Dr. Peter Santiesteban
Founder, Stryde Health and Performance
Dr. Santiesteban is the founder of Stryde Health and Performance in Boynton Beach. He works with golfers, tennis players, cyclists, and active adults across Palm Beach County to extend their playing careers and resolve the injuries that get in the way.
All Sports TipsArticles by Santiesteban
Why Your Backswing Tightens After 50 (And How to Fix It)
If your turn has shortened by ten degrees over the last decade, the problem isn't your spine getting older. It's three things you can train.
The Shoulder Mobility Test Every Player Over 45 Should Do Weekly
It takes two minutes, requires no equipment, and tells you more about your next twelve months on court than any MRI.
How to Ride 50 Miles Without Wrecking Your Back
If your back starts barking before mile thirty, it's not a fitness problem and it's not your saddle. It's a capacity problem — and it trains out.
The Recovery Habit That Matters More Than Sleep
We tell every patient over fifty the same thing first — and it isn't 'sleep eight hours.' It's something simpler, cheaper, and almost universally ignored.
Why 'Aging Gracefully' Is the Wrong Goal — And What to Aim For Instead
There's a more useful framework for the next thirty years than the one most people are using, and it starts with reframing what 'healthy aging' even means.
The Palm Beach Performance Routine: How Active Adults Are Training Differently
From Wellington to Manalapan, a new template for the active second half is taking shape — and it looks nothing like a 5 a.m. CrossFit class.
Low Back Pain in Golfers: The Six Patterns We See Most
Golf back pain isn't one injury — it's six different patterns with six different fixes. A field guide to what's actually hurting and why.
Tennis Elbow: Why Rest Alone Won't Fix It
Lateral epicondylitis is a loading problem, not an inflammation problem. A look at how we rebuild tendon capacity.
Runner's Knee: The Hip and Foot Connection
Patellofemoral pain rarely starts at the knee. How upstream and downstream mechanics drive the symptoms.
Cyclist's Low Back: The Aero Position Problem
Why prolonged flexion on the bike creates disc shear and how to build posterior chain resilience without sacrificing watts.
Swimmer's Shoulder: When the Catch Breaks Down
Shoulder impingement in swimmers is rarely a rotator cuff issue alone. The thoracic spine and scapular control matter more.
Youth ACL Risk: Early Specialization vs. General Movement
The data on single-sport training and injury rates in adolescent athletes — and what parents can do about it.
Pickleball Injuries in Adults Over 50: The Five Most Common Patterns
Pickleball is the fastest-growing sport in America, and the injury pattern has come with it. Five patterns account for nearly every case we see.
Golf Hip Pain: What's Really Causing It and How to Fix It
Golf hip pain is rarely a hip problem. It's a capacity problem — and once you understand what's driving it, it becomes fixable rather than something you learn to live with.
Zone 2 Training for Adults Over 50: The Cardio Method That Actually Adds Years
Zone 2 is boring, uncomfortable in a subtle way, and almost universally ignored. It's also the single most important cardiovascular training modality for anyone over fifty.
Protein After 50: How Much Active Adults Actually Need
The official RDA for protein is set for the sedentary. For active adults over 50, the number is roughly double — and the timing matters as much as the total.
Grip Strength and Longevity: What Your Handshake Predicts About the Next 20 Years
Of all the simple physical measures researchers have studied, grip strength is one of the strongest predictors of how the rest of your life will go. And it's trainable at any age.
Sciatica in Cyclists: What's Actually Causing the Leg Pain
The nerve pain you're feeling in your leg isn't always a disc problem. In cyclists, three distinct causes account for almost all cases — and the treatment is different for each.
Sauna vs. Cold Plunge: Which One Actually Improves Recovery
Both work. They work differently. And using them wrong — especially in relation to your training — can actively work against you.
Hydration for Florida Athletes: Why Water Alone Isn't Enough
Sweat losses during an August round of golf in Palm Beach County are dramatically higher than most players realize — and drinking more water alone can actually make performance worse.
Rotator Cuff Health for Pickleball Players Over 50
The rotator cuff is the most vulnerable structure in the pickleball body. Small, deep, and doing a job that pickleball asks of it thousands of times per season. Here's how to keep it working.
