Podcasts about Sports medicine

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Which athletes actually carry the highest cardiac risk, and is the sideline ready to act? On this episode of BackTable Bone & Sports, Dr. Larry Balle welcomes Dr. Nick Larson, emergency medicine physician, to discuss cardiac risk, screening, and sideline response for athletes of all ages. They discuss which athletes are at highest risk, what preparticipation screening does (and does not) catch, and how a working relationship with cardiology and a strong emergency action plan can change outcomes. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction05:39 - Emergency Department Arrival Priorities10:13 - AED Access and Arrest Incidence15:33 - Cardiac Risk Patterns by Age and Sport25:12 - Preparticipation Physical Limitations29:14 - Commotio Cordis and Blunt Chest Injury39:37 - Hypertrophic Cardiomyopathy in Athletes45:56 - Exertional Syncope Workup53:00 - Myocarditis and Viral Risks01:03:44 - Ischemic Events in Older Athletes01:09:39 - AED Use and Emergency Action Plans01:17:16 - Rapid Fire Takeaways01:21:15 - Closing Remarks --- More about this episode The conversation covers the diagnosis and management of commotio cordis, hypertrophic cardiomyopathy, myocarditis, and ischemic events in both young and older athletes. Dr. Larson shares his approach to exertional syncope, red flags for on-field collapse, the practical realities of AED use, and why follow-up is critical after the initial event. The episode closes with advice on team drills, the importance of rapid decision-making, and why “time is tissue” when cardiac emergencies strike on the field or sideline. --- Resources Petek BJ, Churchill TW, Moulson N, et al. Sudden Cardiac Death in National Collegiate Athletic Association Athletes: A 20-Year Study. Circulation. 2024. https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.123.0659082024 AHA/ACC/AMSSM/HRS/PACES/SCMR Guideline for the Management of Hypertrophic Cardiomyopathy. Circulation. 2024. https://www.ahajournals.org/doi/10.1161/CIR.0000000000001250 Revisiting Commotio Cordis: Novel Insight Into Clinical Variability, Diagnosis, Epidemiology, and Prevention. Journal of the American Heart Association. 2025. https://www.ahajournals.org/doi/10.1161/JAHA.125.045115 National Athletic Trainers' Association Position Statement: Emergency Action Plan Development and Implementation in Sport. Journal of Athletic Training. 2024. https://pmc.ncbi.nlm.nih.gov/articles/PMC11220767/ Life in the Fast Lane (LITFL), recommended on air by Dr. Larson https://litfl.com/ EMCrit Project, recommended on air by Dr. Larson https://emcrit.org/ --- 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

Tu zona 2 no es un desastre, es tu punto de partida. En este episodio repasamos los problemas reales que os pasan en las tiradas suaves (el pulso disparado, el reloj que no cuadra, el calor, el grupo que acelera) y los ponemos a prueba con una revisión científica de 2025 que cuestiona si la zona 2 es realmente la intensidad mágica que nos han vendido. Estudio citado:Storoschuk KL, Moran-MacDonald A, Gibala MJ, Gurd BJ. "Much Ado About Zone 2: A Narrative Review Assessing the Efficacy of Zone 2 Training for Improving Mitochondrial Capacity and Cardiorespiratory Fitness in the General Population". Sports Medicine, 2025. DOI: 10.1007/s40279-025-02261-y10% de descuento en Fanté, geles, isotónicos, barritas energéticas y nutrición deportiva con ingredientes naturales y sin aromas ni añadidos innecesarios.Cupón Octubre: MBPC10 + REGALOMARCEste mes además del 10% de descuento, tenéis de regalo1 energybar pera totalmente gratis para todos los pedidos superiores a 29€.

On today's episode of The Sports Docs Podcast, we're discussing the 2026 Orthopaedic Journal of Sports Medicine article, “The Impact of Lateral Extra-Articular Tenodesis on Knee Range of Motion After Pediatric Anterior Cruciate Ligament Reconstruction,” by Hamad and colleagues from UCLA.The use of lateral extra-articular tenodesis (LET) alongside ACL reconstruction continues to increase, particularly in young athletes at high risk for reinjury. While growing evidence suggests that LET can improve rotational stability and reduce ACL graft failure, questions remain about whether adding an extra-articular restraint may increase the risk of postoperative stiffness.In this retrospective cohort study, the authors evaluated 412 pediatric ACL reconstructions, including 167 patients who underwent ACL reconstruction with LET. The primary outcome was restricted range of motion at three months, defined as a ≥5° extension deficit or ≥15° flexion deficit compared with the contralateral knee.We discuss several key findings:Restricted range of motion at three months occurred in 16.8% of ACLR + LET patients compared with 10.2% following isolated ACL reconstruction.After adjustment for patient and surgical factors, LET was associated with approximately twice the odds of restricted postoperative motion.Female sex was the strongest predictor identified, with more than four times the odds of restricted motion.Most motion deficits involved flexion rather than extension.Although most patients with early motion loss did not require another procedure, 4.2% of the LET group underwent manipulation under anesthesia and/or lysis of adhesions compared with 0.4% of the isolated ACL group.We also discuss why these findings should not discourage surgeons from performing LET in appropriately selected athletes. Instead, the study highlights a potential trade-off between graft protection and early postoperative motion, reinforcing the importance of appropriate patient selection, careful LET positioning and tensioning, early restoration of knee motion, and close postoperative surveillance.Finally, we review the limitations of this retrospective study and discuss how evolving LET indications, graft selection, fixation techniques, rehabilitation adherence, and surgical technique may influence these findings.The takeaway: LET provides meaningful protection for the ACL graft in young, high-risk athletes—but surgeons and rehabilitation teams should remain vigilant about restoring motion and identifying patients who begin to fall behind early in recovery.ArticleHamad et al. The Impact of Lateral Extra-Articular Tenodesis on Knee Range of Motion After Pediatric Anterior Cruciate Ligament Reconstruction. Orthopaedic Journal of Sports Medicine. 2026.Thanks for listening to The Sports Docs Podcast!Subscribe on Apple Podcasts, Spotify, Amazon Music, and YouTube to stay up to date on the latest developments in sports medicine.If you enjoy the podcast, please consider leaving us a review or comment.Email: thesportsdocspod@gmail.comInstagram: @thesportsdocspod

Week 2 delivered a massive wave of injuries across the league. In this episode of Sports Medicine on Tap, we examine the clinical reality, tissue mechanics, and fantasy implications behind the biggest names banged up across the NFL. Topics Covered: - Jaxson Dart: Knee injury mechanics and navigating potential surgical concerns vs. isolated MCL sprains. - Jayden Daniels: Recurrent non-throwing elbow dislocation, capsular laxity, and long-term stabilization discussions. - Caleb Williams: Non-contact eccentric hamstring strain and expected recovery windows. - Saquon Barkley: Cervical spine evaluation and brachial plexus stinger management. - Pass-Catchers: Dallas Goedert's MCL sprain, Jayden Reed's spine board scare, and Alec Pierce's left heel re-injury following his March surgical clean-up. - Fantasy Football Implications: Waiver wire priorities and injury replacements. Sponsored by:

Shoulder Instability: Who Needs Surgery, and Why Remplissage Is Now StandardOn an academic Friday, Dr. Brian Feeley and Dr. Drew Lansdown talk about shoulder instability. It comes up a lot in the fall, when football and high school sports start, and again in winter with snowboarding and skiing. They cover which first-time dislocators should think about surgery, how stabilization surgery has changed over the past decade, and when athletes can realistically return to play.In this episode:What "academic days" are. Why protected time for research, education and department work matters for surgeons whose operating schedules are unpredictable.Dislocation vs. separation. A glenohumeral dislocation (the ball comes out of the socket) compared with an AC joint "shoulder separation" (where the collarbone meets the shoulder blade).Who gets surgery. The main factors are how many times it has happened, age (under 21 carries a high risk of it happening again) and activity. Surfers and rock climbers may be offered surgery even after a first dislocation.Instability, not pain. Patients often feel fine between episodes, which makes the decision to operate less obvious.Physical therapy vs. surgery. PT strengthens the rotator cuff, which holds the ball in place. Surgery repairs the labrum and tightens the capsule.Remplissage explained. It means "to fill in" in French. The surgeon fills the Hill-Sachs lesion with the posterior capsule and infraspinatus tendon so the dent in the ball can't catch on the socket.Outcomes over time. In older series, about 1 in 5 young patients dislocated again after repair. UCSF's recurrence rate with modern technique is now about 3–5%. The biggest improvement is fewer subluxations, the feeling that the shoulder is about to slip out.Measuring the Hill-Sachs lesion. Width vs. craniocaudal (north-south) length vs. location, and why the threshold for adding remplissage keeps dropping.The billing problem. Remplissage has become close to standard of care, but there's no billing code for it.Return to sport. Plan on about 6 months, and base the decision on function (range of motion, strength, confidence), not just the calendar.Coming up: Latarjet and patellar instability.Hosts: Brian Feeley, MD, and Drew Lansdown, MD (UCSF)References discussed:MacDonald P, et al. Arthroscopic Bankart repair with and without arthroscopic infraspinatus remplissage in anterior shoulder instability with a Hill-Sachs defect: a randomized controlled trial. J Shoulder Elbow Surg. 2021.Woodmass JM, et al. Arthroscopic Bankart repair with remplissage in anterior shoulder instability results in fewer redislocations than Bankart repair alone at medium-term follow-up of a randomized controlled trial. Am J Sports Med. 2024.Arthroscopic Bankart repair with and without remplissage in longer inferior craniocaudal Hill-Sachs extensions: secondary analysis of a randomized clinical trial. (PubMed 40744323)Cong T, …, Lin A. Defining critical humeral bone loss: inferior craniocaudal Hill-Sachs extension as predictor of recurrent instability after primary arthroscopic Bankart repair. Am J Sports Med. 2024.Subscribe to 6 to 8 Weeks: Perspectives in Sports Medicine on YouTube, Spotify, Apple Podcasts or wherever you listen.This podcast is for educational purposes and is not medical advice. Please subscribe to our podcast at Apple PodcastsCheck out our website on Simplecast

