Notes On Midlife Fitness

An orthopedic surgeon of more than thirty years on why most of what we call aging isn't aging at all, and how a handful of fundamentals decide whether you thrive or decline. Short, plain-spoken, evidence-based episodes on movement, metabolic health, the brain, sleep, strength, purpose, and the connections that keep you living well, not just living long. howardluksmd.substack.com

Notes On Midlife Fitness is a science podcast hosted by Howard Luks MD, with 25 episodes on record and a Required Pod Score of 80.

Howard Luks MD hosts Notes On Midlife Fitness, a science show with 25 episodes published.

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  Notes On Midlife Fitness

  Labral Tears of the Shoulder... The Three Boneheads Podcast

  Jan 30, 202619 minS0

  <p>Episode Title</p><p>Labral Tears After 40: Why Your MRI Is Lying to You</p><p>Podcast</p><p>The Three BoneheadsHoward Luks, MD · Jeffrey Berg, MD · Jonathan Hirsch, MD</p><p>Episode Summary</p><p>If you’re over 40 and have shoulder pain, there’s a very good chance your MRI report mentions a labral tear. And there’s an even better chance that tear has nothing to do with your pain.</p><p>In this episode, three experienced orthopedic surgeons unpack one of the most common—and most misunderstood—MRI findings in adult shoulders: superior labral (SLAP) tears. Drawi...

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  Notes On Midlife Fitness

  The Rotator Cuff: The Three Boneheads Podcast

  Jan 22, 202637 minS0

  <p>Rotator cuff tears. MRIs. Fear. Surgery.</p><p>Three words that often get tangled together—and usually in the wrong order.</p><p>In this episode of The Three Boneheads, we unpack why MRI findings often matter far less than people think, how age-related “abnormalities” are frequently normal, and why pain, function, and real-life goals should drive decisions—not radiology reports.</p><p>Please leave a comment. We need to know your thoughts about these podcasts. We would also like to know which topics interest you. </p><p>We talk about:• Why many people with massive tears have little pain—and o...

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  Notes On Midlife Fitness

  Why Some Surgeries Fail — Even When the Surgery Was Done Right

  Jan 8, 202641 minS0

  <p>After more than 30 years in practice, one truth has become impossible to ignore: a technically successful surgery does not always lead to a successful outcome.</p><p>In this episode, we unpack why “failed surgery” is often the wrong question—and why outcomes are shaped by far more than what happens in the operating room. From biology and inflammation to expectations, secondary gain, recovery, and communication, we explore why surgery should be viewed as an opportunity, not a guarantee.</p><p>This is a candid, nuanced conversation about what really determines success after surgery—and how both patients and surgeons...

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  Notes On Midlife Fitness

  Meniscus Tears: Podcast Episode 9

  Dec 11, 202540 minS0

  <p>Meniscus tears are among the most common reasons people walk into an orthopedic office, and also among the most misunderstood. The word tear carries a psychological weight that often sends people straight to panic mode—and straight to a surgeon—before anyone has examined them, before we know if the tear even matters, and before they understand that many tears have nothing to do with their pain. In this episode, the three of us walk through what meniscus tears really mean, what they don’t mean, and why the overwhelming majority of these findings do not require surgery.</p><p>We a...

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  Notes On Midlife Fitness

  Episode 8: What We Would Tell Our 25 Year Old Selves About Building A Sustainable Career As A Surgeon.

  Dec 4, 202527 minS0

  <p>The Three Boneheads sit down to answer one question: What would you tell your 25-year-old self about building a career that lasts? </p><p>The answer isn’t what you’d expect. It’s not about technical skill or case volume. It’s about protecting your humanity while doing hard work for decades. </p><p>It’s about the sleepless nights that never stop, the weight of worrying about every patient, and learning that you can’t pour out compassion endlessly without refilling yourself. It’s about holding onto your values when the healthcare system shifts around you, learning to listen in a...

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