@hjluks Avatar @hjluks Howard Luks MD

Howard Luks MD posts on X about health, pain, if you, more than the most. They currently have [------] followers and [---] posts still getting attention that total [-----] engagements in the last [--] hours.

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Social Influence

Social category influence finance 1.87% countries 0.93% currencies 0.93%

Social topic influence health 9.35%, pain 9.35%, if you 8.41%, more than 4.67%, ortho 4.67%, in the 4.67%, balance 3.74%, folks 3.74%, tear 3.74%, this is 3.74%

Top accounts mentioned or mentioned by @adammeakins @tylcole @drryanpdaly @realdonjunk @doctorinigo @rodger @canesdavid @rscheipe @coachdango @whitfieldlewis6 @grok @wisskier @awhitept @lindseyvonn @inakidelaparra @bradsuss @greglehman @hragy @erictopol @coffeeblackmd

Top Social Posts

Top posts by engagements in the last [--] hours

"Lindsey Vonn Raced. Who am I to say she shouldnt have Whenever a high-profile athlete competes through pain or injury the commentary starts immediately. Many have said she shouldnt have been out there or that someone should have stopped her. A few said it was reckless and would ruin her future. The certainty was breathtaking. What always strikes me is how easily people thousands of miles away watching on a screen assume they know more about the athletes body than the athlete does. Im an orthopedic surgeon. Ive spent my life around injured people professional athletes weekend warriors people"
X Link 2026-02-09T15:14Z 68.2K followers, 44.9K engagements

"Heart rate variability (HRV) has moved from an elite athlete tool to a mainstream health metric. Should it Your smartwatch tracks it. Your Ultrahuman or Oura ring measures it overnight. Apps and strap manufacturers claim they can predict everything from overtraining to illness. Some of that is useful. Some of it is noise. This post will explain what HRV measures how to interpret it correctly and when its helpful versus when youre overthinking a number that doesnt matter as much as you think. https://howardluksmd.substack.com/p/heart-rate-variability-what-it-isr=8b26"
X Link 2026-01-28T17:15Z 68.1K followers, 35.3K engagements

"Workout cheat codes I know at [--] that I wish I knew at 25: Consistency beats intensity. One hard week wont change your life. Thirty years of steady effort will. Strength is the fountain of youth. Muscle protects joints maintains metabolism is the largest glucose sink and slows aging far more than I realized. Most of your muscle is in your legs. train them Power fades firsttrain it. Jump sprint throw push explosively. Even in small doses it keeps you athletic. Sleep is training. Recovery is the multiplier. Ignore it and every gain is short-lived. Pain is feedback not failure. Learn the"
X Link 2026-02-01T14:41Z 68.1K followers, 41.8K engagements

"What happens when a [--] yo Ultrahuman champ a 50-something Exercise Physiologist par excellence and a 60+ yr old Ortho doc talk about fitness longevity healthspan injuries and more. well. THIS- 👇👇👇👇 The majority of joint and tendon pain that I see in adults is just another manifestation of metabolic disease. - @hjluks A real pleasure for @inaki_delaparra and me to sit down with the Doc to discuss what actually drives health performance and longevity. Whether your goal https://t.co/H3ZCNTXVyH The majority of joint and tendon pain that I see in adults is just another manifestation of"
X Link 2026-02-04T17:02Z 68.2K followers, 21.4K engagements

"Bend from your knees (instead of your back) ruined a generation. Now theyre giving horrible advice to the next generation"
X Link 2026-02-04T18:42Z 68.1K followers, 66.8K engagements

"I wrote this on X yesterday: Bending from the knees (instead of the back) ruined a generation. Now theyre giving horrible advice to the next generation. It was an experiment. I was curious where people would go with this. When I wrote it. I wasnt saying technique doesnt matter. And I wasnt saying people should lift recklessly. I was pointing out how a coaching cue became a fear-based ruleand how that rule shaped how people think about their bodies. Fear grips people today. In my office people fear movement patterns jumps hops stairs etc and always have a reason. I have XY or Z. When in fact."
X Link 2026-02-05T11:49Z 68.1K followers, 40.5K engagements

