#185 Conquering Back Pain: From Injury to Recovery and Beyond
Release Date: 07/24/2025
Hart2Heart with Dr. Mike Hart
In this podcast episode, the speaker shares his personal journey of quitting THC, explaining his reasons, the gradual process over several years, and the impacts on his life. He recounts his history with THC, from early recreational use to daily dependence for sleep aid during medical school and residency. The speaker emphasizes that he does not oppose cannabis, recognizing its medicinal value, but wanted to overcome his dependency. He details his method of reducing THC use through vaping and CBD alternatives, ultimately leading to his last use in January 2025. Alongside his personal story, he...
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Most people think they go into your body and make all new tissue… but in actuality, they are a delivery mechanism of growth factors. I call them the ultimate traffic cop. In this episode, the host converses with Dr. Jesse Morse, a physician specializing in regenerative and anti-aging medicine. They delve into the intricacies of stem cells and their various sources, including bone marrow, fat, and donor tissue. Dr. Morse highlights the role of exosomes and growth factors in the healing process. The discussion also focuses on the prevention and treatment of Achilles tendon tears,...
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Most “detox” advice focuses on cleanses and quick fixes — but real detoxification is a constant, biological process your body runs every day. In this solo episode, the host breaks down how detoxification actually works, starting with what counts as a “toxin” (including hormones and environmental chemicals) and how the body packages them for elimination. You’ll learn the key roles of the liver, kidneys, and gut — and why detox can succeed in the liver but fail in the intestines, especially when certain gut bacteria produce enzymes like β-glucuronidase that can send toxins back...
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What if your “healthy” water intake is still quietly hurting your performance? In this solo episode, Dr. Mike breaks down hydration from a performance-first perspective — how dehydration affects cognition and physical output, why “8 glasses a day” is an oversimplified myth, and how to personalize your intake based on body size, activity level, diet, environment, and medications. He walks through practical guidelines (including 30–35 ml/kg/day), how to use urine + thirst cues without overcomplicating it, and why timing matters (especially around workouts, sauna use, and sleep). A...
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In this solo episode, Dr. Mike breaks down everything you need to know about blood pressure, why it’s so commonly misunderstood, how to measure it correctly, and what optimal numbers really look like. He explains why 120/80 isn’t ideal for everyone, why blood pressure variability can be more dangerous than steady high readings, and how sleep, stress, and undiagnosed sleep apnea quietly drive hypertension. The episode walks through a clear, practical framework for managing blood pressure using lifestyle interventions first, followed by supplements, and medications only when necessary. Dr....
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In this solo episode, Dr. Mike discusses the common issue of nocturia, where individuals frequently wake up at night to urinate, which disrupts sleep. The episode covers the root causes including sleep apnea, enlarged prostate, and overactive bladder, and dives into the roles of antidiuretic hormone (ADH) and atrial natriuretic peptide (ANP). It provides a comprehensive guide on addressing nocturia through behavioral modifications such as fluid restriction and sleep hygiene, supplements like pumpkin seed extract and beta-sitosterol, and pharmaceuticals including Desmopressin and...
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In this solo episode, Dr. Mike delves into the complex relationship between dopamine, romantic relationships, and the Coolidge Effect. The discussion highlights why men often feel the need for a new partner due to a desensitization of dopamine and how our overstimulated lifestyles contribute to this issue. The host explores the impact of modern habits on dopamine levels, the importance of boredom for resetting dopamine sensitivity, and the role of anticipation in maintaining desire. Practical solutions like dopamine resets, engaging in effort-based activities, and ensuring personal growth and...
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In this episode, Dr. Mike Hart delves into the origins and contemporary relevance of the 10,000 steps rule. He discusses the latest research outcomes from a massive meta-analysis comparing daily step counts from 2,000 to 12,000 steps and their associated health benefits. Listeners will learn about the significant reductions in mortality, cardiovascular disease, cancer mortality, dementia, depression, and type 2 diabetes risk achieved by increasing daily steps. The episode also provides insights into the importance of breaking up sedentary periods, the physiological differences between various...
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In this solo episode, the host discusses the effects of metformin, berberine, and dihydroberberine on exercise adaptation and longevity. While metformin is known for its longevity benefits and is popular in the biohacking community, it has been shown to significantly reduce exercise adaptations and VO2 max gains. Berberine, a supplement with similar effects to metformin, is easier to obtain but still has some negative effects on exercise and significant GI side effects. The episode introduces dihydroberberine (DHB), a compound with fewer GI issues and less impact on exercise adaptation, making...
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In this episode of the Heart to Heart podcast, Dr. Mike Hart chats with Tony Ricci, an athletic performance and mental health coach for athletes. Tony shares his fascinating journey from studying exercise physiology to working with elite athletes like MMA fighter Chris Weidman. They discuss the critical impact of mental resilience on athletic performance, practical strategies for mental and physical training, and bridging the gap between nutrition, conditioning, and mental skills training. Additionally, the conversation touches on the role of technology like HRV and sleep tracking in athlete...
info_outlineIn this episode, Dr. Mike Hart delves into his personal journey with back pain, detailing the causes, treatments, and exercises that have helped him overcome chronic pain and regain mobility. Starting from a wrestling injury in 2021 exacerbated by running with improper shoes and deadlifting, the host shares how he learned to manage pain through chiropractic visits, medications, physiotherapy, and ultimately an epidural steroid injection. This episode highlights the importance of holistic body strengthening, focusing on specific exercises like hip thrusts, Nordic curls, and back extensions, and utilizing tools like the chirp wheel to improve thoracic mobility. Dr. Hart emphasizes the value of getting proper imaging and professional advice for managing serious pain and concludes with tips on maintaining full-body mobility and strength to prevent future injuries.
Dr. Stuart McGill’s McGill Big 3
Show Notes:
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(00:00) – Welcome back to the Hart2Heart Podcast with Dr. Mike Hart
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(01:00) – Initial back pain incident in 2021
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(03:30) – Worsening condition in 2023
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(06:00) – Alternative treatments and medications
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(08:00) – Physiotherapy and imaging results
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(10:30) – Breakthrough with epidural steroid injection
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(14:30) – Strengthening exercises for recovery
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(25:00) – Thoracic spine issues and solutions
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(30:00) – Holistic approach to mobility and strength
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(34:00) – Lessons learned and guidance on long-term recovery
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Dr. Mike Hart is a Cannabis Physician and Lifestyle Strategist. In April 2014, Dr. Hart became the first physician in London, Ontario to open a cannabis clinic. While Dr. Hart continues to treat patients at his clinic, his primary focus has shifted to correcting the medical cannabis educational gap that exists in the medical community.
Connect on social with Dr. Mike Hart:
Social Links:
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Instagram: @drmikehart
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Twitter: @drmikehart
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Facebook: @drmikehart