Shows
Talking Rehab with Dr. Fred BagaresMovement Mindset for 2026Every year starts the same way: new goals, new motivation, and a fresh commitment to “getting back in shape.”And every year, most people hit the same wall—burnout, frustration, or injury—by February or March.In this episode of The Talking Rehab Podcast, Dr. Fred Bagares explains why the problem isn’t motivation or discipline. It’s the way we think about movement.Quick wins, extreme workouts, and all-or-nothing plans feel productive—but they’re rarely sustainable. They depend on perfect timing, perfect energy, and pain-free joints. When real life shows up, the system collapses...
2025-12-2316 minTalking Rehab with Dr. Fred BagaresDon't Normalize "Less"Why is it that in almost every industry, “more” is considered good service—more communication, more clarity, more personal attention—yet in healthcare, asking for more gets you treated like you’re being unreasonable?In this episode of The Talking Rehab Podcast, Dr. Fred Bagares breaks down why the traditional insurance-based system consistently delivers less: less time, less access, less personalization, and less continuity. And more importantly—what patients can actually do about it.You’ll hear a relatable story of a patient who followed all the rules and still ended up with delays, fragmented opinions, a su...
2025-12-0913 minTalking Rehab with Dr. Fred BagaresCoupon-Style Insurance: What It Actually CoversWhat if your health insurance works more like a Bed Bath & Beyond coupon than a true safety net?In this episode of The Talking Rehab Podcast, Dr. Fred Bagares, DO—Sports & Spine specialist and founder of MSK Direct Virginia Beach—breaks down why even the best insurance plan often leaves you paying more, waiting longer, and still not getting the care that matters most.Through the story of Nate, a weekend pickleball player whose shoulder injury led him through the endless maze of copays, prior authorizations, and denials, you’ll see...
2025-11-1811 minTalking Rehab with Dr. Fred BagaresThe Orthopedic Care Value GapWhy does the average patient spend over $1,000 on orthopedic care before ever receiving a clear diagnosis? In this episode, Dr. Fred Bagares unpacks what he calls “the orthopedic treadmill”—a six-month cycle of copays, referrals, and vague answers that leaves patients frustrated and no closer to recovery. Through the story of Maria, a 42-year-old runner trapped in this maze, Dr. Bagares explores how insurance-based medicine often rewards volume over value—and what a clarity-first, direct-care model could look like instead.You’ll hear how sunk costs, choice overload, and “coverage confusion” keep patients spinning their wheels—a...
2025-11-1111 minTalking Rehab with Dr. Fred BagaresMissing Ingredient in Rehab: Learning to Trust Your BodyWhat if doing everything right still doesn’t make you feel whole again?In this episode, Dr. Fred Bagares, board-certified Sports & Spine physician and founder of MSK Direct, explores why so many patients “pass” their rehab programs yet still don’t feel like themselves. From a teenage athlete afraid to trust her ankle again to a commercial pilot living with chronic back pain, these stories reveal a deeper truth: healing isn’t about finishing a protocol — it’s about rebuilding trust in your body and confidence in your movement.You’ll learn why traditional rehab often misses the...
2025-10-2809 minTalking Rehab with Dr. Fred BagaresWho helps you make orthopedic decisions?Have you ever been told you’re “bone on bone” — and walked out of the appointment feeling terrified, confused, and unsure what to do next?In this episode of The Talking Rehab Podcast, Dr. Fred Bagares, DO, Sports & Spine physician and founder of MSK Direct VB, explains how medical language can influence your decisions more than you realize — and how to tell when your doctor is nudging you versus truly guiding you.Through the story of a patient named Tom, Dr. Bagares reveals how three words — “bone on bone” — completely changed...
2025-10-2118 minTalking Rehab with Dr. Fred BagaresHow do you "trust" in 7 minutes?Trust used to be automatic — a white coat, a degree, a firm handshake.Not anymore.In a world where average appointments last just seven minutes, how can any real connection be built?In this episode, Dr. Fred Bagares shares a real encounter that changed how he views the physician–patient relationship. Through one tense appointment and a moment of silence that said more than words, he explores why trust has become the rarest, yet most powerful, currency in modern medicine — and how rebuilding it might be the most therapeutic act of all.🕰 Timestamp...
