Talking Rehab with Dr. Fred Bagares
Fred Bagares
My name is Fred Bagares a board certified sports and spine medicine physician in Virginia Beach, Virginia. After 10 years of practice, I still find musculoskeletal medicine both fascinating and challenging. This podcast is about the lingering thoughts and questions I’ve had after residency and fellowship. My hope is to spark discussion, challenge dogma, and share our experiences in musculoskeletal medicine.
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Top 10 Talking Rehab with Dr. Fred Bagares Episodes
Goodpods has curated a list of the 10 best Talking Rehab with Dr. Fred Bagares episodes, ranked by the number of listens and likes each episode have garnered from our listeners. If you are listening to Talking Rehab with Dr. Fred Bagares for the first time, there's no better place to start than with one of these standout episodes. If you are a fan of the show, vote for your favorite Talking Rehab with Dr. Fred Bagares episode by adding your comments to the episode page.
Not hip enough. Not spine enough.
Talking Rehab with Dr. Fred Bagares
12/31/24 • 15 min
In this episode of the Talking Rehab Podcast, I explore one of my favorite topics in musculoskeletal medicine: Hip and Spine Syndrome. This underappreciated condition can present in a variety of ways—back pain, groin pain, or even leg weakness—and often leads to confusion in diagnosis and treatment. I share real patient stories, the challenges of untangling complex symptoms, and why taking a holistic approach to diagnosis can improve outcomes for patients.
Here’s a guide to key moments in this episode:
- [00:00] Introduction to Hip and Spine Syndrome and why it fascinates me.
- [00:34] The origins of the syndrome and its underappreciation in medicine.
- [01:25] Real-world case: Post-back surgery patient with persistent groin and back pain.
- [02:57] Different symptom patterns and how they guide referrals.
- [04:36] The importance of considering both hip and spine involvement in diagnosis.
- [06:03] The chicken-or-egg dilemma: Hip arthritis versus back issues.
- [08:51] Another case study: L2 radiculopathy mistaken for hip arthritis.
- [10:02] Why collaboration and holistic care improve patient outcomes.
- [14:56] Similarities to neck and shoulder syndromes and a teaser for a future episode.
Hip and Spine Syndrome exemplifies why a single-specialty approach often misses the bigger picture. I hope this episode helps clinicians and patients alike recognize the interconnectedness of these systems.
Thanks for tuning in! If you enjoyed this episode, please like, subscribe, and share your thoughts. Let’s continue exploring how to refine our approach to rehabilitation.
Follow me on:
- Instagram: @drfredbagares
- Facebook: @drfredbagares
- LinkedIn: Fred Bagares DO
- YouTube: Dr. Fred Bagares - YouTube
Stay curious, stay active, and have a movement-filled day!
Pain and the diagnostic block.
Talking Rehab with Dr. Fred Bagares
04/22/24 • 13 min
**Episode Description:**
In this episode of the Talking Rehab Podcast, I discuss the use of diagnostic blocks to accurately identify pain sources in patients with spine and musculoskeletal disorders. I emphasize the importance of setting realistic expectations, accurately interpreting pain levels before and after injections, and the unique challenges that come with patient reporting. This discussion is designed to deepen the understanding of both clinicians and patients, enhancing the effectiveness of pain management and diagnostic accuracy in clinical settings.
**Episode Description:**
In this episode of the Talking Rehab Podcast, we dive into the complexities of diagnostic blocks and managing post-procedure pain. Our host, an experienced physician, shares insights on the use of diagnostic blocks to pinpoint sources of pain in patients with spine and musculoskeletal disorders. The discussion covers setting realistic expectations, interpreting pain levels pre and post-injection, and the challenges of patient reporting. This talk aims to enhance understanding among clinicians and patients alike, shedding light on the nuances of pain management and diagnostic accuracy in clinical practice.
**Timestamps for Episode Navigation:**
1. **Introduction to Diagnostic Blocks**
[00:00] Overview of diagnostic blocks and their importance in identifying pain sources.
2. **Mechanics of Diagnostic Blocks**
[01:50] Detailed explanation of how diagnostic blocks work and their application in clinical settings.
3. **Setting Expectations with Patients**
[03:30] Discussing the importance of setting correct expectations about the procedure's outcomes and potential pain levels.
4. **Challenges of Patient Reporting**
[05:10] Insights into the complexities of patient feedback and the interpretation of diagnostic results.
5. **Real-World Application and Outcomes**
[06:45] Examples of real-world application of diagnostic blocks and variable patient responses.
