Podcasts about Sports medicine

March 17, 2026: Your daily rundown of health and wellness news, in under 5 minutes. Today's top stories: American College of Sports Medicine updates resistance training guidelines for first time in 17 years, emphasizing consistency over perfect programming Peloton introduces Commercial Series bike and treadmill for gyms, pairing Precor-engineered hardware with instructor-led classes shipping late 2026 Costco partners with Sesame and IVI RMA to offer fertility care with up to 80% savings on medications, addressing one in six Americans facing infertility Today's episode is brought to you by AIIR — a modern communications and experiential agency for health, wellness, fitness, and performance brands. From earned media to events and creator-led campaigns, AIIR helps companies sharpen their story, earn attention, and build trust that compounds. Visit https://aiir.agency to learn more. More from Fitt: Fitt Insider breaks down the convergence of fitness, wellness, and healthcare — and what it means for business, culture, and capital. Subscribe to our newsletter → insider.fitt.co/subscribe Work with our recruiting firm → https://talent.fitt.co/ Follow us on Instagram → https://www.instagram.com/fittinsider/ Follow us on LinkedIn → linkedin.com/company/fittinsider Reach out → insider@fitt.co

  We are closing out our miniseries where we pay tribute to one of my favorite podcasts, Revisionist History, hosted by the well-known author Malcolm Gladwell. Gladwell describes Revisionist History as a podcast about things overlooked and misunderstood. There are many injuries or problems we […]

This week on the 515 Podcast we hit the headlines and celebrate National Athletic Trainers Month with the Assistant Athletics Director of Sports Medicine, Angie Dahl.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In most sports, men compete against men and women compete against women. That is generally considered fair, because men are faster, more powerful and have greater endurance.But there is an ongoing controversy about transgender women - people who were born male and now identify as women. Is it fair for them to compete in the women's sport category or do they have an advantage?A study in the British Journal of Sports Medicine recently added to the debate with an analysis that found the strength and fitness of transgender women is “comparable” with that of women.More or Less looks into the research to explain what it does, and does not, say.Contributors:Professor Alun Williams, Manchester Metropolitan UniversityCredits:Presenter: Charlotte McDonald Reporter: Tom Colls Production co-ordinator: Brenda Brown Sound Mix: Gareth Jones Editor: Richard Vadon

Dr. Sue Yanoff specializes in canine sports medicine. In this episode we discuss the importance of getting an accurate diagnosis for canine sports injuries and how to advocate for your dog if the right diagnosis isn't immediately clear. 

Application pour EV0360 : https://hlperformance.caRéférences :Bellisle, F. (2003). Why should we study human food intake behaviour? *Nutrition, Metabolism and Cardiovascular Diseases*, *13*(4), 189–193. [https://doi.org/10.1016/S0939-4753(03)00063-7](https://doi.org/10.1016/S0939-4753(03)00063-7)Canadian Centre on Substance Use and Addiction. (2023). *Canada's guidance on alcohol and health*. CCSA. https://www.ccsa.ca/canadas-guidance-alcohol-and-healthDing, D., Nguyen, B., Nau, T., Luo, M., Del Pozo Cruz, B., Dempsey, P. C., Munn, Z., Jefferis, B. J., Sherrington, C., Calleja, E. A., Hau Chong, K., Davis, R., Francois, M. E., Tiedemann, A., Biddle, S. J. H., Okely, A., Bauman, A., Ekelund, U., Clare, P., & Owen, K. (2025). Daily steps and health outcomes in adults: A systematic review and dose-response meta-analysis. *The Lancet Public Health*, *10*(8), e668–e681. [https://doi.org/10.1016/S2468-2667(25)00164-1](https://doi.org/10.1016/S2468-2667(25)00164-1)Hall, K. D., & Guo, J. (2017). Obesity energetics: Body weight regulation and the effects of diet composition. *Gastroenterology*, *152*(7), 1718–1727. https://doi.org/10.1053/j.gastro.2017.01.052Hall, K. D., Ayuketah, A., Brychta, R., Cai, H., Cassimatis, T., Chen, K. Y., … & Walter, P. J. (2019). Ultra-processed diets cause excess calorie intake and weight gain: An inpatient randomized controlled trial. *Cell Metabolism*, *30*(1), 67–77. https://doi.org/10.1016/j.cmet.2019.05.008Hall, K. D., Sacks, G., Chandramohan, D., Chow, C. C., Wang, Y. C., Gortmaker, S. L., & Swinburn, B. A. (2012). Quantification of the effect of energy imbalance on bodyweight. *The Lancet*, *378*(9793), 826–837. [https://doi.org/10.1016/S0140-6736(11)60812-X](https://doi.org/10.1016/S0140-6736(11)60812-X)Mattes, R. D. (2014). Beverages and positive energy balance: The menace is the medium. *International Journal of Obesity*, *38*(S1), S1–S6. https://doi.org/10.1038/ijo.2014.21National Institutes of Health. (s. d.). *NIH Body Weight Planner* [Outil en ligne]. U.S. Department of Health and Human Services. https://www.niddk.nih.gov/bwpRyan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. *American Psychologist*, *55*(1), 68–78. https://doi.org/10.1037/0003-066X.55.1.68Ryan, R. M., & Deci, E. L. (2017). *Self-determination theory: Basic psychological needs in motivation, development, and wellness*. Guilford Press.American College of Sports Medicine. (2022). *ACSM's guidelines for exercise testing and prescription* (11e éd.). Lippincott Williams & Wilkins. *(Position Stand original : 2009)*World Health Organization. (2020). *WHO guidelines on physical activity and sedentary behaviour*. WHO Press. https://www.who.int/publications/i/item/9789240015128

Dr. Mike Maddaleni reviews the No. 3 article of 2024, titled “The Effect of Extracorporeal Shock-Wave Therapy on Pain in Patients with Various Tendinopathies: A Systematic Review and Meta-Analysis of Randomized Control Trials,” which was originally published in BMC Sports Science, Medicine and Rehabilitation in April 2024. Dr. Jeremy Schroeder serves as the series host. Dr. Maddaleni is a member of the Top Articles Subcommittee, and this episode is part of an ongoing mini journal club series highlighting each of the Top Articles in Sports Medicine from 2024, as selected for the 2025 AMSSM Annual Meeting. The Effect of Extracorporeal Shock-Wave Therapy on Pain in Patients with Various Tendinopathies: A Systematic Review and Meta-Analysis of Randomized Control Trials: https://link.springer.com/article/10.1186/s13102-024-00884-8