2025-10-1414 minTalking Rehab with Dr. Fred BagaresDon't Touch The Rearview MirrorMost people think of their rearview mirror as just a driving tool — but what if it’s also your most honest posture coach?In this episode, Dr. Fred Bagares unpacks a small everyday habit — adjusting your mirror — and how it silently reveals the way your spine compresses, your posture changes, and your body adapts throughout the day. It’s a surprisingly powerful feedback loop about how awareness, not intensity, shapes recovery.By the end, you’ll see how one mindful pause — a five-second mirror check — can become 730 posture resets a year.Whether you’re a clinician, an...
2025-10-0711 minTalking Rehab with Dr. Fred BagaresIs your physician practicing medicine or policy?Most patients assume the treatment options presented in the exam room are the full menu. But behind the scenes, many physicians are quietly editing out possibilities—because insurance won’t cover them.In this episode of The Talking Rehab Podcast, Dr. Fred Bagares shares what it feels like to practice medicine through the lens of a policy manual, why “covered” doesn’t always mean “available,” and how direct care restores the conversation between physician and patient.You’ll discover:Why coding shortcuts shape more than just paperwork—they shape outcomesHow treatments with decades of evidence still get...
2025-09-3014 minTalking Rehab with Dr. Fred BagaresTraining for the "Life Olympics"What if you’re already training for the most important competition of your life—and it isn’t the Olympics? In this episode of The Talking Rehab Podcast, Dr. Fred Bagares reveals why your daily movements are the real foundation of pain-free living, functional training, and long-term independence.Drawing inspiration from Usain Bolt’s meticulous preparation for a 10-second sprint, Dr. Bagares reframes the question: What are you really training for? Whether it’s lifting your grandchildren, traveling in retirement, or maintaining mobility through your 60s and 70s, these life events demand the same deliberate practice a...
2025-09-2309 minTalking Rehab with Dr. Fred BagaresAre steroids good for your knees?Are steroid injections the answer for knee pain—or a shortcut that costs you in the long run? In this episode of The Talking Rehab Podcast, Dr. Fred Bagares unpacks the real story behind corticosteroid injections. You’ll learn why the quick relief they provide can sometimes accelerate joint breakdown, what the research actually shows about long-term effects, and how to think beyond short-term fixes.Dr. Bagares also explores alternatives that support joint health—like PRP, vitamin D, and strength training—and shares the story of a patient who broke free from the “injection cycle” by changing his approach...
2025-09-1610 minTalking Rehab with Dr. Fred Bagares"But everything looks normal."You’ve heard it before: “Your MRI looks fine.” But if the scan is normal, why are you still in pain?In this episode of Talking Rehab, Dr. Fred Bagares unpacks why imaging often fails to tell the whole story, the four critical gaps in musculoskeletal care, and how to find real answers when “normal” results don’t match your lived experience. Through the story of a nurse carrying two years of “normal” test results and daily pain, you’ll discover a better framework for navigating your recovery — one built on answers, personalization, trust, and long-term coaching.Time...
2025-09-0914 minTalking Rehab with Dr. Fred BagaresThe Knee Decision: Surgery or RehabMost people assume that when your MRI shows a meniscus tear, surgery is the only answer. But here’s the surprising truth: the most common surgery for meniscus tears can actually speed up arthritis.In this episode, Dr. Fred Bagares unpacks the real decision point: not whether the meniscus is torn, but whether surgery is the right choice for you. Through two real patient stories, the latest research, and practical frameworks, he breaks down the long-term trade-offs between surgery, repair, and structured rehabilitation.If you’ve ever stared at your MRI report and thought, “When’s my sur...
