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Hey Padel enthusiasts welcome to Padel Smash Academy, I am Cesc and I am here with Julian and we're all about Padel! Whether you're new to the sport or an experienced player, you've come to the right place. Our goal is to provide you with the best tips & tricks, news, and weekly lessons to help you improve your game and take your Padel to the next level. So grab your Padel Racket and let's get started with all things Padel on Padel Smash Academy.
Hey everyone, hey paddlers! Welcome to another exciting episode of Paddle Smash Academy and today we're so excited to have Doctor. Celine Thumb, sports specialist, injury prevention and not only that she's also a former professional badminton player and violin concerts.
Celine Thum, MD:Yes I play violin in an orchestra called the World Doctors Orchestra and I travel all over the world doing that.
Julian Wortelboer:So welcome to the channel. So please tell us a little bit, we meant playing paddle, you took one of my clinics and when I dig a little bit about your background and all that I said we have to have you on the podcast. So why don't
Cesar Caceres:you tell us a little bit about you and not only what you do as a doctor,
Julian Wortelboer:but also I'm crazy about violin and classical music and also, you know, you're a former professional Vamilton player.
Celine Thum, MD:Yeah, so obviously I love life and I feel like I've had many. So thanks for having me and allowing me to tell my story. So I originally am an emergency physician. I did a lot of sports medicine up in New York as a doctor for professional boxing and MMA fighters, as well as, motorsport athletes, if you think like Formula One. Did, work for the FIA a little bit.
Celine Thum, MD:So I loved sports, you know, growing up playing sports, and I loved being able to apply medicine to help form and function for these athletes. So when I came to Miami about a year and a half ago, I discovered paddle. Paddle. And it's, you know, it set me back a little bit. There's a lot of injuries that go hand in hand, but I also, started practicing and adding regenerative medicine therapies in my practice, so that I can help not only myself but other people heal faster, perform better.
Celine Thum, MD:And, you know, I really have been loving to meet the community and take care of the players.
Cesar Caceres:So what have you been seeing mostly in injuries when it comes to
Celine Thum, MD:battle? I've seen the most common ones, you know, being in tennis elbow, calf strains, and then also shoulder strains. Just from repetitive movement, quick explosive movements.
Cesar Caceres:So what would be your approach on something like that know, when it comes to regenerative medicine or having to take care of that or resolve that or remedy that?
Celine Thum, MD:Yes. So you're not going to like the answer because it and technically I don't like the answer, too, because it doesn't bring me patience. But, the best thing is to be consistent with your training. I know a lot of us, who play paddle, we're enthusiasts. We have professional careers.
Celine Thum, MD:It's hard because when we have time off, want to jump on the court and perform. So the issue is it's not the movement, it's that your body hasn't prepared for it. So prevention is a huge, huge key to not getting injured. That means even if it is ten minutes
Cesar Caceres:Stretching you are talking about?
Celine Thum, MD:Stretching. What I like to incorporate is explosive movements in my warm up. So maybe not just stretching or running, but now I am doing squat jumps, alternating squat jumps, just to warm up my legs and prepare my calves for that. And like I said, it could be not even five minutes of that, but if you do it consistently every day, when you step on the court to really go all out, because I know this community is very competitive, for the 35 and younger, they're starting to learn a little bit more because I think with the, you know, now we have more social media. They're more aware of the possibilities of injury and they're a little bit more humble when it comes to what their body can do, Especially, you know, the pro athletes.
Celine Thum, MD:They maybe unfortunately know either firsthand or through someone else that there can be really bad things that happen that can set you back.
Cesar Caceres:So let's talk about ligaments, right, or tendons. We hear about PRP a lot, right? And that's kind of a solution to help quicken the recovery. Can you talk about what is PRP and how does that help?
Julian Wortelboer:Yeah,
Celine Thum, MD:so And
Julian Wortelboer:if you believe in it. Yeah.
Cesar Caceres:I believe in it. I've used it many times. It only makes sense, but go ahead.
Celine Thum, MD:Yes. So what I've incorporated in my practice is a field called regenerative medicine. It's very new. It's studied worldwide, and a lot of the products that are not FDA approved here are approved by other regulatory bodies, elsewhere. PRP stands for platelet rich plasma.
Celine Thum, MD:If you've heard of it, it's used in applications to quicken healing. So, what the doctor will do is take the blood, spin it down, and extract, platelets that have growth factors and essentially reinject it in the target areas to improve cellular, healing. It sends messages for the area around to start healing. So it's studied a lot in wound healing, and it's found good efficacy in, just amplifying your own body's natural healing processes. So, you know, something that might take, like over a month to heal with PRP, and then depending on the patient, the thought is that you can have a quicker return to play.
Celine Thum, MD:It helps with decreasing inflammation and also a strengthening of what you have.
Cesar Caceres:I've had that experience.
Celine Thum, MD:Yeah?
Cesar Caceres:And both feet and flat leg with the fascists there, ripped fifty percent on one foot, twenty percent on the other. That really helped, it hurt a lot. It hurts a lot when you put the PRP in. And now my elbow, which I overextended.
Celine Thum, MD:All from paddle?
