The Tamsen Show · 2026-09-14
*Transcript auto-generated from the public audio feed. Speakers are not labelled.*
Hi there friends, I am so glad you're here. Well apparently we've reached the age where bone density is hot. I don't remember anyone talking to me about my hips in my 30s but now suddenly we are comparing DEXA scans, taking vitamin D, eating protein, lifting weights and wondering whether that weird pain in our knee is menopause or who knows what. So I called somebody who actually knows. Dr. Jason Snibbe is one of LA's top orthopedic surgeons. He's a consultant for the Lakers, the Clippers and the Kings and yes, he is a surgeon Kris Jenner her new hip. So basically if there there are secrets to keeping your body working for as long getting into what your body should actually be able to do in your 50s what really protects your bones and joints and what you can start doing but first you know I'm going to be annoying because we need some more reviews we wantbanu if you listen every week and you've never left one
Well, Dr. Snibbe, good to see you. Good to see you, thanks for having me. Thanks for being here. It's great. So I wanna ask you this question and then we'll get into all details. Did you ever think that bones and joints were gonna be a sexy conversation in all your years, in all your years of practice? Never, never. I never thought all the things that we talk about in orthopedics would be kind of so central to my life. Most of it was training and operating on people and fixing them, but now it's become such a broad specialty where we really treat so many different things surgically and non-surgically. It's great. into some of those because I I feel like, look, I never even thought about my bones until a few years ago.
And when I started having this conversation about being in midlife and now I'm postmenopausal, bones are a big focus of what we talk about on the show. But for the middle aged woman who walks into your office what are the biggest things that you're seeing nowadays? Are they going in there proactively? Like, hey, I want to just make sure everything's okay? Are they going in because everything hurts? because I've been in the everything hurts camp. Yeah, I mean, I think that we would love people. to be proactive and be more proactive. Unfortunately, a lot of people are coming in broken. Some of them are hearing about, training and resistance training and exercise. And they're basically doing it in in an improper or they're just really out of shape.
And they're getting pain from their joints. And then some of them are having a lot of discomfort in their joints that they never had before. And it's that perimenopausal woman, the postmenopausal woman, I think that when you see the hormones drop, when you see estrogen drop, that's your protector, that's your anti-inflammatory flowing through your bloodstream. And when you lose that anti-inflammatory aspect that's when the joints start getting inflamed, sore and achy, people saying now like when I work out, I can't sleep at night, I'm having this achiness. And, or like my recovery is it takes forever. Like it takes me three days to recover from just a regular workout that I normally would be fine the next day.
What do we start doing? So you see that happening. So maybe they're not so bad off or they're gonna need to be in your OR, but they want to try to prevent this from happening and they wanna be able to keep working out. So what do you say to the women that are not recovering like they used to or feeling that pain? So we talk a lot about the whole body. You know, I think it's What's so important for us is they're not focused on a knee and a hip, you're a whole person, right? And so we talk about, one is reaching out to people around them in their medical world, whether it dose of testosterone for women. And some women say, testosterone? Why the hell would I take that? But it's really important.
You have that naturally in your body, and it's really important for building muscle for that. And so I think that's the first line of attack. And I think the second thing is understanding where they're at. Do they have a lot of disease? , we get x-rays, we get MRIs.Is of the joints to understand how much disease do they have, how severe is it? And we talk a lot about the simple things, resistance training, flexibility, working on your movement. And then also talking about supplementation sometimes, certain supplements to help them feel better. And then also if. They have a lot of pain, we might enter into the world of injections. So let's go back to testosterone because I think that is definitely a big one.
It's getting a lot of attention. Not FDA approved for women, but in low doses, I think it's really been a game changer for me in particular, originally prescribed for low libido. But do you see it working in other areas as well? Absolutely, I think when you talk about skeletal muscle. So unfortunately, as we age, our skeletal muscle decreases every single year. It's inevitable, you can't avoid it. But the more muscle mass that you put on your body now, no matter what your age is, whether you're 30 or 50 or 60,
So the- Yeah, explain that. Explain that. Yeah, muscles that are around your joints. Let's
because they have no shock absorption for the joint. And so building muscle around your joints helps maintain your flexibility, helps maintain your stability and makes you stronger, but also it benefits you in the end. And so I would say he who has the best, highest muscle mass, or he or she who has the best muscle mass wins, right? And so that's, it's very, very important. And, I also think it's very important about, we always look, you know, you look in the mirror, right? And you say, look at my? Look at my chest and my shoulders and my tr, my triceps. We're always looking at ourselves face on. , but the stuff in the back is really critical. What's back there? So it's all the muscles of your upper back, all the muscles of your glutes, the muscles that line your lower back.
