Watch the full episode and view show notes here: http://bit.ly/3VeVHRp Become a member to receive exclusive content: https://peterattiamd.com/subscribe/ Sign up to receive Peter's email newsletter: https://peterattiamd.com/newsletter/ Peter sits down with orthopedic surgeon, Alton Barron, M.D., for a discussion about the shoulder. He discusses the anatomy, pain generators, common injuries, treatments, and surgical procedures. Additionally, Alton performs a shoulder exam on Peter. This clip was created from the full discussion with Dr. Barron: https://youtu.be/CtGwx2VAH_E For more on this topic, check out the show notes of the full conversation with Alton Barron: http://bit.ly/3VeVHRp We discuss: 00:00 - Anatomy of the shoulder, rotator cuff, and upper extremities 6:54 - Rotator cuff injuries, shoulder joint dislocation, and more 18:30 - Peter's shoulder problems 22:47 - The structure of the biceps and common injuries 26:02 - Labrum tears in the shoulder and natural loss of cartilage with usage and time 29:49 - Shoulder evaluation with MRI vs. physical exam, diagnosing pain, and when to have surgery 40:02 - How anatomical variation can predispose one to injury and how screening may help 46:18 - Pain generators in the shoulder, and the important nuance of the physical exam 57:04 - Frozen shoulder 1:03:35 - Shoulder pain that originates in the neck 1:09:04 - *Shoulder Exam* 1:20:20 - Surgical treatments for a labral tear, and factors that determine whether surgery is appropriate 1:34:54 - Repairing the rotator cuff 1:44:55 - Are platelet-rich plasma (PRP) injections or stem cells beneficial for healing tears? 1:52:58 - Repair of an AC joint separation 2:04:46 - Total shoulder replacement -------- About: The Peter Attia Drive is a weekly, ultra-deep-dive podcast focusing on maximizing health, longevity, critical thinking…and a few other things. With over 45 million episodes downloaded, it features topics including fasting, ketosis, Alzheimer’s disease, cancer, mental health, and much more. Peter is a physician focusing on the applied science of longevity. His practice deals extensively with nutritional interventions, exercise physiology, sleep physiology, emotional and mental health, and pharmacology to increase lifespan (delay the onset of chronic disease), while simultaneously improving healthspan (quality of life). Learn more: https://peterattiamd.com Connect with Peter on: Facebook: http://bit.ly/PeterAttiaMDFB Twitter: http://bit.ly/PeterAttiaMDTW Instagram: http://bit.ly/PeterAttiaMDIG Subscribe to The Drive: Apple Podcast: http://bit.ly/TheDriveApplePodcasts Overcast: http://bit.ly/TheDriveOvercast Spotify: http://bit.ly/TheDriveSpotify Google Podcasts: http://bit.ly/TheDriveGoogle Disclaimer: This podcast is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional healthcare services, including the giving of medical advice. No doctor-patient relationship is formed. The use of this information and the materials linked to this podcast is at the user's own risk. The content on this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they have, and they should seek the assistance of their healthcare professionals for any such conditions. I take conflicts of interest very seriously. For all of my disclosures and the companies I invest in or advise, please visit my website where I keep an up-to-date and active list of such companies.