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Answering all your physical therapy, fitness, strength and conditioning, sports performance, and career advice questions. Join me, Lenny Macrina, Dave Tilley, Dan Pope, Mike Scaduto, Lisa Russell, Kevin Coughlin, Diwesh Poudyal, and others from my team at Champion Physical Therapy and Performance in Boston, MA and learn how we help people feel better, move better, and perform better. Ask your questions at http://mikereinold.com/askmikereinold.
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Your Doctor Friends

Dr. Jeremy Alland and Dr. Julie Bruene

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Discover trustworthy health insights with your new doctor friends! Join Dr. Jeremy Alland, Dr. Julie Bruene and top experts from around the world each week as they demystify common medical questions and discuss trending health topics in a friendly, informative manner.
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Internal bracing is becoming a very popular procedure with orthopedic surgeons. Repairing ligaments and then augmenting the tissue with an internal brace has shown to be promising throughout the body, including the MCL of the knee. But, what do you do if there is prolonged stiffness? To see full show notes and more, head to: https://mikereinold.com…
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Oblique injuries are common in baseball players, and not so common in other sports. With baseball players training so much more in the offseason with high volume and max intent, it’s no wonder these injuries are rising. Here’s how we approach these injuries and how to progress them back to hitting. To see full show notes and more, head to: https://…
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Restoring range of motion after a rotator cuff repair is one of the most important factors in long-term patient satisfaction. Internal rotation is especially important, as a loss of IR can really limit their functional movements. There are many variables to consider when rehabbing a rotator cuff repair patient. Several factors will alter our speed …
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After three incredible years, Your Doctor Friends is coming to an end — but this isn’t goodbye forever. It’s simply the start of something new. In this final episode, we take a moment to reflect on the wild ride we’ve shared — from our humble beginnings in a basement with zero outlines, to growing into a show that connected with an amazing communit…
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Rehabilitation after ACL reconstruction is a long, sequential process. We look for specific criteria before progressing our athletes back to running. Here are the criteria we look for and the progression we follow for plyometrics, running, sprinting, and agility work to help athletes get back to competition after ACL surgery. To see full show notes…
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Little League Elbow is a common injury in youth baseball players. Little League Elbow is a growth plate injury typically seen in baseball pitchers around the age of 13. At this age, the bone is typically the weak link, not the ligament. This is why we see more bony growth plate injuries than Tommy John injuries in youth athletes. These often take l…
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Can you exercise with AFib? Know someone with AFib—maybe a parent or loved one—who wants to stay active but isn’t sure how? In this episode, Dr. Sean Swearingen, sports cardiologist, breaks down exactly how you can stay active while managing atrial fibrillation, without putting your heart at risk. Whether you're new to AFib or just looking to get b…
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How well do you really understand your metabolism? What does it mean to be truly "Metabolically Healthy"? Dr. Greg Dodell, a board certified endocrinologist and the genius behind @everythingendocrine on social media, joins me to unwrap this naturally dense topic. We cover why some people see unexpected jumps in blood sugar after meals, how insulin …
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Over the last decade, the amount of sports physical therapy residency programs has skyrocketed. There are so many great programs now. Our students ask us all the time if they should do a residency. Our answer is always, “It depends.” They aren’t for everyone. Here are our current thoughts on sports PT residencies, who should consider them, and who …
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What if a deadly cancer was lurking inside you, and you had no idea? Gallbladder and bile duct cancer, aka Cholangiocarcinomas, are some of the most aggressive, difficult-to-detect cancers out there. With no reliable screening tests and vague symptoms that often go unnoticed, early detection is nearly impossible. But knowing the warning signs could…
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If you've ever worried that running, skiing, or playing sports might lead to arthritis or a future joint replacement, you're not alone. But what if we told you that staying active is actually protecting your joints rather than wearing them down? In this episode, Dr. Brian Cole, one of the leading orthopedic surgeons and sports medicine experts, deb…
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Ah, the diagnosis of biceps tendonitis. We’ve all seen it so many times on script from doctors. Is all anterior shoulder pain coming from the biceps? How can you tell? How does this change your rehab? We’ll answer all this and more in this episode. To see full show notes and more, head to: https://mikereinold.com/evaluation-and-treatment-of-biceps-…
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Did you know the invisible work that keeps our personal and professional lives running smoothly may also affect our health? We're diving into a topic that impacts every relationship, workplace, and home—emotional labor— and yet it often goes unnoticed, undervalued, and uncompensated. We’re joined by Rose Hackman, journalist and author of Emotional …
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Heart disease is often thought of as a "man's disease," but the reality is that it affects women just as much—if not more. The problem? Women aren’t getting the information they need to take control of their heart health. Did you know that heart disease is the leading killer of women, yet so many of us remain unaware of the risks? We sit down with …
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It’s so awesome to see so many cash-based physical therapy businesses starting around the country. It’s really been an amazing experience for us at Champion to be out-of-network with health insurances for over 10 years. In this episode, we have some advice, pros, and cons for those looking to succeed with this model. To see full show notes and more…
