Spruce Health Group - Knee & Joint Care

Knee Osteoarthritis and GolfViscosupplementation and Physical Therapy were able to help Betty return to golfing without knee pain in just a few weeks!We recently worked with a patient who was complaining of knee pain that was preventing her from getting out on the golf course to play her favorite sport. Betty was in search of an alternative to surgery or painkillers and contacted Spruce Health Group in hopes of a less invasive solution to getting out of knee pain.Like many of our patients with knee osteoarthritis, Betty had chronic knee pain that was gradually worsening over a period of years. After a few weeks of treatment combining Viscosupplementation injections with Physical Therapy and bracing for her left knee, Betty was feeling so good she felt as though she never had a problem, to begin with.After completing her course of treatment with our Healthy Knee Protocol, Betty was delighted she could return to the golf course and play a full round of golf without knee pain. I am now able to swing and rotate fully through my left leg, no longer feel any knee pain whatsoever, and my balance has significantly improved!How Our Healthy Knee Protocol Helps Patients Return to Golf Without Knee PainViscosupplementation injections provide cushioning and lubrication for the knee joint to decrease the symptoms associated with Osteoarthritis. Patients often feel significant decreases in pain and improvement in function following a series of viscosupplementation injections. These provided Betty with the ability to move and exercise with decreased pain.Betty received an Osteoarthritis off-loading Knee Brace for improved mechanical alignment of the knee, increased stability, and decreased pain during her activities. The knee is a joint which is highly affected by the joints above and below, as well as the coordination, strength, and endurance of the leg muscles.Physical Therapy interventions taught Betty how to improve her hip mobility, and ankle stability, as well as the general strength, coordination, and endurance of her leg muscles to better support her knees.The combination of these therapies are what helped Betty get back out on the Golf course and play the game that she loves pain-free.We invite you to contact us today by calling 720-678-9867 for a consultation where our expert clinicians can discuss your needs and how our Healthy Knee Protocol can help YOU!

Did you know that June is National Migraine Headache Awareness Month? As a migraine sufferer myself, I would like to point out that those of us with personal experience are AWARE every month! Growing up I remember getting very intense headaches/fevers. They were really stopping me from being a normal kid. I would have to lie in a dark room with an ice pack on my head and I would just cry from the pain. As I got older and migraine medicine became more common my doctor and I had a long discussion about my condition and I was referred to a neurologist. This was the beginning of my journey that would eventually lead me to the potential benefits of Botox for migraines.Figuring things out: appointments, migraine diary, and identifying triggersIf you have been down this road, then you know that these appointments are not growing on trees! After a three-month wait, I was finally in. (Side note, this was pre-COVID, Ive heard of people waiting 6 months or more now). My neurologist was the sweetest senior gentleman. He asked me to bring in my migraine diary, which was something I never heard of! I had to fill out which days I had a migraine and what my triggers were. While I certainly had migraine awareness, I had not yet developed my frequency and trigger awareness. The diary helped with that! I realized once I started tracking that my migraines were occurring almost every other day! Triggers ranged from the weather changing, to loud noises, to even lighting changes causing an attack.Discovering Botox for Migraines: My Journey to ReliefMy Neurologist at the time offered me different medications and for around three years I went through four different types of medicine. Then we tried Botox. The first time I laughed and made the joke Im only 23 I dont have any wrinkles, but my Doctor explained to me how Botox helps migraines and explained how it works.Botox is a toxin that works by blocking the neurotransmitters that tell your muscles to contract. When used in small doses, it can paralyze the muscles which contribute to or worsen migraine headaches. Your trained provider injects Botox at various locations in the scalp including the forehead, the sides, and the back of the head as well as in the neck and the trapezius muscles (back of the neck and shoulders). My dose was five units and it was covered by my insurance. So it was off the races and I got all the shots and drove home. My migraines went from every other day to once a month at max.Compared to my other medications I had tried, I didnt notice any side effects. I didnt have to remember to take a pill two times a day. I had to go in every 4-5 months for a quick check-up and get my shots. Life was made so much easier! I got my life back, I got time back with my daughter, and I didnt have to worry about missing out anymore.Ive been on Botox for almost three years and because of this treatment, I got my life back. And appointments are easier than ever with the providers at Spruce Health Group, there is no need to wait for months and months to see a Neurologist. I am able to enjoy time with my daughter. I enjoy my hobbies again, and Im much more effective in my work. I got my #HealthyLiving from Botox, and you can too!Contact Spruce Health Group to request an appointment today.

