The Regen Doc Podcast

Aneesh Garg, DO, CAQ | Physician | Regenerative Sports Medicine Expert
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The Regen Doc podcast with Dr. Aneesh Garg explores non-surgical regenerative medicine for athletes and active individuals. Discover how PRP, stem cell therapy, shockwave, EXOMIND, and EMSELLA can help you avoid surgery, heal at the cellular level, and get back to peak performance. Perfect for runners, climbers, cyclists, and weekend warriors seeking precision care.

  1. 4d ago

    #26: "Wait and See" Is Not a Plan — Dr. Aneesh Garg, DO, CAQ on Why Waiting Costs You More

    Wait and see. Three words that have cost patients more time, more function, and more quality of life than almost any other phrase in medicine. Dr. Aneesh Garg, DO, CAQ says when tissue is degenerating, every month you wait is a month you cannot get back. In this episode he breaks down why waiting is actively harmful for degenerative conditions, what happens to patients who wait too long, and why his alternative to wait and see is evaluate and decide. Including the story of a 58-year-old whose cartilage went from moderate to severe damage while waiting to be bad enough for a knee replacement. Chapters: 00:00 Why "wait and see" is one of the most harmful phrases in medicine00:42 My doctor told me to wait six months and see if it gets better. Is that a real plan?00:47 No. Walk out of that office right now.01:28 Rest is almost never the right answer unless something is broken02:26 Self-limiting vs. degenerative conditions: why the difference changes everything03:41 But what if it does get better on its own?03:46 When tissue is degrading, time is not helping you05:13 Opportunity cost: you stop playing tennis, lifting your grandkids, doing what matters06:01 Waiting makes the treatment more expensive later07:01 When should I push back on wait and see?07:04 Always. And here is why.07:18 Good inflammation vs. bad inflammation: why icing and NSAIDs delay healing08:18 Anti-inflammatory treatments mask symptoms instead of targeting the diagnosis09:10 Treating early means more healthy tissue to work with09:44 What happens to patients who wait too long?09:48 Case study: 58-year-old with knee arthritis told to wait for replacement10:59 His cartilage went from moderate to severe while waiting; PRP window closed11:26 Steroid injections fast-track you to surgery: please stop getting them12:27 Waiting for one thing to hurt often means something else starts hurting too14:20 What is your alternative to wait and see?14:24 Evaluate and decide: what is it, how did you get it, what are we going to do about it15:05 Calf tear case study: three to six week injury, back playing in nine days16:00 The difference between losing time and buying back time17:31 Replace wait and see with evaluate and decide Links: Dynamic Athlete Homepage: https://dynamicathlete.com/Meet Dr. Aneesh Garg: https://dynamicathlete.com/dr-aneesh-garg/PRP Therapy: https://dynamicathlete.com/prp-therapy/Stem Cell Therapy: https://dynamicathlete.com/stem-cell-therapy/Shockwave Therapy: https://dynamicathlete.com/shockwave-therapy/Exomind: https://dynamicathlete.com/exomind/Emsella Therapy: https://dynamicathlete.com/emsella-therapy/ The Regen Doc is for educational purposes only and does not constitute medical advice or create a physician-patient relationship. Individual results vary. Candidacy requires a formal consultation at DynamicAthlete.com.

  2. Sep 29

    #25: PRP and Shockwave Together — Dr. Aneesh Garg, DO, CAQ on Why the Combination Works Better

