Episodes

  • The Fall Doc #14 You MUST Do This Before Your Knee Replacement

    The Fall Doc #14 You MUST Do This Before Your Knee Replacement
    Apr 6 2026
    The weeks leading up to knee replacement surgery may be the most important part of your recovery — but many patients overlook them. In this episode of The Fall Doc Podcast, hosts Dennis Fraise and Dr. John Thompson discuss the crucial eight weeks before knee replacement surgery and why preparation can dramatically improve recovery outcomes. Too often, patients "coast into surgery" without preparing their bodies. They reduce activity, stop exercising, and unintentionally lose strength in the weeks before the procedure. This loss of conditioning can make recovery slower and more difficult. Dr. Thompson explains that building strength before surgery—especially in the quadriceps muscles—can significantly improve mobility, reduce complications, and speed up rehabilitation. Dennis and Dr. Thompson also share practical tips for maintaining fitness, preparing your home environment, and managing the stress and expectations surrounding surgery. Listeners will learn how simple preparation—such as clearing clutter, strengthening key muscle groups, and planning daily routines—can make the recovery process safer and smoother. Whether you're preparing for knee replacement yourself or helping a loved one through the process, this episode provides a practical roadmap for the eight weeks that can make all the difference. What You'll Learn in This Episode Why preparing for surgery improves recovery outcomesThe dangers of deconditioning before surgeryWhy quadriceps strength is critical for knee replacement recoverySimple ways to build strength and maintain mobility before surgeryHow to encourage loved ones to stay active before surgeryHow to prepare your home for a safer recoveryHow to manage anxiety and expectations about surgery Key Takeaways ✔ Don't stop exercising before surgery. Staying active helps your body recover faster. ✔ Quad strength matters. Strong quadriceps muscles are essential for knee stability and mobility. ✔ Eight weeks is enough time to improve fitness. Even small improvements in strength can lead to better surgical outcomes. ✔ Prepare your home environment. Clear clutter, remove tripping hazards, and make essential items easy to reach. ✔ Plan your recovery ahead of time. Thinking through daily routines can reduce stress and prevent falls after surgery. ✔ Manage expectations. Understanding the recovery process helps reduce anxiety and improve confidence. Memorable Sound Bites "Don't stop exercising before surgery." "Quad strength is very important." "Prepare your home for recovery." "Clear clutter to avoid falls." "The work you do before surgery can make recovery easier." Contact The Fall Doc: Johnthefalldoc@gmail.com Contact Dennis Fraise: djfraise@gmail.com TikTok: https://www.tiktok.com/@thefalldoc?lang=en Facebook: https://www.facebook.com/profile.php?id=61568318934022 Instagram: https://www.instagram.com/thefalldoc/ YouTube: https://www.youtube.com/@thefalldoc
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    25 mins
  • The Fall Doc #13 The Gym Isn't Your Long Term Solution

    The Fall Doc #13 The Gym Isn't Your Long Term Solution
    Mar 30 2026

    Summary In this episode of The Fall Doc, hosts Dennis Fraise and Dr. John Thompson discuss the realities of gym memberships and the importance of finding a sustainable workout routine. They explore why many people fail to stick with gym workouts, the psychological barriers to exercise, and the benefits of simple, consistent movements at home. The conversation emphasizes that success in fitness is not about following the latest trends or gym routines, but rather about finding what works for the individual and committing to it for life.

    Takeaways

    • Unless you love the gym, you're unlikely to stick with it.
    • The best workout is one you can do for life.
    • Many people sign up for gym memberships but never use them.
    • Small, consistent exercises at home can be more beneficial than gym workouts.
    • Success in fitness is personal and varies from person to person.
    • Overcoming gym intimidation is crucial for beginners.
    • Long-term commitment to movement is more important than short-term gym goals.
    • You don't need machines to get fit; bodyweight exercises are effective.
    • Redefining success in fitness is essential as we age.
    • Finding what works for you is key to maintaining a fitness routine.

    Sound Bites

    • "It's just a lot to overcome."
    • "Slow and steady wins the race."
    • "You need to find what works for you."