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What if the way you breathe and move could hold the key to a stronger, pain-free, and more efficient body? Enter Dynamic Neuromuscular Stabilization (DNS)—a revolutionary approach to movement, stability, and injury prevention that’s changing the game for athletes, healthcare professionals, and everyday people. Drs. Julie and Jeremy are joined by DN…
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Hopelessness is a tough place to be—but it’s not the end of the story. In this episode, we dive deep into identifying hopelessness, understanding its causes, and discovering how community and purpose can guide us toward healing. 💡 Key Highlights: What Is Hopelessness? We break down the feelings and signs of hopelessness, how it sneaks up on us, and…
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We’re starting to see more and more ACL reconstruction procedures with an LET, or lateral extra-articular tenodesis. Especially in revisions and younger female athletes. In this episode we talk about the technique, how it changes the rehab progression, and some tips on what to watch out for. To see full show notes and more, head to: https://mikerei…
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Robotics in surgery is transforming joint replacements, but is it really better than traditional methods? In this episode, we explore the rise of robotic joint replacements, what makes them so appealing, and when they might be the right choice for you! 🤔 Key Highlights: What is Robotic Joint Replacement? We break down the basics of robotic surgery …
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Welcome to 2025! Have you ever made a New Year's resolution that actually stuck? In this episode, we get real about why resolutions often fail and how you can set realistic, effective goals. Plus we share our own resolutions! The challenges we've faced, and provide science-backed tips to help you turn January dreams into lifelong habits. By the end…
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If you want to help your athletes maximize their potential, you need to have a system to assess athletic qualities. This is important to individualize programming and monitor progress. We follow a few steps in our system: 1. Identify the athletic qualities needed in a sport 2. Identify an assessment to measure this quality 3. Determine the technolo…
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💥 Spoiler alert: Executive physicals might not be as glamorous as they sound! In this episode, we take you behind the curtain of those fancy, high-end health checkups that promise to keep you at peak performance. Are they really worth the $$$? 🤔 Join us as we talk about: What’s included in these “VIP” health checkups and if they’re actually worth y…
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One of the most common questions we tend to get over time is how to return athletes back to sport after an injury. This is one of the main topics in our online Champion Sports PT Mentorship, and probably the most popular portion of the program for past students (BTW, our next cohort starts in January… click here to learn more). In this episode, we …
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Scrolling through social media for health advice can feel like a minefield. Between viral wellness trends, influencers touting quick fixes, and misinformation at every turn, how can you tell who to trust? In this episode, we sit down with doctors and digital creators Adam Goodcoff (@SeeTheMedLife) and Dr. J Mack (@Dr.JMack) to uncover how to find r…
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We all want to see behind the curtain right? Today we go there with Dr. Tommy Martin, a Med-PEDS physician with over 3 million TikTok followers. We discuss the integration of social media within the medical field, the responsibilities of being a healthcare influencer, combating misinformation, and sharing personal experiences. Dr. Martin explains h…
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Limb symmetry index is often used to measure performance and determine return to play. Makes sense, but what if the other side isn’t perfect? We prefer to look at more than just LSI, but there’s a bunch that goes into it. We discuss in this episode. To see full show notes and more, head to: https://mikereinold.com/is-limb-symmetry-index-our-goal/ C…
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Ever wondered why your gut feels off even when doctors say everything is normal? In this perfect post-Thanksgiving episode, we explore the often misunderstood mind-gut connection with GI expert Dr. Treta Parohit. We delve into chronic GI symptoms that persist despite normal test results and discuss the gut-brain axis and its role in conditions like…
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Do women really need to suffer through menopause? Many people have heard of Hormone Replacement Therapy, but very few are on it. What's behind this? Take a deep dive with us into the often misunderstood world of menopause, perimenopause, and hormone replacement therapy. We sit down with Joanna Strober, CEO of MidiHealth, to uncover the real issues …
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Imagine knowing exactly what 'healthy' really means on your food labels! This week, we get that clarity straight from the source as we sit down with Jim Jones, the Deputy Commissioner of Human Foods at the FDA. We explore the often-overlooked 'food' aspect of the FDA's role, discussing how the agency plans to make our food safer, the new 'healthy' …
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Rotator cuff tears are becoming more common in younger active patients in their 40s and 50s. Typically, they are small tears at this time, but what should we do with them? Should we consider surgery? Should we avoid it at all costs? We talk about some of the things to consider in this episode. To see full show notes and more, head to: https://miker…
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We dive into the important topic of healthspan vs. lifespan and share some laughter along the way. We talk about how one simple thing—strength training—can drastically improve the quality of our years on this planet. Remember our aging episode with Dr. Snyder? We chat about healthspan, the key to living longer and healthier, and introduce the term …
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In this episode of 'Your Doctor Friends,' we discuss Dr. Jessi Gold's impactful memoir, "How Do You Feel? One Doctor's Search for Humanity in Medicine." Dr. Gold shares stories from her experiences as a psychiatrist, focusing on the mental health struggles of healthcare providers during the COVID-19 pandemic. We delve into the book's emotional dept…
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There are a ton of scientific and medical journals these days. Seems like there are more and more each year. We’ve talked over the years about how there are actually some journals you want to avoid, and others that you want to follow. In this episode, we talk about our current favorites plus some other current thoughts on how to stay current. To se…
