Exercise Fuels Brain Health Through BDNF and Metabolism
Exercise doesn't just strengthen your body — it changes your brain. Resistance training and aerobic activity promote BDNF production, improve brain glucose metabolism, and appear to reduce the risk of cognitive decline. The muscle-brain connection is one of the most important things I've learned in the last decade of medicine. https://t.co/fMaUZjErpp

Vienna Locals: Best Early‑morning Routes From This Spot?
Anyone from Vienna ?? From this position, where would you walk or run in the early morning? https://t.co/Ke9X0VlVAr
Muscle Power Predicts Mortality Far Better than Strength
Wow... Power training and longevity Araújo et al. followed 3,899 people — mostly middle-aged and older adults — for a median of nearly 11 years. They compared two metrics head-to-head: muscle strength and muscle power. Men in the lowest power category were...
Strength Training: Key to Longevity and Joint Health
Strength training might be the single most potent habit for aging gracefully and extending lifespan. It certainly appears to be one of the best methods to prevent the need for joint replacement surgery. After 30 years of practice, there’s no...
Bone‑building Exercises Work at Any Age
6 exercises to build bone density. Don't think you need them? You're wrong. Think you're too young? Wrong again. Think you're too old? Wrong. https://t.co/ZyqvbJDgy1
Too Many Opinions, Too Few Answers: Trust Physical Therapy
Fun day .. “You’re my 5th opinion.” Knee injury These are usually a problem. Previous 4… -Only one exam -All repeated X-rays -2 MRIs. - One Special NY hospital often insists their MRIs...
Heavy Strength Training Reduces Osteoporosis Mortality Risk
Please stop telling people with osteoporosis not to lift anything heavy... I've heard it from docs, PTs, Trainers, etc... This might seem protective... but it's not. This risk calculation... A hip fracture in an older adult carries a one-year...
Prioritize History and Exam Before Trusting MRI Findings
The irony I find myself returning to is that MRI technology has not made us better diagnosticians. It has, in many cases, made us worse ones, because the image is so concrete and the language of the report so authoritative...
Whey’s Insulin Spike Isn’t Bad—Focus on Ratio
Well. Here the good “Dr” isn’t entirely wrong. But his believers are getting the wrong message. If you’re avoiding whey protein because “it spikes insulin,” you’re optimizing for the wrong variable. Yes, leucine stimulates beta cells directly. Yes, insulin...
Walking Alone Won’t Prevent Knee OA—Add Strength Training
All these budding exercise physiologists and strength coaches. 🤦♂️🤦♂️ This is made up slop. Walk all you want. None of your muscles are working hard when you’re walking and your adductors are firing too. Is walking enough? No. You need strength...
Goofy Trail Warm‑Up That Activates All Systems
What does your warm-up look like? Every time in the gym or on the trail. This is mine. I might look goofy on the trail... but this gets the relevant systems warmed up. https://t.co/wHA2KNgOvU
Midlife Joint Pain Signals Systemic Decline, Not Isolated Injury
I’ve been an orthopedic surgeon for nearly 30 years, and a few patterns have become impossible to ignore. One is that many musculoskeletal problems in adults aren’t sudden injuries. They’re the moment when declining capacity and awful metabolic health finally...
ICloud-Synced Downloads Folder Lost Spotlight Search
Mac Air... my download folder- which syncs to icloud isn't searchable any longer. What's going on?
Harder Than Expected: Stop Overexerting for Upper Management
Will admit. These weren’t as easy as I thought they’d be ;-). Don’t do as much power or eccentric work for the uppers anymore. Was trying to mix it up. https://t.co/3ioCvmksg5
Muscles Play a Crucial Role in Brain Health
Our muscles influence the health of our brains in ways we are only beginning to understand. The muscle-brain connection. Post #3 in my series. https://t.co/IPMvZ5weLG
Weekly Drill Restores Directional Stability in Aging Bodies
We lose many abilities as we age. One is the ability to change direction and remain stable. This drill, done once a week, helps. This isn’t about speed. The cones are only 12-15’ apart. This is about the transition from...
Knee Pain Signals Years of Inactivity, Not Surgery Need
The hardest conversation I have in my office isn't about surgery. It's about time. A 58-year-old sat across from me with knee pain. She’s otherwise healthy, but menopause has been rough on her. Her MRI shows some cartilage changes — age-appropriate,...