Hip and knee pain are some of the most common reasons people seek medical care, and many are told early on that they’ll eventually need a joint replacement. Imaging often shows arthritis or “bone-on-bone” changes, but those findings alone don’t determine when surgery is truly necessary.

In this episode, Pete Schultz Doctor of Physical Therapy breaks down what hip and knee osteoarthritis actually is, why pain doesn’t always match the amount of joint damage, and how to think through both non-surgical and surgical options. We’ll discuss functional limitations, quality of life, and why the decision to move forward with a hip or knee replacement should be based on how much your symptoms interfere with your daily life — not just what an X-ray or MRI shows.

We also review joint-preserving options, different types of hip and knee replacements, and common situations where surgery may be necessary sooner, such as advanced joint collapse, fractures, or structural complications.

This episode is designed to help you better understand the decision-making process and feel more confident having informed conversations with your healthcare team.

Disclaimer

This podcast is for educational purposes only and is not intended to provide medical advice, diagnosis, or treatment. The information discussed reflects general principles and may not apply to every individual. Always consult with a qualified healthcare professional regarding your specific condition or treatment options.

Learn More

🌐 Dynamic Sports Physical Therapy
https://www.dynamicsportspt.com

🎧 What’s in Your Head: Tools for Pain & Dizziness
https://www.painanddizzy.com

Episode Title:
Migraine Beyond Medication: A Multi-Systems Approach

Episode Description:

Migraine is not just a headache — it’s a complex neurologic condition involving the nervous system, sensory processing, and multiple body systems.

In this episode of What’s in Your Head: Tools for Pain & Dizziness, Dr. Pete Schultz, physical therapist, goes beyond medication and explores where conservative, non-pharmacologic strategies fit into modern migraine care.

Medications can be helpful for many people, but a significant number of individuals continue to struggle with persistent symptoms, frequent attacks, and disability. This episode focuses on the additional contributors that influence migraine outcomes and why a multi-systems approach is often necessary.

This discussion is grounded in both clinical experience and current evidence, including a peer-reviewed article co-authored with colleague Scott Siverling that outlines a multimodal, conservative framework for treating migraine from a physical therapist’s perspective.

In this episode, Pete discusses:

• Migraine as a neurologic nervous system condition
• Why medication alone may not fully address migraine drivers
• The role of the autonomic nervous system and stress physiology
• How exercise, manual therapy, vestibular therapy, biofeedback, and mindfulness-based strategies fit into care
• Why this approach is complementary to — not against — medication

This episode is designed to help patients and clinicians better understand migraine and expand the toolbox for managing symptoms and improving quality of life.

For more information on migraine, pain, dizziness, and nervous system health, visit www.PainAndDizzy.com
.

To schedule a physical therapy evaluation for headache, migraine, concussion, dizziness, or persistent pain, visit www.DynamicSportsPT.com
.

Disclaimer:
This podcast is for educational purposes only and is not intended to provide medical advice, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions.

Reference:
Siverling S, Schultz P. A Multimodal Conservative Approach to Treating Migraine: A Physical Therapist’s Perspective. Current Pain and Headache Reports. 2023;27:329–337. doi:10.1007/s11916-023-01140-3

Episode Summary

In this episode of What’s in Your Head: Tools for Pain and Dizziness, Dr. Pete Schultz breaks down what biofeedback actually is—and just as importantly, what it isn’t.

Biofeedback is not the treatment.
It’s a measurement tool that lets us see the autonomic nervous system in real time.

The real treatment is still things like breathing, muscle relaxation, visualization, meditation, and mindfulness. Biofeedback simply shows us how the nervous system is responding to those tools, moment by moment. And that matters—because when the nervous system can see what it’s doing, it learns faster.

In this episode, Pete explains:

• What biofeedback is and how it works
• How the autonomic nervous system shifts between fight-or-flight and rest-and-digest
• The main types of biofeedback, including:
  • Heart Rate Variability (HRV)
  • Thermal (skin temperature)
  • Skin conductance (GSR)
  • Muscle tension (EMG)
  • A brief overview of neurofeedback
• The difference between wearables (like WHOOP and Oura) and true biofeedback training
• Why biofeedback can be so helpful for persistent pain, dizziness, headaches, migraines, concussion symptoms, long COVID, and other conditions where the nervous system gets stuck in protection mode

Pete also walks through how biofeedback is used clinically and shares real-world examples from his practice.

