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Commune with Jeff Krasno

Back Pain, Disc Health, and the New Science of Spinal Care with Dr. Amir Vokshoor

Commune with Jeff Krasno

Commune Media

Society & Culture, Health & Fitness

4.5673 Ratings

🗓️ 16 April 2026

⏱️ 73 minutes

🧾️ Download transcript

Summary

Why do so many people throw out their back doing something completely ordinary, like picking up a pencil? In this episode, Jeff sits down with Dr. Amir Vokshoor, neurosurgeon and spine specialist, to map the landscape of back pain: what's actually happening in your discs, why sleep and hydration matter more than most people realize, and where modern medicine is making meaningful breakthroughs.They cover: How disc herniations can actually heal themselves The role of breath work, meditation, and mindset in pain recovery Peptides, PRP, red light therapy, and what actually moves the needle When surgery is worth considering, and what disc replacement really involves Tech neck, evolutionary mismatch, and the spine costs of modern life This episode is for anyone living with back pain, curious about spinal health, or trying to understand the gap between symptom and solution. This episode was made possible by: Bon Charge: Get 15% off when you order at boncharge.com and use promo code COMMUNE LMNT: Get a free 8-count Sample Pack of LMNT’s most popular drink mix flavors with any purchase at drinklmnt.com/commune. Vivobarefoot: Try Vivobarefoot risk-free with a 100-day return guarantee, and get 15% off your order at vivobarefoot.com/commune. Beyond Biohacking: Save $400 on any ticket with code COMMUNE400 at beyondconference.com. Sunlighten:  Visit sunlighten.com/commune  Up to 2,100 off saunas and $50 off Red Light Products with code “COMMUNE”

Transcript

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0:00.0

We know back pain is one of the most devastating disabling conditions affecting the entire world.

0:05.0

These people were not thinking it.

0:07.0

They were told a lot of times that, oh, it's just chronic pain, it's in your head, you have to get therapy.

0:12.0

And they get therapy and it doesn't work.

0:14.0

And then they get 20 different injections and it doesn't work.

0:18.0

I kind of set out to say, okay, which part of this is anatomical, structural,

0:22.2

and which part is psychological. Dr. Amir Vokeshore, board-certified spine surgeon and disc health

0:28.8

expert, former chief of spine surgery at Providence St. John's. In this episode of the Commune

0:34.3

podcast, we discuss why spinal discs fail, how modern life

0:39.0

may be accelerating spinal degeneration, and why chronic back pain is so often misunderstood.

0:46.5

During sleep, our discs actually rehydrate themselves.

0:49.8

We literally gain height through hydration of the discs.

0:52.4

Really?

0:53.4

Because of what we call tech neck and we're seeing younger patients that need disc replacement,

0:58.6

Doritos and happy hours.

0:59.9

After sitting all day, it doesn't end up well.

1:02.4

It's extremely caustic to the spine.

1:05.1

There shouldn't be a situation where the quality of our life just goes way down.

1:11.7

Dr. Bokeshore, what a treat. Thanks for coming over.

1:14.5

It's an honor. It's a pleasure.

1:16.1

So as I mentioned to you before we started recording,

1:19.6

I've just endured and recovering from an excruciating bout of back pain.

...

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