6. **Pharmacokinetics and Duration of Effect**
[08:20] Explanation of the medication's effects duration and managing patient expectations regarding the return of pain.
7. **Interpreting Variable Responses**
[09:55] Discussion on the variability in patient responses and the clinical implications of late or prolonged pain relief.
8. **Educational Approaches and Patient Communication**
[11:30] Strategies for educating patients and ensuring accurate reporting of symptoms.
9. **Conclusion and Reflections**
[13:05] Final thoughts on the need for nuanced approaches in pain management and diagnostic procedures.
Follow me on:
Instagram @drfredbagares
Facebook @drfredbagares
LinkedIn Fred Bagares, DO
YouTube Dr. Fred Bagares - YouTube
Linktree https://linktr.ee/drfredbagares
Finding Your Happy In Practice
Talking Rehab with Dr. Fred Bagares
11/12/24 • 15 min
In this episode of *Talking Rehab*, Dr. Fred Bagares shares reflections on finding true happiness and fulfillment in medicine. Join him as he explores themes of mentorship, creating a fulfilling career, and designing a practice that aligns with personal values.
**Episode Highlights**:
- **[00:00]** – Introduction to the episode's theme: What is rehabilitation?
- **[01:03]** – Dr. Bagares shares his journey in musculoskeletal medicine and the purpose behind the podcast.
- **[01:26]** – Transition to a direct-care, insurance-free practice model.
- **[02:10]** – Reflecting on mentorship’s role in medicine and rekindling the passion for teaching.
- **[03:36]** – Key insights from the AAPM&R Annual Assembly on career satisfaction.
- **[04:51]** – Inspiring stories from Dr. Atul Patel and Dr. John Cianca on building custom practices.
- **[05:59]** – Core questions for finding happiness in clinical practice: What makes you happy? What are your goals?
- **[07:01]** – Dr. Bagares discusses the challenges of leaving insurance-based medicine and redefining success.
- **[09:01]** – Advice for young clinicians considering non-traditional practice paths.
- **[10:48]** – Embracing courage, overcoming fears, and envisioning a career built on personal fulfillment.
Tune in as Dr. Bagares dives into his journey of building a meaningful life and practice, inspiring listeners to reflect on their own career paths, embrace mentorship, and create the professional lives they desire.
Am I a red flag?
Talking Rehab with Dr. Fred Bagares
10/22/24 • 11 min
In this episode of *Talking Rehab*, I dive into an intriguing topic about how physicians handle complex cases and the impact of referrals. After years of managing challenging musculoskeletal conditions, I explore whether referring physicians, like myself, can unintentionally create bias in surgical recommendations. This episode is a bit speculative, but I encourage you to tune in and join the conversation!
Here’s a quick breakdown of the key moments:
- **[00:00]** – Introduction to rehabilitation and my background as a sports and spine physician.
- **[00:36]** – Discussing complex cases and patient feedback, especially how I navigate non-straightforward cases.
- **[02:01]** – The importance of note-taking and long-term follow-up on patients’ progress.
- **[03:19]** – A real case of knee pain that led me to question surgical referrals and decision-making.
- **[05:12]** – Why some surgeons might avoid surgery for complex patients and whether my referral plays a role in that.
- **[07:03]** – Speculating on the impact of surgeon bias and the disconnect between patient notes and patient experiences.
- **[09:00]** – An open call to discuss the role of referral sources in medical decisions and the need for more collaboration in complicated cases.
If you're a physician, physical therapist, or a patient with thoughts on this, I’d love to hear from you! Let’s explore how referrals shape patient outcomes and whether complexity is something to shy away from or embrace.
Listen, reflect, and don't forget to reach out via my social media to share your thoughts!
The Perfect Tool?
Talking Rehab with Dr. Fred Bagares
04/23/24 • 26 min
Join Dr. Fred Bagares in this enlightening episode of the Talking Rehab Podcast, where he dives deep into the concept of the "perfect tool" in treatment. With over a decade of experience, Dr. Bagares shares his insights on the effectiveness, risks, and practicality of various medical tools—from biologics and steroid injections to non-invasive techniques and surgery. This episode is a must-listen for anyone interested in the evolving field of sports and spine medicine, offering a blend of professional expertise and practical advice aimed at improving patient care and treatment outcomes.