Dr. Pedro Barata and Dr. Kathryn Schmitz discuss evidence-based exercise oncology programs, how to incorporate exercise into cancer care and connect the right patient to the right program, and ultimately build a culture of exercise in oncology. TRANSCRIPT Dr. Pedro Barata: Hello, and welcome to By the Book, a podcast series from ASCO that features compelling perspectives from authors and editors of the ASCO Educational Book. I'm Dr. Pedro Barata. I'm a medical oncologist and a clinical trialist at the University Hospital Seidman Cancer Center and an associate professor of medicine at Case Western Reserve University in Cleveland, Ohio. I'm also happy to serve as a deputy editor for the ASCO Educational Book. Today, we'll be talking about exercise. We have plenty of evidence that exercise benefits symptoms, improves the quality of life of patients, and actually has been shown to reduce risk of recurrence of cancer but also improve survival. And I think that's increasingly clear as data emerges. Today, I'm delighted to be speaking to Dr. Kathryn Schmitz. She's a leading expert on integrating exercise into cancer care. Dr. Schmitz serves as the deputy director of the University of Pittsburgh Hillman Cancer Center and also a professor of hematology-oncology at University of Pittsburgh Medical School. She's the senior author of a fantastic article in the ASCO Educational Book that's titled "Implementation Science as the Secret Sauce for Integrating Exercise Screening and Triage Pathways in Oncology." She also led a really compelling piece that just got published in JCO titled "If Exercise Were a Pill, We'd All Prescribe It to Patients With Cancer. But It's Not" So I'm thrilled to have Dr. Schmitz joining us today and helping us explore evidence-based exercise oncology programs, how to incorporate exercise into cancer care, and also how to connect the right patient to the right program.  So with that, welcome, Dr. Schmitz. Thank you so much for taking the time to chat with us. Dr. Kathryn Schmitz: Thank you for the opportunity. Dr. Pedro Barata: One of the highlights of ASCO last year and practice changing, in my opinion, data out of The New England [Journal of Medicine] is called the CHALLENGE trial. It did provide high level evidence that a structured, supervised exercise program could improve both disease-free survival and overall survival. This is a study in the GI world, but I think it got a lot of attraction and attention beyond the GI world, across solid tumors, really. Could you give us a little brief recap of that trial and what have you seen as being the impact in practices around oncology? Dr. Kathryn Schmitz: So, CHALLENGE was very exciting. Prior to CHALLENGE, there were any number of observational studies that indicated that there was a relationship between being more physically active and reduced recurrence and improved overall survival for colon cancer in particular. You know, notably, in 2006, Jeff Meyerhardt published two papers in the same journal, of the same issue of JCO, showing very, very similar data from two very large studies. And those were studies number five and six in this area. You know, there's a lot of evidence observationally, but we don't generally change clinical practice on the basis of observational data. So, we were all waiting very impatiently for the results of the CHALLENGE trial. And it was very exciting to be in the front row when the results were reported out and to be part of the group with a standing ovation for the authors when it was presented. To summarize, 889 colon cancer patients, stage II and III, were randomized into either a structured exercise program or a health education control comparison group and followed for an average of 7.9 years. And the structured exercise group had a 27% reduced risk of recurrence and a 38% improvement in overall survival. One of the things that's really notable about this is that what we typically expect is that when we go from the observational literature to the clinical trial literature, that we expect effects to go down. We expect to see a larger effect in the observational than in the RCT land, and that did not happen here. We actually see an effect that matches what we've seen in observational literature, which is really, really exciting.  And, you know, one of the reasons why this has been so exciting across not just GI but other cancers is the notable finding of a reduced risk of second primaries. So, they only observed two breast cancer second primaries in the treatment group and 12 in the comparison group. And overall, they reduced the second primaries occurrence, hazard ratio was 0.5, a 50% reduction of second primaries, which is just remarkable. It really got everybody very, very excited. And now the big question, of course, is, all right, how do I do this? How do I make this happen?  The thing to note is that what they did in CHALLENGE is probably not doable in your clinic tomorrow. It's a heavy intervention. The number of touchpoints from staff is extensive, and the amount of time needed from staff for the coaching and supervised exercise is extensive as well. The criteria for getting people into the program required that people go through a series of blood tests and imaging tests that would just simply not be possible for the average community oncologist. So I'm guessing that you're going to ask me some questions about how we do this. Dr. Pedro Barata: Right. That's a fantastic segue. That's exactly right. Walk us through maybe starting by, what does that mean? Dr. Kathryn Schmitz: The first thing to say is I have to go back to the observational literature. And the observational literature shows really compellingly that we have a strong reduction of breast cancer recurrence and mortality from being more physically active, prostate cancer recurrence and mortality, and colon cancer recurrence and mortality. I find it very difficult to believe in this day and age, in our current environment, if you will, that we are ever going to have the equivalent of CHALLENGE for prostate or for breast cancer. There is an ongoing study in prostate that's led by some Australian researchers, but I just don't think that it's likely that we're going to mount something similar for another tumor site. We have tremendous correlative data that indicates that there are a number of biomarkers and biological pathways through which breast, colon, and prostate cancer would be reduced in recurrence if people were more physically active. And so, there is really, from my thinking, very little to state that it would be just a colon cancer effect. And so this is something we probably can enact in more than just the colon cancer community, overall, which is great news, and it makes it easier for us to be able to enact this type of programming. Dr. Pedro Barata: One of the things that comes up perhaps often is, if I were the leader of the cancer center and were to incentivize the different care teams to implement an exercise program at each level: GI team, GU, breast, thoracic, etc. How do we do that? Dr. Kathryn Schmitz: So, I want to give you an analogy. You're a medical oncologist, and you prescribe your patients chemotherapy. Now, just imagine, if you will, what would happen and how likely it would be for your patients to get chemotherapy if there was no chemoinfusion suite. If the chemoinfusion suite disappeared tomorrow and you were to tell your patients, "Go get some chemotherapy," what proportion of those patients do you think would go find all of the equipment necessary and all of the drugs necessary and understand how to dose the chemotherapy for themselves and get that all done? Very few people would do it. So with exercise, why would we be surprised then that our patients don't actually do a whole lot if we just simply tell them to go get some exercise? Exercise is a medicine. It is effective like a medicine. We've shown this through the CHALLENGE trial and many other correlative studies and an ocean of observational data as well. So the question is, how do we build the infrastructure that is necessary in order for your patients to do this? So the very first thing that has to happen is that somebody has to tell the patient to exercise. We currently do not have a culture of exercise in oncology. We do in heart disease. If you ask the average person on the street, "Is exercise good for your heart?" Anybody with an eighth-grade education is going to say, "Yes, of course," because the American Heart Association has done an amazing job telling everybody that exercise is good for your heart. But what has ASCO done, frankly? Can I be that bold? What has ASCO done to tell patients that they should be exercising during and after their cancer treatment? I'm not sure that I know more than a guideline. There is a guideline, and that's great. And the guideline is very helpful, but I'm not sure that patients know that there's a guideline. In fact, I can tell you that patients don't know that there is a guideline. So, you know, making sure that there's a paradigm shift in the country that says exercise is good for patients during and after their cancer treatment is the first step. The second step is getting a medical professional to say something to the patient about the exercise. And I'm very careful with the two words that I just chose: medical professional. I do understand medical oncologists are very busy. I understand that there's a whole lot to say in that 15 minutes when you're with the patient. And so maybe it isn't the medical oncologist. Ideally, it would be, but I get it that there's limited time. So it could be a nurse practitioner, it could be a nurse, there could be a social worker, it could be somebody else on the team that says, "Hey, you know, we want you to do an exercise program. We want to connect you to an exercise program." And then there's what is the program itself? You know, I'm very interested in this happening across the entire country. And so I've been working with the leadership of the Commission on Cancer on the question of, well, how would you do this in community oncology? You know, it's not enough to do it in academic medicine, but how do you do this in community oncology? And you can't expect that every community hospital is going to build a gym for their cancer patients. That is just not reasonable to do. So, we start to try to figure out some phone counseling. Could we give people Fitbits and follow them? Could we use technology to help us? Are there telehealth opportunities for us to do? Are there apps that have been built? In fact, there is a [free] app called Cancer Exercise that's on, you know, all of the platforms and available to patients. So there are programs. I've developed a directory of over 2,000 programs that exist across the country for exercise oncology that patients can find, medical oncologists can find.  So there are a lot of people trying to figure out how best to get the information to medical oncologists and other medical professionals so that they can have an 'easy button' to be able to connect their patients to existing programming so that you don't feel like you have to build a whole new program. Dr. Pedro Barata: If I don't have the resources around me, what would be your advice for the care team or for the providers that might not have that available at their site? Where do they start? Who do they reach out to? Who should they be looking at to get more information on how to set it up? Dr. Kathryn Schmitz: I lead an international consortium called Moving Through Cancer. You can find us at movingthroughcancer.org. That's where you'll find the map of all of the programs across the country and the directory. We actually have a triage tool that sits at the front of the directory that allows people to discern what type of exercise they're safe to do. We do recognize that, you know, the 80-year-old that fell last week doesn't need the same program as the 35-year-old that was playing pickleball the day before diagnosis. So, you know, there are different kinds of programs for people at different levels of acuity. We're happy to be helpful to folks to help them set up programs.  But the number one thing is to really be very aware of the power of saying something about doing exercise, just simply the power of saying, "I want you to be moving." Because frankly, I don't think anybody listening to this would disagree, no one benefits from sitting on the couch all day, no one. No one, no one. It doesn't matter how acute their medical issues are. We get people out of bed. We try to move people even when they're in the hospital. So I think saying something is huge. And then, if you can, applying a triage tool, if you can get something embedded within your clinical flow so that you can understand who it is that needs to go to physical therapy as opposed to who's ready for an exercise program. Those are the two things. So triage and referral is kind of step one. And if you can get that done, the rest will fall into place. Dr. Pedro Barata: This is really powerful message, where one, awareness of the care teams. Number two, bring it up to the patient. And then working on the referral, triage and referral process. That's fantastic. Another aspect that comes up quite a bit is like, "Look, this is great, but we have a system that relies on payers to make things happen, or at least to get them approved." And that can be very different or heterogeneous. The coverage can be different. Sometimes already going through a system programs for interventions, therapeutic interventions, let alone probably the insurance is not going to cover that. Is that true? Is it not true? How do you walk through the different insurance supports, perhaps, depending on where you're practicing? Dr. Kathryn Schmitz: You've just hit on the hot button. I've been working on this issue for about nine years now, trying to figure out using efforts to talk to CMS and see if we can get third party payer coverage going. We were making good progress there, and there was a change of administration and a new focus on "Make America Healthy Again," the MAHA movement. And, you know, CMS is really no longer interested in one-off national coverage determination. They instead, they want to know, "How do we make exercise happen for every American over 65?" And my question is, "Well, wait a minute, cancer patients are not just older patients. There's a lot going on there. They need something special." So I've been working on that. It's been working with accrediting bodies for policy with a little p. Very proud of the work that I've done in collaboration with the National Accreditation Program for Breast Centers, trying to get standards to get exercise referrals for breast patients. And I'm currently holding my breath to see whether the CoC is going to try to make some forward motion in this area as well, crossing all period appendages, waiting for news there. So it's not paid for unless it's done by a physical therapist. And, you know, there's published evidence and I have plenty of evidence from UPMC as well, that people don't really want to go to the physical therapist for this. I'm not saying physical therapists aren't great. Physical therapists are great, and there are people who really need to go to physical therapy, and we try hard to get those patients connected. But for the patients that are ready for something more than physical therapy, we really have an uphill battle to try to figure out what insurers are willing to pay for and what the return on investment is.  One of the challenges with the return on investment is that the timeline, time course for return on investment for American insurers is about one year. And I'll remind you that the time course for return on investment for CHALLENGE was 7.9 years. So we have a mismatch there. So we're trying to figure out if we can produce the evidence to show that there is an improvement in unplanned health care utilization. We have documented that for breast cancer. We're working on it for other cancers. If we can document that it is worthwhile to the insurer to pay for these programs, then I believe that they will pay for them. You know, my conversations are very positive with UPMC, which is a very large insurer and a large health plan. We're slowly working our way towards the middle, where there's a program that they can pay for and a program that is efficacious. That's the puzzle we're trying to solve for right now. Dr. Pedro Barata: This has been wonderful and super helpful. Before we wrap it up, is there anything else you would like to share with our listeners? Dr. Kathryn Schmitz: I want to make sure that your audience is aware that there are a variety of ways that exercise oncology is practiced. The program that most oncologists will be familiar with is LIVESTRONG, which is a program at the YMCA. It's a free program. At one point, there were over 800 locations across the U.S. They have contracted since COVID, probably because of COVID. So they still do exist but imagine, if you will, telling your patients that chemo is only available Tuesdays and Thursdays at 7:00 p.m. It would be difficult for patients to get there and get the chemotherapy. The same thing is true for the LIVESTRONG program. It's a fantastic, fantastic program for people who are able to get there, but that's one option. Another option for patients is there are a variety of online opportunities. I'll call out 2Unstoppable for women's cancers. It's literally the number 2Unstoppable.org. It's a free program available to women with cancer to have live, small group training programs. And they're based in Virginia, but they have programs all over the country. And then finally, I just want to overemphasize the app, the Cancer Exercise app. It's literally called Cancer Exercise in the app store. And that is a super duper easy button, very comprehensive, developed by a nurse scientist, Anna Schwartz. And then there are a variety of books. I wrote a book called Moving Through Cancer. There's a new book out [MyExerciseMedicine for Cancer] by Dr. Rob Newton as well, who's an Australian author. And there are certifications for exercise professionals that folks can look into as well through the American College of Sports Medicine. Dr. Pedro Barata: Dr. Schmitz, this is fantastic. Thank you for sharing those great insights with us. Super, super helpful. Thank you for taking the time. Dr. Kathryn Schmitz: Thank you so much. Dr. Pedro Barata: Thank you to our listeners for your time today. Remember, you'll find links to Dr. Schmitz's fantastic Educational Book as well as the JCO articles in the transcript of this episode. I'll invite all of you to go and read. And we'll also include a link to Dr. Schmitz's book titled Moving Through Cancer: An Exercise and Strength Program for the Fight of Your Life, which empowers patients and caregivers in simple five steps.  So with that, please join us again next month on By the Book for more insights on key advances and innovations that are shaping modern oncology. Thank you very much for your attention. Disclaimer: The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement. Follow today's speakers:           Dr. Pedro Barata    @PBarataMD     Dr. Kathryn Schmitz @fitaftercancer Follow ASCO on social media:           @ASCO on X (formerly Twitter)           ASCO on Bluesky          ASCO on Facebook           ASCO on LinkedIn           Disclosures:        Dr. Pedro Barata:    Stock and Other Ownership Interests: Luminate Medical    Honoraria: UroToday    Consulting or Advisory Role: Bayer, BMS, Pfizer, EMD Serono, Eisai, Caris Life Sciences, AstraZeneca, Exelixis, AVEO, Merck, Ipson, Astellas Medivation, Novartis, Dendreon    Speakers' Bureau: AstraZeneca, Merck, Caris Life Sciences, Bayer, Pfizer/Astellas    Research Funding (Inst.): Exelixis, Blue Earth, AVEO, Pfizer, Merck     Dr. Kathryn Schmitz: Patents, Royalties, Other Intellectual Property: Fees from the educational program developed by Dr. Schmitz that is now offered through Klose Training and Consulting.