Those are so critical to your body to maintain your posture, to maintain your core, to keep your lower back stable. But all those muscles are what keep your legs and your arms strong. And so focusing, I always tell patients, focus on your glutes or focus on the muscles around your scapula, around your shoulder blade because you get those muscles strong, then you won't have the pain in your shoulder or weakness in your arm. So if there's the woman and some you said have come into you and said, oh my gosh, maybe I heard about lifting online, I tried to do it, I got hurt. . and if they don't have a gym,
that I know personally that does like a 20 pound kettlebell, you can do a million exercises with that, upper, lower body, core exercises, some bands, some
It can help your metabolism. And there's also a lot of data showing that hormones get released out of your muscles when you work out, which can also make your mood better and can make your mental health better. So there's so many benefits. We talk a lot about posture. You know, you talked about of ability and your body. How important is good posture for us? It's very important. I mean, we are all destined to get arthritis and damage in our lower back. It's like I have to sit up. Yeah, you gotta sit up. Sit up straight. But yeah, that's why I said working on your backside, we call it the kinetic chain of your body, and then the back of your body is so critical. And that's why people ignore the glutes.
People ignore the muscles around your back and your upper back. And so that posture is, very important. And working on exercises, is very important. And working on exercises, is very important. And working on exercises, is very important. more exercises, you know, and those are very important to really
just got a lot of bad information. Absolutely, absolutely. And I think that the idea, there was also a stigma with women that if you worked out, you'd get big. Oh yeah, yeah, you don't want to get too big. You don't want your legs to get too big. But I think that like, we know that doesn't happen to women when they exercise. And I that, working out is so critical for people just in a little bit, just as a small amount of working out and getting little bit of exercises. And I love kettlebell exercises. I think they're very versatile. Why the kettlebell versus weights or in addition to? I think in addition, but I think the kettle, if you look at some of these kettlebell exercises, you can do. So many different movements with the kettlebell that involve your whole body.
And I think that what's important about that is that when you walk, you take a step on the floor, the energy of the floor goes through your leg, through your glutes, through your body, up to the rest of your body. That's called the kinetic chain of your body. And working out that way is really important, where you sometimes come off the floor, get off, you know, come with a kettlebell in your hand, you're kneeling, you get up off the floor and you do a shoulder press. You're using your entire muscles of your body, which is what you do every day, when you're walking around in your office and you're grabbing a file, youban. You're in an airport, you're putting your luggage up in the carry on area.
It just, it's part of your day to day life. So exercising that way is important. I also think, you know, we talked about treadmill, but walking is very important too. The movement of walking is great. It's not only great for exercise, but it's great for your mental health. It's also great for your balance. So sometimes I say, turn walking, like we were just talking about podcasts. It's so amazing how, like your wonderful podcasts that you have, it's so great we have podcasts because guess what? You can put your podcasts on your earphones and you can go for a nice walk. and that's a nice hour walk that you can get some exercise. I was gonna say, does it count as exercise? Because again, back in the day, which I can't believe I say those words anymore, people would say, oh, walking's not really an exercise, but I disagree.
I feel pretty incredible when I do it, especially if I can find some stairs and some steps and Santa Monica steps or whatever I can do. Absolutely. I mean, there's huge benefit in walking and the more you walk, the better you are as far as movement, but it's also balanced. Like we talked about, every time you take a step, you're balancing your body, you're using all the muscles of your body when you move, but it's also great for your cardiovascular health. But I think that just walking alone is not enough. It's not enough. And the other thing that's great for postmenopausal, perimenopausal women with walking is weighted vests. those weighted vests are really important for your bone density. And I think that they get a little bit of a bad rap because a heavy, heavy weight, like 30 pounds less or 25 pounds can be very heavy.
I prefer and I instruct my patients seven to 10 pounds is probably a that little bit of impact on your bones can be very helpful. So I did a video about jumping and then I got yelled at by a bunch of people online. They were like, jumping is not good for you. And I went, it's not, but I But you know, we're always hesitant to recommend impact such as running or heavy impact on the body because that can break down your joints and cause injury. Some people are able to run their whole life, but most people cannot because of of the injury that happens. And so I think that if you do a little jumping,
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slash tamsin. That's 20 looking at now because we're getting so much more information than we ever have. and sometimes it's overwhelming, right? Because I'm sure you have people that come in going, I think I have to do this and that and this and that, and I just don't want to, I just give up. If there's a woman listening right now and goes, okay, I'm willing to put this into play because he is the doctor to the stars. And I like how a lot of those stars look with a walk out of his office. What. What is the most important thing, if you had to name three things that you would want a woman to do or to focus-on right now, especially when we're in this, whether it's perimenopause into the menopause area of life?