Gugs Mhlungu speaks to Dr Phumi Skosana, general and sports medicine practitioner, about understanding your body’s limits during exercise. They discuss the common signs of exhaustion and overtraining, including dizziness and gastrointestinal issues, and explore how to recognise these warning signs and prevent overexertion. Gugs Mhlungu is your weekend companion for thoughtful conversations on lifestyle, health, culture, books, food, and everything happening around 702Land. Thanks for listening. Catch the 702 Weekend Breakfast with Gugs Mhlungu live on 702 every weekend morning from 6 am to 10 am (SA time). Find more from the show and catch-up podcasts on the Primedia+ app https://buff.ly/gk3y0Kj Subscribe to the 702 newsletters for more https://buff.ly/v5mfetc Let’s keep the conversation going online: 702 on Facebook: https://www.facebook.com/TalkRadio702 702 on TikTok: https://www.tiktok.com/@talkradio702 702 on Instagram: https://www.instagram.com/talkradio702/ 702 on X: https://x.com/Radio702 702 on YouTube: https://www.youtube.com/@radio702 See omnystudio.com/listener for privacy information.

When people go on GLP-1 medications, part of the treatment plan is to encourage them to exercise. But what about all the already active–even athletic–women who are layering them onto serious training? That's less clear…and far less researched. Performance nutritionist Heidi Skolnik, author of the new book Your GLP-1 Game Plan, returns to break down how these medications really work, the side effects you may be prepared for (as well as some important ones nobody warns you about), and how to protect your muscles and bones and build a fueling strategy that actually works. We also get into hydration, supplements, eating-disorder red flags, and whether serious performance and GLP-1s can coexist. This one is filled with real talk, no shame, and no easy answers.Considered a thought leader in nutrition, Heidi Skolnik, MS, CDN, is a NY Times best-selling co author, part of The Women's Sports Medicine Center at Hospital for Special Surgery in NYC and oversees the Performance Nutrition program at The Juilliard School. She started the Performance Nutrition program at the School of American Ballet and worked as team nutritionist for the WNBA NY Liberty, NBA Knicks, NFL Giants and MLB Mets. Heidi sits on the medical advisory board of the National Menopause Foundation and The NYRR (New York Road Runners) and sat on the board of The National Bone Health and Osteoporosis Foundation for 10 years. Heidi has earned two Master's degrees (exercise physiology and human nutrition) and is a Fellow with the American College of Sports Medicine. Heidi began her career in corporate fitness and wellness at Morgan Stanley for the Sports Training Institute. As a realist, Heidi believes M&M's can fit into a healthy eating style along with red peppers, red meat, broccoli, and fresh fruit. You can learn more about her work and get the book at www.heidiskolnik.comhttps://livefeisty.com/training/Courses and Coaching: https://livefeisty.com/courses/Sign up for our FREE Feisty 40+ newsletter: https://livefeisty.com/newsletters/feisty-40/Follow Us on Instagram:Feisty Menopause: @feistymenopauseHit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099Support our Partners:Hettas: Shop Hettas at https://alnk.to/h6KsEBr Midi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/Previnex: Get 15% off your order with code HITPLAY at https://www.previnex.com/ Wahoo: Use the code FEISTY2026 to get a free Headwind Smart Fan (value $300) with the purchase of a Wahoo KICKR RUN at https://shorturl.at/WVhdr

The main question this “Random Fit” answers is: "What do the most important fitness acronyms mean and how can you use them to improve your training goals, program design, recovery, and daily habits?" If you have ever been confused by acronyms like SMART, FITT, NEAT, PEACE & LOVE, or BEDS in fitness conversations or NASM courses, this episode provides clear definitions and practical tips for applying them to real-life situations. Hosts Wendy Batts and Ken Miller break down five commonly used fitness acronyms, explaining how they relate to goal-setting, exercise routines, injury management, and healthy sleep. You will learn how to set realistic, achievable goals, structure your workouts effectively, stay active throughout your day, manage injuries with updated approaches, and create better sleep routines. After listening, you will have concrete strategies for making your fitness plans actionable and sustainable, grounded in proven NASM frameworks and day-to-day trainer experience. This discussion is ideal for personal trainers, fitness enthusiasts, or anyone looking to clarify and apply foundational concepts in their wellness journey. Chapters: [00:00:00] What are the main fitness acronyms trainers use and why do they matter? [00:03:02] How do SMART goals help you set and achieve fitness objectives? [00:11:24] What is the FITT principle and how can you use it in your workout plan? [00:17:27] What is NEAT and how can daily activity outside the gym support your fitness? [00:21:25] What does RICE mean and why is PEACE & LOVE a better approach for injuries? [00:27:36] How can the BEDS acronym improve your sleep and recovery routine? [00:31:12] What are some actionable takeaways for using fitness acronyms in everyday life?  Show References: Dubois, B., & Esculier, J. F. (2020). Soft-tissue injuries simply need PEACE and LOVE. British Journal of Sports Medicine, 54(2), 72-73. https://doi.org/10.1136/bjsports-2019-101253 Irish, L. A., Kline, C. E., Gunn, H. E., Buysse, D. J., & Hall, M. H. (2015). The role of sleep hygiene in promoting public health: A review of empirical evidence. Sleep Medicine Reviews, 22, 23–36. https://doi.org/10.1016/j.smrv.2014.10.001 Levine, J. A. (2004). Non-exercise activity thermogenesis (NEAT). Best Practice & Research Clinical Endocrinology & Metabolism, 18(2), 159-167. doi: 10.1053/beem.2002.0227 Riebe, D., Ehrman, J. K., Liguori, G., & Magal, M. (Eds.). (2018). ACSM's guidelines for exercise testing and prescription (10th ed.). Wolters Kluwer. SMART Goals: NASM CPT 7th edition textbook: Chapter 4 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

Dentists have more access to health information, supplements, technology, and wellness strategies than ever, but knowing what to do does not guarantee that those habits will become sustainable. In this episode, Kirk Behrendt talks with Dr. Uche Odiatu, a dentist with more than 30 years of experience, about why mindset matters more than chasing the latest health hack. You will learn how to build sustainable health habits, rethink recovery and performance, protect cognitive function, create a healthier relationship with exercise and nutrition, and approach the second half of life with a different perspective. For practical ways to turn health knowledge into consistent action, listen to Episode 1103 of The Best Practices Show!Main Takeaways:Knowledge creates potential, but meaningful change requires consistent implementation.Sustainable health depends on building habits that can be maintained rather than following an all-or-nothing approach.Spending time outside and supporting the body's natural light-dark cycle can become part of a dentist's daily health routine.Feeling worthy of good health can influence whether positive changes become lasting behaviors.Recovery, including sleep, quiet time, stretching, and intentional rest, is an important part of physical and mental performance.Dentists can improve their perspective by thinking about patients in terms of total health and long-term relationships rather than individual procedures.A healthier second half of life requires reconsidering how you train, eat, recover, work, and respond to challenges.Episode Chapters:00:00 Why mindset beats health hacks for dentists.03:09 Lifelong learning and maintaining curiosity.04:20 Knowledge versus implementation.05:52 What mindset means for dentists.10:07 Light exposure, sleep, and nighttime routines.12:30 Worthiness, health, and lasting behavior change.15:00 Mirror work and developing a healthier self-perception.16:00 The problem with presenting a perfect life.17:40 Why balanced living is more sustainable than an all-or-nothing approach.18:00 Exercise, overtraining, and long-term physical health.19:42 Barefoot shoes, foot health, and planning for later life.22:43 Rethinking patient relationships and lifetime value.25:00 Cognitive capacity, brain fog, and decision-making.28:45 Recovery and protecting your peace.30:05 Red light, stretching, gratitude, and post-workout recovery.32:44 A practical mindset treatment plan.37:49 Wrap up and resourcesGuest Bio/Guest Resources:Dr. Uche Odiatu has a DMD (Doctor of Dental Medicine). He is a professional member of the ACSM (American College of Sports Medicine), a Certified Personal Trainer NSCA (National Strength & Conditioning Association), and the Canadian Association of Fitness Professionals (canfitpro). He is the co-author of The Miracle of Health and has lectured in Canada, the USA, the Caribbean, the UK, and Europe. He is an invited guest on over 400 TV and radio shows, from ABC 20/20, Canada CTV AM, Breakfast TV, to Magic Sunday Drum FM in Texas. This high-energy healthcare professional has done over 450 lectures in seven countries over the last 15 years.Episode Resources:Eastern Body, Western Mind: https://www.penguinrandomhouse.com/books/197177/eastern-body-western-mind-by-anodea-judith/I Can Heal Your Life by Louise Hay: https://www.penguinrandomhouse.com/books/600838/you-can-heal-your-life-by-louise-hay/Change Your Thoughts, Change Your Life by Wayne Dyer: https://www.penguinrandomhouse.com/books/600904/change-your-thoughts---change-your-life-by-dr-wayne-w-dyer/The Monk Who Sold His Ferrari by Robin Sharm: https://a.co/d/05q5heB0Biographics on YouTube: https://www.youtube.com/c/biographicsDr. Uche Odiatu's website: https://druche.comMore Helpful Links for a Better Practice & a Better Life:Contact Gina to learn more about ACT: gina@actdental.comThe Best Practices Show: https://www.actdental.com/podcast/Smile Source Community Hub: https://www.actdental.com/community-hubUpcoming Events & Workshops: https://www.actdental.com/events/Smile Source: https://www.smilesource.com/Subscribe on Apple Podcasts: https://podcasts.apple.comSubscribe on Spotify: https://open.spotify.com

