Chief Sports Physician & WellnessDirector-ColumbiaOrtho-NYP, NYC. opinions my own. interests…Exercise Medicine, HRV, Concussion, Ultrasound.
Joined November 2015
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- Following 694
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894 Photos and videos
Pinned Tweet
12 Dec 2025
Excited to share our team's work on ProScope - a new AI-powered diagnostic tool that could transform how we detect concussions. By measuring unconscious head and neck stability patterns, we're able to identify concussions with 80-90% sensitivity in just 3 minutes. This technology addresses a critical gap in sports medicine, where up to half of the estimated 3.8 million annual concussions go unreported. Grateful to collaborate with Dr. Linus Sun, Christopher Driscoll, and the team at NewYork-Presbyterian and Columbia.
Read more at nyp.org/advances/article/ort…
#Concussion #SportsMedicine #MedicalInnovation
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Muscle is an endocrine organ.
Jun 12
Your muscles are the largest endocrine organ in your body.
Most executives have never been told this.
Exercise causes skeletal muscle to release more than 650 identified signaling molecules called myokines. These molecules influence neuroplasticity, insulin sensitivity, mitochondrial function, vascular health, immune regulation, and tissue repair.
The benefits of exercise are not mechanical.
They are molecular.
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Tearing your ACL is only the beginning of the journey—successful recovery depends on what happens after surgery.
In this video, Dr. Thomas S. Bottiglieri explains the typical ACL reconstruction recovery timeline, from the first few days of pain management and early mobility to the months of rehabilitation required to regain strength, confidence, and athletic performance.
While surgery is an important step, rehabilitation is what ultimately determines how well you recover. Patients who commit to their rehab program are more likely to regain knee function, reduce the risk of reinjury, and safely return to the activities they love.
Learn what to expect at each stage of recovery and why patience, consistency, and proper rehabilitation are key to achieving the best possible outcome after ACL reconstruction.
#DrThomasSBottiglieri #ACLRecovery #ACLSurgery #ACLReconstruction #SportsMedicine #Orthopedics #ACLRehab #KneeInjury #PhysicalTherapy #SportsInjury #AthleteRecovery #KneeHealth youtube.com/shorts/LMQCVttJ_…
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Thomas Bottiglieri, D.O. retweeted
That darn doctor cartel is so powerful that Medicare pays us 50% of what it did in the 1990s and the work has become so miserable that most doctors are looking for early retirement.
Anyone know a better cartel manager?
Jun 11
Doctors and lawyers are two of the most insidious cartels that need to be broken up. Compared to them, even port workers' unions have zero downsides to society.
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Choosing the right graft is one of the most important decisions in ACL reconstruction.
In this video, Dr. Thomas S. Bottiglieri discusses the most common graft options, including patellar tendon, hamstring tendon, quadriceps tendon, and allografts. He explains why many surgeons consider the bone-patellar tendon-bone autograft the strongest option for active patients, while also addressing potential trade-offs such as patellar tendon irritation after surgery.
Understanding the benefits and risks of each graft can help patients make informed decisions and prepare for a successful recovery. Watch as Dr. Bottiglieri breaks down the factors that influence graft selection and long-term outcomes following ACL reconstruction.
#DrThomasSBottiglieri #ACLReconstruction #ACLSurgery #ACLGraft #SportsMedicine #Orthopedics #KneeInjury #ACLRecovery #PatellarTendonGraft #SportsInjury #AthleteHealth #KneeHealth youtube.com/shorts/Noh51Cnd2…
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Best Exercises for Acute Pain.
docbotts.com/healthcare-news…
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Not every ACL tear needs immediate surgery. 🦵
Dr. Thomas S. Bottiglieri explains why pre-operative rehabilitation can be just as important as the surgery itself. Restoring motion, reducing swelling, strengthening the knee, and allowing associated injuries to heal can help reduce stiffness and improve recovery after ACL reconstruction.
Watch to learn why sometimes the best first step is preparation, not rushing into surgery.
#DrThomasSBottiglieri #ACLInjury #ACLSurgery #ACLRecovery #SportsMedicine #OrthopedicSurgery #KneeHealth #Prehab #PhysicalTherapy #SportsInjury #Rehabilitation #MeniscusTear #MCLInjury #Orthopedics youtube.com/shorts/LiZtYE4fd…
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Did your knee swell up immediately after a sports injury? That rapid swelling could be a key sign of an ACL tear.