**Timestamps:**
[00:37] Exploring the Best Tools in Clinical Practice
[01:11] The Concept of the Perfect Medical Tool
[01:55] Criteria for the Ideal Medical Tool
[05:02] Non-Invasive vs. Invasive Tools
[08:35] Evaluation of Current Tools in Musculoskeletal Medicine
[09:06] Discussion on Over-the-Counter Medications
[10:26] The Role of Steroid Injections
[12:13] Cutting-Edge Regenerative Medicine
[16:17] Challenges with Biologics and Regenerative Techniques
[18:41] The Financial and Practical Aspects of Surgery
[22:10] Recovery and Long-Term Outcomes Post-Surgery
[25:00] The "Rent to Own" Approach in Treatment Options
[25:35] Closing Thoughts: The Importance of a Comprehensive Treatment Framework
Follow me on:
Instagram @drfredbagares
Facebook @drfredbagares
LinkedIn Fred Bagares, DO
YouTube Dr. Fred Bagares - YouTube
Linktree https://linktr.ee/drfredbagares
How I Frame Goals of Exercise
Talking Rehab with Dr. Fred Bagares
05/07/24 • 12 min
Hey there! I'm Fred Bagares, and you're tuning into the "Talking Rehab Podcast." Today, we're diving deep into the world of rehabilitation and the critical role of exercise in it. We'll explore everything from what rehabilitation really means to the different types of exercises and their purposes.
Certainly! Here’s a breakdown of the main topics covered in the podcast episode along with their corresponding timestamps:
**Introduction to Rehabilitation and Personal Background**
[00:00] Definition of rehabilitation
[00:02] Introduction of host, Dr. Fred Bagares
[00:09] Dr. Bagares's experience and perspective on musculoskeletal medicine
**Purpose and Goals of the Podcast**
[00:14] Overview of the podcast's aims and inspirations
[00:20] Hopes for sparking discussions and sharing experiences
**Welcome and Segue into Main Topic**
[00:27] Welcoming listeners to the "Talking Rehab Podcast"
[00:35] Transition to main discussion
**Exercise and Rehabilitation**
[00:37] Importance of exercise in rehabilitation
[00:53] Different phases of injury and the role of exercise
[01:57] Evolution of Dr. Bagares's understanding of therapeutic value
**Deep Dive into Therapeutic Exercise**
[02:01] Exploring the therapeutic value and challenges in explaining it
[02:54] Definitions and explanations of exercise from medical texts
[03:14] Categories of exercise: therapeutic, goal-based, and recreational
[04:19] Goals and biological benefits of therapeutic exercises
**Transition to Goal-Based Exercise**
[05:57] From therapeutic exercises to goal-based approaches
[06:05] Subcategories within goal-based exercises: skill acquisition, muscle hypertrophy, and improving cardiovascular health
**Challenges in Conveying the Importance of Varied Exercise Regimens**
[07:55] The misconception about cardiovascular exercises in therapy
[09:00] Importance of understanding different exercise goals and their therapeutic impacts
**Recreational Exercise and Personalization**
[10:09] The role and benefits of recreational exercise
[10:41] Understanding patients' recreational interests to tailor rehabilitation goals
**Conclusion and Reflection**
[11:59] Encouragement for listeners to rethink their understanding of exercise
[12:23] Closing thoughts and gratitude
Follow me on:
Instagram @drfredbagares
Facebook @drfredbagares
LinkedIn Fred Bagares, DO
YouTube Dr. Fred Bagares - YouTube
Linktree https://linktr.ee/drfredbagares
Military Sports Medicine as a Civilian Contractor
Talking Rehab with Dr. Fred Bagares
06/04/24 • 19 min
In this episode, I'm excited to share my experiences working as a contractor in the Navy and how it shaped my approach to sports medicine. Below are some key timestamps to help you navigate through the episode:
**[00:00] Introduction to the Episode**: What is rehabilitation? An introduction to my background and goals for the podcast.
**[00:33] My Military Contractor Journey Begins**: How I started working for the Navy in 2018 after practicing insurance-based medicine.
**[01:28] Benefits of Working Without Insurance Hassles**: The freedom and autonomy in military medicine without the constraints of insurance and prior authorizations.
**[03:30] The SMART Clinic Setup**: A look into the multidisciplinary approach within the SMART clinics and the benefits of this environment.
**[05:08] Ultrasound and Regenerative Medicine**: Enhancing my skills in ultrasound-guided procedures and the common use of PRP in the military.
**[07:31] The Financial Aspects of Contracting**: Transitioning from a W-2 employee to a 1099 contractor and the implications of this change.
**[09:06] Treatment Goals in the Military vs. Civilian World**: Focusing on mission readiness and operational functionality for active duty military personnel.
**[11:04] Challenges with Patient Continuity**: Dealing with frequent deployments and the difficulties in maintaining consistent patient care.
**[15:49] Reasons for Leaving the Military Contracting Role**: Personal and professional reasons that led me to transition back to civilian practice.