Lindsay explains that protein recommendations swing widely and argues intake should be based on context: goals, resistance training, body composition, and whether someone is eating at maintenance or in a calorie deficit. She emphasizes that calorie restriction can suppress muscle protein synthesis, making higher protein and resistance training especially important during fat loss phases, citing recommendations for lean, trained individuals in aggressive cuts and explaining why protein targets may rise as deficits become more severe.Topics discussed:(00:00) - Protein Debate Begins (01:51) - RDA vs Training Goals (03:44) - Protein for Aging Strong (05:13) - ISSN Guidelines and Context (06:23) - Where 0.7 Comes From (07:44) - Why Some Need More (09:41) - High Protein at Maintenance (10:33) - Mindful Eating App Plug (12:54) - Deficit Changes Everything (14:43) - Muscle Biology in a Cut (17:33) - Higher Targets for Lean Lifters (21:03) - Practical Protein Examples (23:34) - Lifestyle and Cut Cycles (26:16) - Wrap Up and Takeaways Connect With LindsayInstagram: @liftinglindsayJoin the BeStrong Community for science based training, nutrition education, coaching, live calls, and a supportive community of women who want to get stronger, build muscle, and improve their health.Learn more at liftinglindsay.comReady To Train With Us?If this episode resonated with you and you're ready to experience this style of training for yourself, it's not too late to join us inside the BeStrong app.Our newest hypertrophy phase has already begun, but you're absolutely not behind.This training block focuses on:✔ Lengthened position training✔ Strategic pauses and isometrics✔ Improving muscle tension✔ Building strength and muscle with intentional execution✔ Learning how to make the target muscle do more of the workYou'll get access to the complete training program, exercise video demonstrations, nutrition guidance, live coaching calls, and a community of women committed to getting stronger together.Join us HEREStudies & ReferencesMorton RW, et al. (2018). A systematic review, meta-analysis and meta-regression of the effect of protein supplementation on resistance training-induced gains in muscle mass and strength in healthy adults. British Journal of Sports Medicine.This is the big meta-analysis behind the commonly cited ~1.6 g/kg or 0.73 g/lb protein target for resistance training. The estimated breakpoint was 1.62 g/kg/day, with a 95% CI extending to 2.20 g/kg/day. Read the studyJäger R, et al. (2017). International Society of Sports Nutrition Position Stand: Protein and Exercise. Journal of the International Society of Sports Nutrition.ISSN recommends approximately 1.4–2.0 g/kg/day (0.64–0.91 g/lb) for most exercising individuals, while noting that higher intakes may be useful during calorie restriction. Read the position standAreta JL, et al. (2014). Reduced resting skeletal muscle protein synthesis is rescued by resistance exercise and protein ingestion following short-term energy deficit. American Journal of Physiology.After only five days of energy restriction, resting muscle protein synthesis decreased. Resistance training restored MPS toward energy-balance levels, and protein ingestion after training stimulated it further. This is a great study for explaining why lifting + protein become so important during a deficit. Read the studyHelms ER, et al. (2014). A systematic review of dietary protein during caloric restriction in resistance trained lean athletes: a case for higher intakes. International Journal of Sport Nutrition and Exercise Metabolism.This review suggested 2.3–3.1 g/kg of fat-free mass during calorie restriction in lean resistance-trained athletes, with protein needs potentially increasing with greater leanness and more severe calorie restriction. Read the reviewLongland TM, et al. (2016). Higher compared with lower dietary protein during an energy deficit combined with intense exercise promotes greater lean mass gain and fat mass loss. American Journal of Clinical Nutrition.Young men underwent an aggressive ~40% calorie deficit while training six days per week. Those consuming 2.4 g/kg protein gained more lean mass and lost more fat than those consuming 1.2 g/kg. Important study, but also a perfect example of why population and context matter. Read the studyPasiakos SM, et al. (2013). Effects of high-protein diets on fat-free mass and muscle protein synthesis following weight loss: a randomized controlled trial. FASEB Journal.Participants consumed 0.8, 1.6, or 2.4 g/kg/day during a 40% energy deficit. The groups consuming 1.6 and 2.4 g/kg lost a smaller proportion of weight from fat-free mass than the RDA group, supporting protein intakes above the RDA during substantial energy restriction. Read the study

Mark Christiani is the Federal Programs Human Performance Integration (HPI) and client success Manager for O2X Human Performance, where he supports, develops, and mentors On-Site Specialist across multiple contracts and locations. Prior to stepping into his current leadership role, Christiani worked an on-site human performance specialist supporting the United States Army Reserve 81st Readiness Division, where he delivered strength and conditioning support designed to improve Soldier readiness, physical performance, and resilience while reducing injury risk. Before joining O2X, Mark served as the Brigade Lead Strength and Conditioning Coach for the U.S. Army's Holistic Health and Fitness (H2F) Program with the 44th Medical Brigade at Fort Bragg, where he led the development and implementation of large-scale performance initiatives across multiple battalions and installations. Earlier in his career, Christiani worked in collegiate strength and conditioning at Savannah State University from 2018-2020 in addition to working as an intern coach at the University of South Carolina, primarily supporting football and track and field athletes in 2019. He also spent a year as an adjunct professor at Georgia Southern University, while completing his Master's degree in Sports Medicine. His introduction to tactical strength and conditioning began during his time serving in the U.S. Army with 1st Battalion, 75th Ranger Regiment while preparing for Ranger School. Christiani also garnered coaching experience in the private sector as a health fitness specialist from 2011-2013 before enlisting in the Army. Christiani brings more than a decade of experience in tactical and collegiate human performance and remains passionate about continuous growth as both a coach and leader. He is part of the NSCA Tactical Professional Development Group as well as a member of the NSCA Florida State Advisory Board. Additionally, Christiani is the author of “Influence Without Rank: Leadership, Culture, and Readiness in Tactical Human Performance,” as well as a contributing writer for True Performance Realization Applied Journal.Outside of work, he enjoys competing in and coaching powerlifting, spending time at the beach, and continuing to refine his cooking skills.Samson EquipmentSamson Equipment provides Professional Weight Room Solutions for all your S&C needs.Cerberus StrengthUse Code: STRENGTH_GAME at Cerberus-Strength.comSport KiltUse Code: TSG at SportKilt.comDisclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.Support the show

A lot can change in four years. Sarah Anderson returns to High School Transcript as she prepares to graduate the first group of students she's taught from freshman year through senior year. We revisit the sports background—and love of the Green Bay Packers—that helped lead Sarah toward sports medicine, the path that eventually brought her into the classroom, and how Lakeside's Sports Medicine program has grown since our first conversation. Now, Sarah has her sights set on what's next: continuing to build a program she hopes will become one of the most respected in the area.

