Real Conversations That Move You Forward
Dr. Dave Kashuba and Mike McGann cover the world of physical rehab and wellness — with some of the sharpest minds in medicine.
Latest Episode
Shannon Cake
“I didn’t win anything alone. We never do.” Dave opens by adding up every Emmy won by Peter Jennings, Walter Cronkite and Barbara Walters, and by his count Shannon Cake has more on her own: 23, plus an Edward R. Murrow Award. Shannon now hosts News Now on Newsmax 2, weekdays from 9 to 10, after decades as an investigative reporter in West Palm Beach.
Her path started with her father, who served with an armored cavalry division in Germany before moving into diplomatic and intelligence work in Singapore and Hong Kong, with China as his specialty. Shannon began in radio at the NPR affiliate at the University of Alabama, then moved into consumer investigations. A friend, former state attorney Dave Aronberg, gave her the line that kept her there: one story in an evening can sometimes do more than a lawmaker does in a career.
She tells her father’s advice for negotiating in China: bring your own interpreter, or check your numbers at the end of the meeting. Then the talk turns to headaches. Dave is careful about the limits: physical therapy cannot stop a migraine, which he calls a systemic problem, but it can work on the triggers, and he says staying fit is key to reducing headaches.
Shannon’s day starts around 4:30, with a 5:30 editorial meeting and air at 9, so her rule is to work out first thing, because it is the hour least likely to be interrupted. Thirty minutes on the bike, then push ups, sit ups or lifting with one of her two teenage boys whenever she can. Mike’s version: it is not a matter of time, it is a matter of priority.
Shannon and Dave first met when she tore her rotator cuff and came to First Rehabilitation as a patient. While rehabbing she trained on the program people call the Captain Kerry workout, and Dave sets the record straight on whose workout it really is, while Mike brings up Hydrox and Oreo. The episode closes with Dave’s joke about two antennas and a reminder to go vote.
Read the recap: Shannon Cake on 23 Emmys, a Torn Rotator Cuff and Working Out First Thing
Dave & Mike
Dave Kashuba, Ph.D.
Founder of First Rehabilitation and a practicing occupational therapist, Dave has personally treated more than 87,000 patients across four decades — and the practice he built has cared for more than 180,000 — bringing a lifetime of hands-on experience to every conversation about healing and resilience.
Mike McGann
Co-host Mike McGann brings more than 17 years on the Palm Beach County airwaves to the show. He's hosted music and talk programs of nearly every style and now calls Legends 100.3 home — and a lifelong love of the Great American Songbook, sparked by his mom and a little Sinatra at age seven, gives him a storyteller's ear that's perfect for drawing out every guest's journey.
Listen & Subscribe
Elyse Marrone and Danielle Armstrong
“I want to be healthy, healthy, healthy, dead.” Following last week’s screening episode with Dr. Don Goodwin, Dave and Mike turn to what you can control. Elyse Marrone is a registered dietitian, functionally and integratively trained, who sees patients in Jupiter. Danielle Armstrong owns Pilates Life on Northlake in Palm Beach Gardens. Between them they cover food, movement and recovery before, during and after a breast cancer diagnosis.
Elyse calls it the triple HD plan, and it rests on the seven pillars of health she works through with every patient: food first, exercise, sleep, stress management, supplementation, hydration and community. After a diagnosis the first place she looks is the gut, because we all get cancer all the time and our immune system fights it, and she puts 80 to 90% of that immune system in the gut. Dave adds a number of his own: 30% of postmenopausal women, he says, could avoid breast cancer through diet and exercise alone.
Danielle says that this year in particular she has worked with a lot of women in their mid 60s to mid 70s through diagnosis and treatment, keeping them active and moving. Mike ties it to everyday life: balance, muscle strength, carrying the garbage out, getting in and out of the bathtub. Danielle trained in the line of Joseph Pilates through Romana Kryzanowska, one of his direct disciples, and now works with Juno Beach’s Lolita San Miguel, the last living elder who trained with him, who turned 92 on October 9.
Then the story of Eve Gentry, a dancer who had a radical mastectomy in the 1950s and was told she would never dance or do Pilates again. Joseph Pilates worked with her for a year until her full range of motion came back. When he took film of her exercises to a hospital in New York, they did not believe it, so it was filmed again. The hospital still turned him away, Danielle says, because he did not have the alphabet soup behind his name.
The episode closes on sleep: deep sleep, the wearables that track it, and one easy habit from Elyse, blue light blocker glasses from 8 o’clock in the evening, which she says help the body start producing melatonin so you fall asleep faster. Along the way Dave shares how a Polish family makes Brussels sprouts, fried in bacon grease with bacon. Reach Elyse at 561-252-7857 or thenutritioninstitute.org, and Pilates Life at 561-288-8151.
