@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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- [--] Year [---------] -53%
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Social Influence
Social category influence finance 5% countries 2% currencies 1%
Social topic influence health 10%, pain 7%, if you 6%, more than 5%, ortho 5%, matter 5%, how to 3%, in the 3%, harm 3%, common 3%
Top accounts mentioned or mentioned by @adammeakins @tylcole @realdonjunk @drryanpdaly @awhitept @zacharykeithfs @yellowandblue88 @rodger @bradsuss @niklasvirta @canesdavid @rscheipe @coachdango @whitfieldlewis6 @grok @doctorinigo @wisskier @drgayeddpt @inakidelaparra @sportsfan7
Top Social Posts
Top posts by engagements in the last [--] hours
"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
"Umm. Once again. No. This guy 🤦♂🤦♂ The single root cause of most chronic diseases is high glucose But the food industry has created the lie that glucose is your bodys preferred fuel because they can profit the most from refined carbohydrates On the contrary a low-carb diet of less than [--] grams of carbs per https://t.co/olMXmaUMQE The single root cause of most chronic diseases is high glucose But the food industry has created the lie that glucose is your bodys preferred fuel because they can profit the most from refined carbohydrates On the contrary a low-carb diet of less than [--] grams of"
X Link 2026-02-06T14:01Z 68.1K followers, 24.6K engagements
"@rodger Not titanium ;-) Just saying"
X Link 2026-02-06T20:32Z 68.1K followers, [----] engagements
"@realDonJunk An ACL tear is a knee injury"
X Link 2026-02-07T00:18Z 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
"@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
"@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
"@NiklasVirta I do"
X Link 2026-02-07T18:09Z 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
"@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
"@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
"@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
"@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
"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, 44.8K 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, 10.3K 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
"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
"@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, 28.3K engagements
"Did Marco Rubio nail the [--] nomination with that speech Conversation please"
X Link 2026-02-15T13:34Z 68.2K followers, 12.7K 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
"Multifactorial. Many people had untapped potential earlier in life due to poor structure under-recovery or inconsistent training. So. perhaps what youre seeing is a delayed plateau not a delayed peak. Peak performance is the intersection of biology behavior and consistency. Perhaps Master's athletes arrive at that intersection later with fewer competing priorities and better self-awareness. The absence of a decline might mean the athlete is offsetting some of the expected losses through improved efficiency strength recovery and training intelligence Eventually though. It's going to go"
X Link 2026-01-23T22:49Z 68K followers, [---] engagements
"Ugh. it's not the insurers. (yes many of their practices are awful.) But it is the presence of huge hospital systems that is responsible for the cost escalation. They are hedge funds with hospitals on their balance sheet. and insurers cannot reasonably negotiate in their markets. https://twitter.com/i/web/status/2014841277217485165 https://twitter.com/i/web/status/2014841277217485165"
X Link 2026-01-23T23:22Z 68K followers, [----] engagements
"Why Early Loading Heals Tendons Faster Than Rest For many years tendon injuries were initially managed with rest. or ice for a few days followed by time in a brace or a boot. Pain was taken as a signal to avoid load and recovery was expected to occur with time. Mechanical stress was viewed as something to delay until symptoms settled. Research from Denmark has shown that this approach is wrong. Much of this work comes from the Copenhagen muscle and tendon research community particularly from groups led byMichael Kjaerat theUniversity of Copenhagenand collaborators atBispebjerg Hospital as"
X Link 2026-01-25T11:19Z 68K followers, 62.5K engagements
"Interesting. Shoveling snow. I thought it would have looked much different"
X Link 2026-01-26T16:50Z 67.9K followers, [----] engagements
"@traumaticum Ed. please reply to the most recent DM soon. Thanks"
X Link 2026-01-27T15:31Z 67.9K followers, [---] engagements
"7 Things This 62-Year-Old Orthopedic Surgeon Would Tell His 30-Year-Old Self I turned [--] this year. That's [--] years of orthopedic practice thousands of patients and enough pattern recognition to see who ends up on my surgical schedule at [--] and who's still hiking at [--]. If I could go back here's what I'd tell my 30-year-old self: [--]. Your joints have a finite number of hard effortsbudget them wisely The runners you see at [--] aren't the ones who went hard every day at [--]. Tissue capacity is a resource you spend not a limitless well. Recovery isn't weakness it's a strategy. [--]. Muscle mass in"
X Link 2026-01-27T18:26Z 68.1K followers, 42.3K engagements
"Ive been watching companies like @mytheator and this is where AI actually makes sense in the surgery domain. Not to replace surgeons or diminish experience but to compress the distance between novice and judgment. ;It took me nearly two decades of continuous iterations in the OR to understand where inefficiencies hide which steps truly matter which ones persist out of habit and how small deviations quietly shape outcomes. That kind of knowledge isnt found in textbooks or operative notes. Its pattern recognition earned through repetition reflection mistakes learning and time. This is where AI"
X Link 2026-01-27T18:31Z 67.9K followers, [----] engagements