2025-09-0213 minTalking Rehab with Dr. Fred BagaresThe Knee Decision: Surgery or RehabMost people assume that when your MRI shows a meniscus tear, surgery is the only answer. But here’s the surprising truth: the most common surgery for meniscus tears can actually speed up arthritis.In this episode, Dr. Fred Bagares unpacks the real decision point: not whether the meniscus is torn, but whether surgery is the right choice for you. Through two real patient stories, the latest research, and practical frameworks, he breaks down the long-term trade-offs between surgery, repair, and structured rehabilitation.If you’ve ever stared at your MRI report and thought, “When’s my sur...
2025-09-0214 minTalking Rehab with Dr. Fred BagaresControlling Your Pain BaselineWhat if your biggest breakthrough in recovery isn’t eliminating pain, but learning how to keep it from getting worse?In this episode of The Talking Rehab Podcast, Dr. Fred Bagares reframes one of the most overlooked wins in rehabilitation: baseline control. He shares why stability is not settling, but actually the foundation for lowering pain later—and how patients who master it often achieve better long-term outcomes than those chasing quick fixes.Through Maria’s story—a nurse whose daily pain spikes used to derail her life—you’ll see how controlling the climb from a 4 to...
2025-08-2611 minTalking Rehab with Dr. Fred BagaresDr. ChatGPT Will See You NowWhat happens when patients consult ChatGPT before they see a doctor—and the physician becomes the third opinion in the room? In this episode, Dr. Fred Bagares breaks down the new hierarchy of medical advice, why most doctors are reacting to it the wrong way, and how AI can actually become the physician’s greatest ally.Rather than fighting “Dr. Google 2.0,” the future belongs to clinicians who learn to interpret, contextualize, and personalize AI-driven information for their patients. You’ll hear why being a curator, not a gatekeeper is the next competitive advantage in medicine—and how to m...
2025-08-1913 minTalking Rehab with Dr. Fred BagaresIs your orthopedic care "off the rack?"When you walk into an orthopedic clinic, are you getting a one-size-fits-all protocol or a treatment plan designed specifically for you?In this episode of The Talking Rehab Podcast, Dr. Fred Bagares shares the real story of a patient who chose an insurance-covered orthopedic visit over direct care—and what happened next. Using the analogy of an off-the-rack suit versus a tailored fit, Dr. Bagares breaks down the hidden differences between the insurance-based model and a personalized, direct care approach.You’ll learn: • How insurance companies decide what treatments they’ll approve—and why it’s not al...
2025-08-1214 minTalking Rehab with Dr. Fred BagaresExcuses Are Clues📍 Episode Description: In this episode of The Talking Rehab Podcast, Dr. Fred Bagares invites you to stop dismissing your excuses—and start listening to them. Drawing from the story of a patient named Sarah, he unpacks how our most convincing reasons for inaction often hide something deeper: fear, identity wounds, and unconscious memories. This isn’t about guilt-tripping. It’s about reclaiming ownership of your body and recovery.You’ll hear why people avoid doing the very things that would help them heal, and how to shift from self-protection to progress. With real-life examples, a powerful...
2025-07-2910 minTalking Rehab with Dr. Fred BagaresBuilding Momentum in Rehab“If I stop pedaling, I’ll crash.” A simple truth from a 7-year-old learning to ride a bike sparked this conversation about one of the biggest mistakes people make in recovery: stopping when the pain stops.In this episode of The Talking Rehab Podcast, Dr. Fred Bagares reframes what true recovery looks like. He shares a patient story, a powerful mindset shift, and a case for why momentum—not pain relief—is the real goal. Whether you're dealing with injury, trying to prevent one, or stuck in a cycle of setbacks, this episode gives you the clarity and tools...
2025-07-2210 minTalking Rehab with Dr. Fred BagaresAre you destroying your knees?Are You Destroying Your Knees? Why the fear of arthritis might be worse than running itself.Episode Summary: "Doc, I had to stop running. My knees are shot." If you've ever heard—or said—those words, this episode is for you. Today, Dr. Fred Bagares dismantles one of the most persistent myths in musculoskeletal medicine: that running ruins your knees. Spoiler: It doesn't. In fact, giving it up might be what’s really causing the damage.We’ll explore real patient stories, misinterpreted imaging findings, misunderstood pain patterns, and the surp...
