Thomas Bottiglieri, D.O.

Chief Sports Physician, ColumbiaOrtho-NYP, NYC. Head Team Physician, Columbia Lions. opinions my own. interests…Exercise Medicine, HRV, Concussion, Ultrasound.

[Thomas Bottiglieri, D.O. @DocBottsNY]

Our team had the opportunity to show our tech to @CBSNews @OrthoColumbia @nyphospital

[CBS News @CBSNews]

Since concussions are typically diagnosed through self-reported symptoms, subtle symptoms can often be missed. So, doctors at NewYork-Presbyterian and Columbia Orthopedics have designed an AI- powered headset that can detect eye and neck movements that might otherwise be missed.

[Thomas Bottiglieri, D.O. @DocBottsNY]

@txsportsdoc Singapore system. Everyday more people hint at something like it.

Check it out. High satisfaction. Low cost.

Patients control.

[Robert Berry, DO @txsportsdoc]

Wise words from @JahangirAsgha10 Employed docs think they’re immune to the NSA discussions, but as @FixnBones has said for years, private practice has always been the FMV for determining employed salaries. If the IDR process set up under the NSA goes away, the FMV goes down even more. ALL docs should voice their support for the IDR process that Congress set up to protect patients and give doctors a forum to have their fees reimbursed. Remember, the IDR process exists because INS got rid of OON benefits and has tried to force all docs in network for low rates. INS gets to determine the IN Network rate, not the doctor. Networks should be abolished, they drive up, not down healthcare costs. The large systems who employ many docs are, IN Network and you’ll pay a lot more having care there. When no US Trained docs will work for the rates, here come the IMGs to the rescue and increased scope of practice of Mid Levels. This should concern every American.

[Thomas Bottiglieri, D.O. @DocBottsNY]

What's your emergency action plan? I sit down with our local athletic trainers, physicians, and EMTs to rehearse how we handle heat illness, sudden cardiac collapse, and head and neck injuries. These events are rare, so if you don't rehearse, you won't be ready. Practice it so that when it happens, your team acts without hesitation.
#sportsmedicine #athletictrainer #emergencyactionplan #athletesafety #docbotts
@darustrong @m2mmaofficial @orthocolumbia @contrarians.mind @hjluks1 @theamssm @bjsm_bmj @nata1950 @the_jbjs @juliestammphd @alix_popham @headforchange

[Thomas Bottiglieri, D.O. @DocBottsNY]

🏈 Did you know football was once considered one of America's most dangerous sports?

Born in the years after the Civil War, American football was designed to build toughness and character. But its brutal early days led to serious injuries and even deaths on the field.

Discover how President Theodore Roosevelt stepped in to push for reforms that helped shape the modern game we love today! 🏈

🎥 Watch the video to uncover the fascinating history of American football!

#FootballHistory #AmericanFootball #TheodoreRoosevelt #SportsHistory #FootballEvolution https://t.co/yerJbxEGdz

[Thomas Bottiglieri, D.O. @DocBottsNY]

@contrariansmind @cccannon10 @M2MMAofficial Paywall

[Thomas Bottiglieri, D.O. @DocBottsNY]

4 Reasons Your Knee Is Always Cracking. #KneeCracking #KneeHealth #JointHealth #KneePain https://t.co/t0yppVu6f0

[Thomas Bottiglieri, D.O. @DocBottsNY]

Want to improve your posture? A simple wall exercise can help you become more aware of how your head, shoulders, hips, and ankles align.

In this Sports Medicine Minute, Dr. Thomas S. Bottiglieri, DO, demonstrates a postural wall exercise using a gentle chin tuck, pelvic tilt, and controlled arm movements. These techniques help engage the muscles involved in maintaining posture and reinforce better movement patterns.

Watch the video to learn how to perform the exercise and incorporate posture awareness into your daily routine.

#PostureCorrection #PostureExercises #NeckHealth #ShoulderHealth #BackHealth #SportsMedicine #Rehabilitation https://t.co/OE5Z8gR0rK

[Thomas Bottiglieri, D.O. @DocBottsNY]

Most people cannot phantom what 20,000,000,000.00 is. It’s impossible to imagine.
So let’s just imagine the annual profit (for this division of a company, meaning this is just a fraction of what they are scraping off the top of healthcare costs) was divided amongst 20,000 families.

Each would now have 1 million dollars.

200,000 families could have a check for 100,000 dollars each year.

2,000,000 families would get 10k per year.

This is just profit for one small part of the health care insurance scam.

5.8 Trillion dollars is being scraped out of our economy.

20% of our GDP.

Fixing health care could erase the national debt in 10 years.