Welcome to the latest episode of L.I.F.T.S, your bite-sized dose of the Latest Industry Fitness Trends and Stories. Recorded live at Connected Health & Fitness Summit 2026, Matthew Januszek and Mohammed Iqbal sit down with three industry leaders to unpack the convergence of fitness, technology, wellness, and human intelligence. Guests include: David Van Daff (NASM): A 30-year fitness industry veteran representing the National Academy of Sports Medicine, discussing certification evolution, AI in training, and the expanding expectations placed on personal trainers. Jeff Yasuda (Feed Media Group): Co-founder of Feed FM, sharing insights on music, AI vs HI, ecosystem trends, and how human curation still powers engagement. Julian Barnes (BFS): Co-founder of BFS and co-chair of Connected Health & Fitness 2026, offering data-driven insights on studio growth, mindset, and the role of people in an increasingly automated world. Key Topics include: How personal training evolved pre and post pandemic. Why AI will not replace trainers, but trainers using AI may dominate. The rise of ecosystem thinking in connected fitness. AI vs HI: why human intelligence still matters. The mindset separating scalable studio operators from everyone else. Why tech must serve frontline staff, not overwhelm them. The demographic challenge facing gyms and studios. How coaches and trainers remain the most powerful influencers in fitness.

  We are continuing our miniseries where we pay tribute to one of my favorite podcasts, Revisionist History, hosted by the well-known author Malcolm Gladwell. Gladwell describes Revisionist History as a podcast about things overlooked and misunderstood. There are many injuries or problems we see […]

  We are continuing our miniseries where we pay tribute to one of my favorite podcasts, Revisionist History, hosted by the well-known author Malcolm Gladwell. Gladwell describes Revisionist History as a podcast about things overlooked and misunderstood. There are many injuries or problems we see in the office or on the sidelines that patients, parents, coaches, and even health care professionals give a generic label or diagnosis. In some situations, it may be correct, but often things get lumped into a simple category which may lead to things not being treated or managed most effectively. This is episode 10 of this series I am affectionately calling “Revisionist Sports Medicine”, a series about things in Pediatric Sports Medicine overlooked or misunderstood.   Connect with The Host! Subscribe to This Podcast Now!     The ultimate success for every podcaster – is FEEDBACK! Be sure to take just a few minutes to tell the hosts of this podcast what YOU think over at Apple Podcasts! It takes only a few minutes but helps the hosts of this program pave the way to future greatness! Not an Apple Podcasts user? No problem! Be sure to check out any of the other many growing podcast directories online to find this and many other podcasts via The Podcaster Matrix!     Housekeeping -- Get the whole story about Dr. Mark and his launch into this program, by listing to his "101" episode that'll get you educated, caught up and in tune with the Doctor that's in the podcast house! Listen Now! -- Interested in being a Guest on The Pediatric Sports Medicine Podcast? Connect with Mark today!     Links from this Episode: -- Dr. Mark Halstead: On the Web -- On X -- Dr. Rachel Coel https://www.hawaiipacifichealth.org/kapiolani/find-a-physician/search-results/Rachel-Coel/2077 Ortho Info Sever's https://orthoinfo.aaos.org/en/diseases--conditions/severs-disease/ StatPearls Sever's https://www.ncbi.nlm.nih.gov/books/NBK441928/       Calls to the Audience Inside this Episode: -- Be sure to interact with the host, send detailed feedback via our customized form and connect via ALL of our social media platforms! Do that over here now! -- Interested in being a guest inside The Pediatric Sports Medicine Podcast with Dr. Mark? Tell us now! -- Ready to share your business, organization or efforts message with Dr. Mark's focused audience? Let's have a chat! -- Do you have feedback you'd like to share with Dr. Mark from this episode? Share YOUR perspective!   Be an Advertiser/Sponsor for This Program!   Tell Us What You Think! Feedback is the cornerstone and engine of all great podcast. Be sure to chime in with your thoughts, perspective sand more.  Share your insight and experiences with Dr. Mark by clicking here!   The Host of this Program: Mark Halstead:  Dr. Mark Halstead received his medical degree from the University of Wisconsin Medical School. He stayed at the University of Wisconsin for his pediatric residency, followed by a year as the chief resident. Following residency, he completed a pediatric and adult sports medicine fellowship at Vanderbilt University. He has been an elected member to the American Academy of Pediatrics (AAP) Council on Sports Medicine and Fitness and the Board of Directors of the American Medical Society for Sports Medicine (AMSSM). He has served as a team physician or medical consultant to numerous high schools, Vanderbilt University, Belmont University, Washington University, St. Louis Cardinals, St. Louis Blues, St. Louis Athletica, and St. Louis Rams. He serves and has served on many local, regional and national committees as an advisor for sports medicine and concussions. Dr. Halstead is a national recognized expert in sport-related concussions and pediatric sports medicine. — Dr. Mark Halstead on Facebook — Dr. Mark Halstead on LinkedIn — Dr. Mark Halstead on X — Learn Why The Pediatric Sports Medicine Podcast Exists...     Rachel Coel:  Dr. Rachel Coel is a sports medicine physician triple board-certified in general pediatrics, sports medicine, and obesity medicine. Dr. Coel has been selected as a “Top Doctor” for HONOLULU Magazine every year since 2015. She specializes in concussion, fracture care, telemedicine, and the prevention and treatment of all sports injuries.  Dr. Coel serves as a team physician for many of Hawai‘i's collegiate and high school athletes, including University of Hawai'i, Hawaii Pacific University, Kamehameha Schools, Punahou School, and Roosevelt High School. Dr. Coel enjoys teaching and is an Associate Professor of Pediatrics at the University of Hawai'i John A. Burns School of Medicine. Dr. Coel graduated with High Honors from the University of California at Berkeley and received her MD/PhD from the University of Illinois at Urbana-Champaign. She completed a general pediatrics residency at Children's Hospital Los Angeles and a sports medicine fellowship at the University of Colorado. In her free time, Dr. Coelenjoys surfing, outdoor sports, eating dessert, and spending time with her husband, children, and mischievous goldendoodle. Connect with Dr. Rachel Coe: https://www.hawaiipacifichealth.org/kapiolani/find-a-physician/search-results/Rachel-Coel/2077    