When the ACL tears, bleeding can occur inside the knee joint, causing pain, stiffness, and limited motion. In this video, Dr. Thomas S. Bottiglieri, DO explains why early evaluation is important, how ACL injuries are diagnosed, and why removing excess blood from the knee can help improve recovery and prepare patients for treatment.
Watch now to learn the warning signs of an ACL injury and what steps to take next.
#DrThomasSBottiglieri #ACLTear #ACLInjury #KneeInjury #SportsMedicine #Orthopedics #KneeSwelling #Hemarthrosis #SportsInjury #ACLRecovery #KneePain #LigamentInjury youtube.com/shorts/Vy3TZTs3V…
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Can an ACL tear heal without surgery? 🤔
The Cross Bracing Protocol is changing how we think about ACL injuries. While ACL reconstruction remains the standard treatment, emerging research suggests that some patients may be able to heal their ACL without surgery under specific conditions.
Watch Dr. Thomas Bottiglieri explain who may be a candidate, how the protocol works, and why the tear pattern matters when considering non-operative treatment.
#ACLTear #ACLSurgery #CrossBracingProtocol #SportsMedicine #KneeInjury #ACLRecovery #Orthopedics #DrThomasBottiglieri #AthleteHealth #KneeRehab youtube.com/shorts/c9dCjOWyb…
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There is no democracy Without freedom of speech.
Unfortunately for the press, journalism has aided and abetted the enemies of the democratic republic, including censorship, lying, manipulating and ignoring the job they’re paid to do.
When democratic forces threaten the sovereignty of our nation, the republic remains there to check the self destructive impulse.
Journalists in the modern era do not seem to understand this at all.
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It’s amazing what perception people have about doctors.
Reality and perception are not one in the same
Jun 6
All doctors are underpaid.
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🏃♂️ Torn your ACL? Wondering if you need surgery?
In this video, Dr. Thomas Bottiglieri explains the treatment options after an ACL tear and why ACL reconstruction is often recommended for athletes who want to return to pivoting and cutting sports.
While some people can function without an ACL, ongoing knee instability may increase the risk of further injury. Learn the factors that help determine whether surgery or non-operative treatment is right for you.
Watch now and understand your options for a safe return to activity.
#ACLTear #ACLSurgery #ACLReconstruction #SportsMedicine #KneeInjury #Orthopedics #AthleteRecovery #PhysicalTherapy #SportsInjury #DocBots youtube.com/shorts/IUmmlINAn…
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13 Causes of Leg Cramps and Their Treatments.
docbotts.com/healthcare-news…
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🦵 An ACL tear may not be the only injury affecting your knee.
When evaluating an ACL injury, it's important to assess the Posterolateral Corner (PLC) as well. PLC injuries can contribute to knee instability and may significantly impact surgical planning and recovery outcomes.
In this Sports Medicine Minute, Thomas Bottiglieri explains the role of the Dial Test and why a complete knee evaluation is essential after an ACL tear.
🎥 Watch now to learn more about ACL injuries, knee stability, and treatment planning.
#ACLTear #ACLInjury #PosterolateralCorner #PLCInjury #DialTest #SportsMedicine #DrThomasBottiglieri #KneeHealth #Orthopedics #SportsInjury youtube.com/shorts/oGPqxmTgs…
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Exercise is medicine. 💊
Jun 3
Most people think exercise benefits the brain because it increases blood flow.
That is only part of the story.
Every workout triggers a cascade of biological signals from muscle, heart, liver, adipose tissue, and immune organs. These molecules travel throughout the body, influencing inflammation, energy metabolism, neuroplasticity, and cellular repair.
The result is not simply a healthier body.
It is a brain that processes information more efficiently, adapts more effectively, and resists degeneration for longer.
Your cognitive performance is not determined by the brain alone.
It is the product of constant communication between every major organ system in the body.
Exercise strengthens the entire network.
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Thomas Bottiglieri, D.O. retweeted
Jun 3
You’re worried about the debt.
Fine.
Name the line item.
It’s healthcare.
