The Docs talk with a caller about PRP procedure
Tag: tennis elbow
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.
Dr. Mel Manning, physiatrist and authority in the field of regenerative medicine, joins Dr. Souryal for this weekly dose of sports medicine information and entertainment. Some words makes us cringe, calls are answered, Hope or Hype is discussed, and topics are ripped from the current headlines.
Callers include a longtime skateboarder with a locking ankle, a father asking about the best exercises and braces to protect a football player’s knees, and another caller wakes up to a shoulder injury and wonders how long he should wait to see a doctor. A runner pulled his calf muscle years ago and wonders why a sudden pain keeps happening. It could well be referred pain from a pinched nerve or scar tissue that keeps tearing.
The next caller starts a discussion on advancements in disc replacement, and finding a surgeon comfortable with performing the latest techniques. A former basketball player with an unstable ankle, sprains it again and wonders what his next steps should be. This leads into an unscripted Souryal Story about a scoped ankle portal that didn’t close as quickly as expected and another from Dr. Souryal’s college days. The show ends with a golf instructor who has shooting back pain, and a 62 year old who shares his story about calf pains and a related heart condition. And so it goes.
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!
Remember that! Dr. Souryal and his talented crew start with a discussion of who likes who for the Big Dance. You can clap and tap along to the college fight songs played between segments. Dr. Scott Blumenthal, world-class spinal surgeon, is once again welcomed as guest.
Our first caller wants to know why his strained abdominal muscle from power lifting keeps coming back after two years, another weight-lifter asks if the cortisone shot he had for his bursitis/bone spurs/tendonitis in his shoulder is a quick fix or permanent solution, and a returning caller asks what the reason for an elbow tendon surgery could be. Later, several questions concern conditions in teen athletes, including a pop in the knee, resistance in the hips, and a pulled hamstring.
Sports Medicine 101 covers fractures of the fifth metatarsal, which is the long bone on the outside of the foot that connects to the little toe. When it breaks, you can’t predict which fractures are going to heal fine, which may require a screw, and which just won’t heal with a screw or bone graft, either.
Health insurance companies don’t make it easy to understand what coverage patients are getting and what financial obligation they will have, especially out-of-network or with hefty deductibles. In the Business of Sports Medicine segment, both the Doc and Dr. Scott have stories to share about canceling recent surgeries due to misunderstandings about coverage. Between appeals and fine print, a lot of time and resources are wasted, which leads some very good doctors and surgeons to no longer take insurance at all.
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