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News KOGO Interviews Dr. Jagoda on Olympics, Injuries, & Recovery

Lou:                          Welcome to News Radio 600 KOGO, Lou Pate here with you, along with a new member of the team, Crystal Martinez as producer joining the show. Welcome aboard. Look forward to working with her, and as always, with the whole News Radio 600 KOGO team. Coming up in our second hour, we’re going to have a very special presentation of our Wisdom of Solomon Hour. Aaron Solomon will join us to talk about the world of politics, the aftermath of the school shooting, what’s going on with the Russia meddling investigation, and so on and so forth, but first, we’re gonna switch gears a little bit tonight. We have the Olympics going on, there’s a lot going on with the USA female hockey team. Men’s team’s bombed out. You’ve got figure skating, you’ve got speed skating, you got skiing. There’s just a lot of sports activity going on. The Olympics are a fun time for Americans to gather round the TV with their family, but not just that, there’s injuries.

There was Austrian snowboarder Markus Schairer, broke his neck, and that’s a major injury, but if you’re like me, you know I’m a runner, so when I run I get my ankle injuries, my knee injuries, my hip injuries. There are sports injuries that you don’t have to be an Olympian to get whether it’s bone, whether it’s soft tissue. In the spirit of the Olympics, I welcome San Diego’s own Dr. Josh Jagoda to the show. He is with San Diego Spine, Sports, and Wellness. Dr. Josh, welcome to the show. How are you?

Dr. Jagoda:          Great. Thank you for having me. I appreciate it.

Lou:                          Now, Dr. Josh, did I get your name right? I hate to flub someone’s name.

Dr. Jagoda:          Jagoda, yes. I think you had it right.

Lou:                          Dr. Josh Jagoda. San Diego Spine, Sports, Wellness, unlocking human potential.

Dr. Jagoda:          That is my goal.

Lou:                          You’re going to help us out here. I’m a runner, and I always talk about I run my seven, eight miles a day, and then there’s time when I have-.

Dr. Jagoda:          Pretty good.

Lou:                          Yes, it’s pretty good especially for someone in my age category, but I have to occasionally retire into the house. One, due to the Florida heat, but also, after a few months, my knees hurt. I don’t want to get to me. I don’t want to make this about me, Dr. Josh because at the San Diego Spine & Sports Wellness, you deal with people who are training for the Olympics, but you also deal with every day Joes such as myself.

Dr. Jagoda:          You’re talking families, you’re talking people who are athletic, you’re talking a lead athlete. Everywhere in between.

Lou:                          I mentioned Markus Schairer. He was the Austrian snowboarder who broke his neck, but, closer to home, American skiing sensation, Lindsey Vonn, back in December suffered a back injury in a World Cup race. Now, you see these types of things, Lindsey Vonn, big name. She’s been a gold medalist since she’s age 19. Now, we have Red Gerard, gold medal in the half pike with the snowboarding. He’s 17. Dr. Josh, when you’re 17, you can’t be hurt. Your body doesn’t know what hurt is when you’re 17.

Dr. Jagoda:          That is incorrect. These are athletes at the highest level. I mean, these are the pros of the pros, so they have a different mindset. They have a different body type. When you’re talking about a sponsorship, you’re talking about your life on the line, you’re talking about something that you absolutely love to do. There are no limits for them, so they will push themselves past, and that is exactly why you saw with this guy who broke his neck, he got back up, and finished off the race.

Lou:                          I’m amazed at that.

Dr. Jagoda:          You think about that. I mean, you could’ve talked about somebody having neurologic damage, or go get paralyzed, but, no, this guy just got back up, and finished off the race on his own, and then got medical attention.

Lou:                          As you mentioned, these are Olympians at the highest level. You know, we joke a little bit, but many people such as myself, and everybody listening to News Radio 600 KOGO, they work out. I take my work out very seriously. I do it six, sometimes seven, days a week trying to stay a step ahead of father time, and I have injured myself. Sometimes, Dr. Josh, I’ve injured myself without knowing it. What are the most common injuries that you see at San Diego Spine & Sports Wellness for regular Joes like me and people listening to News Radio 600 KOGO?