At the end of the episode, Pete teaches a guided box breathing exercise—a simple, practical self-regulation tool you can use with or without biofeedback equipment—to help calm and regulate the nervous system.

Disclaimer

This podcast is for educational purposes only and is not medical advice. Individualized care from a qualified healthcare professional is important for addressing pain, dizziness, headaches, or neurological symptoms.

If you’re looking for a physical therapy evaluation or treatment, visit https://www.DynamicSportsPT.com
.
For more education and tools related to pain and dizziness, visit https://www.PainAndDizzy.com
.

Episode 5 — Concussion: What’s Actually Happening and How to Fully Recover

In this episode of What’s in Your Head: Tools for Pain & Dizziness, Pete Schultz, Doctor of Physical Therapy, breaks down what a concussion really is — and just as importantly, what it is not.

Concussions are common in sports and everyday life — car accidents, falls, hitting your head, or even sudden force to the body. Yet many people are told to “just rest and wait,” even when symptoms linger for weeks or months.

In this episode, we explore why that approach often falls short.

You’ll learn:

• What’s actually happening in the brain after a concussion
• Why concussion is not a structural brain injury
• How symptoms represent a functional and metabolic disruption, not damage
• Why imaging is often normal
• Why symptoms can feel unpredictable and scary
• The five key systems that must be assessed for full recovery
  • Neck
  • Vestibular system
  • Visual system
  • Autonomic/exertional tolerance
  • Mood, stress, and anxiety
• Why early rest helps — but prolonged rest can delay recovery
• How an active, individualized, and multidisciplinary approach leads to the best outcomes

Most importantly, this episode emphasizes an empowering message:

Concussions are highly recoverable when managed correctly.

If you or someone you care about is dealing with ongoing concussion symptoms — headaches, dizziness, brain fog, light sensitivity, or exercise intolerance — understanding what’s driving those symptoms is the first step toward recovery.

🔗 Helpful Links

Schedule a Physical Therapy Concussion Assessment:
👉 https://www.DynamicSportsPT.com

Learn more about pain, dizziness, and nervous system health:
👉 https://www.PainandDizzy.com

⚠️ Disclaimer

This podcast is for educational purposes only and is not intended to provide medical advice. Information discussed in this episode should not replace individualized evaluation or treatment by a qualified healthcare professional. If you are experiencing concussion symptoms or ongoing concerns, please seek appropriate medical care.

Have you ever rolled over in bed, looked up, or laid down — and suddenly the entire room started spinning?

In this episode of What’s in Your Head: Tools for Pain & Dizziness, Dr. Pete Schultz, Doctor of Physical Therapy, breaks down one of the most common — and most misunderstood — causes of vertigo: BPPV (Benign Paroxysmal Positional Vertigo).

BPPV can feel intense and alarming, often sending people to urgent care or the emergency room fearing something serious is wrong with their brain. The good news is that BPPV is not life-threatening, it’s very common, and when identified correctly, it’s highly treatable.

In this episode, you’ll learn:

• The difference between vertigo and dizziness
• How the inner ear and vestibular system actually work
• Why the room spins with certain head movements
• What happens when inner ear crystals move into the wrong canal
• The different types of BPPV (posterior, horizontal, and anterior canal)
• Why one maneuver doesn’t work for everyone
• Why YouTube videos don’t always fix vertigo — and can sometimes make it worse
• A simple 5-4-3-2-1 grounding exercise to help calm the nervous system when vertigo triggers panic

This episode focuses on helping you understand what’s happening in your body — and reassuring you that vertigo is often a mechanical problem, not brain damage or something dangerous.

If you or someone you care about has experienced spinning, dizziness, or balance issues, this episode will help you better understand what’s going on and what actually helps.

🔗 Helpful Links

Schedule a Vestibular Therapy or Physical Therapy Appointment:
👉 https://www.DynamicSportsPT.com

Learn more about pain, dizziness, and the nervous system:
👉 https://www.PainandDizzy.com

⚠️ Disclaimer

This podcast is for educational purposes only and is not intended to provide medical advice. If you are experiencing ongoing, worsening, or concerning symptoms, please consult a qualified healthcare professional for individualized evaluation and treatment.

In this episode of What’s in Your Head, we take a deep dive into the different types of headaches — and why understanding them matters.

While many people think “a headache is just a headache,” different headache types reflect different patterns in the nervous system. Migraine, tension-type headaches, cervicogenic headaches, post-traumatic headaches, neuralgia, and new daily persistent headaches all present differently and often respond to different treatment approaches.