Dr. Karen Litzy speaks with Dr. Osman Ahmed about how concussion care has evolved for paraathletes, why standard tools often fall short, and what the new ParaScat 6 tools aim to fix. They also discuss the Concussion in Parasport Group, the importance of athlete input in research, and why clinicians should think differently about baseline function in athletes with impairments. Key Topics ·       In this episode, Dr. Osman Ahmed explains what paraathletes are and why the term matters when discussing concussion care. ·       We discuss why paraathletes were historically left out of concussion research and how that gap reflected broader patterns in sports medicine. ·       Osman breaks down why standard tools like the SCAT can be difficult to apply to athletes with amputations, visual impairments, spinal cord injuries, or wheelchair use. ·       He shares how baseline symptoms such as blurred vision, headaches, or light sensitivity can be normal for some paraathletes and should not be assumed to indicate concussion without context. ·       We talk about the creation of the Concussion in Parasport Group and the first position statement that helped guide clinicians on assessment, management, and return to play. ·       Osman describes how the position statement used a practical color coding approach for tests: o   green for appropriate o   yellow for use with caution or modification o   red for not appropriate ·       We discuss the research and clinical gaps that led to the development of ParaScat 6 tools for wheelchair users and athletes with visual impairment. ·       Osman shares how athlete lived experience shaped the design, testing, and refinement of the new tools in real time. ·       He explains why the biggest shift for clinicians is to think carefully about baselines before doing post injury concussion assessments. ·       Osman also previews his presentation at the Sixth World Congress of Sports Physiotherapy in Bern and encourages clinicians to engage with paraathletes humbly and proactively. Timestamps: 00:00 - Welcome back and why this concussion conversation matters 01:04 - What counts as a paraathlete 02:34 - Why paraathletes were left behind in concussion research 03:32 - Why SCAT testing often does not fit paraathletes 04:27 - How the first position statement came together during lockdown 05:19 - What changed after the position statement was published 06:53 - Why standard concussion tests can break down for amputees, wheelchair users, and visually impaired athletes 08:42 - Common clinician mistakes when applying standard tools 09:57 - How the Concussion in Parasport Group formed 11:59 - The assessment, management, and return to play domains 13:25 - The position statement's biggest contribution: awareness 14:41 - Why para sports research still struggles with funding and scale 16:34 - Introducing ParaScat 6 WC and ParaScat 6 VI 17:31 - Why athlete lived experience was built into the tool development 18:58 - Preparing the tools for wider use ahead of LA 2028 23:03 - How the tools were developed with wheelchair users and visually impaired athletes 24:56 - Why athlete partnership improves research and clinical tools 25:54 - Expanding the tools beyond the Paralympics 26:50 - The next frontier for other impairment groups in parasport 27:35 - The single biggest shift clinicians should make: think baselines 28:24 - What Osman will present at the World Congress of Sports Physiotherapy 30:01 - Why paraathletes need more clinicians and researchers involved 31:04 - How to overcome imposter syndrome in parasport work 32:28 - What Osman wishes he knew earlier in his career 33:10 - The sports medicine book that shaped his development 34:22 - Advice for physiotherapy students and early career clinicians 35:09 - What he is most looking forward to in Bern 36:03 - Staying healthy after knee surgery with strength and conditioning 36:42 - Where to find Osman Ahmed online 37:40 - Why the World Congress of Sports Physiotherapy is worth attending 38:30 - Closing thoughts and final thanks More about Dr. Ahmed: Dr Osman Ahmed is the Player Health Lead for Para Football at the Football Association (England) and a Physiotherapist at University Hospitals Dorset NHS Foundation Trust (England). He trained as a Physiotherapist at the University of Nottingham (England), before undertaking his Postgraduate Diploma in Sports Physiotherapy and subsequently his PhD at the University of Otago (New Zealand) on the topic of concussion in sport. He is an Associate Editor at British Journal of Sports Medicine, Deputy Editor at BMJ Open Sport & Exercise Medicine, Visiting Senior Lecturer at the University of Portsmouth (England), and Co-Chair of the Concussion in Para Sport Group Resources from this Episode: Dr. Ahmed's Website Dr. Ahmed on LinkedIn Para athlete concussion care following the Amsterdam 2022 International Consensus Statement on Concussion in Sport: an urgent need for inclusivity within concussion research Consensus statement on concussion in sport: the 6th International Conference on Concussion in Sport-Amsterdam, October 2022 Concussion in para sport: the first position statement of the Concussion in Para Sport (CIPS) Group Jane Sponsorship Information: Book a one-on-one demo here Mention the code LITZY1MO for a free month Follow Dr. Karen Litzy on Social Media: Karen's Instagram Karen's LinkedIn Follow Dr. Karen Litzy on Social Media: Karen's Twitter Karen's Instagram Karen's LinkedIn Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify SoundCloud Stitcher iHeart Radio

Sports Specialization remains one of the most debated topics in Sports Medicine today. While the idea of having a youth athlete focus year-round on a single sport to maximize his/her potential in that particular sport sounds reasonable, it has not been shown to be an effective strategy at accomplishing its goal and may come at a cost of mental and physical injury to the athlete. Dr. Rachel Meyers, PT, DPT & Dr. Gregory Walker, MD from Children's Hospital Colorado join us to discuss their study further exploring the connection between Sports Specialization and mental health using a recently validated tool designed to identify a highly specialized athlete, the Wisconsin Sport Specialization Questionnaire (WISSQ).

The WIP Morning Team is joined by a NovaCare doctor to analyze both Landon Dickerson's and Jesús Luzardo's injuries. The doctor shares his perspective on both injuries and what recovery will look like for the two star athletes.

In this podcast, JPEN Editor-in-Chief Dr. Kenneth Chrispoher Interviews Dr. Grant O'Keefe, professor of Surgery and adjunct professor of Neurological Surgery, Orthopedics, and Sports Medicine at the University of Washington Medicine. Dr. O'Keefe is based at Harborview Medical Center, where he provides surgical and intensive care services to patients with emergencies and general surgical conditions. Dr. O'Keefe is the first author of the research article “Metabolic profiles in adults with trauma receiving enteral nutrition support: A metabolomic cohort study”. Business Corporate by Alex Menco | alexmenco.net Music promoted by www.free-stock-music.com Creative Commons Attribution 3.0 Unported License creativecommons.org/licenses/by/3.0/deed.en_US April 2026

6 to 8 Weeks: Perspectives in Sports MedicineEpisode Notes — 49ers Week 1 Injury RoundupHosts: Dr. Nirav Pandya & Dr. Brian FeeleyThe WR Deltoid Ligament ScareInitial fear on the field was an Achilles rupture (non-contact mechanism, inability to bear weight), then reports shifted to a calf strain, then finally landed on a deltoid ligament injury.Brian breaks down why the mechanism didn't fit a classic Achilles rupture (most Achilles tears happen off a "rock back" push-off step) and walks through the deltoid ligament anatomy — the ligament complex on the inside of the ankle.Isolated deltoid ligament sprains are rare. The hosts note the last notable isolated case they can recall locally was Steph Curry's deltoid sprain roughly 14 years ago. Deltoid injuries are far more commonly seen alongside fibular fractures.Return-to-play timelines vary enormously by severity — anywhere from a few weeks to season-ending surgery. The data on isolated deltoid repairs in NFL players is thin; most existing literature covers deltoid repair in the setting of ankle fractures.Bonus injury update: Myles Garrett found out in Australia that his knee needs surgery — offered half-jokingly as his excuse for a quiet stat line in Week 1.George Kittle's 8-Month Achilles ReturnKittle returned roughly 8 months after his Achilles rupture, faster than some expected (9–12 months).Discussion of the broader trend: Achilles recovery timelines are trending faster, while ACL recovery timelines are trending slower (more conservative).Cross-sport comparison: Jayson Tatum returned from his Achilles at ~10 months; Tyrese Haliburton sat out the full season. The hosts note that landing/jumping demands (basketball) are a very different ask than football's demands on the Achilles.Kittle was managed on a snap count to ease back in, aided by extra recovery time before the next game.Key teaching point: by 8 months the tendon itself is typically healed — the real variable is performance readiness and avoiding a secondary injury, which varies athlete to athlete and position to position.Tight End Depth Chart Trouble — MCL GradingWith Kittle on a snap count, the second tight end going down with an MCL sprain complicates things.Quick primer on MCL grading (Grade 1–3, based on clinical exam and MRI) and why some MCL sprains are treated as more serious than the "garden variety" 2-week sprain the public assumes.Nick Bosa's Revision ACL ReturnDeep dive into why bone injuries heal faster than ACL grafts: a plated fracture is often well-healed and ready to load within about 6 weeks, whereas an ACL graft has to achieve tendon-to-bone healing, develop its own blood supply, lay down new collagen, and regrow nerve endings for proprioception — a much longer biological process.Reference to Timothy Hewett's research suggesting a 2-year window for full ACL cellular/neuromuscular recovery — far longer than athletes actually wait to return to play.Notes that Bosa's prior injury/return wasn't a rehab failure; his more recent setback was a separate, unrelated contact injury.Discussion of graft-site donor pain/"tendonitis" as a very normal part of the return timeline, and how public-facing labels like "tendonitis" tend to simplify what's really happening.McCaffrey's Achilles Tendinopathy — A Different AnimalContrast drawn between post-surgical graft-site soreness (expected, manageable) and McCaffrey's Achilles tendinopathy without prior surgery, which the hosts note tends to feel worse and is harder to rehab through.Parallel drawn to Steph Curry's patellar tendonitis last season, reinforcing that these issues need individualized, athlete-by-athlete management based on position, load, and schedule.The Australia Trip DebateShould teams fly in the day of the game or a week ahead to acclimate? The hosts land on the trip being a net positive for team morale and experience regardless of the football outcome.On the science: travel-related performance effects are driven mainly by the air travel itself, not by when you take it — so arguments that early arrival gives a competitive edge don't hold up well.Light jab at the "the flight hurt the Rams" narrative — the hosts chalk the loss up to Week 1 randomness (and Myles Garrett's knee) rather than travel logistics.Closing ThoughtSeason-long theme: playoff success tracks with a healthy roster in December/January far more than with early-season form. A nod to the Brock Purdy era 49ers, where untimely injuries — not lack of talent — have been the difference in deep playoff runs.Listen to "6 to 8 Weeks: Perspectives in Sports Medicine" on Simplecast, Apple Podcasts, YouTube, and wherever you get your podcasts. Please subscribe to our podcast at Apple PodcastsCheck out our website on Simplecast

Dr. Keith Bartley shares a story of a young man who had been bent forward in back pain for 4 months prior to treatment. Dr. Bartley graduated from Indiana University with an Athletic Training and Sports Medicine degree and after interning with the New England Patriots entered Logan University. He has been practicing in Jasper, IN since 1990 and is certified in Cox® Technic of the Cervical and Lumbar spines, and has Full Body, Biomechanics and Long Nerve Entrapment certifications in Active Release Technique (ART). He is an avid triathlete and has completed the Boston Marathon. Resources: Contact Dr. Bartley 812-482-6600 Find a Back Doctor Show Sponsor: Haven Medical

