3/28/15 – Episode #529: Go Hogs, Go Into the Wild Blue Yonder

Why do astronauts take a bicycle on the space station? Degeneration can happen quicker than you think without movement and resistance, such as after a muscle injury or surgery. Dr. Souryal hosts Sports Medicine Specialist Dr. Brad Bellard today. They discuss the best college fight songs, the value of rehab, why there isn’t a quick fix for muscle injuries, and repair vs. excision. Dr. Bellard explains the difference between eversion and inversion ankle sprains, advises to not come back to sports too early after a muscle strain, and also that “it’s never too late to rehab, my friend.”

Respect this injury! Sports Medicine 101 continues last week’s topic of fifth metatarsal fractures which can look innocuous but about 5% of cases are very tricky to heal, indeed. The Business of Medicine segment goes off on a tangent. Medicine is both a science and an art. Part of the art is tailoring the medicine to the patient and knowing the patient is critical; the new “shift medicine” loses some of this art by downplaying the patient-doctor relationship.

Throughout the show, there are some great answers to some really great questions. A flatfooted caller questions whether he can regain strength ten years after an injury when he didn’t do rehab correctly at the time. The next caller wants an opinion on going to a Doctor of Osteopathy for his mom’s frozen shoulder, a man waiting for surgery on his large “bucket handle” meniscus tear asks if he should he use crutches in the meantime, and a caller with a recent hernia diagnosis wonders if he can live with it. Sure, unless it gets strangulated, or his guts come out. Frequent guest Dr. Blumenthal calls in to set the record straight about next week’s Fight Song Bracket Challenge, a turkey trotter has a heel injury, and a runner for life has spondylolisthesis and wonders about possible effects of running down the line.

Can you take a compliment, dear listener? Dumb people don’t listen to this show. Bet you didn’t even blink at “spondylolisthesis”!