Manipulation Under Anesthesia, Avascular Necrosis, Hard Tissue Soft Tissue Injuries
The Doctors discuss manipulation under sedation, avascular necrosis, hard tissue, and soft tissue injuries and the NBA
avascular necrosis
12/12/15 #554: Common Sense ain’t so Common
Sports medicine specialist Dr. Mel Manning joins Dr. Souryal to ponder why doctors are not all the same, sound medical advice, patients as consumers, and a defense of ABBA. A Souryal Story explains why sometimes there isn’t a good choice in medicine, and why doctors’ judgement matters so much. Retired NBA player Shawn “the Matrix” Marion calls in to shoot the breeze about basketball, fatherhood, and life. Dr. Craig Garrison, director of sports medicine at Texas Health Ben Hogan Center in Fort Worth, gives his perspective on new regenerative techniques for hip and knee recovery.
A mother asks how to best manage her son’s first degree spondylolisthesis: core strength is key and hamstring stretching, as well as regular exams, are recommended. Dr. Manning suggests a systematic approach to treat a herniated disc in the neck, the doctors advise the next steps in differential diagnosis for a caller with shoulder pain that travels to his hand. A 35 year old with an AVN (avascular necrosis) diagnosis wants to know if hip replacement is his only option, another caller asks about exercise after a hip replacement, and a 16 year old has hip issues with “lightning bolt sensations”. A caller with a pinched nerve in his lower back wants to know the timeframe for his injury to heal.
“Le sens commun est fort rare”, so says Voltaire!
08/29/15 #543: So Over My Head
World class spinal surgeon Dr. Scott Blumenthal joins Dr. Souryal for two hours of your only sports medicine talk show on the radio and the Interwebs! We have cut out the commercials for this podcast, so you get all the good stuff, without commercial interruption.
The Business of Medicine segment touches on a loophole that promotes the propagation of stand-alone Emergency Rooms, and segue ways into a Souryal Story which illustrates the problem, and more on transparency, or lack thereof, and the profit and pitfalls of the insurance game.
It’s a good thing Dr. B. is on because there are so many questions right in his bailiwick. How do you know when to choose an orthopedic surgeon vs. a neurosurgeon for back trouble? What are the effects of prednisone use and future surgeries? How do you know when it is time for a hip replacement? What is the relationship of spasms to hydration?
Listen and learn, my friends. And then…tell your friends!
03/14/15 – Episode 527: Rule #1- Listen to the Patient
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!
12/06/2014 – Episode 516: Asked and Answered: All Things Meniscus
Dr. Souryal has so many answers to so many questions! There are no guests today- this entire show is devoted to answering listeners’ questions via text, email, or the phone lines. Most queries center on the pesky and too-popular meniscus tear- what it is, what it does, where it is, and treatment from bracing to “scoping out”.
When Dr. Souryel says, ”I absolutely hate to lose”, he means despite performing thousands of successful procedures, he agonizes over the few inevitable recurrences or recoveries that don’t go quite according to plan. A certain low percentage of patients will have less than optimal results, and recovery from lateral meniscus tear surgery in particular can be tricky to predict.
Houston Texans rookie linebacker Jadeveon Clowney is In The News and out for the year already due to a torn lateral meniscus. Dr. Souryal explains in-depth in the Sports Medicine 101 segment why recovery is more unpredictable for this kind of tear than for a medial meniscus injury.
For one caller, removing a meniscus altogether can’t be a good thing, but may well be a necessary procedure when pain and instability are weighed in. A coach is in a tough spot when a student is released to play but still can risk further injuries. A women’s varsity basketball coach asks how he can support his injured player’s recovery and re-entry to the game after her ACL surgury- both physically and psychologically. The Doc advises to give it time and reduce explosive actions for at least six months while working on coordination exercises.
Dr. Souryal offers practical guidance on foam rollers, different uses of anti-inflammatories, how a cortisone shot can be a diagnostic tool, the difference between a tendon and a ligament, questions to ask an Orthopedist about a rotator cuff injury, and so much more.