    Contact The Fall Doc: Johnthefalldoc@gmail.com

    Contact Dennis Fraise: djfraise@gmail.com

    TikTok: https://www.tiktok.com/@thefalldoc?lang=en

    Facebook: https://www.facebook.com/profile.php?id=61568318934022

    Instagram: https://www.instagram.com/thefalldoc/

    YouTube: https://www.youtube.com/@thefalldoc

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    19 mins
  • The Fall Doc #12 What They Don't Tell You About Knee Replacement

    The Fall Doc #12 What They Don't Tell You About Knee Replacement
    Mar 23 2026

    Summary In this episode of The Fall Doc, Dennis Fraise and Dr. John Thompson discuss the often unspoken realities of knee replacement surgery. They explore the gap between patient expectations and the actual post-operative experience, emphasizing the importance of understanding pain, swelling, and recovery challenges. The conversation covers practical advice for managing recovery, including home preparation, the importance of pre-surgery fitness, and the psychological aspects of surgery. Listeners are encouraged to approach their recovery with realistic expectations and to actively engage in their rehabilitation process.

    Takeaways

    • Many patients are unprepared for the reality of knee replacement recovery.
    • Surgeons may not fully communicate the challenges of post-operative pain and swelling.
    • Second knee replacements often lead to less anxiety and better recovery outcomes.
    • Swelling and bruising are common and should be expected after surgery.
    • Stiffness and tightness can persist for months as part of the healing process.
    • Fatigue and nausea are common side effects of surgery and pain medication.
    • Mobility challenges are typical, and patients should prepare for them.
    • Home preparation is crucial for a smoother recovery process.
    • Maintaining fitness before surgery can significantly impact recovery.
    • Understanding that pain and swelling are normal can help reduce patient anxiety.

    Sound Bites

    • "This is the worst pain of their life."
    • "Expect a lot, a lot of swelling."
    • "It's just a huge stress on your body."
    • "Listening to your body is great advice."

    Contact The Fall Doc: Johnthefalldoc@gmail.com

    Contact Dennis Fraise: djfraise@gmail.com

    TikTok: https://www.tiktok.com/@thefalldoc?lang=en

    Facebook: https://www.facebook.com/profile.php?id=61568318934022

    Instagram: https://www.instagram.com/thefalldoc/

    YouTube: https://www.youtube.com/@thefalldoc

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    26 mins
  • The Fall Doc #10 - 7 Early Signs You May Be Losing Your Independence (And What To Do About It)

    The Fall Doc #10 - 7 Early Signs You May Be Losing Your Independence (And What To Do About It)
    Mar 16 2026
    Episode Summary Maintaining independence is one of the most important goals as we age. But many older adults begin losing strength, balance, and mobility gradually — often without realizing the early warning signs. In this episode of Fall Doc, hosts Dennis Fraise and Dr. John Thompson explore the subtle red flags that may signal declining independence and increased fall risk. From difficulty getting out of a chair to changes in walking speed and trouble navigating stairs, these small changes can have big consequences if left unaddressed. The good news? Many of these issues can be reversed or improved through strength training, mobility exercises, and simple changes in the home environment. Dr. Thompson shares practical advice for maintaining mobility, reducing fall risk, and staying independent longer. This episode is especially valuable for older adults and family members who want to recognize problems early and take action before a fall occurs. What You'll Learn in This Episode • The 7 early red flags that may indicate declining mobility • Why difficulty standing from a chair is one of the strongest predictors of fall risk • How walking speed changes can signal weakening muscles • The role of strength training in maintaining independence • Why environmental hazards are responsible for many falls • How recovery from joint replacements affects long-term fall prevention • Simple daily habits that help maintain balance and strength Key Warning Signs Discussed Difficulty standing up from a chair If getting out of a chair requires pushing with your arms or multiple attempts, it may indicate declining leg strength. Trouble climbing stairs Struggling with stairs or avoiding them can signal weakness or balance issues. Slower walking speed Walking slower than normal may indicate reduced strength or confidence in balance. Difficulty walking on uneven surfaces Grass, gravel, or sidewalks with cracks can quickly reveal balance problems. Holding onto furniture while walking "Furniture surfing" is a common early sign of instability. Avoiding activity Reduced activity often leads to further strength loss and increased fall risk. Practical Steps to Maintain Independence Dr. Thompson shares several simple actions that can dramatically reduce fall risk. Daily sit-to-stand exercises Strengthens the muscles most responsible for standing, walking, and climbing stairs. Use handrails consistently Handrails provide stability and prevent dangerous slips. Start a regular walking routine Walking improves balance, mobility, and cardiovascular health. Make home safety improvements Removing clutter, improving lighting, and eliminating trip hazards can prevent many falls. Sound Bites From This Episode • "Walking slower is often one of the first warning signs of fall risk." • "If it's hard to get out of a chair, that's your body telling you it needs strength training." Contact The Fall Doc: Johnthefalldoc@gmail.com Contact Dennis Fraise: djfraise@gmail.com TikTok: https://www.tiktok.com/@thefalldoc?lang=en Facebook: https://www.facebook.com/profile.php?id=61568318934022 Instagram: https://www.instagram.com/thefalldoc/ YouTube: https://www.youtube.com/@thefalldoc
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    28 mins
  • The Fall Doc #11 How to Choose the Right Surgeon

    The Fall Doc #11 How to Choose the Right Surgeon
    Mar 16 2026

    Choosing the Right Surgeon for Your Knee or Hip Replacement

    If you or a loved one are considering knee or hip replacement surgery, one of the most important decisions you will make is choosing the right surgeon.

