FitCare 3️⃣0️⃣/3️⃣0️⃣/3️⃣0️⃣

When your shoulder freezes: The metabolic and hormonal story behind adhesive capsulitis. open.substack.com/pub/howardluks…

Put it on your wall... You can't mitigate all risk. But your risk of being still is worse. Avoidance is far more risky.

Japanese actor Hiroyuki Sanada spoke about the contradictions of human nature: “Some people dream of having a swimming pool at home, while those who have one hardly ever use it. Those who have lost a loved one feel a profound sense of loss, while others often complain about their living relatives. Those without a partner long for one, while those who have one often don't appreciate it. The hungry would give anything for a meal, while the satiated complain about the taste of their food. Those without a car dream of owning one, while those who have a car are always looking for a better one.” The key to happiness is gratitude: truly seeing and appreciating what we already have, and understanding that somewhere, someone would give anything for what we take for granted.

One of R2P's core values is Solutions First. Challenges are opportunities to innovate. We prioritize actionable solutions over complaining. That sounds simple. It is hard to practice consistently, especially at scale, when the list of problems grows faster than your capacity to address them. What I've learned: the leaders who stay in Solutions First mode aren't more talented than those who don't. They've just built the habit of asking a different question. Not "why is this happening?", but "what's the next right move?" That question reorients the room every time. It's a discipline, like any other.

My favorite quote from Atomic Habits by James Clear: "It doesn't make sense to continue wanting something if you're not willing to do what it takes to get it. If you don't want to live the lifestyle, then release yourself from the desire. To crave the result but not the process is to guarantee disappointment."

I think about this guy’s shirt a lot.

Feedback is a gift. That's one of R2P's core values, and it's one of the harder ones to actually live. Most organizations say they welcome feedback. Fewer build the structural conditions for it to flow honestly, in both directions. At R2P, we want two things: 1) Lead with what's genuinely working, specifically. 2) Then name a thing that could be better. No vague praise. No softening with compliments that obscure the point. Just honest, clear, two-way feedback that gives people what they actually need to grow. Culture isn't what you say you value. It's what happens in the room when it's uncomfortable.

Please stop telling people with osteoporosis not to lift anything heavy... I've heard it from docs, PTs, Trainers, etc... This might seem protective... but it's not. This risk calculation... A hip fracture in an older adult carries a one-year mortality rate of roughly 25 percent. Half of those who survive never walk independently again. That is the cost of fragility. The risk of a well-supervised, progressively loaded heavy (80-85% 1RM) strength program (LIFTMOR) is a muscle strain or a bruise. These are not equivalent risks, and treating them as equivalent, as avoidance does, is not caution. It is a decision to accept the larger risk in order to avoid the smaller one.

The Impact of Exercise on Intervertebral Disc Health: A Systematic Review and Meta-Analysis link.springer.com/article/10.100…

Robin Williams explaining how golf was invented remains one of the greatest stand-up bits ever recorded

I literally heard the beat in my head after she sang it.

Discharge doesn't have to be the end of the story. For most PT models, it is. You hit your goals, you leave, you hope the problem doesn't come back. At R2P, discharge is a milestone --> Ready 2 Perform. But the longer arc is Perform For Life. That means proactive care. Movement assessments, performance tune-ups, capacity maintenance, the things that keep you doing what you love at the level you want, for as long as possible. You don't wait for your car to break down to take it in for service. Your body deserves the same logic. After all, you already do this with your teeth, why not your body?

This indeed…. Also a very good show IYKYK

This is excellent

Changing your opinion after learning new information is a mark of true intelligence.

I feel this…. Deep in my soul

@AdamSchefter What’s this 49ers 6th?

Jets’ draft picks in the anticipated 2027 NFL Draft: 1st - own 1st - Colts 1st - Cowboys or Packers (whichever is higher) 2nd - own 3rd - own 4th - own 5th - own 6th - 49ers* 6th - Chiefs* 6th - Eagles* *The 6th round picks have conditions.

The irony I find myself returning to is that MRI technology has not made us better diagnosticians. It has, in many cases, made us worse ones, because the image is so concrete and the language of the report so authoritative that it takes deliberate effort to resist anchoring to it. When the MRI arrives before the history is fully taken, the finding shapes what questions get asked and which ones don't. Bias abounds throughout the encounter. The encounter organizes itself around what the scanner found rather than what the patient experienced, and that is very difficult to undo once it has happened. Don't look at the scans first... the basics matter. Take a history... confirm it with an exam, then see if the MRI findings make sense in the same context.

This 👌

This is a great sentence 🧘🏻‍♂️