Dr. Souryal talks about medical misinformation.
Dr. Souryal talks about medical misinformation.
Dr. Brad Bellard joins Dr. Souryal in the studio today as the show starts out with an explanation of the Mumford Procedure. Later, globetrotting spine surgeon Dr. Scott Blumenthal calls in from Atlanta to answer some back questions, including: why does spine surgery have such a bad rap?
Our first caller had a severe knee break with nerve damage playing college football and still got back in the game. Now that he’s older, he wonders if stem cells may help him along with a knee replacement, which leads into a long conversation of cool stuff happening in medicine now and the cool stuff that may develop in the future. Next, a 64 year old cartilage loss in both knees asks many great questions: is there a synthetic cartilage that can be put back in knees? what is the value of painful cortisone shots and is there any procedure available that could stabilize his “sloppy” knees? If bone doesn’t have feeling, where does the pain come from?
A 53 year old broke his shoulder in an ATV accident and has a ”humerus” question, another man has a “dull and heavy” shoulder seasonally, a 66 year old has chronic tendonitis in one foot and wonders if he has to just live with it. As always- we need a diagnosis first. Our last caller has a constant burning pain in his elbow, and likewise, needs a clear diagnosis before treatment.
Dr. Souryal has a lot of ground to cover, many questions to answer, and so gets right to the calls today. The first caller is advised to consider non-impact methods to lose weight before starting a jogging regimen, and also needs to look into his bursting blood vessels. An active 34 year old weightlifter has a pain in his left shoulder and the next caller also has some shoulder pain that needs attention.
Blood clots are more likely to form after an event or sitting still, rather than in an active athlete, but it certainly happens. Dr. Brad Bellard calls in to join the conversation on Chris Bosh and the serious risks of blood clots. Yep, the initial symptom could be…death.
In other observations: the dog show may be rigged, runners are difficult, second opinions are valuable and the upsides and downsides of cortisone shots are explained. Take note – the Doc is in Wikipedia now!
Hard to believe he’s gone. Legend David Bowie has passed and in tribute, provides the background tunes to this week’s show. Dr. Souryal, as usual, has so many good topics to get through. Roethlisberger’s and Romo’s shoulder injuries are explained in depth, along with the real reason for wearing shoulder pads. Teaching “rugby-style” tackling techniques at all levels could be good news for preventing concussions and aims to make football safer. The difference between an ankle sprain and a high ankle sprain is explained, at last, in Sports Medicine 101.
The text machine is going crazy bananas as a record number of questions and comments flow in and the phone lines are hopping, too. The first caller has questions about rehab for shoulder and knee surgery with just a week in between. How can he go about rehab for each at the same time? A high school coach has had both knees replaced and has lots of “static electricity“ pain two years later and a swollen foot. What now? An active flat-footed man has grade 3 ankle problems and asks if there is any alternative to the major reconstructive surgery that is recommended for him. A boxer gets a sharp stabbing shoulder pain while throwing a left jab that points to joint instability.
A youth football coach calls to weigh in on new Heads Up Tackling techniques. It is a good thing! Another PeeWee coach chimes in about still more benefits, including building confidence. The consensus: football needs this.
Our first caller is recovering from a run-in, or a run-over, with a steer and asks for ideas to speed up his return to mobility. PT specialist Dr. Craig Garrison joins the good Dr. Souryal in the first hour and explains some current practical methods trainers use from weigh-ins to check hydration levels in athletes to “dry needling” and trendy acupuncture. In the Business of Medicine segment, the doctors discuss physical therapy and insurance limitations, efficiency, and value.
Must we mention urine? Yes, indeed! Sports medicine specialist Dr. Brad Bellard comes on in the second hour to advise how to get the most out of PT sessions and help answer callers’ questions. A concerned wife describes her husband’s hip injury and arthritis and wonders if his fall made his arthritis worse or if PT may be making his injury worse. A 42 year old wants to work but his severe back pain and degenerative disease holds him back. Dr. Souryal assures him that he is doing all the right things but needs a clear diagnosis to get on track. A young weightlifter has a “textbook” shoulder pain, a motocross racer asks about an old spinal injury that still causes problems, and a runner has achilles trouble.
Listen to this podcast if you want to know why Texas Rangers starting pitcher Yu Darvish is out for the season and faces a long recovery after undergoing surgery on his arm. Today’s Sports Medicine 101 segment is all about Tommy John surgery, or UCL reconstruction, which was named after and first performed on former LA Dodgers pitcher Tommy John in 1974. Tommy John’s operation didn’t go perfectly, yet miraculously, he was able to resume his fantastic pitching career. Then Dr. Craig Garrison, director of Sports Medicine at the Texas Health Ben Hogan Center, walks us through the yearlong rehabilitation process for UCL reconstruction.
Time flies as Dr. Souryal gets to as many questions as he can in just two hours. Many queries on this episode tie in to a theme: go get the right diagnosis before trying procedures or surgery. The first question of the day comes in by text about right lower back pain that won’t go away, then a caller asks about where to go for his probable “winging scapula” and subsequently, the Doc’s Newfie gets a dog groomer!
The next caller still has pain after many knee procedures and is at a loss for his next step, while similarly, a concerned husband describes his wife’s frozen shoulder and continued lower arm pain after several treatments without a clear diagnosis. Other callers include a weightlifter with an AC joint injury, a 55 year old with pain in both shoulders that may be neurological, and a 38 year old man with knee pain who is advised to ask about other options before rushing into surgery. At the end of the show, a future kinesiologist and former baseball player has some shoulder pain, but only on occasion. What to do? You guessed it: go get a diagnosis!
As promised, Dr. Souryal will keep you informed and entertained while you learn something new about the world of sports medicine, current events, and everything curious listeners want to know. In the News, the Mavericks have a new point guard Rajon Rondo and there is much speculation on how Dallas Cowboys’ running back DeMarco Murray’s metacarpal fracture will impact this season.
Even after a steroid shot, one listener asks why months later he has a hard time doing pushups or even holding onto his baby. The shoulder pain could point to an AC joint injury. Why is ACL rehab is so grueling and brutal? The first stage of effort is painful and muscles will atrophy and get stiff. After six or eight weeks it gets better, but by then it is natural to just not want to keep it up.
Dr. Souryal gives his special spin on the difference between a bone bruise and a hairline fracture, lesser known conditions such as Dupuytren’s nodules and De Quervain syndrome, and takes the opportunity to talk about a Finkelstein test in relation to one caller’s wrist pain. A young basketball player may need to take a complete break to secure her patellar instability.
A diagnosis of a “permanently dislocated” elbow or radial head doesn’t mean there is nothing to be done. A repeat caller describes a snap, crackle, and pop that could mean he has has some debris in his knee, and a pop in his shoulder that could be something else altogether. At the end of the show, Dr. Souryal advises one active listener to give up tennis before golf to reduce wear and tear on his aching knees, unless he plays “Old Man tennis”, that is.