Mobilize And Energize

Mobilize And Energize

By Dr. Tammy PenhollowSportsScienceHealth & Fitness
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Mobilize And Energize episodes

  • Ozempic and Tendon Tears: What the 2026 Study Actually Shows

    Losing weight on a GLP-1 medication can feel like a fresh start for your joints. But a new five-year study has raised questions about tendon tears in people taking these drugs. The headline number sounds alarming, yet it may not mean what you think. In this episode, you’ll learn what the research really found and how to read the risk in real terms. You’ll also discover the one thing worth measuring if you’re on GLP-1 medications. Tune in now so you can protect your tendons and make informed choices with your doctor.

    ---------------------------

    Key Takeaways

    • A five-year study linked GLP-1 medications to higher rates of major tendon tears.
    • Rotator cuff, Achilles, quadriceps, and pectoralis tendons were among those affected.
    • Relative risk and absolute risk can tell very different stories.
    • A 55% relative increase in rotator cuff tears equals about nine extra tears per 1,000 people.
    • The study showed an association, not proof that GLP-1 drugs cause tendon tears.
    • Rapid weight loss can include a significant loss of lean muscle mass.
    • Strong muscles act as shock absorbers that protect your tendons.
    • Resistance training, enough protein, and body composition tracking help preserve muscle.
    • New shoulder, heel, or above-the-kneecap pain on a GLP-1 deserves early evaluation.
    • Never stop or change a GLP-1 medication without talking to your physician.

    ---------------------------

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    10 min
  • PRP Cost: What You Are ACTUALLY Paying For (Doctor Explains)

    You call three clinics about PRP and get three different prices, but the cheapest one might end up costing you the most. Not every syringe labeled platelet-rich plasma delivers the same dose. In this episode, you’ll see the real math behind PRP cost and why the price tag alone tells you very little. You’ll learn how the amount of blood drawn and the system used can change your results. You’ll also discover the key questions to ask any doctor before you spend a single dollar. Tune in now and make your next call to a clinic your smartest one yet.

    ---------------------------

    Key Takeaways

    • PRP is a category of treatment, not a single product with one standard price.
    • Research points to about 10 billion platelets as an effective PRP dose for large joints.
    • Your total platelet dose depends on your platelet count and the volume of blood drawn.
    • PRP systems vary widely in how many platelets they actually recover.
    • A low-cost PRP injection may need multiple sessions to reach an effective dose.
    • Knowing your baseline platelet count is essential for accurate PRP dosing.
    • Image guidance with ultrasound or fluoroscopy helps deliver platelets to the exact target.
    • Ask what the PRP cost includes, from sedation and bracing to follow-up care.
    • Effective regenerative treatment addresses the joint and its surrounding tendons and ligaments.
    • A thorough consultation with a physician determines whether PRP or bone marrow concentrate is right for you.

    ---------------------------

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    14 min
  • Sleeve, Tape, or Brace: How I Decide for Knee Pain

    Not every knee problem needs the same kind of support. Many people reach for a structured brace too early, while others wait far too long. In this episode, you'll learn when a structured knee brace truly makes sense for your knee pain. You'll discover how an adjustable brace can do something a sleeve or tape simply can't. You'll also hear why matching the tool to the problem matters more than picking the most impressive option. Tune in now and find out which knee support your body actually needs.

    ---------------------------

    Key Takeaways:

    • A structured knee brace is meant for known injuries, not general soreness.
    • Meniscus tears with ligament involvement may need mechanical support from a brace.
    • Adjustable braces can gently open one side of the knee joint to reduce strain.
    • Sleeves and tape can't offload a specific knee compartment the way a brace can.
    • Kneecap tracking problems require a different brace and taping pattern.
    • Mild knee pain often just needs time, rest, and some compression.
    • Under-supporting a structural knee injury can slow your recovery.
    • Over-bracing a minor issue may be more than your knee needs.
    • A proper evaluation from your doctor beats guessing which knee support to buy.
    • Understanding your knee pain helps you make smarter treatment decisions.

