Want a stronger back without putting your life on pause? We sit down with nurse practitioner Brittany Madison to map a practical route from nagging pain to confident movement, blending modern spine surgery, targeted pelvic floor work, and the real‑world habits that keep active families going. Brittany works alongside a spine surgeon in the OR and at a med spa, so she brings a rare, 360‑degree view: conservative care, imaging, injections, motion‑preserving disc replacements, and the post‑op rehab that makes outcomes last.

We start with the tools that support recovery and performance. Brittany explains how Mscella can dramatically improve pelvic floor function for men and women, from reducing incontinence to building lower abdominal strength that stabilizes the low back. Pair that with Msculpt Neo and thoughtful physical therapy, and you’ve got a strategy that helps pre‑hab before surgery or rebuild after. Expect specifics on when to use X‑rays and MRIs, how conservative options fit, and when neurological red flags mean it’s time to operate.

This is also a playbook for busy parents. Brittany shares time‑saving tactics—keeping a packed gym bag, training during kids’ practices, and using goals like a half marathon or triathlon to stay accountable. We talk about shifting from high‑impact lifting to joint‑friendly strength like Pilates, barre, and weighted walks that protect the spine during long OR days. For the kids, we dive into youth conditioning at Arise, why multi‑sport exposure beats early specialization, and how a strong community lifts everyone.

You’ll leave with a clear view of the path from first symptoms to recovery: imaging, plan, conservative care, motion‑preserving surgery when needed, minimal opioids, and a structured return to activity by six to twelve weeks. If that sounds like the kind of actionable, science‑grounded guidance you’ve been looking for, hit play, subscribe, and share this with someone who needs a nudge forward. Then tell us: what’s the one habit you’ll change this week?

PCOS can feel like a maze of mixed advice, quick fixes, and symptoms that never quite add up. We bring in registered dietitian and PCOS coach Courtney Meinant to cut through the noise with an approach that’s personal, evidence-led, and actually doable. From first-hand experiences to client wins, we unpack what puts symptoms into remission and how to build a plan you can live with.

We start by clarifying what PCOS is—and isn’t. The diagnosis doesn’t vanish, but the drivers behind irregular cycles, acne, fatigue, or weight changes are modifiable. Courtney breaks down the role of insulin resistance and why stabilizing blood sugar transforms energy, sleep, and hormones. You’ll hear exactly which labs matter, when to test them in your cycle, and how functional gut insights sometimes explain stubborn breakouts or androgen swings. We get practical on breakfast timing, protein-forward, fiber-rich meals, and why most intermittent fasting advice wasn’t designed for women with PCOS.

Food choices don’t have to be all-or-nothing. We look at who benefits from full-fat dairy, when gluten limits make sense, and how to approach alcohol so your liver isn’t too busy to clear hormones. On the training side, we make the case for a balanced week: cardio for heart health, strength to improve insulin sensitivity, and restorative work to calm cortisol. Mental health gets real attention—PCOS can strain body image and mood—so we talk about building the right support team and checking nutrients like vitamin D, B12, iron, and folate.

We wrap with supplement standards and travel-proof strategies. Inositol blends have strong research behind them; third-party testing like NSF and GMP keeps you safe. For holidays and flights, think protein-and-fiber pairings: roasted edamame, low-sugar jerky, eggs, nuts, or egg bites. Small changes compound fast. If you’re ready to move from confusion to control, subscribe, share this with a friend who needs clarity, and leave a review telling us the one habit you’ll start this week.

Pain that shows up without a clear injury isn’t random—it’s a pattern. We unpack why recurring trigger points and “tight” muscles are usually alarms for deeper issues in joint mechanics and movement control, and how to build a plan that finally turns the alarm off for good. Rather than doubling down on needles, cupping, or endless stretching, we zoom in on the lifts and tasks that flare symptoms and test the systems that matter most: cervical and rib mobility, scapular control, shoulder stability, pelvic symmetry, and hip strategy under load.

You’ll hear how upper trap pain during presses, carries, and squats often traces back to neck hyperextension and rib position, not a broken trap. We break down practical assessments—watching reps, checking ranges, and identifying compensations—and show how targeted manual therapy plus precise corrective exercises create lasting change. Expect cues for head and rib position, scapular upward rotation, deep neck activation, and bracing that protects the spine without stealing motion from the neck.

