#14 Achilles Pain & Avoiding a Rupture — Dr. Aneesh Garg, DO, CAQ on What Actually Works

#14 Achilles Pain & Avoiding a Rupture — Dr. Aneesh Garg, DO, CAQ on What Actually Works

That tightness in the back of your ankle that loosens up during a run and tightens right back up after — that's not a warm-up problem. Dr. Aneesh Garg, DO, CAQ says it's a tissue quality problem, and ignoring it is exactly how recreational athletes end up with a full Achilles rupture and a nine-month surgical recovery. In this episode he breaks down why heel drops and stretching stop working once tissue degradation sets in, why most Achilles ruptures happen to tendons that were already breaking down, and how a race car driver told to give up her career got back behind the wheel using EMTT, focused shockwave, and PRP. Chapters: * 0:00 The Achilles problem nobody talks about * 0:51 Why heel drops stop working once tissue degradation sets in * 1:44 Most Achilles ruptures happen to tendons that were already degenerating * 2:36 The straw that breaks the camel's back — chronic pain as a rupture warning sign * 3:51 Can I just push through Achilles pain if I warm up enough? * 3:57 No — loosening up and tightening back up is a tissue quality issue not a warm-up issue * 5:02 Pushing through is how recreational athletes end up with a full rupture * 5:33 Stretching is not the answer for Achilles tendinopathy * 6:57 What to actually do to fix your Achilles instead of just managing it * 7:20 Dynamic ultrasound vs. static MRI — what it shows in real time * 8:27 EMTT, focused shockwave, and radial pressure waves — the combination that works * 8:48 Achilles tendinopathy was one of the first FDA-cleared indications for shockwave * 9:48 When to layer in PRP or stem cells for more chronic or severe cases * 10:24 Case study: race car driver told to give up her career — back racing after regenerative protocol * 15:03 The one thing Dr. Garg wishes every Achilles patient knew * 16:30 In-season prevention: using treatment prophylactically before a rupture happens * 17:45 Why ultrasound is underutilized and often better than MRI for Achilles assessment Links: * Dynamic Athlete Homepage: https://dynamicathlete.com/ [https://dynamicathlete.com/] * Meet Dr. Aneesh Garg: https://dynamicathlete.com/dr-aneesh-garg/ [https://dynamicathlete.com/dr-aneesh-garg/] * PRP Therapy: https://dynamicathlete.com/prp-therapy/ [https://dynamicathlete.com/prp-therapy/] * Stem Cell Therapy: https://dynamicathlete.com/stem-cell-therapy/ [https://dynamicathlete.com/stem-cell-therapy/] * Shockwave Therapy: https://dynamicathlete.com/shockwave-therapy/ [https://dynamicathlete.com/shockwave-therapy/] * Exomind: https://dynamicathlete.com/exomind/ [https://dynamicathlete.com/exomind/] * Emsella Therapy: https://dynamicathlete.com/emsella-therapy/ [https://dynamicathlete.com/emsella-therapy/] The Regen Doc is for educational purposes only and does not constitute medical advice or create a physician-patient relationship. Individual results vary. Candidacy requires a formal consultation at DynamicAthlete.com.

#13 Why Plantar Fasciitis Keeps Coming Back — Dr. Aneesh Garg, DO, CAQ on the Real Fix

You've done the night splints, the insoles, the frozen water bottle. Every time you think it's gone, you take a step out of bed and it's right back. Dr. Aneesh Garg, DO, CAQ says the reason it keeps coming back is simple: you're treating the wrong problem. Chronic plantar fasciitis isn't an inflammation issue — it's tissue degradation. And no anti-inflammatory treatment, including cortisone shots, will fix a tissue degradation problem. In this episode he breaks down why steroid injections make the tissue weaker, why focused shockwave is the gold standard treatment, and what actually works for heel pain that's been going on for months or years. Chapters: * 0:00 Why plantar fasciitis keeps coming back * 0:48 Why chronic plantar fasciitis is a misnomer — it's fasciosis, not inflammation * 1:44 Tissue degradation vs. inflammation — why the distinction changes everything * 3:19 Would a cortisone shot finally fix my plantar fasciitis? * 3:27 No — and here's why steroid injections make it worse * 5:38 What to read at dynamicathlete.com before your next appointment * 7:36 What actually works for plantar fasciitis that's been going on for months or years * 7:42 Focused shockwave is the gold standard — one of the first FDA-cleared indications * 8:18 How EMTT creates a better healing environment before shockwave targets the tissue * 9:17 When to add PRP or stem cells for that last 10 to 20% * 10:04 What treatment actually looks like for someone who's had this for years * 13:12 Why don't more doctors recommend shockwave for plantar fasciitis? * 15:12 Buying back years of pain-free life — what the investment actually looks like * 17:07 Patients who said shockwave didn't work — and what changed at Dynamic Athlete * 19:43 The big takeaways: tissue degradation, no steroids, focused shockwave Links: * Dynamic Athlete Homepage: https://dynamicathlete.com/ [https://dynamicathlete.com/] * Meet Dr. Aneesh Garg: https://dynamicathlete.com/dr-aneesh-garg/ [https://dynamicathlete.co%EE%80%80m/dr-aneesh-garg/] * PRP Therapy: https://dynamicathlete.com/prp-therapy/ [https://dynamicathlete.com/prp-therapy/] * Stem Cell Therapy: https://dynamicathlete.com/stem-cell-therapy/ [https://dynamicathlete.com/stem-cell-the%EE%80%80rapy/] * Shockwave Therapy: https://dynamicathlete.com/shockwave-therapy/ [https://dynamicathlete.com/shockwave-the%EE%80%80rapy/] * Exomind: https://dynamicathlete.com/exomind/ [https://dynamicathlete.com/exomind/] * Emsella Therapy: https://dynamicathlete.com/emsella-therapy/ [https://dynamicathlete.com/emsella-thera%EE%80%80py/] The Regen Doc is for educational purposes only and does not constitute medical advice or create a physician-patient relationship. Individual results vary. Candidacy requires a formal consultation at DynamicAthlete.com.