The Pains of Modern ConvenienceI work sitting at a desk. Why am I experiencing pain in the neck, shoulders, or arms?Modern conveniences such as TVs, Computers, and Cell Phones have enabled us to be more efficient at the expense of our need to move. As an example, in the past, we needed to move our bodies more to complete basic everyday tasks. Many may remember the need to rise from the couch to change the channel on the TV. Along came the remote control which allowed us to change channels at the push of a button. We no longer need to get our entire body up from the couch but rather just use our arms, hand, and fingers. Now with the invention of voice commands, we can just speak, and our TV will easily change channels, without our bodies having to move at all.While our society experiences increased convenience in daily tasks and activities, what we dont often realize is the detrimental toll that moving less takes on our bodies. When a desk worker spends many hours of the day sitting while using devices such as cell phones and computers, there is a propensity to develop rounded shoulders and a forward head posture. Hours of isometric muscle contraction to maintain the bodys position leads muscles to tighten and shorten, which may affect the front/back curvature of our neck. Muscles that work hard to hold up our head may fatigue and develop tight bands or trigger points which in turn may become painful. Imbalances may lead to abnormal compression of the vertebrae, strained joints, ligaments, and tendons, and even nerve compression along with abnormal mechanics of the neck, shoulders, and arms.1 Eventually the faulty posture, muscle fatigue from supporting the weight of the head, and resulting micro-trauma may lead to symptoms including muscle tension in the neck and shoulders, pain in the neck, upper or mid back pain, chest discomfort, and possibly tingling and numbness in the arms and hands.I Have Pain In The Neck, Now What?If you are wondering whether sitting for many hours per day or your posture is contributing to your pain in the neck, shoulder, or arm you may benefit from a consultation with a Physical Therapist to perform an examination to identify the specific impairments you are experiencing and develop a strategy to address them. Through a combination of orthopedic manual therapy techniques including a myofascial release for soft tissue and joint restrictions, exercises to strengthen the weakened muscles, and education for sitting and standing with a more neutral posture, you have the possibility to address your neck, shoulder, and arm pain without medication or surgery.Here at Spruce Health Group we offer Orthopedic Physical Therapy as well as a suite of other services that may benefit your health. Call us with any questions 720-678-98673.

The struggle is real, but Medical Assisted Weight Loss could be the answer! Wanting and needing to lose weight has an impact on both mental health and physical well-being. Even ten extra pounds can add strain to joints and affect your #HealthyMobility. But you are not alone.Did you know that every year, about 45 million Americans turn to diets to try to lose weight, a number the CDC says continues to rise. But despite those good intentions, roughly two-thirds of Americans still struggle with being overweight or obese, increasing their risks of serious medical problems.Keto, Subway, Mediterranean, Vegetarian, Gluten-Free. So many options and fads. And yes, they may work initially, but maintaining a lifestyle needs more than short term weight loss. Consider that for those who do manage to drop those excess pounds, the struggle isnt over. Data show as many as 90% of people who lose a significant amount of weight wind up gaining most of it back. You can only eat so much celery and broccoli, right?But there is hope. Medical assisted weight loss programs provide a safe, effective alternative to traditional dieting on your own. At Spruce Health Group, our team works with patients to develop a medical weight loss plan custom to each patients needs. Our providers are certified in medical assisted weight loss. We design a plan that works with each patients unique medical history and lifestyle. This custom approach really works to help patients achieve their weight-loss goals, which in turn enables overall better health. And if you need ongoing support to maintain that weight loss, we are here for you with the support you need to maintain your new #HealthyLiving lifestyle.Fad FailureCommercial and Fad diet plans are designed with the general population in mind. They need to use a very generalized approach to weight loss. The problem with that approach is that different people lose weight differently. And plenty of people gain weight differently or for different reasons.Of course, eating habits and physical activity play critical roles in weight management as well. As do your underlying health challenges, nutritional profile, age, and even your genetics.Fad and commercial diet plans arent really designed to take those individual differences into account. That is a key reason why many of these diets just wont work consistently and over time. Then over time, multiple unsuccessful diets leave many people feeling frustrated and hopeless.How medical weight loss worksMedical weight loss takes a different approach right from the start. Instead of the broad, one-size-fits-all approach of commercial diets, medical weight loss is entirely customized, based not just on your weight-loss goals but on your medical history, health and lifestyle needs, and nutritional profile.Our team begins by evaluating your health history and performing an exam, sometimes accompanied by lab work. Nutritional assessments help identify deficiencies that could be driving unhealthy cravings or interfering with weight loss. Then, well work with you to create a weight-loss plan designed for your success.In addition to healthy eating and exercise focused on your preferences, your plan may include prescription options or OTC nutritional supplements. Regular check-ins with goal monitoring, and periodic nutrient testing help to maintain optimal wellness. Every plan includes the ongoing medical support to help you stay motivated and on track. We even help you work with handy apps to track your progress and keep you on goal.In addition to achieving a healthy weight, the overarching goals of your medical weight-loss plan are to help you adopt healthy behaviors youll want to maintain.You can absolutely lose the weight!Having a medical assisted weight loss plan designed to work for your needs is essential to successfully losing weight and keeping it off. To learn how our certified providers can develop a plan to help you achieve your goals, book an appointment online today.

