The Starting Gate

Send us a textIf you've ever wondered whether your fatigue, joint pain, or brain fog could be more than "just stress," this episode is for you.  We sit down with rheumatologist Dr. Olga Pinkston to demystify inflammatory arthritis and fibromyalgia- how they show up, how they’re diagnosed, and why lifestyle choices matter.   Learn how food, movement, rest, and stress management aren’t just supportive—they’re essential in managing autoimmune conditions. Whether you’ve been recently diagnosed or are seeking answers to persistent joint pain, this episode provides a clear, compassionate path to better understanding and managing chronic inflammation.  Find Dr. Olga PinkstonWhole Health RheumatologyMind Your Fibro PodcastResources recommended by Dr. Pinkston:Insight Timer App- free resource for meditation, yoga nidra, mindfulnessAmerican College of Rheumatology patient resourcesArthritis Foundation Healthy LivingDr. Andrew Weil's Anti-inflammatory DietAcademy of Nutrition and Dieteticsthestartinggatepodcast.comEmail us with questions and topics you want us to cover at contact@thestartinggatepodcast.comFollow us on social media @thestartinggatepodcastMore educational resources at Better Health LibraryThe content in this podcast is for general reference and educational purposes only. It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition. No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment. This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment. Please do not rely on this podcast for emergency medical treatment. Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us a textIn this episode, we’re joined by Dr. Selena Raines, a board-certified family physician and Doctor of Osteopathic Medicine, for a refreshing look at how healthcare can work differently for patients. We explore Direct Primary Care (DPC): what it is, how it’s changing the patient-doctor relationship, and why more doctors are moving away from traditional insurance-based models. Dr. Raines also explains the difference in training between DOs (Doctors of Osteopathic Medicine) and MDs, helping listeners understand what makes osteopathic medicine unique. We dive into osteopathic manipulation—a hands-on treatment approach used for conditions like back pain, headaches, and even chronic medical issues—and how it differs from chiropractic care. Tune in to gain a better understanding of your options—and how to take charge of your healthcare Find Dr. Raines at:Body Mind Spirit DPCcatch her on facebook or Instagramthestartinggatepodcast.comEmail us with questions and topics you want us to cover at contact@thestartinggatepodcast.comFollow us on social media @thestartinggatepodcastMore educational resources at Better Health LibraryThe content in this podcast is for general reference and educational purposes only. It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition. No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment. This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment. Please do not rely on this podcast for emergency medical treatment. Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us a text In this wide-ranging conversation with pain specialist Dr. Shawn Milburn, we break down what really causes back pain and how to treat it effectively. From physical therapy and lifestyle changes to medications and surgical options, we walk through a full toolbox of strategies. We also confront one of the most debated issues in pain management: opioids for chronic back pain—when they're helpful, when they’re harmful, and what patients need to know. Finally, we dig into injection therapies—what kinds of pain they work for, how they’re used, and why they aren’t a cure-all. Find Dr. Shawn Milburn at Commonwealth Pain & SpineFind him on Facebookthestartinggatepodcast.comEmail us with questions and topics you want us to cover at contact@thestartinggatepodcast.comFollow us on social media @thestartinggatepodcastMore educational resources at Better Health LibraryThe content in this podcast is for general reference and educational purposes only. It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition. No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment. This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment. Please do not rely on this podcast for emergency medical treatment. Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us a textIn this episode, we sit down with orthopedic surgeon Dr. Kevin Denehy to  break down everything you need to know about knee osteoarthritis.   We explore why osteoarthritis happens, how to help prevent and slow the damage, and lifestyle modifications that can make a real difference.   We also cover pain management options, from supplements and medications to various types of injections, and take a deep dive into knee replacement surgery—what to expect, how to prepare, and how to achieve the best possible recovery.  