    In this episode of the Fall Doc Podcast, hosts Dennis Fraise and Dr. John Thompson walk through the key factors patients and caregivers should consider when selecting an orthopedic surgeon.

    From evaluating surgeons' experience and specialization to understanding the differences between hospitals and outpatient surgery centers, this episode provides a practical guide to making a confident and informed decision.

    Dr. Thompson shares why procedure volume matters, the questions every patient should ask, and how to interpret reviews, referrals, and surgeon credentials.

    You'll also learn what role caregivers and family members can play in helping older adults navigate surgical decisions and what to expect during post-operative recovery and follow-up care.

    Whether you're planning surgery soon or simply gathering information for the future, this episode offers clear, practical advice to help you choose the right surgeon and improve your chances of a successful outcome.

    What You'll Learn in This Episode

    • Why surgeon experience and specialization significantly impact outcomes
    • The most important questions to ask before scheduling surgery
    • How to evaluate hospitals vs. outpatient surgical centers
    • Why reviews, referrals, and word of mouth still matter
    • The difference between bedside manner and surgical skill
    • How to understand who will actually perform the surgery
    • Why getting a second opinion can be valuable
    • What to expect during recovery and follow-up care

    Contact The Fall Doc: Johnthefalldoc@gmail.com

    Contact Dennis Fraise: djfraise@gmail.com

    TikTok: https://www.tiktok.com/@thefalldoc?lang=en

    Facebook: https://www.facebook.com/profile.php?id=61568318934022

    Instagram: https://www.instagram.com/thefalldoc/

    YouTube: https://www.youtube.com/@thefalldoc

    Sound Bites

    • "Ask how many surgeries they perform each week."
    • "Clarify insurance coverage before surgery."
    • "Write down questions to ask your surgeon before your appointment."
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    31 mins
  • The Fall Doc #8 #1 Injury That Will Send You to a Nursing Home

    The Fall Doc #8 #1 Injury That Will Send You to a Nursing Home
    Mar 9 2026

    For many older adults, a single fall begins a difficult journey of surgery, rehabilitation, and loss of independence. But the good news is that many hip fractures are preventable with the right strategies.

    In this episode of The Fall Doc, Dennis Fraise sits down with Dr. John Thompson to talk about why hip fractures are so devastating for older adults—and what you can do today to lower your risk.

    We explore how muscle strength, bone density, and balance training play a critical role in preventing falls and fractures. You'll also learn why bed rest after injury can lead to rapid muscle loss, making recovery more difficult.

    Most importantly, we talk about practical ways older adults can build strength, maintain independence, and protect their mobility for years to come.

    What You'll Learn in This Episode

    • Why hip fractures are one of the most serious injuries for older adults
    • The surprising mortality statistics after hip fractures
    • The difference between hip replacements and hip fractures
    • How osteoporosis weakens bones and increases fracture risk
    • Why strength training is essential for fall prevention
    • What happens to muscles and bones during bed rest
    • The emotional impact of falls and fractures
    • How early physical therapy improves recovery outcomes
    • Simple exercises you can start today to build strength and stability

    Key Takeaways

    ✔ Stronger muscles and bones significantly reduce fall and fracture risk
    ✔ Most hip fractures happen during falls—especially in women with osteoporosis
    ✔ Simple exercises like sit-to-stands can improve bone density and balance
    ✔ Bed rest causes rapid muscle and bone loss
    ✔ Recovery from hip fracture can be long and challenging
    ✔ Prevention and strength training are powerful tools for staying independent
    ✔ Emotional support is crucial after a fall or injury
    ✔ Early and consistent rehabilitation improves recovery
    ✔ It's never too late to start building strength

    Who This Episode Is For

    This episode is especially helpful for:

    • Adults over 60
    • People diagnosed with osteoporosis or osteopenia
    • Anyone worried about falling
    • Adult children helping parents stay independent
    • Caregivers supporting aging family members

    Start Today

    One of the most powerful ways to protect your independence is strength training.

    Even small daily movements—like standing up from a chair repeatedly—can help build muscle, improve bone health, and reduce fall risk.

    Your future mobility starts with the strength you build today.