Cutting-Edge Regenerative Medicine Practice Expands OfferingsHormone Replacement Therapy is a perfect addition to the Spruce Health Group offering, with the potential to enhance all of our core missions of #HealthyMetabolism, #HealthyMobility, and #HealthyLiving, Spruce Health Group, the Colorado-based healthcare clinic providing cutting-edge regenerative medicine to seniors, announced that it is now offering Hormone Replacement Therapy (HRT) to patients of all four of its Colorado clinic locations. The treatment, which is largely used to treat menopausal symptoms in women and andropause symptoms in males, has shown promising results for helping to treat energy imbalances, anxiety, and depression in seniors as they are facing increased mental, social and physical ailments after a year of decreased social interaction and increased sedentary lifestyle due to the novel Coronavirus.According to biote Medical, HRT has shown to reduce fatigue, improve sleep, improve libido in women and sexual performance in men, decrease muscle loss and reduce body fat. It also has been shown to reduce irritability, anxiety, and depression. The symptoms of osteoarthritis and rheumatoid arthritis are significantly reduced.Now that many seniors across the state are vaccinated, were starting to see retroactive attention being paid to ailments that were ignored over the course of the pandemic, said Dr. Frederick Paz, MD, Head Physician and Clinical Director at Spruce Health Group. Many of the physical issues we are seeing, such as joint pain, arthritis, and inflammation, have emotional ramifications such as depression or anxiety. Utilizing Hormone Replacement Therapy in our protocol allows us to address a patients afflictions holistically, resulting in a more comprehensive treatment plan to ensure long-term success.Spruce Health Group recently announced the opening of its Colorado Springs location, after launching facilities in Aurora, Thornton, and Golden earlier in the year, with a Littleton clinic planned for the fall. The Colorado clinics provide high-end specialty care and completely custom treatment plans for seniors facing injuries, degenerative diseases, and age-related health complications.