I think the first thing to start off is, is incorporating things into your diet, such as protein, there's a lot of discussion about ingestion of protein and how important that is, and that's critical. I think that some key supplements are really important, such as vitamin D with K, turmeric is very important, amino acids, supplementing amino acids into your water and a collagen supplement as well. that can be very, very helpful. Those are some of the simple things. Andpictured And the other one is is creatine. Creatine. Creatine is everywhere now. Can we talk about creatine please? Cause I think that, Absolutely. I feel like everything goes in phases, right? It was like protein first and then fiber and then a collagen.
Yeah. And then creatine. So do you need all of those? Creatine is a really, really important one. I think that's, probably around, they say around two grams a day is good for maintenance for people. I think that creatine is very important. I like the combination of creatine plus amino acids. Those are two of the major building blocks for muscle. So when you're strength training and you wanna maintain your muscle and really get the most benefit of your strength training, that's if you are doing strength training. Absolutely, but also if you're just, let's say you're walking and just doing very light strength training. You wanna start because you wanna see benefits, you want your body to respond.
And I think those supplements help your body respond. Yeah, I hear a lot of people say, I've never had pain like this. I wake up in the morning, my whole body feels achy, not felt like this before. , do you push through the pain or, you know, when do you say, okay, I give, I need to go see somebody? What. What do you recommend? Is people are saying you're walking funny, you're moving funny. Those You're a surgeon, but I assume that your goal is to not have everybody in surgery. I assume that you try to keep people out of surgery as much as possible. Are there are some things that you are doing or seeing right now that are really beneficial to people who are coming in with different types of pain, whether it's shoulder pain or knees or hips.
Yeah, I try my best for every every person in my office to avoid an operation. I'm trying to guide them into ways that they can get the benefit of being an active, vibrant person without having a surgery. Because remember surgery, you don't do the surgery and tomorrow they're better. There's a massive recovery, there's muscle loss, there's weakness, it really takes time to and I physical therapy, stuff like that, a
the body to say, send more blood, decrease inflammation. So we use things like platelet-rich plasma, which which is when you draw your blood and spin it down and take the platelets. We do bone marrow injections. We take someone's and spin that down and inject And, The beauty of it is that I'm 53 years old. I can pluck my hair today and I have my 53 year old stem cell. So when I'm 70, I can inject myself with that. So you can have your children do it. You can have your middle-aged people do it and you can have those stem cells that can grow, but it's still in its infancy, but we Is that something that becomes accessible at some point? I have to imagine it's not today, right? Absolutely, it becomes accessible pretty soon, but the idea where we get into the controversy is that a woman gives birth and you take her umbilical tissue and her placental tissue and you urinate.
And so taking someone else's, that's not legal in America. There may be some rules that will change, but doing that is very controversial because it can create an immune response. And some people have horrible reactions to those types of treatments. We're not allowed to do that in America. People go out of the country to do but I think it's better as a treatment to use your own material to treat yourself. And that's where we're looking. Are you seeing people, well, you're so you're not able, are you doing that right now? Are you able to use that right now? So ACORN is still, it's not, we're doing some research in it. We're doing research projects to see the efficacy of it. So that's being started.
but the bone marrow and the PRP we do all the time. Does that help keep people out of the operating room? Absolutely, absolutely. So I'll give you a great example. So meniscal tears, you tear your meniscus in your your knee, most orthopedic surgeons, even now, and you go to LA, you see three orthopedic surgeons, if you have a meniscus tear, two out of the three will say, oh, you need an operation. The problem with that is if you'd go in there, just the act of doing that surgery, surgery, to someone that's over 40, can basically advance arthritis. It can basically instigate an arthritic pattern where then three months, six months later, they're literally on the door of my office saying, I can't walk, I need a knee replacement.