#12 Hip Pain That Won't Go Away? Dr. Aneesh Garg, DO, CAQ on What's Really Going On

You've been told it's bursitis. Or a labral tear. Or your hip flexor. Go stretch it. Here's a steroid shot. Dr. Aneesh Garg, DO, CAQ says those aren't diagnoses — they're garbage can terms that explain nothing and treat even less. In this episode he breaks down why the hip is one of the most misdiagnosed joints in sports medicine, why 60 to 70% of people have labral tears on MRI with zero pain, and what's actually going on when runners, cyclists, and active adults can't get their hip pain to go away. Chapters: 00:00 Hip pain that won't go away — and why your diagnosis is probably wrong 00:52 Why bursitis, sciatica, and hip flexor are garbage can terms 02:35 Is this the hip joint, the glutes, the labrum, the SI joint, or the pelvic floor? 03:37 My doctor just wrote "hip pain" and sent me to PT — what that actually means 04:22 My MRI shows a labral tear — does that mean I need surgery? 04:29 60 to 70% of people have labral tears with no pain — it's not a verdict 06:28 Hip labral repair is a big surgery — make sure you've tried everything else first 07:41 How do you figure out what's causing hip pain when imaging doesn't give a clear answer? 08:36 Case study: high level athlete with TFL pain — what dynamic testing found in real time 12:16 Case study: professional cyclist with lateral hip pain — never felt so strong through her pedals 14:55 Pro hockey player case study: more efficient through his skates after Dynamic Core Plus 15:54 Recreational runner with pelvic stress fractures — what was actually driving them 17:27 What Dr. Garg does differently with every hip pain patient 19:34 Hip pain after wearing a boot — a cause nobody thinks to check 20:13 The big takeaways: stop chasing MRI findings, start chasing functional limitations Links: * Dynamic Athlete Homepage: https://dynamicathlete.com/ [https://dynamicathlete.com/] * Meet Dr. Aneesh Garg: https://dynamicathlete.com/dr-aneesh-garg/ [https://dynamicathlete.com/dr-aneesh-gar%EE%80%80g/] * PRP Therapy: https://dynamicathlete.com/prp-therapy/ [https://dynamicathlete.com%EE%80%80/prp-therapy/] * Stem Cell Therapy: https://dynamicathlete.com/stem-cell-therapy/ [https://dynamicathlete.com/stem%EE%80%80-cell-therapy/] * Shockwave Therapy: https://dynamicathlete.com/shockwave-therapy/ [https://dynamicathlete.com/sh%EE%80%80ockwave-therapy/] * Exomind: https://dynamicathlete.com/exomind/ [https://dynamicathlete.com/exomind/] * Emsella Therapy: https://dynamicathlete.com/emsella-therapy/ [https://dynamicathlete.com/emsella-thera%EE%80%80py/] The Regen Doc is for educational purposes only and does not constitute medical advice or create a physician-patient relationship. Individual results vary. Candidacy requires a formal consultation at DynamicAthlete.com.