    Most clinics offer PRP or shockwave. Dr. Aneesh Garg, DO, CAQ says the real results come from using both together. Shockwave prepares the tissue environment so biologics like PRP and stem cells can work harder. Think of it like prepping the soil before planting seeds. In this episode he breaks down exactly how focused shockwave, EMTT, and PRP work together at the cellular level, what conditions respond best to the combination, and the story of a 50-year-old with 12 months of failed PT and a steroid-damaged Achilles tendon who was pain-free in six weeks once the right protocol was used. Chapters: 00:00 PRP and shockwave: why the combination changes everything00:52 My doctor offered me PRP or shockwave. Why would I need both?01:04 The soil analogy: prepping the environment before planting the seeds02:32 EMTT puts cells in a better state to absorb focused shockwave energy03:09 Isn't shockwave just pain management like a TENS unit?03:14 No: focused shockwave works at the cell level, not the skin level04:06 How focused shockwave increases blood flow, breaks down calcifications, and recruits healthy cells04:51 Be careful: Amazon shockwave devices and unfocused waves are not real shockwave06:29 What conditions respond best to the shockwave plus PRP combination?06:35 Achilles, patellar tendon, rotator cuff, tennis elbow, golfer's elbow, plantar fasciitis, arthritis07:53 Arthritis: targeting the subchondral bone to reduce pain from underneath09:49 What does the combination protocol actually look like in practice?09:53 Acute vs. chronic: three to six shockwave sessions before the injection10:27 Case study: 50-year-old with 12 months of failed PT and a steroid-damaged Achilles, pain-free in six weeks12:22 Why don't more clinics offer the combination?12:28 Equipment cost, training, and getting the diagnosis right first13:47 Why Dynamic Athlete started the American Shockwave Training Institute14:42 The big takeaway: shockwave works on the soil, PRP and stem cells are the seeds Links: Dynamic Athlete Homepage: https://dynamicathlete.com/Meet Dr. Aneesh Garg: https://dynamicathlete.com/dr-aneesh-garg/PRP Therapy: https://dynamicathlete.com/prp-therapy/Stem Cell Therapy: https://dynamicathlete.com/stem-cell-therapy/Shockwave Therapy: https://dynamicathlete.com/shockwave-therapy/Exomind: https://dynamicathlete.com/exomind/Emsella Therapy: https://dynamicathlete.com/emsella-therapy/ The Regen Doc is for educational purposes only and does not constitute medical advice or create a physician-patient relationship. Individual results vary. Candidacy requires a formal consultation at DynamicAthlete.com.

  3. Sep 22

    #24: The Science Behind PRP Outcomes — Dr. Aneesh Garg, DO, CAQ and AJ Patton of BTI

    Two patients get PRP in the same knee on the same day in the same city. One is back on the trail in six weeks. The other in six months. The difference has almost nothing to do with luck. Dr. Aneesh Garg, DO, CAQ sits down with AJ Patton of Biotechnology Institute of Spain and their regenerative platform Endoret PRGF. AJ has 15 years in regenerative medicine and BTI has been pioneering research for over 30 years. Together they break down what is in the syringe, why PRP studies contradict each other, and what actually separates a great outcome from a disappointing one. Chapters: 00:00 Two patients, same knee, same day. One back in six weeks, one in six months. Why?01:09 AJ Patton introduction: 15 years in regenerative medicine, BTI and Endoret PRGF03:18 What AJ believed about PRP when he started that he no longer believes04:25 The biggest misconception doctors have about PRP08:22 When blood is drawn and spun, what components actually matter?10:25 Red blood cells, leukocytes, and platelets: what you want and what you do not12:05 Platelets: the vessels that carry growth factors to the injury site12:25 Activated vs. non-activated PRP: meta-analysis of 14 studies, 1,300 patients15:39 EMTT and shockwave to prep the tissue before injection16:49 Why two PRP studies can reach completely opposite conclusions21:19 Leukocyte-free and fully activated: 8 to 10 day time-release growth factor delivery23:24 Landmark guidance hits the mark only 25% of the time25:48 The acupuncturist doing PRP: why training and experience matter28:46 Are you in the outcomes business or the revenue business?35:54 Ask the clinic: tell me a time you said no, this is not going to work43:57 AJ's personal case: meniscus tear healed with PRP instead of surgery46:42 Where is regenerative medicine going in the next five years?49:02 Why shockwave and PRP together outperform either alone54:32 Intraosseous injections for knee arthritis and intraneural injections for nerve damage57:55 The label does not tell you what you are getting. The protocol does. Links: Dynamic Athlete Homepage: https://dynamicathlete.com/ Meet Dr. Aneesh Garg: https://dynamicathlete.com/dr-aneesh-garg/ PRP Therapy: https://dynamicathlete.com/prp-therapy/ Stem Cell Therapy: https://dynamicathlete.com/stem-cell-therapy/ Shockwave Therapy: https://dynamicathlete.com/shockwave-therapy/ Exomind: https://dynamicathlete.com/exomind/ Emsella Therapy: https://dynamicathlete.com/emsella-therapy/ BTI Biotechnology Institute: https://www.bti-biotechnologyinstitute.com/en/ Endoret PRGF: https://bti-biotechnologyinstitute.com/en/solutions/regenerative-medicine/why-endoret-prgf A.J. Patton Regenerative Therapies US Sales Director BTI of America  1951 NW 7th Ave Miami, FL 33136 M: 970-215-5209 andrew.patton@btihealth.us BTI Endoret PRGF Traumatology/Ortho/Sports Med Website Activated vs Non-activated study Paper outlining the variables with PRP formulations Anticoagulants - ACDA vs Sodium Citrate Ultrasound Guided Injections vs Landmark The Regen Doc is for educational purposes only and does not constitute medical advice or create a physician-patient relationship. Individual results vary. Candidacy requires a formal consultation at DynamicAthlete.com.