Welcome to the latest episode (September 2026) of DOC Updates, where every month Neil Skolnik, MD and John Russell, MD review the most important articles on diabetes, obesity, and cardiometabolic disease. This month on DOC Updates: Diaz KM, Murdock ME, Serafini MA, et al. Evaluating movement breaks as a public health strategy to mitigate the harms of prolonged sitting: a large-scale pragmatic intervention. British Journal of Sports Medicine 2026;60:1208-1217. Chorniy, et al. Progression to Diabetes by Adults With Prediabetes Who Use the National Diabetes Prevention Program: A Natural Experiment. Diabetes Care 20 August 2026; 49 (9): 1576–1584. doi.org/10.2337/dc25-2485 Harnois-Leblanc, et al. Genetic Determinants of Macronutrient Intake Are Associated With Specific Food Intake in Youth: A Cohort Study Across Childhood and Adolescence. Diabetes Care 20 August 2026; 49 (9): 1645–1653. doi.org/10.2337/dc25-2975 Guan, et al. Sarcopenic Obesity and Risk of Incident Type 2 Diabetes: A Prospective Cohort Study and Landmark Analysis From the UK Biobank. Diabetes Care 20 August 2026; 49 (9): 1663–1668. doi.org/10.2337/dc26-0797 Guo, et al. Life Course Cumulative BMI Burden From Childhood to Adulthood and Risk of Metabolic Multimorbidity: A 36-Year Prospective Cohort Study. Diabetes Care 20 August 2026; 49 (9): 1567–1575. doi.org/10.2337/dc25-2889 Presented by: Neil Skolnik, MD, Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Associate Director, Family Medicine Residency Program, Abington Jefferson Health John J. Russell, MD, Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Chair-Department of Family Medicine, Abington Jefferson Health DOC Updates is a monthly podcast that presents and discusses the latest clinically relevant articles from the American Diabetes Association's three science and medical journals—Diabetes, Diabetes Care, and Diabetes, Obesity, and CardioMetabolic CARE. Intended for practicing physicians and health care professionals, DOC Updates discusses how the latest research is relevant in clinical practice. For information about the American Diabetes Association's scholarly journals, visit diabetesjournals.org. For more about this podcast, click here.

Hello & Welcome to today's episode! This is one for the pelvic health in sports medicine fans!I'm interviewing Helen McKeever about pubic and inguinal pain in female athletes, based on Helen's chapter in Grainne Donnelly's book "Sports Medicine: The Pelvic Floor." In this conversation, myself and Helen discuss the importance of considering multiple factors beyond just pelvic floor issues when treating groin pain, including musculoskeletal drivers, hypermobility, and REDs - encompassing reproductive, endocrine, digestive, and sleep factors. We explored how pelvic floor physiotherapists should expand their assessment beyond mechanical issues to include questions about bladder and bowel function, menstrual cycles, and psychosocial factors. Helen shared clinical insights about the anterior pubic ligament complex and the role of deep hip rotators in managing chronic groin pain. The conversation highlights the need for collaborative approaches between pelvic health and sports medicine specialists, with Helen currently working at Aspetar in Doha where she sees female athletes presenting with complex pelvic and groin pain issues, as part of a multidisciplinary team approach.We also talked about pelvic girdle pain in pregnancy, differential diagnosis and clinical reasoning for hip, pubic & groin pain, hypermobility and we discussed how pelvic floor physiotherapists should broaden their differential diagnosis beyond just pelvic floor issues, considering factors like motor control around the hip, deep rotators, and anterior-posterior tilt capabilities. Helen shared a case study of a tennis player where addressing both pelvic floor and musculoskeletal components was crucial for successful rehabilitation.This was a rich conversation that I think really highlights the importance of pelvic health in sports medicine.If you'd like to learn more, the textbook 'Sports Medicine & the Pelvic Floor' edited by Grainne Donnelly and of course, my online course 'The Menstrual Detective', includes access to 'Pelvic Health for the Young Female Athlete' as well. You can find Helen and her research on ResearchGate and LinkedIn and you can follow my continuing adventures in women's health on instagram @michellelyons_muliebrity and all of my online courses can be found at CelebrateMuliebrity.comUntil next time, Onwards & Upwards! Mx #celebratemuliebrity

Send us Fan MailThree years ago Joy Black came on this show to talk about climbing in pregnancy and postpartum, and quite honestly, we had almost no research to point at. She came back this time as a published researcher. Two papers, both in Sports Medicine, both with Dr. Margie Davenport's lab at University of Alberta.So we sat down and broke them open.The first is qualitative: 11 elite climbers, Olympic and World Cup level, on how they actually made decisions while pregnant. Not "is climbing risky, yes or no." Something much more interesting. They're assessing risk continuously, move to move, inside a single climb.The second one is big. 692 climbers. Roughly 64,000 hours of climbing during pregnancy. And it gives us numbers we have never had before.More than half of those climbers were never given a single recommendation about climbing during pregnancy by a practitioner. Not "here's how to modify." Not "here's what to watch." Nothing. And fewer than 40% were offered any rehab at all postpartum.We did not tell them no. We said nothing. Which they heard, correctly, as we have no idea what you do.

Dr. Siobnhan Statuta of UVA and a team physician for the U.S. Soccer Women's National Team joins Emily Vandersteen to discuss differing symptoms, recovery timelines, the role of hormones and the menstrual cycle, wearable tech and what it can and can't tell us, addressing the information and research gaps between males and females, and more. Stick around until the end to test your knowledge of concussions and misconceptions.PLEASE SHARE, LIKE, SUBSCRIBE! WHATEVER THOSE OTHER PODCASTS AND YOUTUBE CHANNELS ASK YOU TO DO FOR THEM, DO FOR US TOO!Check us out on Youtube, Instagram and Facebook! @concussiontalkThank you!#concussionsinwomen #concussion #TBI #USWNTSubscribe and leave a review!Visit https://www.concussiontalk.com/ for more!Follow and subscribe! @concussiontalk on YouTube, Instagram & Facebook 2014 e-book, Detour: https://leanpub.com/detourFollow Lauren on Instagram @lziaksConcussion Talk Podcast discusses traumatic brain injury (TBI) by featuring interviews with experts (physiotherapists, doctors, researchers, athletes, community leaders, etc.) and people who have experienced TBI first-hand.Chronically dives deeper into concussions and brain injury as I team up with Lauren Ziaks; a DPT, ATC, and wealth of knowledge of chronic health conditions post-concussion. Join us as we interview more experts, spread awareness of brain injury and more! Hosted on Acast. See acast.com/privacy for more information.

Kayla Parker is the official athletic trainer for the Denver Broncos Cheerleaders, the official medical partner liaison for Denver Summit FC and the Market Director of Sports Medicine for CommonSpirit Health Mountain Region. With more than a decade of elite sports medicine experience, Kayla holds a Bachelor's in Athletic Training from The University of Texas at Austin and a Master's in Sport Management from Northern Illinois University. Her career bridges professional sports and community advocacy, specializing in building outreach programs that give youth leagues and local student athletes direct access to the same elite level of care received by professional performers. CommonSpirit is a Founding Partner with the Denver Summit FC and provides physician support for the team.

The field of sports medicine isn't just for serious athletes: The Nicholas Institute for Sports Medicine and Athletic Trauma (NISMAT), Northwell's sports injury clinic, has made sports medicine better, more accessible, and grounded in research. On this episode, the 20-Minute Health Talk team pays a visit to NISMAT to talk to Tak Fukunaga, DPT, sports physical therapist and NISMAT's Manager of Rehabilitation Services, and Michael Zacchilli, MD, orthopedic sports medicine surgeon at Northwell Greenwich Village Hospital to shed light on what they do to treat people at all levels of physical activity. Northwell is New York State's largest healthcare provider and private employer, with 28 hospitals, 890 outpatient facilities and more than 16,600 affiliated physicians. We're making breakthroughs in medicine at the Feinstein Institutes for Medical Research. We're training the next generation of medical professionals at the visionary Donald and Barbara Zucker School of Medicine at Hofstra/Northwell and the Hofstra Northwell School of Nursing and Physician Assistant Studies. Get the latest news and insights from our experts in the Northwell Newsroom: Press releases Insights Podcasts Publications Interested in a career at Northwell Health? Visit our career site and explore our many opportunities. Watch episodes of 20-Minute Health Talk on YouTube.  For information on our more than 100 medical specialties, visit Northwell.edu and follow us @NorthwellHealth on Facebook, Instagram, X and LinkedIn.