Du siehst sie in jedem Gym: schwarze EMS-Anzüge, 20 Minuten Training, große Versprechen. Aber was macht dieser Strom im Körper wirklich?In dieser Folge des Elektrotechnik Podcast klären wir, wie EMS in der Medizin Muskeln bei Herzinsuffizienz, Sarkopenie und Reha rettet und warum derselbe Strom im Studio auch Rhabdomyolyse und Nierenschäden auslösen kann, wenn Trainer keine Ahnung haben. Giancarlo the Teacher redet über Pulsbreite, Milliampere, DIN-Normen, Risiken und Nutzen verständlich für Azubis, Meister und Ingenieure.Wenn Du wissen willst, ob EMS ein sinnvolles Tool oder nur teurer Strom für Faule ist, dann ist diese Folge Pflichtprogramm.Quellen:Q1: Le YH et al. Outcomes Addressed by Whole Body Electromyostimulation and Related Techniques in Middle Aged and Older Adults. Evidence Map, 2024. https://opus.hs-furtwangen.de/frontdoor/deliver/index/docId/10731/file/outcomes.pdfQ2: Whole Body Electromyostimulation and Musculoskeletal Diseases. German Journal of Sports Medicine, 2024. https://www.germanjournalsportsmedicine.com/fileadmin/content/archiv2024/Issue_2/DtschZSportmed_10.5960dzsm.2024.590_Review_Kemmler_Whole-Body_Electromyostimulation_and_Musculoskeletal_Diseases_2024-2.1.pdfQ3: Schaltnetzteil Funktionsweisehttps://www.neumueller.com/de/knowledge/stromversorgung/schaltnetzteilfunktionsweiseQ4: E-Stim: Neuromuskuläre Elektrostimulation zur Therapie der Sarkopenie bei Patienten auf der Intensiv- oder Überwachungsstationhttps://drks.de/search/de/trial/DRKS00025106Q5: Viderman D et al. The Impact of Transcutaneous Electrical Nerve Stimulation on Acute Postoperative Pain. Systematic Review und Meta Analyse, Journal of Clinical Medicine, 2024.https://www.mdpi.com/2077-0383/13/2/427Q6: Wang JJ et al. Frequencies of Transcutaneous Electrical Nerve Stimulation for Chronic Low Back Pain. Network Meta Analysis, 2026. plus Frontiers in Pain Research 2024 zu Elektrotherapien bei CLBP.https://www.sciencedirect.com/science/article/abs/pii/S1877065725001216Q7: Wirksamkeit der Ganzkörper Elektromyostimulation auf Muskelkraft, Anthropometrie und Leistung. Deutsche Zeitschrift für Sportmedizin, Übersichtsartikel.https://www.zeitschrift-sportmedizin.de/wirksamkeit-ganzkoerper-elektromyostimulation-muskelkraft-anthropometrie-leistung-wb-ems-trainingQ8: DIN EN 60601 2 10 / VDE 0750 2 10. Medizinische elektrische Geräte, Besondere Festlegungen für die Sicherheit von Geräten zur Stimulation von Nerven und Muskeln. plus Zusammenfassung der Anforderungen durch Prüflabore.https://www.dinmedia.de/de/norm/din-en-60601-2-10/393710944Q9: Flexistim – Gebrauchsanweisung TensCare – 5.3 Impulsbreitehttps://www.cardiovibe.de/media/pdf/5f/f4/52/TensCare-Flexistim-Bedienungsanleitung.pdfQ10: Federolf PA. Elektromyostimulation und Maximalkraft der unteren Extremität. Universität Innsbruck, 2024.https://diglib.uibk.ac.at/download/pdf/11334160.pdfQ11: Federolf PA. Elektromyostimulation und Maximalkraft der unteren Extremität. Universität Innsbruck, 2024.https://diglib.uibk.ac.at/download/pdf/11334160.pdfQ12: Krafttraining: Definition und Grundlagenhttps://www.medi-karriere.de/magazin/krafttrainingQ13: „Was sagen Ärzte zu EMS Training“ Überblick zu Nutzen und Risiken inklusive Rhabdomyolyse Hinweis, vegardians, 2025.https://vegardians.de/blogs/fragen-antworten/was-sagen-arzte-zu-ems-training-uberzeugend-ehrlich-profi-checkQ14: Optirise 2025 Wissenschaftliche Forschung über EMS Training und Nebenwirkungen.https://www.optirise.nl/de/ems-training/wissenschaft-nebenwirkungenQ15: Fallberichte und Reviews zu EMS induzierter Rhabdomyolyse, inklusive Nordberg 2023 und aktuellem Case Report 2025, plus Übersichtsartikel zu Rhabdomyolyse und mögliche Nierenbeteiligung.https://pubmed.ncbi.nlm.nih.gov/37873991/Q16: Neue internationale EMS-Guidelineshttps://fitnesstribune.com/neue-internationale-ems-guidelines/Q17: Arnold Schwarzenegger. „There are no shortcuts everything is reps, reps, reps.“ Zitat aus „Total Recall: My Unbelievably True Life Story“ und diversen Sekundärquellen.https://www.azquotes.com/quote/498067https://www.paypal.com/donate/?hosted_button_id=9UW85PQWLBWZSSupport this podcast at — https://redcircle.com/elektrotechnik-podcast/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 3316: Dr. Neal Malik breaks down the debate between full and partial repetitions in resistance training, explaining when each approach makes sense and what the research actually says. Drawing from his background in public health and exercise physiology, he offers practical, safety-first guidance to help you build strength, prevent injury, and get more out of every workout. If you've ever wondered whether you're doing your reps “correctly,” this clarity will change how you train. Quotes to ponder: "Partial reps can be a nice way to ensure safety and prevent injury or further damage" "Performing repetitions through their full range of motion when it's safe to do so can potentially prevent injury and promote flexibility" "Some exercise physiologists believe that performing partial repetitions is ideal because it forces you to engage your muscles through the entire repetition" Episode references: American College of Sports Medicine: https://www.acsm.org/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 3316: Dr. Neal Malik breaks down the debate between full and partial repetitions in resistance training, explaining when each approach makes sense and what the research actually says. Drawing from his background in public health and exercise physiology, he offers practical, safety-first guidance to help you build strength, prevent injury, and get more out of every workout. If you've ever wondered whether you're doing your reps “correctly,” this clarity will change how you train. Quotes to ponder: "Partial reps can be a nice way to ensure safety and prevent injury or further damage" "Performing repetitions through their full range of motion when it's safe to do so can potentially prevent injury and promote flexibility" "Some exercise physiologists believe that performing partial repetitions is ideal because it forces you to engage your muscles through the entire repetition" Episode references: American College of Sports Medicine: https://www.acsm.org/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Michael Fredericson works at Stanford University as a Professor of Physical Medicine & Rehabilitation. He is widely recognized for his research and clinical work in running injuries, biomechanics, and endurance athlete care, helping runners and athletes worldwide improve performance while staying injury-free.In the conversation today, he discusses running injuries with Vikas. The conversation explores shin splints, knee pain, achilles tendon and flat foot - how to recognize early warning signs, manage training loads, and prioritize recovery. He also breaks down the role of biomechanics, footwear, foot structure, and running form in preventing injuries and improving running efficiency.The podcast reveals the emerging new treatment of shockwave therapy, the benefits of cross-training, and why many beginner runners push too hard too soon. The episode emphasizes that patience, progressive training, and proper recovery are essential pillars of sustainable running performance.About Vikas Singh:Vikas Singh, an MBA from Chicago Booth, worked at Goldman Sachs, Morgan Stanley, APGlobale, and Reliance before coming up with the idea of democratizing fitness knowledge and helping beginners get on a fitness journey. Vikas is an avid long-distance runner, building fitpage to help people learn, train, and move better.For more information on Vikas, or to leave any feedback and requests, you can reach out to him via the channels below:Instagram: @vikas_singhhLinkedIn: Vikas SinghTwitter: @vikashsingh101Subscribe To Our Newsletter For Weekly Nuggets of Knowledge!

Brad "Dr. Brad" Bellard is a faith-based purpose & performance strategist for men. He helps high-achieving professional men pivot from an unfulfilling career to pursue their calling, so they can live a life of significance and impact. Through his coaching program, best-selling book, and online show, he equips men with the clarity and confidence needed to go from stuck in their current work, to fulfilling their God-given purpose and greatest impact on the world. Dr. Brad is also a double-boarded Sports Medicine physician. He has worked with multiple professional teams including serving as an assistant team doctor for the NBA Dallas Mavericks. He's married to his beautiful high-school sweetheart, Cristina, and together they have 3 children. To find out more about Dr. Brad and the work he does with men, check out his website at http://www.DrBradMd.com  ----------------------     Talk with Dr. Joe 1-on-1: Are you tired and stuck? Want to go to get your faith, marriage, family, career and finances back on track?  Then maybe it's time you got a coach. Every CHAMPION has one. Schedule an appointment to chat with Dr. Joe. He takes on only a few Breakthrough Calls each week.  The call is FREE, but slots are limited to ONE call only.  NO RESCHEDULES.  Just click on the link below and select the BREAKTHROUGH CALL option to set up an appointment: http://TalkwithDrJoe.com  If no slots are available, please check back in a week.   Also join us on: Online Podcast Community (on Station):  https://station.page/realmen Facebook: @realdrjoemartin YouTube: http://www.RealMenTraining.com Instagram: @realdrjoemartin Twitter: @professormartin Website: https://RealMenConnect.com

In this episode, Dan is joined by Peter "Pistol" Friesen to discuss his experience as a clinician in addition to key takeaways for modern athlete care, including breathing and breathwork, dry needling, neural regulation and more.Peter “Pistol” Friesen is a veteran sports medicine clinician with over 46 years of experience across professional and collegiate athletics. He has worked in pro hockey, the CFL with the Winnipeg Blue Bombers, NCAA basketball at NC State, and with elite volleyball programs. A respected educator, Peter teaches dry needling throughout the U.S. and Canada and lectures in physical therapy, sports, and orthopedics, blending performance, autonomics, and clinical mastery.Be sure to connect with Peter on LinkedIn or Instagram @peter.friesen.14Season 7 of the Braun Performance & Rehab Podcast is proudly supported by Pura Health, bringing ultrasound into every clinician's hands. Learn more at purahealth.net and @pura.health_ultrasound.Additional support provided by Firefly Recovery, the official recovery partner of Braun Performance & Rehab (recoveryfirefly.com), and Dr. Ray Gorman of Engage Movement. Learn how to grow your income beyond sessions—follow @raygormandpt on Instagram and DM “Dan” for a free breakdown of the blended practice model.Episode Affiliates: MoboBoard (BRAWNBODY10), AliRx (DBraunRx), MedBridge (BRAWN), CTM Band (BRAWN10), Ice Shaker (affiliate link).If you enjoyed this episode, share it with someone who would benefit and leave a 5-star review.Explore more from Dan at linktr.ee/braun_pr.

ACL tears in teenage girls continue to rise. Listen to our latest podcast as we break down the latest NY Times article entitled, "Why Are So Many Teen Girls Still Tearing Their A.C.L.s?" Why is this happening, what are the risk factors, and can we prevent this crisis?

Dr. Mike Maddaleni reviews the No. 4 article of 2024, titled “Analysis of the Effect of Different Physical Exercise Protocols on Depression in Adults: Systematic Review and Meta-analysis of Randomized Controlled Trials,” which was originally published in Sports Health in March 2024. Dr. Jeremy Schroeder serves as the series host. Dr. Maddaleni is a member of the Top Articles Subcommittee, and this episode is part of an ongoing mini journal club series highlighting each of the Top Articles in Sports Medicine from 2024, as selected for the 2025 AMSSM Annual Meeting. Analysis of the Effect of Different Physical Exercise Protocols on Depression in Adults: Systematic Review and Meta-analysis of Randomized Controlled Trials: https://journals.sagepub.com/doi/10.1177/19417381231210286