  4. Sep 15

    #23: PRP vs. Stem Cells — Dr. Aneesh Garg, DO, CAQ on Which One You Actually Need

    Every patient asks the same question: should I get PRP or stem cells? Dr. Aneesh Garg, DO, CAQ's honest answer is that it depends — and anyone telling you to always do one over the other isn't getting to the heart of the problem. In this episode he breaks down exactly where each treatment comes from, why stem cells are more potent but not always necessary, how he decides which one to recommend, and what to ask during a consultation to make sure you're getting the right treatment for your specific injury — not just the most expensive one. Chapters: 00:00 PRP vs. stem cells — which one do you actually need?00:45 What's the actual difference between PRP and stem cells?00:50 PRP comes from peripheral blood — stem cells from bone marrow or adipose fat02:50 Stem cells are more potent than PRP — but that's not the only consideration04:02 Autologous only: why Dr. Garg only uses stem cells from your own body04:46 Stem cells are more expensive — does that mean they're always better?05:29 Stem cells are generally for bigger injuries — when PRP is the smarter call06:57 When Dr. Garg does stem cells, he always combines them with PRP08:04 How do you decide which treatment to recommend?08:08 Tissue imaging, tear size, goals, timeline, severity — what actually drives the decision09:26 Why Dynamic Athlete's success rate is over 90% — EMTT, shockwave, and biologics combined11:25 PRP was the right call: tennis elbow case — stem cells would have been overkill13:10 Stem cells were the right call: bone on bone knee arthritis — back hiking steep terrain14:34 Earlier arthritis case: PRP and hyaluronic acid — could get two years of relief15:36 What should I ask during a consultation to make sure I'm getting the right one?15:41 Ask why we're doing this treatment and not the other one16:00 If nobody goes over your imaging with you — walk out16:55 Olympic athlete with 10 days — college gymnast with 10 weeks — how timeline changes the plan19:46 Ask who is actually doing the injection and what their experience is Links: Dynamic Athlete Homepage: https://dynamicathlete.com/Meet Dr. Aneesh Garg: https://dynamicathlete.com/dr-aneesh-garg/PRP Therapy: https://dynamicathlete.com/prp-therapy/Stem Cell Therapy: https://dynamicathlete.com/stem-cell-therapy/Shockwave Therapy: https://dynamicathlete.com/shockwave-therapy/Exomind: https://dynamicathlete.com/exomind/Emsella Therapy: https://dynamicathlete.com/emsella-therapy/ The Regen Doc is for educational purposes only and does not constitute medical advice or create a physician-patient relationship. Individual results vary. Candidacy requires a formal consultation at DynamicAthlete.com.