We also challenge two sacred cows: hamstrings that feel tight and the infamous IT band. Many hamstrings are overlengthened and overworked because the pelvis is off and the glutes are underdoing their job. The IT band doesn’t stretch like a rubber band and is often tense from hip instability, not local pathology. Fix the architecture—SI joint mechanics, hip rotation, glute strength, frontal plane control—and the “tight” tissues calm down without being pummeled. If pain returns when you get back to full training, that’s a diagnostic miss, not bad luck. We want your retest to prove change under the same load that used to hurt.

Ready to move past symptom-chasing and build resilient patterns that hold up to real training? Follow the show, share this episode with a training partner who needs it, and leave a review with the lift that gives you the most trouble so we can tackle it next.

A small knee tweak shouldn’t derail an active life—yet swelling, stiffness, and a scary X-ray can make it feel like the wheels came off. We unpack what’s really happening when an irritated joint flares: chronic wear that took years to develop meets an acute inflammatory surge, nerve sensitivity spikes, muscles guard and weaken, and suddenly stairs and sports feel miles away. Rather than chasing images, we focus on what changes outcomes: calming the system with pain-free motion, tightening activity hygiene so you stop “poking the bear,” and rebuilding strength for real stability.

We walk through a clear roadmap for active adults in their 50s and beyond: use gentle movement to circulate synovial fluid and desensitize irritated nerves, then progress to targeted strengthening that fortifies the quads, hamstrings, calves, and glutes. We also fix the hidden culprits above and below the knee—stiff hips and limited ankle dorsiflexion—that force the knee to overwork. Expect practical talk on balance and proprioception, why images often don’t match pain, and how to decide when an MRI or injection actually helps. For severe cases where sleep and daily life suffer, a short-term injection can quiet the noise so rehab can do its job.

Lifestyle matters too. Sleep, stress, alcohol, smoking, and potential dietary triggers can keep sensitivity high and slow tissue repair. We show you how small choices stack the deck for healing, and where tools like dry needling and soft tissue work speed relief for guarded muscles, especially the calf that crosses the back of the knee. The destination is resilience: a higher threshold for activity, fewer flare-ups, faster bounce-back, and more confidence to golf, lift, run, and play without fear. If you’re ready for a smart, conservative plan that restores control and momentum, tap play—and share your biggest knee question with us. Subscribe, leave a quick review, and pass this along to a friend who needs a clear path forward.

When the lights come on, velocity alone won’t save you. We sat down with Victor and Aaron, co-founders of Prime Performance in Port St. Lucie, to unpack how elite pitchers are actually built: aligned coaching, smart testing, targeted strength, and a mindset that performs under pressure. Their one-stop model gives athletes a single point of contact to coordinate strength and conditioning, corrective work, pitch design, and communication with skill coaches—cutting through the noise of conflicting advice and social media trends.

We dig into a full assessment flow that starts with movement screens across scap, shoulder, hip, spine, and neck, then layers in force-plate testing, motion capture on a force-plate mound, and ball-flight data. Instead of obsessing over spin rate, they focus on induced vertical and horizontal movement, release height, extension, and axis—metrics that translate to outs. We also talk about the big three injuries in pitching—elbow, shoulder, and low back—and why lat and pec dominance, limited ER, and poor scap mechanics drive breakdowns. Their fix: find root causes, program end-range strength, and manage throwing volume with thoughtful on-ramps and weekly “throwing budgets.”

The mental game threads through everything. Overly technical “domers” get simplified cues and clear definitions of success, plus training stressors that simulate game-day demands. For younger athletes, the path starts with athleticism and variability—balance, coordination, sprinting, and multi-sport play to reduce overuse and build better movers. In-season, they run a high-low model so intent on the mound pairs with meaningful lifts, while true recovery days actually restore. Culture is the force multiplier: train next to people who raise standards and you’ll find new gears you didn’t know you had.

If you’re serious about durability, performance, and longevity—not just a radar reading—this conversation maps the blueprint. Subscribe, share with a teammate or parent who needs a plan, and leave a review with your biggest takeaway so we can dive deeper next time.

Most people don’t lack willpower; they lack a clear map of what’s actually blocking their body from healing. We sit down with Nicole and Joe, the duo behind R3 Health and MedHouse in West Palm Beach, to break down how integrative medicine and regenerative tools work together to solve the problems “normal” tests keep missing. From lingering joint pain with perfect imaging to brain fog, low energy, and stubborn recovery, we trace the real culprits—chronic stress, micronutrient gaps, stealth infections, mold exposure, and hormone drift—and show how a systems-first plan can change everything.