Cesar Caceres:All from paddle. Sports in general, play sports regardless, so it's really because it's an older body, you know, that's what it and that's stretching. And that's what I learned there, where I have to stretch my whole body. So it usually takes somebody to get injured before they understand that they have to stretch. And sometimes they don't know how to stretch.
Cesar Caceres:So I've had to go to a specialist to show me how to stretch and to be more flexible and using all my ligaments and all my muscle, you know, so I'm not just putting pressure on one. But they've all, that's helped me recover. I mean, I had my first injury in my foot, I, it was fifty percent from the bone, you know, ripped. I couldn't even put any weight on it. I thought it was out for, you know, ten, twelve months.
Cesar Caceres:But with regenerative medicine, with PRP, I recovered. I was on the court in three weeks. I was playing, you know, after a month, you know, maybe five, six weeks, and I was playing competitively. So I found incredibly helpful. And then same thing with my other foot and then now my elbow has been a couple weeks so I just started playing.
Cesar Caceres:I'm feeling okay it's a little sore but I assumed I got another four weeks left to really 100% recover.
Julian Wortelboer:Now he flies on the paddle court. He's been called a flying diver.
Celine Thum, MD:He's a little bit more than just Yeah,
Cesar Caceres:he gave me more flexibility. That's the flexibility.
Julian Wortelboer:Celine, That's long going back to what you were saying, you were saying that some of these treatments, they are not approved by the FDA. Can we talk a little bit about what is not really approved but it really works?
Celine Thum, MD:Yes, FDA approval is kind of, it's confusing because when the FDA approves a medication or a treatment, it's approved for a specific diagnosis. For example, the drug metformin, it's used to treat diabetes, but it was only FDA approved, I think it was in the '90s or '80s, where it's been used to treat diabetes fifty years before that. And now you can use metformin, but now some longevity experts are saying, Hey, you can use it for antiaging. So, it's not FDA approved for anti aging, it's FDA approved to treat diabetes. So, it's kind of a quality marker, but it's very specific.
Celine Thum, MD:So, when you say something is not FDA approved, it might not be for a specific condition.
Julian Wortelboer:Would you say that Ozempic is something similar that what it was approved for diabetes?
Celine Thum, MD:Yes. Then so now exactly. So it was approved for diabetes. It has to go through another approval for weight loss.
Cesar Caceres:It didn't work with Julian, though. No. Know, sick yacht on
Celine Thum, MD:it. Well, it brings us to a good point. There's a lot of wellness and regenerative pop ups in Miami now, and it's relatively unregulated. So now you have to ask the question, like you said, what works and what doesn't? So an important thing to know is first of all, who's treating you?
Celine Thum, MD:Okay? If you walk into a med spa and someone's like, Oh yeah, we can give you X, Y, and Z, without a physician oversight or some kind of or even like analysis if you really need it. Then you know that someone's just selling you a treatment for profit. So you should be very aware of what the provider's goals are. If they're actually thinking about what your goals are.
Celine Thum, MD:And then when it comes to treatment, let's say it's peptides. Where are the peptides from? Is it from a FDA regulated 503B pharmacy? That means that the FDA has oversight, in the way that these drugs are manufactured. That's important.
Celine Thum, MD:Are there any certificate of analysis for purity and quality analysis? Because otherwise, you know, if you're using something, how do you know what you're actually using? And then, there's other regenerative therapies like stem cells and stem cell exosomes, those same concepts apply. Who is manufacturing it? Where are they getting it from?
Celine Thum, MD:How can you ensure it's free of diseases? So you have to ask all of these questions. In terms of efficacy, it really depends on what the problem is. You know, if we're taking, let's say, your tennis elbow, you know, if PRP works for you, that's great. If it doesn't work, if it might not work for someone else, okay?
Celine Thum, MD:There's other
Cesar Caceres:Is that the case?
Celine Thum, MD:It depends because How PRP
Cesar Caceres:do your body reacts?
Celine Thum, MD:Also, it's how the PRP is prepared.
Cesar Caceres:Okay.
Celine Thum, MD:So you asked if I like PRP. I think it's great if it works for someone. Know, if it works for you, it's good. But in my experience when I have used PRP in the past, depends on the patient's own platelets, if they're hydrated, how the PRP is prepared is very variable among
Cesar Caceres:many So could mean that one place it may be successful and another place may not based on the And fact you're preparing also may depend on your body if you're hydrated or you have, I guess, nutrition or whatever in your blood to be able to create that plasma, right? That will be able to help heal it, right?
Julian Wortelboer:Yes. So what are the treatment rates?
Cesar Caceres:But if all of those things are right, it should technically help, right?
Celine Thum, MD:Yes. Research has shown that they do improve outcomes in like joint pain and osteoarthritis.
Julian Wortelboer:So when you were talking before the podcast that you also had paddle elbow or tennis elbow or badminton elbow how did you fix it because you were saying you were not even able to hold your purse or a cup of coffee. I mean that's really bad when you get it up
Celine Thum, MD:What to that
Cesar Caceres:was your treatment that you that was your job to show her how to hit Yeah the
Julian Wortelboer:but that was before me
Cesar Caceres:and then you'll be so now you can help. Fixed already.
Julian Wortelboer:So what was your treatment that you did to improve that?
Celine Thum, MD:Yeah, so first of all, I had to take time off.
