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Josh Heenan

@drheenan

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I develop world-class athletes & solve complex pain/neurological cases ⚡
President @advancedtherapyperformance
Clients: MLB, NFL, NBA, PGA, WLD
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A unique send off for Bryce as he is off to Stanford University tomorrow and we welcome our newest member to the ATP community, Luna Donofrio. Over the years Bryce has become a leader in our community. You’ll find him utilizing every inch of our facility. Training hard on the floor or on the mound, fueling up and playing chess in our lounge, and likely his favorite spot in the whole facility — the ping pong table. Always with a smile on his face, engaging with members new and seasoned. We couldn’t ask for a better representation of our brand and community. Bryce is up 28MPH in 5 years now touching 101.7MPH while adding 90lbs to his frame now sitting at 230lb. A perfect example of slow and steady progress from 8th grade through his senior year of high school. I don’t know much about our newest 8-week old member, but I do know her parents well. They have helped build ATP from its infancy over the last ten years. Brian and Taylor have become elite in each of their fields. They are incredibly hard working and caring, while also not afraid to give a well earned kick in the butt to our athletes when it’s needed. I wonder who will put on more mass the next 4 years, Bryce or Luna?!
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I’m finishing up my psilocybin licensure so I can legally administer psilocybin in Colorado. I came to this work because of what I’ve seen over years of practice. TBI, concussions, the yips, unsolved neurological disorders, pain cases, performance cases. Those cases respond well to acupuncture, functional neurology, neurotransmitters interventions, and exceptional therapy/training. In many of those cases with systemic issues, I believe psilocybin can be a huge tool to help dramatically change the course of recovery both in a shortened timeline and returning to normal. This is because I see all of the above conditions as neurological. This image is a simplified way to explain how different brain networks talk to one another and why that matters so much for concussion, TBI, and performance breakdowns like the yips. The Default Mode Network. The Salience Network. The Central Executive Network. In a healthy brain, those systems shift smoothly. After injury or chronic stress, that switching can get stuck and cause all sorts of issues. I wrote my final paper on traumatic brain injury and psilocybin use as a recovery tool because the mechanism makes sense. Network flexibility. Global connectivity. A temporary window where rigid patterns can loosen. Psilocybin isn’t magic. It doesn’t fix injuries on its own. But the risk profile is strong when it’s used appropriately, screened carefully, and paired with proper integration and follow-up. I believe this will become a commonly used tool in the future, especially when combined with functional neurology and acupuncture. Those tools give us a way to assess change, guide integration, and evaluate what’s actually helping. There are a lot of great people doing meaningful work in this space. I’m grateful to be learning alongside them. For many struggling with concussion, TBI, or the yips, this may be one more way to help the brain do what it’s meant to do again. Questions? Ask ⬇️
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A little TLC for a pitcher with knee pain. Questions? Ask 👇
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I’ve been having these thoughts and @throw_ched stated them perfectly.
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I’ve been using the Wired for Performance quiz with patients for years. And the most common issue I find? Dopamine deficiency Dopamine isn’t just about pleasure or motivation—it drives focus, effort, energy, movement, and recovery. When it’s low, athletes burn out. Students lose focus. Adults feel flat, fatigued, and overwhelmed. In the clinic, I see it in so many forms: – Athletes who can’t push through workouts – High performers who crash after a few hours of productivity – Teens with anxiety and apathy who feel “off” but don’t know why - And pain across the whole body What’s wild is how often this is dismissed as laziness, depression, or overtraining—when really, it’s brain chemistry calling for help. The good news? Dopamine can be restored—naturally, systematically, and without relying on quick fixes. Take the quiz and try putting some of these tips into practice to see how it positively impacts your life.
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💥OPTIMAL BODYWEIGHT FOR ELITE PITCHERS ⚾️ A fundamental of the #90mphformula is bodyweight. More specifically, 2.5 x height in inches is the minimum bodyweight needed to hit the formula. I’ve long stated that I believe the ideal metric sits somewhere between 2.75-3.25. The image above features one of the most epic pitchers of all time, Bartolo Colon. Is he the epitome of health? ABSOLUTELY NOT, but he pitched in the bigs for 21 years into his mid 40s while running his fastball into the low 90s. Do you think he could have achieved that amount of success and longevity without being extremely heavy? I don’t think so. Sure he carries a ton of body fat, but he also carries a ton of muscle mass and can generate some serious momentum on the mound which helps with his velocity. I’ve posted many times about how I believe Verlander is Tom Brady of pitching. I believe with his size/strength/mechanics he can pitch as long as Bartolo with many more wins. I believe the optimal bodyweight is as heavy as possible while allowing you to hit relative strength metrics found in the #90mphformulastudy (13 chin-ups, 2x bw deadlift, 1.5x be reverse lunge) without having any health concerns (high blood pressure etc). As for bodyfat, I think it should be as little as possible, but is really not a massive concern of mine because I believe chin-ups is likely a better indicator of health than bodyfat. #athletefirst #sportsperformance
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Instead of blindly using passive modalities like ice, stim, NSAIDs, and “taking time off”; be sure to get any underlying issues evaluated and fix the root of the problem. If you have pain with throwing, it’s time to get a professional evaluation to fix the source of the issue.
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This clip summaries why I created the #90mphformula and how I believe the body works. The concepts I share are pretty simple, but how the brain and body work is often insanely complex. #sportsmedicine #howtothrowharder #uclsurgery #tommyjohnsurgery #athletefirst #sportsperformance #sportstherapist #sportsrehab
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Let the debate ensue. #90mphformula #athletefirst
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It’s easy to say “I want to play D1 baseball” or “I want to go pro”. What’s not easy is actually taking the steps to #preparelikeapro and overhaul your habits to support those words. In most cases, the switch I see from athletes going from “I’d like to play D1 or pro” to actually showing evidence they are making real changes that will impact their career for the next 5-20 years is with their body mass and body composition. The average height and weight of every MLB player from 2023 by position thanks to @horton_barbell’s original chart. Those who have followed the #90mphformula know our baseline ratio is 2.5x height and our minimal optimal ratio is 2.75. The maximum ratio depends on the strength/size/needs of the individual. If you want to play high-level baseball (anything past high school) you should be wasting zero time getting to your optimal size. Remember, these are just averages, some bigger and smaller, but the MLB average is right around 2.8!
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Form Matters
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More weighted balls, throwing drills, stimulants, and velo slaps are not going to fix your fried nervous system. It's time to rebuild and optimize your CNS.
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