Are you mistaking temporary pain relief for actual healing? In this episode, I sit down with my own doctor, Dr. Ashu Goyle, a double board-certified anesthesiologist and interventional pain specialist who left the world of traditional pain management to practice regenerative medicine. We dig into why cortisone shots, ablations, and even spinal fusions often accelerate the very joint and spine damage they're meant to fix, and why pain itself is a signal your body wants you to listen to, not silence. Dr. Goyle breaks down PRP, prolotherapy, and stem cell therapies so you understand exactly how to protect your joints now instead of waiting until something hurts. What you’ll learn: 03:40 Joint pain, not time, is what really slows women down after 40. 04:20 Dr. Goyle trained at the Cleveland Clinic learning to mask pain, not heal it. 05:57 A 2017 conference and Kobe Bryant's recovery story sparked his shift to regenerative medicine. 10:11 Cortisone shots relieve pain but break down the tissue that keeps joints healthy. 12:44 Ablations ease pain short-term but can atrophy spinal muscles and lead to fusion. 14:39 Diet, gut health, and sleep are the foundation of joint health. 21:04 PRP uses your own blood to deliver growth factors that help cartilage heal. 24:24 Treatment quality depends on metabolic optimization, which rules out candidates like smokers. Love the podcast? Here’s what to do: Subscribe to the podcast. Leave a review. Text a screenshot to me at 813-565-2627 and wait for a personal reply because your voice is so important to me. Full show notes (including all links mentioned): https://jjvirgin.com/drgoyle

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