Julian Wortelboer:Okay.
Celine Thum, MD:I had a prolonged period where I still kept playing with it. And then, you know, it got to a point, like you said, I couldn't hold my purse. And I said, you know, I should, like, stop and take care of myself. And so I took a week off. I focused on physical therapy, my protein intake, stretching.
Celine Thum, MD:You know, I started using stem cell exosomes, which is has it's thought to have more cell signaling power than PRP.
Julian Wortelboer:What was that again?
Celine Thum, MD:Stem cell exosomes.
Cesar Caceres:Which is what?
Celine Thum, MD:So if you've heard of stem cells, which is a cell that can differentiate into many different tissues, the exosomes are derived from these stem cells. Exosomes have varying growth factors. They have collagen. They have nutrients that essentially are delivered to your own cells in the area. And preliminary research has shown that it helps speed up healing.
Cesar Caceres:Did you get that from your own body or is that synthetic?
Celine Thum, MD:So it's not synthetic. It's bioengineered from a stem cell line. So there is a umbilical cord lining stem cells from a single donor from 2019, or at least the stem cell exosomes that I used. And they are propagating in a lab, and there's a bioengineer that essentially makes the exosomes from the stem cells. So for me, I knew that this company had been around for a while.
Celine Thum, MD:They have good quality markers. My patients had good results with them, so I decided to use it for myself as well.
Julian Wortelboer:You said 2019, is that the way it has to be or it could be 2018, 2020?
Celine Thum, MD:It's just length of time that this product has been also shows legitimacy.
Julian Wortelboer:Oh, okay. Okay. And you inject it on the elbow? Or how does that work?
Celine Thum, MD:Yes, it can be a targeted injection, but also sometimes you can some people use an IV. It really will depend on your goals and what your healthcare provider recommends.
Julian Wortelboer:And let me ask what this is very important for our listeners. So what do you what do you call that again?
Celine Thum, MD:Stem cell exosomes. Exosomes. Exosomes is the right hand for it.
Julian Wortelboer:And then you can go to where to get it?
Celine Thum, MD:Are At
Cesar Caceres:your facility?
Celine Thum, MD:Yes. So if you go to somewhere, either a sports medicine specialist, you can call to see if they have advanced regenerative therapies. I have my own clinic. It's open to the public next month. For now I'm seeing some private patients.
Celine Thum, MD:This clinic Where will
Cesar Caceres:are you going to be opening?
Celine Thum, MD:It's in North Bay Village. I've partnered with a concierge medical practice called Linx Health Advisors. And the way this came up, I actually met them through battle. The CEO. Yeah.
Celine Thum, MD:We played one day, then we were talking. And he heard my story. And, he said, Let's find a role for you. I had been doing regenerative medicine with another company before, but he was like, You know, we have our patients that we take care of, and they're looking for other options than traditional medicine. And what I like about that is, you know, you don't have to choose one way of health or another because, as you know, today's environment with health care is very political and polarizing.
Celine Thum, MD:So, this way I get to, you know, give options to my patients, whether it is, you know, we put you on a statin to help lower your lipids or we decide to put you on a weight loss regimen with peptides and other nutrients to kind of reach that same goal. And it keeps it, evidence based and allows me to, you know, really provide patients with a whole spectrum of options.
Julian Wortelboer:Two questions. So you said what would you recommend? Now you have two options for papilledema, which is PRP and the exosome stem cells. Is one better than the other one or is what works better for your treatment?
Celine Thum, MD:Yes, so the first line therapy will always be, you know, the physical therapy and exactly what you did. None of these therapies work on its own. You still have to these are just, you know, helping to the thought is to help strengthen the process and support your own body. In terms of options, you've got PRP, stem cell exosomes. One might not be better than the other.
Celine Thum, MD:It becomes a risk cost benefit analysis for most people. Stem cell exosomes are very expensive to manufacture.
Cesar Caceres:So let's talk about that. What is the cost of this because this is not something that insurance companies will pay for. This is something that is marketed towards let's say the affluent people at 10 percentile right? And so what is that cost, that range, let's just say for PRP or for the stem cell? Forgot the stem cell something.
Celine Thum, MD:Exosomes. Exosomes. Yes.
Cesar Caceres:That's a treatment for like tennis elbow.
Celine Thum, MD:Yes. So depending on the protocol the provider has, it can go anywhere from a few thousand for stem cell exosomes to, you know, tens of thousands.
Cesar Caceres:Okay. How about PRP?
Celine Thum, MD:PRP, I've seen ranges from, you know, dollars 200 per session to $1,000 per session. With PRP, you have to do it a little bit more frequently.
Cesar Caceres:That's because it's your own blood, right? You're not buying anything else.
Celine Thum, MD:Yeah. You know, it's important for you to find someone who takes that in an account for you. Like, if you're busy or traveling, maybe stem cell exosomes, it's not as frequent. Can
Cesar Caceres:So this is not for everybody, really?
Celine Thum, MD:It's not for everybody. And I have to mention again, nothing's proven yet. There's a lot of preliminary data that shows this is, know. One one.
Cesar Caceres:You know what I'm saying? I mean, thought I would never walk. And Jules, you had an issue with your hip. Yes. For a while.