Dr. Jagoda:          Every injury, or every sport we talk about, we had this associated problems, right? You’re talking about running, right? You’re talking about lower extremity: Hip, knee ankle, things like that, but if you’re talking about a baseball player, a likelihood of them having plantar fasciitis, or patellar tendonitis, that’s more than likely not going to happen, so you’re going to see a whole host of different injuries based on the sport, you know. It’s really sport-specific, or hobby specific, depending on what you want to call it, but, at the end of the day, it is based on what the actual activity is.

Lou:                          Now, when the Olympics come around, do you see an uptick? Do people get into it? Is there a wave of people that say, “Hey, I got to start working out.”? Do you see more patients when the Olympics come around, or Super Bowl, or something that grabs the national imagination? Do you see more people?

Dr. Jagoda:          I will say for sure that you saw a few years back when Michael Phelps was [inaudible 00:05:48], and he had his own commercial about, “Hey, I’m over 30, and I do more recovery than I do training,” and that’s when you saw a huge surge. Especially with the summer sports as well, the volleyball, you saw the Kinesio Tape going on, that’s when you really saw a surge in it, but in the Winter Olympics, I don’t really see the surge, but maybe it’s associated with maybe the actual newer people trying to get in. That could be one of it. It just seems like it brings people together, and people are inspired by it. You’re right. I do think there’s a correlation. People do get inspired by the Olympics.

Lou:                          Now, obviously, you’re in a warm climate, I’m in a warm climate. San Diego. Best weather in the country, and is more outdoor activity going on there, but people do, will get away from the Winter stuff, but they do go up to Northern California, and they go to Colorado, they’ll go skiing, and so on, and so forth, but in your practice as a chiropractor … Again, I should tell people it’s sandiegospineandsport.com … What do you see? You have spin classes. We have all of these different activities going on, crossfit gyms, and various versions of crossfit gym. My girlfriend belongs to one. It’s not crossfit, but it’s one of those type of bootcamp workouts.

Dr. Jagoda:          Yeah. They’re very popular right now.

Lou:                          Let me tell you. The stuff that they do, that she tells me, “The workout today is going to be this, this … ” I think I’m in decent shape. I’m slender because I’m a runner, but I don’t think I can do some of the stuff that they do, and a lot of people in her class, they get injured. Some are more, you know, rotator cuff thing, but a lot of it is muscle and tissue tears. Do you deal with that? Do you see that a lot?

Dr. Jagoda:          That is our bread and butter. That is exactly what we see every single day anywhere between this pain, their pain, but mostly we’re treating the tissues to really allow these people to heal, but we do see a lot of lower back pains in all aspects of sports. I mean, 80% of Americans, if not Americans, if not the world, are going to follow some sort of debilitating back pain at some point in their life, so that is already against you.

Lou:                          Well, I’m looking at your website. Of course, you have a lot of nice pictures. One of the pictures is a female. She’s in a gym setting. Looks like she’s lifting something above her head. I see the climbing ropes. I see the bars where you go across like in the Marines. These crossfit gyms, I’m not going to say crossfit, but these bootcamp-style gym, I don’t want to get sued by crossfit, Dr. Josh.

Dr. Jagoda:          Oh, no. We don’t. They’re powerful.

Lou:                          Are you finding with these bootcamp-type camps out there that has more injuries? I mean, what’s coming in to see-?

Dr. Jagoda:          That is a great question, and as soon as I say something, some of them will argue with me, something else, but, at the same time, these things are promoting a great host of health and wellness, and these people are really losing weight, they’re improving their mobility, they’re actually becoming in-tune with their body for the first time in a long time that [inaudible 00:09:07], but, at the same time, they’re talking about lifting weights, and we’re talking about repetition through time, and that’s where you start getting some breakdown when people are pushing it past their level, and they have this great camaraderie, and they’re like push, push, push, but, at the same time, are they pushing too much?

That’s where, sometimes, I’ll see, they pushed their failure, and I’m talking about not failure I can’t lift the weight, but they pushed their failure where their technique is bad, and they overload tissues over and over and over again. Then, they come in like, “I don’t know. I just picked up a basketball on the floor, and my back went out.”

