The Docs talk about a SLAP tear, they take a call about a knee injury
Preeminent spine surgeon Dr. Scott Blumenthal and Orthopedic Surgeon Dr. Karim Meijer join Dr. Souryal today. The doctors get the ball rolling talking about scar tissue and Tony Romo, the complications of steroid use, the EpiPen situation, and then get to the calls.
First off- an internist adds his two cents about price gouging in the pharmaceutical industry. The next caller is on his feet all day with plantar fasciitis and wonders if he should stop his cortisone shots. A young baseball player has knee pain without a diagnosis, a 54 year old with an arthritic ankle may need an ankle replacement and the right surgeon to do it, and a caller with back pain has had four injections after back bulges as well as a five level laminectomy. After twenty more injections he still has pain and needs more awareness before more procedures. Dr. Souryal explains the diagnosis, patient, procedure dynamic and risk/reward equations. A former athlete in her 40’s needs knee evaluation, a runner is about to have a Subchondroplasty procedure in his knee and asks about recovery time for this new procedure, a soldier discusses the psychological element of his treatment for chronic back pain, and a very tall 48 year old is falling apart and wonders if there may be a genetic link to his issues.
Football players are bigger and faster and stronger than ever- and the rate and severity of injuries has increased too. What are the effects when athletes train too much, build muscle mass, and slam into each other? Well, the people in the sports medicine field are keeping pretty darn busy, for one thing! Our themes today include over exercising, awesome vs. gruesome, knees, knees, knees and how far will you go to be able to throw an apple really hard? As usual, Dr. Souryal has answers for all callers’ questions.
The first has had a SLAP repair and would like to know his recovery outlook. A father asks how much is too much training for his ten year old son and how on earth to stop him from overdoing exercise? How long after a fifth metatarsal break can you consider it fully healed and resume all activity? Dr. Souryal clarifies the roles “unloading braces” and custom prosthetics play in knee replacements. A football coach weighs in on gruesome injuries and multiple surgeries, then a former college football player who had an LCL tear, replacement, and high tibia osteotomy calls to say that his intense short term pain did result in longterm gain for him.
In the second half, sports specialist Dr. Brad Bellard adds his two cents about weighty young athletes and the pressure to perform. The conversation on the art of diagnosis, outcomes, and even medical coding continues.
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.
Dr. Souryal is getting ready for summer – spinning some Beach Boys tunes and hanging with his friends Mel and Brad. Lucky for us, his friends happen to be exceptional sports medicine specialists Dr. Mel Manning and Dr. Brad Bellard. Chiropractic care, cryotherapy, endorphin highs and “squirrelly” runners, as well as the important difference between “swag” and “shwag” are discussed.
The show starts with a miracle story of a longterm deficiency that was easily managed, once a certain doctor asked the right questions and kept digging to find a new and better solution to her patient’s problem. At the halfway mark, Sports Medicine 101 covers a rare, and advanced, topic: Rhabdomyolysis, which is an excessive breakdown of muscle tissue that can lead to hospitalization and even dialysis.
As always, information and entertainment are at the heart of the show, and the three doctors shed some light on various medical puzzles from listeners. A father is curious whether his daughter’s noisy, yet pain-free knees can indicate a problem, something doesn’t add up for a caller with a degenerative spinal condition, and a runner needs to consult a cardiologist for his heart irregularity. One caller describes knife-like pain after spinal surgery, another has had multiple SLAP tears and wonders what’s up now and where did that old anchor go? A 30 year old runner has had pain and a pop in his left knee for the last month, another aging and tall 30 year old asks for advice on how to restart his exercise routine in a wise way. A former patient of Dr. Souryal ends the show on a high note when he calls to thank the Doc for the excellent care he has given. The doctors agree: this is why we do what we do.