Oh my gosh, but how do you, okay, but you go to a doctor and they say that to you, what do you say, go find another doctor that's not gonna do a surgery? Yeah, you just get a second opinion and I think that, or ask the question, what are some non-surgical treatments I can do to make this better? So if you have a meniscus tear in my office, you are never gonna get surgery unless your knee is stuck, your knee is locked, unless there's a big, you have a really bad mechanical symptom, and if you're older than 40, you're not gonna get surgery. But what we do is we give them platelet-rich plasma treatment, and that works incredibly well and heals people. And we have very active people that are hiking, high-level tennis players, pickleball players, that are able to exercise and heal those injuries without surgery.
Yeah, pickleball, I guess you're probably getting a lot of those injuries. Oh yeah. Popping into your office all of a sudden, right? Many, many pickleball. There's a joke actually, they say if a pickleball court breaks, orthopedic surgeon will come and fix it. I. I'm sure. I'm sure you will. That's the joke. Well, it's interesting because we're seeing people at all different ages, you know, taking that up as a new hobby that have never worked out before, which I think is exciting, but also you have to be aware. Exactly. Of what's going on out there. I'm sure you see a lot of people that came in with frozen shoulder. That's probably pretty commonplace. Something you're seeing with women now in midlife that are coming in that you maybe didn't see 20 years ago?
I think a lot of diet and a lot of the menopausal symptoms is just global inflammation of the body. And I think that people are not eating, they're eating a lot of pro-inflammatory things, processed foods, sugars, that really create enormous amount of inflammation. And so it's not just weight training. It's like getting them on the path of understanding what they're putting into their body that affects the inflammation of their joints. And so it's really important to educate them on all these things, because if you can sometimes get someone to eat better, they will just feel better overall, and then they'll be able to work out better, they'll recover better, the whole process works. So it's looking at the whole person.
And we're also, you know, what's interesting is now, a even, even with surgery, we're talking to them about nutrition and we're having them take supplements before and after surgery to help them heal better, to make their wounds heal better, to have less inflammation, less muscle loss through the surgical process. I know supplements get a rough rap sometimes, because there's so many out there and people are so confused. So can we talk about what is really essential to somebody when we talk about bone health? Because I think that women are being told now to get their bone scans done, their bone density scans, and making sure that they're paying attention. I didn't talk about osteoporosis or osteopenia ever.
I mean, it really, I thought it was for like old people. And now I I'm aware that I'm in that category. And 10 years ago, I probably should have been talking about it. What is essential when it comes to supplementation? I think that, you know, the combination of a vitamin D plus K is a really critical supplement for people to take I also think some type of calcium in their body is also very important. And I think that nutrition is is very important too. I mean, I think that eating a lot of green vegetables are really critical for nutrients into their body. There's also people talking about minerals, complex minerals. And so you get that from some of the water that we drink, you can add minerals.
Some people add a little like salt to that have minerals in them into your, or like a electrolyte that has minerals within them. Some of those trace minerals can be very important for your bone health. How do you feel about GLP-1s when it comes to inflammation more? So I'm a huge believer in GLP-1s. I think that, you know, I've talked to many longevity doctors and they're basically saying that like, everyone should be on a GLP-1. I keep hearing that over and over. Is that really, I mean, is that a- I think that what we don't know, the danger of that is that we just don't know the long-term impact of taking these medications We do know with what it was really intended for, correct? Right, absolutely.
But I think that who, you know, there's a newer one, you may have heard of it called redatrutide, that Eli Lilly is going to come out with it. Basically doesn't cause muscle wasting. It can actually increase your metabolism. So there's, it's going to keep evolving. But there's people saying that even if you're a stick, you're like the thinnest person in the world. the benefits of anti-inflammation are very profound because the concept of inflammation with heart disease, with dementia, Alzheimer's, with the health of your joints, it can be very, very beneficial. And I think that people are losing weight and they're starting to get the recommendation from doctors, from their regular doctor or from their longevity doctor to micro dose these things to basically take a very low dose to help a little appetite suppression, but also keep your inflammation down.
So I think it's transformative. I think that it's gonna be incredibly powerful as they keep evolving. I think the first line of these treatments, I mean, we had patients taking it in my practice and they were having so many side effects, like nausea, vomiting, constipation, it was a mess. But as the medications have evolved, They've gotten a lot better. And I think that it's just gonna keep getting better. And everyone's gonna be taking this to help them feel better. Do you think it's gonna education curve? Because I know I'll still go to a dinner and I'll be talking to to Yeah, and I also think that like, maybe you do it. Maybe we don't have the long-term data, five-year data on this stuff. But maybe you take- Like I tell patients, I go, maybe you don't take it forever.