  5. Sep 8

    #22: Why Women's Sports Injuries Get Dismissed — Dr. Aneesh Garg, DO, CAQ on the Gender Gap

    If you're a woman with a sports injury or chronic pain, you've been statistically undertreated, underdiagnosed, and told to live with things that are absolutely fixable. Dr. Aneesh Garg, DO, CAQ breaks down why the gender gap in sports medicine is real and documented, why most research and treatment protocols were built for male bodies, and what women should actually be asking for when they walk into a clinic. In this episode he shares the story of a 38-year-old runner dismissed by two providers — MRI read as normal — who had early cartilage damage the whole time and was back running pain-free in 6 to 12 weeks once the right diagnosis was made. Chapters: 00:00 Why women's sports injuries get dismissed — and what to do about it00:51 I feel like my doctor doesn't take my pain seriously — is that common?01:01 Women wait longer for diagnosis and receive fewer specialist referrals — it's documented01:44 Most of sports medicine was built for male bodies02:49 Are women actually more prone to injury or just undertreated?02:54 Both — higher ACL tear rates, hormonal influences, tissue laxity, and then dismissal on top04:52 Postpartum, perimenopausal, menopausal — why these stages matter for injury and recovery06:05 What should a woman with chronic pain actually ask for?06:10 What is my actual diagnosis, what caused it, and what are we going to do about it?07:53 Bursitis is a symptom, not a diagnosis — ask what's causing it09:06 Finding someone who actually takes care of female athletes — why it matters10:29 What Dr. Garg sees with female patients that's different10:33 Case study: 38-year-old runner dismissed by two providers — MRI read as normal11:00 How Dr. Garg found early cartilage damage on a "normal" MRI by reviewing it with her in the room11:49 EMTT, focused shockwave, PRP, hyaluronic acid, gait analysis, Dynamic Core Plus — back running in 6 to 12 weeks13:49 Her frustration wasn't just about pain — it was about not being heard14:29 What's Dr. Garg's message to women dealing with chronic pain?14:34 Your pain is real — "nothing is wrong" is an exclusionary diagnosis, not a starting point16:41 The gender gap in sports medicine is real, documented, and requires specific evaluation Links: Dynamic Athlete Homepage: https://dynamicathlete.com/Meet Dr. Aneesh Garg: https://dynamicathlete.com/dr-aneesh-garg/PRP Therapy: https://dynamicathlete.com/prp-therapy/Stem Cell Therapy: https://dynamicathlete.com/stem-cell-therapy/Shockwave Therapy: https://dynamicathlete.com/shockwave-therapy/Exomind: https://dynamicathlete.com/exomind/Emsella Therapy: https://dynamicathlete.com/emsella-therapy/ The Regen Doc is for educational purposes only and does not constitute medical advice or create a physician-patient relationship. Individual results vary. Candidacy requires a formal consultation at DynamicAthlete.com.

  6. Sep 1

    #21: Your Body After 40 — Dr. Aneesh Garg, DO, CAQ on What's Normal and What's Fixable