This is a real threat to our nation.

The time for Singapore system was 5 years ago.

Wake up America.

[Ed Gaines @EdGainesIII]

1/The math tells the story on healthcare affordability—and spoiler alert—it’s not physicians, hospitals, ASCs, the NSA, or the “dog ate my term paper” type excuses.

@AnthemBCBS or whatever they are called this week (Elevance) Q3 ‘26 net profit is reported below.

Elevance is the largest BCBS owner in the US—14 plans—and @AnthemBCBS Q1-3 ‘26 profit was $4.592B.

Add that net profit from Little Brother (Elevance) to Big Brother @UHC’s Q1-3 ‘26 net profit ($15.874B) and only 2 health plan’s net profits so far total $20,464,000,000.

And this $20+B total is X of @Humana, @Aetna @Cigna & smaller commercial for-profit health plans. Note that the other ~36 @BCBSAssociation plans are “non-profit” (read non-tax paying), so we don’t receive quarterly reports on their “profits” which they call a “surplus.”

So, let’s not listen for one second to the health plans and their associations point the finger of “un-affordability” to physicians and hospitals when the plans’ net profits so far are well into 11 figures—w/ another quarter of profits yet to be reported.

Elevance reports $1.4B in Q3 profit, names Carelon president https://t.co/p482ekJZ1D

[Thomas Bottiglieri, D.O. @DocBottsNY]

Do you experience a dull, persistent ache around your shoulder blade without a clear injury? The cause may involve more than the shoulder itself.

In this Sports Medicine Minute, Dr. Thomas S. Bottiglieri, DO, discusses scapular bursitis, possible neck nerve irritation, and muscle imbalances that can contribute to shoulder blade pain. He also explains how treatment may include injections, rehabilitation, and better posture habits.

Watch the video to learn why posture and balanced shoulder muscles matter when managing shoulder blade discomfort.

#ShoulderBladePain #ScapularBursitis #ShoulderPain #PostureCorrection #SportsMedicine #ShoulderRehabilitation #Orthopedics https://t.co/obXmRH86ue

[Thomas Bottiglieri, D.O. @DocBottsNY]

Does your heel hurt with the first steps you take in the morning? A sharp, stabbing sensation can be a common sign of plantar fasciitis, a condition that can sometimes persist or return even after treatment.

In this Sports Medicine Minute, Dr. Thomas S. Bottiglieri, DO, discusses why plantar fasciitis may involve more than the tissue beneath the heel, including possible nerve irritation, calf and hamstring tightness, and weakness in the small muscles of the foot.

Watch the video to learn about the downward-facing dog stretch and foot-strengthening exercises that may help support your rehabilitation.

#PlantarFasciitis #HeelPain #FootPain #FootExercises #SportsMedicine #StretchingExercises #FootHealth https://t.co/gNktGtOtGz

[Thomas Bottiglieri, D.O. @DocBottsNY]

I love this explanation. We have infinite possibility, but the lifespan is the lifespan and the time course for disease is the time course for disease.

[Matthew Zirwas, MD @MattZirwas]

Another way to explain why AI won’t be curing all disease soon is that it doesn’t remove the bottleneck.

No, it’s not that it won’t be smart enough. Hell, it’s smart enough now, let alone in a year or 5 years.

But no matter how smart it is, it just moves the bottleneck downstream.

The perfect virtual cell and virtual tissue and virtual human will generate hypotheses, insanely good hypotheses that we’d never come up with on our own.

Then AI will design the experiments to validate the hypotheses and run them in parallel and that’ll get us incredible drugs.

But once we have the drugs we won’t know if they’re cures until we give them to real, live humans and watch them for the rest of their lives.

So amazing treatments, which we already have, are going to start dropping faster than Millennium Prize problems.

(I actually heard Anthropic is dropping 816 drug candidates the weekend before their IPO, BTW. You heard it here first.)

But the point is that you can check a math proof by reading it.

To check a cure you have to observe lots of humans for their entire lives.

So how long does it take to find out if a treatment is a cure?

An entire human lifespan.

That’s the bottleneck.

@AlexanderKalian

[Thomas Bottiglieri, D.O. @DocBottsNY]

@DrDiGiorgio A prior administration didn’t like the optics of fraudulence being exposed.
Politics is about perception. Bending people’s minds.

Two wings, one bird.

Restore power and choice in local markets by elongating central
Control.

Simple premise. Constitutional even.

[Thomas Bottiglieri, D.O. @DocBottsNY]

Stop testing your injuries. Hamstring strains, gastroc strains, rotator cuff strains: athletes start feeling better, they want to get out there and test it, and they re-injure themselves. The key to success is a stepwise, graded return to play. When you start feeling good, don't ramp up from zero to 100 miles an hour. Take those incremental steps so you can test with guardrails and prevent re-injury.