    Contact The Fall Doc: Johnthefalldoc@gmail.com

    Contact Dennis Fraise: djfraise@gmail.com

    TikTok: https://www.tiktok.com/@thefalldoc?lang=en

    Facebook: https://www.facebook.com/profile.php?id=61568318934022

    Instagram: https://www.instagram.com/thefalldoc/

    YouTube: https://www.youtube.com/@thefalldoc

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    31 mins
  • Fall doc #9 Fall Proofing Your Home: Lights, Clutter, Pets, and Other Hidden Risks

    Fall doc #9 Fall Proofing Your Home: Lights, Clutter, Pets, and Other Hidden Risks
    Mar 9 2026

    Falls are one of the leading causes of injury for older adults—but preventing them isn't just about adding grab bars and removing rugs.

    In this episode of The Fall Doc, Dennis Fraise sits down with Dr. John Thompson to talk about how to fall-proof your home while still maintaining strength, mobility, and independence.

    They discuss practical environmental fixes—like better lighting, reducing clutter, and managing hidden hazards such as pets—but also explain why strength and balance training should always come first.

    You'll learn how to make smart home adjustments without becoming overly dependent on them, and why the best fall prevention strategy combines environmental awareness with physical resilience.

    If you want to stay safe in your home while continuing to live independently, this episode provides clear, practical guidance you can start using today.

    What You'll Learn

    • Simple environmental fixes that significantly reduce fall risk
    • Why strength and balance training are the foundation of fall prevention
    • The hidden hazards in many homes—including lighting, clutter, and pets
    • How grab bars and handrails can improve safety when used correctly
    • Why relying only on home modifications can actually weaken mobility
    • How to maintain independence while making your home safer

    Key Takeaways

    • Strength and balance should always come first.
    • Good lighting can prevent night-time falls.
    • Pets can become unexpected fall hazards.
    • A safer home should support independence—not replace mobility.

    Sound Bites from the Episode

    • "Strength and balance should always come first."
    • "Good lighting can prevent night-time falls."
    • "Pets can be a hidden fall hazard."

    Contact The Fall Doc: Johnthefalldoc@gmail.com

    Contact Dennis Fraise: djfraise@gmail.com

    TikTok: https://www.tiktok.com/@thefalldoc?lang=en

    Facebook: https://www.facebook.com/profile.php?id=61568318934022

    Instagram: https://www.instagram.com/thefalldoc/

    YouTube: https://www.youtube.com/@thefalldoc

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    24 mins
  • The Fall Doc #6 Bone-on-Bone? Not So Fast. What You Need to Know Before Knee Replacement

    The Fall Doc #6 Bone-on-Bone? Not So Fast. What You Need to Know Before Knee Replacement
    Mar 2 2026

    In this episode of the Fall Doc podcast, Dennis Fraise and Dr. John Thompson tackle a topic that worries many active adults — knee replacement surgery.

    If you've been told you're "bone on bone"… if joint pain has slowed you down… or if you're wondering whether physical therapy and exercise can truly help — this episode is for you.

    Dennis and Dr. Thompson break down the five biggest health mistakes people make when trying to avoid knee replacement. They explain why resting too much can actually weaken the muscles that protect your knee, why comparing your recovery to others leads to frustration, and why focusing only on the knee — instead of your overall fitness and lifestyle — often backfires.

    You'll learn:

    • Why too much rest can worsen joint pain and delay recovery
    • How strengthening your entire lower body improves knee stability
    • Why "bone on bone" doesn't automatically mean surgery
    • The critical role of physical therapy and patient education
    • How small, consistent lifestyle changes support long-term rehabilitation
    • Why tracking pain and progress helps you stay motivated
    • The importance of patience in fitness and recovery

    This conversation emphasizes a holistic approach to knee health — one that prioritizes movement, strength, balance, and overall well-being. For older adults who want to remain independent and for adult children supporting their parents, this episode offers practical, encouraging guidance grounded in real-world rehabilitation experience.

    As Dr. Thompson reminds listeners:

    "Something is always better than nothing."
    "Bone on bone doesn't mean surgery."

    If you're dealing with joint pain, considering knee replacement, or simply want to stay active and strong as you age, this episode will help you avoid common pitfalls and focus on what truly works.

    Contact The Fall Doc: Johnthefalldoc@gmail.com

    Contact Dennis Fraise: djfraise@gmail.com

    TikTok: https://www.tiktok.com/@thefalldoc?lang=en

    Facebook: https://www.facebook.com/profile.php?id=61568318934022

    Instagram: https://www.instagram.com/thefalldoc/

    YouTube: https://www.youtube.com/@thefalldoc

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