Sarcopenia After 60: Why Muscle Loss Accelerates and How to Stop It
Sarcopenia isn't inevitable. The muscle loss that accelerates in the sixties responds to intervention better than almost any other aging process — but the window and the protocol matter.
Focused vs. Radial Shockwave Therapy: What's the Actual Difference
Focused and radial shockwave are often confused as the same treatment. They are not. The differences matter for the conditions each treats effectively.
Dry Needling vs. Acupuncture: The Clinical Differences Explained
Dry needling and acupuncture are frequently confused. They use the same tool but treat the body based on entirely different frameworks — and the differences matter.
EMTT: What Extracorporeal Magnetotransduction Therapy Actually Does
Extracorporeal Magnetotransduction Therapy is one of the newest advanced modalities available for chronic tendon, joint, and bone conditions. Here's what it does and when it works.
Chronic Plantar Fasciitis: When Shockwave Therapy Is the Answer
If you've had plantar fasciitis for more than six months and standard treatment hasn't resolved it, you're a candidate for a different approach — one backed by extensive research.
Achilles Tendinopathy: Why Rest and Stretching Aren't Fixing It
If you've been treating your Achilles tendinopathy with rest, ice, and stretching for months without resolution, the problem isn't your dedication. It's the treatment framework.
Failed Physical Therapy? Here's What Might Be Missing From Your Treatment Plan
Physical therapy fails a meaningful percentage of patients — not because they didn't work hard enough, but because most PT clinics don't offer the modalities chronic conditions actually require.
Cortisone Injections Not Working Long-Term? Here's Why
Cortisone injections work exactly as designed — they suppress inflammation temporarily. The problem is that most chronic musculoskeletal pain isn't primarily inflammatory. Here's what does resolve it.
Sports Performance Chiropractor: What Makes This Different From Traditional Chiropractic
The difference between a traditional chiropractor and a sports performance chiropractor isn't just marketing. The training, the modalities, and the treatment model are meaningfully different.
Frozen Shoulder: The Combined Approach That Breaks the Cycle
Frozen shoulder — adhesive capsulitis — has historically been considered a condition you simply have to wait out. A combined treatment approach can meaningfully shorten the course.
Patellar Tendinopathy (Jumper's Knee): Evidence-Based Treatment Options
Patellar tendinopathy — jumper's knee — is one of the more stubborn tendon conditions in active adults. The treatments with actual evidence are specific, and most conservative care misses them.
Chronic Hamstring Tendinopathy in Cyclists and Runners
The deep pain in the buttock at the sit bone that plagues so many cyclists and runners is rarely just "tight hamstrings." It's usually chronic proximal hamstring tendinopathy — and it responds to specific treatment.
Does Shockwave Therapy Really Work? What the Evidence Shows
Extracorporeal shockwave therapy is not a magic bullet, but for specific chronic conditions it has some of the strongest evidence of any non-surgical intervention. Here's what actually works and what doesn't.
Craniosacral Therapy for Post-Concussion Symptoms
Persistent post-concussion symptoms can be resistant to conventional treatment. Craniosacral therapy is one adjunctive modality that some patients find valuable in comprehensive recovery.
Chronic Neck Pain After Multiple Providers: What's Usually Missing
The patient who has seen three chiropractors, two physical therapists, and a pain specialist for chronic neck pain almost always has the same set of things missing from their treatment plan.
Rotator Cuff Tendinopathy: When Shockwave Therapy Is the Answer
Rotator cuff tendinopathy is one of the most common causes of shoulder pain in adults. When chronic and particularly when calcific, shockwave therapy has strong evidence as an alternative to injection or surgery.
Hip Bursitis That Won't Resolve: A Different Treatment Approach
Chronic "hip bursitis" is more often gluteal tendinopathy than actual bursitis, and the treatment approach that works is different from what's typically offered.
Finding a Sports Chiropractor in Palm Beach County: What to Look For
Not every chiropractor calling themselves a sports chiropractor has the training, modalities, or practice model that active adults actually need. Here's what separates the real ones.
Tennis Elbow That Cortisone Didn't Fix: What Actually Works
If cortisone injections have failed to resolve your tennis elbow — or made it worse — the treatments with actual evidence are specific and probably weren't offered to you.
Dry Needling for Chronic Muscle Pain: What to Expect
Dry needling addresses muscle pain in ways that massage, stretching, and general therapy often can't. Here's what actually happens during treatment and what to expect.
