474 | What interventions have the best evidence for down-regulating pain sensitivity (breath, sleep, graded exposure, strength, walking)

In this episode of the Optimal Body Podcast, doctors of physical therapy, Doc Jen and Doctor Dom address controversy sparked by a social media post where Doc Jen stated she doesn't seek chiropractic adjustments. They clarify that adjustments don't "realign the spine" or "put bones back into place," explaining that benefits come from reduced tension and nervous system responses. Citing research, they highlight that spinal palpation is unreliable and that similar results can be achieved through mobilization or movement. They emphasize adjustments are useful tools but shouldn't create patient dependency, advocating instead for evidence-based care and long-term self-empowerment through exercise and movement.Needed Discount:Jen trusted Needed Supplements for fertility, pregnancy, and beyond! Support men and women’s health with vitamins, Omega-3, and more. Used by 6,000+ pros. Use code OPTIMAL for 20% off at checkout!We Think You'll Love:Free Week of Jen HealthJen’s InstagramDom’s InstagramYouTube ChannelFor full show notes and resources visit https://jen.health/podcast/475What You'll Learn:1:16 The hosts address common misconceptions, like adjustments putting bones back into place, and the overlap between PT and chiropractic techniques.3:42 Research shows it's unreliable for clinicians to pinpoint specific spinal segments, questioning the precision claims of some practitioners.6:32 An adjustment doesn't just target one segment; research shows it affects multiple joints above and below the intended area.7:26 The hosts explain that the cracking sound is a cavitation, a release of gas, not a bone moving back into place.8:23 Discussion on the term "subluxation" and how the language used by providers can create patient dependency on treatments.12:29 Good physical therapists and chiropractors have significant overlap in their methods, often incorporating movement and hands-on treatment beyond adjustments.13:55 The hosts critique articles sent to them, noting many are old, small case studies, or don't actually support realignment claims.19:15 A study showed adjustments, mobilizations, and even therapeutic touch all improved pain and brain connectivity with no significant difference.21:51 Adjustments cause muscle relaxation and release endorphins, leading to temporary pain relief and reduced tension, lasting about 48-72 hours.23:47 PTs use manipulations to address true mobility deficits, helping to improve range of motion before prescribing strengthening exercises.25:15 The hosts debunk "Over Manipulation Syndrome," explaining it's not a recognized diagnosis and originated from a pro-therapy clinic.29:06 Discussion on how degeneration is a normal part of aging and is often used as a marketing tactic to scare patients. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

In this episode of the Optimal Body Podcast, doctors of physical therapy Doc Jen and Doctor Dom explore evidence-based strategies to reduce chronic pain sensitivity. They describe chronic pain sensitivity as a "volume knob" in the nervous system that can be turned down through five key interventions: aerobic exercise, strength training, improved sleep, cognitive behavioral therapy, and graded exposure to feared movements. Each approach targets pain from physical and psychological angles. The hosts also highlight breathwork as a bonus tool for managing acute pain flares, encouraging listeners to combine these strategies for lasting relief.Needed Discount:Jen trusted Needed Supplements for fertility, pregnancy, and beyond! Support men and women’s health with vitamins, Omega-3, and more. Used by 6,000+ pros. Use code OPTIMAL for 20% off at checkout!We Think You'll Love:Free Week of Jen HealthJen’s InstagramDom’s InstagramYouTube ChannelWhat You'll Learn:1:48 Introduction to Pain Sensitivity3:23 Aerobic Exercise8:34 Exercise Training12:48 Sleep Interventions15:28 Cognitive Behavioral Approaches18:59 Graded Exposure20:42 The Role of BreathworkFor full show notes and resources visit: https://jen.health/podcast/474 Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

In this episode of the Optimal Body Podcast, Doc Jen and Doctor Dom interview nutritionist Thomas DeLauer, who specializes in cognitive nutrition and performance. Thomas shares his journey from corporate healthcare to nutrition advocacy, emphasizing how nutrition and diet impact brain function and mental clarity. He highlights key foods like dark berries, MCT oil, and eggs for cognitive support, discusses metabolic flexibility, and introduces the concept of "energy flux" for improving metabolism. Thomas also offers practical strategies for sustainable lifestyle changes, including managing willpower and optimizing meal timing for peak mental and physical performance. Needed Discount: Jen trusted Needed Supplements for fertility, pregnancy, and beyond! Support men and women’s health and nutrition with vitamins, Omega-3, and more. Used by 6,000+ pros. Use code OPTIMAL for 20% off at checkout! Thomas's Resources: Thomas on IG Thomas on YT Thomas’s Website Thomas on FB We Think You'll Love: FREE week of Jen Heath Jen’s Instagram Dom’s Instagram YouTube Channel For full show notes and resources visit https://jen.health/podcast/473 What You'll Learn: 2:05 What is Cognitive Nutrition? 8:09 Optimizing Energy and Brainpower 11:09 Foods for Mental Clarity 15:06 Fasting and Ketones for Brain Function 21:52 Understanding Metabolism 28:52 Improving Metabolic Health 32:08 Dieting Without Crashing Your Metabolism 35:20 Intuitive Eating and Whole Foods 38:07 The Importance of Protein and Fiber 42:33 Maintaining Willpower Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