    ---------------------------

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    7 min
  • Hume Body Pod vs DEXA: My Actual Results

    Your bathroom scale can tell you a number, but it has no idea what that number is actually made of. Muscle, fat, and water can shift dramatically without your weight ever changing. In this episode, you'll learn about body composition tracking and why it matters more than the number on the scale. You'll hear how one at-home device compared directly to a DEXA scan, the gold standard for measuring muscle and fat. You'll also discover why losing muscle as you age is a bigger risk than most people realize, and how it connects to falls and fractures. You'll learn what factors can throw off your readings and why looking at trends matters more than any single measurement. Tune in to find out if tracking your body composition at home could actually change how you train and age.

    ---------------------------

    Key Takeaways:

    • Body weight alone doesn't reveal how much of it is muscle, fat, or water.
    • DEXA scans are considered the gold standard for measuring body composition.
    • An at-home body composition device was tested against DEXA for accuracy comparison.
    • Higher lean muscle mass is linked to a longer health span and lower disability risk.
    • Sarcopenia, or muscle loss, is a strong predictor of frailty and falls.
    • Falls can lead to hip or femur fractures that are difficult to recover from.
    • Bioelectrical impedance devices can track muscle, fat, hydration, and segmental body composition.
    • Time of day, hydration, and clothing can all affect body composition readings.
    • Tracking trends over time is more useful than reacting to a single reading.
    • Consistent tracking is linked to better long-term adherence to exercise habits.

    ---------------------------

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    7 min
  • The Scariest Consequence of Steroid Shots Your Doctor Is Not Telling You About

    A cortisone shot might seem harmless, but for some patients it can quietly set off a serious hip condition years later.

    In this episode, you'll learn about osteonecrosis of the femoral head, a condition where the bone in the hip joint loses its blood supply and dies. You'll find out how much corticosteroid exposure it actually takes to raise your risk, and why that number might surprise you. You'll hear about the two groups most affected, athletes getting repeated joint injections and patients on long-term steroids for autoimmune conditions. You'll also dive into a 30-year study that compared outcomes between two very different treatment approaches for the same patients. This episode breaks down why early imaging and timing can completely change the outcome for your hip.

    Tune in to learn what questions to ask your doctor before your next steroid injection.

    ---------------------------

    Key Takeaways:

    • Osteonecrosis of the femoral head occurs when the blood supply to the hip bone is disrupted, causing it to die.
    • Corticosteroids are a well-documented cause of femoral head osteonecrosis, first reported in the medical literature in 1957.
    • Oral doses as low as 290 milligrams of prednisone over just six days have been linked to osteonecrosis.
    • Repeated corticosteroid injections can accumulate to risky exposure levels over time.
    • Untreated osteonecrosis progresses to full collapse in 70 to 90 percent of cases within five years.
    • MRI detects femoral head osteonecrosis earlier than X-ray and is critical for early diagnosis.
    • Athletes receiving repeated cortisone injections and patients on long-term steroids face the highest risk.
    • A 30-year study found bone marrow concentrate significantly reduced hip collapse compared to core decompression alone.
    • Early-stage treatment before collapse offers the best chance of preserving the natural hip joint.
    • Patients have the right to ask about alternatives before agreeing to another corticosteroid injection.

    ---------------------------

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    15 min
  • The Musculoskeletal Syndrome of Menopause: Why Your Joints Hurt and What to Do About It

    Your joint pain might not be what you think it is. You could be doing everything right at the gym and still getting hurt in new ways. That frozen shoulder or morning foot pain may not be a random injury at all. There's a recognized medical condition behind these symptoms, and most doctors aren't talking about it yet. In this episode, you'll learn about the Musculoskeletal Syndrome of Menopause and why it affects the majority of women during this transition. You'll hear a real patient story that shows how the right diagnosis changed everything. Tune in to find out what your body might actually be telling you.

