurance training! Join host Wendy Batts as she dives deep into the science and strategy behind training for multiple goals—from building muscle to tackling half-marathons, marathons, ultramarathons, and even Ironman events. Discover how to avoid overtraining, optimize recovery, and use the NASM OPT Model and General Physical Preparedness (GPP) to unlock your full potential.

In this conversation, Ari Whitten and I go straight to the cellular level to answer a question most of cardiology never asks: where does your energy actually come from, and what happens to your heart when it runs low? Ari walks through the work of Dr. Robert Naviaux and the ‘cell danger response,' the idea that your mitochondria are constantly reading the environment and deciding whether to make energy or switch into defense mode. Stressors like toxins, junk food, poor sleep, and chronic psychological stress push them toward defense, and that shift shows up as fatigue, oxidative stress, and inflammation, the same drivers I see underneath so much heart disease.From there, we get practical. Ari breaks down why how you breathe matters as much as how much you move, how a simple breath-hold test reflects your body's oxygen delivery, and why 20 to 30 minutes of daily movement may be one of the most powerful things you can do for your heart. It all comes back to what I teach every day: Eat Well, Live Well, Think Well. Give your cells what they were designed for, and your energy and your heart tend to follow.- - - - -About the Guest:Ari Whitten, MS, is the founder of The Energy Blueprint and one of the most respected evidence-based voices on fatigue, energy, and mitochondrial health. He holds a Master of Science in Human Nutrition and Functional Medicine, a bachelor's in Kinesiology, and certifications from the National Academy of Sports Medicine as a Corrective Exercise Specialist and Performance Enhancement Specialist.After losing nearly a year of his own life to severe chronic fatigue in his twenties, Ari devoted his career to understanding how cellular energy is built and broken. He is the bestselling author of Eat for Energy and The Ultimate Guide to Red Light Therapy, and has taught his science-first approach to energy on stages around the world.Website: theenergyblueprint.comInstagram: @theenergyblueprintPodcast: The Energy Blueprint- - - - -Jack Wolfson, DO, FACCWebsites: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drjackwolfson.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠; ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://naturalheartdoctor.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠LinkedIn: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.linkedin.com/in/drjackwolfson⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Ready to move past the confusion and fear of typical heart health approaches? Visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠naturalheartdoctor.com/discovery⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ to schedule your free discovery call and start your journey toward a 100-year heart with real, evidence-based answers.- - - - -PODCAST Thank you for listening. Please subscribe and share. This podcast is produced by DrTalks.com ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drtalks.com/podcast-service/

Sugar-Free Diets Disrupted Gut Microbiome and Metabolism A 16-week sucrose-free, low-fat diet study presented at ENDO 2026 found mice developed insulin resistance, impaired glucose tolerance, gut microbiome imbalance, intestinal inflammation, and fatty liver disease signs despite no weight gain or calorie difference. Host Dave Asprey breaks down why eliminating sugar entirely may be more detrimental than previously thought, the gut-bacteria-to-metabolism cascade that explains the metabolic damage, and why balanced nutrition matters more than simply removing sugar from your stack. Sources: https://www.sciencedaily.com/releases/2026/06/260614011843.htm https://www.medicalnewstoday.com/articles/how-eliminating-sugar-may-alter-the-gut-microbiome-mouse-study https://nypost.com/2026/06/13/health/going-sugar-free-can-mess-with-your-gut-and-metabolism/ ~~ Taurine Did Not Boost Acute Aerobic Performance A randomized, triple-blind, cross-over study of 16 physically active young adults found acute 1-gram taurine ingestion one hour before exercise produced no significant improvements in peak oxygen consumption, time to exhaustion, respiratory compensation point, or lipid/glycolytic metabolism variables. Host Dave Asprey explains why taurine remains popular in energy drinks and pre-workouts despite limited scientific evidence, what dosages and activity types future research should test, and why a reality check on a billion-dollar supplement category is exactly the kind of truth biohackers need. Sources: https://pubmed.ncbi.nlm.nih.gov/42268287/ https://www.sciencedaily.com/releases/2026/06/260611024609.htm ~~ Copper Therapy Improved Memory and Reduced Alzheimer's Proteins in Mice Lab trials from Monash University published in ACS Chemical Neuroscience found Cu(ATSM), a copper-delivery compound, increased P-glycoprotein abundance by 24.1 percent at the