Join me as I reflect on the unique aspects of military medicine, the pros and cons of contracting, and the invaluable lessons learned from treating active duty personnel. This episode is packed with insights and practical advice for anyone considering a similar path or looking to understand more about military healthcare.
Thank you for listening to the Talking Rehab Podcast. I hope that this podcast stimulates you to question your own practice and how you approach rehabilitation. I truly appreciate your time and attention. If you enjoyed listening, make sure to like and subscribe to the podcast. Wishing you a movement-filled day. Take care!
Follow me on:
Instagram @drfredbagares
Facebook @drfredbagares
LinkedIn Fred Bagares, DO
YouTube Dr. Fred Bagares - YouTube
Linktree https://linktr.ee/drfredbagares
Talking Rehab on Apple Podcast
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Talking Rehab Podcast on Spotify
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#sportsmedicine, #medicine, #health, #rehabilitation, #physiatry, #PMR #directcare, #orthopedics, #medicalstudent #ortho #osteopathy #chiropractic #exercise #healthylifestyle #spine #movement #podcast
sports medicine, medicine, health, rehabilitation, physiatry, PM&R, direct care, orthopedics, medical student
The Value of a Diagnosis
Talking Rehab with Dr. Fred Bagares
07/02/24 • 19 min
**Episode Title:** The Value of Diagnosis in Musculoskeletal Medicine
**Episode Description:**
Welcome to another insightful episode of the Talking Rehab Podcast with Dr. Fred Bagares, a board-certified sports and spine medicine physician in Virginia Beach, Virginia. With over a decade of experience, Dr. Bagares delves into the fascinating and challenging world of musculoskeletal medicine. In this episode, Dr. Bagares explores the value of diagnosis from both the patient's and clinician's perspectives, addressing the importance and implications of accurate diagnosis in rehabilitation.
**Timestamps:**
**[00:00]** Introduction to Rehabilitation: What is rehab or rehabilitation?
**[00:09]** Meet Dr. Fred Bagares: A brief introduction and the goals of the podcast.
**[00:27]** The Importance of Diagnosis: Why is a diagnosis valuable and to whom?
**[00:39]** Diagnosis Context: Common musculoskeletal diagnoses and the role of Google.
**[01:00]** Patient vs. Clinician Perspective: Differences in the value of diagnosis.
**[01:07]** The Role of a Diagnosis: Providing context, understanding the problem, and risk factors.
**[02:12]** Peace of Mind and Certainty: How a diagnosis impacts patient reassurance.
**[02:56]** Emergency Room Dynamics: The focus on ruling out fatal conditions.
**[04:09]** Chronic Conditions: Diagnosis over time and the frustration of patients.
**[04:57]** Reassurance and Community: The psychological and social benefits of diagnosis.
**[06:36]** Diagnosis and Compensation: The medical-legal implications of certain diagnoses.
**[07:30]** Clinician Perspective: The diagnostic process and clinical frameworks.
**[08:00]** Imaging and Diagnosis: The limitations and roles of different imaging techniques.
**[09:10]** Evolution in Practice: How Dr. Bagares' approach to diagnosis has changed over time.
**[11:02]** Managing Patient Expectations: The challenge of communicating diagnoses to patients.
**[12:32]** The Role of Insurance: How insurance impacts the diagnostic process and treatment options.
**[14:43]** Conservative Management: Approaches to treating shoulder pain and other conditions.
**[16:54]** Patient Trust and Empowerment: The importance of aligning clinician and patient views.
**[19:00]** Final Thoughts: Encouragement for young clinicians to value diagnosis beyond financial implications.
**[19:39]** Conclusion: Reflecting on the episode's key points and encouraging further discussion.
Join us as we dive deep into the world of musculoskeletal diagnosis and its significant impact on both patients and healthcare providers. Don't forget to like and subscribe for more episodes that challenge conventional thinking and promote better patient care. Follow Dr. Fred Bagares on social media for more insights and updates.
**Follow Dr. Fred Bagares on:**
Instagram: [@drfredbagares](https://www.instagram.com/drfredbagares)
Facebook: [@drfredbagares](https://www.facebook.com/drfredbagares)
LinkedIn: [Fred Bagares DO](https://www.linkedin.com/in/fred-bagares-do)
YouTube: [Dr. Fred Bagares](https://www.youtube.com/drfredbagares)
Linktree: [Dr. Fred Bagares](https://linktr.ee/drfredbagares)
Tune in for an enlightening discussion that promises to enhance your understanding and approach to rehabilitation!
Bad foot hygiene worry me.
