The Docs talk with a caller about shoulder pain & Bursitis diagnosis treatment
The docs talk about elbow bursitis and septic bursitis. Cellulitis is something very different.
Dr. Brad Bellard joins Dr. Souryal for this Easter Weekend edition with special guest: sportscaster Dale Hansen. The doctors start off discussing the controversial link between CTE and football and other susceptibilities that may affect outcomes. Then a concerned mother of a 19 year old lacrosse player calls in. Her son had his first “mild” concussion and still has symptoms six weeks later. She wonders if he should play or not, now or after more time to heal? Hard to know! Later in the hour, Dale Hansen continues the conversation on the issues surrounding longterm brain trauma and the risks to football players in particular. Along the same lines, a father describes his daughter’s head injury during a softball game that led to a longer road to recovery than expected, and the unhelpful attitudes she encountered.
Inside Sports Medicine relies on great listeners asking great questions which leads to valuable conversations. A 40 year old basketball player suffered a complete rupture of his patellar tendon a year ago and asks when he can get back to full range. A 32 year old has a herniated disc in his neck, already limits his activities, and is working through his options before considering surgery. A golfer wonders how to tell if his shoulder injury is a rotator cuff tear – without going to a doctor, that is. Another caller asks why it is so difficult to do exercises that don’t use the ACL right after ACL surgery. A mechanic has started to notice some numbness or aching in his hands while working that could be arthritis.
Another hopping good show!
Today’s themes include: the holidays, of course, and DR. SOURYAL IS NOT RETIRED; he is busier than ever! Confident and competent Doctors Bellard and Souryal get right on the phone calls, starting with a man who cannot lift his arm above shoulder height, a 65 year old Silver Sneakers card recipient who wonders what his a positional click and pain while swimming could indicate, and a father asking about the downsides of delaying an MRI for his 16 year old daughter after her martial arts injury.
A runner has foot pain after a steroid shot and discovers the shot may not have treated the real problem, which leads to a long discussion about pro players with similar injuries. Another caller has two torn rotator cuffs and asks if they can still be repaired five years later, then there are questions about the efficacy of surgeries for hip labral tears. Amy Goddard, physical therapist at GO Sports Therapy is on late in the show to discuss the modalities she uses to give her clients high-quality care. The benefits of cryotherapy and hyperbaric therapy on healing after an injury or post-op are explained, there is a text from far off cocoa drinkers, and the usual scuttlebutt is exchanged. Fa la la la la to you!
Though not always his favorite subject, Dr. Souryal has a lot to say on the Business of Medicine throughout this show – from the Insurance Game and how it affects patient care, to trust between doctors and patients and whether competitive practice can bring down costs. Visits to the doctor may well be the cheapest part of healthcare, while required equipment and hospital costs are wicked pricy. There’s no question modern medicine is expensive, but how, as a society, are we going to pay for it?
Questions are volleyed back and forth. What makes pioneer Dr. Andrews stand out in the sports medicine field? How safe is it to get a cortisone shot while on Coumadin? Do recent knee replacements last longer than they used to? Ortho or neuro? Car or home? LSU or Alabama? What’s your level of pain and function? Dr. Souryal and Dr. Bellard weigh in on the best low-impact cardio exercises for a caller with knee problems, the need for multiple opinions on multiple issues for a neck fusion patient, and give a spiel on adhesive capsulitis
Episode 551 wraps up with three calls about shoulders. The last caller, interestingly, has a very complicated story about several unexpected procedures and the issue of trust. Doctors and patients- please do your homework!
Tune in to this thrilling episode in which Dr. Souryal reveals his enduring passion for….heart disease screenings and preventing concussions! The show starts with a referee saved by an AED and ends with talk of how pro players’ injuries influence gambling websites. In between, spine authority Dr. Scott Blumenthal, and sports medicine physician Dr. Brad Bellard join Dr. Souryal for your weekly dose of current events, entertainment and sports medicine. Callers’ concerns include a ruptured tricep, options for knee replacements and shoulder repairs, ruptured discs in the neck, and more. The Business of Medicine segment wanders from there is no code for ”I don’t know” to how expensive medical equipment gets paid for, or doesn’t, then springboards into drug testing and treatment for OIC. Is that really a thing? Look it up!
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.
Twice is nice. In case you missed it, this is not just a straight encore but a special flashback compilation of some great moments from recent Inside Sports Medicine episodes. Dr. Souryal and his team have pulled together some of the best moments from interviews and listeners’ questions from the last three months.
Interview flashbacks include some P.J. Carlesimo wisdom, Christine Golic talks about her role promoting safety in youth sports, Dallas Mavericks’ trainer Casey Smith discusses sleep science and “elbow stuff”, while former Dallas Cowboys linebacker D.D Lewis shares his triple knockout story and discusses the problem of repetitive head trauma in football, and spine specialist Dr. Mel Manning has good advice on pain management for a bulging disc.
Callers have questions about the good uses of steroids, the possible cause of cramps in young athletes, non-surgical alternatives to knee replacements, cartilage regeneration using stem cells, and more.