Richard Lebert

A whole person approach to musculoskeletal health and healthy aging.

[Richard Lebert @adaptivetherapy]

Massage therapy can improve quality of life for individuals with a variety of conditions. Acknowledging the multidimensional nature of massage therapy paves the way for an evidence-based understanding of how massage therapy works.

[Howard Luks MD @hjluks]

Your knee is a living, biologically active organ. Cartilage is maintained by cells that respond to their chemical environment, and the primary driver of OA progression is not mechanical grinding.
It is chronic, low-grade inflammation that poisons the environment in which those cells are living.

So we need to stop thinking mechanically and start thinking more biologically. Our cartilage responds favorably to the same stimuli that improve our overall health and wellness.

This is precisely why high intensity exercise in moderate OA (grade 3 of 4) decreases pain and actually increases cartilage thickness.

[Louisa N. @louisanicola_]

Your brain is not shaped by a single decision. It is shaped by thousands of exposures accumulating across decades.

Every night of poor sleep.
Every chronic stress cycle.
Every city you lived in.
Every relationship.
Every hormone fluctuation.
Every period of cognitive overload.

Neuroscience now refers to this as the exposome.

The total environmental and biological load acting on your brain across your lifespan.

What most people experience as “intuition” or “mental sharpness” is often the visible output of invisible exposures interacting with neural architecture for decades before the moment arrives.

Your cognitive performance did not emerge in isolation.
It was built.

[Nicholas Fabiano, MD @NTFabiano]

The artificial divide we have drawn between mental and physical health is the largest mistake in medicine.

Maintaining this divide creates stigma and worse care for all.

[Nick Krontiris @nick_krontiris]

This is the 2025 update of the European Alliance of Associations for Rheumatology (EULAR) recommendations for physical activity in people with inflammatory arthritis and osteoarthritis.

[Tero Järvinen @TeroJrvinen3]

Arthroscopic Partial Meniscectomy for Degenerative Tear — 10-Year Outcomes | New England Journal of Medicine https://t.co/5O1NVUDMXW
In 2002, I watched hundreds of surgeons jump out of their seats to blast a speaker.
They called his study "unethical" and "impossible."
@NEJM

[Teppo Järvinen @shamteppo]

A widely used knee surgery may not just be ineffective — it may cause harm.

10-year results from the FIDELITY trial, now in @NEJM.

🧵

[Martin Picard @MitoPsychoBio]

Great writing on energy, health, and the human experience.

"health isn’t just something we build through better inputs — better diets, better habits, better routines — but something we experience as the quality of energy moving through us. And the difference between feeling alive and merely being alive may come down to how well we learn to notice and work with that flow."

Thank you Jasna Hodzic @bigthink

https://t.co/jHKAvq7DQ6

[Nick Krontiris @nick_krontiris]

This review aims at emphasizing the systems immunology perspective on immune system function and human performance, and its integration with other systems and factors relevant in physical activity such as nutrition, recovery, and sleep.

[Howard Luks MD @hjluks]

After three decades as a knee surgeon, I can say this with confidence…. many people are far more limited by the story their MRI report tells them than by the condition of their meniscus or articulation cartilage.

[JAMA @JAMA_current]

From @JAMAInternalMed: #RotatorCuff abnormalities on #MRI were found in 99% of adults aged 41 to 76, including 96% of asymptomatic shoulders, indicating most findings are age-related rather than disease.

https://t.co/f33KbhzT4z

[Physio Meets Science @PhysioMeScience]

Just published 🔥

Intervertebral disc degeneration

https://t.co/zKI6TFHwCz

[Agustin Ibañez @AgustinMIbanez]

A whole-person, life-course approach to brain health requires insights from neuroscience, lifestyle medicine, geroscience and the social exposome. Here, we place particular emphasis on integrating stress physiology, interoception, emotional resilience, and cognitive and brain reserve. Emerging frameworks (aging clocks, precision biomarkers, digital phenotyping and AI tools) are discussed as tools for risk stratification, early detection and personalized intervention. Congrats @DrLavretsky & team. https://t.co/irj6nNTj2s

[HISTORY.PHYSIO @history_physio]

From its 70 year golden age, massage began its decline in the early twentieth century to become a complementary medicine, gradually discarded by the very body of professional people which had formed to protect it.

https://t.co/vuaDnx8cwV

[Avery Faigenbaum @AFaigenbaum]

Strength is a life long investment.
https://t.co/NavWoeqmCx

[Paul Graham @paulg]

Walking is really good for you compared to other forms of exercise. And you don't have to do all that much to get most of the benefit. (via @EricTopol)

[Eric Topol @EricTopol]

Physical activity and the reduction of all-cause mortality, from 2 very large prospective cohorts
1. The relationship is non-linear, suggesting a threshold effect for many types of exercise as seen below

[Crémieux @cremieuxrecueil]

A new review of muscular aging just came out.

In it, they showed some evidence that peak male strength tends to be around age 30 and peak female strength around age 26 (chart shows 10th/25th/50th/75th/90th percentiles).

The differences in the levels are marked.

[Matt Jones @Mattjones0203]

Deaths potentially averted by small changes in physical activity and sedentary time: an individual participant data meta-analysis of prospective cohort studies - The Lancet https://t.co/oBw0pN7fM3

[Physio Meets Science @PhysioMeScience]

Just published in BJSM

Rethinking the disc: from degenerative narrative to adaptive potential

https://t.co/zMuBMfOJzV

reminds us of our infographic 👇

[Physio Meets Science @PhysioMeScience]

Just published 🔥

Great editorial in BJSM by @JaredPowell12 and colleagues

It is not all about strength: rethinking mechanistic assumptions in exercise-based rehabilitation for musculoskeletal pain relief

👇👇👇

https://t.co/8Ffx6qTXU7