Cesar Caceres:You resolve that
Julian Wortelboer:I was going to ask you exactly Does it work for any hips, knees, ankles, shoulders or it's specific for certain areas of the body?
Celine Thum, MD:So we can't really say it works for anything yet. Again, that's the disclaimer. But it's been shown through my own patients and my practice that it really, has good efficacy for joint pain and healing. So I when I was competing in Batman, I tore my ACL. I had two knee surgeries.
Celine Thum, MD:I had bucket handle meniscal tears. Wow. I didn't play for, you know, three years. I was scared to get on the court. And through my previous job at a Level one trauma center in New York, I was on my feet working sixty to eighty hour weeks.
Celine Thum, MD:My knee, like, took a toll to the point where it was hard to bend. It hurt to walk when I wake up. And at that time I was under 35, so that's not good either. Wow,
Cesar Caceres:you're a monster on
Julian Wortelboer:the phone,
Cesar Caceres:I'm sure. You know what I'm saying? Playing three, four times a day, I mean, it's going to
Julian Wortelboer:get better. So when you get surgery, those also work to accelerate the healing process.
Celine Thum, MD:It depends. It can, so long as it's not a knee replacement. It's thought to, you know, if you still have cells in your knee that could potentially have a boost in its healing and regenerative capacity, then, if you have access to regenerative medicine, you know, it's something that you can work into your medical strategy. For myself, I, you know, I didn't want another surgery. The surgery would be removing more cartilage.
Celine Thum, MD:I tried steroid injections, you know, and that will actually maybe help with the pain with decrease in inflammation, but what it did was also inhibit healing, which is adding to the problem. So eventually, and this is when I told myself I'm going to do this, you know, for life, for other people, I did get stem cell exosome injection into my knee. And it's helped me improve my range of motion. I stopped limping first thing when I woke up. So I can speak to my own personal experience.
Celine Thum, MD:It's not for everybody, and it has to be in conjunction with other important lifestyle factors. If your BMI is over 30, you don't have joint stability with muscle, you know, you might want to get this but it's really not going to do a whole lot for you because you're continually having that wear and tear. So it's a part
Cesar Caceres:of the tool to help you
Celine Thum, MD:it's not gonna be Yes. The whole thing
Cesar Caceres:Now Jules is your hip better now or are you still?
Julian Wortelboer:Yeah it's 100%.
Celine Thum, MD:You do?
Julian Wortelboer:It's just recovery and physical therapy.
Cesar Caceres:Tell her about it and maybe she can say what? She said. No I mean it was just a
Julian Wortelboer:whole pain in here you know and I'd see specialists but they couldn't tell me.
Celine Thum, MD:What did they think it was from?
Julian Wortelboer:It was an imbalance the way it was standing you know it's you were putting too much weight on one side I remember when you're playing paddle you always lean into one side so all the body weight goes into one side and then you lose some body muscle you know and then you know the whole thing starts you know falling apart. So do you
Cesar Caceres:think it was just hitting your sciatic nerve or is a muscle you think?
Julian Wortelboer:I don't know. Don't know. Just rest on physical therapy going back to what you
Celine Thum, MD:were saying. Think it's important. And that really works. And then you have all this new generation of medicine could And help
Julian Wortelboer:and speed it
Celine Thum, MD:there's a lot more that we need to know. But I think it also speaks to a little bit about Americans should have medical freedom. You know? Whew. That's a
Cesar Caceres:whole another That's a whole podcast. If
Celine Thum, MD:you can go, to a doctor and say, you know, I want in Miami, you know, implants, you know? Like, do you need it? Is there a risk yeah but you know if you know the risks and you you know the evidence behind it then someone with expertise can guide you if it could be a good option
Julian Wortelboer:here it's it I feel that you go to the doctor and they should say take this pill to cover to patch the pain that it doesn't solve the problem.
Cesar Caceres:That's the reason why five years ago I got a concierge doctor you know and that's that's the way to go.
Julian Wortelboer:The
Cesar Caceres:thing is it's not for everybody because it's very expensive, but you're more proactive, you know, and I think a lot of doctors, see them starting to switch over because they don't like doing that, being drug dealers pretty much. And they see how you know you go to school and you're thinking one thing you're helping and you go in there and you realize it's too much of a business and you're not really helping them, you're putting band aids on people and you're just trying to see what can we what we can do, we submit invoices to the insurance you know and then they're like you know what I got I got I got to get out of this and it's everything everybody's moving over but I'm hoping that in the near future a lot of this is going to be cost less because now there's a lot of different apps and a lot of different e commerce that are pulling your blood for a reasonable amount and checking plates, whole bunch of plates, and it's more reasonable. But you kind of still need that doctor to guide you. And of course, insurance doesn't cover any
Celine Thum, MD:of this.
Cesar Caceres:So it's still kind of towards that tenth percentile of the people, unfortunately.
Celine Thum, MD:Yeah. And I've worked in public health all my life, being in the ER. I never knew I don't really know much about insurance except that they have a lot of denials and they kind of dictate how we spend our time because we don't get paid for health coaching and all the important things that we need.
Cesar Caceres:How big can you see a day? And what can invoice? That's it's it's becomes a business.