    Key Takeaways

    • The Musculoskeletal Syndrome of Menopause was formally recognized in medical literature in 2024.
    • Over 70% of women in the menopause transition experience musculoskeletal symptoms.
    • Frozen shoulder and plantar fasciosis are common isolated presentations of this syndrome.
    • Bone density can drop by about 10% during the perimenopausal window alone.
    • Postmenopausal women lose roughly 0.6% of muscle mass every year.
    • Reducing gym activity or lifting lighter weights can worsen muscle and bone loss.
    • Progressive strength training two to three times a week helps protect against decline.
    • Hormone therapy research has evolved significantly since the early 2000s studies.
    • Getting comprehensive hormone and inflammatory labs can clarify what's really happening.
    • Finding a physician knowledgeable about menopause care is key to proper treatmentment.

    ---------------------------

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    14 min
  • 79 Percent Avoided Surgery: What the New 8 Year Rotator Cuff Study Actually Shows

    Facing persistent shoulder pain often leaves you feeling stuck between endless physical therapy and invasive surgery.

    Groundbreaking eight-year peer-reviewed data now reveals an unexpected path forward for treating a partial thickness rotator cuff tear. In this episode, you will discover how targeting the entire joint with advanced biologic therapy helps patients avoid the operating room. You will learn why the standard "watchful waiting" approach can silently close your window for recovery. A qualified doctor can help determine if your tissue quality fits this durable, non-surgical protocol.

    Tune in now to uncover what your physician might not have told you about long-term shoulder healing.

    ---------------------------

    Key Takeaways

    • An eight-year study shows an almost 80% surgical avoidance rate for partial thickness rotator cuff tears treated with bone marrow concentrate.
    • Real-time ultrasound guidance allows a physician to precisely treat the tendon, joint, and subacromial bursa in a single session.
    • Approximately 80% of untreated joint-side partial tears enlarge or progress to full thickness tears within just one year.
    • Patients in the long-term study experienced a durable 34-point functional improvement alongside sustained pain reduction.
    • Serial imaging revealed that nearly three out of four treated patients achieved measurable structural improvement or complete tendon healing.
    • The best clinical outcomes occur early before significant tendon retraction or muscle fatty atrophy develops.
    • Emerging protocols now incorporate targeted delivery into the bone to support the complete shoulder joint unit.
    • Recent corticosteroid injections, uncontrolled diabetes, and massive full thickness tears can negatively impact your candidacy.
    • Waiting too long can permanently close your treatment window and make invasive surgery the only remaining path.
    • Consult a skilled doctor early to evaluate whether your rotator cuff tear qualifies for this comprehensive biological treatment.

    ---------------------------

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    17 min
  • Why Blind Injections Have No Place in Modern Regenerative Medicine

    Did you know that many joint and spine injections completely miss the damaged tissue they are supposed to heal?

    Even the most advanced biologic therapies cannot work if a doctor places them just millimeters off target. In this episode, you will discover why precise image guidance is essential for successful regenerative medicine and learn the critical questions to ask your physician before agreeing to a procedure.

    Tune in now to protect your health investment and ensure you get the lasting results your body deserves.

    ---------------------------

    Key Takeaways

    • Image guidance ensures regenerative medicine treatments reach the exact target tissue every time.
    • Blind landmark injections have documented failure rates of over 50% in certain shallow joints.
    • Ultrasound imaging provides real-time visualization for tendons, ligaments, and soft tissue procedures.
    • Fluoroscopy offers essential X-ray guidance for delicate spine and inside-the-bone intraosseous injections.
    • Biologic therapies placed even slightly off-target often fail to produce meaningful healing.
    • Real-time imaging protects vital surrounding nerves and blood vessels from accidental injury during injection.
    • Some clinics skip imaging guidance purely to save time and reduce equipment costs.
    • Patients should always ask their physician which imaging modality will guide their specific procedure.

    ---------------------------

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    15 min
  • Why Physical Therapy Alone Is Not Enough for Joint Degeneration

    You have spent months in physical therapy for persistent joint pain, yet lasting relief still feels out of reach.