Your foot is not just a support structure but a critical foundation for athletic performance and everyday movement. This episode of the NASM “Master Instructor Roundtable” answers the common question: "Why should I rethink training the foot and ankle for better movement and injury prevention?" Hosts Wendy Batts and Marty Miller break down the importance of treating the foot as an integrated performance system, not just a passive base. Listeners will learn how foot function impacts the entire kinetic chain, influencing everything from strength and power generation to common overuse injuries. The conversation explores how the foot's sensory, mechanical, and elastic properties affect stability, knee and hip health, balance, and injury risk. You will gain actionable strategies for assessing and improving foot mechanics, integrating corrective exercise, and progressing from foundational movements to more advanced power training. Additionally, the hosts clarify common misconceptions about footwear, pronation, and programming. After listening, fitness professionals and enthusiasts will understand why foot and ankle training is vital, how to spot dysfunction, and which evidence-based NASM techniques can help clients move better from the ground up. Chapters: [00:00] What makes the foot and ankle so important for performance and movement? [00:02:13] How does the foot anchor the kinetic chain and impact force transfer? [00:03:08] What roles do the sensory, mechanical, and elastic systems of the foot play? [00:04:32] Why do lower limb injuries and dysfunction often start at the foot? [00:06:05] How does footwear influence foot mechanics and movement quality? [00:07:05] What happens in the body when foot mechanics break down? [00:08:33] Is pronation bad for the foot, or is it essential? [00:10:28] How does foot stiffness affect shock absorption and energy return? [00:12:09] What is the stretch-shortening cycle and why does ground contact time matter? [00:15:05] What does research say about minimalist shoes vs traditional running shoes? [00:17:19] Should you switch to minimalist footwear, and how do you do it safely? [00:19:30] How can trainers use NASM's OPT model to improve foot function? [00:21:49] What are the most effective exercises for strengthening the foot and ankle? [00:22:20] Why is big toe extension crucial for movement and performance? [00:24:27] What are the key takeaways for coaches and clients about foot training? Show References: Holowka, N. B., Wallace, I. J., & Lieberman, D. E. (2018). Foot strength and stiffness are related to footwear use in a comparison of minimally- vs. conventionally-shod populations. Scientific Reports, 8(1), 3679. doi: 10.1038/s41598-018-21916-7. Lieberman, D. E., Venkadesan, M., Werbel, W. A., et al. (2010). Foot strike patterns and collision forces in habitually barefoot versus shod runners. Nature, 463, 531–535. doi: 10.1038/nature08723 Lieberman, D. E. (2012). What we can learn about running from barefoot running: An evolutionary medical perspective. Exercise and Sport Sciences Reviews, 40(2), 63–72. doi: 10.1097/JES.0b013e31824ab210 .McKeon, P. O., Hertel, J., Bramble, D., & Davis, I. (2014). The foot core system: A new paradigm for understanding intrinsic foot muscle function. British Journal of Sports Medicine, 49(5), 290. doi: 10.1136/bjsports-2013-092690. McKeon, P. O., & Fourchet, F. (2015). Freeing the foot: Integrating the foot core system into rehabilitation for lower extremity injuries. Clinics in Sports Medicine, 34(2), 347–361. doi: 10.1016/j.csm.2014.12.002 Soysa, A., Hiller, C., Refshauge, K., & Burns, J. (2012). Importance and challenges of measuring intrinsic foot muscle strength. Journal of Foot and Ankle Research, 5(1), 29. doi: 10.1186/1757-1146-5-29 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, I discuss with researcher and associate professor at the University of Alberta, Dr Margie Davenport: The abundance of fear based and confusing information circling about exercise in pregnancy and postpartumWhat does the research actually tell us?Reasons for the message to “be careful” The discrepancy between how we treat patients after knee/hip/heart/back surgery vs postpartum women The difficulty for caregivers to keep up to date on new evidenceWays to help spread the evidence based information Dr. Davenport was the Chair of the 2019 Canadian Guideline for Physical Activity throughout Pregnancy, and the 2025 Canadian Guideline for Physical Activity, Sedentary Behaviour and Sleep throughout the First Year Postpartum. This work led to the development of the Get Active Questionnaire for Pregnancy, Get Active Questionnaire for Postpartum and the Canadian Society for Exercise Physiology/American College of Sports Medicine Pre & Postnatal Exercise Specialization. Dr. Davenport leads the Program for Pregnancy and Postpartum Health (www.exerciseandpregnancy.ca), and has published more than 200 manuscripts related to physical activity and sport during preconception, pregnancy and the postpartum period. Over the last decade she has worked with a number of National/International organizations including FIFA, the World Health Organization, International Olympic Committee, Sport Canada, the Canadian Society for Exercise Physiology, and the American College of Sports Medicine to support physical activity during and following pregnancy. HOW TO CONTACT DR. DAVENPORTInstagram Website Active study linksLINKS MENTIONED2019 Canadian Guideline For Physical Activity Throughout Pregnancy2025 Canadian Guidelines for Physical Activity, Sedentary Behaviour and Sleep Throughout The First Year PostpartumTHANK YOU TO THIS EPISODE SPONSORSSRC Health Use the link below for a discount at checkout!https://srchealth.com/?ref=PELVICFLOORPROJECTEmbodia  Year of mentorshipEmbodia for pelvic healthThanks for joining me! Here is where you can find out how to work with me:  www.pelvicfloorprojectspace.com/mel@pelvicfloorprojectspace.comSupport the show

Exercise, Recovery, Relaxation—and Muscle as the Key to Healthy Aging: Nutritionist Leyla Muedin discusses science-backed wellness trends that pair exercise with effective recovery and deliberate relaxation to support performance, resilience, and healthy aging, noting benefits such as fewer overuse injuries, better sleep, steadier energy, and improved adherence. She highlights relaxation practices (breathwork, meditation, gentle yoga, outdoor time, massage, consistent sleep routines) and encourages making recovery part of daily life, including creating home or community “wellness spaces” like pools for gentle movement and stress reduction. She emphasizes sustainable habits supported by tools like wearables and heart-rate variability tracking. The episode then frames muscle as a “longevity secret weapon,” explaining its roles in metabolism, glucose storage, insulin sensitivity, inflammation control, and joint stability, citing the PURE study on grip strength and mortality, warning about sarcopenia, and recommending strength training, higher and well-distributed protein intake with age due to anabolic resistance, plus adequate sleep and recovery.

Draft season is here! In this special episode of Sports Medicine on Tap, we analyze the 2026 fantasy football draft board from a sports medicine and clinical perspective. We break down reported training camp injuries, surgery timelines, and tissue mechanics for the biggest names in fantasy: - Recent Training Camp Landmines: Breece Hall (groin), Ja'Marr Chase (hyperextension), Chuba Hubbard (hamstring), and Jeremiyah Love (high ankle sprain). - The Tight End Tightrope: George Kittle's rapid return from a January 2026 Achilles tendon repair. - Surgical Comebacks: Patrick Mahomes (ACL/LCL reconstruction), Jonathon Brooks (revision ACL), Malik Nabers (ACL reconstruction & debridement), and Rashee Rice. - Rapid-Fire Verdicts: The biggest draft-day injury traps, value buys, and high-risk gambles. Sponsored by:

When athletic performance is measured in fractions of a second, physical preparation may only be part of the equation.In Part 2 of this special featured episode from the Better Brains, Better Futures Podcast, now part of the FAKTR Podcast Network, host Seth Kaelin continues his conversation with returning FAKTR Podcast guest Dr. Kevin Butterfield to explore how quantitative EEG (qEEG) brain mapping and neurofeedback are being applied in sports performance, recovery, and clinical practice.Moving from theory into real-world application, Seth and Dr. Butterfield discuss how objective neurological data may help clinicians and performance teams better understand cognitive readiness, focus, reaction time, emotional regulation, recovery, and the effects of concussion.They also explore examples from professional motorsports, football, golf, MMA, and youth athletics, while discussing how brain mapping and neurofeedback can be incorporated alongside existing sports medicine, rehabilitation, strength and conditioning, and performance programs.Whether you work with youth athletes, weekend warriors, collegiate competitors, or elite performers, this episode offers a closer look at how neurological performance is becoming part of the broader conversation around athlete health and human performance.Key Themes in Today's Episode:Using qEEG brain mapping to establish neurological baselines and assess readinessHow neurofeedback may support focus, reaction time, emotional regulation, and performance under pressureReal-world applications in motorsports, football, golf, MMA, and other competitive sportsThe role of brain-based training in concussion recovery and return-to-performance conversationsNeuroplasticity, autonomic regulation, and the mechanisms behind neurofeedback trainingIntegrating brain mapping and neurofeedback into sports medicine, rehabilitation, and performance workflowsLooking beyond athletic performance to support the long-term health and resilience of the athlete

Email the show at kids@mpbonline.orgHost: Dr. Morgan McLeod, Asst. Professor of Pediatrics and Internal Medicine at the University of Mississippi Medical Center.If you enjoyed listening to this podcast, please consider contributing to MPB: https://donate.mpbfoundation.org/mspb/podcast Today's guest was Dr. Derrick Burgess Specialist in Orthopedic, Cartilage Restoration, Sports Medicine, Arthroscopy and Minimally Invasive SurgeryThe Friday Night Injury Clinic is available only during the regular high school football season.Located at UMMC Colony Park South in Ridgeland. Open Fridays, 9:30-11:30 p.m., or until the last student is seen.Walk-ins are welcome, but if possible, call ahead at (601) 815-4721. Hosted on Acast. See acast.com/privacy for more information.

Chuck speaks with Jason A. Smith DO, FAOASM, Sports Medicine about Platelet Rich Plasma (PRP). In part 4, they discuss cases in which they used PRP to help facilitate healing and pain reduction during an injury or after tendon repair. 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/

In our previous episode, we addressed the notion of "raising the lid", speaking up louder for Family Medicine, and for our patients. In this episode, Dr Thomas White converses with Dr Garett Franklin of Raleigh about his career and his special interest in and passion for advocacy for our specialty. Listen and hear how Dr Franklin was introduced to medicine growing up in a small community in North Carolina, and about his journey from undecided, to chemical engineering, to Family Medicine, and then an expertise in Sports Medicine. Dr Franklin provides inspiration to his colleagues to become involved in advocacy, why that matters, how to get started, and even the importance of "PAC" contributions to this process. You will love his lessons learned: a career in medicine is "awesome", we need to restore "fun" to our care of patients, and we should greatly value the importance of "mentorship" to our careers, and the careers of others. (Note: Apologies for the technical hiccups ... But ... a truly great episode!) 

Send us Fan MailIn this episode of the DO or Do Not podcast, we speak with Dr. Shawn Kerger, Chair of the Department of Osteopathic Manipulative Medicine and Clinical Professor of OMM at the Ohio University Heritage College of Osteopathic Medicine.Dr. Kerger specializes in non-surgical orthopedics and sports medicine, with a particular focus on using osteopathic manipulative medicine to support rehabilitation, performance enhancement, and wellness. He is board-certified in neuromusculoskeletal medicine, holds a Certificate of Added Qualifications in Sports Medicine, and is a Fellow of the American Osteopathic Academy of Sports Medicine.Join us as Dr. Kerger discusses his career journey, the role of OMM in sports medicine, and his advice for future osteopathic physicians.  Shout out to Suzanne Chaar, OMS-IV for bringing us this episode!