#11 Why Does My Back Keep Going Out? Dr. Aneesh Garg, DO, CAQ on the Real Cause

Your back goes out once, you chalk it up to a bad lift. It goes out again. Then again. And every time, you're told to rest, ice, and do PT — and every time it comes back. Dr. Aneesh Garg, DO, CAQ says the cycle isn't bad luck. It's a sign the tissue hasn't fully healed and the real diagnosis has never been found. In this episode he breaks down why RICE is out, why disc degeneration on an MRI is not a diagnosis, why your back pain might actually be coming from your SI joint, and how a 24-year-old boxer with a failed discectomy got his life back when the right problem was finally treated. Chapters: 00:00 Why your back keeps going out — and what nobody is telling you 00:44 Recurrent back pain means the tissue hasn't fully healed 01:14 Why rest is usually the wrong answer — RICE is out 02:06 Movement is medicine: the difference between rest and active healing 02:43 Is this actually a back problem — or is it your SI joint or hip? 04:25 Disc degeneration on MRI is almost universal after 40 — it's not a diagnosis 05:16 "Just live with it" is one of the laziest answers in medicine 06:18 How Dr. Garg uses forensic sports medicine to find the real pain source 09:04 You can't fix the fridge by repairing the microwave 11:22 Back pain that's actually an SI joint problem — and a surgery that didn't need to happen 12:42 Case study: 24-year-old boxer with a failed discectomy — what everyone missed 16:18 Can you actually fix chronic back pain with regenerative medicine? 17:36 What to do the next time your back goes out instead of waiting for it to pass 19:11 Stop treating the flares — start treating the pattern 21:39 The mind-body connection: how a stressed nervous system amplifies back pain Links: * Dynamic Athlete Homepage: https://dynamicathlete.com/ [https://dynamicathlete.com/] * Meet Dr. Aneesh Garg: https://dynamicathlete.com/dr-aneesh-garg/ [https://dynamicathlete.com/dr-aneesh-garg/] * PRP Therapy: https://dynamicathlete.com/prp-therapy/ [https://dynamicathlete.com/prp-therapy/] * Stem Cell Therapy: https://dynamicathlete.com/stem-cell-therapy/ [https://dynamicathlete.com/stem-cell-therapy/] * Shockwave Therapy: https://dynamicathlete.com/shockwave-therapy/ [https://dynamicathlete.com/shockwave-therapy/] * Exomind: https://dynamicathlete.com/exomind/ [https://dynamicathlete.com/exomind/] * Emsella Therapy: https://dynamicathlete.com/emsella-therapy/ [https://dynamicathlete.com/emsella-therapy/] The Regen Doc is for educational purposes only and does not constitute medical advice or create a physician-patient relationship. Individual results vary. Candidacy requires a formal consultation at DynamicAthlete.com.

#10 Torn Rotator Cuff? Why You Might Not Need Surgery — Dr. Aneesh Garg, DO, CAQ

Your MRI shows a rotator cuff tear and your surgeon says it's time to schedule a repair. Before you commit to 6 to 12 months of surgical recovery, here's what Dr. Aneesh Garg, DO, CAQ learned during his fellowship at the Andrews Sports Medicine Institute — one of the top programs in the world: knowing the difference between who actually needs surgery and who doesn't is the whole game. Many partial and even some full thickness tears can heal without surgery. In this episode he breaks down how to tell which camp you're in, why function matters more than the image, and how a hockey player in his 60s avoided surgery on both shoulders using stem cells and PRP. Chapters: 00:00 Should you actually have that rotator cuff surgery? 00:49 My MRI shows a tear and my surgeon says I need surgery — is there anything else? 01:04 Partial and full thickness tears that don't need surgery — what the Andrews Institute taught Dr. Garg 04:35 Won't the tear just get worse if I don't fix it? 06:03 The biggest mistake: rushing to fix the image instead of the patient 07:02 Why an MRI alone isn't enough — dynamic ultrasound and what it shows 07:44 Range of motion before the procedure predicts range of motion after 08:22 Rotator cuff surgery is 6 to 12 months of recovery — and 44% still have pain 09:31 Why do you see a surgeon first for a shoulder injury but not for a headache? 13:05 How do I know if I actually need surgery or can treat this differently? 16:49 Case study: hockey player in his 60s avoids surgery on both shoulders — tear visible on ultrasound, then gone 19:01 What to do if you're sitting in a surgeon's waiting room right now 20:18 Questions to ask before agreeing to surgery 21:26 The big takeaway: a torn rotator cuff on MRI is not an automatic surgery sentence Links: * Dynamic Athlete Homepage: https://dynamicathlete.com/ [https://dynamicathlete.com/] * Meet Dr. Aneesh Garg: https://dynamicathlete.com/dr-aneesh-garg/ [https://dynamicathlete.com/dr-aneesh-garg/] * PRP Therapy: https://dynamicathlete.com/prp-therapy/ [https://dynamicathlete.com/prp-therapy/] * Stem Cell Therapy: https://dynamicathlete.com/stem-cell-therapy/ [https://dynamicathlete.com/stem-cell-therapy/] * Shockwave Therapy: https://dynamicathlete.com/shockwave-therapy/ [https://dynamicathlete.com/shockwave-therapy/] * Exomind: https://dynamicathlete.com/exomind/ [https://dynamicathlete.com/exomind/] * Emsella Therapy: https://dynamicathlete.com/emsella-therapy/ [https://dynamicathlete.com/emsella-therapy/] The Regen Doc is for educational purposes only and does not constitute medical advice or create a physician-patient relationship. Individual results vary. Candidacy requires a formal consultation at DynamicAthlete.com.