The Docs talk with a caller about Peroneal Tendinosis
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!
Dr. Souryal has so many answers to so many questions! There are no guests today- this entire show is devoted to answering listeners’ questions via text, email, or the phone lines. Most queries center on the pesky and too-popular meniscus tear- what it is, what it does, where it is, and treatment from bracing to “scoping out”.
When Dr. Souryel says, ”I absolutely hate to lose”, he means despite performing thousands of successful procedures, he agonizes over the few inevitable recurrences or recoveries that don’t go quite according to plan. A certain low percentage of patients will have less than optimal results, and recovery from lateral meniscus tear surgery in particular can be tricky to predict.
Houston Texans rookie linebacker Jadeveon Clowney is In The News and out for the year already due to a torn lateral meniscus. Dr. Souryal explains in-depth in the Sports Medicine 101 segment why recovery is more unpredictable for this kind of tear than for a medial meniscus injury.
For one caller, removing a meniscus altogether can’t be a good thing, but may well be a necessary procedure when pain and instability are weighed in. A coach is in a tough spot when a student is released to play but still can risk further injuries. A women’s varsity basketball coach asks how he can support his injured player’s recovery and re-entry to the game after her ACL surgury- both physically and psychologically. The Doc advises to give it time and reduce explosive actions for at least six months while working on coordination exercises.
Dr. Souryal offers practical guidance on foam rollers, different uses of anti-inflammatories, how a cortisone shot can be a diagnostic tool, the difference between a tendon and a ligament, questions to ask an Orthopedist about a rotator cuff injury, and so much more.