Dr. Souryal, Dr. Blumenthal, and Dr. Bellard are on the air today. They talk about the winter games. They discuss Achilles injury, ACL genetics, tendinosis. They talk with a caller about a blood test to help with pain management, torn labrum. They Discuss Leron James Injury. The Docs talk about the Washington Commanders. They mix with the Tee Box.
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?