Dr. Souryal and Dr. Karim Meijer talk with the caller, S.T. They all discuss Romo’s injury. Robert called in and all three discuss cleats and Romo’s injury. The Doctors discuss a ligament issue with a text question from Brian. Dr. Souryal talks about glass jaw and concussions.
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.
The risk/reward equation for the Super Bowl is a hot topic this week. Can Carolina Panthers linebacker Thomas Davis play effectively after getting a metal plate in his right forearm? Tony Romo broke and re-injured his collarbone, would a plate help him? What’s up with the Pro Bowl? Who are the toughest athletes?
If you have sports medicine questions or comments, Dr. Souryal has answers, or at least an opinion! First up, a twisted knee needs to get checked out. Then a jogger with a foot injury and subsequent sensory nerve damage is still having problems over a year later. The Business of Medicine segment at the top of the hour is about morals and money and passion. Dr. Souryal and Dr. Brad Bellard discuss how “bill-ability” sometimes takes precedence over what works for patients. Not on their watch!
A former athlete and current Orthopaedic Trauma PA has pain, limited range of motion and weakness, and even a pop and numbness recently which could be related to a shoulder procedure decades ago. The show ends with an interesting case of a rare shoulder blade injury that could actually be a pain in the neck.
Hard to believe he’s gone. Legend David Bowie has passed and in tribute, provides the background tunes to this week’s show. Dr. Souryal, as usual, has so many good topics to get through. Roethlisberger’s and Romo’s shoulder injuries are explained in depth, along with the real reason for wearing shoulder pads. Teaching “rugby-style” tackling techniques at all levels could be good news for preventing concussions and aims to make football safer. The difference between an ankle sprain and a high ankle sprain is explained, at last, in Sports Medicine 101.
The text machine is going crazy bananas as a record number of questions and comments flow in and the phone lines are hopping, too. The first caller has questions about rehab for shoulder and knee surgery with just a week in between. How can he go about rehab for each at the same time? A high school coach has had both knees replaced and has lots of “static electricity“ pain two years later and a swollen foot. What now? An active flat-footed man has grade 3 ankle problems and asks if there is any alternative to the major reconstructive surgery that is recommended for him. A boxer gets a sharp stabbing shoulder pain while throwing a left jab that points to joint instability.
A youth football coach calls to weigh in on new Heads Up Tackling techniques. It is a good thing! Another PeeWee coach chimes in about still more benefits, including building confidence. The consensus: football needs this.
For the first time, sports medicine physician and athletic concussion specialist Dr. Brad Bellard joins Dr. Souryal for the whole show, which starts with some observations on Dallas Cowboys QB Tony Romo’s clavicle injury and ends with a discussion on how newer technologies have changed medicine over time.
Concussions are a theme in pro football news, in a new Will Smith movie, and throughout the first half of the show today. The doctors give a medical perspective on the risk-reward equation for injuries in pro and college sports, which leads to a caller who recounts his football playing youth in the seventies and how concussions were recognized, or not, at that time.
One caller asks what his lower back pain may be and who to go see about it, a rugby player wants to know how to avoid achilles ruptures, and a father asks about ligament healing after his son has an AC joint injury.
Bone is the only tissue that heals itself with itself. Sports Medicine 101 is all about fractures- including accurate terminology for types, severity, and how they heal. Is there a tendon we use only for climbing trees? Will a meniscus tear heal itself? The short answers are “no”, but Dr. Souryal has longer answers, too!
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.
Injuries can derail a season and football is by nature a collision sport. With players in constant motion and contact, injuries are a frequent hazard to professional athletes. Dr. Souryal gives his spin on Cowboy’s quarterback Tony Romo’s back injuries and the medical “revenue stream” that can lead to unpleasant experiences for some patients.
As always, safety is a hot topic on the field and off. The Doc mentions the viral It Can Wait campaign to discourage texting and driving especially among teens. Now you can text, tweet, or email “#X” to let your friends know you’re about to drive and can’t respond until you arrive.
Callers ask about various shoulder injuries, stretching to increase flexibility and prevent injuries, a chipped tibia causing pain for a young soccer player, and treatment options for a lower back stress fracture. One listener asks whether just an x-ray can indicate if a knee replacement is necessary. Dr. Souryal explains that an x-ray is just one component to consider in a diagnosis and can only tell part of the story. How the patient feels and functions are critical factors in deciding which options are best. Also- whenever patients have questions or concerns about their diagnosis or treatment, a second opinion can be reassuring or point to other options.