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PODCAST

Talking Rehab with Dr. 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.

health & fitness medicine

All Episodes

13:10

What is 5% better?

Talking Rehab with Dr. Fred Bagares ·

2025/07/01

🎙️ Episode 65 – What is 5% Better? Podcast: Talking Rehab with Dr. Fred Bagares Length: ~13 minutes Description: When a patient tells you they're “only 5% better,” what do you do with that? For some, it sounds like failure. But for rehab clinicians, that 5% could be the spark that changes everything. In this episode of Talking Rehab, Dr. Fred Bagares unpacks the deeper meaning behind small gains, the psychology of progress, and how pain may not be the best marker for recovery. From subtle

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15:02

Nudging Our Patients

Talking Rehab with Dr. Fred Bagares ·

2025/06/24

🎙️ Episode 64 – Nudging Our Patients “She’s one fall away from paralysis.” “If it were my mom, I’d do the surgery.” “This is your window.”These aren’t just medical phrases—they’re nudges: subtle but powerful cues that steer decision-making long before our patients say “yes” or “no.” In this short solo episode, Dr. Fred Bagares unpacks five common types of clinical nudges we hear (and use) every day in musculoskeletal care: Fear-based nudgesAuthority-based nudgesUrgency-based nudge...

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18:03

Telemedicine: My Origin Story

Talking Rehab with Dr. Fred Bagares ·

2025/06/17

From Skeptic to Startup: How a Telemedicine Idea Survived—and Thrived—in a Broken System In this reflective solo episode, Dr. Bagares shares the untold backstory behind his early adoption of telemedicine, the struggles of launching a cash-based virtual practice, and how he handled rejection from both peers and the healthcare system itself. A must-listen for anyone frustrated with traditional healthcare or curious about innovation in musculoskeletal care. 🎧 Topics include: The inefficiency of

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16:35

Are our tools any good?

Talking Rehab with Dr. Fred Bagares ·

2025/06/10

Are Our Tools Any Good? Are our tools really the problem—or are we just not using them well? In this thought-provoking episode, Dr. Fred Bagares, DO, takes a closer look at a recent study questioning the effectiveness of common spine injections like epidurals and facet blocks. While headlines suggest these tools are failing, Fred challenges the deeper issue: our mindset and misuse of short-term solutions in chronic care. Drawing from over a decade of experience in musculoskeletal medicine, he...

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16:08

Do disc herniations go away?

Talking Rehab with Dr. Fred Bagares ·

2025/06/03

🎙 Episode 61 – Do Disc Herniations Go Away? Podcast: The Talking Rehab Podcast Host: Dr. Fred Bagares, DO Location: Virginia Beach, VA Back pain can stop you in your tracks—sometimes literally. In this episode, Dr. Fred Bagares explores the often alarming diagnosis of disc herniation. Whether you've had an MRI that showed a large herniation or woke up one morning unable to move, the big question remains: Do disc herniations actually go away? You’ll learn about the anatomy of disc injuries,

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15:14

The $2,000 Hip Pain: Why Systemic Solutions Matter

Talking Rehab with Dr. Fred Bagares ·

2025/05/27

🎙 Talking Rehab Podcast – Episode 60: "The $2,000 Hip Pain: Why Systemic Solutions Matter" In this episode, I walk you through a real case involving a 10-year-old boy with hip pain. What started as a simple clinical concern quickly turned into a reflection on the inefficiencies of our healthcare system. I share what it’s like navigating specialty referrals, high deductibles, and trying to advocate for timely, affordable care—while practicing in a direct care model. If you’ve ever wondered

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16:34

Be a rowboat.

Talking Rehab with Dr. Fred Bagares ·

2025/05/20

🎧 Sailboat or Rowboat: Motivation vs. Discipline in Rehab In this episode of the Talking Rehab Podcast, I explore a powerful analogy I shared with my kids: are you a sailboat or a rowboat? Sailboats move when the wind (motivation) shows up — but rowboats move when the person rowing decides to act, regardless of external forces. This concept becomes incredibly relevant in rehabilitation. I dive into how discipline, not motivation, is the more reliable path forward for those dealing with

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15:45

Don't Get Automated

Talking Rehab with Dr. Fred Bagares ·

2025/05/13

In this episode of the Talking Rehab Podcast, Dr. Fred Bagares dives into the evolving role of artificial intelligence in the healthcare space, particularly within the world of rehabilitation. From streamlining administrative tasks to improving accessibility for patients with language or hearing challenges, AI clearly has its benefits. But is it making healthcare more human—or less? Dr. Bagares shares real-world examples from his own practice, discusses how he's experimenting with AI tools li...

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16:49

Value in a Visit

Talking Rehab with Dr. Fred Bagares ·

2025/05/06

🎧 Episode 57 – "Value in a Visit: A Doctor Becomes the Patient" Hey, it’s Dr. Fred Bagares. In this episode, I share my recent experience as a patient in a traditional insurance-based clinic—something I rarely do since switching to direct care practice. I went to see an ophthalmologist for some concerning floaters, and the visit made me reflect deeply on what value truly means in a medical encounter. As someone who's worked hard to build a personal, relationship-driven practice, it was

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14:44

The Pathology Pivot

Talking Rehab with Dr. Fred Bagares ·

2025/04/29

In today’s episode, I dive into a fascinating case that changed the way I think about diagnosis and treatment. I share the story of a patient with chronic lateral foot pain who everyone thought had a tendon problem—but it turned out to be something completely different. This experience taught me about what I now call the "pathology pivot"—how we tend to assume our diagnosis is correct if the treatment works, even when it might not be. If you're a clinician, therapist, or even just someone w...

