The Doctors talk with a caller about hernia surgery. They talk about an orthopedic urgent care facility and a missed diagnosis.
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”!
Remember that! Dr. Souryal and his talented crew start with a discussion of who likes who for the Big Dance. You can clap and tap along to the college fight songs played between segments. Dr. Scott Blumenthal, world-class spinal surgeon, is once again welcomed as guest.
Our first caller wants to know why his strained abdominal muscle from power lifting keeps coming back after two years, another weight-lifter asks if the cortisone shot he had for his bursitis/bone spurs/tendonitis in his shoulder is a quick fix or permanent solution, and a returning caller asks what the reason for an elbow tendon surgery could be. Later, several questions concern conditions in teen athletes, including a pop in the knee, resistance in the hips, and a pulled hamstring.
Sports Medicine 101 covers fractures of the fifth metatarsal, which is the long bone on the outside of the foot that connects to the little toe. When it breaks, you can’t predict which fractures are going to heal fine, which may require a screw, and which just won’t heal with a screw or bone graft, either.
Health insurance companies don’t make it easy to understand what coverage patients are getting and what financial obligation they will have, especially out-of-network or with hefty deductibles. In the Business of Sports Medicine segment, both the Doc and Dr. Scott have stories to share about canceling recent surgeries due to misunderstandings about coverage. Between appeals and fine print, a lot of time and resources are wasted, which leads some very good doctors and surgeons to no longer take insurance at all.
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Today Dr. Souryal starts with an observation (not a rant!) to his loyal listeners. Most doctors care deeply about building strong relationships with their patients, but in this era of new medicine that relationship is devalued and the results suffer. Some reoccurring themes are that doctors are not interchangeable, not all MRI’s are the same, and not every surgeon can do the same surgery as well as the next, so informed consumers better shop around.
Renowned plastic surgeon and consultant to the Mavericks, Dr. Bill Adams comes on to discuss facial fractures for both cosmetic and functional issues, some eye-opening surgical techniques that may make you faint, protective plates and masks, and nasal fractures. Dr. Craig Garrison returns to talk about the importance of recovery after workouts to prevent fatigue and injuries. He recommends some methods such as hydrotherapy, cryotherapy, describes “active rest”, and discusses time guidelines between intense bouts of activity.
Starting off with a unique call, Dr. Souryal is asked for his thoughts on prescribing marijuana to relieve pain in professional sports. A high school coach asks how to determine the severity of his players’ injuries on the field. A 63 year old racquetball player says his pulled muscles are taking away his competitive edge. A caller with a possible hernia or abdominal strain should get to his doctor for a hands-on diagnosis, a father of 15 year old football player asks if there are there alternatives to surgery for a torn labrum, and a caller with longterm knee pain needs a diagnosis and an updated MRI. Questions via text include: can a nose broken twenty years ago still be fixed and are there any good websites for checking how your doctor is rated?
Here’s a friendly reminder- you don’t need a DVR for radio! Listen to the latest Inside Sports Medicine whenever you want, posted here without commercial interruptions.
Spine surgeon Dr. Scott Blumenthal joins Dr. Souryal for another fine mix of medicine, sports, and current events. Raiders’ legend and 2015 Hall of Fame finalist Tim Brown shares his insights on this big weekend for football in Dallas, how Aaron Rodgers’ injury may affect play-off strategy, and playing football in super-cold weather.
In case you missed it, there are some great Craig Sager flashbacks from last week’s interview. In Sports Medicine Secrets one thing is worth repeating: don’t believe everything you read – especially about injuries. How bad can Green Bay Packers QB Aaron Rodgers injury be? In Sports Medicine 101 the doctors discuss calf injuries in general and Aaron Rodgers’ calf injury in particular. Good Stuff!
Listeners queries start some interesting discussions on pillows, home inversion tables, and getting second, or third opinions when a diagnosis is confusing or incomplete. One caller is urged to explore options beyond pain pills and cortisone shots after a slip resulted in a neck injury and later pain in his arms and hands. One listener wants to know what exercises are best for regaining strength ten months after ACL surgery, another asks what exercises he should do and when to start them after an abdominal hernia reattachment, and an avid golfer with tennis elbow may need patience, not surgery.