The Optimal Health Guide is a podcast from Vance Physical Therapy & Wellness designed to help you understand your body, reduce pain, and move toward lasting health. Featuring physical therapist Josh Vance, PT, MPT, D-EDX, and hosted by Michael Guzman, each episode offers clear, practical conversations about pain, recovery, diagnostics, lifestyle, and long-term wellness—so you can feel confident about your next step.

Optimal Health Guide
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Podcast Overview
The Optimal Health Guide is a podcast from Vance Physical Therapy & Wellness designed to help you understand your body, reduce pain, and move toward lasting health. Featuring physical therapist Josh Vance, PT, MPT, D-EDX, and hosted by Michael Guzman, each episode offers clear, practical conversations about pain, recovery, diagnostics, lifestyle, and long-term wellness—so you can feel confident about your next step.
Language
🇺🇲
Publishing Since
3/6/2026
1 verified contact email on file for Optimal Health Guide
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Recent Episodes

July 7, 2026
E23- What If Your Shoulder Isn't the Problem?
<p>Shoulder pain seems straightforward.</p><p>Your shoulder hurts, so the problem must be in your shoulder... right?</p><p>Not always.</p><p>In this episode of The Optimal Health Guide, Michael sits down with physical therapist Josh Vance to explore why shoulder pain is often more complicated than people realize. Josh explains how issues involving the neck, nerves, posture, muscles, and movement patterns can all create pain that feels like a shoulder problem—even when the true source is somewhere else. </p><p>You'll learn:</p><ul><li>Why shoulder pain isn't always a shoulder problem</li><li>How neck issues can refer pain into the shoulder</li><li>The role of posture and desk work in shoulder pain</li><li>Warning signs that nerves may be involved</li><li>Why symptoms often develop gradually</li><li>When numbness, tingling, or weakness should raise concern</li><li>Why earlier treatment often leads to better outcomes</li><li>What successful recovery looks like</li></ul><p>Josh also shares an encouraging message for people who have been struggling with shoulder pain for months—or even years:</p><p><strong>Don't give up. There may still be answers.</strong> </p><p>👉 Learn more at <strong>vancept.com</strong></p><p>👉 Submit future podcast questions at <strong>podcast.vancept.com</strong></p>

June 30, 2026
E22- Don't Ignore Numbness and Tingling: What Your Nerves May Be Telling You
<p>Numbness. Tingling. Pins and needles.</p><p>Most people have experienced these symptoms at some point—but when should you pay attention?</p><p>In this episode of The Optimal Health Guide, Michael sits down with physical therapist Josh Vance to explore what numbness and tingling can actually mean, why nerve symptoms often appear far away from the real problem, and when it's time to seek professional evaluation. </p><p>Josh explains:</p><ul><li>Common causes of numbness and tingling</li><li>The difference between nerve irritation and trigger points</li><li>Why symptoms can come and go</li><li>How nerve injuries develop over time</li><li>Warning signs people frequently ignore</li><li>What EMG testing reveals about nerve health</li><li>Why early intervention often leads to better outcomes</li></ul><p>You'll also hear real patient stories, learn how nerves heal, and discover why weakness, burning sensations, grip changes, and coordination issues should never be ignored.</p><p>If you've ever wondered whether your symptoms are something minor—or a sign of something more significant—this episode provides clarity, practical guidance, and hope.</p><p>👉 Learn more at <strong>vancept.com</strong><br>👉 Submit future podcast questions at <strong>podcast.vancept.com</strong></p>

June 23, 2026
E21- The Injury That's Still Affecting You Years Later
<p>The pain went away.</p><p>So why does the injury still seem to affect you years later?</p><p>In this episode of The Optimal Health Guide, Michael and Josh discuss one of the most overlooked causes of recurring pain and movement problems: injuries that appear healed but never fully recovered. Using ankle injuries as a common example, Josh explains how weakness, instability, limited mobility, compensation patterns, and loss of confidence can continue affecting the body long after pain disappears. </p><p>You'll learn:</p><ul><li>Why ankle injuries are frequently underestimated</li><li>What happens when stability is never fully restored</li><li>How old injuries affect the knees, hips, and back</li><li>Signs that an injury never fully healed</li><li>Why people compensate for years without realizing it</li><li>The difference between being pain-free and fully recovered</li><li>What true recovery actually looks like</li></ul><p>If you've ever had an injury that "mostly healed" but never quite felt the same, this episode may help explain why—and what you can do about it.</p><p>👉 Learn more at <strong>vancept.com</strong></p><p>👉 Submit future podcast questions at <strong>podcast.vancept.com</strong></p>
23 total episodes available
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Frequently asked questions
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- What is Optimal Health Guide?
- How often does this podcast release new episodes?
This podcast updates daily.
- Where can I listen to this podcast?
This podcast is available on 4 platforms including Apple Podcasts, Spotify, and more. You can also use the RSS feed directly.
- Does this podcast accept guests?
Yes, this podcast regularly features guests.
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