    Everything started changing around 40. The morning stiffness. The extra day of soreness after a hard workout. The shoulder that catches. The knee that swells after a run. And your doctor says your labs are normal, your x-rays look fine, you're healthy. Dr. Aneesh Garg, DO, CAQ says standard medicine doesn't screen for tissue quality, tendon health, or recovery capacity — and that gap is exactly where people lose ground every year without knowing why. In this episode he breaks down what's actually happening after 40, why those signals aren't something to just push through, and how regenerative medicine works as prevention, not just intervention. Chapters: 00:00 Your body after 40 — what's normal, what's not, and what's fixable00:53 I'm 42 and everything hurts — my doctor says I'm fine. What's really going on?01:04 Standard medicine doesn't screen for tissue quality, tendon health, or nervous system02:07 Good inflammation vs. bad inflammation — why popping anti-inflammatories after every workout is a problem03:13 Is this just what getting older feels like? Do I have to accept it?03:18 No — stiffness and nagging pain after 40 are signals, not life sentences04:52 When you ignore one problem, your body starts showing it somewhere else06:23 What can I proactively do about these changes?06:27 EMTT, focused shockwave, and radial pressure waves for recovery and prevention07:01 Case study: in-season PRP for partial hamstring tear — back playing tennis in two weeks08:04 Regenerative medicine as maintenance — the oil change analogy09:11 Dynamic Mind Plus: how resetting the nervous system changes performance and recovery10:55 What does a proactive patient look like at Dynamic Athlete?11:44 Using EMTT and focused shockwave preemptively on Achilles before a rupture happens12:36 High-level runners: proactive shockwave on knees before they break down13:40 The one thing everyone over 40 should do for their body14:56 Regenerative medicine when you're not injured is prevention — when you are, it's intervention15:04 What Dr. Garg wants every listener to walk away with Links: Dynamic Athlete Homepage: https://dynamicathlete.com/Meet Dr. Aneesh Garg: https://dynamicathlete.com/dr-aneesh-garg/PRP Therapy: https://dynamicathlete.com/prp-therapy/Stem Cell Therapy: https://dynamicathlete.com/stem-cell-therapy/Shockwave Therapy: https://dynamicathlete.com/shockwave-therapy/Exomind: https://dynamicathlete.com/exomind/Emsella Therapy: https://dynamicathlete.com/emsella-therapy/ The Regen Doc is for educational purposes only and does not constitute medical advice or create a physician-patient relationship. Individual results vary. Candidacy requires a formal consultation at DynamicAthlete.com.

  7. Aug 25

    #20: Why Isn't Regenerative Medicine Covered? Dr. Aneesh Garg, DO, CAQ on the Real Cost

    Regenerative medicine isn't covered by insurance — and that's the elephant in the room. Dr. Aneesh Garg, DO, CAQ is being completely transparent about why: the insurance model was built for surgery, medication, and symptom management, not healing. Insurance coverage lags science by decades. But not covered doesn't mean not proven — and in this episode he breaks down the real math between a PRP injection and a $30,000 to $70,000 knee replacement, why price shopping on regenerative medicine means paying twice, and why the most valuable thing you can buy back is time. Chapters: 00:00 The insurance question nobody wants to answer honestly00:47 Why doesn't insurance cover PRP or stem cells if they work?00:52 Insurance coverage is a reimbursement policy, not a measure of evidence02:03 If insurance doesn't cover it, it must not be proven — right?02:07 Wrong — covered treatments like steroid injections are actually harmful03:15 Focused shockwave has FDA clearance — the evidence is there04:38 Know what you're paying for: focused shockwave vs. radial pressure waves06:30 How to think about the cost of regenerative medicine vs. surgery06:36 A knee replacement costs $30,000 to $70,000 with 6 to 12 months of recovery07:05 PRP with hyaluronic acid: fraction of the cost, no surgical complications, no time off work08:17 Case study: hockey player who couldn't wait — paid twice for substandard PRP10:56 The real cost isn't the treatment — it's whether you're going to the right place13:08 How Dr. Garg advises patients to think about the investment13:17 What patients say most: "I wish I did this sooner"14:05 50-year-old business owner: PRP vs. $50,000 knee replacement — back to activities sooner16:15 Dr. Garg's honest take on the cost question18:44 Insurance coverage is a reimbursement policy, not a measurement of evidence Links: Dynamic Athlete Homepage: https://dynamicathlete.com/Meet Dr. Aneesh Garg: https://dynamicathlete.com/dr-aneesh-garg/PRP Therapy: https://dynamicathlete.com/prp-therapy/Stem Cell Therapy: https://dynamicathlete.com/stem-cell-therapy/Shockwave Therapy: https://dynamicathlete.com/shockwave-therapy/Exomind: https://dynamicathlete.com/exomind/Emsella Therapy: https://dynamicathlete.com/emsella-therapy/ The Regen Doc is for educational purposes only and does not constitute medical advice or create a physician-patient relationship. Individual results vary. Candidacy requires a formal consultation at DynamicAthlete.com.

