The doctors talk with a caller about knee pain and microfracture Surgery. They talk with another caller about arm stinging and possible neck problems.
Preeminent spine surgeon Dr. Scott Blumenthal and Orthopedic Surgeon Dr. Karim Meijer join Dr. Souryal today. The doctors get the ball rolling talking about scar tissue and Tony Romo, the complications of steroid use, the EpiPen situation, and then get to the calls.
First off- an internist adds his two cents about price gouging in the pharmaceutical industry. The next caller is on his feet all day with plantar fasciitis and wonders if he should stop his cortisone shots. A young baseball player has knee pain without a diagnosis, a 54 year old with an arthritic ankle may need an ankle replacement and the right surgeon to do it, and a caller with back pain has had four injections after back bulges as well as a five level laminectomy. After twenty more injections he still has pain and needs more awareness before more procedures. Dr. Souryal explains the diagnosis, patient, procedure dynamic and risk/reward equations. A former athlete in her 40’s needs knee evaluation, a runner is about to have a Subchondroplasty procedure in his knee and asks about recovery time for this new procedure, a soldier discusses the psychological element of his treatment for chronic back pain, and a very tall 48 year old is falling apart and wonders if there may be a genetic link to his issues.
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. Brad Bellard joins Dr. Souryal in the studio today as the show starts out with an explanation of the Mumford Procedure. Later, globetrotting spine surgeon Dr. Scott Blumenthal calls in from Atlanta to answer some back questions, including: why does spine surgery have such a bad rap?
Our first caller had a severe knee break with nerve damage playing college football and still got back in the game. Now that he’s older, he wonders if stem cells may help him along with a knee replacement, which leads into a long conversation of cool stuff happening in medicine now and the cool stuff that may develop in the future. Next, a 64 year old cartilage loss in both knees asks many great questions: is there a synthetic cartilage that can be put back in knees? what is the value of painful cortisone shots and is there any procedure available that could stabilize his “sloppy” knees? If bone doesn’t have feeling, where does the pain come from?
A 53 year old broke his shoulder in an ATV accident and has a ”humerus” question, another man has a “dull and heavy” shoulder seasonally, a 66 year old has chronic tendonitis in one foot and wonders if he has to just live with it. As always- we need a diagnosis first. Our last caller has a constant burning pain in his elbow, and likewise, needs a clear diagnosis before treatment.
Big news for Dr. Souryal- he just stepped down as team physician for the Dallas Mavericks after a 22 year ride! However, he continues his day job as an orthopedic surgeon and weekend gig as radio host extraordinaire, so keep tuning in! Dr. Brad Bellard joins Dr. Souryal to discuss the “ins and outs” of being sports medicine doctors- from treating routine ailments to solving medical puzzles and one-offs, and so much more.
Questions roll in by phone and text. A 49 year old body builder has a bad rotator cuff tear and wonders how long it will take to recover. A listener asks what are the “favorite” injuries to diagnose and treat. A mother questions her toddler’s tibia injury and limp. A power lifter has questions about sports hernias, groin pain, and cryotherapy. A 65 year old still has pain years after knee surgery and questions his current step exercises and next step medically. A 61 year old would like to know all the treatment options for a shredded peroneal tendon. A 57 year old asks about alternatives to surgery for his multiple shoulder problems. The show ends with both doctors weighing in on a family dispute about rheumatoid arthritis and chiropractor treatments.
Congratulations on an amazing career, Dr. Souryal. More to come!
Popular segments are back, starting off with The Business of Medicine on the topic of cringe-worthy medical bills and a reminder for patients to look past the sticker shock to their own premium, deductibles, and copays. A Souryal Story about an ACL patient leads to a discussion about differing rehab protocols between surgeons and physical therapists with sports specialist Dr. Craig Garrison. At the top of the hour, Sports Medicine 101 covers cortisol and cortisone derivatives as anti-inflammatories that can be curative, or prematurely age joints if overused.
The calls start with a Navy veteran thanking the Doc for directing him to get an MRI and the questions keep coming fast and furious by phone, email, and texts. A college runner has pins and needles while running distance, a firefighter has outer knee pain but only when sprinting, and full range of motion has not yet returned for one caller eight weeks after ACL and meniscus surgery. There are several calls about rolled ankles and The Doc explains all about stability issues, even that clunky unfashionable shoes may give the best support.
There are questions about back pain, an arthritic shoulder, a strained quad, another asymmetric quad after a tendon repair, a weird foot sensation, and what a a dip or iron cross may be. You may even find out where to get a tasty bacon margarita.
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!
Our first caller is recovering from a run-in, or a run-over, with a steer and asks for ideas to speed up his return to mobility. PT specialist Dr. Craig Garrison joins the good Dr. Souryal in the first hour and explains some current practical methods trainers use from weigh-ins to check hydration levels in athletes to “dry needling” and trendy acupuncture. In the Business of Medicine segment, the doctors discuss physical therapy and insurance limitations, efficiency, and value.
Must we mention urine? Yes, indeed! Sports medicine specialist Dr. Brad Bellard comes on in the second hour to advise how to get the most out of PT sessions and help answer callers’ questions. A concerned wife describes her husband’s hip injury and arthritis and wonders if his fall made his arthritis worse or if PT may be making his injury worse. A 42 year old wants to work but his severe back pain and degenerative disease holds him back. Dr. Souryal assures him that he is doing all the right things but needs a clear diagnosis to get on track. A young weightlifter has a “textbook” shoulder pain, a motocross racer asks about an old spinal injury that still causes problems, and a runner has achilles trouble.
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.