We’ll break down the key characteristics of common headache types, discuss why headaches can persist even when imaging looks normal, and explore evidence-based, non-pharmacological strategies that can help calm the nervous system.

In this episode, you’ll also learn practical tools including progressive muscle relaxation, lifestyle regulation, movement, and biofeedback approaches that can support headache recovery — especially when symptoms are being driven by nervous system sensitization rather than tissue damage.

This episode is designed to help you better understand your symptoms, reduce fear, and begin shifting your system toward safety and regulation.

Disclaimer

This podcast is intended for educational purposes only and does not constitute medical advice. The information shared is not a substitute for individualized evaluation or treatment by a qualified healthcare professional. If you are experiencing headaches, migraines, dizziness, or other neurological symptoms, please consult with a licensed healthcare provider for personalized care.

Helpful Links

🧠 Learn more about pain and dizziness education and resources:
👉 https://painanddizzy.com

🏃‍♂️ Schedule a physical therapy appointment at Dynamic Sports Physical Therapy:
👉 https://dynamicsportspt.com

Episode 2 — How the Autonomic Nervous System Drives Pain and Dizziness

https://www.dynamicsportspt.com/ follow link to schedule an appointment for physical therapy.

https://painanddizzy.com/ follow link for more information on pain and dizziness.

Episode 2 — How the Autonomic Nervous System Drives Pain and Dizziness

In this episode of What’s in Your Head?, Dr. Pete Schultz explains how the autonomic nervous system plays a powerful — and often overlooked — role in persistent pain, dizziness, headaches, and other unexplained symptoms.

The autonomic nervous system controls things like heart rate, breathing, blood flow, digestion, muscle tension, and sensory processing. Its job is to keep you safe. But when it begins to interpret normal life, stress, or past injury as danger, it can shift the body into a protective state that produces very real symptoms — even when no tissue damage is present.

Using clear, relatable examples and the latest neuroscience, Pete walks you through how this protective response can amplify pain signals, create dizziness and lightheadedness, tighten muscles, disrupt breathing, and heighten sensitivity throughout the body. You’ll learn why so many people feel stuck, fragile, or “on edge” — and why those sensations are not a sign that something is broken.

Most importantly, this episode introduces a simple, evidence-based way to start sending safety signals back to your nervous system so it can begin to calm down and allow symptoms to ease.

Using extended exhale breathing and physiologic sigh Pete shows how to start regulating the Autonomic Nervous System.

If you’ve been searching for answers to ongoing pain or dizziness that don’t show up on scans or tests, this episode will help you finally understand what your body is doing — and how to work with it instead of fighting it.

Episode Disclaimer

The information shared in this episode is for educational purposes only and is not intended to be medical advice, diagnosis, or treatment. Always consult with a qualified healthcare professional regarding your specific condition or health concerns.

https://www.dynamicsportspt.com/ To schedule a physical therapy appointment

https://painanddizzy.com/ To learn more information on Pain and dizziness or email painanddizzy@gmail.com

Why Pain Persists

In the first episode of What’s In Your Head, Pete Schultz, PT, DPT, introduces a new way to understand pain — one that goes beyond tissues, scans, and diagnoses.

Pain is real. But it’s not always a sign of damage.

In this episode, Pete explains how pain is a protective output of the nervous system, not a direct measure of injury. Using simple, relatable examples — from stepping on a nail to real clinical stories — he breaks down how the brain and nervous system decide when pain is needed, and why pain can persist long after tissues have healed.

You’ll learn:

• How the nervous system processes pain signals
• Why the brain weighs danger vs safety before creating pain
• How thoughts, past experiences, stress, and life context influence pain
• Why more tissue damage doesn’t always mean more pain — and less damage doesn’t always mean less pain

Pete shares powerful stories, including The Tale of Two Nails and lessons learned from working with amputees experiencing phantom limb pain, to illustrate how pain is shaped by both the body and the brain.

The episode closes with your first practical tool: identifying your personal danger thoughts and safety thoughts — a starting point for helping the nervous system turn the alarm down.

Future episodes of What’s In Your Head will dive deeper into evidence-based tools such as somatic tracking, self-regulation strategies, breathing techniques, heart rate variability, movement, and other approaches designed to create more safety in the nervous system and reduce persistent pain and dizziness.

Episode Disclaimer

The information shared in this episode is for educational purposes only and is not intended to be medical advice, diagnosis, or treatment. Always consult with a qualified healthcare professional regarding your specific condition or health concerns.