Lou:                          I laugh because I actually threw my back out once. I lifted my leg up to put my sock on, and my side pulled something. Man, I went down like a box of rocks.

Dr. Jagoda:          You blame the sock?

Lou:                          I was putting a sock on, and I pulled a muscle in my back, and I went down like boom! That was it. I didn’t even get to put the sock on. I was laying there. I couldn’t move.

Dr. Jagoda:          Those are the movement patterns that have been hidden or the absence of symptoms doesn’t mean the absence of a problem. You might’ve had something going on for quite a while, and it just didn’t happen, and happen, and finally the tissues just got overloaded and says, “I’m not doing this anymore. I can’t do this anymore,” and it just went out on you. When people go running, and say, “I hurt it running.” Really? Most people didn’t hurt it running, or pick up the pens on the floor. It’s been a culmination of years and different activities, and things they’ve done improperly that have really compounded, and that’s why they got that injury.

Lou:                          All right. Hold on, Dr. Josh Jagoda. We are talking with him. He’s with San Diego Spine & Sports Wellness. In the theme of the Olympics, I thought and my having recent sports injuries, I thought, well, if I’m hurting, and my girlfriend’s doing the bootcamp in much better shape than me, Dr. Josh, I figure it’s happening to other people, but you could check out Dr. Josh at San Diego Spine & Sports Wellness. The website, sandiegospineandsport. If you have a question for Dr. Josh, give us a call, 800-600 KOGO. You are listening to Lou Pate here on News Radio 600 KOGO.

Welcome back to News Radio 600 KOGO. Lou Pate here with us with a special guest, Dr. Josh Jagoda. He is with San Diego Spine & Sports Wellness. I encourage you to check them out at sandiegospineandsport.com. In the spirit of the Olympics, and in the spirit of my growing old body, we have Dr. Josh on. He comes highly recommended, and I encourage you to check out his website there. Dr. Josh, back in September, when we had hurricane Irma here in Florida, and there was no air conditioning. I literally was sleeping on the floor in 95% humidity and 95 degree temperature. Gasping for air by the door, I literally woke up a few hours later, and you come highly recommended from many people that I know from when I lived in San Diego.

I literally sat up, and I joked about it on the air. Then, next week, I was telling one of the guests, I was like, “Dr. Josh, where are you?” because I just couldn’t move. I laid down fine, and I’m sweating like a pig, but then I was so stiff when I woke. What causes that? I mean, from healthy to not in three hours time of just laying on the floor. It shouldn’t be.

Dr. Jagoda:          Before we went on break, I was saying how sometimes you have these movement patterns, or these faulty movement patterns that are just coming up over, and over, and over again, and we ignore them because there are no signs of dysfunction. Just like a flu or a cold, you know, we get a sore throat, those are signs of an infection, or some sort of problem going on within the body, right? Pain is a sign that we’re injured. If we don’t have pain, we don’t pay attention to these signs or symptoms, right? That’s where, boom, you woke up one night, oh, I’m in pain. You can’t move, you have the stiffness, the soreness, and it knocks you out. Then, you’re like, “I just slept on the floor.”

It’s more than likely, yeah, that could be part of it, but, at the same time, you have to realize that your patterns that you’ve had over the last couple of weeks, your stress level, the fact that you haven’t maybe [inaudible 00:13:31]. Maybe you didn’t get enough recovery time. Maybe you weren’t doing the right exercise at the right time. Maybe you’re overloading yourself. That’s where people don’t realize is that the lack of symptoms, as I’ve said before, doesn’t mean the lack of a problem, or the absence of a problem.

Lou:                          I know I do this. I’m assuming that many-. I’m as average as they come, so I know many people do this is that I feel … Last year, I remember. It was a feeling in my left hip. It was hurting, and I ignored it. I put some muscle rub on it, and I just kept running. After a couple of weeks of doing that, of course, then I hurt myself, and I had to take some time off. Is this common? Do people don’t want to admit that something is wrong, whether it’s a torn tissue, whether it’s tendonitis, numbing, tingling, you know, anything, even down to what you deal with as a chiropractor, headaches and migraines, is it common for people like me who ignore the symptoms, and you keep pushing yourself, and then you end up hurting yourself even more, or injure yourself?

