Built to Move, Born to Heal: Notes on Midlife Fitness
A physician /longevity author's take on midlife health, movement, and resilience. I write about fitness, longevity, mindset, and the quiet cost of stillness. Sometimes, it is orthopedic and always focused on living stronger—on purpose.
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- Indexed issues, last 90 days
- 11
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- Sep 30, 2026
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- Sep 10, 2026
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When Horrible Shoulder Pain Isn’t Coming From the Shoulder (Or The Neck) (opens the original)
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As a shoulder surgeon, there are a few diagnoses you hope you never have to make… and today’s story is about one of them. A 54-year-old man sat in the exam room, seeking a second opinion. Only a handful of diagnoses in my world cause someone to look that miserable. Tim was holding his arm tight against his side, and he looked like he hadn’t slept more than an hour in two weeks. He described his pain as someone driving a hot spike through the top of his shoulder and down the outside of his arm. H
Healthy Knees Part 3: Your Cartilage Is Alive, and Movement Nourishes It (opens the original)
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Jim was a 68-year-old retired executive, and I was his third opinion for knee pain many years ago. He used to play tennis and walk the golf course. After being told he had ‘moderate’ osteoarthritis of his hip and knee, he stopped playing tennis, thinking that was the right treatment. Without docs giving folks clear direction after that diagnosis, many will go off quite intuitively and stop many activities— they think they’re saving their knees. Jim reminded me of our previous conversation where
Age... It Isn’t the Limit Most Think It Is (opens the original)
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You’re not too old, and you’re probably not too broken. Furthermore… It’s also unlikely that you’re too far gone.I’m 63. I’m an Orthopedic Surgeon who continues to see patients after 30 years in practice. The issue for most of us is that we lose abilities that we don’t train or use consistently. Not just because we age. I exercise a lot. I post videos of myself training, but not to impress anyone. <
Episode 16: Your Muscles Don't Know Your Age (opens the original)
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Your body evolved to conserve energy, and it deprioritizes tissues you don't use because maintaining muscle you never call on costs calories your ancestors couldn't always spare. ShareFor Members, a transcript is available below. Read more
Frailty Is More Than Weakness: What May Be Happening Beneath the Surface as We Age (opens the original)
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We usually know frailty when we see it… You see and hear various versions of it in my office every day. Someone who once moved through the world without thinking much about their physical abilities begins walking more slowly. Getting out of a chair requires more effort. Carrying groceries becomes challenging. A fall that once would have produced a bruise results in a fracture, or an infection that might have meant a few miserable days instead produces a hospitalization followed by weeks or month
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