  8. Aug 18

    #19 Stop Getting Steroid Injections. Period. | Dr. Aneesh Garg

    Most doctors won't say this: steroid injections are substandard medicine the overwhelming majority of the time. They don't just fail to heal — they destroy cartilage, weaken tendons, and accelerate the very condition they're supposed to treat. Dr. Aneesh Garg, DO, CAQ breaks down why cortisone shots are a business model disguised as a treatment plan, why inflammation is actually your friend, and what PRP, EMTT, and focused shockwave do instead. In 56 clinical trials, PRP outperforms steroid injections past the four-week mark every single time. The evidence isn't close. Chapters: 0:00 Stop getting steroid injections — here's why0:57 My doctor gives me cortisone every few months and it helps — what's the problem?1:03 Steroid injections lose you more cartilage than saline — JAMA evidence2:45 A business model, not a treatment plan3:22 But cortisone reduces inflammation — isn't that the point?3:29 Inflammation isn't bad — good inflammation is how you heal4:49 PRP, stem cells, and focused shockwave are pro-inflammatory — that's why they work5:16 56 trials: PRP outperforms steroid injections past four weeks every time9:11 The biggest culprits: knee arthritis, tennis elbow, golfer's elbow, Achilles10:23 If your doctor is injecting Achilles with steroid — don't even take off your shoe10:56 Getting a steroid injection locks you out of pro-inflammatory treatments for six weeks12:01 So what should I be getting instead of cortisone?12:04 EMTT, focused shockwave, PRP, stem cells — how they work differently13:28 What does tangible damage from years of steroid injections actually look like?15:11 The smoke detector analogy: steroids take out the battery, they don't put out the fire16:24 What should I do the next time my doctor reaches for the cortisone needle?16:28 Ask what your other options are — if they can't answer, walk out17:43 If you have a steroid injection scheduled tomorrow, cancel it Links: Dynamic Athlete Homepage: https://dynamicathlete.com/Meet Dr. Aneesh Garg: https://dynamicathlete.com/dr-aneesh-garg/PRP Therapy: https://dynamicathlete.com/prp-therapy/Stem Cell Therapy: https://dynamicathlete.com/stem-cell-therapy/Shockwave Therapy: https://dynamicathlete.com/shockwave-therapy/Exomind: https://dynamicathlete.com/exomind/Emsella Therapy: https://dynamicathlete.com/emsella-therapy/ The Regen Doc is for educational purposes only and does not constitute medical advice or create a physician-patient relationship. Individual results vary. Candidacy requires a formal consultation at DynamicAthlete.com.

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About

The Regen Doc podcast with Dr. Aneesh Garg explores non-surgical regenerative medicine for athletes and active individuals. Discover how PRP, stem cell therapy, shockwave, EXOMIND, and EMSELLA can help you avoid surgery, heal at the cellular level, and get back to peak performance. Perfect for runners, climbers, cyclists, and weekend warriors seeking precision care.

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  • Creator
    Aneesh Garg, DO, CAQ | Physician | Regenerative Sports Medicine Expert
  • Years Active
    2026
  • Episodes
    26
  • Rating
    Clean
  • Copyright
    © Aneesh Garg, DO, CAQ | Physician | Regenerative Sports Medicine Expert
  • Show Website
    The Regen Doc Podcast

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