Maybe you do it for six months, give yourself a break for three months and then do it again to just try and like maintain your body too. And there's also some concept that a lot of people are talking about receptor overload, that the receptors that react to these medications, it may be too much for your body. And so there's some, all this discussion about that. So it's an evolving side of medicine, but I think it's incredibly powerful because for someone to lose to lose 20% of your body weight and to be healthy to decrease the stress on your joints, to decrease inflammation in your body overall makes people feel amazing. Yeah, I know I've seen it and I've talked to a lot of people who really had struggled for a very, very long time with weight and just feel incredibly different and mentally feel different with food noise and just thinking about food or how they approach meals.
And so I think it's pretty fascinating. Yeah, and I think the whole concept of alcohol. People are drinking less and alcohol is pro-inflammatory and people just drink less alcohol. So I think that's also a benefit to that. If you've been looking for a way to take your skincare routine up a notch without adding a complicated new step,
avoiding that at all costs because that can really just lead to just problems forever. Absolutely. I know you did a very famous hip replacement. Yes, I did. Do you want to talk about that first? I never thought hip replacements would be sexy. Yeah, I know. I did a hip replacement on Kris Obviously, they filmed the whole experience, which was interesting. First time for me, first time for everything. But I thought it was very brave of her to do that because she said this to me before it even aired is that I wanna educate people and teach people not to be afraid and teach people that this is a natural process sometimes of aging and that these surgeries are necessary and she was very open about it about having it done and it's been a wonderful thing to show people what the surgery is about, what the process is about, the healing, and also, you know, if you watch the episode, there's a moment where she cries.
And it's very important, I tell patients, there's a vulnerability that you feel. Because sometimes when you have a joint that's arthritic and you can't walk and you can't move and you can't travel, you feel like, am I ever gonna do that again? Am I ever gonna exercise again? or you sometimes drop into a little bit of a depression. And so, and patients have that. Patients will tell me, they say, I
Trying to normalize their life gets rid of that depression, but it was very profound, that episode. Well, especially because when I think of hip replacement, I think of like an old guy. I don't think of Kris Jenner. No, it's the number of joint replacements that are happening between 30 and 60 and a minute is exponentially increasing. Why is that? That's because our generation had exercise that was important, but the generation younger than us, they're
MRIs of their knees and their ankles. It's part of the standard process. And you look at these MRIs and you're like, this, this guy's got an arthritic knee. He's like, he's 20 years old. He's graduating from college. He wants to play in the NBA. He's already got early arthritis in his knee. So that guy, when he's 20, 45. So most of those people when they're in their forties, these professional athletes, they're having joint replacement. If you're thinking about those things your body from from a standpoint of a 55, I'm a 55 year old woman right? I did my best, it was good, it was good enough but I don't I'd like like to avoid you know your OR and not everyone's gonna be able to come see you. So what are celebrities or people that are coming to see you doing to try to prevent some of those type of injuries?
to maintain things. I have exercises I love that men and women should do is I love Pilates because it's core oriented. It's a lot of gluteal strengthening. It's great resistance training for people. And I also think like you talked about falls like walking is one of the best things for balance.. And so I think there's a lot of these people are doing lots of walking, lots of hiking, making it into a social event where they hike with their friends, it's a way to catch up with people, it's a way to reconnect with your children, your spouse, your best friend, just making it into a whole more social thing is really important. And then just the strength training. I think the strength training is really important for them to maintain their body and their movement.
I also think that, like we talked about how you get older and you get stronger. There's a lot of data about getting up off the ground. And so training to get up off the ground is very, very important. When they look at people that live in those blue zones, that lived at 100 years old, many of them do one thing that you think is, why would this make them live so longer, is gardening. So people that go out into the garden, you're kneeling, think about gardening, you're kneeling on the ground,, you're planting things, you're. You're getting up off the ground, you're carrying soil, you're moving around, it's It's very, a lot of movement oriented and you're basically doing hundreds of squats a day.
I never thought about that with gardening. So that's a very, very active thing. So you look at Japan, you look at Greece, you look at Italy, they do tons of gardening. And so it's just getting up and down. So you can do that on your own. You can take a kettlebell in your hand, get on the ground and do that 10 times and do three sets of that. That really forces you to use all these accessory muscles that is really important for longevity. I had, I was putting on a pair of shoes the other day a video and I squ squatted down and I got up and I thought people were going to comment about the shoes and it said they were commenting about the fact that I squatted down and got up. But I, you know, I, I did that for a long time.