blood-brain barrier, reduced toxic amyloid-beta by 42 percent over 56 days, and improved spatial learning by nearly 44 percent in an Alzheimer's mouse model. Host Dave Asprey breaks down why repairing the brain's waste-clearing pump is a potential new therapeutic avenue for neurovascular dysfunction, why Cu(ATSM) has strong potential to fast-track into human clinics since it's already tested for Parkinson's and ALS, and why biometal therapies like this could be the next frontier in Alzheimer's treatment. Sources: https://www.news-medical.net/news/20260615/Lab-trials-prove-copper-therapy-enhances-cognitive-function-and-spatial-learning.aspx https://www.monash.edu/news/articles/copper-drug-restores-memory-and-clears-toxic-alzheimers-proteins https://pubs.acs.org/doi/10.1021/acschemneuro.6c00252 ~~ Socioeconomic Factors Biologically Embedded in Children's Brains A study of 2,300+ 9- and 10-year-olds published in Science found socioeconomic factors—household income, education, neighborhood quality—were the dominant variable affecting brain development, with MRI-visible differences in sensory processing and motor control regions linked to less sleep, more stress, and higher social media use in lower-income neighborhoods. Host Dave Asprey explains why socioeconomics became “biologically embedded” in preteen brains, how sleep-stress-screen circuits alter wakefulness and alertness, and why earlier studies focusing on IQ or mental health without accounting for environment may require reevaluation. Sources: https://www.npr.org/2026/06/11/nx-s1-5849937/child-brain-development-stress-sleep-neighborhood-economics https://abcdstudy.org/ ~~ Strength Training Sweet Spot for Longevity Is 90–120 Minutes Per Week A 30-year observational study of 147,374 participants published in the British Journal of Sports Medicine found 90–119 minutes per week of strength training delivered 13 percent lower all-cause mortality, 19 percent lower cardiovascular mortality, and 27 percent lower neurological mortality, with no additional benefit above 120 minutes. Host Dave Asprey breaks down why more isn't always better when it comes to resistance training, why combining strength with aerobic exercise dropped mortality risk by 45–58 percent at highest levels, and why 15–20 minutes a day or 30–40 minutes three times weekly is the minimum effective dose for longevity. Sources: https://www.sciencedaily.com/releases/2026/06/260611024609.htm https://academic.oup.com/sleep/article/48/8/zsaf127/8129074 https://www.bmj.com/content/bsjspor/early/2025/06/11/bjsports-2025-110503 ~~ This episode is designed for biohackers, longevity seekers, and high-performance listeners who want mechanism-level clarity on sugar-free diet metabolic risks, taurine supplement efficacy, copper-based Alzheimer's therapeutics, childhood environmental brain development, and strength training longevity dosing. Host Dave Asprey connects preclinical animal data, randomized human trials, observational cohort research, and population neuroscience into actionable frameworks for extending healthspan, optimizing metabolism, and staying ahead of the science. New episodes every Tuesday, Thursday, Friday, and Sunday. Keywords: sugar-free diet gut microbiome, insulin resistance sugar elimination, taurine aerobic performance, taurine supplement myths, Cu(ATSM) copper Alzheimer's therapy, blood-brain barrier P-glycoprotein, amyloid-beta reduction copper drug, spatial learning Alzheimer's mouse, socioeconomic brain development children, ABCD Study brain MRI, childhood biohacking environment, strength training longevity 90-120 minutes, British Journal Sports Medicine strength, weekly strength training dose, all-cause mortality resistance training, biohacking news 2026, longevity researchThank you to our sponsors! - Viome | Check it out at viome.com and use code 10DAVE for 10% off. It's time to stop guessing and start knowing your body. - Beyond Wonderland Conference | Oct 13 - 14, 2026. Get your ticket now at wonderlandconference.com. - iRestore | Reverse hair loss at www.irestore.com/DAVE and get exclusive savings on the iRestore Elite, use code DAVE Resources: • Get My 2026 Clean Nicotine Roadmap | Enroll for free at https://daveasprey.com/2026-clean-nicotine-roadmap/ • Get My 2026 Biohacking Trends Report: https://daveasprey.com/2026-biohacking-trends-report/ • Dave Asprey's Latest News | Go to https://daveasprey.com/ to join Inside Track today. • Danger Coffee: https://dangercoffee.com/discount/dave15 • My Daily Supplements: SuppGrade Labs (15% Off) • Favorite Blue Light Blocking Glasses: TrueDark (15% Off) • Dave Asprey's BEYOND Conference: https://beyondconference.com • Dave Asprey's New Book – Heavily Meditated: https://daveasprey.com/heavily-meditated • Join My Substack (Live Access To Podcast Recordings): https://substack.daveasprey.com/ • Upgrade Labs: https://upgradelabs.com Timestamps: 0:00 – Intro 0:20 – Story 1: Copper & Alzheimer's 2:42 – Story 2: Sugar-Free Diet 4:05 – Story 3: Strength Training Minimum Dose 5:48 – Story 4: Childhood Environment & Brain Development 7:42 – Story 5: Taurine 9:49 - Takeaways See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.