By Dr. Jeffrey Peng, MD · Published March 6, 2025 · 5 min read Watch the Full Video Myofascial pain syndrome and trigger points are among the most common causes of chronic musculoskeletal pain, affecting an estimated 85% of patients who visit chronic pain clinics. Despite how widespread this condition is, effective treatment remains a challenge for many patients and clinicians alike. Traditional management typically involves soft tissue modalities such as massage, acupunctur

By Dr. Jeffrey Peng, MD · Published March 6, 2025 · 7 min read Watch the Full Video If you have been diagnosed with a degenerative meniscus tear, you have likely heard conflicting advice about treatment. Some physicians recommend arthroscopic surgery to remove the damaged tissue, while others advocate for physical therapy and structured exercise. The disagreement often depends on whether you see an orthopedic surgeon or a nonoperative sports medicine specialist. So which app

By Dr. Jeffrey Peng, MD · Published March 5, 2026 · 7 min read Watch the Full Video Muscle pain is one of the most overlooked contributors to knee osteoarthritis symptoms. When patients visit their doctor for knee pain, the evaluation typically focuses on the joint itself — the bones, cartilage, ligaments, and meniscus . But the muscles surrounding the knee are rarely examined, and research suggests they may be responsible for a substantial portion of the pain that patients

By Dr. Jeffrey Peng, MD · Published March 5, 2026 · 8 min read Watch the Full Video If you have been diagnosed with knee osteoarthritis , one of the first questions you may ask is whether it is safe to keep walking. Many patients worry that physical activity will accelerate cartilage breakdown and make their condition worse. Some have even been told by well-meaning providers to stop exercising altogether. However, current evidence tells a very different story: walking is not

By Dr. Jeffrey Peng, MD · Published March 5, 2026 · 6 min read Watch the Full Video Over-the-counter pain relievers such as ibuprofen and naproxen are among the most commonly recommended medications for knee osteoarthritis . They can take the edge off a painful flare, but they come with a long list of potential side effects — gastrointestinal bleeding, kidney damage, elevated blood pressure, and cardiovascular complications — risks that climb steeply in the older adults who

By Dr. Jeffrey Peng, MD · Published March 5, 2025 · 7 min read Watch the Full Video Meniscus tears are one of the most common knee injuries, and for patients with degenerative tears, the standard recommendation from many orthopedic surgeons remains arthroscopic partial meniscectomy. However, a growing body of evidence suggests that surgery should be seen as a last resort for degenerative meniscus tears, not a first-line treatment. In fact, a comprehensive non-surgical treatm

By Dr. Jeffrey Peng, MD · Published March 4, 2026 · 8 min read Watch the Full Video Osteoarthritis is one of the most common forms of arthritis, affecting millions of people worldwide. For decades, it was widely understood as a simple wear-and-tear condition — the gradual breakdown of cartilage that cushions the ends of bones in a joint. But recent research has fundamentally changed that view. We now know that osteoarthritis is a complex, multifactorial disease driven in lar

By Dr. Jeffrey Peng, MD · Published March 5, 2026 · 6 min read Watch the Full Video Most people know that regular exercise can help manage high blood pressure. But not all exercise is created equal when it comes to cardiovascular benefits. A growing body of evidence suggests that one specific type of exercise — isometric training — may be the single most effective modality for lowering both systolic and diastolic blood pressure. In this post, we will explore the clinical dat

By Dr. Jeffrey Peng, MD · Published March 4, 2026 · 6 min read Watch the Full Video Knee osteoarthritis is one of the most common conditions I treat in my sports medicine practice . It is characterized by the progressive deterioration and loss of cartilage inside the knee joint. While many patients assume that arthritis means the end of an active lifestyle, understanding the warning signs early can help you take the right steps to manage symptoms and preserve joint function.

