We would first like to thank you first for listening and investing time in your busy schedule with us. We are Dr. Ben Bagge and Dr. Mike Alzheimer of Pro+Kinetix Physical Therapy and Performance located in Oakland,CA. At Pro+ Kinetix we help active adults and athletes in Oakland and the surrounding Bay Area get back to workouts and sports they enjoy, without surgery, stopping activities they love, or relying on pain medicine. Our goal with this podcast is to share with you the insights of local experts around all things health and fitness. If you consider your health an investment then this is the right podcast for you. We hope you enjoy the podcast and it provides you with the tools and insights to stay active for life!
Hey crew. This is Dr. Mike
and Dr. Ben boggy.
And this is episode number one of the active Oakland podcast. First of all, we just wanted to say thank you guys for listening, especially if you guys are one of our current or past clients. Thank you for your loyalty and sticking around with us. And if you haven’t ever worked with us or you’re new to pro kinetics, we want to welcome you to the podcast. And thank you for taking the time out of your day to listen to our podcast. So before we dive into the show, we want to make sure that this podcast is a good fit for whoever’s listening. The purpose of this podcast is we want to work with people that are really serious about their health and wellness, and that make it a really big pride in their life. So we’re going to be diving really deep into health and fitness topics. We’re going to be focusing mainly on four pillars of health. These pillars include first movement, second Nutrition, third stress and fourth sleep. So we’re going to be diving deep, we’re going to be working and interviewing local experts in the community, kind of getting their expertise and sharing that expertise with us. So yeah, we’re going to be diving deep in those topics. So we want to make sure that whoever is listening, that they are committed and serious about their health, but also on top of that, probably are wondering who we are. So let’s dive into a little background information about us.
So my name is Dr. Ben baaghi. And, like Mike, I also have my doctorate in physical therapy, and I’m also a certified strength and conditioning specialist. And I was born and raised in the middle of nowhere in Iowa, and as a physical therapist and strength and conditioning specialist. We’re huge advocates of movement and exercise and maintain a lifestyle. You know, that allows you to stay active no matter what your age and that’s what I’m doing. passionate about. And yeah, Mike, I’ll let you kind of introduce yourself as well, before we move on.
Yeah, yeah, just as Dr. bag is as well, I’m a physical therapist and certified strengthing conditioning specialist. We’re both small town boys. I’m from Montana. I have a background in coaching. So before I started physical therapy school, I worked as a powerlifting. Coach up in Montana. I have a expansive background in sports. I’ve played sports ranging from football, hockey, soccer, baseball, basketball, swimming, karate. So really, when I was younger, I just fell in love and ended up being kind of obsessed with sports, kind of fell in love with human movement, and ended up going down the path of physical therapy because of my love for sports, exercise fitness, and I felt like that field kind of coincided really well with my passions and interests. And I find that I know for me personally, how fulfilling and how much those aspects of my life are important to my one physical but also mental well being. So I find great fulfillment and enjoyment, getting to work with and help people get back to the things they love getting active, being able to maintain and work on their fitness, and, you know, encouraging them and guiding them in that process.
Yeah, that’s awesome. And
like Mike said, we’re in touch on those four, four pillars of health. But we’re also going to be we’re utilizing this podcast as a way to, for our listeners get to know other reputable health practitioners, gym owners in the area and are local experts on health and fitness. Come on and join us. So we can talk about a large range of topics such as sleep, stress, movement, nutrition, running and also touching on some common injuries that we see as well and helping you helping you guys guide you in those areas. Yes.