"Another reason why we need to stay fit. This is how you can bounce back quickly after injuries. Kudos to Lindsey. Lindsey Vonn has just posted a video of her squatting and doing other exercises while having a ruptured ACL. Her toughness is on another level. (🎥: LindseyVonn/IG) #MilanoCortina2026 #WinterOlympics #Olympics #AlpineSkiing https://t.co/k6INJoEXJf Lindsey Vonn has just posted a video of her squatting and doing other exercises while having a ruptured ACL. Her toughness is on another level. (🎥: LindseyVonn/IG) #MilanoCortina2026 #WinterOlympics #Olympics #AlpineSkiing"
X Link 2026-02-05T22:13Z 68.1K followers, 46.8K engagements

"Power training. Med balls are awesome for this. And tbf. Just good ole fun"
X Link 2026-02-06T14:00Z 68.1K followers, [----] engagements

"@rodger Not titanium ;-) Just saying"
X Link 2026-02-06T20:32Z 68.1K followers, [----] engagements

"How do you use a sled in the gym Light and Fast Heavy and Slow Forward Lateral Backwards Lots of permutations. All of which are quite useful"
X Link 2026-02-07T12:06Z 68.2K followers, 10.6K engagements

"@BradSuss @rodger Nope. it's Cobaltchromium alloys. even for hips. Titanium prosthetics did very poorly way back when"
X Link 2026-02-07T12:18Z 68.1K followers, [---] engagements

"@tylcole @AdamMeakins @DrRyanPDaly Thats overly simplistic nonsense and does not accurately reflect what the lit shows"
X Link 2026-02-07T15:46Z 68.1K followers, [----] engagements

"@AdamMeakins @tylcole @GregLehman @DrRyanPDaly Because human recall works out so well in other clinical studies"
X Link 2026-02-07T20:04Z 68.1K followers, [----] engagements

"Ton of wisdom here. I keep seeing in the lab people who train consistently look fit race and do the right things. And yet metabolically many of them are far more fragile than they realize. Here are [--] ideas I want you to sit with: [--]. Performance and health are not the same thing = You can https://t.co/gAK8WBk5uk I keep seeing in the lab people who train consistently look fit race and do the right things. And yet metabolically many of them are far more fragile than they realize. Here are [--] ideas I want you to sit with: [--]. Performance and health are not the same thing = You can"
X Link 2026-02-07T20:12Z 68.1K followers, 20K engagements

"@CanesDavid Thanks David"
X Link 2026-02-08T17:29Z 68.1K followers, [---] engagements

"Exercise buckets: A Framework. Enough Better Optimal. Most folks are struggling to get to enough. Thats all most folks need to do. https://open.substack.com/pub/howardluksmd/p/enough-better-and-optimal-how-tor=8b26&utm_medium=ios https://open.substack.com/pub/howardluksmd/p/enough-better-and-optimal-how-tor=8b26&utm_medium=ios"
X Link 2026-02-08T21:43Z 68.2K followers, 14.1K engagements

"@rscheipe I dont agree;-). Its all relative and depends on what youre doing. If a meaningful part of that [---] min is walking easy cycling jogging etc where does the harm come from Assuming youre trained to handle that"
X Link 2026-02-09T13:27Z 68.1K followers, [--] engagements

"@Hragy @EricTopol Theres a company in Belgium thats been exploring this for years"
X Link 2026-02-11T00:52Z 68.2K followers, [--] engagements

"@CoffeeBlackMD In my office I have this convo 10x/week. Want peptides instead of X Y and Z. Not in addition to"
X Link 2026-02-13T19:44Z 68.2K followers, [----] engagements

"@CoachDanGo What am I missing. what's your endpoint i imagine everyone is thinking about vasc health. You shouldn't notice anything in that regard"
X Link 2026-02-13T22:02Z 68.2K followers, [----] engagements

"I've fixed more than a few distal biceps ruptures from curls. but that wasn't my point. At our age this just isn't an important exercise. Longevity healthspan metabolic health and remaining functionally independent will come from power balance quickness and overall neuromuscular control etc. 70% (or whatever) of our workouts should focus on legs. and for uppers if we do pullups and/or rows our biceps are getting more than enough stimulus"
X Link 2026-02-14T13:03Z 68.2K followers, [--] engagements

"Cmon folks. support a wonderfully talented new entrepreneur. Metal oxides. no junk. Just like @BowTiedHRT talks about. You'll look younger and save yourself from skin cancer. Thank you. And no. I get nothing for this. Other than the joy of helping a friend. Sunscreen for men. Love the idea. And it was founded by a dear friend. Consider supporting her startup please. https://t.co/hq5yUZl4Kd https://t.co/JpOeW8f6xh Sunscreen for men. Love the idea. And it was founded by a dear friend. Consider supporting her startup please. https://t.co/hq5yUZl4Kd https://t.co/JpOeW8f6xh"
X Link 2026-02-13T12:39Z 68.2K followers, [----] engagements