Talking Rehab with Dr. Fred Bagares
11/19/24 • 9 min
In this episode of the *Talking Rehab Podcast*, Dr. Fred Bagares explores how everyday observations can uncover critical insights into musculoskeletal health. From analyzing gait patterns to the often-overlooked clues in footwear and hygiene, Dr. Bagares demonstrates how subtle signs can point to deeper issues like back pain or hip dysfunction. He also shares valuable advice for clinicians on creating meaningful conversations with patients, especially in the age of Dr. Google and AI-based self-diagnosis.
**Key Points Covered:**
- **[00:00]** What is rehabilitation?
- **[00:02]** Meet Dr. Fred Bagares and his goals for this podcast.
- **[00:32]** The importance of observation in clinical practice.
- **[01:16]** Why footwear and foot hygiene can be red flags for disability.
- **[03:32]** The biomechanics behind bending and back pain.
- **[05:17]** When difficulty putting on shoes signals something deeper.
- **[08:12]** Advice for patients: Recognizing early signs of disability.
**Clinician Takeaways:** Learn how to meet patients where they are, use their insights for better care, and navigate the challenges of self-diagnosed patients.
**Follow Dr. Fred Bagares:**
Instagram: [@drfredbagares](https://www.instagram.com/drfredbagares)
Facebook: [@drfredbagares](https://www.facebook.com/drfredbagares)
YouTube: [Dr. Fred Bagares](https://www.youtube.com/channel/UCwPnxo5gJ8TTKY3Pf8LdM5Q)
Let this episode inspire new ways to approach patient care and rehabilitation!
How I Chose PM&R
Talking Rehab with Dr. Fred Bagares
07/23/24 • 14 min
**Key Topics and Timestamps:**
- **[00:00] Introduction:** What is rehab or rehabilitation?
- **[00:03] Meet Your Host:** My background and the purpose of this podcast.
- **[00:28] Early Career Interests:** From orthopedic surgery to exploring other fields.
- **[01:07] Transition to Osteopathic Medicine:** How I discovered manual medicine and PM&R.
- **[01:17] Medical School Rotations:** My experience with clinical rotations and the shift away from surgery.
- **[02:36] Discovering PM&R:** Learning about the field and the pivotal moments that led to my decision.
- **[03:53] Challenges and Realizations:** Applying for PM&R late in the process and the adjustments I had to make.
- **[04:53] Residency Training:** My time at the Rehabilitation Institute of Chicago and the diverse experiences in inpatient and outpatient settings.
- **[06:03] Focus on Movement:** The importance of understanding how diseases and injuries affect movement.
- **[08:13] The Driving Force:** Why studying movement has always been a core interest for me.
- **[08:28] Residency Reflections:** My varied interests and the decision to pursue a sports and spine medicine fellowship.
- **[09:34] Continuous Learning:** Seeking answers to musculoskeletal questions through further training.
- **[10:35] Revisiting Family Medicine:** Why I ultimately chose PM&R over family medicine and other specialties.
- **[12:03] The Unique Aspect of PM&R:** Focusing on movement and how it differentiates PM&R from other specialties.
Thank you for joining me on this journey. I hope you find this episode insightful and helpful as you consider your own path in the medical field. If you enjoyed this episode, make sure to like and subscribe to the Talking Rehab Podcast. Have a movement-filled day!
---
**Follow me on:**
- Instagram: @drfredbagares
- Facebook: @drfredbagares
- LinkedIn: Fred Bagares DO
- YouTube: Dr. Fred Bagares - YouTube
- Linktree: [Dr. Fred Bagares](https://linktr.ee/drfredbagares)
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FAQ
How many episodes does Talking Rehab with Dr. Fred Bagares have?
Talking Rehab with Dr. Fred Bagares currently has 40 episodes available.
What topics does Talking Rehab with Dr. Fred Bagares cover?
The podcast is about Health & Fitness, Physical Therapy, Sports Medicine, Medicine, Podcasts and Physio.
What is the most popular episode on Talking Rehab with Dr. Fred Bagares?
The episode title 'What rehabilitation means to me.' is the most popular.
What is the average episode length on Talking Rehab with Dr. Fred Bagares?
The average episode length on Talking Rehab with Dr. Fred Bagares is 14 minutes.
How often are episodes of Talking Rehab with Dr. Fred Bagares released?
Episodes of Talking Rehab with Dr. Fred Bagares are typically released every 7 days.
When was the first episode of Talking Rehab with Dr. Fred Bagares?
The first episode of Talking Rehab with Dr. Fred Bagares was released on Apr 13, 2024.
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