Dr. Craig Garrison

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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!

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10/17/15 #549: Our Bodies are Magnificent

Popular segments are back, starting off with The Business of Medicine on the topic of cringe-worthy medical bills and a reminder for patients to look past the sticker shock to their own premium, deductibles, and copays. A Souryal Story about an ACL patient leads to a discussion about differing rehab protocols between surgeons and physical therapists with sports specialist Dr. Craig Garrison. At the top of the hour, Sports Medicine 101 covers cortisol and cortisone derivatives as anti-inflammatories that can be curative, or prematurely age joints if overused.

The calls start with a Navy veteran thanking the Doc for directing him to get an MRI and the questions keep coming fast and furious by phone, email, and texts. A college runner has pins and needles while running distance, a firefighter has outer knee pain but only when sprinting, and full range of motion has not yet returned for one caller eight weeks after ACL and meniscus surgery. There are several calls about rolled ankles and The Doc explains all about stability issues, even that clunky unfashionable shoes may give the best support.
There are questions about back pain, an arthritic shoulder, a strained quad, another asymmetric quad after a tendon repair, a weird foot sensation, and what a a dip or iron cross may be. You may even find out where to get a tasty bacon margarita.

Tune in!

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10/03/15 #547: Grass is Greener, and Softer

There is not so much chatter today just call after call. Topics start with rotator cuffs, getting a good diagnosis and second opinions, doing your homework on surgeries and doctors, and musings on whether and why injury rates have gone up over time in both the pro world and lower levels. Bigger bodies in motion, overtraining, insufficient recovery time, and education all play a part.

Dr. Craig Garrison, director of sports medicine at Texas Health Ben Hogan Sports Medicine joins Dr. Souryal for a short time. The doctors agree that real grass is way better than artificial!

Is a replacement surgery in order for an active 53 year old? What it the link between protein powder and cramps? Can a dedicated runner, who has had four scopes on his knee, keep running? Dr. Souryal has answers and some good advice for those who like to push through the pain: get good shoes to absorb the shock, listen to your body, and stop when you are limping,

Later a college football player has shoulder instability and Dr. Souryal runs down the options for his concerned Dad, and a resident calls in to clarify what Laterjet Surgery is exactly. The show ends on a familiar refrain: When in doubt- get it checked out!

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08/15/15 #542: Rehab is Vital

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.

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05/31/15 #536: The Big Toe is a Big Deal

Good Saturday Morning , Everybody! Dr. Souryal starts the show with a behind-the-scenes glimpse of the team physician as a safety officer. Dr. Craig Garrison from Texas Health Ben Hogan Sports Medicine Center comes on for a conversation on where we’ve been and where we’re headed with concussions. That’s not punny! The Sports Medicine 101 segment revisits microfracture or “drilling” technique.

The first call is about treatment options for big toe problems, then a young man wants to know more of the physiology of low testosterone. In the second hour, Dr. Souryal gets back to the calls including a concerned brother asking how several concussions may affect an athlete in the future and a truck driver with questions about his exercise-induced compartment syndrome. Then,  a weight-lifter has a sore shoulder, a walker who had a septic knee that came out of nowhere has more knee trouble years later, a glute injury in the gym needs a good examination, and finally Dr. Souryal gives all the options for treatment of an arthritic knee after microfracture.

Here’s a question for you- does grunting make a sport unwatchable?

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