"Great pod on NAD. Theres so much slop out there. Its nice to listen to folks who are authoritative. From a brand new episode of the FoundMyFitness podcast "How To Boost NAD Levels To Fight Inflammation Improve Recovery and Slow Aging" with @CharlesMBrenner NAD supplements vs. precursorswhat actually boosts NAD Should you measure your NAD levels Do NAD From a brand new episode of the FoundMyFitness podcast "How To Boost NAD Levels To Fight Inflammation Improve Recovery and Slow Aging" with @CharlesMBrenner NAD supplements vs. precursorswhat actually boosts NAD Should you measure your NAD"
X Link 2026-02-13T14:26Z 68.2K followers, 10.4K engagements

"@ted_ryce Why If it's working to improve vascular health you won't notice anything in [--] days. What am I missing here"
X Link 2026-02-13T22:03Z 68.2K followers, 74.4K engagements

"@KHayhoe Bluesky has been awfully disappointing"
X Link 2026-02-14T13:19Z 68.2K followers, [----] engagements

"Jumps should be a key element in any 50+ training regimen. Why We lose power balance and quickness (and bone density) far faster than strength alone as we age. By [--] youve already lost a lot if you havent been training it. These jumps also help build bone density1 in [--] women and [--] in [--] men have osteoporosis. Many many people need to be doing jumping variations. Try adding some complexity by slightly altering the jump's direction. Im jumping forward and slightly to the right on the first one. These little changes challenge our neuromuscular system. I released a long post yesterday about"
X Link 2026-02-15T12:35Z 68.2K followers, 33.1K engagements

"Did Marco Rubio nail the [--] nomination with that speech Conversation please"
X Link 2026-02-15T13:34Z 68.2K followers, 13.4K engagements

"I guess I'm embarrassing myself ;-) LOL Wouldn't be the first time either :-) We are not nearly as fragile as some young nuerosurgeons think. Push yourself train adapt build resilience and maintain your abilities. don't listen to folks who tell you you're fragile. That language harms far more people than he'll ever know. @hjluks @AdamMeakins @DrRyanPDaly Incorrect you are talking about frailty. I never said that bodies are fragile in the absolute. I said they become more fragile as we age which leads to less recovery and more irreversible degeneration. Also increased injury risk. This is"
X Link 2026-02-06T16:10Z 68.1K followers, [----] engagements

"@whitfieldlewis6 @grok Maybe your knees want some glucose 🤣🤣 Im kidding"
X Link 2026-02-06T20:02Z 68.1K followers, [--] engagements

"@whitfieldlewis6 @grok AGEs are a problem. But we dont know at what level Also many runners etc have falsely elevated A1c. Mine is [---]. But fasting insulin is [--] ;-) [--] cups of blueberries every morning. 😃"
X Link 2026-02-06T20:12Z 68.1K followers, [--] engagements

"@realDonJunk The fitter you are the faster your recovery. True in joint replacements fracture care and elite sports"
X Link 2026-02-06T22:29Z 68.1K followers, [--] engagements

"@realDonJunk An ACL tear is a knee injury"
X Link 2026-02-07T00:18Z 68.1K followers, [--] engagements

"@Sports_Fan7 If an Ortho surgeon can see it. it can't be easy to miss ;-)"
X Link 2026-02-07T12:16Z 68.1K followers, 17.9K engagements

"@NiklasVirta I do"
X Link 2026-02-07T18:09Z 68.1K followers, [--] engagements

"@yellowandblue88 @tylcole @AdamMeakins @DrRyanPDaly There is a work activity vs "exercise" paradox. whereas work stress can be "harmful" despite being as intense as similar purposeful exercise- which is less harmful"
X Link 2026-02-07T20:56Z 68.1K followers, [---] engagements

"Yes. VO2 max correlates with longevity. but mitochondrial flexibility/efficiency and overall number are arguably as if not more important. Most humans succumb to diseases that share a common root cause. We need more. https://www.howardluksmd.com/zone-2-hr-training-live-longer-less-injury/ https://www.howardluksmd.com/zone-2-hr-training-live-longer-less-injury/"
X Link 2022-06-13T12:04Z 68.2K followers, [---] engagements