It was a cheerleader, but you know, my husband who I know, you know, Ira, he cannot get up and down. So if he dropped something, I don't go help him anymore. So that's like kind of my, that's my exercise for him. You got to tell them to get up up and down off the floor a bunch of times. Exactly. Exactly. Train him. listening and says, look, I want to focus on this. I've I've raised my kids. I'm finally paying attention to myself or you know I'm going into this period of morning where I'm working really hard right now. I don't have tons of time. Where do I start for my, you know, 30 minutes tomorrow morning to myself. Where do I start? Just kind of taking care of this part of my body. Yeah, I think that like we talked about some resistance on your body. So wearing a a weighted vest when you work out, wearing a weighted vest when you walk, doing some weight resistance is very good for you on your body when you walk, but also strength training when you walk.
And like we talked about earlier, I love the kettlebell. I think you can do so many great exercises.. You can do a goblet squat, you can do arm training, you can do swings, you can do rotational exercises for your core. There's so many exercises you can do just with one single kettlebell. and you can go on YouTube or Instagram and there's many, many different trainers that talk about the 20 minute, the 30 minute kettlebell workout. You can get your heart rate super high. You can get cardiac training, but also really burn a lot of calories and really strengthen your muscles. So I think that's probably the best way to start. Thank you so much. I've never talked about kettlebells on here. Literally, never.
It's the best. It's really, really amazing training training for people to do and can really work so many parts of your body. So we talked about how important posture is. Are there some specific back exercises that we can do? Absolutely. So some of the exercises that you do in the gym, like a pull down, a lat pull down, pulling down, which works through your latissimus muscles, which are the muscles on the side of your body. Rows, you can do rows where you're kind of bending over and pulling a weight, or you can do rows where you're kind of bending over and pulling a or a cable where you're pulling. Those are really great exercises. And then also deadlift, where you take a couple weights and you're kind of extending your back, you know, doing you're doing back extensions.
There's also machines at the gym where they kind of hold your legs still, lean forward and lean back. Those are very amazing exercises for your back. If you have somebody with lower back issues, like I tweaked my lower back a while ago, so I'm really careful with it. Is there something you can recommend? Yeah, so with the lower back, especially some of those deadlifts exercises, you just wanna keep the weight light. Just keep the weight, avoid the temptation to increase the weight in the gym. That's overall for your whole body, but especially with your lower back. But if you do have back problems, doing cable work where you're rotating, you're doing rotational exercise where you're pulling on a cable one way or pulling on a cable another way can really work your core.
And also planking and bridging is fantastic for your core. I had frozen shoulder, so I was being bold and working out with weight and it didn't go so well.
Tissue paper. But when you get frozen shoulder, the lining of your shoulder becomes like leather. So it becomes this thick, so you have this inflammatory process, and then after the inflammatory process ends, you end up with this stiffness in your shoulder. The majority of frozen shoulder treatment is stretching. It's just basically stretching out that thick tissue. But many times we give I people injections of cortisone. That's where we use cortisone commonly. We try not to do cortisone a lot because it's not good for you, on the frozen shoulder, a single injection into the ball and socket of the joint can be very very loosen it up and can make you better much faster. Yeah, I avoided it for such a long time and I went for probably a year.
I couldn't do anything. I mean I couldn't even do like a, lay down on a mat. But one arm was shorter than the other arm. It just didn't work. So I finally did that and it's really, it's worked for a very long time. It's great, and it's very
That's how that really helps loosen things up. I tell a lot of patients, go to the gym and have minutes. And they say, wow, that really helped loosen things up because it's a passive way that you can stretch out your arm instead of a therapist cranking on you all day, you can just kind of hang there. And it also helps your grip strength, which is also important too. You mentioned cortisone is not necessarily good for you to have all the time or just in general? There are certain instances where we use cortisone. If you come in with the office and your knee is killing you, you can barely walk, we'll give you a cortisone shot to calm it down. But cortisone is a chemical that basically can break down collagen.
So collagen
when there's around a tendon, it can cause a tendon to rupture. For example, if someone put it into your Achilles tendon or your patellar tendon or your rotator cuff, it went into your rotator cuff tendon, it can cause it to rupture. If you bathe the area with it, it don't rupture. But if you put it right into the actual tendon, it will rupture. Fair fair warning. Bad stuff. Bad stuff. Glad I didn't talk to you before I went. Yeah, exactly. Thank you. Thank you for for you. Yeah, it's great.
