Revamping Substack to Boost Content Discovery, Seeking Feedback
My entire substack was revamped... the process will continue. Content can die on Substack, so we're working hard on ways to help folks find what they need... I would love your thoughts... be kind🤣🤣🤣 https://t.co/bRFuvuEU45
Longevity Needs Purpose, Not Just Optimization
Longevity without purpose is just survival. 1/ We're optimizing everything: sleep, nutrition, biomarkers, training zones. But have we forgotten to optimize meaning?
Why Your Medial Elbow Pain Gets Worse Before Healing
Medial Epicondylitis.. Golfers' Elbow (stupid name). The most common cause of pain on the inner side of your elbow. A thread... If you lift, and certainly if you climb, you'll likely experience medial elbow pain at some point. Heck, most...
Atraumatic Joint Pain Signals Lost Muscular Capacity
Most of the joint and tendon pain I see in the office is atraumatic. No fall, twist, and no activity anyone can point to. The shoulder that's been sore for three weeks or the knee that aches when going downstairs....
When Recovery Fails, Overtraining Triggers Injury
A 47-year-old runner came to see me many months after surgery. His knee hurt. We dove deeper. He had returned to training, but recently his times had slowed, his heart rate had risen, and his legs had felt heavy. What...
Metabolic Health Drives Knee Osteoarthritis Progression
Knee Osteoarthritis Thread 4: Metabolic Health and the Knee. Your metabolic health will directly impact how your knee feels more than you can imagine. Your metabolic health directly influences how quickly your arthritis progresses and how your cartilage responds to...
Tailored Training Guide for Midlife Athletes
I recently created the Midlife Athlete's Training Guide. Why? Because many of you have asked me to write these up. So... Here's my first guide. 36 pages... why we need to train differently than when we were 30. How to...
Aging Decline Is Optional: Midlife Athlete Playbook
I'm a 62-year-old orthopedic surgeon, trail runner, climber, and cyclist. This is my Midlife Athlete's Playbook. I've combined what I've learned from 30+ years of treating active adults, and from training through my own 50s and 60s. The physiology of...
Stop Letting Your Body Quietly Narrow Your Life
Don’t let your life "narrow." I’ve been an orthopedic surgeon for 30 years. The thing I watch happen to people — more than any injury or surgery — is what I call the narrowing. Most of my patients have no idea it’s...
Your Muscles Shield the Brain’s Energy‑hungry, Non‑repairing Organ
Brain Health... Your brain weighs 2-3 pounds and burns nearly 20% of your daily energy. It doesn't store fuel. It doesn't repair itself on its own. And the organ that does the most to protect it isn't the one you'd...
Heat Spikes Heart Rate, only Brady Thrives
Hahaha. Last week was 35-40 degrees. Could keep a 10 min pace at 120 hr. So… today is 85 and humid 🤣🤣 HR was 135 at 12 min/mi Heat sucks. Except if you’re @Brady_H
Recovery Becomes Your Superpower as Performance Slows
Recovery is a superpower... A thread... 1/There's a moment most aging athletes eventually hit. You finish a routine workout, but the next day, something is off. You're not just tired. You're slower. Less inclined to train. Your body is responding differently to...
Strength Training Beats Pills, Injections, Surgery for Knee OA
Knee Osteoarthritis: Thread Number 3 The most powerful intervention for knee osteoarthritis is not a pill, not an injection, and not a surgery. It's not PRP and certainly not stem cells. It is the muscle above and below the joint. If you...
Same DEXA Score, Different Fracture Risks Explained
Your DEXA scan gives you a number, your doctor gives you a category, but the conversation often ends there... there's so much more nuance. Two people with the exact same T-score can have completely different fracture risk, and DEXA...
Keep Moving: Rest Worsens Knee Osteoarthritis
Knee Osteoarthritis... Thread #2 ! Your knee hurts. Your instinct is to rest it. Please don't. That instinct is very often wrong — and following it makes osteoarthritis worse, not better. Movement is one of the best evidence-based primary treatments for...