Dr. Souryal talks with a caller about a hip replacement and another caller carpal tunnel, he talks with another caller about hip replacement and chiropractor.
Tag: pinched nerve
Dr. Brad Bellard and Dr. Scott Blumenthal join the King of Texting, AKA Dr. Souryal, for another episode packed with sports medicine infotainment. The conversation starts with the cupping fad at the Rio Olympics, Cool Runnings, and wondering if the thrill is gone.
Our first caller had a farm accident and thoracic back surgery but now has rotator cuff issues and needs a better diagnosis before more treatment. A caller with a torn labrum ponders whether he healed his own shoulder while putting off surgery. A 39 year old had knee surgery in his twenties but has some numbness and tingling after sitting and wonders if it is related to his former knee problems. A 24 year old who works out intensely and regularly sometimes has some upper back pain that takes his breath away.
In the second hour there is more conversation on the Rio Olympics and a debate on the line between performance enhancing practices and unfair/illegal drugs or procedures for athletes. Then a caller with tingling fingers and pain in his shoulder years after an auto accident may have posterior subluxation and wonders what he can do about it. Dr. Souryal goes on to explain sciatica, piriformis issues, and back pain. The show winds down as the modern Hippocratic Oath, Olympic heroes, and new ping pong rules, among others, are discussed. Psst…any Sharks out there?
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!
Dr. Mel Manning is on with Dr. Souryal for the entire show, while Dr. Brad Bellard joins in later. The discussion starts with speculation about Chris Bosh’s health issues and what that means for his career, for the team medical staff, risk/reward equations, and so on. This is a perfect lead-in to our first call-in question of the day: how do blood thinners affect the physiology of blood, exactly? Well, Dr. Souryal can tell you!
A very athletic discus coach calls in about his knee pain after a pop while twisting. It could be a cartilage problem that needs further (qualified and quality) evaluation, then there’s a Jay Z story. The next caller was diagnosed with Hemochromatosis after a blood clot and gives a different perspective on the use of blood thinners.
The second hour starts with Sports Medicine 101 which covers top draft pick Jaylon Smith’s injury from a sports medicine/orthopedic angle. A high school coach asks about current thoughts on rehab protocol after ACL tears, and a little talk about stem cells wraps up this episode. In case you are wondering….Melbourne beats Sudan and Tokyo in the unofficial Texts from Afar competition!
What supplement can you take to get speedier? That’s legal, we mean! Do we believe in injury prevention programs? Dr. Souryal and Dr. Bellard get the ball rolling as they speak about issues brought up by texts. The Docs discuss the pros and cons of new procedures like hip arthroscopy as well as genetics, and the anatomical differences between boys and girls that impact ACL injuries. Football great Tony Hill, former Dallas Cowboys’ wide receiver, “YAC’s” with the crew about retirement, exercise, the grass/astroturf divide, and the evolution of the NFL. Sports Medicine 101 covers ACL injuries and Dr. Souryal shares his thoughts on a somewhat new “bridge” technique for ACL reconstructions.
A caller from Dallas has an increasing disc protrusion with symptoms that are more and more painful and asks for options. A former football player has a similar neck injury and asks which exercises to embrace and to avoid for that and also for his knee problems. A high estimate for a hip replacement, without insurance, leads into a discussion of the broken healthcare system. Topics range from Sever’s Disease to scoliosis, sciatica, and end with hip problems. From Sudan to Stockholm to Arkansas, we webcast a wide net!
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!
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!
Who are you? Who, who, who, who? Who are the current global athletes or which sports names are recognized around the world by people of all ages? Global spine surgeon Dr. Scott Blumenthal joins Dr. Souryal and his crew to ponder this, sports medicine, current events, “Souryal-isms”, eponyms, drug naming, and more.
The queries start with a 60 year old who wants to know how to start to get back in shape after having no regular exercise for a while. Then a 50 year old long distance runner may have a meniscus rather than an MCL injury but wants to know if he can run on it while it heals, a basketball player with a healed MCL injury now has some hip trouble, and a biker/runner has no pain but a funny bone-on-bone feeling at times.
A Souryal Story about a patient who refused to pay his co-pay leads into The Business of Medicine segment about understanding insurance and provider policies. Then the questions continue from a dirt bike rider with some arm pain three years after an injury, a soldier who has a complicated “tics and fleas” issue that needs diagnoses, a retiree has disc problems and radiating pain, a father asking how long his son’s Osgood-Schlatter pain may last, and the final caller describes the shoulder instability that runs strong his family, but there may be ways the next generation can avoid this curse.