Dr. Donald Goodwin, MD
“Our job is to find it as small and early as possible, because the smaller the lesion, the earlier the stage, the better the prognosis.” Breast Cancer Awareness Month opens with radiologist Dr. Don Goodwin, who has been reading images for more than 50 years. He and Dave go back decades; in 2007 they built a building together, back when they were the young guys.
Screening advice depends on who you ask. The US Preventive Services Task Force recommended starting at 50 and screening every other year until last year, when it moved the start to 40 and kept the two year interval. The American College of Radiology, the American College of Surgeons and the American Cancer Society have long said 40 and every year. Dr. Goodwin sides with annual screening, noting that incidence in women under 50 has risen about 1.5% a year over the last decade.
Dense breast tissue is where a mammogram struggles, and he says it can miss up to 60% of cancers under 10mm. Ultrasound adds detection on top, and MRI adds more: in one study of BRCA positive women, mammography found 15 cancers per thousand, ultrasound another 7, and MRI 42. Because MRI is expensive and needs an IV, it is reserved for women above a 20% lifetime risk.
He puts the radiation from a 3D mammogram at about 0.4 millisieverts, roughly two months of everyday background exposure or one flight across the country. 3D imaging has also cut callback rates from 10 to 12% to around 6 to 8%, and core needle biopsy means most benign findings no longer need an operating room. A stage 1 cancer now carries a five year survival of about 98 to 99%.
Men get breast cancer too, at roughly one in a thousand against about 12% of women, and Mike names a few who went public with it. They also cover the conflicting research on hormone replacement therapy and why lumps or tenderness in men deserve a look. Dr. Goodwin practices with TGH Imaging, formerly Palm Beach Radiology, and can be reached at 561-841-8588.
Dr. Matt Butler, MD
“That’s how we all interact with our environment… something that people take for granted until it starts bothering them.” Dr. Matt Butler is a fellowship trained hand and upper extremity orthopedic surgeon with HSS, and in his words he takes care of people’s arms, mostly the elbow, wrist and hand. He has practiced locally for more than three years, and he and Dave send patients back and forth.
Tennis elbow, he says, is almost a rite of passage in middle age: the tendon that anchors the forearm muscles to the bone starts to fray, and most people who get it do not play tennis. Most cases settle, and the ones that land in his office first usually get sent to Dave, who he says fixes about 90% of them. For the stubborn rest, he now adds a collagen patch, first developed for the shoulder, when he cleans out the worn tendon.
Dave walks through what that 90% looks like in the clinic: active release technique, blood flow restriction training, and dynamic cupping, sometimes with an actual sink plunger. Mike is the proof, since Dave treated his elbow before the show and he says it has not hurt since.
They also get into the elbow problems now showing up in young pitchers. Kids play one sport year round and throw harder than ever, so Dr. Butler sees growth plate stress fractures and has to tell tendon strain apart from a UCL tear, the Tommy John ligament, sometimes with a stress view MRI developed at HSS. Dave adds what a dropped shoulder does to a young thrower’s elbow.
The reason Dave booked him is basal thumb arthritis, which almost every woman and many men develop. The standard surgery removes the trapezium bone, then means six to eight weeks immobilized and months of rehab, and pinch strength never fully returns. Dr. Butler now offers a joint replacement for the thumb, built like a dual mobility hip, used in Europe for about 15 years and newly FDA cleared. His office is at 561-657-4670.
Susan Mann
“They can’t be gifted if they can’t do their schoolwork.” Every teacher told Susan Mann her two children were gifted. Every test put them at the bottom of the scale, and nobody could explain the gap. Susan is a retired San Francisco police officer, not a clinician, and she went looking for the answer anyway.
It turned out to be auditory processing disorder and visual processing disorder. Their hearing and their vision were fine — the brain was not getting the message. As Dr. Leah Light, the audiologist who finally named it, put it to her: the eyes and the ears are only the messengers.
“I put everything on the line,” Susan says. Both children retested off the charts, got into the gifted school here in Palm Beach Gardens, and went on to full academic scholarships at Oxbridge Academy. She now runs Bright Minds Processing so other families do not lose years finding the same answer.
She and Dave get into why a Palm Beach County psychological education evaluation offers two boxes, ADHD or dyslexia, and cannot diagnose either processing disorder; what the therapy actually involves, which is 16 weeks, one session a week, and exercises five evenings a week at home; and the $30 screening that starts it against roughly $2,400 for the whole course.