Whether you're managing knee pain or seeking to protect your joint health, this episode is packed with expert advice to keep you moving.You can find Dr. Kevin Denehy at Bluegrass OrthopaedicsSchedule an appointment: https://www.bluegrassortho.com/request-an-appointmentLearn More about Dr. Denehy & his team: https://www.bluegrassortho.com/team-members/kevin-m-denehy-m-d Twitter Facebook Helpful links:Knees Over Toes on YouTube@kneesovertoesguythestartinggatepodcast.comEmail us with questions and topics you want us to cover at contact@thestartinggatepodcast.comFollow us on social media @thestartinggatepodcastMore educational resources at Better Health LibraryThe content in this podcast is for general reference and educational purposes only. It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition. No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment. This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment. Please do not rely on this podcast for emergency medical treatment. Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us a textIn this powerful episode, Dr. Sarah Schuetz shares her personal experience of losing her home in a devastating fire—and the lessons she learned the hard way about home insurance, emotional resilience, and the importance of community.We’re joined by Hays Featherston, Sarah’s home insurance agent, who helps break down the details of what is and isn’t covered in most policies, what to look for when choosing insurance, and how to better protect your assets before disaster strikes.  We also talk about what it’s like to need support from others and how you can be there for someone going through a crisis. Don’t wait for a crisis to realize what you didn’t know—tune in and take away tips that could make all the difference.If you would like to contact Hays Featherston for your insurance needs please see the links below:Follow AssuredPartners on social media for more insurance insights and tips, or sign up for their newsletter!InstagramFacebookLinkedInNewsletterSchedule time with Hays.  Hays is available over the phone and/or in person. Let him know your availability and meeting preference and he will reach out to coordinate.  Call: (859) 338-4985Email: hays.featherston@assuredpartners.comShare current insurance policies.  Upload your current insurance documents quickly and securely through a platform called Canopy Connect. Hays will send back additional questions to ensure everything is up to date and accurate.Upload documents hereShop for solutions.  Explore and inquire about the coverage you’re interested in, and Hays will shop the best solutions available for your needs. He will review these with you, provide recommendations and answer any questions you may have.thestartinggatepodcast.comEmail us with questions and topics you want us to cover at contact@thestartinggatepodcast.comFollow us on social media @thestartinggatepodcastMore educational resources at Better Health LibraryThe content in this podcast is for general reference and educational purposes only. It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition. No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment. This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment. Please do not rely on this podcast for emergency medical treatment. Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us a textHouse fires are more common than you think—and few people are truly prepared.  In this powerful episode, we step away from our usual health topics to share a deeply personal story. Sarah recounts the night her home went up in flames—and how she and her family escaped. Joined by guest Lexington Fire Chief Jason Wells, we unpack essential fire safety knowledge every household should have: how to prevent common house fires, why fire extinguishers are a must, the importance of smoke detectors, and how to create a fire escape plan. This is an episode you truly can’t afford to miss. US Fire Administration- Prevent Home FiresNational Fire Protection Association- https://www.nfpa.org/education-and-research/home-fire-safetyVideo showing the dramatic difference in fire with a closed door:   Close before you doze Lexington Fire webpage for scheduling smoke alarm installations or home safety inspections- https://www.lexingtonky.gov/government/departments-programs/public-safety/fire-emergency-servicesLexington Fraternal Order of Firefighters link to donate to the purchase of smoke detectors and other great projectsABC Fire ExtinguishersTing - electrical fire safety productthestartinggatepodcast.comEmail us with questions and topics you want us to cover at contact@thestartinggatepodcast.comFollow us on social media @thestartinggatepodcastMore educational resources at Better Health LibraryThe content in this podcast is for general reference and educational purposes only. It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition. No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment. This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment. Please do not rely on this podcast for emergency medical treatment. Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us a textOsteoporosis is more common than you might think—and often preventable. In this episode, we’re joined by Dr. Nick Trubee, an expert in exercise physiology, who specializes in using resistance training to improve bone strength. We explore the key lifestyle factors that affect bone health, including nutrition (think calcium, vitamin D, and protein), common risk factors, and why early screening matters. Dr. Trubee also shares how resistance training can be a powerful tool to not only prevent bone loss, but to build stronger bones at any age.  