Samstagnachmittag, Supermarkt. Überall prangt das Wort „Protein“. Auf dem Joghurt, dem Milchreis, sogar auf den Nudeln. Und dann dieser Gedanke: Wenn Protein wirklich den Stoffwechsel ankurbelt – ist das der ultimative Geheimtrick zum Abnehmen?Eine aktuelle Meta-Analyse hat 52 Studien mit über 1.200 Teilnehmern ausgewertet, um genau das herauszufinden. Die Ergebnisse sind überraschend – und für Deine Ernährungsstrategie Gold wert.In dieser Folge erfährst Du:Warum der thermische Effekt von Protein in der Praxis massiv überschätzt wird – und welche Zahlen wirklich dahintersteckenWas eine proteinreiche Ernährung langfristig in Deinem Körper verändert (und warum es nicht der Kalorienverbrauch ist)Warum mein Klient Thomas mit 200 Gramm Protein am Tag trotzdem zunahm – und was Du daraus lernen kannstDie Protein-Anker-Methode und 5 weitere Quick Wins für Deinen AlltagWann mehr Protein wirklich nötig ist – und wann es nichts bringtWenn Du eine einzige Sache aus dieser Folge mitnimmst, dann diese: Protein ist beim Abnehmen Dein bester Freund – aber aus einem gänzlich anderen Grund, als Du bisher dachtest. Und Du erfährst, welcher das ist.____________*WERBUNG: Infos zum Werbepartner dieser Folge und allen weiteren Werbepartnern findest Du hier.____________Erwähnte Ressourcen und mehr zum Thema:Folge 490: Darmprobleme: Liegt's am Eiweiß? — mit Dr. med. Elke MantwillFolge 543: Die Protein-Lüge: Warum offizielle Empfehlungen Dich schwach haltenKalorienrechner auf marathonfitness.deMarks Proteinpulver-EmpfehlungenLiteratur:Guarneiri LL, et al. (2024). Effects of Varying Protein Amounts and Types on Diet-Induced Thermogenesis: A Systematic Review and Meta-Analysis. Advances in Nutrition, 15(12), 100332.Morton 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, 52(6), 376–384.Helms 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, 24(2), 127–138.Wycherley TP, et al. (2012). Effects of energy-restricted high-protein, low-fat compared with standard-protein, low-fat diets: a meta-analysis of randomized controlled trials. American Journal of Clinical Nutrition, 96(6), 1281–1298.Moon J, Koh G. (2020). Clinical Evidence and Mechanisms of High-Protein Diet-Induced Weight Loss. Journal of Obesity & Metabolic Syndrome, 29(3), 166–173.Pesta DH, Samuel VT. (2014). A high-protein diet for reducing body fat: mechanisms and possible caveats. Nutrition & Metabolism, 11(1), 53.Quatela A, et al. (2016). The Energy Content and Composition of Meals Consumed after an Overnight Fast and Their Effects on Diet Induced Thermogenesis: A Systematic Review, Meta-Analyses and Meta-Regressions. Nutrients, 8(11), 670.Westerterp KR. (2004). Diet induced thermogenesis. Nutrition & Metabolism, 1(1), 5.Layman DK, et al. (2009). A moderate-protein diet produces sustained weight loss and long-term changes in body composition and blood lipids in obese adults. Journal of Nutrition, 139(3), 514–521.____________Shownotes und Übersicht aller Folgen.Trag Dich in Marks Dranbleiber Newsletter ein.Entdecke Marks Bücher.Folge Mark auf Instagram, Facebook, Strava, LinkedIn. Hosted on Acast. See acast.com/privacy for more information.

Hello and Welcome! In today's episode, I had the pleasure of chatting with Dr Sula Windgassen, health psychologist, psychotherapist and author of one of my favourite new books, 'It's All In Your Body', which explores the conversation between mind, body and environment and how that can influence and sustain pain and poor healthIn today's conversation, we discussed lots of different threads, including the intersection of psychology and physiology in health care, particularly for pelvic pain and bladder/bowel conditions. We explored the Power Threat Meaning Framework, stress management, and goal-setting approaches, emphasising the importance of process goals rather than solely focusing on pain elimination. Sula shared her personal health journey and explained how health psychology differs from clinical psychology, and we both highlighted the need for integrated care between psychologists and physiotherapists. We discussed the complexities of stress, particularly how it relates to endometriosis and the challenges faced by those with persistent pelvic pain, and explored how stress can be a stressor, an automatic response, and an action, emphasising the need to differentiate between these concepts to avoid self-blame and stigma. Sula explained that stressors can be external or internal, and automatic stress responses can be psychological or physiological, highlighting the importance of understanding these distinctions to better support individuals experiencing stress-related issues.Sula's book explores the intersection of biology and psychology in pain management, particularly relevant to women's health issues, such as bladder dysfunction, IBS and persistent pelvic pain. For anyone who has ever worried that their pain neuroscience education has floundered, and the people that we are working with are left with the feeling 'they think this is all in my head' - this book will give you the tools to counteract that fear!We also discussed the upcoming release of Grainne Donnelly's new book, Sports Medicine & the Pelvic Floor, to which we've both contributed - a great time for book loving pelvic health nerds, for sure!If you'd like to learn more about Female Pelvic Pain Rehab, my online course is available, alongside all of my other online courses, at CelebrateMuliebrity.comUntil next time, Onwards & Upwards, Mx #celebratemuliebrity

What would I actually do if I had to start over? No brand. No supplements to sell. No trends to chase. No social media theatrics. Just me, in 2026, building my health from the ground up. In this stripped-down solo episode, Darin lays out the foundational pillars he would implement immediately if he were starting fresh today. This is not about extremes. It's not about perfection. It's not about viral biohacks. It's about alignment. Infrastructure. Sovereignty. From water filtration and mineral balance to plant-dominant nutrition, strength training, sleep timing, nervous system regulation, purpose, and community, this is the grounded, research-backed roadmap to a Super Life. In This Episode Why reverse osmosis water filtration is step one The importance of remineralizing filtered water Eliminating PFAS, agrochemicals, and heavy metals from daily exposure Why non-toxic cookware is a non-negotiable A plant-dominant, whole-food strategy backed by longevity research Protein distribution and muscle protein synthesis science The truth about B12, the microbiome and supplementation Why algae-based omega-3s may be smarter than fish oil Resistance training as a longevity lever Why sleep timing consistency may matter more than duration Breathwork, meditation and nervous system training Community as biological medicine Limiting social media for mental health Purpose as a predictor of mortality risk Why you need a functional medical practitioner in your corner Nurturing creativity in a productivity-obsessed culture Chapters 00:00:00 – Welcome to SuperLife 00:00:33 – NAD supplement fraud & the importance of verification 00:02:23 – The question: If I started over in 2026, what would I do? 00:04:08 – No trends, no hype, just grounded science 00:05:15 – Step 1: Clean up your water 00:06:28 – PFAS, heavy metals & agrochemical contamination 00:07:59 – Reverse osmosis as the gold standard 00:08:35 – Re-mineralizing filtered water 00:09:40 – Mineral strategy & electrolyte balance 00:10:35 – Eliminating toxic cookware exposure 00:12:52 – Plant-dominant nutrition as foundational strategy 00:14:45 – Protein distribution & muscle protein synthesis 00:17:22 – Longevity Blue Zones & daily legumes 00:18:06 – B12 nuance & microbiome research 00:20:15 – Omega-3s: chia, flax & algae-based oils 00:22:39 – Strength training as the longevity switch 00:23:05 – Resistance training & reduced all-cause mortality 00:24:24 – Sleep timing consistency & mortality research 00:25:40 – Darkness, eye masks & sleep quality 00:26:20 – Nervous system regulation: meditation & somatic work 00:27:05 – Breathwork protocols & inflammation research 00:28:27 – Community as biological medicine 00:29:05 – Limiting social media & reducing depression risk 00:29:24 – Purpose & lower mortality association 00:30:12 – Functional medicine practitioners vs primary care 00:32:21 – Nurturing yourself in a productivity culture 00:34:22 – Closing: Build alignment, not perfection Thank You to Our Sponsors Our Place – Non-toxic cookware that keeps harmful chemicals out of your food. Get 10% off at fromourplace.com with code DARIN. Tru Niagen – Boost NAD+ levels for cellular health and longevity. Get 20% off with code Darin20 at truniagen.com. Key Takeaway If I were starting today, I wouldn't chase perfection. I would build alignment. Clean water. Plant-dominant nutrition. Strength. Sleep consistency. Nervous system regulation. Community. Purpose. And nurturing creativity. No hacks. No drama. Just infrastructure. That's how you build a Super Life. Bibliography/Sources British Journal of Sports Medicine. (2022). Muscle-strengthening activities and risk of cardiovascular disease, cancer, diabetes, and all-cause mortality: a systematic review and meta-analysis of prospective cohort studies. https://bjsm.bmj.com/content/56/13/757 Sleep. (2023). Sleep regularity is a stronger predictor of mortality risk than sleep duration: A prospective cohort study. https://academic.oup.com/sleep/article/47/2/zsad253/7280431 NIH Office of Dietary Supplements. (2024). Vitamin B12 Fact Sheet for Consumers. Provides guidance on necessary B12 sources for those on plant-based diets. https://ods.od.nih.gov/factsheets/VitaminB12-Consumer/ Nutrients. (2019). Dietary Protein and Amino Acids in Vegetarian Diets—A Review. Authored by Mariotti and Gardner, examining protein adequacy in plant-based eating. https://www.mdpi.com/2072-6643/11/11/2661 Circulation. (2021). Effect of omega-3 fatty acids on cardiovascular outcomes: A systematic review and meta-analysis. https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.121.055656 Journal of Social and Clinical Psychology. (2018). No More FOMO: Limiting Social Media Decreases Loneliness and Depression. A randomized controlled trial on limiting social media use. https://guilfordjournals.com/doi/10.1521/jscp.2018.37.10.751 NHMRC. (2015). NHMRC Statement on Homeopathy. A comprehensive review of the evidence for the effectiveness of homeopathy. https://www.nhmrc.gov.au/about-us/publications/homeopathy

Welcome back to “Random Fit,” where fitness is anything but ordinary! In this highly anticipated episode of our award-winning series, Wendy Batts and Ken Miller dive into the world of fairy tales—this time using Little Red Riding Hood to tackle one of fitness's most overlooked dangers: OVERTRAINING and BURNOUT. Are you unknowingly inviting the big bad wolf into your fitness routine? ✨ What You'll Learn in This Episode: ·      How to spot the warning signs of overtraining: From performance decline and persistent fatigue to elevated resting heart rate and disrupted hormones—learn to recognize the “sharp teeth” of burnout. ·      The science of recovery: Why rest and recovery are CRUCIAL for results (and how ignoring them can actually set you back!) ·      Smart use of technology: Using wearables to monitor your progress, recovery, and catch early warning signs. ·      Nutrition & muscle repair: The importance of protein balance, glycogen stores, and why more isn't always better. ·      Mind-body connection: How emotional stress is just as impactful as physical stress—and why taking a break is sometimes the BEST thing for your gains. ·      Expert tips for active recovery: Practical ideas to stay on track, including foam rolling, stretching, stabilization, and finding balance in your routine. ·      The psychological trap of “always more”: Insights for athletes and weekend warriors alike on when to push and when to rest.