Love Language of FoodDo you ever ponder how your love language really affects your loved ones? As we enjoy February, both Heart Health Month and Valentines Day, I want to align healthy food as an evolved love language! This is going to take some focus! Consider that I consistently eat bagels or eggs and potatoes for breakfast. Since mornings are typically a race against the clock, I got into the habit of making overnight oats when my children were young. On special occasions, however, breakfast is a cornucopia of pancakes, bacon, eggs, hash-browns, fruit, yogurt, sweet rolls, and orange juice. We call cinnamon rolls and donuts breakfast dessert. Yum, so good!I mention, special occasion breakfast because those are traditions that Ive purposely built into the fabric of my family. Hopefully, my kiddos will look back on Christmas morning or the first day of school, or a graduation celebration with warm hearts and a full belly. My husband and I rarely go out to dinner, but we often go out for breakfast together. We reconnect over a robust meal replete with carbs and bacon. Breakfast is woven into the culture of my family and my marriage. Food is as universal as dance and music. Food is our love language.Genetics and Type 2 DiabetesUnfortunately, type 2 diabetes is also woven into the genetics of my family. My father as well as my aunts, uncles, and cousins all struggle with the disease. Risk factors for developing type 2 diabetes include advanced age, smoking, alcohol consumption, and family history. But the number one risk factor for developing the disease is excess weight. I grew up in the Midwest, where casseroles, potluck-style meals, and comfort food is very much the norm. The struggle with weight gain is beginning at a younger age. Recognizing that February is also Black History Month, I realize that friends and colleagues of different nationalities face an even steeper uphill burden than I do.Underlying genetic components continue to be studied as diabetes becomes a rising epidemic across continents and cultures. Statistically, diabetes has disproportionately affected Native American, Hispanic, African American and Pacific Islanders. Diabetes is not simply a sugar problem but a disease that changes the way our cells utilize energy. Our food is broken down to glucose that is utilized as energy in the cells. Long-term, uncontrolled high blood sugar levels can result in multi-system diseases of our eyes, our kidneys, our hands and feet and our cardiovascular system.Management of Type 2 DiabetesFor a type 2 diabetic, the body stops utilizing the glucose as energy and instead either stores it or excretes it. Currently, the best management of type 2 diabetes is with diet, exercise, medications and insulin. With each intervention, the body is attempting to re-sensitize the cells to utilize the glucose appropriately.Here at Spruce Health Group, our Diabetes and Metabolic Therapy program (DMT) utilizes education, physiologic insulin re-sensitization (PIR), metabolic weight loss, and physical therapy to not only stabilize a person with diabetes but to repair damaged cells.DMT is a groundbreaking treatment where insulin is administered as a hormone rather than a drug; addressing the primary cause of Diabetes which is metabolic failure. By utilizing insulin in a manner that bio-mimics normal physiology, this modality is designed to reduce insulin resistance and increase cellular energy. Increasing cellular energy allows damaged tissues and organs to grow, repair, and regenerate.5,7 Utilizing this treatment modality along with established clinical interventions, our team seeks to improve our communitys health and wellness. Because food, for all of us, is woven into our culture and our souls. It is what we share as a family, it is how we break bread with a stranger.Evolving Food Love Language Toward Healthy LivingBut how do we align healthy food as an evolved love language? Maybe we baby step with some healthy substitutes? I found this article pretty neat to start my journey, I hope you enjoy it as well! https://www.eatthis.com/food-swaps-cut-calories/8Food is how we connect with new friends and how we comfort ourselves in times of struggle. Universally, food is a love language. Medically, we seek to contribute to a strong, healthy and loving community so that we learn to understand our bodys response to food and how to balance our lives with our health. Do you have a favorite recipe that serves as comfort food and still promotes #HealthyLiving? Please share with us at info@sprucehealthgroup.com or call us at 720-678-9867.

The new wave of umbilical cord tissue (UCT) and Connective Tissue Matrix (CTM) products are allograft injectables that are very exciting and proving to be tremendously successful in the treatment of chronic musculoskeletal disorders such as Osteoarthritis (OA).From the outset, Spruce Health Group (SHG) has implemented cutting-edge therapies and services for our patients in order to bring them back to better musculoskeletal and metabolic health. Our variety of Healthy Mobility treatments helps to fight the most common cause of disability in the United States, Osteoarthritis (according to the CDC). OA has been a focus for SHG since our inception and we continue to offer an evolving scale of treatment options. The team of providers at Spruce continuously monitors the new potential treatments and therapies that are being developed in the field of integrative medicine in order to offer our patients the best-proven options available.With that in mind, amid these exciting developments, lets explore the science behind these innovative treatments.Here are the facts about the new wave of umbilical cord tissue (UCT) and Connective Tissue Matrix (CTM) products:These UCT and CTM products are obtained from healthy, carefully screened mothers at the time of normal delivery from the umbilical cord and the chorionic plate of the placenta.In addition to a stringent social screening interview, all mothers undergo serology testing to ensure there is no risk for a communicable disease.No harm is brought to the mother or her newborn.Recovery of the tissue is performed at the time of delivery by trained technicians in a sterile environment.Processing is done following all of the current good manufacturing practice regulations of the FDA and the guidelines of the American Association of Tissue Banks (AATB) as well as the American Association of Blood Banks (AABB).How do Connective Tissue Matrix products promote tissue healing and repair?Human Connective Tissue Matrix products are able to stimulate the patients own regenerative healing mechanisms to progress from a pro-inflammatory environment within the tissue to one of healing and remodeling. This transition allows for connective tissues in the dysfunctional area to restructure, rebuild and regenerate the deficiency or injury by allowing the natural healing components of the patients system to be drawn into the appropriate area for healing and providing a native matrix for structural cellular attachment.SHG provides FDA-approved CTM injections for joint pain relief from OA or injury, with insurance and self-pay options.There are many options available for alleviating joint pain due to OA or injury, and these injections are proving to be the next step. SHG leads the way for Integrative Medicine in the Denver Metro area, providing innovative and effective therapies for the treatment of OA. Many of these products are FDA approved and are gaining popularity in the mainstream because of the large number of formal studies being performed and the peer-reviewed publications being published. As such, some insurances are beginning to allow coverage for these products but many patients also take advantage of self-pay discounts to get back to their healthy mobility. There are new product options that have a very low price point and still offer amazing pain relief. If you are interested in a risk-free consultation to determine whether or not this cutting edge medical treatment for OA is right for you, give us a call or request a risk free consult at any one of our Denver area locations. We are looking forward to working with you to improve your health and quality of life.