Also in this one: why it is one in four children at any age, the fact that the testing itself comes out of the Australian school system where every child is screened, and the travel basketball team Susan is building in Palm Beach Gardens, coached by retired NBA player Dwayne McClain, where you play only if you keep up the therapy.
Read the recap: They Were Gifted and Failing: Susan Mann on Processing Disorders
Dr. Chaim Arlosoroff, M.D.
“These are the injuries that make it to the emergency room… or as a trauma admission.” Orthopedic trauma surgeon Dr. Chaim Arlosoroff, on staff at St. Mary’s Medical Center for the past 30 years, joins Dave and Mike for a September conversation about the surge in e-bike injuries he sees firsthand in the Level 1 trauma center and ER.
The numbers are stark: ER visits for e-bike injuries are up more than 400% nationwide since 2017, and Dr. Arlosoroff’s own count for South Florida runs even higher — Palm Beach County up 130% from 2023 to 2024, Broward up 180%, and Miami-Dade over 500%. About 83% of the injured riders weren’t wearing a helmet, and the average age is 13.
He and Dave walk through the modified “governors” that let bikes built for 15 to 20 mph hit 50 or 60, the skull fractures and spinal cord injuries that follow, and why they see these as motor vehicle injuries — riding on sidewalks, against traffic, without helmets — rather than bicycle accidents.
Dr. Arlosoroff’s path to medicine started at 16, volunteering in a hospital operating room during Israel’s 1973 Yom Kippur War, and continued through three years as an Israeli Defense Forces combat medic. He also played professional tennis, reaching a world ranking of 283 in 1981, before a full scholarship brought him to Duke University, where he was later inducted into the Duke Tennis Hall of Fame.
Dr. Arlosoroff and Dave have been friends for more than 30 years, and their practices — Dr. Arlosoroff’s orthopedic trauma and fracture care, and First Rehabilitation’s therapy right across the street — refer patients back and forth every week.
Captain Kerry Titheradge
Twenty years ago Dave got a call from a friend’s doctor asking whether he would take on a patient who was not on his insurance. That patient is now known worldwide as Captain Kerry from Bravo’s Below Deck, and the two have stayed close ever since.
Dr. Dave Kashuba and Mike McGann catch up with Kerry on the rotator cuff program Dave built him back in the day, since nicknamed the “Captain Kerry workout,” and how a television producer stumbled onto it and turned it into a bit of a brand.
They also get into what Kerry does with the platform Below Deck gave him, from a Mental Health Mondays series on his own podcast to helping Dave’s Remember Me foundation, which supports families facing early onset dementia.
Equal parts old friends catching up, and a good story about how one shoulder injury turned into two decades of friendship.
Dr. Michael Leighton, MD
“This is the best operation that’s done in orthopedics… the single best operation that Medicare pays for.” Orthopedic surgeon Dr. Michael Leighton — a friend Dave has referred patients to since 1994 — joins Dave and Mike to break down total hip replacement: the anterior versus posterior surgical approach, and why he steers heavier or older patients toward posterior while thinner, younger patients can go either way.
They cover what actually drives infection risk (under 1–2% over a lifetime, far lower than most people assume, but higher in smokers, in vapers using nicotine, and in diabetics whose A1C runs above 7.5), why dental hygiene matters before joint surgery, and the six-week window bone needs to grow into a modern non-cemented implant.
Also: the old dislocation precautions that used to keep patients in traction for a week are mostly gone, prehab isn’t one-size-fits-all, and an eye-opening dose of Medicare economics — a single flat payment of $1,162 covers the surgery and 90 days of follow-up care, a number Dave says deserves a lot more attention than it gets.
Dr. Leighton is an orthopedic surgeon with Palm Beach Orthopedic Institute in Palm Beach Gardens, board certified by the American Board of Orthopaedic Surgery with a subspecialty certification in Orthopaedic Sports Medicine. A former Division I baseball player at Duke, he has practiced in Palm Beach County since 1994, treating Hall of Fame athletes alongside weekend pickleball players, and performs minimally invasive hip replacement (anterior and posterior) and robotic-arm assisted (Mako) knee replacement.
Paul Joyce
“You definitely have to make sure you’re getting enough protein.” Peptides, GLP-1s and hormone replacement therapy are on everyone’s lips and understood by almost nobody, so Dave and Mike brought in Paul Joyce of New Life HRT, a friend of Dave’s for 22 years and the man a lot of doctors quietly learn these protocols from before they offer them themselves.
He explains what a peptide actually is (a short chain of amino acids, usually under 50, of which he counts around 150), where the GLP-1 medicines came from (a gut hormone your body already makes, and the Gila monster version of it that stays around long enough to keep working), and why he began prescribing Ozempic off label for weight loss back in 2017, before the rest of the country caught on.
