The Docs talk with a caller about CTE, disc replacement
Dr. Brad Bellard joins Dr. Souryal to discuss the dope on doping, the beginning of the end for modern Olympics, and big themes in managing pain and what ails you (and them). A sixteen year old competitive martial artist had ACL surgery and her father wants to know the timeline or “test” for her to return to training and competition. There is talk of Jaylon Ramsey’s meniscus tear and how his course of treatment will be decided.
Dr. B holds forth on The Bobble Effect in youth soccer and new rules aimed to prevent concussions, then a Phd student calls in with some truly educated observations: he happens to be studying exactly that! A caller with a torn meniscus asks for more thoughts on surgery versus “wait and see”, and is schooled on managing pain versus healing it. Similarly, a construction worker wants to avoid surgery and asks about the issue of pain management for his ruptured disc.
The show wraps up with the concept that has been weaving through the whole episode: pain management for conditions you may just decide to live with, as a fellow doc calls in to weigh in about the bad rap back surgery gets, and the options for Dr. B’s complaints.
Dr. Brad Bellard joins Dr. Souryal for this Easter Weekend edition with special guest: sportscaster Dale Hansen. The doctors start off discussing the controversial link between CTE and football and other susceptibilities that may affect outcomes. Then a concerned mother of a 19 year old lacrosse player calls in. Her son had his first “mild” concussion and still has symptoms six weeks later. She wonders if he should play or not, now or after more time to heal? Hard to know! Later in the hour, Dale Hansen continues the conversation on the issues surrounding longterm brain trauma and the risks to football players in particular. Along the same lines, a father describes his daughter’s head injury during a softball game that led to a longer road to recovery than expected, and the unhelpful attitudes she encountered.
Inside Sports Medicine relies on great listeners asking great questions which leads to valuable conversations. A 40 year old basketball player suffered a complete rupture of his patellar tendon a year ago and asks when he can get back to full range. A 32 year old has a herniated disc in his neck, already limits his activities, and is working through his options before considering surgery. A golfer wonders how to tell if his shoulder injury is a rotator cuff tear – without going to a doctor, that is. Another caller asks why it is so difficult to do exercises that don’t use the ACL right after ACL surgery. A mechanic has started to notice some numbness or aching in his hands while working that could be arthritis.
Another hopping good show!
You get your money’s worth this episode as Dr. Scott Blumenthal and Dr. Brad Bellard join Dr. T.O. Souryal for an entire episode of your favorite sports medicine radio show for the same price! Free, that is. Of course, they don’t keep strictly to sports and medicine… they might talk about date night, or p’s and q’s, news from the CDC, chronic pain management, black swans and white swans, skiing and skating, locker room talk and so on. They may digress, but in a completely informative and entertaining way.
Our first caller has continued back pain and asks whether it may be connected to his already-diagnosed degenerative disc disease. A 64 year old wonders what to do about sciatica that keeps him awake too much. The popular, and uncomfortable, Business of Medicine segment covers some disturbing trends. Then a hockey player has a deep contusion on one thigh, but the other knee swelled up. Another caller asks about the difference between anabolic steroids and cortisone shots in a joint, and a weekend warrior pulled a hamstring. How fast can he get back in the game and will compression shorts or sleeves really do the trick? An umpire took a fastball to his knuckle and remains bruised and swollen. Three docs, expert advice. ‘Nuf said.
Dr. Brad Bellard joins Dr. Souryal for this day-before-Super-Bowl episode. Chris Hall – former head athletic trainer and director of sports medicine at Texas Christian University, weighs in on a ruling about who can clear an injured athlete to get back in the game and explains an initiative to put an athletic trainer in every school nation-wide.
The doctors dole out their usual entertaining mix of sports medicine information and advice. A caller from Fort Worth wonders if his current burning elbow is related to his ruptured biceps injury suffered two years earlier. A former hockey referee hyper-extended his knees at 18 and has trouble 25 years later in his knees and back and neck. Where does he start to solve his current aches and pains?
The $64 million question is…what exercises might help to prevent ACL injuries? If only we knew! Callers continue with the ACL theme. A golfer damaged his knee last year and added a toe injury recently which affects his balance and mechanics. A concerned husband describes his wife’s ACL repair and patellar graft 16 months ago and is worried about her confidence in activities. A torn ACL was repaired and now has more damage- is that bad luck or added stress? The Doctors wind down with a discussion of HGH and CTE.
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.