Yes. So to elaborate on that, and as I spoke about earlier, with those interviews with those extras for me to talk about, we are going to try to focus on those four main pillars. So I kind of want to dive back into those give a little more elaborate on those a little bit. So the first one is movement. Really all of us like we should and our bodies are designed to last or joints our bodies are built to last 100 years. But I’m sure many of you have found that they’ve had times where you’ve had times where maybe it’s hard to get off the ground, or maybe you’ve had an injury and you’ve been one of those people or you’ve heard about those people that have said, you know, oh, I hurt my knees or I tweaked my back deadlifting and I ended up, they ended up stop exercising or stop lifting, when really our bodies are really robust, were designed to move. It’s essential for health and wellness. So, movement is going to be a huge pillar and priority in our lives. And we’ll be digging deep Bring that as well. And then stress of course, we all, as oaklanders, and San Franciscans that deal with a lot of stress. As you all know, in the Bay Area, it’s a very busy and hectic area, everyone’s really focused on, you know, working hard career focused. But I think oftentimes, many of us don’t really have strategies to manage that. And stress has been shown time and time again, to be dilatory as to our health and our wellness. So we’re going to be coming up hopefully with some really practical strategies and takeaways for us to have a ways to manage that stress. And third is nutrition. So you’ve heard it 1000 times we are what we eat, and but I think what can get hard with that is there’s so many different diets or there’s so much a variety of an often contradicting information out there. So we’re going to hopefully distill it down again to do some basic principles, things that are practical takeaways, and hopefully kind of clear all that clutter. About what diets kind of best and make it into more of a simplified, practical way to manage your diet. And fourth, and certainly not least, is sleep. I don’t know about you, but I think many of us find that there’s at least periods in our lives where we are not getting adequate sleep. You’ve all heard that recommend you get seven to nine hours of sleep. But statistics show that there’s 50 to 70 million Americans and Americans in the US that are not getting enough sleep. And I oftentimes a fall into that category. And the statistics and this research is really consistent with showing that when we are lacking sleep, it does affect our mental health, it does affect negative implications in terms of cancer, our immune system, our hormone system, so really, we end up just shooting ourselves in the foot being less productive, if we end up not getting that adequate amount of sleep. So we’ll be hopefully diving into that diving into the health benefits of that and then again, ways that we can Figure out how to better manage our sleep.
Yeah, and then I wonder I
forgot to mention earlier in the podcast too, is, you know if any of our listeners know of anybody that would be an awesome guest for a podcast and kind of fit with our mission. We would love to learn more about them and you can send their information to admin AT Pro kinetics, rehab calm, because we’re gonna probably do this podcast once a month or something like that once every three weeks. And each week, we want to bring on a new expert, local expert on a large range of these topics. One other goal that we have with this podcast is to give you guys not just our opinions, but what the research is showing, based on sleep, nutrition, exercise, injury prevention, treatment of injuries, this isn’t going to be just our opinions, everything that we’re going to be giving you is based on research, what does the best research out there? Say, right? That’s the highest level of evidence And like Mike said is, you know, our body’s meant to last a lifetime. We want to be giving you guys natural solutions on lifestyle changes and different choices that you guys can make to allow your body to last a lifetime. We there Don’t get me wrong, there are instances where, you know, surgical interventions needed. But most of the time, a lot of things can be corrected by doing physical therapy, chiropractic, acupuncture, massage and exercise in changing your diet, change your sleep, that can make a huge difference with difference with and then allowing us to also avoid surgery I’m sure Mike, you’ve got tons of you know, examples of different our past patients that you saved from, from surgery and, and what not to so I don’t know if you want to talk about any of those stories, because I know you’ve taught you told me one the other day and it was super powerful and I think it’d be really beneficial for our listeners to know Hear that as well. I