Julian Wortelboer:Selena, were saying during your recovery, you mentioned physical therapies and nutrients or proteins you start taking.
Celine Thum, MD:Yes.
Julian Wortelboer:What was that exactly?
Celine Thum, MD:So I you know, we should all be consuming about like one point two to 1.5 per kilogram of protein a day.
Julian Wortelboer:Yeah. You see the bar, right?
Cesar Caceres:You see
Celine Thum, MD:You When see the I first thought about it and I started, you know googling what that looks like. I'm like man.
Julian Wortelboer:It's a lot.
Celine Thum, MD:It's a lot.
Cesar Caceres:And you're small.
Celine Thum, MD:Yeah. So I had to really focus on adding you know a scoop of collagen and and protein, you know, in my coffee even, and really making sure I had the proper supplementation along with weight training. Because a lot of racquet sports, if we don't train for competition, we forget about the strength training aspect Yeah, of
Julian Wortelboer:is yeah, more important.
Cesar Caceres:But your normal doctor won't tell you that. No, because They if it's, you know, that's, Are you Okay? Okay. If there's something wrong, Okay, well, go to scribe. Or, Well, we can get you in here for another invoice.
Celine Thum, MD:The normal primary care doctor, you know, their goal is to make sure that the chronic diseases are taken care of. But there hasn't been much focus on how to prevent the chronic diseases. Correct. Yes. And I love my colleagues.
Celine Thum, MD:And I know it's like that in the It's because of insurance and the health care system how Corrupt
Julian Wortelboer:it is. How
Cesar Caceres:often It's also to it's be proactive so if you ask the general people, they know anything about their body and they won't know.
Celine Thum, MD:I have
Cesar Caceres:no idea. I have no idea about anything but you know being proactive you get to understand your body and then now it's conscious that you have to make these adjustments but I want to do better.
Julian Wortelboer:So for our listeners what will be you know, a good intake of? What is the ratio between protein and, you know, all these things for you to sort of like stay on a healthy path?
Cesar Caceres:What
Celine Thum, MD:I could say is no matter where you are in your health care or athletic or paddle journey, there's always room for improvement.
Julian Wortelboer:Of course.
Celine Thum, MD:And I think focusing on a small change one at a time is going to have more lasting benefits than implementing everything that we talked about here. In terms of what percentage should be prevention and recovery, I would say if you think about it's hard because part of prevention is making sure you sleep enough, you know, decrease stress. There's a lot that goes into
Julian Wortelboer:Hypagration, too.
Celine Thum, MD:Exactly. So all of that prevention also applies to every other part of your life. So it can be quite a bit. Probably more like 80%.
Julian Wortelboer:It's good sleep. Something important that our listeners most of them they don't do it's stretching and the pre warm up which I need to start implementing in my clinics actually I was thinking about this week about implementing five seven minutes of active warm up before you start playing yeah because I mean it's a lot of jumping and reaction and all that and and and the healthy part that the eating part it's it's how did you focus on yours, know, protein and what else?
Celine Thum, MD:So I focus on protein intake and, you know, I'm always strapped for time. So I always think of something that is easy, that I enjoy eating, that I can make easily. Not
Cesar Caceres:I'm not
Celine Thum, MD:a huge meal prep person, but if I have something that I know I will always eat, like a chicken breast and broccoli, and I just stick to that until I get tired of it, then I'll think about something else. But everyone's going to be different how they approach that. An easy way to think about what you are supposed to eat, it's always good to have anti inflammatory diet. I'm a huge foodie, so I love, like, going out and eating. And don't punish yourself.
Celine Thum, MD:You're out, you know, have it. Eating less is always better. Yeah, yeah, yeah. So another, like, longevity strategy is, like, intermittent fasting. So there's many different strategies.
Celine Thum, MD:You should talk to your doctor or your, you know, if you do come your concierge doctor or if you do decide to see a functional doctor or a regenerative medicine or longevity doctor, are strategies that they should tailor for you and how your life is so that you can actually implement it.
Julian Wortelboer:When you talk about anti inflammatory diet, what do you mean by that?
Celine Thum, MD:So there are foods that cause more inflammation in your body.
Cesar Caceres:So you can't have your sugar and bread.
Celine Thum, MD:Sugar is a huge one.
Cesar Caceres:Milk Milk has a
Julian Wortelboer:lot of sugar, right? But no, it has a lot of inflammatory agents. People that are very
Cesar Caceres:people.
Celine Thum, MD:Yeah, exactly. And so a functional doctor might even go a step further and identify which ones those are. I'm not that personally, I'm not that deep into that journey yet because I have a lot more basic things that I need to implement in my life first. So yeah, otherwise, the whole science behind what you exactly you should and shouldn't do, even like meal timings, it can get really involved if you see a functional medicine doctor. And it's great, but if I can't implement it myself, it's very hard.
Celine Thum, MD:I know for patients to focus, would need your whole day to kind of focus on every little thing that you can do.
Cesar Caceres:So now you're in the record sports, playing badminton, playing battle. Do you foresee yourself now focusing on the racket sports customers? Bad players, pickleball players, tennis?
Celine Thum, MD:Absolutely, because a part of why I'm doing this is, you know, I innately like to help people and see people succeed. And, just having a background in racket sports, you know, I have a lot of empathy. I know what they're going through, you know. I remember I also had calf tear. I had to stop playing.
