Stop Letting Your MRI Define You—The Truth About Pain & Healing | Dr. Danny Shapiro

The Dr. Tyna Show Episode 198 

Imaging results like MRIs and X-rays have become a default diagnostic tool in modern medicine. But in my opinion, those images usually don’t tell the full story. My guest on this podcast episode feels the same way. 

In this episode of The Dr. Tyna Show, I sat down with Dr. Danny Shapiro, a Doctor of Physical Therapy and former professional ballroom dancer, to discuss the holistic approach to physical medicine. We cover the overuse of imaging, the power of movement in healing, and the role of strength training in recovery.

In this article, you will learn:

• Why imaging results shouldn’t dictate your pain, and why they may not even be the best tool for determining necessary treatment
• How movement, strength, and holistic approaches can heal injuries
• Common myths about surgery, rehabilitation, and physical therapy

Let’s dive in!

LISTEN ON APPLE PODCASTS | WATCH ON YOUTUBE | LISTEN ON SPOTIFY

You Are Not Your MRI: Rethinking the Role of Imaging

Many patients come into a doctor’s office thinking their MRI or X-ray results define their pain. Dr. Shapiro and I agree — this is a myth. 

Just because an image shows arthritis, disc degeneration, or joint damage does not mean it is the source of pain.

• Many people have "bad" MRIs but feel fine and experience no pain.
• Imaging is often used as a "cover your ass" (CYA) strategy by doctors rather than as a necessary diagnostic tool.
• Insurance companies often require conservative care (such as physical therapy or injections) to fail before approving imaging — by then, the damage may have already worsened.
• Pain is often generated by soft tissue issues, not the structural problems seen on imaging.

Be sure to listen to the episode to find out what you should do instead of relying on imaging!

The Power of Movement: Why Strength Training is Key

Movement is medicine. 

A sedentary lifestyle and fear of movement can actually make pain worse. Strength training and mobility work help recondition the body and reverse pain caused by muscle imbalances and weakness.

• Strength training builds resilience in joints and muscles, reducing chronic pain.
• Movement encourages the body to heal by increasing circulation and nervous system activation.
• Avoiding movement out of fear of injury often leads to further deconditioning and pain.

Be sure to listen to the full episode to hear the story of how I worked through my pain to get on a flight to London for a podcast interview after herniating a disc!

The Myth of Surgery as the Only Solution

Too many people are rushed into surgery without fully exploring other options. 

In many cases, strength training, mobility work, and regenerative medicine can resolve pain without the need for invasive procedures.

• Surgery should be the last resort, not the first option.
• Many patients experience no relief or even worse pain post-surgery.
• Conservative treatments, including strength training, physical therapy, and regenerative medicine, often provide better long-term results.

Seriously, you have to listen to the episode to hear the story of a patient of Dr. Shapiro’s who was told she needed hip replacement and how he was able to help her eliminate her pain without surgery.

The Role of Hormones and Metabolic Health in Pain

Hormonal imbalances, especially in women approaching menopause, can play a significant role in pain and injury recovery. If your doctor isn’t monitoring your hormone levels and considering them in your treatment plans, you need a new doctor!

• Estrogen and testosterone are crucial for maintaining muscle and joint health.
• Low hormone levels can lead to increased injury risk and prolonged pain.
• Many doctors overlook hormonal testing, leaving a serious gap in patient care.

This exact thing happened to my mom. A sudden estrogen drop led to hip issues, multiple surgeries, and metabolic dysfunction — a common but preventable scenario. Be sure to tune in to hear an alternative way to handle this scenario. 

Breaking the Cycle: Why a Holistic Approach is Key

Modern medicine often separates different aspects of health — but the body doesn’t work in isolation.

• A comprehensive approach considering movement, hormones, nutrition, and stress is often the best way to treat pain.
• Many doctors prescribing surgery are not fit themselves and lack an understanding of physical rehabilitation.
• Patients should be empowered to question medical recommendations and seek holistic, movement-based solutions.

Physical therapy shouldn’t be just about passive stretching — it’s about active movement, strength, and real-world function.

Dancing, Mobility, and Active Aging

As a former professional dancer, Dr. Shapiro knows firsthand the importance of multi-directional movement. And in this episode, he talks about how he strongly encourages patients to incorporate lateral flexion, rotation, and functional movement patterns to maintain joint and muscle health.

• Most people only move in one plane (forward and backward), but the body needs to twist, bend, and rotate.
• Lateral flexion and rotational movements are key for spinal health and pain relief.
• Dance is one of the best ways to maintain mobility, coordination, and strength.

Even small movement tweaks can make a massive difference, and I’m smitten with Dr. Shapiro’s Instagram content. You really need to follow him!

Conclusion: Take Control of Your Pain and Health

You are NOT your MRI, and movement is medicine. If you’ve been told that surgery is your only option, or that you should stop being active due to pain, it’s time to challenge that narrative.

• Pain is complex and often not directly related to what is seen on an MRI.
• Strength training, movement, and hormonal balance play a crucial role in healing.
• You’ve got to advocate for yourself and seek holistic approaches to care.

Your body is designed to heal. Keep moving, stay strong, and challenge the system that tells you otherwise.

Show Links: 

FREE GUIDE: Assess Your Metabolic Health

Metabolic Revamp Toolkit

GLP1 Done Right University 

Ozempic Uncovered 

Disclaimer:

The information provided in this blog/podcast is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. While Dr. Tyna Moore is a licensed doctor, she is not the reader’s or listener’s personal doctor. Individuals should always consult a qualified healthcare provider before making decisions about treatments, supplements, sauna use, or significant changes to their exercise routine. The benefits of strength training and other exercise interventions can vary among individuals, so personalized advice is essential to avoid potential injury. Professional medical advice should not be disregarded or delayed because of something read or heard in this content.

This blog/podcast may contain affiliate links, meaning Dr. Moore may earn a small commission if purchases are made through these links, at no additional cost to the consumer. Links to Dr. Moore’s courses and supplements are provided for informational purposes only and are not a substitute for personalized medical advice. Statements about supplements and products have not been evaluated by the FDA and are not intended to diagnose, treat, cure, or prevent disease. Individual results may vary.

Use of this content does not establish a doctor-patient relationship with Dr. Tyna Moore. Readers and listeners are advised to consult a licensed healthcare professional for personalized medical guidance.