May 2015

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05/31/15 #536: The Big Toe is a Big Deal

Good Saturday Morning , Everybody! Dr. Souryal starts the show with a behind-the-scenes glimpse of the team physician as a safety officer. Dr. Craig Garrison from Texas Health Ben Hogan Sports Medicine Center comes on for a conversation on where we’ve been and where we’re headed with concussions. That’s not punny! The Sports Medicine 101 segment revisits microfracture or “drilling” technique.

The first call is about treatment options for big toe problems, then a young man wants to know more of the physiology of low testosterone. In the second hour, Dr. Souryal gets back to the calls including a concerned brother asking how several concussions may affect an athlete in the future and a truck driver with questions about his exercise-induced compartment syndrome. Then,  a weight-lifter has a sore shoulder, a walker who had a septic knee that came out of nowhere has more knee trouble years later, a glute injury in the gym needs a good examination, and finally Dr. Souryal gives all the options for treatment of an arthritic knee after microfracture.

Here’s a question for you- does grunting make a sport unwatchable?

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05/23/15 #535: Worst is First

Dr. T.O. Souryal is joined by talented spine surgeon Dr. Scott Blumenthal and the ideal sports medicine specialist, Dr. Brad Bellard. All bring their wisdom and cool factor to today’s episode! The Docs start off responding to a call about a possible bruised tailbone and anatomic variations. This leads into a discussion of the hope or hype of new procedures or fads such as kinesio tape, trendy stem cell treatment, and cryotherapy.

The Sports Medicine 101 topic at the top of the hour is the classic medical terms or symptoms, like chest pains and headaches, that immediately get the attention of medical professionals and may signal a serious condition.

Calls continue to come in about an evolving diagnosis after a slip on spilled water, an active 33 year old with a popped knee/subluxation and a caller with spinal stenosis, another wants to know if a spinal fusion can be reversed. The last caller is a runner with a sacroiliac problem who has to sort out medical advice that doesn’t match up and treatment that has gone on way too long.

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05/09/15 #534: This is why we do what we do

Dr. Souryal is getting ready for summer – spinning some Beach Boys tunes and hanging with his friends Mel and Brad. Lucky for us, his friends happen to be exceptional sports medicine specialists Dr. Mel Manning and Dr. Brad Bellard. Chiropractic care, cryotherapy, endorphin highs and “squirrelly” runners, as well as the important difference between “swag” and “shwag” are discussed.

The show starts with a miracle story of a longterm deficiency that was easily managed, once a certain doctor asked the right questions and kept digging to find a new and better solution to her patient’s problem. At the halfway mark, Sports Medicine 101 covers a rare, and advanced, topic: Rhabdomyolysis, which is an excessive breakdown of muscle tissue that can lead to hospitalization and even dialysis.

As always, information and entertainment are at the heart of the show, and the three doctors shed some light on various medical puzzles from listeners. A father is curious whether his daughter’s noisy, yet pain-free knees can indicate a problem, something doesn’t add up for a caller with a degenerative spinal condition, and a runner needs to consult a cardiologist for his heart irregularity. One caller describes knife-like pain after spinal surgery, another has had multiple SLAP tears and wonders what’s up now and where did that old anchor go? A 30 year old runner has had pain and a pop in his left knee for the last month, another aging and tall 30 year old asks for advice on how to restart his exercise routine in a wise way. A former patient of Dr. Souryal ends the show on a high note when he calls to thank the Doc for the excellent care he has given. The doctors agree: this is why we do what we do.

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05/02/15 #533: What’s in a name?

Who are you? Who, who, who, who? Who are the current global athletes or which sports names are recognized around the world by people of all ages? Global spine surgeon Dr. Scott Blumenthal joins Dr. Souryal and his crew to ponder this, sports medicine, current events, “Souryal-isms”, eponyms, drug naming, and more.

The queries start with a 60 year old who wants to know how to start to get back in shape after having no regular exercise for a while. Then a 50 year old long distance runner may have a meniscus rather than an MCL injury but wants to know if he can run on it while it heals, a basketball player with a healed MCL injury now has some hip trouble, and a biker/runner has no pain but a funny bone-on-bone feeling at times.

A Souryal Story about a patient who refused to pay his co-pay leads into The Business of Medicine segment about understanding insurance and provider policies. Then the questions continue from a dirt bike rider with some arm pain three years after an injury, a soldier who has a complicated “tics and fleas” issue that needs diagnoses, a retiree has disc problems and radiating pain, a father asking how long his son’s Osgood-Schlatter pain may last, and the final caller describes the shoulder instability that runs strong his family, but there may be ways the next generation can avoid this curse.

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