"If you havent fallen off a bike while virtually standing still you havent ridden a bike very often"
X Link 2022-06-18T23:38Z 68.2K followers, [---] engagements

"The book is released :-). What a journey Thank you for all the incredible support @feelthebyrn1 @doctorinigo @nntaleb @brady_h https://www.howardluksmd.com/book/ https://www.howardluksmd.com/book/"
X Link 2022-06-21T13:05Z 68.2K followers, [---] engagements

"Do I need a knee replacement Idk. What do you think Well. after [--] sets of tennis its a little sore. You shouldnt have knee surgery. But Im bone on bone. Right . ignore that if you can. Words can harm. Some phrases really worry people"
X Link 2022-07-12T17:35Z 68.2K followers, [---] engagements

"A diagnosis of osteoarthritis is not the end of your active life. For the most part. the stronger your legs are and the more you walk the longer you'll keep your natural joints https://www.howardluksmd.com/exercise-improves-knee-arthritis-pain/ https://www.howardluksmd.com/exercise-improves-knee-arthritis-pain/"
X Link 2022-09-21T18:28Z 68.2K followers, [---] engagements

"Yep. ACL tears can heal without surgery"
X Link 2022-09-29T15:45Z 68.2K followers, [---] engagements

"Yes. Walking works. For every [----] steps you take each day your risk for premature death may fall by [--] to [--] percent according to research published in the journal JAMA Internal Medicine. https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2796058 https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2796058"
X Link 2022-10-08T14:16Z 68.2K followers, [---] engagements

"Precovid. Ran [--] min/mi w/ HR118. LT1 running was [---] by Bla- When I left the trailhead HR was [--] and slowly rose to [---] over [--] minutes. I had zero cardiac drift for runs up to [---] min. My recovery HR was [--] after [--] min. Then came COVID"
X Link 2023-01-07T15:37Z 68.2K followers, 649.5K engagements

"How do you describe this xray to your patient Now assume theyre [--] and very active. RT and running. Theyre still running. They just started to note some mild pain a week ago. They wanted to be sure nothing was seriously wrong"
X Link 2023-04-14T10:53Z 68.2K followers, 231.2K engagements

"The risks of being sedentary in a world of caloric excess far exceed the risks of almost any activity. And refraining from most activities will not protect their joints"
X Link 2023-04-14T13:07Z 68.2K followers, 34.5K engagements

"Egos. [---] is just too tempting once you get past 90"
X Link 2023-11-29T22:42Z 68.2K followers, 3.5M engagements

"You exercise you do not sustain an "injury" --- and later that day your knee is swollen. There's some discomfort. mostly due to pressure and the swelling. But there's no acute sharp pain. The all too often sad tale of what happens next"
X Link 2023-12-02T13:53Z 68.2K followers, 220K engagements

"Let's chat about frozen shoulders. A 🧵 There are a few ortho conditions that can make a mess of things due to its natural history initial presentation and progression. Frozen shoulders are one of those diagnoses"
X Link 2023-12-08T12:43Z 68.2K followers, 264K engagements

"The decline in physical examination skills is not just a nostalgic loss; it has practical implications. Studies have shown that many diagnoses can be made or significantly narrowed down through a thorough physical exam. The over-reliance on technology can lead to unnecessary tests increased healthcare costs and potentially a delay in treatment. 👇👇👇 https://www.howardluksmd.com/high-tech-and-low-touch-medicine-navigating-the-future-of-human-centered-healthcare/ https://www.howardluksmd.com/high-tech-and-low-touch-medicine-navigating-the-future-of-human-centered-healthcare/"
X Link 2023-12-27T10:49Z 68.2K followers, 139.1K engagements

"Every knee arthritis patient needs to hear. - pain does not always imply harm -it's ok to run/walk/weight train -yes PT can be helpful. -steroids are not typically helpful and might harm u -it's helpful to remain active -ignore the x-ray and focus on remaining active. -don't try stem cells They shouldn't hear. - you have bone on bone -you have the knee of a [--] year old - you should stop exercising -rest or you'll need a TKR - come back every [--] months for an injection"
X Link 2023-12-29T11:43Z 68.2K followers, 164.9K engagements

"You didn't need a knee replacement at [--] because you ran marathons. You kept your natural knee until you were [--] because you ran marathons"
X Link 2023-12-30T11:53Z 68.2K followers, 124.1K engagements