In this episode with Dr Bradley Neal, we explore an interesting case study on a real patient of his - a runner who was experiencing patellofemoral pain. We cover:The role of gait analysis and key aspects to look out forTreatment of patellofemoral pain using gait retrainingForefoot striking vs rearfoot strikingStep rate vs stride length retrainingThis episode is closely tied to Brad's case study he did with us. With case studies, you can see how top clinicians manage real-world cases and apply their strategies to get better results with your patients.

O exercício reduz os sintomas da depressão e da ansiedade e tem uma eficácia comparável aos medicamentos e à terapia. É isso que revela um estudo que coletou dados de aproximadamente 80.000 pessoas, publicado no British Journal of Sports Medicine, uma das revistas científicas mais conceituadas do mundo. A pesquisa confirma o que os médicos acabam constatando na prática clínica: a atividade física é uma ferramenta importantíssima para manter a saúde mental em dia. Neste episódio, falamos sobre os efeitos do exercício no cérebro. Quais são os exercícios mais indicados e como colocar em prática uma rotina de atividade física. Nossos convidados são o psiquiatra Jair Mari e o médico do esporte Diogo Figueiredo.

Dr. Jonathan Napolitano and Timothy McCullough visit the studio to explore adaptive sports medicine. The Winter Olympics are winding down, which means the Paralympic Games will be starting soon. These games feature athletes who rely on adaptive sports medicine to keep their bodies moving. We also have a student athlete and her track coach (and grandfather) joining us to share the impact of adaptive sports medicine from the family's perspective. We hope you can tune in!

Dr. Christie Langenberg reviews the No. 5 article of 2024, titled “Once-Weekly Semaglutide in Persons with Obesity and Knee Osteoarthritis,” which was originally published in The New England Journal of Medicine in October 2024. Dr. Jeremy Schroeder serves as the series host. Dr. Langenberg is a member of the Top Articles Subcommittee, and this episode is part of an ongoing mini journal club series highlighting each of the Top Articles in Sports Medicine from 2024, as selected for the 2025 AMSSM Annual Meeting. Once-Weekly Semaglutide in Persons with Obesity and Knee Osteoarthritis: https://www.nejm.org/doi/full/10.1056/NEJMoa2403664

What does it mean if you have a rotator cuff tear on your MRI? Listen to our latest podcast as we break down the latest JAMA Internal Medicine article, "Incidental Rotator Cuff Abnormalities on Magnetic Resonance Imaging."

Why Progressive Overload Is the Missing Link in Rehab with Dr. Todd RiddleThere's a big difference between learning a technique…and understanding a system.In today's episode, we're pulling back the curtain on the FAKTR rehab methodology — not the marketing version, not the surface-level explanation — but the actual framework that drives how we assess, load, and progress patients.In Part 1 of this two-part series, Dr. Todd Riddle — our Director of Education — breaks down:The evolution of FAKTR from technique-based roots to a full rehabilitation continuumWhy progressive overload is the missing link in most rehab programsThe difference between treating a condition… and treating a personAnd how static, motion, resistance, function, and performance fit together inside the FAKTR systemYou'll also hear why we believe pain during exercise isn't automatically the enemy — and how to clinically differentiate between “injured” and simply “sensitive.”If you've taken a FAKTR course before, this will deepen your understanding.If you haven't, this will give you a behind-the-scenes look at how the system actually works.

The episode explains how pole dancers can get stronger using progressive overload, defined as gradually increasing training stress so the body adapts during rest and the same demands become easier over time. It outlines adaptation timelines: neurological and cardiovascular changes can occur quickly (sometimes within a session for neuro drills), noticeable strength gains typically appear after about 3–6 weeks, connective tissue (tendons/ligaments) adapts around the 3-month mark, and bone density changes occur closer to 6 months. Rosy emphasizes easing back into training—especially after a break or postpartum—avoiding self-punishment, and prioritizing rest because adaptation happens during recovery. It describes ways to increase load for pole and bodyweight training: increase training frequency while keeping at least 1–2 rest days per week, increase repetitions, use time-based conditioning like a “pole treadmill” (repeated climbs/descents for time), increase resistance via weights/bands or by selecting harder bodyweight progressions, and use isometrics by holding longer or increasing tension. It notes that muscle damage is not necessarily required for positive adaptation and references Felipe Damas' work (primarily in hypertrophy research), while clarifying the focus is strength training rather than bodybuilding. The episode also explains that the body responds to chronic life stress similarly to training stress, which can hinder strength gains, and encourages stress reduction and enjoyable movement.Citations:SELYE H. (1950). Stress and the general adaptation syndrome. British medical journal, 1(4667), 1383–1392. https://doi.org/10.1136/bmj.1.4667.1383Monti, E., Franchi, M. V., Badiali, F., Quinlan, J. I., Longo, S., & Narici, M. V. (2020). The Time-Course of Changes in Muscle Mass, Architecture and Power During 6 Weeks of Plyometric Training. Frontiers in physiology, 11, 946. https://doi.org/10.3389/fphys.2020.00946Damas, F., Phillips, S. M., Vechin, F. C., & Ugrinowitsch, C. (2015). A review of resistance training-induced changes in skeletal muscle protein synthesis and their contribution to hypertrophy. Sports Medicine, 45(6), 801–807.Damas F, Phillips SM, Libardi CA, Vechin FC, Lixandrão ME, Jannig PR, et al. (September 2016). "Resistance training-induced changes in integrated myofibrillar protein synthesis are related to hypertrophy only after attenuation of muscle damage". The Journal of Physiology. 594 (18): 5209–22. doi:10.1113/JP272472. PMC 5023708. PMID 27219125Ahola, R., Korpelainen, R., Vainionpää, A., Leppäluoto, J., & Jämsä, T. (2009). Time-course of exercise and its association with 12-month bone changes. BMC musculoskeletal disorders, 10, 138. https://doi.org/10.1186/1471-2474-10-138Plotkin, D., Coleman, M., Van Every, D., Maldonado, J., Oberlin, D., Israetel, M., Feather, J., Alto, A., Vigotsky, A. D., & Schoenfeld, B. J. (2022). Progressive overload without progressing load? The effects of load or repetition progression on muscular adaptations. PeerJ, 10, e14142. https://doi.org/10.7717/peerj.14142Chapters:00:00 Get Stronger for Pole: What We're Covering Today00:55 Membership Shout-Out + How My Training Programs Work02:24 Progressive Overload 101 (Stress → Rest → Adapt)03:50 Adaptation Timelines: Nervous System, Cardio, Strength05:53 Long-Game Gains: Tendons, Ligaments & Bone Density06:59 Coming Back to Pole: Patience, Rest, and Consistency08:01 How to Add Load in Pole Training (Frequency, Reps, Resistance)11:12 Isometrics & Bodyweight Progressions (Making Moves Harder)14:48 Wrap-Up: Stress Management, Keep Showing Up

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/podcastToday'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.

Have you longed to integrate your Christian faith into your patient care—on the mission field abroad, in your work in the US, and during your training? Are you not sure how to do this in a caring, ethical, sensitive, and relevant manner? This “working” session will explore the ethical basis for spiritual care and provide you with professional, timely, and proven practical methods to care for the whole person in the clinical setting. https://www.dropbox.com/scl/fi/qpah9kh1lttg6cm1jjop9/Bob-Mason-Ethics-of-Spiritual-Care-revised.pptx?rlkey=0emve2ja8282nv8xc4uinq1hg&st=9033htwx&dl=0

  We are continuing our miniseries where we pay tribute to one of my favorite podcasts, Revisionist History, hosted by the well-known author Malcolm Gladwell. Gladwell describes Revisionist History as a podcast about things overlooked and misunderstood. There are many injuries or problems we see […]

Dr. Christie Langenberg reviews the No. 6 article of 2024, titled “Clinical Efficacy of Multiple Intra-Articular Injection for Hip Osteoarthritis,” which was originally published in The Bone and Joint Journal in June 2024. Dr. Jeremy Schroeder serves as the series host. Dr. Langenberg is a member of the Top Articles Subcommittee, and this episode is part of an ongoing mini journal club series highlighting each of the Top Articles in Sports Medicine from 2024, as selected for the 2025 AMSSM Annual Meeting. Clinical Efficacy of Multiple Intra-Articular Injection for Hip Osteoarthritis: https://boneandjoint.org.uk/Article/10.1302/0301-620X.106B6.BJJ-2023-1272.R1

How do you know when it is okay to run after an injury? What pain is okay to push through? How do you optimize training? Listen to our latest podcast as we sit down with Vlad Shatrov and the RunLab (https://runlab.com.au/) to discuss all things running.

Feeling overwhelmed by conflicting advice about menopause and HRT? You're not alone, and you're not imagining it.In this eye-opening conversation, journalist and author Fiona Clark (MenoWars: Why Menopause's Moment Has Gone Horribly Wrong) joins me to unpack why the menopause conversation has become so polarizing. What started as a grassroots movement of women advocating for better care has evolved into a confusing battlefield of conflicting claims, FOMO-inducing headlines, and monetized advice that leaves women more overwhelmed than empowered.Fiona brings her unique background, which includes a degree in anatomy and physiology, decades as a journalist, and her own experience navigating menopause to help us understand how we got here. We explore the "menopause wars," from the rise of influential voices making claims that science doesn't always support, to the gatekeeping accusations that emerge when medical professionals push back, to the dangerous erosion of trust in evidence-based medicine.In this episode, we talk about:How the menopause advocacy movement transformed from collegial to combativeWhy testosterone has become the latest battleground (and what happened when Fiona stopped taking it)The FOMO epidemic: dementia, heart disease, and what the research actually showsWhy "gatekeeping" accusations undermine the scientific processThe commercialization of menopause and how confusion gets monetizedWhat HRT can (and can't) do, and why cutting out the noise matters more than anythingWhy women deserve to make informed decisions about their bodies without everyone else's opinionsFiona's message is clear: it's not about being pro- or anti-HRT. It's about cutting through the noise, understanding what science actually supports, and reclaiming your right to make informed decisions about your own body without FOMO, fear, or unsolicited opinions.If you've felt confused, frustrated, or exhausted by the menopause information overload, this conversation will help you find your footing.About Fiona: Fiona is an award winning investigative journalist who spent the first 20 years of her career in the Australian Broadcasting Corporation. She covered the 1991 coup in Soviet Union, the Balkans War and went on to be supervising producer of its current affairs equivalent of the BBC Newsnight. Her degree is in Sports Medicine and some 20 years ago she went into medical publishing. She has written for The Lancet and various other medical publications. For the past 8 years she has been working in the menopause space and is the co-founder  of the Menopause Research and Education Fund and the author of MenoWars - a look at the state of women's health through the lens of the current debates in menopause. Connect with Fiona:Book: MenoWars (available on Amazon and UK bookstores)Charity: Menopause Research and Education FundRelated Episodes You'll Love:Brain Health & Menopause: What Science Really SWhat did you think of this episode? Click here and let me know!