Dr. Jagoda:          Absolutely. It is more common than you would ever expect, so you’re not alone on that one. People think it’s going to go away. I have a rule of thumb with people is if it’s seven to ten days, and it hasn’t gotten away on its own, it’s more than likely not going to. That’s when you have to start taking action, and that’s where YouTube, and all these other internet things help and hurt yourself. Some people go on the internet, and they check things out, and they’re doing great things for themselves. On the other end, they’re doing the same thing, but for an injury that actually needs some work on a different area, and so they’re making the injury worse and worse.

Then, they come in and say, “Ah, I’ve been ignoring this for too long,” and it just becomes a problem because they’re letting these tissues, and their mechanics, and all these motor skills that they do, or don’t have slowly get worse, and worse, and worse over time. Then, they finally can’t take it anymore. They reach the point of no return, and that’s when I see them. I’m urging people to, hey, listen to your body. Just like you have a sore throat, start taking action on these things immediately. Make sure you’re making the positive changes now before it’s too late because it’s much more treatable in the earlier stages than if you wait too long.

Lou:                          Now, at San Diego Spine & Sports Wellness, you had mentioned to me Dr. Josh, we don’t have to give any names, but you’re working with someone who’s training for the Olympics for figure skating. Now, superstar athletes who make it to the Olympics, they have to train just like we do, right, whether I’m going to run the marathon in the Summer Olympics, you have to start-.

Dr. Jagoda:          [Crosstalk 00:16:17] day of the week.

Lou:                          Yeah, but one step at a time, slowly, although you’re working out every day, I notice that friends of mine, you know, we just passed New Year’s, well just a month and a half ago now, and people’s, “I’m going to start working out. I’m going to start eating better. I’m going to lose 25 pounds,” instead of saying, “I’m going to lose five pounds,” and they push it. They push it too far, whether it’s weights, whether it’s cardio, whether it’s joining a gym. Then, they hurt themselves. Do you find that happening after the first of the year? By around now, or late January, people coming in because they overdid it after the Christmas rush of Christmas parties and buffets?

Dr. Jagoda:          Absolutely. I actually see a little bit more … Well, when I was living on the Northeast, it was more in April, just as the warmer sports starting to come up, people have been dormant for first four months of the year, and then they start going outside, and boom! They hurt themselves right away. Out here in Southern California, it’s more like a steady stream. People are active all the time. You see people getting hurt all the time based on their sport.

Lou:                          All right. You just got about a minute left. Dr. Josh, I have some more questions, but can you hang out with us for the next segment please.

Dr. Jagoda:          Absolutely.

Lou:                          All right. Our special guest is Dr. Josh Jagoda. He is a chiropractor at San Diego Spine & Sports Wellness. They’re on Mission Boulevard. Check them out. Sandiegospineandsport.com. When we come back, we’re going to talk about tears that you may or may not know you have. You’ll know the pinching, and surgery that may come from them. The pros and cons of working out too much, and recovery. The recovery in training that pertains to soft tissue, which is Dr. Josh’s specialty. Of course, if you have a question for Dr. Josh, you can. 800-600-KOGO. 800-600-KOGO. There can never be too many good questions that come about when it comes to your health, when it comes to working out.

Everybody thinks, oh, I’m just going to start lifting weights, I’m going to start running. Next thing you know, it’s like, weights, pop, pop. You’re tearing soft tissue, and you could be do-. I learned this the hard way. Trust me. When I was doing weights for about two and a half years straight, I was tearing tissues that I didn’t even know I had, and you want to avoid that the best you can. Lou Pate here with you, along with Crystal Martinez producing the show. Our Maiden Voyage together on News Radio 600 KOGO.

Welcome back News Radio 600 KOGO. Lou Pate here with you along with Crystal Martinez Miranda. Our new producer here at News Radio 600 KOGO. Welcome aboard. It’s our first time working together. We also have as a very special guest, Dr. Josh Jagoda. He is a chiropractor at the San Diego Spine & Sports Wellness Center. They’re right here on Mission Bay Drive. You can check them out as sandiegospineandsport.com. We’re talking sports. We’re talking sports injuries. Everybody’s twisted ankles, everybody’s pulled muscles in their back. As Dr. Josh told earlier, if you did like me, pull out your back while putting on socks, that means there was something there before. I never actually thought of that.

