High‑Intensity Exercise May Actually Build Cartilage
What if high intensity exercise actually grew cartilage? I have to walk folks off the ledge of fear almost daily in my office. Far too many think that exercise is grinding away their cartilage. The paper we discuss today says the exact opposite. Biology ftw… https://t.co/HAOuWU0hwj
Avoid NSAIDs Before Workouts; They Hinder Recovery
NSAIDs can blunt many healing responses and beneficial adaptations to exercise... They don't heal much... use them sparingly and wisely. Try never to take them before a run or ride. https://t.co/7kAEvmWtkF
Intensity Beats Volume, Yet Media Overstated Its Meaning
Intensity or volume? A recent paper got the world abuzz with a clear message… intensity led to far greater health effects than volume. However, every journalist who reported on this paper seriously overestimated what the authors meant by intense. I...

Severe Pain Doesn't Always Mean a Torn Tendon
I have probably written more about tendons in the past year than most surgeons have written in their careers. I do this because tendon disorders are among the most common issues I see in the office. You will need to...
Slow Trails Reveal Hidden Gems Right Near Home
What’s Behind the Trees I run local trails and dirt paths to explore. I don’t hit a pace target at my age anymore…not that there’s anything wrong with that. Remember. I’m training for life. But I love to explore new areas....
Neglecting Spine Mobility After 60 Leads to Pain
Trying to loosen up a 60+ yo spine isn’t easy. But if you don’t do these… Well, you know what happens. https://t.co/vErysdrpfR
Complete Rest Costs More Than You Think
The cost of complete rest is not zero. It is measurable, it compounds, and it is almost always worse than people expect. Injured? Have you stopped everything? Did you need to? Did you ask? We decondition so rapidly......

Maintain Strong Paraspinal Muscles Into Your 60s
Train. This is what your paraspinal muscles should look like in your 60s and beyond. https://t.co/XR59But4a9
True Fitness Lies in Metabolic Flexibility, Not Looks
What is fitness, and what is the concept of being metabolically fit? We use the word 'fitness' constantly... but I hear so many different definitions of it. If you asked ten people at a gym what it means to be...

Training Framework: Variables, Not Prescribed Workouts
The Modules... Not specific workouts... but the variables you need to consider as you build your plan. Basically, the science behind the planning. A thread... Again... This is not a training program. It is a framework for understanding how...
Decades of Inactivity, Not Aging, Shrink Our Lives
Love this topic... I refer to it as "the narrowing" of our lives. It's slow... it's insidious... and it's very real. We rationalize and normalize far too many changes and blame them solely on aging. Yes... aging brings changes-- but...
Most Atraumatic Rotator Cuff Tears Heal Without Surgery
I struck a nerve yesterday... A note for those who don't read the entire article. As some ortho colleagues noted... There is a lot of nuance involved. And that's the point to get across. Far too many...

Surgeon Prioritizes Preventing Unnecessary Rotator Cuff Operations
I am a shoulder surgeon. I have been repairing rotator cuffs for 30 years. And the most important thing I do in my office is try to talk people out of surgery they do not need. https://t.co/GKyxAP0J34
Most Rotator Cuff Tears Heal Without Surgery
I've been a shoulder surgeon for close to 30 years... It's pretty clear now that most rotator cuff tears do not require surgery. Some do. Most don't. Why is that? Why can a shoulder with a cuff tear function...
Train Sideways Now to Prevent Falls Later
Most gym training happens in a straight line. Squats, deadlifts, rows, presses. Forward and backward, up and down, all in the sagittal plane. But… life doesn't stress you in a straight line. You step off a curb at an angle, shuffle...