"Controversial statement of the day. Most mechanical knee and shoulder pain is not due to tears- even though your MRI shows a labral/meniscus tear. Most mechanical symptoms are due to inflammation. Resolve that and your symptoms will improve"
X Link 2024-01-19T20:38Z 68.2K followers, 78.9K engagements

"I often hear from people that they are afraid to exercise. That is a reasonable fear. Injuries might happen if you perform resistance exercises. But you should fear the effects of not exercising more. You should fear the onset of frailty more. https://www.howardluksmd.com/muscle-mass-strength-and-longevity/ https://www.howardluksmd.com/muscle-mass-strength-and-longevity/"
X Link 2024-01-21T12:27Z 68.2K followers, 37.2K engagements

"The final product :-)"
X Link 2024-01-24T02:13Z 68.2K followers, 136.9K engagements

"Telling a [--] yo they might have a labral tear is like telling them they might have grey hair"
X Link 2024-02-01T18:09Z 68.2K followers, 36.9K engagements

"We dont move in an isolated manner. We should train w compound/functional movements"
X Link 2024-02-03T17:41Z 68.2K followers, 96K engagements

"Exercise is the risk you take to avoid the dangers of being still"
X Link 2024-02-18T14:44Z 68.2K followers, 64.2K engagements

"Boom. [--] yo and ball slams ;-). My hero and my dad ;-) Say hi hell see this later"
X Link 2024-02-23T20:48Z 68.2K followers, 20.7K engagements

"This is why non employed doctors are getting crushed. My surgeon was paid $456 for an hour+ long robotic abdominal procedure. And if you knew the anatomy risks training needed etc is just an absurdly low sum of $. Stop telling me its the doctors fees. And. He didnt get paid for 3+mos by @Aetna despite a clean claim. You can send your attorney an email and be charged more 😒"
X Link 2024-03-11T12:57Z 68.2K followers, 667.6K engagements

"Stirring some controversy because why not 😂 Most partial cuff tears arent tears at all. They are age appropriate changes A bone spur didnt cause them. They dont often require surgery either. Just saying"
X Link 2024-03-13T16:31Z 68.2K followers, 41.4K engagements

"The distal thigh of a [--] something. Imagine losing this much muscle mass already and being able to remain active into your 70s and beyond. It should be very hard to imagine. Because they wont be"
X Link 2024-03-24T12:23Z 68.2K followers, 186.1K engagements

"Orthopedic surgery office based decision making isnt easy"
X Link 2024-03-25T16:18Z 68.2K followers, 332.4K engagements

"Doctors behaving badly. #247 Telling someone they'll develop OA because they can't pay him 15000-30000 for PRP/BMAC. Claiming it prevents OA treats labral tears and cures hip instability. And we wonder why some folks don't trust us"
X Link 2024-04-05T13:15Z 68.2K followers, 96.3K engagements

"We have the script all wrong. Why falls are a common cause of death"
X Link 2024-04-15T14:01Z 68.2K followers, 529.1K engagements

"Most knee replacement patients now walk the same day have minimal pain for the first [--] days and can go home the same day as surgery. It's not because of a robot. Other than putting in the components well it's not because of your surgeon. I know you paid 20000-50000 out of network but no that's not the reason. It's mostly due to advances our Anesthesia colleagues implemented TXA and Dexamethasone. And of course the patient deserves a lot of credit too"
X Link 2024-04-18T13:43Z 68.2K followers, 202.6K engagements

"Youll keep your natural arthritic knee longer if you ride/hike/run on it versus resting it. Exercise is the risk you take to avoid the consequences of being still"
X Link 2024-05-04T12:47Z 68.2K followers, 47.1K engagements

"Orthopedic Truths. Meniscus tears are common. Many meniscus tears dont hurt. Dont assume its the cause of your pain But it might be the cause of pain. Just dont assume that it is. Most tears dont require surgery. Some tears do need surgery. Except for root radial or bucket handle tears dont make that decision too soon. Yes you can run or play sports despite a meniscus tear. Bottom line its a far more complicated topic than most think it is"
X Link 2024-05-22T20:46Z 68.2K followers, 53.3K engagements

"Orthopedic Truths. Rotator cuff "tears" are common. Many rotator cuff tears tears dont hurt. Don't assume its the cause of your pain. But it might be the cause of your pain. Many tears aren't even "tears." The word tear implies trauma. Many "tears" are due to poor tissue health loss of mechanical load and other factors. Tears are not due to bone spurs. Tears can be partial or full-thickness. They can be small or large. Many adults with no pain have the exact same changes you have on an MRI. Some tears might grow larger over time. Others won't. Some tears will become painful over the next few"
X Link 2024-05-24T10:01Z 68.2K followers, 79.7K engagements