Access Your FSA/HSA BenefitsFSAs and HSAs are healthcare plans that cover medically-related expenses not included under a traditional health plan and as we approach the end of the calendar year many people are looking for ways in which to spend their FSA and/or HSA dollars wisely. They are looking at what services would be covered and how they can best use these dollars before they expire on December 31st. As such Spruce Health Group would like to provide some guidance on this topic.What Are FSA and HSA Plans?Flexible spending accounts (FSAs) and health savings accounts (HSAs) work like personal savings accounts. However, the funds in the account can only go toward qualifying medical expenses. An individual who has an FSA or HSA, contributes pre-tax dollars to their account, lowering their taxable income. Individuals can use these funds to cover out-of-pocket medical expenses and the two plans work similarly. It should be noted that HSA funds CAN be rolled over to the following year but FSA contributions CANNOT.FSA and HSA, Eligible ExpensesSo, what can you use your FSA or HSA funds for? The plans are similar in that they will cover the following general IRS-eligible expenses:Copays or deductiblesQualifying prescriptions such as insulinCertain medical equipmentWhat Spruce Health Group Has To OfferSpruce Health Group has several products and services to offer our patients that fall within the eligible categories for FSA and/or HSA spending.Platelet Rich Plasma (PRP) therapeutic joint injectionsIV Vitamin Infusions for immunity, headache relief, detoxification and recoveryHormone replacement therapy for both women and menSupplements specialized for osteoarthritis, inflammation, diabetes and general healthOrthopedic braces for joint pain and stabilityElastic therapeutic tape (AKA kinesiology tape)Equipment for home exercises such as resistance bands, hand weights and proprioceptive (balance) training devices to name a fewCopays for covered medical treatments such as hyaluronic acid injections for the knee or Diabetes and Metabolic TherapyLet the caring and compassionate members of Spruce Health Group help you continue on your journey towards better health and a more fulfilling life through confirming that these products and services are accessible under your current benefits. Call today!!!

Modern conveniences such as TVs, Computers, and Cell Phones have enabled us to be more efficient at the expense of our need to move. As an example, in the past we needed to move our bodies more to complete basic everyday tasks. Many may remember the need to rise from the couch to change the channel on the TV. Along came the remote control which allowed us to change channels at the push of a button. We no longer need to get our entire body up from the couch but rather just use our arm, hand, and fingers. Now with the invention of voice command we can just speak, and our TV will easily change channels, without our body needing to move at all.While our society experiences increased convenience in daily tasks and activities, what we dont often realize is the detrimental toll that moving less takes on our bodies. When a desk worker spends many hours of the day sitting while using devices such as cell phones and computers, there is a propensity to develop rounded shoulders and a forward head posture. Hours of isometric muscle contraction to maintain the bodys position leads muscle to tighten and shorten, which may affect the front/back curvature of our neck. Muscles that work hard to hold up our head may fatigue and develop tight bands or trigger points which in turn may become painful. The imbalances may lead to abnormal compression of the vertebrae, strained joints, ligaments, and tendons, and even nerve compression along with abnormal mechanics of the neck, shoulders, and arms.1.Eventually the faulty posture, muscle fatigue from supporting the weight of the head, and resulting microtrauma may lead to symptoms including muscle tension in the neck and shoulders, neck pain, upper or mid back pain, chest discomfort, and possibly tingling and numbness in the arms and hands.2,4If you are wondering whether sitting for many hours per day or your posture are contributing to your neck, shoulder, or arm pain you may benefit from a consultation with a Physical Therapist to perform an examination to identify the specific impairments you are experiencing and develop a strategy to address them. Through a combination of orthopedic manual therapy techniques including myofascial release for soft tissue and joint restrictions, exercises to strengthen the weakened muscles, and education for sitting and standing with a more neutral posture, you have the possibility to address your neck, shoulder and arm pain without medication or surgery.3,5.Here at Spruce Health Group, we offer Orthopedic Physical Therapy as well as a suite of other services that may benefit your health. You can find us online at: www.sprucehealthgroup.com to schedule an appointment at the location nearest to you.We invite you to contact us today for a consultation where we can discuss your needs and how our highly skilled clinicians can help YOU!

