herniated disc

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07/30/2016 #586: Dr. Honesty

Inside Sports Medicine
Inside Sports Medicine
07/30/2016 #586: Dr. Honesty
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Honest to goodness…so much to talk about today! Dr. Souryal is joined by Dr. Brad Bellard and Dr. Scott Blumenthal for a wide-ranging conversation on sports, medicine, and current events. Our first caller has worker’s compensation struggles, then Dr. Scott Blumenthal explains the treatment and recovery process for a herniated disc, and the relation between business and medicine weaves through the whole show. Another caller asks if artificial disc replacement might be a good option for him, a biker’s neck pain travels to his right hand, a 15 year old soccer player had an ACL repair and later a patellar dislocation and her father asks what to do next for this rare injury combination. An avid weightlifter has stingers on his right arm in his sleep and on his bike, but not at the gym and wonders what kind of doctor he should see first. Then we finally get to The Business of Medicine as the doctors discuss some situations where doctors can be reimbursed more for an inferior procedure or equipment from insurance than the option that works well for patients, ending with observations on the efficacy of stem cell procedures.

Keeping it real, Folks!

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03/26/2016 #564: Knowns and Unknowns on the Brain

Inside Sports Medicine
Inside Sports Medicine
03/26/2016 #564: Knowns and Unknowns on the Brain
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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!

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10/10/15 #548: Tailgating Season

Spine authority Dr. Scott Blumenthal joins Dr. Souryal to talk of homecomings, tailgating, turf, knees, necks, and backs, too.

Discussions range from the difference between a crick and a pinched nerve to why the pain in a herniated disc may come and go, the difference between mechanical and medical problems, and what an X-ray can and cannot show.

Callers include a a little league coach with a sudden shoulder pain, a hiker who broke her ankle in Hawaii, a runner/biker with a numb foot, a golfer with shoulder trouble, and so many more. An active five year old had a rare PCL injury on a trampoline and her parents wonder if there are new surgical options that may stabilize her knee without requiring her to wear a brace for years. The show ends on a high note with a call about arthritis and a miracle pill.

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09/12/15 #544: You say shinbone; I say tibia

You ask, and Dr. Souryal answers, while musing about sports medicine, current events, nomenclature, and whatever else comes his way over two hours. A cross country runner thinks he might have shin splints, but the Doc hears clues that may indicate exertional compartment syndrome. A weightlifter plays “stump the Doc” with his degenerated tricep and nerve damage, but Dr. S has other ideas. A man with a strained lumbar asks what will help him, beyond his prescribed medication, to get back to playing basketball sooner. The second hour starts with talk of medicine as a vocation, then a question on how to treat plantar fasciitis. A 68 year old man is about to have a left knee replacement, but is concerned about the “pops” in his right knee, and wonders whether he should get both knees replaced at the same time.

Dr. Brad Bellard joins Dr. Souryal to shoot the breeze about the pros and cons of careers in medicine. It is a calling, a passion, and a very, very long road. A 57 year old basketball player with leg trouble and hip pain, wonders about his medication and preparation for a high altitude elk-hunt. And lastly, an OB-GYN continues the conversation about young people choosing medical careers and how to go in with their resumes in shape and their eyes wide open. It is a big commitment to be willing to help others and pay your dues. It is highly rewarding, but not all fun and games!

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07/25/15 #541: No Sweat? That’s not cool.

Sports medicine specialist Dr. Brad Bellard joins the crew today to discuss the different stages of heat illness, hydration, and awareness just in time for football season. Most of us are dehydrated, but there are times you actually can drink too much water and sweat out your salts. On a super hot day, drinking sports drinks can solve that issue, unless you go overboard.

Topics start with carseat alarms and sleeves athletes are wearing these days- fashion, fad, or do they have a practical purpose? In other segments, Dr. Souryal peels back the curtain in the surgery room about the logistics of timing multiple operations for one patient.

There are calls about knees, backs, calves and more. A runner tweaks his knee and wonders if his diagnosis is right, while another man buckled his knee after slipping on water and has clicking and issues straightening his leg, even after multiple surgeries. Something isn’t adding up- it’s complicated, and curious. A softball player loses some weight and pops his calf, and then the other a few weeks later. Could the calf strains be related to the weight loss? In the “lead a horse to water” department, a former barrel racer has a herniated disc and is reluctant to get any treatment. Dr Souryal describes all the options to her concerned husband.

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