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I Did My Own Research

with @LadySpineDoc: what your MRI isn't telling you

Jun 1, 2026
39:01
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Episode Description

Dr. Fran sits down in person with Dr. Betsy Grunch, board-certified neurosurgeon and creator behind the popular Lady Spine Doc brand, recorded live at the Pinnacle Conference in Austin.

Dr. Grunch shares the deeply personal story that drew her to neurosurgery — her mother's spinal cord injury as a police officer — and walks listeners through her path from the University of Georgia to a six-year residency at Duke. The two doctors unpack one of the most common medical complaints their patients share: back pain, and why nearly 90% of people will experience it at some point in their lives. Dr. Grunch explains why MRIs are frequently overutilized, why pathology on a scan doesn't always mean that scan explains a patient's pain, and why a rushed diagnosis can actually make symptoms worse.

The conversation turns to women's health, exploring how pregnancy, delivery, and the postpartum period uniquely impact spinal health — and why pelvic floor physical therapy should be a universal part of postpartum care. Dr. Grunch also opens up about her own postpartum back injury, the lifestyle changes it inspired, and her journey with weight loss, strength training, and GLP-1 medications.

Dr. Grunch's social media: @LadySpineDoc

Dr. Fran's social media: @PagingDrFran

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