It has always been healthcare.
The federal government does not buy healthcare like a market.
It buys healthcare like a Soviet planning committee with lobbyists.
CMS sets prices.
Congress creates carveouts.
HHS writes rules nobody understands.
Then every trade association in Washington shows up to turn one sentence into a billion-dollar reimbursement advantage.
Friends on Ways and Means?
Congratulations. You found margin.
Protected category?
Congratulations.
You found a moat.
Special payment model?
Congratulations. You found a taxpayer-funded annuity.
Everyone wants to argue about Medicaid fraud in California or Minneapolis because it makes for a clean villain.
The real villain is bigger.
It is the entire healthcare bureaucracy pretending central planning becomes moral because the acronym is federal.
Medicare and Medicaid keep growing faster than the economy.
Healthcare already consumes roughly a third of federal spending.
Zero out foreign aid.
Zero out culture-war nonsense.
Zero out half the things cable news screams about.
The debt still wins because the machine keeps writing healthcare checks nobody priced in a real market.
This is why every serious debt conversation eventually ends in healthcare.
Not tanks.
Not Iran.
Not some DEI grant your uncle found on Facebook.
Healthcare.
The deficit is a hospital bill with a flag on it.
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So very well stated.
Under capitalism, socialists are free to build socialism.
Under socialism, capitalists aren’t free to build anything.
Nothing stops a group of socialists pooling their money, forming a company, and splitting every wage and every pound of profit perfectly equally.... Or to donate all profit to the government.
It’s legal. It’s easy. Owning the means of production is as simple as setting up a company.
Marx wrote his manifesto before the invention of limited liability companies. Back then “seize the factory” meant seizing it from the handful of families who could afford one.
That argument expired the day anyone could start a company with limited liability, raise investment and hire who they want.
Socialists are free to lead by example and demonstrate their system works. They can out-recruit, out-motivate, out-build and out innovate based on their ideas if they like. It would prove the philosophy works. Capitalism will happily host their experiment.
The fact that nobody does this tells you a lot.
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Did you know that many ACL injuries happen without any contact at all?
A sudden pivot, awkward landing, or quick change in direction can place tremendous force on the knee, causing the ACL to tear. Dr. Thomas Bottiglieri breaks down the mechanics behind ACL injuries and explains why they are so common in sports.
Watch now and learn how these injuries occur and what athletes can do to reduce their risk.
#ACLInjury #SportsMedicine #KneeHealth #AthleteLife #SportsInjury #ACLRecovery youtube.com/shorts/kLJcd1pNi…
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Stress kills.
Exercise, like other medicines, has a therapeutic dose.
Jun 2
A question I get all the time:
"I have a busy life, and I only have a few hours to train each week. Shouldn't I make them count by going harder?"
No.
See, your body doesn't separate training stress from life stress.
If you're carrying a full-time job, poor sleep, family responsibilities, and financial stress, your "stress bank account" is already running too low for high-intensity training....
You're broke!
Your adaptation reserves are already being spent!
My latest...
Why Too Much Intensity Breaks Athletes:
Understanding Adaptation Energy
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🏃♂️ How soon can you return to sports after patella stabilization surgery?
Recovery is about more than just waiting a certain number of months. Dr. Thomas Bottiglieri explains why athletes typically return to sport around 7–9 months after surgery, and why strength testing, muscle balance, and sport-specific rehabilitation are critical before stepping back onto the field.
✅ Restore quadriceps strength
✅ Correct muscle imbalances
✅ Consider BFR therapy when appropriate
✅ Complete functional testing before return
Remember: Don't return based on time alone—return when your body is truly ready.
#SportsMedicine #PatellaStabilization #PatellaDislocation #KneeRehab #AthleteRecovery #Orthopedics #PhysicalTherapy #ReturnToPlay #SportsInjuryRecovery #DrThomasBottiglieri youtube.com/shorts/G_2stwgtP…
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I love the pseudo intellects crapping on osteopathic medical schools. Not very progressive and inclusive in their thinking. The inclusion only counts if it’s allowing virtue signaling that fits the fashionable positions.
Who is a better physician?
A DO from Kirksville with years of experience taking care of patients, or an MD from Yale who decides to create a “digital start up” after taking care of patients for 2 years?
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