Celine Thum, MD:I almost couldn't walk for a little bit. And, you know, I was joking to my friends, like, to me, it's worse than a breakup.
Cesar Caceres:You know? Yeah. So we all know what
Celine Thum, MD:it feels like when we get injured and we can't do the things that we love. So I think with that perspective, I really can perform the best and do the best for my patients and have a satisfactory career as well.
Julian Wortelboer:So let's talk about what is coming on in the next month or so about your new clinic opening up. Why don't you tell us a little bit what services you're going to be offering and all the great things that you're to have?
Celine Thum, MD:Yes so
Cesar Caceres:think there's going be a pedal court there.
Celine Thum, MD:Oh my god! Well the Linx Health Advisor, CEO and partner they are huge pedal players.
Cesar Caceres:Wow, where I go from my country's doctor, the owner, it plays paddle all the time. It's like, everybody's playing paddle, know what I'm saying? It's incredible.
Celine Thum, MD:You know, research shows that if you play a racket sport, you're gonna live a lot
Cesar Caceres:That's what man. That's what they say. That's why I reduced my wife's time of playing.
Celine Thum, MD:I like the dark humor.
Cesar Caceres:Unfortunately. This was something I wanted to say. You know,
Julian Wortelboer:let let's talk about the clinic and then what's the name of it and where it's going to be located and what services you're to be offering.
Celine Thum, MD:Yes. So the clinic is called Eterna Regeneration. It's located in North Bay Village. You can go to eternaregeneration.com. That's E T E R N A, Regeneration.
Celine Thum, MD:If you want to shoot me a text after this, also inquiring about services, the number is (305) 306-9654. I can give you Yeah, the info to we'll
Julian Wortelboer:move with the info, yeah.
Celine Thum, MD:So in our clinic, we'll start with a problem focused assessment. It can either be, you know, you're interested in longevity, if you have a sports specific injury that you want to overcome or supplement, or it could be there's a lot of more, you know, cosmetic, implementations with, regenerative medicine. So we have things for, skin, yeah, to reduce fine lines and wrinkles, hair restoration. So with the sports injury side, we can help with joints. If a joint injection could benefit you, we'll talk about that.
Celine Thum, MD:I have a lot of patients that want to try and avoid or prolong surgery, so any strategies that can help with that. I not only incorporate the procedure, but like you said, it's like we're talking about, you have to incorporate it with the proper treatment, which is PT. If you need weight loss, I will have peptides that are sourced from 503B pharmacy.
Julian Wortelboer:Are you going to do PRP and exo?
Celine Thum, MD:So I will have a stem cell exosomes. We use that also for fine lines and wrinkles of the face. Okay. We also have something called PDRN, which is a fragment of DNA. And it sounds funny because you know how marketing picks off with strange things.
Celine Thum, MD:It's DNA that's sourced from wild salmon sperm. So it was known as a salmon sperm facial. It's widely popular, and it's approved by regulatory bodies in South Korea, I think Italy. Don't hold me to that one. But it's being used and showing great results to increase collagen production.
Celine Thum, MD:And I find my patients who don't want to go down the route of filler if they are maybe, you know, in their 30s and their 40s to help prevent the fine lines and wrinkles that come out. And then, you know, there's hair regeneration. And then there's also a discussion if you have, like sexual health issues as well. So it's quite systemic. So not only do we provide those, what I call, advanced regenerative therapies, but we'll have IV services as well if you want vitamins and antioxidants, philosophy on those is a completely separate topic, but, you know, this is something that I'll discuss with the patient.
Julian Wortelboer:And also, read on the website music healing?
Celine Thum, MD:Oh, yes. So
Julian Wortelboer:Let's talk about that. Mean, it
Celine Thum, MD:sounds very interesting. So I grew up playing violin since I was five.
Julian Wortelboer:Okay. Tell us about your violin journey. I mean, and you're a concertist and all that.
Cesar Caceres:Yeah. Well, you're one of those overachievers, You know, I think about it and I'm wondering how your parents
Celine Thum, MD:I was just thinking, you know, what my childhood looked like, I was doing something seven days a week. Like, I didn't have friends. I didn't have weekends. And, you know, when you're a kid,
Cesar Caceres:you think that's normal. You don't question it.
Celine Thum, MD:It's like
Cesar Caceres:They they tricked you.
Celine Thum, MD:Yeah. Brush your teeth before you go to bed. Okay. It was the same thing. Read a chapter before you go to bed.
Celine Thum, MD:Know, it's just Like,
Julian Wortelboer:four hours of violin every day.
Cesar Caceres:Got you
Celine Thum, MD:Exactly. Yeah. Was you know, they brainwashed
Cesar Caceres:me. And so
Celine Thum, MD:I ended up having all these like But
Cesar Caceres:that's a good thing, though. Right?
Celine Thum, MD:I think it's good now. Yeah.
Julian Wortelboer:Yeah. So you you are a a professional violinist? Or
Celine Thum, MD:I I I have been I have played violin since I was five. I used to, teach. I used to and this is in college. I've played in a studio for, for, like, music soundtracks. I played in symphonies and art shop.
