The docs talk about KD injury, calf strain, and Achilles injury.
The doctors talk with a caller about risk-reward for young athletes, they talk with a caller about tendinosis.
Dr. Brad Bellard joins Dr. Souryal to discuss the dope on doping, the beginning of the end for modern Olympics, and big themes in managing pain and what ails you (and them). A sixteen year old competitive martial artist had ACL surgery and her father wants to know the timeline or “test” for her to return to training and competition. There is talk of Jaylon Ramsey’s meniscus tear and how his course of treatment will be decided.
Dr. B holds forth on The Bobble Effect in youth soccer and new rules aimed to prevent concussions, then a Phd student calls in with some truly educated observations: he happens to be studying exactly that! A caller with a torn meniscus asks for more thoughts on surgery versus “wait and see”, and is schooled on managing pain versus healing it. Similarly, a construction worker wants to avoid surgery and asks about the issue of pain management for his ruptured disc.
The show wraps up with the concept that has been weaving through the whole episode: pain management for conditions you may just decide to live with, as a fellow doc calls in to weigh in about the bad rap back surgery gets, and the options for Dr. B’s complaints.
Today’s show starts with a rant from Doctor Souryal about why you should always get a second opinion before surgery. Later on, shoulder specialist Dr. Richard Levy comes on to answer listener’s questions and talk about current events. The doctors discuss Tony Romo’s shoulder injury, and explain the surgery he had to correct it, and prospects for recovery in the future. Can adding bulk help players prevent similar injuries? Listeners help Dr. Souryal with the physics.
It’s all about tendons in today’s Sports Medicine 101. From tendonitis to tendinosis, from rotator cuffs to Blake Griffin, the Doctors have the answers to your tendon questions.
A 44 year old with “the shoulder of an 80 year old” calls to ask about his next steps. Another caller waiting on a shoulder replacement asks about likely medical advances in the next few years. Another caller can’t get his ACL repaired for another six months. What are his options for pain relief, and why are doctors sometimes reluctant to prescribe certain painkillers? Another caller’s granddaughter plays high school and club volleyball – when she isn’t busy with the gymnastics team. Could overtraining have caused a stress fracture?
Tune in for all that, and much more.
Dr. Brad Bellard joins Dr. Souryal in the studio today as the show starts out with an explanation of the Mumford Procedure. Later, globetrotting spine surgeon Dr. Scott Blumenthal calls in from Atlanta to answer some back questions, including: why does spine surgery have such a bad rap?
Our first caller had a severe knee break with nerve damage playing college football and still got back in the game. Now that he’s older, he wonders if stem cells may help him along with a knee replacement, which leads into a long conversation of cool stuff happening in medicine now and the cool stuff that may develop in the future. Next, a 64 year old cartilage loss in both knees asks many great questions: is there a synthetic cartilage that can be put back in knees? what is the value of painful cortisone shots and is there any procedure available that could stabilize his “sloppy” knees? If bone doesn’t have feeling, where does the pain come from?
A 53 year old broke his shoulder in an ATV accident and has a ”humerus” question, another man has a “dull and heavy” shoulder seasonally, a 66 year old has chronic tendonitis in one foot and wonders if he has to just live with it. As always- we need a diagnosis first. Our last caller has a constant burning pain in his elbow, and likewise, needs a clear diagnosis before treatment.
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.
Sports medicine specialist Dr. Brad Bellard joins the crew today to discuss the different stages of heat illness, hydration, and awareness just in time for football season. Most of us are dehydrated, but there are times you actually can drink too much water and sweat out your salts. On a super hot day, drinking sports drinks can solve that issue, unless you go overboard.
Topics start with carseat alarms and sleeves athletes are wearing these days- fashion, fad, or do they have a practical purpose? In other segments, Dr. Souryal peels back the curtain in the surgery room about the logistics of timing multiple operations for one patient.
There are calls about knees, backs, calves and more. A runner tweaks his knee and wonders if his diagnosis is right, while another man buckled his knee after slipping on water and has clicking and issues straightening his leg, even after multiple surgeries. Something isn’t adding up- it’s complicated, and curious. A softball player loses some weight and pops his calf, and then the other a few weeks later. Could the calf strains be related to the weight loss? In the “lead a horse to water” department, a former barrel racer has a herniated disc and is reluctant to get any treatment. Dr Souryal describes all the options to her concerned husband.