Dr. Todd Riddle, DC, CSCS

10/24/2026

Does every patient with neck pain need imaging?

According to these best-practice recommendations: No.

The authors make an important point about diagnostic imaging:

It should be condition-specific and based on the patient's history, examination, and established clinical guidelines.

It should not be based on:

❌ Philosophy
❌ Routine office policy
❌ Financial considerations

And not every patient presenting for chiropractic care requires an X-ray. ymmt-article-p635

The recommendations also caution against imaging simply to identify spinal degeneration, noting that degenerative changes are often present in people without pain. ymmt-article-p635

The question shouldn't be:

"Do I X-ray my neck pain patients?"

It should be:

"Will imaging meaningfully contribute to clinical decision-making for this patient?"

10/16/2026

Every baseball and softball player in a 50 mile radius should know about this hook up! State-of-the-art tech, facilities and sports med onsite. Beginning to end support for athletes.
It Go Time.

10/14/2026

Is your kid going to the League?
Less than a 1% chance according to statistics.
Does that mean give up on them? Hell no!
Does that mean kill their love for sports trying to squeeze out every last drop of talent out of them? Definitely hell no.

Chill out folks and have a quick read. They have a better chance if you let them be kids and love what they do.

Growing bodies play by different rules. Training, injury care and recovery should too. Children are remarkably resilient, but all too often they are being trained like mini-adults.

09/30/2026

We are proud to call League City our home base and bring world-class, conservative sports medicine to our community.
From active kids to pro athletes, Dr. Riddle has seen them all. We provide state-of-the-art services like focused shockwave and laser with old-school technologies like needling, myofascial release and joint manipulation. We bring the science and experience.
Dealing with a sore shoulder or elbow? Knee or hip? Sprained ankle? Headaches? You’re covered at Republic Health and Performance inside .athletics
On IG click the link in bio to book with Dr. Riddle or go to www.republichp.com

09/19/2026

A gentle reminder about pediatric athletes. They are still kids, not little adults.

Far too often our kids are pushed beyond the limits of what is reasonable for their developing bodies. This happens for a variety of reasons; high expectations, overzealous coaches wanting the next trophy, well-meaning parents who want to see their child succeed.

Whatever the reason, they end up with injuries from overuse.

This is Dr. Riddle’s son. He plays several sports and his safety is priority. For that reason he maintains a proper sleep schedule. He feeds and hydrates to maximize recovery. He does “cool-downs” after competition to ensure his body regenerates like it should before the next practice or game.

With nearly 3 decades of experience, Dr. Riddle knows youth athletes. He’s committed to their well-being and safety. They will get the same attention to repair, rest and recovery as his own kids do.

If your young athlete is injured or needs some assistance with recovery from a rigorous sport schedule, we’d love to help. Come join the family.

Click the link in the bio on IG or go to www.republichp.com

09/11/2026

At Republic Health & Performance we aren’t just spine specialists. Our focus is on the whole person. We treat many musculoskeletal injuries outside the spine that athletes and active individuals suffer from.

We do it well.

If you have pain in your shoulders, elbows, wrists, hips, knees and feet then we’ve got you covered!

Book online at RepublicHP.com or the link in the bio.

09/01/2026

What an absolute pleasure to have this bloke, my friend and colleague, Dr. Ross McIlveen come to visit! He’s a legend in sports chiropractic from Australia. He made his first trip to the US after serving Cricket Australia in Canada! The stories and laugh will long outlast all of us! Cheers mate!

08/19/2026

You read that correctly. Nearly 57% of UCL repairs are pediatric. The gap is huge. 20-24 year old account for 22%. The kids are more than double!

The list for “Why” is extensive and there are some outliers.

In the chase for the Almighty Velo, arms are being damaged. Don’t get it twisted. Just because it was repaired doesn’t mean it’s as good as before.
Research also suggests that once a pitcher eclipses 95mph consistently, it’s not if it will tear but when.

Considering all that, our Top Three Reasons for UCL Tears in this age group are:
1. Workload (too much due to stupid coaches and/or overvealous parents)

2. Trash mechanics (kills elbows and shoulders)

3. Age/puberty (they are still kids being treated like adults)

Dr. Brown will have follow up on this topic shortly. Stay tuned.

In the meantime, if you throw and have elbow pain. We need to know. QUARTERBACKS! You too!

Stats from Am Journal of Sports Med