2025-07-1512 minTalking Rehab with Dr. Fred BagaresFix It So I Can Punish ItHere's the humanized version with timestamps:Ever heard this one? "Doc, can you fix my shoulder so I can get back to tearing it apart?"That's exactly what Bugs asked me last month. He wasn't joking.Bugs' a 43-year-old software guy who lives for Brazilian Jiu-Jitsu. Second shoulder injury in 18 months. Same story: did his PT, felt better, went right back to training five days a week, and... here we are again.But here's the thing – Bugs didn't want rehab. He wanted permission to keep doing exactly what broke hi...
2025-07-0811 minTalking Rehab with Dr. Fred BagaresWhat is 5% better?🎙️ Episode 65 – What is 5% Better?Podcast: Talking Rehab with Dr. Fred Bagares Length: ~13 minutesDescription: When a patient tells you they're “only 5% better,” what do you do with that? For some, it sounds like failure. But for rehab clinicians, that 5% could be the spark that changes everything.In this episode of Talking Rehab, Dr. Fred Bagares unpacks the deeper meaning behind small gains, the psychology of progress, and how pain may not be the best marker for recovery. From subtle shifts to signs of momentum, h...
2025-07-0113 minTalking Rehab with Dr. Fred BagaresNudging Our Patients🎙️ Episode 64 – Nudging Our Patients“She’s one fall away from paralysis.” “If it were my mom, I’d do the surgery.” “This is your window.”These aren’t just medical phrases—they’re nudges: subtle but powerful cues that steer decision-making long before our patients say “yes” or “no.”In this short solo episode, Dr. Fred Bagares unpacks five common types of clinical nudges we hear (and use) every day in musculoskeletal care:Fear-based nudgesAuthority-based nudgesUrgency-based nudgesFix-it framingHopelessness language🎧 Learn how these shortcuts shape the way patients interpret risk, autonomy, and what's really “on the table”—and why recla...
2025-06-2415 minTalking Rehab with Dr. Fred BagaresTelemedicine: My Origin StoryFrom Skeptic to Startup: How a Telemedicine Idea Survived—and Thrived—in a Broken SystemIn this reflective solo episode, Dr. Bagares shares the untold backstory behind his early adoption of telemedicine, the struggles of launching a cash-based virtual practice, and how he handled rejection from both peers and the healthcare system itself. A must-listen for anyone frustrated with traditional healthcare or curious about innovation in musculoskeletal care.🎧 Topics include:The inefficiency of follow-ups and how email/telehealth filled a gapNavigating non-competes creativelyFacing industry skepticismWhen COVID changed the rules overnightLessons learned...
2025-06-1718 minTalking Rehab with Dr. Fred BagaresAre our tools any good?Are Our Tools Any Good?Are our tools really the problem—or are we just not using them well?In this thought-provoking episode, Dr. Fred Bagares, DO, takes a closer look at a recent study questioning the effectiveness of common spine injections like epidurals and facet blocks. While headlines suggest these tools are failing, Fred challenges the deeper issue: our mindset and misuse of short-term solutions in chronic care.Drawing from over a decade of experience in musculoskeletal medicine, he unpacks the flaws in current research design, the burnout these studies pr...
2025-06-1016 minTalking Rehab with Dr. Fred BagaresDo disc herniations go away?🎙 Episode 61 – Do Disc Herniations Go Away?Podcast: The Talking Rehab Podcast Host: Dr. Fred Bagares, DO Location: Virginia Beach, VABack pain can stop you in your tracks—sometimes literally. In this episode, Dr. Fred Bagares explores the often alarming diagnosis of disc herniation. Whether you've had an MRI that showed a large herniation or woke up one morning unable to move, the big question remains: Do disc herniations actually go away?You’ll learn about the anatomy of disc injuries, why symptoms don’t alw...
2025-06-0316 min