    Your lingering discomfort is not a failure of effort or dedication. In this episode, you will discover why physical therapy alone cannot always resolve underlying structural damage. You will also learn how different clinic delivery models directly impact your recovery speed. Find out how proper treatment sequencing bridges the gap between temporary relief and true healing.

    Tune in now to uncover the missing link in your recovery journey.

    ---------------------------

    Key Takeaways

    • Physical therapy restores movement and strength but cannot reverse structural joint degeneration.
    • High-volume clinic models often reduce essential one-on-one attention with your therapist.
    • Unresolved pain often indicates a mismatch between the treatment tool and the root biological problem.
    • The most effective recovery sequence involves evaluation, medical intervention, and subsequent rehabilitation.
    • Specialized physical therapists provide crucial biomechanical support for sport-specific recovery.
    • Close communication between your physical therapist and physician leads to more durable outcomes.
    • Combining regenerative medicine with physical therapy addresses both tissue breakdown and movement dysfunction.

    ---------------------------

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    12 min
  • The Labs Your Joint Physician Should Be Ordering (and Usually Is Not)

    Imagine stepping into a clinic for joint or spine relief, only to discover a crucial step was skipped before your procedure even began.

    True precision care relies on understanding your body's biological readiness through comprehensive blood work, not just relying on a standard surgical template. In this episode, explore how specific lab evaluations directly dictate the success of regenerative medicine. Discover why addressing underlying inflammation and metabolic health beforehand transforms your treatment plan. Gain the knowledge needed to ask the right questions and advocate for your health.

    Tune in now to ensure your body is truly prepared to heal!

    ---------------------------

    Key Takeaways

    • Comprehensive blood work reveals your true biological readiness before undergoing regenerative medicine.
    • Baseline platelet and plasma levels directly dictate the preparation for platelet-rich plasma treatments.
    • Active infections identified through blood tests must be resolved prior to any regenerative procedure.
    • Kidney and liver health determine your body's ability to process and recover from joint treatments.
    • Adequate protein status is essential for substrate tissue repair following precision care procedures.
    • Systemic inflammation must be measured and managed first to optimize therapeutic outcomes.
    • Vitamin D acts as a critical signaling hormone that directly impacts musculoskeletal recovery.
    • Unaddressed thyroid dysfunction creates a compromised biological environment that hinders healing.
    • Hormonal transitions like menopause significantly affect tendon, ligament, and connective tissue maintenance.
    • Customized lab evaluations ensure your care plan is tailored to your unique biology rather than a generic template.

    ---------------------------

    Ready to say goodbye to knee pain? Download my FREE PDF guide, 5 Things to do NOW to Reduce Your Knee Pain in 1 Week at https://kneeboostnow.com. Start your journey to a pain-free life today!

    ---------------------------

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    ---------------------------

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    KT Tape: https://amzn.to/3VZoZGK

    Performance and Recovery Knee Sleeve: https://amzn.to/3ZXicOL

    Medial Unloader Brace for Meniscus and Medial Knee OA: https://amzn.to/41X6l5U

    Sharper Image Compact Sport Power Percussion: https://amzn.to/41V3gTT

    Heal Your Disc End Your Pain BOOK: https://amzn.to/4iWAvfG

    iNCREDIWEAR Shoulder Recovery Sleeve: https://amzn.to/3ZWca0L

    iNCREDIWEAR Back Brace: https://amzn.to/4fH1c54

    iNCREDIWEAR Elbow Sleeve: https://amzn.to/3BPVTCA

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    Moringa Leaf Powder: https://amzn.to/3Pkycpf

    Blender Bottles: https://amzn.to/4fDoSav

    Mend Surgical Grade Recovery Repair and Regenerate products (5% off with code PENHOLLOW): https://mend.me/

    12 min

About Mobilize And Energize

From the publisher's feed

Mobilize & Energize is a physician-led podcast for people who want to understand their pain before rushing into procedures, injections, or surgery.