Diane Goetz Family Practice PLLC

02/26/2026

Rx: Go for a walk
It's BEAUTIFUL!!! 🌞

02/26/2026

After dinner sweet treat 🩷

Almond Flour microwave cake
Recipe is for 1

1/4 c fine almond flour
1 egg
1 tbsp coconut oil, melted
1/2 tsp baking powder
1/2 tsp vanilla
Pinch salt
1 tbsp sweetener (I used date sugar)

Microwave 1 minute or more depending on your vessel. Topped with Lily's chips 🤍😍

02/25/2026

Nick made this stir fry Monday night and it's even better reheated for lunch! Bag of coleslaw, ground beef (or pork), frozen edamame, and green onions, soy sauce and season how you like. I love my hella hot sauce. Very easy!

02/23/2026

02/21/2026

Big congratulations to my colleague Ken Caselden on his new book, and thank you for facilitating a beautiful breathwork experience this morning!

Ken's work centers on finding your way back to yourself after life's unexpected challenges ✨️

Follow and pick up your own copy of The Trudge Paradox 🌅

02/20/2026

Perimenopause is an invitation to take your health and wellbeing seriously

02/20/2026

These burger bowls took 15 minutes 👌

02/18/2026

Stop venerating MRI results and put the same faith in the body's capacity to adapt and heal.

A cross-sectional study of 602 Finnish adults found that abnormalities on magnetic resonance imaging ( ) were nearly universal after age 40, with 99% of participants displaying some abnormality.

The prevalence and severity of these abnormalities increased with age, but did not differ between sexes. Importantly, rotator cuff abnormalities were present in both asymptomatic (96%) and symptomatic (98%) shoulders, and only full-thickness tears were weakly associated with symptoms, suggesting most imaging findings reflect normal age-related changes.

https://ja.ma/4aE9URm

02/18/2026

Black bean and rotisserie chicken soft tacos on Siete almond flour wraps. Served with plain Greek yogurt, guac, salsa, and probiotic hot sauce from Olive My Pickle. (Thank you for the recommendation, Linda!) This is so, so good 🤤

02/16/2026

Elyssa said my baked oatmeal smells like donuts💙

Recipe from Cookie and Kate 🫐

02/14/2026

It has never made sense to me that joint degeneration is a simple matter of “wear and tear.” If that were true, everyone who lived an active life would end up broken down by midlife. But that’s not what we see.

Consider the Hadza, a modern hunter‑gatherer tribe in Tanzania. They walk seven to ten miles a day and climb trees well into their 70s and even 80s. Cardiovascular disease and diabetes are virtually nonexistent. Cancer rates are remarkably low. Their joints show normal age‑related changes, but they remain functional and capable.

Joint pain is not solely a structural issue. It’s a metabolic and inflammatory one. Cartilage, bone, and connective tissue are living, adaptive systems. They respond to the loads we place on them, the inflammation we carry, the metabolic signals circulating through the body, and the strength of the muscles that support them. When those inputs are healthy, joints adapt toward better function. When they aren't, the systems fail. This is why two people with identical imaging can have completely different experiences—one pain‑free, one debilitated.

Surgery has its place, but we have many more levers to pull before we get to that point. The most powerful interventions are improving metabolic health, reducing chronic inflammation, building strength through structured, targeted exercise, and restoring healthy movement patterns.

*Isometric exercises have become an important part of training in my 40s as I focus on building strong tendons and teaching my joints to be strong and stable under load*