Dr. Peter Attia
speaker
5,258 appearances
36 recordings
6 series
first heard Jan 2024
last heard Jun 2025
Dr. Peter Attia’s voice in public audio — every appearance, attributed to the second.
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Appearances
Okay. So let's go back to Jill for a minute. So we have this diagnosis, which is, okay, we've sort of figured out why your knee is hurting. We now have a radiographic diagnosis that completely comports with what's being seen on the physical exam and symptoms. These are stubborn injuries. What was the next step?
I should know this because I live with her, but I don't remember exactly how long she actually had to stop running. I know that it was right after the first and second PRP injections, but does eight weeks sound about right? Yeah.
Right. When you're training for an event that's 30 years from now, you don't have to take shortcuts.
All right, so let's pick another type of client that you'd see at 10 Squared, which is maybe somebody who comes in who doesn't have a great training history. They've never really been an athlete. But the thesis really resonates. They sort of go, you know what? I get it.
I feel fine now, even though I'm not particularly athletic and I'm not training a lot, but I'm young enough that it hasn't caught up with me yet. I'm in my 40s or whatever. But I now accept that when I do my test, because those people don't typically do very well on the assessment, you can't hide from not having done the work. So how do you think about...
where to start when there is so much work to do. So you talked earlier about this is on the second floor, this is on the first floor, this is on the penthouse, this is in the basement. We're going to focus on the basement. Well, what do you do when everything is first floor basement? Number one, we got to build the habit.
And if you were to handicap that, how many years away would he have been from something like that being quite likely? Is this something that's going to happen before he was 60?
Is that difficult to communicate to clients because do they ever feel like, hey, I'm not doing enough?
That's a bummer. Yeah, this idea about foot reactivity is so important. I've been much more attentive to it in the past couple of years, and I've noticed the number of times when I've lost my footing and regained it. So I've never had a fall. It's never resulted in anything because it's been caught.
But I keep thinking to myself, this is the type of slip that can be devastating because these are really type two fibers that are doing it. And the type two fibers atrophying as we age are the types of jumping things that we do sufficient to preserve it.
If you're someone like me and you, who part of our CD involves probably walking on uneven surfaces one day, whether for you it's rucking, for me it's maybe going out and hunting or something like that, you're not walking on pavement. And you're not even just walking on like beautifully manicured grass. Yeah, it's slanted to the side. It's like pebble gravel.
You're always going to lose your footing somehow and you have to be able to regain it. What are the most important exercises that you need to be doing to maintain all of the characteristics of tissue and nervous system to preserve?
And maybe just to even things out. So Jill doesn't think I'm picking on her injury. Let's talk a little bit about my limitations. So the thing that's probably been my biggest source of nag in the past 12 months has been foot ankle. Let's talk a little bit about those injuries, why they're occurring. And again, they're not debilitating. They don't actually prevent me from doing a single thing.
But because I'm... sensitive. I just want to know, is this a harbinger of something? What's your assessment of what's going on? And how would you even describe it? Would you describe it as my ankle? Would you describe it as my navicular tailor joint? Where's the actual issue in me?
And thank you for not telling everybody the last cause of injury. I would never. Just for the listener. I don't know why, but I somehow decided two months ago to pick up a pogo stick. Never done it in my life. Somehow decided. Hey, is that in the bonus Centenary Decathlon for you? Yeah, I was like, I'm going to add another activity. Pogo sticking up and down the driveway.
Yeah, that goes in the bucket of you should have called me first. Like what a, I mean, the second I started, I was like, oh, not a good idea.
Just to be clear, we are nine or 10 weeks ago since my pogo sticking debacle. It's no longer as bad, but every single morning when I get up, there is still incredible and sharp pain right at that tendon. Why is this taking so long?
We'll make a series of videos, of course, to go along with this. But explain that exercise, because it looks ridiculous. Nobody's doing that on Instagram. They are, but they're drinking the Kool-Aid. Yeah, all right. But it's a complex movement. So we've got a plate in front of me.
So we're two and a half, three inches up. Yep. My front foot, just ball of foot and toes are on there. I'm in a split squat. Yep. What am I doing with that front foot? I'm lifting it into plantar flexion. Yeah.
So this is the second time I've had this flare up. The first time I had it was probably a year and a half ago when I really started increasing rucking volume. This was caused by kind of an acute incident, which was the pogo sticking where I clearly over planter flexed or dorsiflexed, I guess, was part of the extreme dorsiflexion that did it. What do you think was driving it on the rucking side?
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