know yeah no man know for sure I I love telling the story it always is really it’s encouraging to me and I hope it’s encouraging to you guys as well. I had a patient last year she was really active person she used to be a snowmobile guide, she was really into a health and fitness. But you know, kind of one of these days she ended up just having a weird back tweak where she was trying to move her snowmobile ended up just getting this weird spasm back shot down her foot. She’s like, oh, mess something up. Um, and you know, it was hard for him to get up after that incident. So, obviously concerned, she went and saw her medical provider. She kind of was taken to the whole system and just given the normal spiel that yet you jacked up your back, the discs are all messed up, you look like you have the spine of an eight year old. You’re the only way out of this is going to be surgery. Otherwise, you know, we can’t guarantee that you’ll ever be out of pain unless you go under the knife. And obviously that’s kind of a scary thing to hear and something that’s pretty discouraging. So she wanted to get a second opinion. So another doctor, same story, and her and then her physician assistant is saying, Yeah, if you, we’d like to get you scheduled for surgery and she wanted to know if she had other options. And they said, Well, I mean before the surgery, if you want you could, if you so desire, maybe see a physical therapist, maybe they can at least get you out of some pain, but again, your back is jacked up, it’s gonna need surgical intervention. So she end up seeing us and we just took her through the typical rehab process and ended up you know, first day she was still so much pain that she had difficulty and was very scared to even pick up a five pound weight. But we started off really slow progress to rehab and in about a 10 week period, we had her initially starting with that five pound weight all the way to deadlifting like on a bar, 225 pounds. Without paying as well, of course, so she ended up scared, you know, calling off the surgery clearly, she’s actually now really into powerlifting. So it’s kind of a 180. I saw her, you know, her complete confidence and that effect that, you know, going through that rehab process and seeing again that her body is resilient and strong and that, you know, as Ben said, sometimes surgery is necessary, but there are other options as well. Before you have to go on the knife. So
yeah, yeah, I mean, like, that’s such an awesome story.
And I think a lot of patients are just, they don’t understand the capabilities that their bodies have and how strong and resilient they actually are. People really think that their bodies are delicate, but it can be further from the truth. And that kind of leads me into similar patient. She was having pain with Ronnie. She was 26 years old and she had been a previous runner. And started developing some knee pain. And this has gone on for about six months and she went and saw her position and her physician gave her an injection into her knee, which helped for you know, a week or two and then the pain was right back. And so she went back into senior position and that positions like alright, here, what we’re gonna do is when she prescribed an expensive knee brace, gave this knee brace and said that if this doesn’t help, let’s let’s try it. Let’s try rest. And if this brace doesn’t help, then we’ll think about another injection and then injection doesn’t work, then we’ll be looking at surgery. Demon men once mentioned physical therapy, and this patient props to her props to her because she’s like, Okay, well, should I be doing any physical therapy or anything and physicians like No, just No, just do some hip exercise at home you’ll be good. Like this is I’m not making this up. Like this is a legit story. I’m sure you’ve heard you’ve heard other patients say the same crazy story like I can’t believe this is actually happening. Maybe some of our listeners here can be late. Because Yeah, it just it’s super common. And anyways prompts this patient for, you know, not not taking that for for no for verbatim and decided to do her own research and find a physical therapist that could help her And anyway, she, she found me online and she reached out and told me her goals and one of her goals was well, first I asked her what her goals were, and she’s like, Yeah, I just want to get a pain. I’m like, okay, you know, with with one she’s like, oh, if I could, if I can walk and maybe jog without paying, that’d be awesome. And I’m like, do you have any other ambitions like you want to, you know, do you want to run a marathon half marathon five K, or anything like that? And she’s like, Well, I’d love to, but I don’t I, I, I’ve just been told That’s impossible. And I’m like, Well, if things weren’t impossible, what would you like to get back to? And she’s like, well, I had a trap lines. You know, in three months, you know, I’d love to be able to do that. And, and so anyway, she came in for PT and within I think it’s like two or three sessions. She was out of pain. She was pain free. We had her back to running within a week. Great. It wasn’t, it wasn’t like she was back to her regular mileage. She was before the knee injury, but we had it running at some, you know, some distance. I think we were doing about 10 minutes of running start off really slow in that first week. But she was just ecstatic because she could run at some capacity, and her calm can start building from there. And she was able to do that trap one painfree without the brace. She I think she got rid of that brace two weeks after working with me. And, and yeah, it’s just it’s just crazy to see, you know, patients and the kind of crap that they have to go through just to get, you know, decent help and get relief and thought, you know, it wasn’t a thing. It wasn’t a crazy complicated case either. That’s the thing. That’s so irritating, right? It was really simple. The thing is, with the way the medical system set up now is you go see your physician, you see them for five or 10 minutes, right. And what they do is they do an X ray. And then if they don’t find an X ray, which most of the time they don’t, unless it’s