What is Pickleball?Pickleball is now considered the fastest growing sport in America and has gained recent popularity here in the Denver metro area.5 For those who are not familiar with it, Pickleball resembles a miniature tennis court with similar rules and is played with a paddle and wiffle ball.Pickleball is an athletic endeavor that involves full body movement from the ground up. As we age, its important to maintain full strength and mobility of our muscles and joints in order to be able to engage in sporting activities without pain or limitations, and Pickleball is no exception.Osteoarthritis and PickleballOne of the conditions that can negatively impact the ability to enjoy sports such as Pickleball and plagues 1 in 7 Americans is Osteoarthritis. The Knee is one of the 3 most common joints to develop Osteoarthritis and the pain from cartilage breakdown can be debilitating. Typically the symptoms in our joints develop slowly over time and can cause swelling, stiffness, and pain.1Modifiable risk factors in the development of Osteoarthritis in the knees include Obesity, Joint Injury or Overuse, and occupations which require repetitive deep bending. When someone experiences knee pain due to Osteoarthritis, sports such as Pickleball become difficult if not impossible to enjoy.Our Healthy Knee ProtocolAt Spruce Health Group our treatment protocol is built on evidence based therapies1,2,3,4 proven to help patients with Osteoarthritis of the Knees including:CMAT testing  provides information and insight into other related health factorsViscosupplementation and PRP injections  helps to provide cushioning, support, and pain relief for the knee jointBracing  helps with biomechanical alignment of the knee joint, stability, and pain reliefPhysical Therapy  manual and exercise therapy help to address underlying faulty movement patterns that contribute to wear and tear and help to prevent further injuryMedical Weight Loss  weight reduction under the care of a medical providerEvery day it is a great pleasure to witness happy patients improving in their ability to return to the activities they love and enjoy, including getting back out on the Pickleball court!If you are interested in Pickleball, but knee pain has become your limiting factor, please give us a call today, and ask about a consultation. We will help to evaluate your condition and determine whether you are a candidate for this program which has helped so many patients feel better, move better, and return to their active lifestyle.References:Kelley GA, Kelley KS, Hootman JM, Jones DL. Effects of community-deliverable exercise on pain and physical function in adults with arthritis and other rheumatic diseases: a meta-analysis. Arthritis Care Res (Hoboken) 2011;63:79-93. https://doi.org/10.1002/acr.20347Kolasinski SL, Neogi T, Hochberg MC, et al. 2019 American College of Rheumatology/Arthritis Foundation guideline for the management of osteoarthritis of the hand, hip, and knee. Arthritis Rheum 2020: 1-14. https://doi.org/10.1002/art.41142Migliore, A., Giovannangeli, F. Viscosupplementation in the treatment of osteoarthritis. Arthritis Res Ther 14 (Suppl 2), A10 (2012). https://doi.org/10.1186/ar3717Gro Jamtvedt, Kristin Thuve Dahm, Anne Christie, Rikke H Moe, Espen Haavardsholm, Inger Holm, Kre B Hagen, Physical Therapy Interventions for Patients With Osteoarthritis of the Knee: An Overview of Systematic Reviews, Physical Therapy, Volume 88, Issue 1, 1 January 2008, Pages 123136, https://doi.org/10.2522/ptj.20070043Pickleball is the fastest-growing sport for second year in a row. (n.d.). Retrieved August 24, 2022, from https://usapickleball.org/news/fastest-growing-sport/