# @nickpappasmd on Instagram

- **Type:** Image
- **Original URL:** https://www.instagram.com/p/Dd2akeGCSX5
- **Gondola URL:** https://gondola.cc/posts/71166184-nickpappasmd-instagram
- **Thumbnail:** https://img.gondola.cc/tr:w-,h-,fo-auto/postThumbnails/1fc8ba8647.jpg
- **Posted:** 2026-09-28T23:56:17.000+00:00
- **Account Owner:** Nick Pappas, MD (@nickpappasmd) — https://gondola.cc/nickpappasmd

## Caption

📩 Comment “NEWSLETTER” and I’ll send you the link to my FREE weekly newsletter!

After 15 years as an orthopedic surgeon, there are a few things you probably won’t change my mind about… 👇

💪 Muscle is one of your best insurance policies as you age. Muscle helps regulate metabolism and has been tied to longevity in multiple studies. This is why I’m such a big fan of creatine monohydrate, which has been shown in tons of research papers to support muscle growth.

🩻 You should always treat the patient, NOT the MRI. Plenty of people WITHOUT pain have disc bulges, rotator cuff tears, meniscus tears, arthritis, and other abnormalities on imaging.

🦴 Arthritis doesn’t always mean surgery. Exercise, maintaining a healthy body weight, activity modification, medications, injections, and following a low-inflammation diet such as the Mediterranean diet can all be part of managing arthritis and keeping people functioning for years without an operation.

🚶 Rest isn’t always the answer for pain. With many musculoskeletal problems, prolonged inactivity can actually make stiffness, weakness, and function worse.

👨‍⚕️ And finally, I believe healthcare would be better if more physicians had their own private practices—giving doctors more control over how they care for their patients.

Agree or disagree?  Let me know in the comments.

#orthopedics #orthopedicsurgeon #health #fitness #medicine

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## Tags

orthopedicsurgeon, orthopedics, medicine, fitness, health

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