Chronic Back Pain After Physical Therapy: The Diagnosis Most Providers Miss
Chronic back pain that fails physical therapy often turns out to be a specific condition that the standard treatment approach never addresses. Here's the diagnosis most providers miss.
IT Band Syndrome: Why Stretching and Foam Rolling Haven't Fixed It
The IT band isn't tight. It can't be stretched. And the pain isn't friction. Understanding this changes what actually resolves the condition.
Shin Splints vs. Stress Fractures: How to Tell the Difference
The line between shin splints and a stress fracture is less distinct than most runners realize. They sit on a continuum, and treatment depends on where the pathology has progressed.
Golfer's Elbow (Medial Epicondylitis): Why It Needs Different Treatment Than Tennis Elbow
Golfer's elbow affects different muscles than tennis elbow and responds to different loading patterns. Treating it with a tennis elbow protocol often produces incomplete results.
SI Joint Dysfunction: The Chronic Back Pain Diagnosis Most Providers Miss
The sacroiliac joint is responsible for a meaningful portion of chronic low back pain that gets labeled as something else. When the diagnosis is correct, the treatment is specific.
Hip Impingement (FAI) in Active Adults: Non-Surgical Treatment Options
Hip impingement has become one of the more frequently diagnosed and surgically treated conditions in active adults. Most cases don't actually need surgery.
Meniscus Tears: Why Surgery Isn't Always the Right Answer
The research on meniscus tears has shifted dramatically in the last decade. For degenerative tears, surgery no longer appears to produce better outcomes than conservative care.
Chronic Ankle Instability: The Rehabilitation That Prevents Repeat Sprains
One ankle sprain becomes two becomes ten because the first sprain never received proper rehabilitation. Here's what should have happened.
Chronic Migraines: When Chiropractic and Dry Needling Actually Help
Not all migraines are the same. For migraines with a significant cervical contribution, specific manual therapy approaches can meaningfully reduce frequency and severity.
TMJ Dysfunction: The Combined Treatment Approach That Works
TMJ dysfunction rarely resolves from dental or jaw-focused treatment alone. A comprehensive approach that includes the cervical spine addresses what single-focus care often misses.
Thoracic Outlet Syndrome: What's Actually Causing Your Arm Symptoms
Arm numbness, tingling, or weakness isn't always carpal tunnel. For many patients, the actual driver is higher up — at the thoracic outlet.
How Shockwave Therapy Actually Works: The Science Behind the Treatment
Shockwave therapy isn't magic, and it isn't marketing hype. It works through specific biological mechanisms that make it uniquely suited to chronic conditions.
What to Expect at Your First Visit to a Sports Performance Chiropractor
A first visit to a sports performance chiropractor should look nothing like a traditional "high-volume" chiropractic appointment. Here's what the comprehensive assessment actually involves.
VO2 Max After 50: Why It's the Most Important Fitness Metric
Of all the fitness metrics researchers have studied, VO2 max is the one that most consistently predicts how the next twenty years will go.
Mobility After 60: The Five Ranges That Predict Long-Term Independence
Not all mobility matters equally. Five specific ranges determine whether you'll be chasing grandchildren at seventy-five or watching from a chair.
Creatine for Adults Over 50: Beyond the Gym
Creatine has been the most researched supplement in sports nutrition for decades. The findings for adults over 50 extend well beyond muscle gain.
Sleep and Athletic Performance in Adults Over 50
Of all the levers that affect how you perform, recover, and age, sleep is the one most people neglect and the one with the largest impact.
Swimmer's Shoulder: Advanced Treatment for Chronic Pain
Swimmer's shoulder is an overuse pattern driven by the specific demands of swimming. Treatment that addresses the shoulder in isolation often misses the full picture.
Running Gait Analysis: What It Reveals and Why It Matters
Running gait analysis has become a common offering in sports clinics. What it actually finds — and how to use the findings — matters more than whether you do it.
Sports Chiropractor in Delray Beach and Wellington: What Active Adults Should Know
The concentration of serious recreational athletes in Delray Beach, Wellington, Boca Raton, and the surrounding communities has created real demand for sports performance care that most traditional practices can't provide.
Chiropractic Care for Athletes: What Makes Sport-Specific Care Different
The chiropractic care that works for an athlete looks substantially different from care designed for the general population. Here's what the differences actually are.
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