Cesar Caceres:People with now? Or Like, Doctor. Gray or Ice Cube?
Celine Thum, MD:Let me I'm trying to think.
Julian Wortelboer:But you play that national anthem. I saw that on your Instagram.
Cesar Caceres:I'm trying to think of Yeah. Yeah. Yeah. Think of a popular artist.
Celine Thum, MD:I've I've done studio work with some famous people for, like, their ghostwriting.
Cesar Caceres:Okay.
Celine Thum, MD:Mostly music producers.
Cesar Caceres:Okay. Okay. Okay.
Celine Thum, MD:So no one, like, up there that people would really know.
Julian Wortelboer:But tell me about you playing national anthem in a stadium full of people. Yes. So
Celine Thum, MD:Yeah. I'm crazy. Yeah. On my Instagram, I have me playing the national anthem at a New York City football club game at Citi Field. Actually, story of how I did that was really funny.
Celine Thum, MD:My dad is a huge soccer football fan, and I know the announcer for the NYC football club. And I told him, you know, he always offers me tickets. I was like, okay. Well, I want tickets when Messi comes to play. Know, you're gonna my dad in.
Cesar Caceres:Right. Right.
Celine Thum, MD:Right? I'll fly my dad in, and, you know, it'll be the greatest gift for him. And and I and I added, like, I'll do anything. Like, you need me to play
Cesar Caceres:national anthem? Whatever. And then,
Celine Thum, MD:you know
Cesar Caceres:I called you out on it.
Celine Thum, MD:Few months later, it was like, hey. You know, we they don't play, Intermiami until, like, spring, but they need a national anthem on this date. Would you do it? I'm like, okay, consider my audition up
Cesar Caceres:there. That's so cool. Yeah.
Celine Thum, MD:That's great. Congratulations. It was great. And they they played the Chicago Fire, and I'm from Chicago. So it was it was very serendipitous.
Julian Wortelboer:And and you play any any any other concerts or anything like that?
Celine Thum, MD:Yes. So, I play when I came to Miami, I found a a local community orchestra called the Alhambra Orchestra that I play with. We're having a concert September 28. I believe it's at FIU. It's alhambraorchestra.org.
Celine Thum, MD:And then I play in a bigger scale. It's called the World Doctors Orchestra. It's doctors from all over the world. We play three or four times in a different city for medical charity. So last year, I performed at Sydney Opera House earlier this year.
Celine Thum, MD:Really? This year, it was the Paris Philharmonic. And then in November, I will be in Carnegie Hall. If you look up Carnegie Hall World Doctors Orchestra, can buy tickets. November 16.
Celine Thum, MD:And it's all for medical charities, so. And it's nice. You connect from doctors all over the world. It helps me because, you know, when myself and my friends and family age, I have a nice network of resources as well.
Cesar Caceres:Okay, so now how's your paddle? Let's go back. How's your game?
Celine Thum, MD:So it's improved a lot. I mean, only started playing a year ago.
Cesar Caceres:But you've been playing badminton, right? I think contact is what you're young at.
Celine Thum, MD:But it's very different because in badminton almost everything is overhead. So I probably have the tendency to do a little bit too much of that. But, you know, I competed, you know, on a national and some international tournaments, so I have a little bit of humility of how much more there is to learn.
Cesar Caceres:But you have a balanced timing, you have your explosion, your elasticity, you have the athletic, so you have a I good mean, you don't forget that, you know I'm So
Julian Wortelboer:how is she? Very good.
Cesar Caceres:Good, good, good.
Julian Wortelboer:I mean, you know, like everybody else, I mean learning the walls and all that, you know, her favorite as Amanda has, they make sense. Mean, you know that the first thing is when she hit a few balls, said, I know either you're coming from ten, I ask her and I'm sure everybody asks you the same thing, you're coming from Tennis because you can pick it up right away. You'll see it. But going back to, so the clinic is opening when?
Celine Thum, MD:October 15.
Julian Wortelboer:October 15. So give me five things that our viewers and listeners from the prevention, you know five things in the prevention and five things on the recovery that they should be focusing on. Let's talk about prevention. What are the things that you as a doctor recommend to be proactive so we don't get injured from sleeping? Think it's one of those.
Julian Wortelboer:Doctor.
Celine Thum, MD:Yes. So in terms of prevention, proper nutrition. I I should I should start. The most important is the exercise part. If you've if if any doctor can prescribe something in a pill that everyone should be doing, it's it's being active.
Celine Thum, MD:You know, it's important for, like, hormones are stored in your muscle. Joint stability is dependent on your muscle strength and balance, your brain. You know? It's it's the number one thing that you should be focusing on. And to piggyback with that is, you know, nutrition to build, you know, and to allow your body to heal and respond to stress appropriately.
Celine Thum, MD:And then, I mean, those two, I would say, are the biggest things. And then comes, sleep. And I kind of will put them all in one. The prevention and the recovery is hand in hand to me. And I would say, de stressing.
Celine Thum, MD:Understand, because stress actually physiologically affects your body, you know, cortisol levels, your heart rate. So at least those four things.
Cesar Caceres:I know the last one. It's battle playing paddle. Right? You know that.
Celine Thum, MD:Yes. You're right.