Chronic back pain that no scan explains? Dimple Jangda sits down with Prof. Dr. Ali Irani — the first sports physiotherapist in the Indian subcontinent and physiotherapist to the Indian cricket team from 1987 to 1997 — to unpack why pain persists, why vitamin deficiencies are so widely missed, and what actually supports a long, mobile life.In this episode, Dimple shares her own diagnosis publicly for the first time: eight episodes of being bedridden with sciatica-like pain, MRIs, X-rays and blood tests that explained nothing — until one question from Dr. Irani led to an HLA-B27 diagnosis and ankylosing spondylitis.WHAT YOU'LL LEARN▪ The one question that changes a pain diagnosis: if pain is worst in the evening it's usually mechanical; if it's worst on waking and eases as you move, it points to something pathological.▪ Why vitamin D and B12 deficiency is so common — Dr. Irani estimates over half of Indians are deficient — and why sunlight alone isn't enough. In a study of eight Mumbai football teams training 3–4 hours daily in the sun, almost all players were still deficient.▪ The missing mineral: without enough magnesium, your body can't hold on to vitamin D3 and B12. Pumpkin seeds and roasted chana are traditional sources.▪ Why standard blood panels don't include D3 and B12 — you have to ask for them.▪ Swimming for spinal conditions, why extension exercises undo a day spent bending forward, and the posture problem behind widespread neck pain.▪ Brain mapping and the five states of mind — delta, theta, alpha, beta, gamma. Athletes recalling their best games measured in alpha; those recalling their worst measured in beta or gamma. Why chanting Om and echo sounds shift you into alpha.▪ Lung capacity and lifespan: why breathing rate correlates with longevity across species, and what pranayama does to vital capacity.▪ Grounding and earthing — why two-pin phone chargers have no earth, and what that means for your nervous system.▪ Flat feet, foot arches and why insoles change posture, knees and spine.▪ Colon health and medication absorption — why cleaning the gut can matter more than increasing a dose.▪ Ice versus heat, cold plunges, pelvic floor health, Indian versus Western toilets and hip replacement rates.▪ Dr. Irani's 40-day no-gossip challenge, and why he believes your relationship with your parents predicts your success.ABOUT DR. ALI IRANIHead of Department, Physiotherapy and Sports Medicine & Rehabilitation Centre, Nanavati Max Super Speciality Hospital, Mumbai. Physiotherapist to the Indian cricket team 1987–1997. Two PhDs, in Sports Medicine and in Anatomy of Body Movement and Dance. Chairperson (International Affairs), Indian Association of Physiotherapists.ABOUT DIMPLE JANGDAAyurvedic health coach, author of Heal Your Gut, Mind & Emotions, and founder of Prana by Dimple. Trained at Harvard in Lifestyle Medicine and at Stanford in Gut Health and the Microbiome.

Recorded live at the 2026 AOSSM Annual Meeting in Seattle, join Dr. Reider for a conversation with Dr. Riley J. Williams III, Chief of Sports Medicine at the Hospital for Special Surgery in New York, as he shares his cross country journeys from LA to Yale, Stanford, and the Hospital for Special Surgery, reflecting on the opportunities, mentors and pivotal decisions that shaped his career. Dr. Williams discusses leading the HSS Sports Medicine Institute, the evolution of cartilage-repair research, and how new evidence, registries, and long-term outcomes can inform better treatment decisions. He also explores the unique challenges of caring for professional athletes, including return-to-play decisions, mental readiness, and balancing short-term performance with long-term health. Notably, Dr. Williams reflects on representation of black surgeons in orthopaedics as well as the opportunities and the use of AI in clinical care.

A peanut isn't dangerous until it meets someone who can't tolerate it. Same with the upright row exercise. This episode scrutinises the "worst exercise for your shoulder" claim by tracing it back to a theory that's already dead, then shows what determines outcome: the person lifting. Shock. Horror. Key resources Bahr, R. (2016). Why screening tests to predict injury do not work — and probably never will: a critical review. British Journal of Sports Medicine, 50(13), 776–780. Marsh, C.E., et al. (2020). Fitness and strength responses to distinct exercise modes in twins: Studies of Twin Responses to Understand Exercise as a THerapy (STRUETH) study. The Journal of Physiology, 598(18), 3845–3858. Stern, B.D., Hegedus, E.J., & Lai, Y.C. (2020). Injury prediction as a non-linear system. Physical Therapy in Sport, 41, 43–48. Powell, J. (2024). An essay on the upright row... and peanuts. The Shoulder Physio Blog. (Source essay this episode is adapted from.) Register for the complete shoulder online course Melbourne workshop details Connect with Jared: Jared on Instagram: @‌shoulder_physio Jared on X: @‌jaredpowell12 See our Disclaimer here: The Shoulder Physio - Disclaimer

This week on The Pet Buzz, Petrendologist Charlotte Reed discusses preventive pet rehabilitation and how canine injuries affect the body with Dr. Kelly Fishman as well as reminding us about Football Season with pets!

Talking about the Saturday morning walk in clinic and the Orthopedic walk in clinic

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/

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. 

Overview: A tribute episode responding to news that Tommy John passed away, using his life and eponymous surgery as a jumping-off point to discuss the history and evolution of UCL reconstruction ("Tommy John surgery"). Topics covered: Tommy John's career recap — pitched in MLB from roughly age 18 to his mid-40s, playing for multiple teams multiple All-Star selections and a long career, especially notable for the number of wins after his surgery The original UCL injury mechanism — repetitive valgus stress on the elbow from the pitching motion, and how the ligament breaks down over time Dr. Frank Jobe's original 1974 surgery — described as highly experimental at the time, using a tendon graft (palmaris longus) to reconstruct the ligament, with tunnels drilled through bone Tommy John's original recovery — described as a lengthy immobilization period (cast for several weeks) followed by roughly a year off before returning, contrasted with much more aggressive early-motion protocols used today Evolution of surgical technique — from the original figure-eight graft technique to modern approaches (docking technique mentioned), plus newer options like internal brace augmentation and repair-vs-reconstruction decision-making Role of MRI in modern diagnosis — better visualization of partial vs. full UCL tears, which changes surgical decision-making Return-to-play and re-injury discussion — primary vs. revision surgery outcomes, and how performance/velocity can change post-surgery A comparison drawn to the early history of hip replacement surgery as another example of a once-experimental procedure that took decades of iteration to become standard Reflection on how faster information-sharing and higher surgical volume today make refining new techniques faster than it was in the 1970s Closing thoughts and sign-off Please subscribe to our podcast at Apple PodcastsCheck out our website on Simplecast

Protein maxxing is all the rage and the new dietary guidelines in the US recently doubled the recommended amount of protein intake. But will a high protein diet help you lose weight and will it really help you build more muscle? Become a supporter of our show today either on Patreon or through PayPal! Thank you! http://www.patreon.com/thebodyofevidence/ https://www.paypal.com/donate?hosted_button_id=9QZET78JZWCZE   Email us your questions at thebodyofevidence@gmail.com. Hosts:     Christopher Labos & Sophie Tseng Pellar Editor:    Robyn Flynn Researcher: Auriane Journet Theme music: “Fall of the Ocean Queen“ by Joseph Hackl Rod of Asclepius designed by Kamil J. Przybos Chris' book, Does Coffee Cause Cancer?: https://ecwpress.com/products/does-coffee-cause-cancer   Obviously, Chris is not your doctor (probably). This podcast is not medical advice for you; it is what we call information. References:   Clinthorne, J., Leidy, H. J., & Sollid, K. (2026). A Modern Take on Protein Nutrition Meets Evolving Consumer Perceptions. The Journal of nutrition, 156(5), 101477. https://doi.org/10.1016/j.tjnut.2026.101477  Devries, M. C., Sithamparapillai, A., Brimble, K. S., Banfield, L., Morton, R. W., & Phillips, S. M. (2018). Changes in Kidney Function Do Not Differ between Healthy Adults Consuming Higher- Compared with Lower- or Normal-Protein Diets: A Systematic Review and Meta-Analysis. The Journal of nutrition, 148(11), 1760–1775. https://doi.org/10.1093/jn/nxy197  Hägele, F. A., Herpich, C., Koop, J., Grübbel, J., Dörner, R., Fedde, S., Götze, O., Boirie, Y., Müller, M. J., Norman, K., & Bosy-Westphal, A. (2025). Short-term effects of high-protein, lower-carbohydrate ultra-processed foods on human energy balance. Nature metabolism, 7(4), 704–713. https://doi.org/10.1038/s42255-025-01247-4 Health Canada. Canada's Dietary Guidelines for Health Professionals and Policy Makers. Government of Canada; 2019. canada.ca/en/health-canada/services/food-guide/explore/dietary-guidelines Helms, E. R., Aragon, A. A., & Fitschen, P. J. (2014). Evidence-based recommendations for natural bodybuilding contest preparation: nutrition and supplementation. Journal of the International Society of Sports Nutrition, 11, 20. https://doi.org/10.1186/1550-2783-11-20 International Food Information Council. 2025 IFIC Food & Health Survey: The Full Report. January 2026. https://ific.org/research/2025-food-health-survey Jäger, R., Kerksick, C. M., Campbell, B. I., Cribb, P. J., Wells, S. D., Skwiat, T. M., Purpura, M., Ziegenfuss, T. N., Ferrando, A. A., Arent, S. M., Smith-Ryan, A. E., Stout, J. R., Arciero, P. J., Ormsbee, M. J., Taylor, L. W., Wilborn, C. D., Kalman, D. S., Kreider, R. B., Willoughby, D. S., Hoffman, J. R., … Antonio, J. (2017). International Society of Sports Nutrition Position Stand: protein and exercise. Journal of the International Society of Sports Nutrition, 14, 20. https://doi.org/10.1186/s12970-017-0177-8 Leidy, H. J., Clifton, P. M., Astrup, A., Wycherley, T. P., Westerterp-Plantenga, M. S., Luscombe-Marsh, N. D., Woods, S. C., & Mattes, R. D. (2015). The role of protein in weight loss and maintenance. The American journal of clinical nutrition, 101(6), 1320S–1329S. https://doi.org/10.3945/ajcn.114.084038 Morton, R. W., Murphy, K. T., McKellar, S. R., Schoenfeld, B. J., Henselmans, M., Helms, E., Aragon, A. A., Devries, M. C., Banfield, L., Krieger, J. W., & Phillips, S. M. (2018). A systematic review, meta-analysis and meta-regression of the effect of protein supplementation on resistance training-induced gains in muscle mass and strength in healthy adults. British Journal of Sports Medicine, 52(6), 376–384. https://doi.org/10.1136/bjsports-2017-097608 Pasiakos SM, Davis TA, Klurfeld DM, Neuhouser ML, Rodriguez NR, Tomé D. Perspectives on the protein recommendations in the 2025-2030 Dietary Guidelines for Americans. J Nutr 2026. US Departments of Agriculture and Health and Human Services. Dietary Guidelines for Americans, 2025-2030. Wycherley TP, Moran LJ, Clifton PM, et al. Effects of energy-restricted high-protein, low-fat compared with standard-protein, low-fat diets: a meta-analysis of RCTs. Am J Clin Nutr 2012;96(6):1281-1298. doi:10.3945/ajcn.112.044321  