In this episode of the Optimal Body podcast, doctors of physical therapy, Doc Jen and Doctor Dom explore sarcopenia, the age-related loss of muscle mass and strength. They explain that while muscle mass peaks around age 25 and gradually declines, sarcopenia is not inevitable. Lifestyle factors like inactivity and poor nutrition significantly accelerate muscle loss. The hosts highlight resistance training as the most effective intervention, citing a 12-week study where sarcopenia prevalence dropped from 35% to zero. They encourage listeners to start strength training and optimize nutrition, framing sarcopenia as an environment- and activity-related condition rather than an unavoidable consequence of aging. Needed Discount: Jen trusted Needed Supplements for fertility, pregnancy, and beyond! Support men and women’s health with vitamins, Omega-3, and more. Used by 6,000+ pros. Use code OPTIMAL for 20% off at checkout! We Think You'll Love: Lifting for Longevity Jen’s Instagram Dom’s Instagram YouTube Channel For full show notes and resources visit https://jen.health/podcast/472 What You'll Learn: 0:29 Sarcopenia is the age-related loss of muscle mass and strength, increasing risks for falls, diabetes, and other diseases. 1:31 Officially recognized as a disease in 2016, muscle mass peaks around age 25 and declines significantly after age 50. 4:08 Sarcopenia is not inevitable. Sedentary lifestyles and poor nutrition are major contributors, more so than just aging itself. 6:10 The hosts discuss the challenges of maintaining a consistent workout routine while raising young children and feeling exhausted. 7:43 The prevalence of sarcopenia increases significantly with age, rising from 5% in your 60s to over 50% after 80. 9:12 While overall prevalence is similar, women can experience accelerated muscle loss after menopause due to hormonal changes like decreased estrogen. 11:09 Resistance training is the number one evidence-based, non-pharmaceutical treatment for preventing and reversing sarcopenia 12:01 A 12-week study showed a progressive resistance training and nutrition program reduced sarcopenia prevalence from 35% to 0%. 13:29 Strength training reduces muscle breakdown, enhances muscle growth factors, mitigates inflammation, and triggers muscle hypertrophy to build new muscle. 14:22 Improving strength also... Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

In this episode of the Optimal Body Podcast, Doctors of Physical Therapy Doc Jen and Doctor Dom sit down with board-certified plastic surgeon Dr. Robert Whitfield, founder of the Sharpe Method. Dr. Whitfield shares his expertise on breast implant illness (BII), explaining how bacterial contamination, biofilm formation, and genetic factors can contribute to symptoms like fatigue, brain fog, joint pain, and hormonal disruption. He also explores natural alternatives to breast implants, such as autologous fat transfer. Whether you currently have breast implants or are considering your options, this episode offers valuable, science-backed insights to help you make informed decisions about your body and long-term health. Dr Whitfield's Resources: Dr Rob's Circle Dr Whitfield on IG Dr Whitfield on YT Dr Whitfield on FB Dr Whitfield's Website We Think You'll Love: Free Week of Jen Health Jen’s Instagram Dom’s Instagram YouTube Channel For full show notes and resources visit https://jen.health/podcast/471 What You'll Learn: 3:46 An explanation of using a patient's own tissue for breast implants reconstruction, comparing it to organ transplants between genetically identical twins. 7:33 Why implant-based reconstruction is the most common method worldwide, especially in community hospitals, due to less required technical support. 9:37 Dr. Whitfield recounts a 2006 case where removing implants and using the patient's own tissue resolved her chronic inflammation symptoms. 11:53 A 2016 case where a patient's only symptom was fatigue, which was linked to a hidden E. coli infection. 15:07 Discussion on the three ways infections can occur with medical devices, with the most common being bacteria entering the bloodstream. 16:17 Explaining how bacteria form biofilm on implants, causing oxidative stress, and how genetics can influence a person's inflammatory response. 20:40 Addressing whether all implant recipients should worry, highlighting the role of genetics, lifestyle, and the challenge of diagnosing symptoms. 21:59 Dr. Whitfield emphasizes prioritizing sleep hygiene, nutrition, and reducing toxin exposure as foundational steps for improving overall health. 28:33 A list of top symptoms associated with breast implant illness, including fatigue, brain fog, joint pain, and gut issues. 32:04 Discussing the psychological and Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