like a skeletal issue, but everything else that’s not bone isn’t going to show up on an X ray. So guess what they do, they don’t find a thing with an X ray. Now they support an expensive MRI. Now they see something that shows up on MRI, we’re gonna stick a needle in it and do an injection. That doesn’t work, don’t do surgery, right. And they really never take the time to figure out and listen to the patient. And that’s the same thing too with traditional PT is, you know, you go see a physical therapist for 10 to 15 minutes, and then you’re handed off to an aide or assistant to do exercises my opinion could be doing at home. Right and you don’t tend to 15 minutes is not enough time to really see how this patient moves. See what their strengths and weaknesses are. You know, what they’re having difficulty with. It’s not enough. But the thing is we have that’s the great thing about and why I started procase is what therapy and performance is to allow me to have that one on one hour time with a patient because it allows me to get to the root cause of this and be able to correct it. Right, again, wasn’t a hard case. The thing, the reason we were able to fix it is because we had that time, and we have that one on one with patients. And yeah, it’s just, it’s just frustrating to see, you know, what the medical systems like and, and kind of what patients have to go through. So
yeah, no, Ben, you bring up an really excellent point. And that’s actually what as a PT, I saw you at pro kinetics out and into one to work with you us in pro kinetics is because of that fact that we are and we have gone out of network, which allows us to treat in the way that you were talking about so I don’t think it’s necessarily the providers or the practitioners fault. But as you were saying earlier, that’s just the way the system set up. Right. We There’s just so the way that insurance bills and the way that we have to have that flow of patients, they they only get that limited time with their patients. But by not going with insurance by going out of that route, we get kind of set up the appointment as we see fit and what is the best benefit of the patient. So at pro kinetics, we get the advantage of having a whole hour session with you, you’re gonna spend that whole hour with a PT, we don’t we don’t bring on any aides, but it’s that one on one time with the actual Practitioner with you the entire hour. And typically two with that limited time in the normal clinic. Normal clinics, PT clinics are going to be seeing you maybe two three times a week and I don’t know about you, but if I had to take time out of my week, my work week, my time with my family two to three times that ends up kind of accumulated quite a bit of time and devotion they have to spend just getting over to the clinic. So I pro kinetics because we have that one on one time. That full hour. With you, we usually only see you one time a week, and then give you exercises and progressions to be doing at home on your own. And because of again, that more time and quality time with your provider. Usually when you see in network PT, that’s going to be a total with that two, three week visit 30 visits. So again, that’s accumulating time, that’s 20 to 30 hours, that you’ve had to be going in and out of a clinic. And because we are seeing you one time a week, usually we’re only seeing patients, maybe five to 10 visits. So you’re really also valuing your time and saving time by going out of this out of network system. So I think one thing as strength and conditioning specialists, as well, that we really focus on that fitness and wellness side, so we really take a whole body approach. And as Ben was alluding to earlier, you know, it’s like not just giving up pain, but we want to get you back to those things. Like running we want to get back to you like my other client that was dead lifting We’re going to be the last people to ever tell you, you know, oh, you hurt your knees from running, stop running, you’re backwards from deadlifting, stop deadlifting. I think with that quality time that we get with our patients that and again, with our focus on performance and our strength conditioning background, we’re able to and encourage our clients to always of course get back to those things they love, rather than just avoiding them. So again, just being out of network is really made been a game changer for us as clinicians getting the truth the way we want, and also for our patients as well not dictating what we can and cannot do in those sessions. Another frustrating thing with insurance, and why providers and network are also limited to not maybe want to go deadlift with you or for sure that you back to running at full capacity is because insurances don’t really care. They’re not. They’re more interested in making sure you can go to work, you can get up off the toilet, you can dress yourself, so they aren’t necessarily interested in always reimburse are reimbursing you for that kind of health and wellness and performance side of it. So we with the way we have things set up, we’re able to be more proactive, we’re able to dip in and kind of go that whole spectrum from initially, just that acute rehab, to all the way to getting you back to performance. So having worked at pro kinetics, I love that way. And I feel like honestly, it’s the way that physical therapy should be. And I think it’s in the best interest of their patients. So it’s, again, the main reasons that we ended up doing it and going out of network and making that choice.