By Dr. Jeffrey Peng, MD · Published March 5, 2026 · 8 min read Watch the Full Video If you have been dealing with persistent tendon pain — whether in the Achilles, patellar tendon, elbow, or rotator cuff — you have probably been told you have "tendonitis" and that the problem is inflammation. But here is the truth: most chronic tendon pain has very little to do with inflammation. The real culprit is tendon degeneration , and the underlying cause is often as much metabolic as

By Dr. Jeffrey Peng, MD · Published March 5, 2026 · 5 min read Watch the Full Video If you are struggling with back pain , one of the simplest and most effective treatments may already be in your home. Heat therapy — using heating pads, wraps, or portable heat patches — has been shown in clinical research to reduce pain and improve function more effectively than common over-the-counter painkillers. In my practice, I routinely recommend heat as a first-line approach for acute

By Dr. Jeffrey Peng, MD · Published March 04, 2026 · 5 min read Watch the Full Video Achilles tendonitis is one of the most common conditions I see in my sports medicine clinic. Patients often arrive frustrated after weeks of pain in the back of their ankle, wondering whether they need expensive treatments or lengthy rehabilitation programs. The good news? One of the most effective interventions is surprisingly simple and affordable: a heel lift. Recent clinical trials sugg

By Dr. Jeffrey Peng, MD · Published March 4, 2026 · 12 min read Watch the Full Video Meniscus tears are among the most common knee injuries, affecting athletes and older adults alike. They can cause significant pain and disability in some people, yet in others they produce no symptoms at all. This disconnect is one of the main reasons there is so much confusion surrounding meniscus tear treatment — patients often receive conflicting advice from different providers. In this a

By Dr. Jeffrey Peng, MD · Published March 4, 2026 · 8 min read Watch the Full Video Frozen shoulder — clinically known as adhesive capsulitis — is one of the most frustrating conditions I treat in my sports medicine practice. Patients often arrive having received conflicting advice: some were told to wait it out, others to get surgery, and many were never informed about the full range of evidence-based options available today. In this comprehensive guide, I break down every

Medically reviewed by Dr. Jeffrey Peng, MD — Board-Certified Sports Medicine Physician Knee osteoarthritis is one of the most common conditions I treat in my sports medicine practice, and it is also one of the most misunderstood. Patients frequently arrive with beliefs about their diagnosis that are not only inaccurate but are actively preventing them from getting better. Misinformation about osteoarthritis can lead to unnecessary fear of movement, delayed treatment, and a l

Written by Dr. Jeffrey Peng, MD — Board-Certified Sports Medicine Physician Published: March 4, 2026 | Last Updated: March 4, 2026 In my practice, I frequently see patients managing prediabetes, type 2 diabetes, or elevated blood sugar levels who are overwhelmed by the complexity of lifestyle modification. The idea that controlling blood sugar requires radical dietary changes or multiple medications can feel daunting. What many of my patients don't realize—and what a growing

Dr. Jeffrey Peng, MD — Board-Certified Sports Medicine Physician Published: March 3, 2026 | Last Updated: March 3, 2026 In my practice, one of the most common questions I hear from patients with knee arthritis is whether exercise is safe — and more specifically, whether strength training will make their joints worse. The evidence is clear: not only is strength training safe for most people with knee osteoarthritis, it is among the most effective interventions we have for red

Written by Dr. Jeffrey Peng, MD — Board-Certified Sports Medicine Physician Published: March 3, 2026 | Last Updated: March 3, 2026 One of the most common and overlooked causes of low back pain is not actually in the low back at all — it is in the gluteus medius muscle. In my practice, I frequently see patients who have been treated for lumbar spine problems for months or even years, only to discover that the true source of their pain is myofascial trigger points in the glute

Written by Dr. Jeffrey Peng, MD — Board-Certified Sports Medicine Physician Published: March 4, 2026 | Last Updated: March 4, 2026 Knee osteoarthritis is one of the most common conditions I treat in my sports medicine practice, and one of the most important conversations I have with patients is about exercise. Many people with knee pain assume they should avoid physical activity altogether, but the evidence tells a very different story. Among all forms of aerobic exercise, c

Written by Dr. Jeffrey Peng, MD — Board-Certified Sports Medicine Physician Published: March 3, 2026 | Last Updated: March 3, 2026 Maintaining muscle mass and strength becomes increasingly difficult with every passing decade. In clinical practice, I see the consequences of age-related muscle loss — known as sarcopenia — on a regular basis. Sarcopenia is not merely a cosmetic concern. It is associated with higher rates of falls, loss of independence, difficulty performing dai