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Michele Bird
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Michele Bird
@mmbird25
Best Friend to Pat, MOM, PT, OCS, Dr. Bird, Anatomy and Biomechanics Instructor at University of Michigan, Go Blue 〽️, #1 Fan to Gabi, Lucas & Bryce, Realist.
Katılım Şubat 2011
426 Takip Edilen136 Takipçiler
Michele Bird retweetledi

I’ve been an orthopedic surgeon for nearly 30 years, and a few patterns have become impossible to ignore. One is that many musculoskeletal problems in adults aren’t sudden injuries. They’re the moment when declining capacity and awful metabolic health finally reveals itself.
Over the decades your strength fades, muscle mass declines, as your aerobic capacity tanks. Tendons and connective tissues lose substance, stiffness, and resilience. For years the body compensated... quietly. Then one day a knee hurts during a run to get the train, or shoulder aches reaching overhead, or a back tightens lifting something simple.
At that point the story usually becomes more about structural damage. An MRI gets ordered. Welcome to high-tech, low-medicine. And the MRI almost always finds something. A meniscus tear. A rotator cuff tear. A disc bulge. Why? Because by midlife these findings are extremely common — even in people with no pain at all. If you have a tear in one shoulder, image the other shoulder... you probably have the same tear there. But I digress.
Once the scan appears, the narrative changes. The image becomes the diagnosis. Now the patient believes something is broken, and the focus often shifts to fixing what the MRI shows.
What often gets lost in this is the reason the symptoms appeared in the first place. Many so-called “atraumatic” orthopedic complaints are not purely mechanical failures. They are the moment when reduced strength, declining tissue capacity, and sometimes broader metabolic health issues finally reach a tipping point. Our tissues change over the decades... get over it.
In other words, the MRI didn’t create the problem. Well... it sort of did in this scenario. But all the MRI showed was something that was already there.... because of your age, lifestyle, health and so on.
The real driver of symptoms is often loss of physiologic reserve. Less muscle. Less tendon or aerobic resilience. Less tolerance for load, etc.
Once the MRI enters the picture, the risk becomes overtreatment. This is probably the number one reason people have surgery. When in many cases the most powerful intervention was never the scan or the procedure.
It was rebuilding capacity.
Strong muscles stabilize joints. Aerobic fitness improves metabolic health and tissue perfusion. Gradual loading restores tolerance.
But people often don't take PT seriously prior to surgery. They often take PT very seriously afterwards. Therefore, PT is probably the reason you feel better, despite the surgery.
The irony is that the treatment many people ultimately need is the same thing that might have prevented the problem in the first place.
Staying strong. Staying active. Maintaining the reserve that protects our joints/tendons/muscles/abilities as we age.
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Tennis elbow. Stupid name. Everyone will get it. Injections make it worse and should be avoided.
Painful tendons want load… so braces are bad ideas too.
What does work …
open.substack.com/pub/howardluks…
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Grateful for the opportunity to lead this incredible program.
New era. Same mission.
Wings up 🤙🏽 Go Eagles 🦅
FGCU Women's Basketball@FGCU_WBB
Welcome to the Nest, Raina Harmon - FGCU's new head coach! 🦅 fgcuathletics.com/news/2025/4/4/… 🏀 #Raining3s
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Michele Bird retweetledi

Congrats to Bryce Bird, Ben Golan, Gavin Heimlich and Nick Malagreca Jr. from #QuakersMBB @DubC_MensHoops for earning CSC Academic All-District honors! To earn this, you must not only have a cumulative grade point average of 3.50 but must have played in 90% of your team's games or started in 67% of them.
#WeAreDubC #experiencewilmingtoncollege

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Happy everybody is getting to see what we saw from the beginning. Kate Martin is a WORKER!
…and them #ScaryHours gon reveal themselves every time! 😈
Keep going @kate_martin22.
Love, always 💛
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@hmjensen31 @CMUWBBall @kristinhaynie @jennaal33 @ToccaraRenee @CoachChelsie @jroane14 @avahallam1 This game! 🎉🥳💥🤣🎧
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#larson455 is excited for @CMUWBBall Hoops for Hunger game in two days!!! 🔥👆🏀 @kristinhaynie @jennaal33 @ToccaraRenee @CoachChelsie @jroane14 @avahallam1

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@allicovington @BrockSamspon What form do you recommend? Acetyl or Tartrate or? TIA
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@BrockSamspon You’ll need 3-5g unless you take liposomal version, and in that one I take 1g
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The 40 min of cardio isn’t to lose fat, it’s to improve your cardio health, improve your metabolic function, stimulate mitochondrial growth, build VO2 max, and improve longevity.
The fact that you’ll also burn fat is a nice side benefit 😉 so take your L-Carnitine beforehand 👊🏻
Oliver Anwar@theoliveranwar
I couldn’t think of anything worse than spending 40 minutes on a treadmill every day to lose fat.
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@DubCQuakers @DubC_MensHoops Is there supposed to be sound on the live stream?
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#QuakersMBB plays their first OAC game of the season at 7:00 P.M. against the Muskingum University Fighting Muskies! Watch the Quakers and Muskies play here tinyurl.com/5fnajh7a and follow along with live action of the contest at tinyurl.com/3muucpd8. @DubC_MensHoops #WeAreDubC #experiencewilmingtoncollege
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@CannyZanny Rings for everyone! Conference champs and NCAA runs. They get presented during fall sports - ie a football game. Then they wear them to graduation and then it’s over. 😂

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I promise this is a genuine question and I’m not being shady. Did they (Iowa) order these rings themselves? Because I’ve never heard of Final Four rings
Iowa Women's Basketball@IowaWBB
Ring 'em 💍 #Hawkeyes
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@mmbird25 Caught me off guard this day!!!
Young Thug- So Much Fun Album!
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@SourTim @byjuliapoe She described a “crack” in the bone, this is a fracture. Therefore, doctor ruled in a fracture. She described bone to have poor blood supply. That bone is the scaphoid. She shouldn’t try to explain her injury-message lost in translation.
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@mmbird25 @byjuliapoe If it was a scaphoid feature, the team’s doctor would’ve ruled her out immediately. And she would be in a lot of pain.
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Michele Bird retweetledi

Yes there is no doubt the ROOKIE OF THE YEAR is @CaitlinClark22 ! @IndianaFever - via @ESPN App espn.com/video/clip/_/i…
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Michele Bird retweetledi

Men’s Basketball Has Five Players Honored with National Academic Awards
tinyurl.com/3tmvxvs5
@DubC_MensHoops
#QuakersMBB #WeAreDubC #experiencewilmingtoncollege
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Michele Bird retweetledi

Geno Auriemma’s old comments about Caitlin Clark’s WNBA rookie year look silly now si.com/wnba/geno-auri…
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