We get specific. You’ll hear how chronic Lyme hides in plain sight and why ozone therapy, glutathione, and hyperbaric oxygen can shift outcomes when antibiotics alone fall short. We unpack mold’s sneaky pathways—homes, offices, even a stored car—and the layered approach that actually helps: remove exposure, support detox, and rebuild resilience. Then we take on stem cells and PRP with the nuance they deserve: sourcing from FDA-registered tissue banks, DNA removal, what’s truly regulated, when PRP acts like fertilizer and when stem cells act like the seed, and why none of it works if you plant into “bad soil.”

Hormones get a full, honest look beyond testosterone and estrogen. Thyroid and adrenals set your metabolic pace, and cortisol can run high from mental load, hard training, or purely physiological stress. We walk through the labs that matter—ApoB for cardiovascular risk, bilirubin for detox sluggishness, SHBG for hormone availability—and how to turn results into action. Even gym staples like creatine have trade-offs; dosing and hydration can make the difference between benefits and kidney stress.

If you’re tired of feeling average, this is a blueprint: start with a deep consult, run comprehensive labs that catch early drifts, build a plan that fits your life, and only then layer in regenerative tools for the win. Subscribe, share with a friend who needs clarity, and leave a review with the one insight you’re acting on this week.

The sirens have faded, but the lessons haven’t. After years as a hospitalist navigating COVID’s most chaotic moments—silent hypoxia, back‑to‑back codes, and the helplessness of uncertain protocols—Dr. Chase Van Mol rebuilt her practice around something most systems can’t deliver: time, access, and relentless prevention. We walk through the shift from volume‑driven care to concierge medicine, where a smaller panel and 24/7 access allow deeper work on cardio‑metabolic health and long‑term resilience.

We get specific. How do you actually assess heart risk beyond a standard lipid panel? Start with family history, layer in ApoB, Lp(a), and hs‑CRP, and use coronary calcium scoring or CTA to see what blood tests miss. When calcium is present, you’re in secondary prevention—lower ApoB and LDL aggressively, calm vascular inflammation, and optimize glucose. From metformin to GLP‑1s like semaglutide and tirzepatide, we break down mechanisms, dosing philosophy, and how to preserve muscle with progressive strength training, adequate protein, and, when appropriate, adjunct peptides such as CJC‑1295 with ipamorelin or tesamorelin for visceral fat.

We also tackle the messy parts: FDA shifts, compounding quality, internet “research” vials, and why evidence literacy beats headline anxiety. Beyond protocols and biomarkers, the daily levers matter most—sleep, resistance training, real food, stress control, and modeling habits for kids in a world of ultra‑processed convenience and dye‑laden “treats.” If you’ve ever felt lost in the system, this conversation offers a clear, evidence‑driven approach to getting ahead of disease while living a full, active life.

If this resonates, follow and share the show with someone who’s ready to get proactive. Subscribe for more deep dives, and leave a quick review telling us the one change you’ll make this week.

Dr. Kyle visits the Peak Performance Podcast:

Pain isn’t the problem; it’s the message. We pull back the curtain on why joints break down, where regenerative medicine actually shines, and how precise movement work turns short-term relief into durable results. With Dr. K and Coach Kyle joined by sports physical therapist Dr. Kyle, the conversation goes beyond buzzwords to map a practical path: identify the true overload patterns, choose clean, compliant biologics when they’re indicated, and rebuild stability and mobility so the same stress doesn’t come roaring back.

We start with the elephant in the room: resistance to stem cells and other biologic therapies. From past lax manufacturing to today’s uneven standards and overhyped promises, trust has been strained. We explain the two critical variables—product quality and administration—and why candidacy matters as much as any vial. Then we shift into the engine behind most “overuse” pain: movement system impairments. A scapula that sits in the wrong place, a stiff thoracic spine, a hip that won’t rotate—these small leaks force tendons and capsules to absorb what strong, well-timed muscles should handle. Symptoms are the alarm; the pattern is the fire.

Where does this leave someone with chronic knee or shoulder pain? Not helpless. Consistent, low-load, pain-aware exercise can nudge cartilage quality over time, especially when guided to avoid flare-ups. Regenerative tools can shorten that window, opening a chance to hardwire better mechanics. We outline our assessment blueprint: focused history, functional patterns, posture, range, specific provocative tests, then manual therapy and corrective drills to create a day-one “eyebrow raise” change you can feel. And because real life is busy, we champion simplicity—one or two precise drills done daily beat an hour of flashy, unsustainable routines.

If you’re curious whether you’re a good candidate for biologics, or you’re tired of chasing hotspots that keep coming back, this conversation gives you a grounded framework to decide your next step. Subscribe, share with a friend who needs hope and a plan, and leave a review with the one question you want us to tackle next.