Yeah, yeah. And it’s unfortunate, I guess, came to this point, because, um, you know, his insurance dictates so much and what we can cannot do, like, there’s a lot of patients that, that I’ve worked with that have found us that they were actually kicked out of their other physical therapy clinic that exactly
right. Like they’re like, I’m like, Okay, what are you looking for? You know, why do you think we’re a good fit for you and whatnot? How’d you find us? Like, Oh, well, I mean, other physical therapy clinic that I was at They insurance stop reimbursing that physical therapy clinic, because they said I was too high level, right? They’re starting to get back into running, getting back into working out well, insurance company doesn’t deem that as necessary, medically necessary. So when they don’t even care anymore, they’re gonna stop reimbursing the clinic, because they need to make a profit, they stopped, they discharged that patient, right? And now this patient because they discharged because they’re not making any money off the insurance company. And so now this patient’s just in limbo land, and they don’t really know what to do, like, they want it. Like, if you ask me, like, I don’t know, I’d be I’d be lost. I couldn’t work out and exercise and, and whatnot, too. And it’s it’s, like, so ridiculous that insurance companies are dictating what’s, you know, important to the patient. Right. And so, that’s where we kind of really pick up the patients too, that are kind of in this Limbo land and be able to help them out as well. But yeah, it’s just it’s sad that it’s, it’s a come to that from this point and, and whatnot too, but hopefully things will start changing down the road. But as of right now, I just don’t, I don’t I don’t see it happening. And one other thing is, a lot of times feel if you’re in network route with clinics, the insurance company, if they come in with knee pain, initially and like, let’s say they were working out, and they injured their shoulder or hurt their shoulder, you’d have to get a script from a physician to say that, oh, it’s okay for the physical therapists to look at that shoulder. Like when I’ve had it. I’ve had half of my patients like yeah, I came in and saw the other PT and you know, I had knee pain, but then I also had shoulder pains like, No, we can only look at the knee because insurance company, the insurance space at all, that’s all we can do. And like look at, like, that’s so ridiculous. And like, no wonder like, you know, the medical system is health care costs are just astronomical in this country. And a lot of it’s due to this, the insurance company dictating what is best for the patient. The insurance company doesn’t have any money. background. They didn’t go to med school they didn’t go to, you know, they get their doctor physical therapy, they didn’t get this education. Why are they dictating, you know what we can and cannot do with patients, but I’m not gonna go on a rant but pretty passionate about this. And I mean, that’s the whole reason I started proconnect is to help people like this, and, and whatnot too. So
yeah, no, I’m all with you, Ben. So I’m a big proponent of the way that we have the Practice set up and yeah, guys, so that was kind of what we wanted to stress. In this first episode. Again, we’re going to be focusing on those four pillars of movement and nutrition, stress with sleep. And we’ll be bringing in experts in the Oakland community so that you guys can hear from their experience and expertise and hopefully provide you guys with useful tips around those topics. So we’re really excited to see where this podcast goes to get this information from those local experts out to you guys. And we just want to thank you again, so much for listening in the podcast and We’ll catch you guys next time.