Julian Wortelboer:Something interesting that you said, I think it's the activation is very important before you start playing paddle. Those five, seven, ten minutes. Like you said, people just showed up at 07:00 in the morning and just walk into the court. When you woke up half hour earlier and you went from deep sleep to running around jumping the that's
Celine Thum, MD:when you're more injury prone. Not only physically you're not awake, but mentally you're not awake.
Julian Wortelboer:Right, yeah.
Celine Thum, MD:It's not good.
Cesar Caceres:You've been fasting for eight hours.
Celine Thum, MD:And then the fifth one I would say is not, well yes, paddle. But paddle is like exercise right? Yeah I guess. But I would say is consistency which is I empathize with that a lot because I've had crazy schedules you know.
Julian Wortelboer:That's hard
Cesar Caceres:though that's a tough one for most people.
Celine Thum, MD:The consistency If you struggle with consistency, I say decrease what you're trying to do. Because I think consistency is more important than, you know, let's say you go out when you work out on the weekends, you know, you're more prone to injury, you're not able to recover as faster, and then with the consistency you can build up from that. But, you know, maybe overtraining or overdoing it once in a while is just not as good as being consistent.
Julian Wortelboer:So let's talk about the five for the recovery. So now I have the injury, what
Cesar Caceres:are the steps that
Julian Wortelboer:I should do? I mean, I'm sure rest, you
Celine Thum, MD:I know? Mean, would say those like prevention and recovery are all the same thing because not only are you preparing your body to perform, but you're also, you're boosting your ability to heal after. Would say that if you can on thinking of them as the same thing, then, you know, your performance will go up. If you would talk about, you know, if you're injured or the acute stressor, what can you do when you recover? You know, if we're talking strictly from, you know, musculoskeletal injury point of view, The first is always take time off.
Celine Thum, MD:The second is go to a physical therapist. You know, some people might not be able to do it like three times a week, but at least talk to someone who can identify the issue Because not only can they, identify the issue and tell you, you know, how to recover from that, but also proper mechanics, like you mentioned earlier, like, you know, if you're hitting it wrong or maybe, you know, one part of your muscle group is overweighing the other part alignment.
Cesar Caceres:You did the exercise at home, too. I mean, lot of times the PTs were, you know, you don't have time. So they help you do certain exercise at home in case you can't come in.
Celine Thum, MD:Yeah. So at least, like, you know, rest, do the, you know, see a physical therapist. And then, you know, depending on, if you're looking for something more advanced, then maybe regenerative medicine is something you would consider.
Julian Wortelboer:Gotcha. And two things that there is a very hype going on right now. Your thoughts and recommendations are on cold plunges and saunas. Are they beneficial or not? What are your thoughts as a professional doctor?
Julian Wortelboer:Yeah. And a sports athlete.
Celine Thum, MD:Both the colon and the hot plunges do different things to your body. I used to always do ice baths after I I have I over trained a little bit and I know I'm going to have like, muscle soreness, it really helps calm inflammation, then I know, Oh, you know, it prevents muscle hypertrophy. I would say if you have the time, you know, it's great for relaxation. It's great to kind of have fluid shifts in your body.
Julian Wortelboer:The cold blanching?
Celine Thum, MD:Cold, alternating like cold and hot. They both have benefits.
Julian Wortelboer:On the sauna?
Celine Thum, MD:So long as you keep hydrated, it also has benefits. And, ultimately, I think a great benefit of either of that is that you're being mindful about your time off and, like, how you're recovering. So I think just that mindset in general is also very helpful for our recovery. You know, there's a million things now, especially in Miami, with, you know, wellness centers having cryotherapy, hot, cold, infrared, they all have some evidence in research to help heal faster. If you have the time, then don't see
Julian Wortelboer:It wouldn't be bad.
Celine Thum, MD:Yeah. But if you're saying like, I only want to do a certain thing or I only have time for certain things, it might not be the most, you know, bang for your buck or your time. You know, those things are still, you know, what I consider minor lifestyle changes that could help. But, you know, I have if your nutrition and your strength training routine isn't quite there yet, then maybe focus on those two those first because they have more impact on your overall function.
Julian Wortelboer:Beautiful. Well, Doctor, what a great pleasure to have you. I mean, it was so interesting. I have learned so much. I'm sure you do too.
Julian Wortelboer:Yeah. And it's going to be great for our listeners and our viewers. Once again, don't you give us the website and the address and the phone number?
Celine Thum, MD:So it is eternaregeneration.com. We just made an Instagram EternaRegeneration is the handle. You'll start to see more information pop up as we plan to open. And again, that's in North Bay Village. The address will be on the website.
Celine Thum, MD:And that's a clinic that we have, but because we work closely with a concierge physician, a lot of our services can be mobile as well.
Cesar Caceres:Oh, so you guys
Celine Thum, MD:go to
Cesar Caceres:a person's home within that certain area.
Celine Thum, MD:That's Including if an intramuscular or joint injection is good for you. Ultrasounds are portable. We have a lot of capabilities make it easier for the patient because ultimately if healthcare is not accessible, is not going to be of any use.
Cesar Caceres:Well, Celine, congratulations. Have Thank have a great day. Thank you.
Julian Wortelboer:Thank you. Well done. Thank you so much.