"When Pushing Harder Makes You Weaker Lets meet Joe who learned this the hard way. Hes [--]. Hes been running for decades - marathons ultras the works. Running is his identity his stress relief his anchor. Then he had surgery. Nothing catastrophic but enough to sideline him for a few weeks. When he got clearance to return to activity he did what every dedicated athlete does: he jumped back in. At first it felt good to be moving again. The data told a different story. His heart rate was higher than it used to be at the same pace. His times were slower. His legs felt heavy. He wasnt bouncing back"
X Link 2026-01-28T18:03Z 67.9K followers, [----] engagements
"Nope. weight training is not aerobic training. (no matter how much you yell back at me ;-) ) https://t.co/REq9mAU4bF https://t.co/REq9mAU4bF"
X Link 2026-01-29T12:27Z 68K followers, [----] engagements
"Not really. Sorry if it seems so. Today theres no aerobic benefit would be hard to prove. The basic physiology of the two are very different. Lower stroke volume Low preload high afterload high pressure vs high preload high stroke volume low afterload. Entirely different stimulus and thus adaptations. A high HR alone doesnt mean that an exercise is aerobic"
X Link 2026-01-29T21:39Z 67.9K followers, [--] engagements
"@statesdj 100%"
X Link 2026-01-30T16:54Z 67.9K followers, [----] engagements
"Watching this Moltbook thing evolve makes me very nervous. I mean look what humans do on social media. Why dont we think rogue agents will do the same. And theyre autonomous. And theyre awake 24/7 and 100x faster than us. Hmmm. This is going to be interesting to watch form the sidelines. Imagine giving that thing a credit card or email address. 😂 https://twitter.com/i/web/status/2017410372412551212 https://twitter.com/i/web/status/2017410372412551212"
X Link 2026-01-31T01:31Z 68K followers, [----] engagements
"@Brady_H Ha. I joked that the main reason I miss my kids at home is that they refill my water ;-)"
X Link 2026-01-31T02:51Z 68K followers, [----] engagements
"Someone should tell Peter to hire a crisis manger and shut off his automated shares🤦♂🤦♂ A closer look at the MET-PREVENT trial and what its null results reveal about aging interventions and trial design. Full article linked below. https://t.co/2oD1n8DsbH A closer look at the MET-PREVENT trial and what its null results reveal about aging interventions and trial design. Full article linked below. https://t.co/2oD1n8DsbH"
X Link 2026-02-01T15:42Z 68.1K followers, 212.2K engagements
"Some things dont require nuance. You dont need a legal verdict to decide what behavior youre willing to associate with. You dont need perfect information to set basic moral boundaries. And you dont get to hide behind navet when the issue is this clear. Be a decent person. Treat people the way youd want your daughter sister or partner treated. Align with people you would allow to associate with them as well And dont associate with people who have been credibly accused charged or convicted of abusing others. Those are not controversial standards. Theyre the floor of the basics we should expect."
X Link 2026-02-03T11:40Z 68.1K followers, 18.3K engagements
"Diabetes insulin resistance and shoulders don't mix either. Why is that https://howardluksmd.substack.com/p/when-your-shoulder-freezes-the-metabolicr=8b26 https://howardluksmd.substack.com/p/when-your-shoulder-freezes-the-metabolicr=8b26"
X Link 2026-02-03T23:30Z 68.1K followers, [----] engagements
"@jointdocShields @AAOS1 Where is it this year"
X Link 2026-02-04T18:43Z 68.1K followers, [---] engagements
"@AdamMeakins Im living this. I havent lost much strength over time. Just havent. I have lost power and neuromuscular control balance. My training has changed accordingly"
X Link 2026-02-05T12:23Z 68.1K followers, [----] engagements
"Haha. No. A pinch of sea salt under the tongue can support muscle strength and reduce fatigue. It absorbs rapidly and provides the sodium needed for proper muscle function. A pinch of sea salt under the tongue can support muscle strength and reduce fatigue. It absorbs rapidly and provides the sodium needed for proper muscle function"
X Link 2026-02-05T12:24Z 68.1K followers, [----] engagements
"@MedInducedSick That's not what he said. and you're talking about a VERY narrow reason to consider it"
X Link 2026-02-05T15:14Z 68.1K followers, [---] engagements
"@dr_ericberg So close 🤣🤦♂🤦♂. You know how to sell. Ill give you that. You dont understand basic metabolic physiology though"
X Link 2026-02-06T14:03Z 68.1K followers, [----] engagements
"However. people who are metabolically fit high VO2mx etc are running more on fatty acids too. And we can respond to intensity because of our glycolytic capabilities. My resting lactate is 0.6-0.7 mmol. :-) This isn't one vs the other. There are upsides to both approaches for met health. but you'll never. or at least very rarely find a fat-adapted high-performance elite endurance athlete out there. You just don't perform as well. Lastly. free radicals and oxidative stress as acute stimuli drive adaptation and are a net positive. Chronic oxidative stress due to poor metabolic health is the"
X Link 2026-02-06T16:01Z 68.1K followers, [--] 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
"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
"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
"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
"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
"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
"Egos. [---] is just too tempting once you get past 90"
X Link 2023-11-29T22:42Z 68.2K followers, 3.5M 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
"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
"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
"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
"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
"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
"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
"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: 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
"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
"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
"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
"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
"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
"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
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