"Nonsense. Dont fear protein fear 👇👇 Whey Protein is probably the WORST fitness supplement ever for many reasons but IMO chief reason being that it activates mTOR a dangerous Ageing Enzyme because of the high Leucine content in Whey . STAY AWAY FROM WHEY Whey Protein is probably the WORST fitness supplement ever for many reasons but IMO chief reason being that it activates mTOR a dangerous Ageing Enzyme because of the high Leucine content in Whey . STAY AWAY FROM WHEY"
X Link 2024-05-26T13:35Z 68.2K followers, 91.4K engagements

"Also false. Creatine is metabolized to creatinine. Your creatinine will rise. But your kidney function is not affected by it. This knucklehead just keeps digging a deeper hole. @missiletrader Avoid Creatinine too. Long term effect on Kidney health is disastrous. @missiletrader Avoid Creatinine too. Long term effect on Kidney health is disastrous"
X Link 2024-05-26T14:46Z 68.2K followers, 62.4K engagements

"Orthopedic Truths #4 The ACL: The ACL is important for some people to remain active. Others tolerate its loss very well. ACL tears are too common in sports. ACL tear prevention programs exist. they work yet community/ school sports don't utilize them. ACL tears are more common in athletes participating in the same sport year-round. ACL surgery despite years of research and practice remains an imperfect solution to a complex problem. Do all ACL tears require surgery No But yours might. Your child should probably have it. It's the secondary injuries we worry about. What about adults Many do"
X Link 2024-05-28T11:29Z 68.2K followers, 229.8K engagements

"Orthopedic Truths: Tennis Elbow Stupid name Most people who have it don't play tennis. Nearly every person will get it. The most common cause of lateral elbow/upper forearm pain. It will resolve almost everyone on its own. Without "treatment". But it might take 6-12 months. Yep 6-12 months. It may not resolve in some people. Some people have minimal symptoms. Some have severe pain. Some people deal with pain well. Some don't. Most people are in our office because they're afraid of hurting themselves or they have a fear of the unknown. If you tell them the proper story about tennis elbow most"
X Link 2024-05-31T11:13Z 68.2K followers, 232.1K engagements

"Leak in an upstairs ceiling. Small. Contractor 1: New roof [-----] Contractor 2: New roof [-----] Contractor 3: you have a cracked gasket. $200. 🤦♂🤦♂ Multiple opinions matter. In ortho roofing and most everything else"
X Link 2024-06-04T20:49Z 68.2K followers, 26.3K engagements

"Just saying"
X Link 2024-06-13T12:45Z 68.2K followers, 50.9K engagements

"It can happen. Trust the process"
X Link 2024-06-18T19:13Z 68.2K followers, 174.9K engagements

"Too many people get this whole Zone [--] thing wrong. Very wrong I thought we were beating up the phrase too much many years ago Now every wannabe health coach is screaming it too. And most of them have absolutely no clue what theyre talking about. Even many docs selling supplements on IG have no idea. Literally none. Low heart rate (HR) training is important. Just like high HR training is too. Should we be doing more low-HR training than high-HR training Yes. A lot more low HR training. But its probably at a lower HR than youre doing now. Much lower. People think their LT1 or AeT is a magical"
X Link 2024-06-28T11:30Z 68.2K followers, 80.9K engagements

"@roelofbotha Surgeon here. I get that from most people trying to make ends meet"
X Link 2024-07-21T22:55Z 68.2K followers, 13.5K engagements

"Most adult joint pain is due to underuse ;-). . and no you didn't sleep "wrong.""
X Link 2024-07-26T14:18Z 68.2K followers, 33.5K engagements

"Ortho Move Move more Lift Lift more You probably dont need that MRI That surgery probably isnt needed either. Not all pain implies harm. Move"
X Link 2024-08-03T00:17Z 68.2K followers, 35.9K engagements

"It's sad that you get to a point in your career where your crystalline knowledge ( wisdom) is solid enough that you are better at avoiding harm to your patients saving them money on various issues saving the payors huge amounts in avoiding unnecessary surgery. yet- it's their nonsense P2p denials etc will be the very thing that drives us to retire. only to be replaced by someone who will cost them triple for the same population"
X Link 2024-08-13T15:09Z 68.2K followers, 38.5K engagements

