The Doctors talk with a caller about Rose Bowl game, Sports medicine 101: patellar tendonosis
The Doctors discuss a wrist injury and a career path for sports medicine.
Dr. Souryal and Dr. Karim Meijer talk about Sports Medicine technology and advancements.
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.
Dr. Brad Bellard and Dr. Scott Blumenthal join the King of Texting, AKA Dr. Souryal, for another episode packed with sports medicine infotainment. The conversation starts with the cupping fad at the Rio Olympics, Cool Runnings, and wondering if the thrill is gone.
Our first caller had a farm accident and thoracic back surgery but now has rotator cuff issues and needs a better diagnosis before more treatment. A caller with a torn labrum ponders whether he healed his own shoulder while putting off surgery. A 39 year old had knee surgery in his twenties but has some numbness and tingling after sitting and wonders if it is related to his former knee problems. A 24 year old who works out intensely and regularly sometimes has some upper back pain that takes his breath away.
In the second hour there is more conversation on the Rio Olympics and a debate on the line between performance enhancing practices and unfair/illegal drugs or procedures for athletes. Then a caller with tingling fingers and pain in his shoulder years after an auto accident may have posterior subluxation and wonders what he can do about it. Dr. Souryal goes on to explain sciatica, piriformis issues, and back pain. The show winds down as the modern Hippocratic Oath, Olympic heroes, and new ping pong rules, among others, are discussed. Psst…any Sharks out there?
Honest to goodness…so much to talk about today! Dr. Souryal is joined by Dr. Brad Bellard and Dr. Scott Blumenthal for a wide-ranging conversation on sports, medicine, and current events. Our first caller has worker’s compensation struggles, then Dr. Scott Blumenthal explains the treatment and recovery process for a herniated disc, and the relation between business and medicine weaves through the whole show. Another caller asks if artificial disc replacement might be a good option for him, a biker’s neck pain travels to his right hand, a 15 year old soccer player had an ACL repair and later a patellar dislocation and her father asks what to do next for this rare injury combination. An avid weightlifter has stingers on his right arm in his sleep and on his bike, but not at the gym and wonders what kind of doctor he should see first. Then we finally get to The Business of Medicine as the doctors discuss some situations where doctors can be reimbursed more for an inferior procedure or equipment from insurance than the option that works well for patients, ending with observations on the efficacy of stem cell procedures.
Keeping it real, Folks!
There are so many great questions for just the right doctors to answer! A restaurant manager asks why MCL and ACL injuries heal and don’t heal. A 53 year old bowler’s knee pop hurts more when he’s sitting down than when he’s walking- does he need an x-ray or an MRI? Spine specialist Dr. Scott Blumenthal explains the common course of back spasms, what to do about them and when to do it, including ice or heat. A cyclist was hit by a motorist and after surgery has back pain and a shorter leg. Would a lift be helpful? Another caller wonders if he should investigate his sternum pop more deeply. An offhand remark about an ACL replacement leads Dr. Souryal to explain the real deal with allografts. A caller has back pain and also groin pain. Are they related? A basketball player has a dislocated toe and wonders about his limited range of motion. A weightlifter has an elbow issue, a runner has Metatarsalgia, and another weightlifter has a lump on his arm after a car accident and needs to know if lifting will damage it more.
The debate about who may be the most globally recognized, or highly paid, name in sports continues and the show wraps up with a few observations on the Olympics. Right up my alley!
With heavy hearts in the wake of the tragic shootings in downtown Dallas this week, Doctors Souryal, Bellard, and Blumenthal express their sorrow at the start of the show and callers add their insights about strength in diversity, pain, and growth in our country.
Later the doctors explain thoracic outlet syndrome in depth, the breakdown of joints due to arthritis, the pros and cons of knee replacement, and discuss the time, knowledge, commitment, and passion it takes to become a surgeon. A medical student asks if his path will be worth the years of study and expense. An athlete and nurse has questions about stem cell regeneration for humans- a process she has used for her horses. A 20 year old has had many knee injuries and subsequent arthritis and would like to know how to reduce his pain.
Ending on a positive note, Dr. Souryal calls for support for all those who run toward danger to help our society. Let’s move forward.
Dr. T.O. Souryal and Dr. Brad Bellard have thoughts to share about L2M, referee standards, Maria Sharapova, the disconnect in communication between doctors and patients, the crumbling pedestal that the modern Olympics rests on, Quidditch, Dressage, and so much more. This is all just in the first hour.
The first caller had a knee injury a year ago, still has swelling and pain, and needs an MRI for a clear diagnosis. A former NFL player has had six surgeries on his right knee and is considering a knee replacement. He wants to know how long it could last and how it will impact his activity. Good questions!
In the second hour, we have a very special guest: award-winning sportswriter and NBC analyst Alan Abrahamsson. He calls in from LA to give an informed perspective on the Maria Sharapova tribunal decision, doping controversies, and the cloud that hangs over the Rio Olympics. Lots going on, lots to get to!
A special episode in tribute to the passing of Muhammad Ali, three-time World Heavyweight Champion boxer and civil rights champion as well as a conscientious objector and active humanitarian. Listeners call in to share their recollections of and admiration for The Greatest, while Dr. Souryal fields listeners’ sports medicine questions, from all over the map! Like – what is Turf Toe? A Farrier has a knee problem, a very tall fourteen year old has more than growing pains, an older gent has neck pain that isn’t going away, a caller shares a knee replacement success story, and another has gout that affects his activity.
In the second hour, we keep to honoring the extraordinary life of Muhammad Ali, and also answering a mixed bag of queries. Dr. Souryal explains the next steps for a woman who hurt her back doing Cross Fit, a 75 year old man asks what to do about shoulder pain that wakes him up at night and there is a reflux issue. A 59 year old oil field worker also has a shoulder issue, another caller with RA and a knee problem wants to know what to do while waiting for his specialist appointment that is weeks away, and a caller wonders why his lower arms go to sleep while he sleeps. Post-back surgery, a man is left in excruciating pain- what to do? A basketball player wonders how to manage a knuckle injury, and still play and the show ends with a random weird shoulder problem. Yep- this episode may be a mélange, a gallimaufry, a medley, or goulash. Still, it is a good one!