Over the years, after thousands of clinic visits, I began to notice something striking. Whether a patient came in with knee osteoarthritis, shoulder pain, back problems, a worn-out hip or a planned surgery, I kept telling the same story again and again. Not because my work lacked variety, and not because patients were all the same, but because the underlying cause of so many complaints was almost always identical.

Most people had excess weight, high blood pressure, fatigue, recurring inflammation, prediabetes or full-blown diabetes, and persistent pain in their joints or tendons. The pattern was so consistent and recognizable that it could no longer be dismissed as a coincidence. Yet there was one major issue. No one had ever explained this to them. And I didn´t know anything about it either. That was until I got overweight myself. I tried to eat less and exercise more, but that didn´t work at all. than I stumbled upon insulin and insulin resistance and things became very clear. So clear that once you see it, you can no longer unsee it.

Many people do not understand why they have high blood pressure. They think it is genetic, or a normal part of aging, or simply bad luck. But in reality, high blood pressure often develops because insulin levels remain chronically elevated, the kidneys retain too much salt and water, the blood vessels stiffen from sugar damage and inflammation, and visceral fat produces hormones that keep driving the pressure up. Fructose, which is half of sugar converts to uric acid and also has a negative effect on the bloodpressure. Remove sugar and carbs and the pressure normalises in most cases.

Yet almost no one hears this explanation. Instead, they receive a pill, then another pill, and eventually a third, without anyone ever asking why their blood pressure is high in the first place.

The same pattern appears in osteoarthritis and shoulder complaints. Many people assume these issues are due to age, genetics or wear and tear, but that image is incomplete at best. Tendons and cartilage respond poorly to chronically elevated glucose levels, suffer from glycation damage, heal more slowly in the presence of insulin resistance, and become increasingly vulnerable due to low-grade inflammation. Much of the shoulder pain, knee arthritis and tendinopathy we see in clinic does not result from a single wrong movement. It comes from years of metabolic strain. I saw countless patients for whom physiotherapy made little difference, for whom injections offered only temporary relief, and whose MRI scans showed tendinosis instead of meaningful structural tears. These people had no idea that their food environment and metabolic health were the true drivers of their symptoms. And once again: no one tells them.

After years of repeating myself, I realised I could not make the impact I wanted to make by explaining the same story one patient at a time. the appointments were too short, waiting rooms too full, and time always too limited. Yet people were clearly hungry for understanding, for clarity, for insight into how their own body works.

This is how Joint Perspective was born. It started with one simple thought: what if I tell the full story once, properly, and then everyone can hear it, read it or even sing it? A place where medical knowledge becomes accessible, where humour lightens the weight of illness, where music reaches people in a way that words alone cannot, and where the true causes of today’s most common conditions are explained in a way that makes sense.

Joint Perspective aims to give people back control over their health by helping them understand what is actually happening in their bodies. It is not a criticism of healthcare, but an invitation to look more broadly. Many of the issues we treat in clinic — pain, obesity, osteoarthritis, high blood pressure, shoulder problems, fatigue — share the same origin. And therefore there may also be a shared solution.

The mission of Joint Perspective is to create awareness, to teach patients how the body works without complicated jargon, to translate medical science into compelling stories, humour and music, and to help doctors by placing this knowledge in one central, accessible place.

Real healing begins with understanding. That is why Joint Perspective exists.