Dr. Josh, I’m looking on your website at sandiegospineandsport.com. I’m laughing because it says here common conditions treated, and I’m going down the list: Meniscus tears, knee pains, sprain, strains, nerve impingement, numbness and tingling, tendonitis, bursitis, rotator cuff, frozen shoulder, headaches. I don’t stop. I’ve had all of that until I get to carpal tunnel.

Dr. Jagoda:          You’ve had it all.

Lou:                          Carpal tunnel is the only one I didn’t have, and I don’t even know how carpal tunnel makes the list. I’m wondering, Dr. Josh, why do I work out because I’ve had all of these?

Dr. Jagoda:          Well, you know, the whole goal of working out is essentially just to make sure you’re strong, and so that when you do an activity, you can go through these range in motion. You can actually go and do that activity, complete it, perform well, and recover at the same time because if you don’t have these muscles contracting at the right time, you’re going to have bad, what we call, neuromuscular control. You’re going to have bad mechanics. That is just going to be a set up for a problem in the future with regards to strains, sprains, all these other things that you just mentioned. Really, at the end of the day, it’s just to live a healthy, active lifestyle. We’re designed to move. We’re supposed to move, and so you should move, and you should really keep your muscles and tissues healthy.

Lou:                          Now, someone told me, and I don’t know if this is true, that just sitting in an office chair, the L-shape of the body is not a good position. So many of us do it in offices. I’m doing it right now sitting in the studio.

Dr. Jagoda:          Same here.

Lou:                          Is it true it’s not good because of all the pressure on our lower back just by sitting because everybody thinks of sitting as something to take the weight off, relaxation, but I was told that all the pressure, when you sit, on your lower spine is not good.

Dr. Jagoda:          That good old saying that too much of anything is not good, right, so too much sitting eight hours a day, you have to factor that into people’s lifestyle. They work for eight hours a day at a computer. They sit an average of a 21-minute commute each direction. They go home, and they eat for another hour, right, maybe lunch. They get up and walk a little bit. Then, they sit down at home to watch the TV at the end of the night. You’re talking about 12, 14 hours of sitting. How can that be good when more than half of the day, you’re seated?

Right then and there, you’re taking pressure off of you, but you’re actually deconditioning your body, so get up, walk around, contract your core, don’t keep these muscles in the shortened position. If you’re sitting on your butt, you’re deactivating those glutes, which is really, really strong for stabilizing the lower back. Same thing with the core. You’re not engaging the core when you’re seated. These two things alone with some other problems, you’re going to eventually end up with a lower back pain, or upper back pain.

Lou:                          Now, even for people, Dr. Josh, for people who don’t even work out … We’re not giving medical advice here because that would end up with lawsuits, but do you recommend just … If you know someone doesn’t work out, just to do some stretches, some very basic stretches in [crosstalk 00:22:50]?

Dr. Jagoda:          Absolutely. There’s a lot of research out there now saying that you don’t have to “work out”. I highly recommend that people do, but the more often you work or get up, and move throughout the day, the better off you’re going to be. If you stay stagnant for 60 to 90 minutes, that’s a good indication. Get up. After you’re done with an hour of straight work, maybe you’re focusing really well on doing your activity, fill up your water bottle, go to the restroom, make sure you take a walk for your lunch break. The more often that you can get up throughout the day, the better off you’re going to be because you’re constantly engaging these muscles. Take a flight of stairs, park an extra 100 feet away from the grocery store. These are all going to help you.

Lou:                          Now, Dr. Josh, I tell you I joke about a lot of things, but many, many years ago when I was a young man, not that I’m old now, Dr. Josh, but I’m just, you know, not in my 20s anymore … When I was in my early 20s, there’s a car accident, I don’t talk about this too much. I don’t hide it. It’s just something that’s in the past that’s it this-. Anyway, a friend of mine was driving, crashed, and everybody got banged up pretty bad. I ended up fracturing two vertebrae in my neck.