Find Nick at Trubee Health@dr.nicktrubeeBone Health and Osteoporosis Foundationthestartinggatepodcast.comEmail us with questions and topics you want us to cover at contact@thestartinggatepodcast.comFollow us on social media @thestartinggatepodcastMore educational resources at Better Health LibraryThe content in this podcast is for general reference and educational purposes only. It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition. No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment. This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment. Please do not rely on this podcast for emergency medical treatment. Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us a textYour menstrual cycle is more than just a period—it’s a vital sign of your overall health. In this episode, we sit down with APRN Alexis McAnally, a FEMM-certified specialist, to dive into the science of cycle tracking. Alexis explains how biomarkers can give you insight into your hormones, what’s normal (and what’s not), and how fluctuations affect everything from mood and sleep to digestion and skin. This episode will help you understand your cycle and how everything is interconnected. We want you to feel knowledgeable about your reproductive health, know how to identify a problem and when to see your doctor.   Alexis makes tracking simple and approachable, so you can take control of your health with confidence. Find Alexis McAnally, APRN at Cultivate Flourishing@cultivateflourishingFEMM free appthestartinggatepodcast.comEmail us with questions and topics you want us to cover at contact@thestartinggatepodcast.comFollow us on social media @thestartinggatepodcastMore educational resources at Better Health LibraryThe content in this podcast is for general reference and educational purposes only. It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition. No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment. This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment. Please do not rely on this podcast for emergency medical treatment. Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us a textTired of crossing your legs when you sneeze? Struggling with constipation, back pain, or discomfort during intercourse or exercise?  Your pelvic floor could be the problem—and the solution.  In this episode, we sit down with pelvic floor physical therapist Kelsey Karnes to break down what happens when the pelvic floor is too weak or too tight, how these issues affect daily life, and most importantly—what you can do about it. Pelvic floor therapy is not just for postpartum moms; it’s for anyone who wants to move, exercise, and live without discomfort.  Tune in to learn how to strengthen and support this crucial part of your body! Find a Pelvic Rehab Practitioner Near YouFind Kelsey Karnes, DPT at Move Smart@movesmartkyMove Smart Pelvic Health blog     blog post on benefits of strength training for the pelvic floor     blog post on constipation and the pelvic floor     blog post on mentally connecting with the pelvic floorCheck to see if you have Pelvic Floor Dysfunction- Cozean Screening toolSquatty PottyUpcoming workshops at Move Smart.  Follow on Social media for more details:-April 21st Perimenopause workshop -May 7th Pre and Post natal workshop thestartinggatepodcast.comEmail us with questions and topics you want us to cover at contact@thestartinggatepodcast.comFollow us on social media @thestartinggatepodcastMore educational resources at Better Health LibraryThe content in this podcast is for general reference and educational purposes only. It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition. No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment. This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment. Please do not rely on this podcast for emergency medical treatment. Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us a textThis week, we’re joined by OBGYN Dr. Elizabeth Elkinson for an in-depth discussion on polycystic ovary syndrome (PCOS). We break down why PCOS occurs, the wide range of symptoms women may experience, and the long-term health effects of this condition. We also explore its strong connection to metabolic health and dive into lifestyle strategies that can make a difference. Plus, we touch on medical treatment options and how to effectively communicate with your doctor about your symptoms and treatment goals. If you or someone you know is navigating PCOS, this episode is packed with valuable insights. Find Elizabeth Elkinson, MD at Bluegrass GYNAmerican College of Obstetrics and Gynecology (ACOG) resources for PCOSthestartinggatepodcast.comEmail us with questions and topics you want us to cover at contact@thestartinggatepodcast.comFollow us on social media @thestartinggatepodcastMore educational resources at Better Health LibraryThe content in this podcast is for general reference and educational purposes only. It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition. No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment. This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment. Please do not rely on this podcast for emergency medical treatment. Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.