Dr. Souryal talks with a caller about bone spur, shock wave therapy, and PRP. A caller asks about shoulder surgery and tingling feeling he is having..
Dr. Sourayl takes calls about a big toe injury, shoulder issues
There is not so much chatter today just call after call. Topics start with rotator cuffs, getting a good diagnosis and second opinions, doing your homework on surgeries and doctors, and musings on whether and why injury rates have gone up over time in both the pro world and lower levels. Bigger bodies in motion, overtraining, insufficient recovery time, and education all play a part.
Dr. Craig Garrison, director of sports medicine at Texas Health Ben Hogan Sports Medicine joins Dr. Souryal for a short time. The doctors agree that real grass is way better than artificial!
Is a replacement surgery in order for an active 53 year old? What it the link between protein powder and cramps? Can a dedicated runner, who has had four scopes on his knee, keep running? Dr. Souryal has answers and some good advice for those who like to push through the pain: get good shoes to absorb the shock, listen to your body, and stop when you are limping,
Later a college football player has shoulder instability and Dr. Souryal runs down the options for his concerned Dad, and a resident calls in to clarify what Laterjet Surgery is exactly. The show ends on a familiar refrain: When in doubt- get it checked out!
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!
It’s a beautiful day in North Texas and we hope anywhere you can listen to Inside Sports Medicine, which is everywhere! This is a pure call-in show with Dr. T.O. Souryal fielding all questions.
Our first caller asks why people use elite athletes as models for fitness and health when professional athletes get injured so much, then a basketball player turns to volleyball after an achilles injury, and a 65 year old asks for advice on lifting weights in a healthy way. Next a soccer player asks about a full brace versus a strap for knee support and protection, a caller with shoulder pain and tingling fingers asks whether stem cell injections may help his condition(s), and three months after an Osteochondral Allograft a patient has swelling and discomfort.
Apropos to Cleveland Cavaliers point guard Kyrie Irving’s fractured kneecap, Dr. Souryal spends some time going over the difference between a fracture and a break in the second hour, then returns to the calls.
Two months is too long to live with excruciating pain, so an MRI may be the next logical step for one patient, a bowler has more knee pain than he feels he should have, a 64 year old has ankle trouble, another caller has pain and swelling in his knee that keeps him up at night, and a slow pitch pitcher had a delayed reaction to a line drive to the knee and extended problems over time. The last “terrible” caller has extreme swelling in her knee and needs direction before her next appointment- perhaps straight to the ER.
Regular guest and instigator of the Inside Sports Medicine Best College Fight Song competition, Dr. Scott Blumenthal joins Dr. Souryal today for some music, medicine, and for the first time ever: live-streaming hi-def hijinks! The votes are in for the final four of best college fight songs, and in the second hour listeners’ votes determine what song comes out on top.
The doctors take on Big City Bias and EOB in the Business of Medicine segment. Dr. B. recommends that for any elective surgery if you have the means to travel to a specialist, consider going to a bigger town, where the expertise, experience, and resources may be greater and better for you, the patient. Sometimes the Explanation of Benefits is inexplicable. Sports Medicine 101 covers arthritis or inflammation of a joint, the difference between rheumatoid arthritis and osteoarthritis, and the idea that arthritis is both a process and on a spectrum. At the end of the show, a Souryal Story brings home the importance of digging deep for the right diagnosis.
Callers’ questions start with a Sports Medicine Nugget: a dad asks if there is a better option than using an Endobutton in an ACL surgery for his 15 year old daughter who has a known metal allergy. As often happens, this question leads to more good questions and very good advice. Later, a soccer player may have a bruised rib or a cracked rib or something else altogether, a gout sufferer wants to get into shape and wonders what the best kind of exercise might be, another father calls in with his perspective on his daughter’s ACL recovery, a college baseball player throws hard and has some elbow pain that needs a solid diagnosis, and there’s a tricky trigger finger injury. Whew.
Daa daa daa, da-da da-da! And the winner is…listen and learn.
As promised, Dr. Souryal will keep you informed and entertained while you learn something new about the world of sports medicine, current events, and everything curious listeners want to know. In the News, the Mavericks have a new point guard Rajon Rondo and there is much speculation on how Dallas Cowboys’ running back DeMarco Murray’s metacarpal fracture will impact this season.
Even after a steroid shot, one listener asks why months later he has a hard time doing pushups or even holding onto his baby. The shoulder pain could point to an AC joint injury. Why is ACL rehab is so grueling and brutal? The first stage of effort is painful and muscles will atrophy and get stiff. After six or eight weeks it gets better, but by then it is natural to just not want to keep it up.
Dr. Souryal gives his special spin on the difference between a bone bruise and a hairline fracture, lesser known conditions such as Dupuytren’s nodules and De Quervain syndrome, and takes the opportunity to talk about a Finkelstein test in relation to one caller’s wrist pain. A young basketball player may need to take a complete break to secure her patellar instability.
A diagnosis of a “permanently dislocated” elbow or radial head doesn’t mean there is nothing to be done. A repeat caller describes a snap, crackle, and pop that could mean he has has some debris in his knee, and a pop in his shoulder that could be something else altogether. At the end of the show, Dr. Souryal advises one active listener to give up tennis before golf to reduce wear and tear on his aching knees, unless he plays “Old Man tennis”, that is.
Doctor Craig Garrison joins the show to talks about ACL injury prevention techniques.
The episode opens with a combination Souryal story / business of medicine discussion about insurance, deductibles, and being an informed medical consumer.
Doctor Garrison talks about programs that help screen kids for their susceptibility to ACL injuries and train them to prevent injury. The Doctors also talk about why teenagers are so susceptible to ACL injuries, whether there is are genetic risk factors for these injuries, and how these programs can help improve overall performance.
They also answer questions on shoulder injuries, weight training regiments, knee replacements, and what people with bone spurs can do to increase their range of motion.