In this empowering episode of the Optimal Body Podcast, Doc Jen and Doctor Dom tackle the realities of aging head-on with research-backed insights. They debunk common fears around MRI findings like disc bulges and osteoarthritis, explaining—using research-backed evidence—that many are normal age-related changes, not reasons to stop moving. From research-backed benefits of weighted vests for improving strength and posture, to the critical role of strength training for bone density and joint health, the hosts emphasize that movement is medicine. Whether managing osteoporosis, herniated discs, or arthritis, a proactive, guided approach to exercise can help you age with strength, confidence, and independence. Zulu Weighted Vest: Upgrade your everyday movement with the ZULU Weighted Vest — designed to increase calorie burn, naturally engage your core, and improve posture with every step. Perfect for walks, workouts, and daily errands. Use code OPTIMAL for 20% off at checkout. Lifting for Longevity Discount: Check out our NEW movement longevity course -> Lifting for Longevity! Build your Strength, Mobility, Power, Balance and more regardless of what stage or age you’re at! Podcast listeners get a bonus discount with code OPTIMAL20 We Think You'll Love: Lifting for Longevity Jen’s Instagram Dom’s Instagram YouTube Channel What You'll Learn: 1:54 The Truth Behind Aging 3:42 The Power of a Provider's Words 6:07 Misconceptions About Aging and Exercise 7:13 Understanding MRI Findings 11:07 Knee Osteoarthritis and Exercise 14:21 Running with Osteoarthritis 15:45 Osteoporosis and Heavy Lifting 18:23 The LIFTMOOR Trial for Osteoporosis 20:58 Herniated Discs and Fear of Movement 25:47 Red Flags for Back Pain 27:11 Four Pillars of Healthy Aging 28:19 Pain Monitoring Rules for Exercise For the full show notes and resources visit https://jen.health/podcast/470 Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

In this episode of the Optimal Body Podcast, Doc Jen and Doctor Dom, both doctors of physical therapy, welcome back Doctor Courtney Conley to discuss her new book, Walk. Together, they explore why walking is considered the "sixth vital sign" and how gait speed can predict health issues like cognitive decline. Doctor Courtney breaks down the importance of power in walking, how to improve gait speed for greater efficiency, and why the 10,000-steps goal isn't scientifically based. She also shares practical advice on footwear choices and encourages listeners to start simply — by taking their shoes off at home to reconnect with their feet and build a foundation for better gait speed and movement. It's not just foot health, it's about our movement longevity. Needed Discount: Jen trusted Needed Supplements for fertility, pregnancy, and beyond! Support men and women’s health with vitamins, Omega-3, and more. Used by 6,000+ pros. Use code OPTIMAL for 20% off at checkout! Dr Conley's Resources: "Walk"Book Gait Happens on IG Gait Happens on YT Gait Happens Website We Think You'll Love: Free Week of Jen Health Barefoot Mini Course Jen’s Instagram Dom’s Instagram YouTube Channel For full show notes and resources visit https://jen.health/podcast/469 What You'll Learn: 2:17 Doctor Conley discusses writing her book with a physical therapist and how their different perspectives created a well-rounded final product. 8:04 Walking speed is discussed as a key indicator of overall health, predicting issues like cognitive decline years in advance. 11:11 The conversation shifts from strength to power, explaining how power exercise is a one of the most crucial health tips for efficient gait and everyday movements. 12:36 Doctor Conley offers simple ways to assess and improve walking power, such as tracking steps per minute and walking uphill. 17:50 The mechanics of an efficient gait... Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

In this episode of the Optimal Body podcast, Doctors of Physical Therapy Doc Jen and Doctor Dom explore the critical link between walking speed and overall health in older adults. They discuss research showing that resistance training can significantly improve gait parameters, emphasizing that muscle power is the most important modifiable factor influencing walking speed. The hosts highlight key exercise like calf raises, hip abduction, and squats, stressing the need for progressive overload to stimulate real muscle adaptation and improve gait. They encourage listeners of all ages to prioritize strength training to reduce fall risk, support cognitive health, and improve longevity. Ultimately, the episode underscores health tips on how targeted exercise can improve gait and overall quality of life. Zulu Weighted Vest: Upgrade your everyday movement with the ZULU Weighted Vest — designed to increase calorie burn, naturally engage your core, and improve posture with every step. Perfect for walks, workouts, and daily errands. Use code OPTIMAL for 20% off at checkout. Needed Discount: Jen trusted Needed Supplements for fertility, pregnancy, and beyond! Support men and women’s health with vitamins, Omega-3, and more. Used by 6,000+ pros. Use code OPTIMAL for 20% off at checkout! We Think You'll Love: Free Longevity Webinar Jen Health Discount Jen’s Instagram Dom’s Instagram YouTube Channel For full show notes and resources visit https://jen.health/podcast/468 What You'll Learn: 2:01 Gait Speed as the Sixth Vital Sign 4:43 Why Walking Speed Matters 6:16 Gait Speed and Longevity 8:50 The Importance of Muscular Power 9:37 Preventing Age-Related Muscle Loss 11:05 Key Findings from the Research 12:42 The Importance of Progressive Overload 15:30 Most Effective Exercises for Gait Speed 16:10 How to Progress Exercises Safely 19:20 Applying These Principles to Daily Life 20:14 Starting a Strength Training Routine 21:41 Training to Failure Explained 23:27 The Value of Supervised Training Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