Dr. Jagoda:          Oh my!

Lou:                          I was told I would never walk again. I’m walking fine. Like I said, I’m a runner.

Dr. Jagoda:          You’re running.

Lou:                          I find that if I don’t run, and if I don’t do basic exercises, and I’m in South Florida, so I can’t run in July and August outside, that’s why I have a treadmill, which I call my torture machine. Actually, I’ll tell you this. A couple of months ago-.

Dr. Jagoda:          Hamster wheel.

Lou:                          Yeah, the treadmill, I got the mp3 player, I got the TV … Oh, it’s so monotonous. I love running outside, but actually just to give you an idea of how much I use I treadmill. A few months ago, the motor broke out. I had to get it fixed, and I didn’t know how to check the computer because I just get on it. I don’t do any of these fancy stuff that it can do. I had 13,516 miles on it.

Dr. Jagoda:          Wow!

Lou:                          That’s not counting the six or seven months I run outside. Back to this, I had a two-fractured vertebrae, and they told me I would never walk again. I know at the San Diego Spine & Sports Wellness, you guys deal with recovering of soft tissue. Obviously, I had a lot of damage all over the place there, but if I don’t work out, if I don’t do even basic calisthenics, that’s when it bothers me. That’s when I can feel the old injury. I wouldn’t say it’s pain. It’s just like a pain, annoying, I could feel it. It’s like this pressure that doesn’t feel right. If I’m in a regular routine, and I’m not talking about breaking records, just a regular routine of working out, it doesn’t bother me. Does that have something to do with the deep tissue, or what is it?

Dr. Jagoda:          There are so many different levels from where we can approach that. At the end of the day, what you’re doing is you’re promoting blood flow. You’re promoting nutrient exchange. You’re flushing the bad stuff out, and you’re bringing some good stuff in, right? You’re also really just helping the motion of the movement, helping all the muscles glide and slide past each other. You know, a lot of people are going to talk about arthritis, and these are common symptoms of arthritis is that the one of the best things for arthritis, you wouldn’t guess it is actual movement because you’re talking about the fluid or the synovial fluid that’s deep within the joint, those are what secretes when you actually move. I don’t want to say cure, but one of the treatments for arthritis is exercise.

You can see how this play an intricate response of, hey, I’m stiff, so I go exercise, it feels better. Then, when I don’t do anything, [inaudible 00:26:33] just allow it to not perpetuate that movement, and then now, you start getting this tightness, and all these things going on. Aside from that, movement is actually shown to inhibit pain over, and over, and over again. That’s all on the neurologic basis right there. As soon as you move, you’re going to start slowly inhibiting pain. You ever walk into a drawer or something like that late night, stub your toe?

Lou:                          Oh, sure.

Dr. Jagoda:          What do you do? You rub your toe. You rub your foot. What happens to the pain. It slowly goes away. Then, as soon as you stop rubbing, what happens again? The pain starts coming on again. Then, you start rubbing it again. What happens? The pain goes away. That’s sensory input. That’s movement to the body, the stimulation to the body that inhibits pain right there. You can see that on just such a I-ran-into-a-door type thing, but now you apply this to movement pattern, and that’s really where people go from I couldn’t walk four years, and now I’m actually running. That’s where you see these long term people get really well over the course of the years.

Lou:                          Now, the basic thing that we’ve all had is swollen ankles, twisted ankles. Everybody has twisted their ankle even if you’re not working out. You can be walking down a flight of stairs, or walking across a room, and you roll your ankle. Everybody’s done that. I’ve heard so many different things. Take your shoes off. Keep your shoes on. Ice it right away. Elevate your foot over your head for circulation. You don’t have to be an Olympic athlete. You, you are helping someone. You don’t have to be an average workout regular Joe like me, which you deal with at San Diego Spine & Sports Wellness, not even working out. People who are listening right now to News Radio 600 KOGO, they roll their ankle, they twist their ankle. Dr. Josh, what do they do? That’s the most basic thing that everybody has to deal with, right?