@DaruStrong @M2MMAofficial @OrthoColumbia @contrariansmind @hjluks @TheAMSSM @BJSM_BMJ @NATA1950 @AlixPopham @DutchRojas @CieslakDr @proscope101 @RepGregMurphy

[Thomas Bottiglieri, D.O. @DocBottsNY]

Conventional prohibition. Like teachers we have a responsibility to honor those in our care.
Pushing an agenda/a way to vote is not it.

I do however remind people of the government’s role in accepting lobby money in forming healthcare policy.

Just the facts. Leave your opinions out of it with patients.

[Anthony DiGiorgio, DO, MHA @DrDiGiorgio]

This kind of preening, holier-than-thou piece is a major reason the public doesn't trust doctors.

Dr. Avorn suggests that clinicians begin discussions with patients regarding the federal budget reductions being made in coverage, describe the impending harm, and encourage them to vote to correct what has been done.

But would Avorn extend the same ethical permission to a physician whose politics ran in the opposite direction?

“Mrs. Jones, I apologize that your insurance premium is so high. The Affordable Care Act mandates a wider array of benefits and prohibits insurers from charging prices based on medical risk. You may wish to consider the politicians who authored those decisions prior to voting. I would be remiss not to address such an important aspect of your care.”

Or consider a patient facing a long wait for an appointment. Surely a conservative physician could regard that as the ideal moment to explain California’s decision to spend state money expanding coverage to undocumented immigrants. A coverage dispute could prompt an equally earnest lecture about Medi-Cal paying for adult gender-transition procedures. Resources are finite; elections have consequences; how fortunate that the doctor is available to explain both.

Will Avorn embrace that conversation as an example of fulfilling the physician’s ethical obligations? Or would he characterize the tone as manipulative and reduce the conversation to an abuse of the patient’s vulnerability?

Once the physician’s preferred politics are defined as the patient’s health interests, then opposing viewpoints are likely going to be seen as ignorance. It appears Avron can’t even fathom a world where intelligent, well-meaning people disagree with the downstream consequences of policies.

Read my full piece below

[Thomas Bottiglieri, D.O. @DocBottsNY]

Can platelet-rich plasma (PRP) injections regrow cartilage? Although PRP is increasingly used to manage certain types of arthritis and tendon conditions, cartilage regeneration is a different question.

In this Sports Medicine Minute, Dr. Thomas S. Bottiglieri, DO, explains what current research suggests about PRP, including the potential role of leukocyte-poor PRP in managing arthritis and why cartilage regrowth has not been established.

Watch the video to better understand the potential benefits and limitations of PRP before considering treatment options with your healthcare provider.

#PRPTherapy #KneeArthritis #CartilageHealth #SportsMedicine #Osteoarthritis #RegenerativeMedicine #Orthopedics https://t.co/Ib9y1dgGN7

[Thomas Bottiglieri, D.O. @DocBottsNY]

Genicular artery embolization (GAE) is gaining attention as a potential treatment for persistent knee pain, but is it effective for everyone?

In this Sports Medicine Minute, Dr. Thomas Bottiglieri, DO, explains why GAE remains an investigational option, how researchers compare its effects with sham procedures, and why it may be considered for select patients who have not found relief with other treatments.

Not every knee pain treatment is right for every patient. Watch the video to learn more about the evidence and limitations of GAE.

#KneePain #GenicularArteryEmbolization #KneeOsteoarthritis #SportsMedicine #Orthopedics #ChronicKneePain #KneeHealth https://t.co/9nNj1T50Y4

[Thomas Bottiglieri, D.O. @DocBottsNY]

When you do a great job at something, folks often forget how bad it was before. For example, imagine life before the iPhone. We take things for granted. So, after conquering so many diseases, doctors are now being asked to improve people's health and well-being. When we tell people to sleep, eat well, hydrate, meditate, and exercise, they reject the ancient wisdom. Health and well-being do not come in pill form.

[Thomas Bottiglieri, D.O. @DocBottsNY]

When you do a great job at something, folks often forget how bad it was before. For example, imagine life before the iPhone. We take things for granted. So, after conquering so many diseases, doctors are now being asked to improve people's health and well-being. When we tell people to sleep, eat well, hydrate, meditate, and exercise, they reject the ancient wisdom. Health and well-being do not come in pill form.

[Thomas Bottiglieri, D.O. @DocBottsNY]

@Benefitsguynick You ever feel
Like you’re screaming into a void