In this episode of the Marathon Running Podcast, updates and expert insights to keepyou informed on the latest in running and competitive sports. We sit down with Arj Thiruchelvam, performance coach and founder of Performance Physique, todiscuss a groundbreaking study published in the British Journal of Sports Medicine. We asked Arj to help us redefine "how much is too much" and why your smartwatch might be giving you a false sense of security regarding your training load. We tease the "30-Day Window" and why a single-session distance spike is the most dangerous move a marathoner can make.Why You Should Listen: You will learn how to scientifically audit your training month to prevent overuse injuries and why structural "load tolerance" is different from aerobic fitness.Our guest this episode: Arj Thiruchelvam — performancephysique.co.ukConnect with Us: Our website: https://www.marathonjournal.comYouTube: https://youtube.com/@marathonjournalInstagram: https://www.instagram.com/runningpodcastFollowus on Strava: https://www.strava.com/athletes/30798607

In this episode, Robert C. Rhoad, MD, Partner at OrthoCincy Orthopaedics & Sports Medicine, Hand, Wrist & Elbow Orthopaedic Surgery, shares how orthopedic care is shifting to outpatient, ASC, and office based settings. He discusses staying independent, expanding walk in and in office procedures, and the collaborations helping physician led groups innovate while preserving autonomy.

In this episode, Robert C. Rhoad, MD, Partner at OrthoCincy Orthopaedics & Sports Medicine, Hand, Wrist & Elbow Orthopaedic Surgery, shares how orthopedic care is shifting to outpatient, ASC, and office based settings. He discusses staying independent, expanding walk in and in office procedures, and the collaborations helping physician led groups innovate while preserving autonomy.

Those who hope to honor God and advance Jesus' Kingdom face powerful opposition from spiritual, physical, and psychological enemies. Successful launching and long term fruitfulness depends on recognizing and, in dependence on the Holy Spirit, waging war against those enemies.

Dr. Christie Langenberg reviews the No. 7 article of 2024, titled “Platelet-Rich Plasma Versus Alternative Injections for Osteoarthritis of the Knee: A Systematic Review and Statistical Fragility Index-Based Meta-analysis of Randomized Controlled Trials,” which was originally published in The American Journal of Sports Medicine in February 2024. Dr. Jeremy Schroeder serves as the series host. Dr. Langenberg is a member of the Top Articles Subcommittee, and this episode is part of an ongoing mini journal club series highlighting each of the Top Articles in Sports Medicine from 2024, as selected for the 2025 AMSSM Annual Meeting. Platelet-Rich Plasma Versus Alternative Injections for Osteoarthritis of the Knee: A Systematic Review and Statistical Fragility Index-Based Meta-analysis of Randomized Controlled Trials: https://journals.sagepub.com/doi/10.1177/03635465231224463

Meniscus tears are common in the older population but is physical therapy a good treatment? Listen to our latest podcast as we discuss the findings of the recent NEJM article, "A Randomized Trial of Physical Therapy for Meniscal Tear and Knee Pain" with Dr. Carlin Senter.

In this episode, I discuss with fellow physiotherapist and researcher, Gráinne Donnelly, the effect that social media has on diastasis rectus abdominis:The recent study published that evaluated Instagram content related to DRA, exercise, and sports, and explored its perceived impact on the behaviours of women with DRA.The majority of diastasis related content on Instagram is not evidence basedFear based vs empowering based information Gráinne Donnelly is an Advanced Physiotherapy Practitioner in pelvic health with over 15 years of experience spread across the public health, private practice and clinical research. She is on the Board of Trustees for the Pelvic, Obstetric and Gynaecological Physiotherapy (POGP) professional network and charitable body where she is the Editor for the Journal of Pelvic, Obstetric and Gynaecological Physiotherapy. She is currently completing her PhD at Cardiff Metropolitan University and her recently edited book “Sports Medicine and the Pelvic Floor: Science to Practice” was released by Elsevier in November 2025 and will be officially published in April 2026.HOW TO CONTACT GRÁINNEInstagramWebsiteLINKS MENTIONED#diastasisrecti: a mixed-methods analysis of Instagram posts and their influence on women's exercise and sports participationhttps://pubmed.ncbi.nlm.nih.gov/40618057/Lead researcher: @silviagiagio.physioTHANK YOU TO THIS EPISODE SPONSORSRC Health:  Use the link below for a discount at checkout!https://srchealth.com/?ref=PELVICFLOORPROJECTThanks for joining me! Here is where you can find out how to work with me:  www.pelvicfloorprojectspace.com/mel@pelvicfloorprojectspace.comSupport the show

Most dentists treat sleep as optional until performance drops, patience gets shorter, and focus slips. In this episode, Kirk Behrendt talks with Dr. Uche Odiatu, health and fitness educator for dentistry, about sleep hygiene fundamentals that improve energy, cognition, metabolic health, and daily productivity. You will learn why seven hours is the minimum, why “sleep debt” can't be repaid on weekends, and the practical habits that make sleep deeper and more consistent. Listen to Episode 1005 of The Best Practices Show!Main TakeawaysSeven hours is the minimum sleep needed for most adults to avoid ongoing sleep deprivation.“Catching up” on sleep over the weekend does not fully reverse the effects of several nights of poor sleep.Morning outdoor light exposure helps reset circadian rhythm and supports falling asleep more easily at night.Daily physical activity builds physiological sleep drive beyond mental fatigue from a long clinical day.Alcohol can make you feel sedated but reduces deep sleep quality and interferes with memory consolidation and emotional regulation.Eating within three hours of bedtime can reduce sleep quality because the body is focused on digestion.Evening light control, including avoiding bright overhead LED lighting and late-night scrolling, supports melatonin and sleep depth.Snippets01:56 Seven hours as the minimum, and how being awake too long affects performance.03:44 Why “sleep debt” can't be repaid on weekends.06:23 Morning sunlight and outdoor exposure to reset circadian rhythm.09:35 Why sedentary days reduce true sleep drive, even when you feel mentally exhausted.11:28 Alcohol as sedation vs. sleep, and what it does to deep sleep and retention.17:35 Eating close to bedtime and the impact on sleep quality.18:45 Managing evening light by avoiding overhead LEDs after sunset.20:35 Doomscrolling, dopamine hits, and how small amounts of light disrupt physiology.24:10 “Become a sleep master” before chasing other wellness tools.Guest Bio/Guest ResourcesDr. 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...