The part that matters most to a rehab clinic is what the weight takes with it. “Yeah, you lose a lot of muscle,” he says, and he is talking about himself as much as his patients: he started at 209 pounds, weighs 153 now, and says he took it too far.
Dave’s warning is the one to write down, that people who are not monitored start looking frail, and that the shot will make you better without making you healthier unless the protein and the strength work come with it.
They also get into the counterfeit peptide trade, where Paul had six research only websites tested and all six came back with major flaws, from heavy metals to bacteria to a vial sold as retatrutide that turned out to be underdosed semaglutide, plus the fabricated certificates of analysis he was called to testify about in Atlanta.
Paul Joyce runs New Life HRT, where physicians go to be trained on peptide and hormone replacement protocols. He is also, as of this episode, one of Dave’s patients: he has a completely torn rotator cuff, cancelled the shoulder replacement he had scheduled, and explains on air why he is rehabbing it instead.
Read the recap: The Muscle Comes Off Too: Paul Joyce on GLP-1s and Peptides
Dr. Zach McVicker, MD
“A lot of times it’s causing the back pain, it’s causing the groin pain.” Plenty of people arrive certain their problem is their back, and the hip turns out to be the thing driving it.
Orthopedic surgeon Dr. Zach McVicker joins Dave and Mike to explain femoroacetabular impingement in plain English: the two shapes it comes in, the cam lesion where the ball is misshapen (“instead of being round, it’s more like an oval peg in a round hole”) and the pincer lesion where the socket covers too much of it, which skews female and is the harder of the two to repair.
The labrum, he explains, works like a gasket between two pipes, creating the suction seal that spreads your weight across the whole dome of the joint; lose the seal and the cartilage starts taking pressure it was never meant to take.
They get into hip dysplasia, the opposite problem, where an underdeveloped socket edge-loads the cartilage and ends in arthritis; who tends to get it, from gymnasts and dancers to marathon runners to the seventy-year-olds playing tennis six days a week down here; and why arthroscopic repair, done early, keeps the hip you were born with along with the proprioception a replacement cannot give back.
Dave walks through the home program he actually hands patients for a weak gluteus medius, including sit-to-stands with a band above the knees to stop the asymmetrical weight shift, and makes his usual case for doing your homework before you choose a surgeon rather than taking advice from the Publix line.
Dr. McVicker is board certified by the American Board of Orthopaedic Surgery and fellowship trained in sports medicine at the Cedars Sinai Kerlan Jobe Institute in Los Angeles. He practices with the Paley Orthopedic and Spine Institute in Jupiter and West Palm Beach, focusing on minimally invasive arthroscopic surgery of the hip, knee, shoulder and elbow, and has served as assistant team physician for the Miami Marlins and the Jupiter Hammerheads.
Read the recap: When Back Pain Is Really a Hip: Dr. Zach McVicker on Pain 2 Power
Dr. Vani Sabesan, MD
“We’re really good at fixing rotator cuffs. We’re not great at getting them to heal.” Orthopaedic shoulder surgeon Dr. Vani Sabesan — the Florida Orthopaedic Society’s first female president — joins Dave and Mike for an unusually candid hour about the limits of surgery.
Roughly 17 million people have a rotator cuff problem, and past 60 it is closer to one in three, so the interesting question is not whether a repair can be done but whether the body will knit it back together. Hence her interest in muscle sparing technique and in biologic scaffolds, and her impatience with six weeks in a sling.
She is equally blunt about the technology arms race: robots in shoulder and joint surgery are a great marketing tool, but the science has not shown them to be the next panacea.
Along the way — why she switched to knotless sutures fourteen years ago when it was still heresy, why “ninety is the new seventy” in Palm Beach, the sixty-year-olds playing competitive pickleball six days a week who just want to be shot up so they can keep going, and the ninety-year-old who still trains six days a week. She has also run 28 marathons herself.
Dr. Ryan Simovitch
The shoulder is the most mobile joint in the body — and that mobility is exactly why it breaks down. Orthopedic shoulder surgeon Dr. Ryan Simovitch joins Dave and Mike to explain reverse total shoulder replacement in plain English: why the rotator cuff decides which replacement you get, and how reversing the ball and socket restores stability when the cuff can no longer provide it.
They also dig into the “constant warrior” problem — the play-every-day crowd who train with no moderation and no preparation until something tears — plus the simple at-home shoulder routine Dave gives patients (wall slides, cross-body stretches, shoulder shrugs, and scapular retractions), the Duke anatomy class that pulled Dr. Simovitch into medicine, and why doing your own research beats taking a recommendation from the water cooler.
