The Docs talk with a caller about a stress fracture
Tag: stress fracture
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.
Today’s show starts with a rant from Doctor Souryal about why you should always get a second opinion before surgery. Later on, shoulder specialist Dr. Richard Levy comes on to answer listener’s questions and talk about current events. The doctors discuss Tony Romo’s shoulder injury, and explain the surgery he had to correct it, and prospects for recovery in the future. Can adding bulk help players prevent similar injuries? Listeners help Dr. Souryal with the physics.
It’s all about tendons in today’s Sports Medicine 101. From tendonitis to tendinosis, from rotator cuffs to Blake Griffin, the Doctors have the answers to your tendon questions.
A 44 year old with “the shoulder of an 80 year old” calls to ask about his next steps. Another caller waiting on a shoulder replacement asks about likely medical advances in the next few years. Another caller can’t get his ACL repaired for another six months. What are his options for pain relief, and why are doctors sometimes reluctant to prescribe certain painkillers? Another caller’s granddaughter plays high school and club volleyball – when she isn’t busy with the gymnastics team. Could overtraining have caused a stress fracture?
Tune in for all that, and much more.
Dr. Souryal has a lot of ground to cover, many questions to answer, and so gets right to the calls today. The first caller is advised to consider non-impact methods to lose weight before starting a jogging regimen, and also needs to look into his bursting blood vessels. An active 34 year old weightlifter has a pain in his left shoulder and the next caller also has some shoulder pain that needs attention.
Blood clots are more likely to form after an event or sitting still, rather than in an active athlete, but it certainly happens. Dr. Brad Bellard calls in to join the conversation on Chris Bosh and the serious risks of blood clots. Yep, the initial symptom could be…death.
In other observations: the dog show may be rigged, runners are difficult, second opinions are valuable and the upsides and downsides of cortisone shots are explained. Take note – the Doc is in Wikipedia now!
For the first time, sports medicine physician and athletic concussion specialist Dr. Brad Bellard joins Dr. Souryal for the whole show, which starts with some observations on Dallas Cowboys QB Tony Romo’s clavicle injury and ends with a discussion on how newer technologies have changed medicine over time.
Concussions are a theme in pro football news, in a new Will Smith movie, and throughout the first half of the show today. The doctors give a medical perspective on the risk-reward equation for injuries in pro and college sports, which leads to a caller who recounts his football playing youth in the seventies and how concussions were recognized, or not, at that time.
One caller asks what his lower back pain may be and who to go see about it, a rugby player wants to know how to avoid achilles ruptures, and a father asks about ligament healing after his son has an AC joint injury.
Bone is the only tissue that heals itself with itself. Sports Medicine 101 is all about fractures- including accurate terminology for types, severity, and how they heal. Is there a tendon we use only for climbing trees? Will a meniscus tear heal itself? The short answers are “no”, but Dr. Souryal has longer answers, too!
Dr. Scott Blumenthal, world-renowned spine surgeon, joins Dr. T.O. Souryal and his merry crew for this week’s sports medicine call-in show. The doctors discuss the psychology of sports, the many “two types” of people, why it takes so long to get discharged from a hospital, the pros and cons of long sleepless shifts for doctors in training, and more.
Vertigo may not be a primary complaint in sports medicine, but sure can complicate your game, as pro golfer Jason Day can attest. Dr. Neil Williams, Ear Nose and Throat specialist, shares his insights on the common sensation and symptom of vertigo.
The calls keep coming. In the first hour, a marathon runner and cyclist has sharp pains in his ankle/calf that could be a stress fracture or achilles injury, and a father asks for a clear explanation of chronic tendonitis or tendonosis. The doctors question whether a “twisted hip” is the right or even a real diagnosis for one woman, and discuss whether regular use of an inversion table could be healthy for spines.
In the second hour, the conversation starts on the Hope or Hype of PRP and Stem Cell treatments, then an active lawyer has some longterm collarbone issues he attributes to asymmetry, and the son of an 89 year old with cervical stenosis has questions about surgery that aims relieve his Dad’s weakness and inability to walk. The next caller asks if treating his dislocated shoulder could have affected, or even cured, his digestive problems, and a 58 year old is weighing all his options on treating his knee troubles before the last resort: a knee replacement.
Let’s get right to those calls and text questions. First off, a bodybuilder wants Dr. Souryal’s thoughts on stem cell injections for meniscus trouble, then a caller from Ft. Worth wants to know possible outcomes for degenerative arthritis of the thoracic spine. A father asks if there are exercises to do that will prevent repeats of ACL injuries, which leads into a discussion of risk factors and risk assessment for ACL injuries. Another Dad asks what to do for a seventeen year old pitcher with a possible pars defect. If it is a Pars defect, rehab and time is now the suggested treatment until symptoms subside.
There is a grey area in the world of sports medicine when the stakes are higher and the risk/reward equation shifts. In Sports Medicine 101 Dr. Souryal and facial expert Dr. Bill Adams discuss the changing and complex role of team physicians once the playoffs start. Fortunately, the doctors haven’t experienced undue pressure to put injured players back in the game too soon at the pro level, yet they have seen that pressure at other levels from private coaches and parents of athletes.
Other topics include frozen shoulders, Achilles ruptures, a caller who still has arm pain six months after doing some yard work, and whether “a mess” is a proper medical term. The conversation ranges from the Masters, to the Rangers,and from Abba to Sinatra to Bryan Adams. Tune in and tell your friends!
Listen to this podcast if you want to know why Texas Rangers starting pitcher Yu Darvish is out for the season and faces a long recovery after undergoing surgery on his arm. Today’s Sports Medicine 101 segment is all about Tommy John surgery, or UCL reconstruction, which was named after and first performed on former LA Dodgers pitcher Tommy John in 1974. Tommy John’s operation didn’t go perfectly, yet miraculously, he was able to resume his fantastic pitching career. Then Dr. Craig Garrison, director of Sports Medicine at the Texas Health Ben Hogan Center, walks us through the yearlong rehabilitation process for UCL reconstruction.
Time flies as Dr. Souryal gets to as many questions as he can in just two hours. Many queries on this episode tie in to a theme: go get the right diagnosis before trying procedures or surgery. The first question of the day comes in by text about right lower back pain that won’t go away, then a caller asks about where to go for his probable “winging scapula” and subsequently, the Doc’s Newfie gets a dog groomer!
The next caller still has pain after many knee procedures and is at a loss for his next step, while similarly, a concerned husband describes his wife’s frozen shoulder and continued lower arm pain after several treatments without a clear diagnosis. Other callers include a weightlifter with an AC joint injury, a 55 year old with pain in both shoulders that may be neurological, and a 38 year old man with knee pain who is advised to ask about other options before rushing into surgery. At the end of the show, a future kinesiologist and former baseball player has some shoulder pain, but only on occasion. What to do? You guessed it: go get a diagnosis!