In this episode of the Optimal Body Podcast, Doc Jen and Doctor Dom, both doctors of physical therapy, welcome back Shannon Algeo, psychotherapist and author of The Power in Your Hands. Shannon explores how smartphone and social media use mirrors insecure attachment patterns, introducing the concept of technology attachment to explain how people unconsciously turn to technology to manage anxiety, avoid emotions, and seek connection. The conversation covers how virtual interactions lack the embodied cues essential for genuine human bonding, the dangers of solitude deprivation, and the societal nature of technology attachment and the pain of digital addiction. Shannon encourages listeners to exercise compassion, small behavioral experiments, and collective action to help reclaim presence, creativity, and authentic human connection. Shannon's Resources: The Power in Your Hands Shannon on IG Shannon on YT Shannon's Website We Think You'll Love: Free Week of Jen Health Jen’s Instagram Dom’s Instagram YouTube Channel What You'll Learn from Shannon: 2:31 The Genesis of the Book 4:19 Attachment Theory and Technology Attachment 8:21 Virtual vs. Real World 10:51 Attachment Styles and Social Media 15:44 Negativity Bias Online 19:17 The Dangers of Instant Answers 22:10 The Importance of Solitude 30:08 Parenting in the Digital Age 36:25 The Grief of the Unlived Life 42:08 The Influencer's Dilemma 46:48 Is "Doomscrolling" Actually Relaxing? 52:15 Hope for the Future 58:07 How to Start Disconnecting For full show notes and resources visit https://jen.health/podcast/467 Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

In this episode of the Optimal Body Podcast, Doc Jen and Doctor Dom explore foot pain and injury through Dom's personal experience with a Lisfranc ligament tear and two surgeries. Dom shares how a recent pickleball injury during a session triggered sharp midfoot pain, prompting him to self-assess and begin conservative treatment. They discuss potential diagnoses, footwear adjustments, and rehabilitation strategies including mobility work, strengthening exercises, and balance training. The episode highlights the value of physical therapy, direct access care, and structured programs like Gen Health's foot and ankle roadmap for achieving safe, effective long-term recovery after a pickleball injury. Jen Health Annual Membership Discount: Huge discount on Jen Health Annual Membership! Podcast listeners get over 50% off with code OPTIMAL10. Access 12 Therapy Plans and start your free trial now—move with us! We Think You'll Love: Jen Health Discount Jen’s Instagram Dom’s Instagram YouTube Channel For full show notes and resources visit https://jen.health/podcast/466 What You'll Learn: 3:23 Doctor Dom begins to share his personal experience with his pickleball injury, a recurring foot injury, starting with his history of surgeries. 4:15 Dom details his high school Lisfranc ligament tear, the two surgeries he had, and the hardware placed in his foot. 5:59 Dom describes how a long session of pickleball likely triggered his recent foot pain, causing a sharp mid-arch pain. 7:23 Dom discusses ruling out plantar fasciitis and considering other potential diagnoses like a Lisfranc injury or arthritic flare-up. 9:46 Dom explains his reasoning for not immediately seeking a formal diagnosis, anticipating the likely conservative recommendations he would receive. 11:16 The speakers discuss how switching to more cushioned shoes for high-impact activities might have contributed to their recent foot issues. 13:34 Dom shares the first steps he took for relief, including toe spreading, manual mobilizations, and big toe mobility exercises. 16:06 Dom describes progressing his exercises to include short foot activations, isometric toe flexion, and single-leg stance work to normalize gait. 18:51 Dom explains why his rigid foot needs both mobility work and strengthening through its new ranges to prevent future injury. 20:45 A week after the injury, Dom details his current exercises, including heel raises, single-leg reaches, and what still causes pain. 24:52 The hosts advocate for seeing a physical therapist first for conservative treatment to potentially avoid costly and unnecessary medical procedures. 26:49 Dom outlines his plan to... Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.