Your Body After 40 — Dr. Aneesh Garg, DO, CAQ on What’s Normal and What’s Fixable

Tuesday - September 1, 2026

Everything started changing around 40. The morning stiffness. The extra day of soreness after a hard workout. The shoulder that catches. The knee that swells after a run. And your doctor says your labs are normal, your x-rays look fine, you’re healthy. Dr. Aneesh Garg, DO, CAQ says standard medicine doesn’t screen for tissue quality, tendon health, or recovery capacity — and that gap is exactly where people lose ground every year without knowing why. In this episode he breaks down what’s actually happening after 40, why those signals aren’t something to just push through, and how regenerative medicine works as prevention, not just intervention.

Chapters:

  • 00:00 Your body after 40 — what’s normal, what’s not, and what’s fixable
  • 00:53 I’m 42 and everything hurts — my doctor says I’m fine. What’s really going on?
  • 01:04 Standard medicine doesn’t screen for tissue quality, tendon health, or nervous system
  • 02:07 Good inflammation vs. bad inflammation — why popping anti-inflammatories after every workout is a problem
  • 03:13 Is this just what getting older feels like? Do I have to accept it?
  • 03:18 No — stiffness and nagging pain after 40 are signals, not life sentences
  • 04:52 When you ignore one problem, your body starts showing it somewhere else
  • 06:23 What can I proactively do about these changes?
  • 06:27 EMTT, focused shockwave, and radial pressure waves for recovery and prevention
  • 07:01 Case study: in-season PRP for partial hamstring tear — back playing tennis in two weeks
  • 08:04 Regenerative medicine as maintenance — the oil change analogy
  • 09:11 Dynamic Mind Plus: how resetting the nervous system changes performance and recovery
  • 10:55 What does a proactive patient look like at Dynamic Athlete?
  • 11:44 Using EMTT and focused shockwave preemptively on Achilles before a rupture happens
  • 12:36 High-level runners: proactive shockwave on knees before they break down
  • 13:40 The one thing everyone over 40 should do for their body
  • 14:56 Regenerative medicine when you’re not injured is prevention — when you are, it’s intervention
  • 15:04 What Dr. Garg wants every listener to walk away with

Medical Disclaimer

The Regen Doc is for educational purposes only and does not constitute medical advice or create a physician-patient relationship. Patient stories are anonymized, individual results vary, and candidacy requires a formal consultation at DynamicAthlete.com.

The Regen Doc is for educational purposes only and does not constitute medical advice or create a physician-patient relationship. Individual results vary. Candidacy requires a formal consultation at DynamicAthlete.com.

Aneesh Garg, DO, CAQ, Research Director of the DART Lab at Dynamic Athlete in Boulder, Colorado

All Dynamic PRP+ and Dynamic Stem Cell+ procedures are performed exclusively by Dr. Garg. Dynamic Shockwave+, Dynamic Mind+, and Dynamic Core+ are performed by Dr. Garg and his clinical team.

Meet Dr. Garg

Aneesh Garg, DO, CAQ. Founder of Dynamic Athlete Sports Medicine and Regenerative Orthopaedics. Yale residency trained. Andrews Sports Medicine fellowship trained. Double board-certified Sports Medicine and Internal Medicine. Team Physician USA Hockey and U.S. Soccer. Founder and Medical Director of ASTI (American Shockwave Training Institute).

Teaching faculty RMTI and Rocky Vista University. Host of The Regen Doc podcast. Dr. Garg developed the Dynamic PRP+, Dynamic Stem Cell+, Dynamic Shockwave+, Dynamic Mind+, and Dynamic Core+ protocols used at this practice.

Why Patients Trust Dr. Garg

Yale residency trained. Andrews Sports Medicine fellowship trained. Double board-certified Sports Medicine and Internal Medicine.

Yale-New Haven Hospital residency

Fellowship-trained at the American Sports Medicine Institute (ASMI) / Andrews Sports Medicine

Team Physician for USA Hockey and U.S. Soccer

Medical Director of the American Shockwave Training Institute (ASTI), training clinicians nationwide in ESWT, RPW, and EMTT

Known for physician-performed, ultrasound-guided PRP, BMA/MFAT, and shockwave-primed biologic injections

The Regen Doc Podcast

Hear Dr. Garg go deeper on this topic.

The Regen Doc breaks down real patient cases, protocol design, and what actually works vs. what the industry sells. New episodes on Apple Podcasts, Spotify, and wherever you get your podcasts.