Dr. Jagoda:          Yes. There’s this acronym that we come up with in the medical term. It’s called RISE. Rest, Ice, Compression, and Elevation. However, the new terms are now MICE. Movement, Ice, Compression, and Elevation. Now, you are supposed to rest a little bit, but research is showing that the more you move, the earlier you move, the better your chances are of recovery. If you ever see, or heard of somebody who’s had a heart transplant, or an open-heart surgery, what is one of the first things they do after the surgery? They get them up walking, whether it’s with an aid, or with a walker, or with both. They get them moving right away.

You want to start moving the affected joint preferably not weight-bearing or very minimal, with bands or something like that. You don’t want to go back to your full-blown activity. You rolled it running. You’re not going to start running on it right away. You’re going to want doing some movement, and then you can use ice, compression, and elevation as well.

Lou:                          Now, I feel lik I keep bringing it back to me, but [crosstalk 00:29:29].

Dr. Jagoda:          It’s okay. We all know.

Lou:                          I am my own example. I did tear a meniscus in my right leg. They did an arthroscopic surgery. This was in San Diego, when I lived in San Diego. If it happened now, Dr. Josh, I’d go to you. I didn’t know you at that time.

Dr. Jagoda:          Right. I’ll forgive you that time.

Lou:                          My next knee tear, you got it. I was told that, again, at your place at the San Diego Spine & Sports Wellness, you were telling me when we first talked this afternoon, that you deal with recovery, and training of the soft tissue.

Dr. Jagoda:          Yeah. That’s what we’re specialist on.

Lou:                          What I was told by the surgeon that time that, “When can I run?” He’s like, “Well, it depends, your healing, your rehabilitation, your physical therapy,” all that kind of stuff. He said, “But, you will have scar tissue in there that you may not feel, but it will be there for upwards of six to nine months.” Of course, I was younger at that time, I didn’t believe him. I went running much sooner than I should have, and good thing I didn’t damage it, but that’s a long time. Is that about right, that it could be scar tissue that we don’t feel pain anymore six to nine months?

Dr. Jagoda:          Absolutely. Scar tissue, if you view it as, I guess you could say, a ball or a knot in the muscle, that we hear about, what it’s really going to do is it’s three-dimensional. It doesn’t just go on the top, or the bottom, left, or the right. It actually is like a spider web. It sinks into the muscle, and to the joint, and it doesn’t allow things to glide and slide properly. What we’re doing when we do soft tissue work, or specific work tissue to the specific areas, first, you have to obviously assess the right area, and make sure you’re doing the right thing, but we’re breaking down the scar tissue. We’re promoting the ability for these muscles and these joints to glide and slide.

We’re creating what we call a controlled environment, or controlled inflammation because we’re actually breaking down the tissue as well as healthy tissue to re-stimulate the healing process to make sure that when you do your rehab, when you do the soft tissue work, that it re-heals itself in the proper alignment, in the proper pattern, so that you can do what you need to do.

Lou:                          Final question, Dr. Josh. I read that being sedentary is one of the unhealthiest things that you can do. It’s right up there with smoking, and drinking too much. Being sedentary, never moving, being the ultimate extreme couch potato, and you might not even smoke or drink, but that is very detrimental to your health. Is that true?

Dr. Jagoda:          Absolutely. They have a word for it. It’s called Deconditioned Syndrome. The guy or the girl who doesn’t do enough for themselves, and they’re winded when they go upstairs, they’re winded when they do this, they’re winded when they do that, and, at the end of the day, you’re just causing massive atrophy to your whole body, to your brain, to your muscles, to your blood flow. If you can’t get this blood flow into your body, you can’t get this movement, there’s no way you’re going to live a healthier life.

Lou:                          All right. Well, hey, Dr. Josh Jagoda, we appreciate your time, your expertise to News Radio 600 KOGO.

Dr. Jagoda:          Thank you for having me.

Lou:                          San Diego Spine & Sports Wellness. Everything from Olympians training for the Olympics to regular Joes like me who just beat up our body, I encourage you to give Dr. Josh a call, or just check out the website, sandiegospineandsport.com. He’s right here. He’s local. Dr. Josh, thank you again, and I appreciate your time.

Dr. Jagoda:          Thank you so much for having me.

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