The Doctors talk with a caller who is a doctor who was diagnosed with Covid-19, they talk with another caller about a shoulder injury (inflamed rotator cuff) and frozen shoulder
The Docs with a caller frozen shoulder and another caller about knee pain
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!
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!
Why do astronauts take a bicycle on the space station? Degeneration can happen quicker than you think without movement and resistance, such as after a muscle injury or surgery. Dr. Souryal hosts Sports Medicine Specialist Dr. Brad Bellard today. They discuss the best college fight songs, the value of rehab, why there isn’t a quick fix for muscle injuries, and repair vs. excision. Dr. Bellard explains the difference between eversion and inversion ankle sprains, advises to not come back to sports too early after a muscle strain, and also that “it’s never too late to rehab, my friend.”
Respect this injury! Sports Medicine 101 continues last week’s topic of fifth metatarsal fractures which can look innocuous but about 5% of cases are very tricky to heal, indeed. The Business of Medicine segment goes off on a tangent. Medicine is both a science and an art. Part of the art is tailoring the medicine to the patient and knowing the patient is critical; the new “shift medicine” loses some of this art by downplaying the patient-doctor relationship.
Throughout the show, there are some great answers to some really great questions. A flatfooted caller questions whether he can regain strength ten years after an injury when he didn’t do rehab correctly at the time. The next caller wants an opinion on going to a Doctor of Osteopathy for his mom’s frozen shoulder, a man waiting for surgery on his large “bucket handle” meniscus tear asks if he should he use crutches in the meantime, and a caller with a recent hernia diagnosis wonders if he can live with it. Sure, unless it gets strangulated, or his guts come out. Frequent guest Dr. Blumenthal calls in to set the record straight about next week’s Fight Song Bracket Challenge, a turkey trotter has a heel injury, and a runner for life has spondylolisthesis and wonders about possible effects of running down the line.
Can you take a compliment, dear listener? Dumb people don’t listen to this show. Bet you didn’t even blink at “spondylolisthesis”!
It is another special flashback show while Dr. Souryal is leading the NBA Physician’s Association meeting as part of the NBA All-Stars Weekend in New York. This hybrid episode was recorded earlier so you don’t miss your Saturday morning fix of sports, news, and medicine. It includes highlights from interviews with Heisman Trophy winner Tim Brown, legendary coach Larry Brown, and NFL Heads Up spokesperson Christine Golic as well as commentary from Dr. Souryal and Dr. Scott Blumenthal, spine surgeon.
The doctors start the show with a discussion of how cutting edge procedures used now on professional athletes may well benefit the rest of us in years to come. Sports Medicine 101 is all about healing hamstring tears. In Rapid Fire the doctors answer quick questions regarding big men and bad feet, second opinions, Ghana and Brazil, hockey and soccer, and so on. Stay tuned for a Souryal “I told you so” Story.
Dr. Souryal has some replays of relevant calls from recent live shows regarding continued pain in a frozen shoulder, hydration, circulation, and current thoughts on Gatorade versus water.