

475 | Dr. Mark Goodman | Rethinking Joint Health: Beyond Surgery
Jun 18, 2025
Dr. Mark Goodman, a double board-certified non-operative sports medicine specialist from Bend, Oregon, joins the conversation to revamp our understanding of joint health. He delves into how metabolic health and inflammation play pivotal roles in joint pain, challenging the notion that age and weight are the only culprits. Dr. Goodman also discusses cutting-edge treatments like PRP and stem cell therapies, emphasizing the need for personalized, holistic approaches in both aging athletes and chronic pain management.
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Non-Operative Orthopedic Insight
- Most orthopedic injuries do not require surgery; around 90% are non-operative cases.
- Non-operative sports medicine fills the gap between family doctors, physical therapists, and orthopedic surgeons.
Metabolic Health's Role in Joints
- Joint health is influenced by systemic inflammation and metabolic health more than just mechanical wear.
- Obesity and inflammation both contribute to joint degeneration via multiple metabolic pathways.
Orthobiologics Over Steroids
- Consider orthobiologics like PRP and stem cell therapies for joint pain beyond steroid injections.
- These treatments activate healing over months and can reduce pain longer term compared to steroids.