Hello, all you and the Relentless Health Tribe trying to figure out how to do right by patients and the folks footing the bill. Welcome to it. This is episode 499, one episode before episode 500. So, come back next week for that one. For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. All right, so today, let's talk about the inches that are all around us. Let's find some. Musculoskeletal spend, otherwise known as MSK spend, for any given plan sponsor adds up to the tune of something like 20% or 30% of total plan spending, depending on the member demographic. MSK rolls in at $16 PMPM, I just saw, according to a report Keith Passwater sent me a couple of weeks ago. It's the third most costly spend apparently overall. And it's easy to see why, right? On any given day, odds are good any given plan member is gonna do something that, in hindsight, was fairly obviously a bad idea and wind up getting hurt in some low-acuity way. For example, I remember that one time I twisted my ankle on a curb getting outta my car. Given the right space, enough time, and concentration, I can do the worst parking job you've ever seen in your life and manage to twist my ankle in the process. But I digress. Here's the point. MSK spend adds up really fast. Add to that something like 50% of spine surgeries are said to be unnecessary. The same thing goes true from injuries like twisted ankles, for example, that would have healed themselves without an ER visit, without any intervention aside from ice, rest, and elevate. Because it turns out that something like 80% of those twisted-ankle, banged-up-the-back types of MSK injuries are actually low acuity, and a huge percentage of those will heal by themselves. On that point, let me bring in some context here, some late-breaking news. I was reading Dana Prommel's newsletter. She wrote, and I'm reading this, she wrote, "The 2026 National Healthcare Expenditure data reports are out, and it is another sobering reflection of our current system. Personal healthcare spending has surged by over 8%, and our healthcare spend as a share of the GDP has followed that same aggressive trajectory." Then Dana writes, "The most troubling takeaway from the 2026 report is the lack of a 'health dividend.' Despite [this] 8% increase in spending, we aren't seeing a corresponding 8% increase in longevity, wellness, or chronic disease management. People aren't getting significantly healthier; they are just getting more 'care.' And that 'care' isn't always good care, or the right care, or care by the right type of clinician, at the right time, in the right setting." Is that not the perfect segue or what? Because this is what we're talking about on the show today in regard to, again, MSK care—care that can wind up costing millions of dollars across plan members, and it might be unnecessary because, again, the twisted ankle or the pain in the lower back would have healed itself without any care, without an ER visit. But if an ER visit was had, that patient probably is gonna wind up with a bunch of imaging. Probably is gonna wind up with a referral to a surgeon. And now there's a surgery scheduled, and the patient has been off work for however long all that took. There's a lot of direct and indirect costs that may or may not add up to any given health dividend or health span or whatever you wanna call it—better quality of life.   Why does all this happen? How does it happen? One reason is what Dr. Jay Kimmel calls the white space of MSK care. This is where a patient does a truly breathtaking job parking the car, twists her ankle, starts to swell up, and now a decision has to be made: Go to the ER. Go to urgent care. Go home. Or what if it's a parent making this choice for a kid? In the olden days, maybe that patient would've called up his or her longtime family doctor and asked what to do, and maybe if that longtime family doctor didn't know, he or she would have called up the local ortho and gotten their opinion. Or maybe the two were sitting together in the doctor's lounge at the time, or maybe they rounded together in the hospital and, and, and … There used to be lots of opportunities for spontaneous questions and answers and curbside consults. But not today most of the time, really, unless you're a patient with a doctor in the family. But even for a PCP, who wants an ortho consult? Amy Scanlan, MD, and I discussed this quite a bit in an earlier episode (EP402). There's no doctor lounges anymore. There's no coffee klatch down in radiology either. There's just a lot of cultural shifts, in other words. But all of this, everything I have said thus far, all adds up to one big takeaway: These excess costs that don't have commensurate improved clinical outcomes, they happen because patients are on their own to triage themselves. They look at their black-and-blue whatever, or they're standing there listening to their kid cry and they are deciding what to do. And the thing is, if they choose the ER—because, again, they don't have a doctor, anybody they can just call with the right kind of clinical background—once they head into that ER and sit there for six hours and demand an MRI because now it has to be worth their time because they sat there for six hours; but now there's a false positive and the ER docs are being conservative because of malpractice or whatever and they refer them to some sort of surgeon … Look, everybody's doing their best with the information that they have at the time, but you can see how easy it is for a person to avoidably wind up costing a lot of money for a musculoskeletal injury that would have healed by itself. So, yeah, let's talk about how we can get patients some help in that so-called white space. How can we get them, triage before the triage, as I managed to say more than once in the conversation that follows? Let's get them on a good trajectory to start. Today, my guest is Dr. Jay Kimmel. Dr. Kimmel is an orthopedic surgeon, and he's been in practice in Connecticut for over 35 years. He and Steve Schutzer, MD, co-founded Upswing Health. I talked with Dr. Steve Schutzer about Centers of Excellence in an earlier episode (EP294). Upswing Health provides members with the opportunity to talk with an athletic trainer within 15 minutes and an orthopedic specialist within 24 hours. So, instead of having a panic attack of indecision and ultimately winding up in the ER, getting coughed on in the waiting room, members have somebody helping them in this white space so they can get triaged before the triage. I need to thank Upswing Health. I am so appreciative they donated some financial support to cover the costs of this episode. This podcast is sponsored by Aventria Health Group with an assist from Upswing Health. Also mentioned in this episode are Upswing Health; Keith Passwater; Dana Prommel; Amy Scanlan, MD; Steve Schutzer, MD; Eric Bricker, MD; Al Lewis; Nikki King, DHA; Matt McQuide; Christine Hale, MD, MBA; and Chris Deacon. For a list of healthcare industry acronyms and terms that may be unfamiliar to you, click here.   You can learn more at upswinghealth.com and follow Dr. Kimmel on LinkedIn.   Jay Kimmel, MD, is the president and co-founder of Upswing Health, the country's first virtual orthopedic clinic. He founded Upswing with Steve Schutzer, MD, to rapidly assess, triage, and manage orthopedic conditions in a cost-effective, high-value manner, helping patients avoid unnecessary imaging, procedures, and delays in care. Dr. Kimmel had a long and distinguished career as a practicing orthopedic surgeon with Advanced Orthopedics New England. He earned his undergraduate degree from Cornell University and his medical degree from the University of Rochester. He completed his orthopedic residency at Columbia Presbyterian Medical Center, where he trained with leaders in shoulder surgery, followed by a sports medicine fellowship at Temple University Center for Sports Medicine, where he participated in the care of Division I collegiate athletes. He is board-certified in orthopedic surgery and is a Fellow of the American Academy of Orthopedic Surgeons. Dr. Kimmel specializes in sports medicine with an emphasis on shoulder and knee injuries and holds a subspecialty certificate in orthopedic sports medicine from the American Board of Orthopedic Surgery. He is also a member of the American Orthopedic Society for Sports Medicine. Dr. Kimmel co-founded the Connecticut Sports Medicine Institute at Saint Francis Hospital, a multidisciplinary center dedicated to providing high-quality care for athletes at all levels, and served as its co-director for many years. He has a strong commitment to education and served for over 20 years as an assistant clinical professor in both family medicine and orthopedics at the University of Connecticut. He has also served as a team physician at the professional, collegiate, and high school levels.   07:49 EP472 with Eric Bricker, MD, on high-cost claimants. 08:01 What is the "white space" in MSK spend? 10:43 Statistics on Connecticut's spending on plan members with low-acuity MSK injuries. 13:30 How back pain also easily transitions from a low-acuity issue to a high-acuity problem. 15:11 How plan sponsors can detect their white space downstream spend. 16:58 EP464 with Al Lewis. 17:02 EP470 with Nikki King, DHA. 18:15 Why where patients start their journey often dictates where they wind up and how costly that medical pathway is. 20:48 Where PCPs fit into this MSK spend issue. 25:26 EP468 with Matt McQuide. 25:34 EP471 with Christine Hale, MD, MBA. 25:39 Why access is key.   You can learn more at upswinghealth.com and follow Dr. Kimmel on LinkedIn.   Jay Kimmel, MD, of @upswinghealth discusses #MSKspend on our #healthcarepodcast. #healthcare #podcast #financialhealth #patientoutcomes #primarycare #digitalhealth #healthcareleadership #healthcaretransformation #healthcareinnovation #musculoskeletal   Recent past interviews: Click a guest's name for their latest RHV episode! Mark Noel, Gary Campbell (Take Two: EP341), Zack Kanter, Mark Newman, Stacey Richter (INBW45), Stacey Richter (INBW44), Marilyn Bartlett (Encore! EP450), Dr Mick Connors  

She's a hometown Tiger who's come full circle — from state champion swimmer at Hickman High School to Mizzou student-athlete to the first-ever Chief Medical Officer for Mizzou Athletics. On this episode of “Mizzou Storytellers,” Dave Matter and Loretta Jones sit down with Dr. Tiffany Bohon to talk about building a brand-new, embedded medical model for student-athletes, how her own experience in the pool shaped her approach to care and what holistic athlete health really looks like behind the scenes. Dr. Bohon also shares stories from working with the New York Giants, New York Mets and USA Swimming, reflects on leadership, trust, and return-to-play decisions, and offers a candid look at the moments fans never see during high-pressure seasons. From Columbia roots to SEC sidelines, this is a conversation about medicine, mentorship and what it means to serve the next generation of Tigers.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Is fasted running sabotaging your performance? Are you accidentally under-eating on your hardest training days? This week, we break down the seven most common nutrition mistakes runners make, from calorie restriction at the wrong time to blindly copying elite protocols, and explain why the science says you probably need to eat more, not less.We cover why your gut issues might actually be a training problem, not a food problem. We talk about why "clean eating" is often just restriction in disguise. And we explain why doing what Kipchoge does probably isn't what you should be doing.Plus, we answer listener questions on accountability and whether high-carb fueling causes diabetes (spoiler: it doesn't). And Coach James Nance joins to talk about coaching multi-sport athletes, helping runners recover from overtraining, and his TrainingPeaks hot take that might surprise you.In this episode:Why restricting calories on training days backfiresThe truth about fasted running and morning workoutsHow to actually fix gut issues during exerciseWhy "clean eating" can become problematicWhat 90-120g of carbs per hour actually means for recreational runnersHow to evaluate nutrition advice and follow the moneyStudies and resources mentioned are linked below.Get involved: Join our Foothills coaching community—one-on-one coach access, twice-monthly roundtables, and a supportive crew of runners. $10/month with code FOOTHILLS10 at microcosm-coaching.com.Questions? microcosmcoaching@gmail.comREFERENCES:Burke, L. M., Ross, M. L., Garvican-Lewis, L. A., Welvaert, M., Heikura, I. A., Forbes, S. G., Mirtschin, J. G., Cato, L. E., Strobel, N., Sharma, A. P., & Hawley, J. A. (2017). Low carbohydrate, high fat diet impairs exercise economy and negates the performance benefit from intensified training in elite race walkers. Journal of Physiology, 595(9), 2785–2807.Costa, R. J. S., Hoffman, M. D., & Stellingwerff, T. (2019). Considerations for ultra-endurance activities: Part 1 – Nutrition. Research in Sports Medicine, 27(2), 166–181.Cox, G. R., Clark, S. A., Cox, A. J., Halson, S. L., Hargreaves, M., Hawley, J. A., Jeacocke, N., Snow, R. J., Yeo, W. K., & Burke, L. M. (2010). Daily training with high carbohydrate availability increases exogenous carbohydrate oxidation during endurance cycling. Journal of Applied Physiology, 109(1), 126–134.Loucks, A. B., & Thuma, J. R. (2003). Luteinizing hormone pulsatility is disrupted at a threshold of energy availability in regularly menstruating women. Journal of Clinical Endocrinology & Metabolism, 88(1), 297–311.Melin, A. K., Heikura, I. A., Tenforde, A., & Mountjoy, M. (2019). Energy availability in athletics: Health, performance, and physique. International Journal of Sport Nutrition and Exercise Metabolism, 29(2), 152–164.Mountjoy, M., Ackerman, K. E., Bailey, D. M., Burke, L. M., Constantini, N., Hackney, A. C., Heikura, I. A., Melin, A., Pensgaard, A. M., Stellingwerff, T., Sundgot-Borgen, J. K., Torstveit, M. K., Jacobsen, A. U., Verhagen, E., Budgett, R., Engebretsen, L., & Erdener, U. (2023). 2023 International Olympic Committee's (IOC) consensus statement on Relative Energy Deficiency in Sport (REDs). British Journal of Sports Medicine, 57(17), 1073–1098.

In this episode, Frank A. Cordasco, MD, MS, Professor of Orthopaedic Surgery at Weill Cornell Medical College and Attending Surgeon at the Hospital for Special Surgery, joins the Becker's Spine and Orthopedics Podcast to discuss how AI, virtual care, and remote monitoring are reshaping orthopedic practice. He also shares insights on emerging innovations in sports medicine, wearable technology, and the evolving role of biologics in patient care.

In this episode, Frank A. Cordasco, MD, MS, Professor of Orthopaedic Surgery at Weill Cornell Medical College and Attending Surgeon at the Hospital for Special Surgery, joins the Becker's Spine and Orthopedics Podcast to discuss how AI, virtual care, and remote monitoring are reshaping orthopedic practice. He also shares insights on emerging innovations in sports medicine, wearable technology, and the evolving role of biologics in patient care.

It was reported in the media that Stephen Curry is dealing with patellofemoral syndrome (aka runner's knee). What exactly is this condition? Why does it effect elite athletes and weekend warriors? What are the various treatment options? Listen to our latest podcast to find out!