The Doctors discuss cortisone shots
The Doctors talk about leap day, movie review, cortisone shots
The Docs discuss cortisone shots in teenagers and the risk reward of treatment.
Preeminent spine surgeon Dr. Scott Blumenthal and Orthopedic Surgeon Dr. Karim Meijer join Dr. Souryal today. The doctors get the ball rolling talking about scar tissue and Tony Romo, the complications of steroid use, the EpiPen situation, and then get to the calls.
First off- an internist adds his two cents about price gouging in the pharmaceutical industry. The next caller is on his feet all day with plantar fasciitis and wonders if he should stop his cortisone shots. A young baseball player has knee pain without a diagnosis, a 54 year old with an arthritic ankle may need an ankle replacement and the right surgeon to do it, and a caller with back pain has had four injections after back bulges as well as a five level laminectomy. After twenty more injections he still has pain and needs more awareness before more procedures. Dr. Souryal explains the diagnosis, patient, procedure dynamic and risk/reward equations. A former athlete in her 40’s needs knee evaluation, a runner is about to have a Subchondroplasty procedure in his knee and asks about recovery time for this new procedure, a soldier discusses the psychological element of his treatment for chronic back pain, and a very tall 48 year old is falling apart and wonders if there may be a genetic link to his issues.
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!
This week, Doctor Souryal asks listeners to vote on whether he should do a Business of Medicine segment, or return to Sports Medicine 101. He remembers a recent show where he asked listeners to call or text in with their top sports movies, and asks listeners to chime in with their favorite chick flicks.
Doctor Brad Bellard is a guest this week, and the Docs talk about changes in the NFL especially when it comes to safety, concussions, and the effect of technology. They talk about Sam Bradford’s second ACL injury, the increasing number of ACL re-injuries, and the future of the NFL.
Listeners vote for Sports Medicine 101, so the Doc talks about cortisone shots, their history of use, and weighing side effects against benefits.
Listeners call in with questions on research on brain healing after a concussion, and narcotics vs anti-inflammatories for pain management.