"It's counterintuitive. but true. Tendons want a heavy load. Even if painful. Isometric loads for hot tendons should be heavy too. Bands not so much. the springiness of the band can lead to forces that piss off tendons more. And read @ProfJillCook work"
X Link 2024-08-16T11:05Z 68.2K followers, 36.3K engagements

"I can only run [--] miles three days/week 😅😅"
X Link 2024-08-19T13:03Z 68.2K followers, 94.4K engagements

"@doctorinigo put out a paper today. The implications of which are so profound. Ive linked to it earlier today"
X Link 2024-08-20T18:18Z 68.2K followers, 66.7K engagements

"If youre healthy but sedentary youre actually sick but dont know it. Harsh reality but over millennia our bodies were engineered to move. Not really exercise just move. @doctorinigo put out a paper today. The implications of which are so profound. Ive linked to it earlier today. https://t.co/gPpsZxyrRE @doctorinigo put out a paper today. The implications of which are so profound. Ive linked to it earlier today. https://t.co/gPpsZxyrRE"
X Link 2024-08-22T12:25Z 68.2K followers, 282.4K engagements

"This This has been a long time coming. Long C19 crushed my ability to run as I was accustomed for a long long time. And there were many fits and starts along the way. But finally Im back ☺"
X Link 2024-08-27T14:00Z 68.2K followers, 28.8K engagements

"There are now [--] US surgeons who have taken this placed their own contact info on it to share with their patients. Funny how patients and PTs report it :-). Sure its a complimentbut this was [--] years of experience and a few hours of work with a graphic artist to make it a reality. A trademark is pendingbut cmon"
X Link 2024-09-09T06:25Z 68.2K followers, 47.8K engagements

"Nearly all knees of asymptomatic adults showed abnormalities in at least one knee structure on MRI They even found bucket handle tears ;-) Median age. [--] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7237395/#::text=Results48%25%20knees%2C%20respectively https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7237395/#::text=Results48%25%20knees%2C%20respectively"
X Link 2024-09-16T13:10Z 68.2K followers, 103.5K engagements

"Is anyone else seriously struggling with whether or not to maintain a presence here--- or on socials in general This is not a political issue. Everywhere you turn you see the worst in humans- from believing the most insanely stupid things to being incredibly cruel and so on. But. there are benefits too. It's hard to figure out how they balance out and which side to fall onto"
X Link 2024-10-10T13:56Z 68.2K followers, 39.8K engagements

"This is so important. as I've said for a long time now. Strength training alone is not enough. yes we lose some strength- but it's "easy" to maintain. It's the loss of power and balance that is a much bigger problem. The loss is more noticeable. and likely to be far more problematic. The loss of the two together- power and balance- can be devastating. lose balance start to fall can't swing the leg powerfully in front of you to stop it. To address this my workouts have changed quite a lot over the years. I have de-emphasized heavy lifting and instead focused on lots of single-leg work. I use a"
X Link 2024-10-31T18:26Z 68.2K followers, 67.4K engagements

"Exercise is a calculated risk; stillness is guaranteed decline"
X Link 2024-11-02T11:49Z 68.2K followers, 56.3K engagements

"This is precisely what I talk about. Muscles are so much more than how they affect our appearance. Muscle mass means life extension. Its that simple. If the exercises that drive muscle development are appropriate it also means improved function and prolonged functional independence. Thanks @mackinprof and @Paul_Wischmeyer"
X Link 2024-11-15T14:59Z 68.2K followers, 58.9K engagements

"I am often asked by folks I coach/advise what the top drugs or supplements are for longevity. Well. my list. Walking hiking running cycling tennis or swimming Weight training- including power and balance Sleep Real food Having a sense of purpose and having a few terrific friends. If you add to those controlling your blood pressure and LDL you have covered 97% of the issues that could significantly improve your chances of living better and longer. Supplements etc. are marginal longevity issues. They're 1% issues. If you've optimized the first [--]. you're good to go. Okay okay. but I do take"
X Link 2024-11-17T11:58Z 68.2K followers, 44.6K engagements

"Our bodies are a series of highly complex interrelated systems. one system will affect the others. The older I get the more obvious this becomes. Even in Orthopedics it's clear that adult joint pain is often the downstream result of issues elsewhere. A Thread"
X Link 2024-11-17T12:48Z 68.2K followers, 55.5K engagements