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Welcome back, friends! In this exciting and insightful episode, we dive deep into the fascinating world of physical therapy with the help of renowned expert Mike Reinold. We tackle the challenges of finding a quality physical therapist, evaluating the benefits of various types of therapy practices from large corporate chains to small community-focu…
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Got protein on your mind? Join us for an in-depth, lively discussion on all things protein! Learn exactly how much you need based on your age and activity level, and steer clear of possible risks like kidney stones. We debunk myths, unveil marketing tricks like 'protein washing,' and provide practical tips for maintaining muscle and optimizing over…
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Blood flow restriction training has been such a great addition to what we do in physical therapy. Just like everything else, the more we use it, the more we refine what we are doing. Here are our latest thoughts on how we are using BFR at Champion. Check out the show notes below to see our latest recommendations on BFR cuffs. To see full show notes…
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Our Berlin Marathon Experience: A Life-Saving Moment In this podcast episode, we share the incredible story of our friend, Dr. Eliza Pierko, a sports medicine physician. During her fifth marathon in Berlin, we were amazed to learn how she stopped at mile 21 to administer CPR to a fellow runner who suffered cardiac arrest. Despite this unexpected ch…
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Alkaline water is EVERYWHERE! But is there really any benefits behind the booming business? In this episode we explore higher pH water and its supposed impact on hydration, acid reflux, bone health, and even cancer prevention. Through discussions on acidity, alkaline diets, and the Warburg effect, we aim to separate fact from marketing, highlightin…
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We’ve all had the patient walk in the door with acute low back pain. It’s awful. They’re in a ton of pain and can’t function. In this episode, we discuss our strategies for working with people with acute lumbar radiculopathy to get them on the right path as soon as possible. To see full show notes and more, head to: https://mikereinold.com/how-to-t…
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In this episode, we discuss the 988 Suicide and Crisis Lifeline. We examine public unfamiliarity with the service, despite its crucial role in providing immediate help for mental health crises, substance abuse issues, and suicidal thoughts. We explore the history of the lifeline, its purpose, operation, and how people can better understand and util…
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Get ready for cold and flu season with this entertaining and informative episode! Dive into everything you need to know about staying healthy this fall. From the latest on COVID-19 and flu vaccinations to understanding the rise of RSV, we've got you covered. Learn the importance of testing, find out the best time to get your vaccines, and discover …
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We all know it’s important to challenge our patients with load during the exercise progression of a rehabilitation plan. Many people like to poke fun at the concept of 3 sets of 10 repetitions, probably because some abuse it, but there is a time and place for everything. In this episode, we discuss set and rep schemes and how we periodize our exerc…
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Have you noticed how heavy kid's backpacks are? It seems like a no-brainer that this could cause back pain. But does it? Your Doctor Friends give you the expert insights into whether back pain is actually worsened by backpacks and give parents actionable tips to make it better. We review key research findings, discuss practical solutions for reduci…
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Can you feel it?!? The energy, the excitement, the smell of fresh-cut grass—football season is back! From Friday night lights to Sunday tailgates, there’s nothing quite like it. The thrill of the game, the hard hits, the big plays, the rivalries—we wait all year for this. It’s the heartbeat of fall. But behind the touchdowns and tackles, there’s a …
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Rotator cuff repair surgery is one of the most common procedures in physical therapy, yet the recommended postoperative guidelines vary significantly. Different doctors worldwide disagree on what’s best. Some want to be conservative and delay range of motion and physical therapy to maximize the chance that the repair does not fail. But is that best…
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We're back!!! And we're here to talk about GETTING OLD! We often hear people say something along the lines of, “I feel like once I turned 60, everything went downhill.” Or “It feels like all of a sudden in my mid-40s, I am falling apart.” Does this sound familiar? Historically, as physicians, Your Doctor Friends generally reassure those folks that …
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Our understanding of SLAP tears, or superior labral tears of the shoulder, continues to evolve. In the past, we often rushed to surgical repair of a SLAP lesion, but now we understand that not all SLAP tears need to be repaired. In fact, repairing some types of SLAP tears in the wrong person could make them worse! In this episode we talk about the …
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Rate of force development has become popular in the strength and conditioning world, but not so much in rehabilitation. After an injury, we often work on strength and power, but we must also work on producing force as quickly as possible to benefit athletes. In this episode, we discuss how to measure RFD and how to incorporate it into the rehabilit…
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re-re-re-re-REEEEMIXXXXX TIME! Your Doctor Friends decided to follow the trend set by Karen Kilgariff and Georgia Hardstark of the My Favorite Murder podcast, and upcycle a classic episode with a fun new twist! We've pared down our July 2023 episode about heat illness and added updates and commentary for your education and enjoyment, friends! YDF w…
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The future of ACL reconstruction and repair is evolving. One of the newer techniques to try to repair the native ACL ligament rather than needing a graft is using a bridge enhancement. This is called the BEAR technique for Bridge-Enhanced ACL Repair. This procedure has specific indications, contraindications, and rehabilitation guidelines. In this …
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