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15:18

Should You Exercise on Vacation? Rethinking Movement...

Talking Rehab with Dr. Fred Bagares ·

2025/04/22

In this refreshing episode, Dr. Fred shares his personal reflections after a family trip to Jamaica. He explores the deeper value of movement while on vacation—not just as a workout, but as a form of physical restoration. From pacing in airport terminals to spontaneous gym sessions, he invites listeners to reframe how they think about exercise, especially during downtime. If you’ve ever debated skipping the gym while traveling, this conversation is for you. 🧭 Show Notes + Timestamps [00:00]

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13:43

Direct Care: My Vision for Patients

Talking Rehab with Dr. Fred Bagares ·

2025/04/15

Hey everyone, it’s Dr. Fred Bagares. In this episode, I take you behind the scenes of my recent trip to the 2025 Free Market Medical Association Conference in Oklahoma City. This wasn’t just any conference — it helped reignite a spark I’d been missing for a while. I reflect on how my path shifted from traditional medical associations to embracing the direct care model, and how stepping away from the status quo has brought both pushback and empowerment. If you're a clinician frustrated with re...

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15:08

Movement Buckets

Talking Rehab with Dr. Fred Bagares ·

2025/04/08

In this episode, I’m sharing the story of a young, athletic patient who did everything “right” after a meniscus injury—PT, injections, surgery—but still couldn’t get back to playing the sport they loved: soccer. Sound familiar? We dig into the mental and physical challenges of recovery when pain lingers, even after everything looks fine on imaging. I introduce a tool I use often with frustrated athletes and weekend warriors—the Movement Bucket Framework. It’s my way of helping people understa...

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13:51

Is "fixing" the meniscus the only goal?

Talking Rehab with Dr. Fred Bagares ·

2025/04/01

Hey everyone, it’s Dr. Fred Bagares. In today’s episode, I’m diving into a common clinical situation that led to a bigger question: What are we really trying to accomplish with treatment? A patient with a classic meniscus tear asked me something simple but powerful—“Does any of this actually fix the meniscus?” That one question opened up a whole conversation about how we frame injuries, treatments, and success. Is surgery always the fix? Or should we be thinking bigger—pain relief, improved m...

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17:36

Afraid to Move?

Talking Rehab with Dr. Fred Bagares ·

2025/03/25

Hey everyone, it’s Dr. Fred Bagares. In this episode, I dive into something I see all the time—patients who recover from an injury, like a lumbar disc herniation, but then get stuck… mentally. Physically, they’re doing great. But emotionally, they’re fearful of moving the wrong way and causing another flare-up. I walk you through a real case of a surfer who did incredibly well with physical therapy but developed a fear of flexion. We talk about where that fear comes from, why it’s so common, ...

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13:37

Running, Rehab, and Reframing Mindset

Talking Rehab with Dr. Fred Bagares ·

2025/03/18

Hey everyone, Dr. Fred Bagares here! In this episode, I take you through my love-hate relationship with running. I share how I reframed my mindset around running to make it work for me. We’ll talk about why I never got that “runner’s high,” how jiu-jitsu became my primary form of cardio, and why I’m now incorporating running back into my training in a way that actually makes sense for me. More importantly, we’ll dive into the mental barriers that stop us from exercising—and how breaking...

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9:18

Other Reasons for Joint Replacement

Talking Rehab with Dr. Fred Bagares ·

2025/03/11

Episode Summary: While joint pain is often the primary motivator, Dr. Bagares explores the lesser-known reasons for surgery, the compensatory movement patterns people develop over time, and the importance of timing the procedure correctly. He also discusses the long-term impact of these patterns on muscle loss, gait efficiency, and overall health. If you're considering joint replacement surgery or work with patients who are, this episode provides key insights into when surgery makes sense and...

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12:14

Pathology Bias: Is this right?

Talking Rehab with Dr. Fred Bagares ·

2025/03/04

Does pain always come from what we see on imaging? In this episode, Dr. Fred Bagares breaks down why common MRI and X-ray findings—like arthritis or meniscus tears—are often wrongly blamed for pain. He discusses how younger patients with knee pain are diagnosed differently than older patients, why the same injury can lead to different conclusions, and how we can improve our approach to diagnosing and treating musculoskeletal pain. Timestamps for Key Topics: ⏳ [00:00] – Introduction: Why do we...

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16:52

Curves matter

Talking Rehab with Dr. Fred Bagares ·

2025/02/25

Hey everyone, Dr. Fred Bagares here! In this episode, I dive deep into why the spine is more than just a series of building blocks—it’s a dynamic structure that allows movement, absorbs forces, and provides stability. I’ll break down the importance of spinal curvatures (lordosis & kyphosis), how poor posture affects long-term spine health, and what you can do to maintain a strong, mobile, and pain-free spine. We’ll also discuss why a neutral spine isn’t always the answer, how day-to-day h...

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16:46

Am I anti-surgery?

Talking Rehab with Dr. Fred Bagares ·

2025/02/18

In this episode of the Talking Rehab Podcast, I reflect on a recent patient encounter that made me pause—am I seen as anti-surgery just because I don’t perform it? Join me as I explore the importance of balanced care, why I advocate for all treatment options (including surgery), and why long-term patient follow-up matters more than the label of being “non-surgical.” Key Topics Covered: [00:00 – 00:27] Introduction: Who I am and my mission with this podcast.[00:32 – 01:15] A patient’s casual c...

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