"Osteoarthritis is poorly understood. and often managed even more poorly. Osteoarthritis is the gradual loss of cartilage or cushioning on the ends of our bones. The cartilage cushions the forces of weight bearing and provides a near frictionless interface between the bones of our joints. Inflammation often follows the loss of cartilage. Knees with more inflammation and swelling have more pain than dry knees. Cartilage breakdown can begin for many reasons. Contrary to popular thought cartilage does have complex repair mechanisms in place. But genetics prior trauma or surgery can upset those"
X Link 2024-12-01T14:05Z 68.2K followers, 71.3K engagements

"Weight training vs. aerobic training or both. It's the cardiac adaptations that matter. How do various exercises affect the heart Let's explore how weight training and endurance training shape your heart differently. Weight Training: Resistance exercise creates pressure overload leading to CONCENTRIC hypertrophy where the heart's walls thicken but the chamber size remains unchanged. This enhances force generation (power) but may reduce filling efficiency if overdone without aerobic activity. This is important because it doesn't affect stroke volume or the amount you pump with each beat."
X Link 2024-12-30T14:26Z 68.2K followers, 78K engagements

""What If You Looked at Fitness Like a Retirement Account" Too many people view fitness as a short-term endeavor: getting fit for summer losing weight for a wedding or preparing for an event. But what if we flipped the script What if you thought of your muscle mass bone density VO2 max and aerobic capacity like a retirement account Heres the thing: as we age we experience a natural decline in muscle mass aerobic capacity and balance. The less we start with the faster we feel the effects of aging. This is why strength resilience and fitness are compound investmentsthe more you build and"
X Link 2025-01-15T01:20Z 68.2K followers, 31.5K engagements

"Most of us shouldnt fear overuse injuries"
X Link 2025-02-02T19:35Z 68.2K followers, 42.1K engagements

"If you love running. run"
X Link 2025-02-21T14:15Z 68.2K followers, 35.7K engagements

"You fall down a rabbit hole and forget all your medical knowledge. For those who are interested Paget-Schroetter disease or of course TOS"
X Link 2025-02-21T22:10Z 68.2K followers, 37.6K engagements

"Let Your Muscles Be Your Pharmacy Exercise isnt just about burning calories or building strengthits about also about biochemistry. Building muscle mass as an older adult has always been more about the overall health benefits more than the size of your biceps. The more we know the more we realize how interconnected each system is in our bodies and how reliant each system is on other systems. Your muscles are more than engines of movement; they are biochemical factories releasing a cocktail of molecules that influence your entire body. When you exercise your muscles secrete myokines signaling"
X Link 2025-03-03T13:10Z 68.2K followers, 24.3K engagements

"Living longer/better doesnt require a complicated routine. -dont smoke - dont drink more than 5/week - move - move more - keep moving - push and pull heavy things - sleep - have friends - find something that motivates you to get out of bed in the morning. - eat food that you prepare. Ignore most of the nutritional noise online. - maintain a normal blood pressure - maintain a normal ApoB - maintain a normal A1c - dont like cold plunges. good avoid them. Dont buy the nonsense. - if you dont start w the above then the supplements you take are irrelevant. - are you optimizing the above No Then"
X Link 2023-04-29T13:34Z 68.2K followers, 584.6K engagements

""I've been exercising and running for [--] years and need a knee replacement. I knew I shouldn't have run that much." Nope. your knees lasted this long because you exercised. Osteoarthritis is not a reason to stop exercising. https://simplavida.com/a-diagnosis-of-osteoarthritis-is-not-a-death-sentence/ https://simplavida.com/a-diagnosis-of-osteoarthritis-is-not-a-death-sentence/"
X Link 2023-11-24T13:32Z 68.2K followers, 78.5K engagements

"Orthopedic Truths: Part [--] Labral "tears" of the shoulder are incredibly common. Especially superior or SLAP tears. If you're over 40-50 odds are that you have one. It's rarely the cause of pain. They're not even tears per se. The easiest way to find an excuse to operate on a shoulder in adults is to get an MRI. Labral tears in adults are usually just age-appropriate changes. Do not assume it is the cause of your pain. Labral tears in kids are different animals. Adults are not kids. even though they may act like them ;-). There are different types of labral tears. All the above assumes no"
X Link 2024-05-26T12:24Z 68.2K followers, 154.5K engagements

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