Read the recap: Total vs. Reverse Shoulder Replacement: How Surgeons Decide
Dr. Rami Elkhechen, M.D.
Orthopedic surgery isn't always the answer — and knowing when it is may be the most important call a surgeon makes. Dr. Rami Elkhechen, M.D., a board-certified, fellowship-trained sports medicine orthopedic surgeon, then with Orthopaedic Care Specialists in North Palm Beach and now with NYU Langone Health, joins Dave and Mike to dig into exactly that.
Trained at NYU School of Medicine with a sports medicine fellowship at New Orleans' Ochsner Sports Medicine Institute — and a former assistant team physician for the Saints and Pelicans — he treats everyone from weekend athletes to trauma patients, with a focus on hip arthroscopy, shoulder surgery, cartilage preservation, and orthobiologics.
Together they unpack what actually separates a surgical candidate from someone better served by conservative care, why rehab so often decides the outcome, and how patients can take a more active role in their own recovery.
Read the recap: Cartilage Transplants: Rebuilding a Knee Instead of Replacing It
Dr. Richard Weiner, M.D.
World-renowned orthopedic surgeon Dr. Richard Weiner joins Dave and Mike for a candid conversation about joint replacement, staying active as you age, and what it really takes to get patients moving pain-free again. With more than 35 years in practice and thousands of hip and knee replacements to his name, Dr. Weiner brings a uniquely technical eye to orthopedic care — shaped by his training in both engineering and medicine at the University of Pennsylvania. A must-listen for anyone considering surgery or determined to avoid it.
Read the recap: Knee Pain: What to Try Before You Think About Surgery
Logan Van Sant, DPT
Doctor of Physical Therapy Logan Van Sant sits down to share what modern physical therapy really looks like — beyond the stretches and exercises most people expect. Logan digs into how the right movement, at the right time, restores strength and confidence after injury, and why the therapist-patient relationship is at the heart of every successful recovery. A genuine wealth of knowledge from one of the sharp young minds shaping PT today.
Kayla Dorsey, DPT & Dr. Murray Goldberg, M.D.
A double-header of expertise. Kayla Dorsey, a Doctor of Physical Therapy with over a decade of hands-on experience, unpacks how personalized, one-on-one care changes recovery outcomes. Then Dr. Murray Goldberg — a board-certified urologist serving Palm Beach County since 1991 — joins to discuss men's health, aging well, and why staying proactive about your body pays off for decades. Two perspectives, one theme: taking ownership of your health.
Dr. Timur Urakov, M.D.
Spine surgery, demystified. Dr. Timur Urakov, Associate Professor of Clinical Medicine at the University of Miami, joins the show to explain how today's spine care has changed — from minimally invasive techniques to the advanced surgical technology now used to treat conditions along the entire spine. He and Dave tackle the questions patients are most afraid to ask about back and neck surgery, and when it is (and isn't) the right call.
Dr. Tom Saylor, M.D.
The hand is the body's most intricate tool — and repairing it takes a specialist. Hand and upper-extremity surgeon Dr. Tom Saylor joins Dave and Mike to talk about the surgical side of restoring hand function, from carpal tunnel and tendon repairs to complex reconstruction. It's a natural fit for First Rehabilitation, home to a certified hand therapy program, and a fascinating look at how surgeon and therapist work hand-in-hand to bring patients back to full function.
Intro to Dave's Background
The one that started it all. In this first episode, Dr. Dave Kashuba tells his story — how he built First Rehabilitation of North Palm Beach from the ground up in 1991, what four decades and 87,000 patients of his own have taught him about healing, and the philosophy behind the name Pain 2 Power. Co-host Mike McGann draws out the moments that shaped Dave's approach to care, resilience, and why “our people make the difference” is more than a tagline.
Be Part of Pain 2 Power
Ask Dave
Have a question about pain, recovery, or staying strong as you age? Send it in — Dave may answer it on a future episode.
Question received
Thank you — Dave reads every question, and yours may be answered on a future episode of Pain 2 Power. Tune in Saturdays at 8:30 AM on 100.3 Legends Radio.
Send Us a Dad Joke
Every episode of Pain 2 Power ends with a dad joke — and we're always hunting for the next groaner. Send us your best.
Joke received
Thank you — our panel of highly serious joke judges will take it from here. Listen for it at the end of a future episode.
The Dad Joke Hall of Fame
Life is too short to live in pain.
Start your recovery today with a team dedicated to your long-term wellness and total healing.
Start Your Recovery Today →