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/

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! 

Rotator cuff repair continues to evolve—not only in how surgeons fix the tendon, but in how we think about healing, biomechanics, tissue quality, and augmentation.In this episode of The Sports Docs Podcast LIVE from the AOSSM Annual Meeting in Seattle, Dr. Albert Lin and Dr. JT Tokish join Dr. Ashley Bassett and Dr. Catherine Logan to discuss strategies for optimizing rotator cuff repair outcomes.The conversation begins with the evolution of the SpeedBridge repair construct and the emergence of the FiberTak SpeedBridge, including the potential advantages of smaller all-suture medial anchors, bone preservation, independent tensioning, and rip-stop techniques.The discussion then moves into one of the most rapidly evolving areas in rotator cuff surgery: biologic and structural augmentation. The group explores how surgeons identify patients at increased risk for failed healing, the role of the Rotator Cuff Healing Index, and the expanding options for augmentation—including the use of the long head of the biceps as an autograft and dermal allograft augmentation with CuffMend.In This EpisodeEvolving the SpeedBridgeThe SpeedBridge technique has become one of the most established approaches to arthroscopic rotator cuff repair, with more than 15 years of clinical experience supporting its durability.The group discusses:How SpeedBridge has changed arthroscopic rotator cuff repairFootprint restoration and broad tendon-to-bone compressionLoad distribution across the repair constructLong-term clinical outcomes and survivorshipWhy reproducibility may be one of the technique's greatest advantagesFiberTak SpeedBridge: The Next EvolutionThe conversation then turns to the FiberTak SpeedBridge, which incorporates smaller all-suture anchors in the medial row.There are several potential advantages:Smaller drill holes and reduced bone removalPreservation of greater tuberosity bone stockPotential advantages in revision surgeryAdditional fixation points with less disruption of the footprintStrong fixation and straightforward tensioningIncreased flexibility when treating complex tear patternsThe smaller 2.6-mm FiberTak RC anchor may allow surgeons to maximize fixation while minimizing disruption of the tuberosity footprint.Tensionable Knotless Anchors and Delaminated TearsOne of the challenges in rotator cuff surgery is that many tears are not simply a single layer of retracted tendon.In delaminated tears, the articular and bursal layers may retract differently.The team discuss how independently tensionable knotless medial-row anchors allow surgeons to:Evaluate the entire repair before final tensioningIndependently tension individual limbsBetter reduce different layers of the tendonImprove control of tissue reductionAvoid simply forcing multiple layers into one fixed positionThe conversation also explores the role of a medial pulley rip-stop, which can distribute forces across a larger area of tendon and potentially decrease suture cut-through in compromised tissue.Who Should Have an Augmented Repair?Not every rotator cuff repair requires augmentation.The group discusses how surgeons can identify patients at increased risk for failed healing based patient, tear and surgical factors. The Rotator Cuff Healing IndexThe discussion includes the Rotator Cuff Healing Index (RoHI), a scoring system designed to predict the likelihood of healing following rotator cuff repair.The guests discuss how risk stratification can help surgeons determine when the additional cost and complexity of augmentation may be justified.Biceps Smash: Turning the Long Head of the Biceps Into an AutograftOne of the most fascinating concepts discussed is the use of the long head of the biceps tendon as an autologous scaffold for rotator cuff augmentation.Dr. Tokish discusses the development of the Biceps Smash, in which the harvested proximal long head of the biceps tendon is compressed into a flattened graft that can be incorporated into the rotator cuff repair.Potential advantages include:Readily available autologous tissueNo additional donor-site morbidityNo immunologic concerns associated with allograft tissueHighly organized parallel collagen architecturePotential biologic activity from viable tenocytesAbility to potentially serve as a carrier for additional biologic therapiesThe group also discusses emerging clinical data examining healing and patient-reported outcomes following biceps autograft augmentation.Dermal Allograft and Other Scaffold OptionsThe conversation then expands to other augmentation strategies, including:Dermal allograftXenograftSynthetic scaffoldsAutograft tissueThe guests discuss the differences between structural support and biologic integration, as well as the importance of understanding how different scaffold materials interact with the host tissue.Dermal allograft has accumulated substantial clinical evidence supporting its use in selected rotator cuff repairs, particularly larger and higher-risk tears.The discussion also addresses concerns surrounding xenograft and synthetic materials, including inflammatory and foreign-body responses.CuffMend: Simplifying Dermal Allograft AugmentationFor surgeons who elect to augment a repair with dermal allograft, the procedure itself can add complexity and operative time.Dr. Tokish discusses how the CuffMend system is designed to streamline graft handling and delivery.The conversation focuses on how improvements in instrumentation and graft preparation can potentially:Reduce operative timeSimplify graft handlingImprove procedural efficiencyReduce technical variabilityMake augmentation more accessible to surgeonsSpeedFlex and Graft PreparationThe guests also discuss SpeedFlex, which uses pre-sized and pre-sutured ArthroFlex grafts.Available graft configurations include:20 × 25 mm and 25 × 30 mm1-mm and 2-mm thicknessesRather than requiring surgeons to prepare and load the graft intraoperatively, the pre-sutured configuration is designed to streamline preparation and reduce variability.FiberStitch RC SimpleAnother innovation discussed is the FiberStitch RC Simple implant for medial graft fixation.Dr. Tokish explains how the system can facilitate a "sandwich stitch," allowing the graft to be compressed between fixation points on the superior and inferior surfaces.Available straight and reverse-curved options provide additional flexibility for medial graft fixation.Key Takeaways1. The repair construct matters.SpeedBridge has established a strong clinical track record, while FiberTak SpeedBridge builds on that foundation with smaller all-suture medial anchors and additional flexibility.2. Bone preservation may be particularly important in complex and revision cases.Smaller all-suture anchors can minimize bone removal and preserve the greater tuberosity footprint.3. Not every rotator cuff repair needs augmentation.Patient characteristics, tear morphology, tissue quality, and repair mechanics should all factor into the decision.4. The biceps may be more than a pain generator.The long head of the biceps can potentially serve as a readily available autologous scaffold for rotator cuff augmentation.5. Dermal allograft remains an important augmentation option.Clinical evidence supports its use in selected higher-risk repairs, particularly larger or compromised tears.6. Making augmentation easier may increase adoption.Streamlined graft preparation, delivery, and fixation can reduce operative complexity while maintaining the principles of sound repair.7. The ultimate goal is healing—not simply repair.Modern rotator cuff surgery increasingly focuses on creating the biologic and biomechanical environment necessary for durable tendon-to-bone healing.Featured ResearchMillett PJ, et al. Long-term outcomes following arthroscopic rotator cuff repair using the SpeedBridge technique. The study demonstrated approximately 94% survivorship at 10 years, highlighting the durability of the construct.Colbath G, Murray A, Siatkowski S, et al. Autograft long head biceps tendon can be used as a scaffold for biologically augmenting rotator cuff repairs. Arthroscopy. 2022.Kwon J, et al. The Rotator Cuff Healing Index: A New Scoring System to Predict Rotator Cuff Healing After Surgical Repair. American Journal of Sports Medicine. 2019.Tokish JM, et al. Recent clinical work evaluating the use of a compressed long-head-of-biceps autograft for rotator cuff augmentation demonstrated promising healing rates and clinical outcomes at early follow-up.This episode of The Sports Docs Podcast was sponsored by Arthrex.

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

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: