6-8 Weeks: Perspectives on Sports Medicine

Listen to our latest "emergency" podcast as Dr Brian Feeley and Dr Nirav Pandya break down hamstring injuries and recovery with the news of Stephen Curry's hamstring strain.

Listen to our latest podcast as we break down a recent paper in the American Journal of Sports Medicine looking at the interplay between ACL reconstruction and post-traumatic arthritis.

Listen to our latest podcast as we break down Jimmy Butler's return, Damian Lillard's Achilles tear, and the 49ers draft.

The NBA Play In Tournament begins this week. The Golden State Warriors play the Memphis Grizzlies tomorrow with some lingering injury concerns. Listen to our mini-podcast as we break down thumb injuries and thigh contusions as well have a bonus breakdown for Celtics fans about knee injections.

In this episode of Six to Eight Weeks, Dr. Drew Lansdown and Dr. Brian Feeley break down what's new in rotator cuff repair surgery. From surgical technique to regenerative medicine, tendon transfers to reverse shoulder replacements, this is a comprehensive look at what we know, what we've learned, and where the field is going

From weekend warriors on the slopes to NFL players taking hard hits, collarbones take a beating. But not all clavicle injuries are the same. Some require immediate surgery, while others heal just fine without intervention. Some look dramatic but aren't functionally limiting, while others can be downright dangerous. Listen to our latest podcast as we break down fractures, SC joint dislocations, and AC joint separations.

Lots of NBA injury news this past week with Wembanyama's blood clot, complex surgical options being discussed for Joel Embiid, and a loose cartilage fragment for Jalen Suggs. Listen to our latest podcast as we break it all down from a sports medicine perspective.

Listen to Dr. Nirav Pandya's talk at UCSF Grand Rounds as he comprehensively discusses the current state of youth sports from injury risk to the impact on professional athlete performance.

On this episode of Six to Eight Weeks: Perspectives on Sports Medicine, Dr. Drew Lansdown sits down with Dr. Nirav Pandya and Dr. Brian Feeley to discuss their recent research published in the Orthopedic Journal of Sports Medicine. Their study touches on two of the biggest topics in modern sports: early sports specialization and load management in the NBA.

Huge move for the Warriors with Jimmy Butler coming over before the NBA trade deadline. Listen to our latest podcast as we break down what it means from a health and injury perspective.

In this episode of Six to Eight Weeks: Perspectives on Sports Medicine, we discuss what it would look like if the NBA and collegiate basketball had an official overseer of player health, injury prevention, and long-term athlete development. What would we propose and how would it look?

In this week's episode, Dr. Feeley sits down with Danny Keller, a physical therapist and frequent guest, to discuss a topic that resonates with many patients: the challenges of recovering after surgery. Their conversation offers valuable insights for anyone navigating the often difficult journey of post-surgical rehabilitation.

This week, Dr. Feeley and Danny Keller, a seasoned physical therapist, tackle the critical topic of returning to sports after injury. Whether it's skiing, basketball, or soccer, bridging the gap between "almost ready" and "fully ready" can be daunting. Here's what you need to know.

It's been a tough weekend for Bay Area sports fans—the Warriors faced a tough loss to the Kings, and the 49ers' season ended on a disappointing note with a loss to the Arizona Cardinals. In this week's podcast, we're diving into the key injuries that defined the 49ers' season and what they mean for the team moving forward.

In this week's episode, we tackle a topic on many patients' minds: medical imaging. From x-rays to MRIs, CT scans, and ultrasounds, imaging plays a vital role in diagnosing and treating orthopedic injuries. Our discussion dives into the nuances of when and why we use these tools, providing insight into how imaging guides decision-making in sports medicine.

In this week's episode, Dr. Brian Feeley and Dr. Drew Lansdown tackle one of the most talked-about topics in professional football: quarterback shoulder injuries. Listen as the duo dives into the anatomy, mechanics, and recovery process for these critical injuries. As the NFL season progresses past the 60% mark, this conversation is not only timely but also crucial for fans, athletes, and anyone interested in the intersection of sports and medicine.

This week, we're diving into the nerve-wracking yet pivotal experience of residency interviews, focusing on orthopedic surgery. Joining us is our very own Andrew Gatto, one of our interns and the technical wizard behind the podcast. Andrew isn't just our producer—he's also fresh off navigating the grueling residency application and interview process. With his insights, along with those of Dr. Lansdown, we're unpacking everything from preparation strategies to red flags.

Listen to our latest episode as we sit down with Dr. Amiethab Aiyer from Johns Hopkins University who has built an incredible reputation, not only as a foot and ankle surgeon, but also as a mentor to so many budding orthopedic surgeons across the country.

In our latest podcast, we bring in a leading expert on pain, Dr. William Schmidt. He is an expert on pain and has worked over the past three decades in developing pain medications across several classes of therapeutics.

The NBA regular season is starting! Listen to our latest podcast as we break down how injuries may impact the Warriors this season as well as some bonus analysis of injuries to other key players in the NBA.

When do you need to worry about your limb alignment? Can surgeons shorten or lengthen limbs? What exactly is an osteotomy? Listen to our latest podcast with UCSF orthopedic surgeon and limb differences expert, Dr. Jaclyn Hill.

Do you have patellofemoral joint pain? Have you suffered from patellar instability? Listen to our latest podcast as we sit down with Dr. John Fulkerson, Professor of Orthopedic Surgery at Yale specializing in patella instability surgery and 3-D innovative research.

Concussions continue to be a problem in all levels of football. Listen to our latest podcast as we sit down with Dr. Chris Nowinski from the Concussion Legacy Foundation to discuss Tua Tagovailoa, Brett Favre, youth football, and more.

In this episode of UCSF's sports medicine podcast Six to Eight Weeks, Dr. Nirav Pandya, Dr. Brian Feeley, and Dr. Drew Lansdown sit down with Dr. Dan Thuillier, the chief of foot and ankle surgery at UCSF and team physician for the Oakland Roots, to dive into Achilles injuries. With the recent injury to Christian McCaffrey and the unforgettable Achilles rupture of Kevin Durant, this discussion covers a timely topic that affects elite athletes and weekend warriors alike.

What happens during NFL games inside the "Blue Tent" ? Listen to our latest podcast as Dr Brian Feeley and Dr Drew Lansdown take you behind the scenes in treating injuries that occur on the field.

Dr. Brian Feeley and Dr. Drew Lansdown are joined this week by UC San Francisco Orthopaedic Surgery resident Dr. Andrew Gatto to discuss differences between allopathic (MD) and osteopathic (DO) physicians! Dr. Gatto is a recent DO graduate, giving insight into the uniqueness of Osteopathic training and how it influenced his journey into Orthopaedics and his medical practice.

The NFL regular season is getting ready to kick-off. Listen to our latest podcast as we break down the science behind the injuries to Aaron Rodgers, Kirk Cousins, Talanoa Hufonga, Nick Chubb, and Joe Burrow.

Shoulder arthritis impacts many individuals as they age. What are the options for treatment? What is a shoulder replacement and how can it be done? Listen to our latest podcast as Dr Brian Feeley and Dr Drew Lansdown break down this condition.

Listen to Dr Brian Feeley as he discussed the role of PRP and stems cells in treating the aging athlete.

There are many myths that exist about sports medicine. Is meniscus surgery bad? Do braces work to prevent injury? Is turf better than grass? Does taping preventing ankle sprains? Listen to our latest podcast as we break it all down.

ACL reconstruction surgery has been highly successful in returning athletes to sport yet there more options for preventing graft re-tear. Listen to our latest podcast as we break down the recent article published in the American Journal of Sports Medicine titled, "Combining an Anterolateral Complex Procedure With Anterior Cruciate Ligament Reconstruction Reduces the Graft Reinjury Rate and Improves Clinical Outcomes: A Systematic Review and Meta-analysis of Randomized Controlled Trials"

Do you have questions about shoulder instability? What is a remplissage? Listen to our latest podcast as Dr. Brian Feeley and Dr. Nirav Pandya analyze the American Journal of Sports Medicine article, "Arthroscopic Bankart Repair With Remplissage in Anterior Shoulder Instability Results in Fewer Redislocations Than Bankart Repair Alone at Medium-term Follow-up of a Randomized Controlled Trial"

As the greatest athletes in the world descend on Paris, France, for the Summer games, there are a multitude of Sports Medicine considerations. Join orthopedic surgeons Dr. Brian Feeley and Dr. Drew Lansdown as they break down Olympic sports care in this weeks episode of 6 to 8 Weeks!

With youth sports culture increasingly dominated by private pay to play entities, children are specializing in a single sport at younger and younger ages. Listen to our podcast to learn about the negative impacts of early sport specialization including injury risk, burnout, poor performance, and participation disparities.

Few things offer better insight and validation than testimony from the next generation you're helping to learn, grow and craft the future of your profession. All that and more is included in this in-depth interview with our Fellows about their Fellowship experience inside this episode of The 6 to 8 Weeks Podcast.

Human tissue is amazing. To think that a section of it can be harvested - whether it be your own or from another source, to change the future movement that will propel your body, career choices and life, makes the mind reel. It's time to learn what three orthopedic surgerons think about the various types of ACL grafts that can be made (patellar, hamstring and quadricep) to impact patients of all kinds inside this episode of The 6 to 8 Weeks Podcast.

OCD Lesions are unique injuries to both cartilage and bone and not only occur in adults, but also often occur in the bodies of today's youth. It's time to find out more from a series of answers, details and lightbulb-conjuring lessons from 3 orthopedic surgeons inside this episode of The 6 to 8 Weeks Podcast.

Running, economics and crafting a valuable homefront are all incredibly detailed efforts. Many of us try to make great strides within these efforts, but few do it with the skill, detail and reverence that Author, Doctor and Professor Emily Oster does. It's time to see what she can share with three orthopedic surgeons inside this episode of The 6 to 8 Weeks Podcast.

While many people are familiar with meniscus injuries and ACL tears, when they hear they've injured their labrum - the question marks pop up a'plenty. What exactly is going on with this injury and what can three orthopedic surgeons tell us about it? That and the process of recovery after this injury are the focus of this episode of The 6 to 8 Weeks Podcast

It used to be that pitchers in Major League Baseball (MLB) not only pitched for many if not all innings in a game - but for far longer periods of time when it comes to career length. What's happened recently? There is apparently a trend where MLB pitchers are injuring and reinjuring themselves far-more regularly. Three orthopedic surgeons dig in deep to uncover what's generating larger and larger disabled lists inside this episode of The 6 to 8 Weeks Podcast

Surgery can be tremendously stressful - unless you are familiar with what happens before you get there. There's finally a compiled listing of events, planning and detail that helps you to undersetand more of what goes into the innerworkings of your surgery - thanks to the this program. It's time to learn what three orthopedic surgeons do to prepare for your first visit and surgery inside this episode of The 6 to 8 Weeks Podcast

The dreaded Cold Ice Plunge only lasts for a few minutes, but - what happens to the human body, and mind - when it comes to elongated stays inside of icy-cold water? Veteran Sports Journalist Chris Ballard visits us to share details about ice swimming, the state of sports journalism and more inside this episode of The 6 to 8 Weeks Podcast

Athletes, both professional and every-day, are playing far-longer than they have in recent decades. The hope to find something special to extend performance but also general satisfaction from participation in sports is real. It's time to talk with a man that has done extensive research into a variety of internal aspects concerning logevity in sports inside this episode of The 6 to 8 Weeks Podcast

Learn all about Pablo Torre's journey in sports journalism / media and some insight into his story from several years ago about Stephen Curry's ankles.

The NBA Off-Season is in full swing and there is a lot of chatter about new (and old!) players who may play for the Warriors next season. One of the concerns, particularly for an older team, is the health of possible new signings. Listen to our latest podcast as we break down potential players for the Warriors and their injury history including Paul George, Klay Thompson, Kevin Durant, Jimmy Butler, and more in our latest podcast. Connect with the Hosts of The 6-8 Weeks Podcast: It's never been easier to connect with the hosts of The 6-8 Weeks Podcast. Read on below to share your perspectives on this episode of The 6-8 Weeks Podcast. === Connect with Dr. Brian Feeley: On the Web -- On X === Connect with Dr. Nirav Pandya: On the Web:-- On X:  === Connect with Dr. Drew Lansdown: On the Web

The NBA Off-Season is in full swing and there is a lot of chatter about new (and old!) players who may play for the Warriors next season. One of the concerns, particularly for an older team, is the health of possible new signings. Listen to our latest podcast as we break down potential players for the Warriors and their injury history including Paul George, Klay Thompson, Kevin Durant, Jimmy Butler, and more in our latest podcast.

  With the NBA Finals starting this week how will injuries impact the series? Listen to our latest podcast as we break down how calf injuries, concussions, load management, and ankle injuries may impact the Dallas / Boston series.   Connect with the Hosts of The 6-8 Weeks Podcast: It's never been easier to connect with the hosts of The 6-8 Weeks Podcast. Read on below to share your perspectives on this episode of The 6-8 Weeks Podcast. === Connect with Dr. Brian Feeley: On the Web -- On X === Connect with Dr. Nirav Pandya: On the Web:-- On X:  === Connect with Dr. Drew Lansdown: On the Web

With the NBA Finals starting this week how will injuries impact the series? Listen to our latest podcast as we break down how calf injuries, concussions, load management, and ankle injuries may impact the Dallas / Boston series.

Athletes, both professional and every-day, are playing far-longer than they have in recent decades. The hope to find something special to extend performance but also general satisfaction from participation in sports is real. It's time to talk with a man that has done extensive research into a variety of internal aspects concerning logevity in sports inside this episode of The 6 to 8 Weeks Podcast... Connect with The 6-8 Weeks Podcast: There's a LOT of detail included in this program. Do you want to share YOUR perspective about it? Connect with The 6-8 Weeks Podcast Now! Subscribe to, Like and Share The 6-8 Weeks Podcast Everywhere:               The Detailed Shownotes for This Episode of The 6-8 Weeks Podcast: These questions and more are answered inside this episode of The 6 to 8 Weeks Podcast: 1. **Stem Cell Basics**: What are stem cells, and why are they crucial for understanding aging and regenerative medicine? 2. **Parabiosis Experiments**: How does the parabiosis experiment work, and what were the significant findings from exposing old mice to young blood? 3. **Healthspan vs. Lifespan**: What is the difference between healthspan and lifespan, and why is it more critical to focus on healthspan? 4. **Youthful Environment**: What changes in the blood composition from youth to old age can impact tissue regeneration and overall cellular function? 5. **Personal Lifestyle**: Based on Dr. Tom Rando's personal practices, what lifestyle changes can individuals adopt to potentially maintain their healthspan? 6. **Evolutionary Perspective**: How could evolutionary theories explain the shift from growth-promoting factors in the blood of younger individuals to more inflammatory factors as we age? 7. **Clinical Implications**: What are the potential risks associated with transfusing young blood into older individuals, and how might these risks impact the feasibility of this as a treatment? 8. **Diet and Exercise Balance**: What role does diet and exercise play in maintaining a healthy balance for aging, and how does this balance relate to the inverted bell-shaped curve mentioned by Dr. Rando? 9. **Early Life Interventions**: How might early life interventions (including prenatal and childhood conditions) influence long-term health and susceptibility to diseases according to the discussion? 10. **Future Research**: What are the next steps for research in this field, and how might we balance the benefits and drawbacks of potential rejuvenation therapies? Timestamps from This Episode of The 6-8 Weeks Podcast: 00:00 Advancements in science and athlete self-care have defied the conventional notion of aging in the sports world. Athletes like Tom Brady, LeBron James, and Drew Brees have continued to perform at a high level well into their second and even third decades, attributing some of their success to luck in avoiding injuries and also to the advancements in sports science that have allowed them to better care for their bodies. This trend is not only observed in professional athletes but also in everyday individuals who are now able to maintain their physical activities well into their later years. These developments have not only extended lifespans but have also enhanced the quality of life for many people. 06:10 Muscle function tends to peak in the early twenties, with some plateauing and then a decline. Performance in most sports peaks around this age as well. However, there is no set age or decade for decline, and there is potential for improvement beyond this point. 08:34 Old blood rejuvenates old cells, influencing tissue regeneration. 11:56 Experiments show potential tissue improvements from blood transfusion. Rejuvenation's potential implications and drawbacks unclear. 13:27 Caloric restriction leads to longer, healthier life. This concept has shifted focus towards health span instead of lifespan.

Injuries for professional basketball players are a very common occurrence. What isn't common, however is having to endure an NBA final season - without a California-based basketball team represented. It's time to find out what three orthopedic surgeons from the San Francisco area think of both of these phenomenon and more inside this episode of The 6 to 8 Weeks Podcast... Connect with The 6-8 Weeks Podcast: There's a LOT of detail included in this program. Do you want to share YOUR perspective about it? Connect with The 6-8 Weeks Podcast Now! Subscribe to, Like and Share The 6-8 Weeks Podcast Everywhere:               The Detailed Shownotes for This Episode of The 6-8 Weeks Podcast: You'll get the answers to these questions and more inside this episode of The 6 to 8 Weeks Podcast! 1. **Understanding Injuries:** - What is the difference between a knee strain and a knee sprain, and how do these injuries impact an athlete's performance and risk for long-term damage? 2. **Management and Decision Making:** - How should teams balance the immediate need to win games with the long-term health of players, particularly when dealing with star athletes like Luka Doncic? 3. **Effectiveness of Treatments:** - What role do taping techniques play in managing knee injuries in athletes, and how much of their effect is structural versus placebo? 4. **Comparative Injuries:** - Compare the severity and recovery process for different types of calf injuries with other common sports injuries like hamstring strains. 5. **Use of Diagnostics:** - How useful are MRIs and ultrasounds in diagnosing and managing sports-related injuries, and should they be used routinely for all athlete injuries? 6. **Injury Recurrence:** - Why do hamstring injuries often lead to other injuries later in the season? What measures can teams take to prevent this cascade of injuries? 7. **Age and Performance:** - Discuss the risks and benefits of relying on older athletes with high wear and tear like LeBron James versus younger athletes with significant injury histories like Kevin Durant. 8. **Predicting Outcomes:** - How can sports medicine better use the data from diagnostic tools to predict recovery times and outcomes for athletes? 9. **Epidemiology of Injuries:** - Based on the discussion around Yao Ming, Kevin Durant, and LeBron James, what role does an athlete's height and body type play in the types of injuries they are likely to encounter? 10. **Team Strategies and Player Health:** - Given the Warriors' scenario regarding older athletes, what health strategies could the team employ next season to potentially enhance performance and reduce injuries? Timestamps from This Episode of The 6-8 Weeks Podcast: 00:00 Knee injuries can range from minor tweaks to ligament tears, with implications for the player's performance and long-term health. The severity of the injury and its impact on stability and pain level will determine the player's ability to continue playing and the potential risks of aggravating the injury. This presents a dilemma for the team in balancing the desire to win with the player's long-term well-being. 03:51 Calf strain affects muscle-tendon injuries, hindering movement. 07:32 MRI or ultrasound can aid athlete diagnosis. 10:07 Hamstring cramps can usually resolve with stretching, hydration, and rest. More severe injuries may result in significant pain, with potential for muscle or tendon tears. Tendon tears may cause bruising, a pop sensation, and a palpable defect in the muscle or tendon. 13:12 Warriors weigh impact of young vs. older players 16:14 Disappointed by lack of California teams in playoffs, hopeful for Knicks to win finals. Connect with the Hosts of The 6-8 Weeks Podcast: It's never been easier to connect with the hosts of The 6-8 Weeks Podcast.

Surgery can be tremendously stressful - unless you are familiar with what happens before you get there. There's finally a compiled listing of events, planning and detail that helps you to undersetand more of what  goes into the innerworkings of your surgery - thanks to the this program. It's time to learn what three orthopedic surgeons do to prepare for your first visit and surgery inside this episode of The 6 to 8 Weeks Podcast... Connect with The 6-8 Weeks Podcast: There's a LOT of detail included in this program. Do you want to share YOUR perspective about it? Connect with The 6-8 Weeks Podcast Now! Subscribe to, Like and Share The 6-8 Weeks Podcast Everywhere:               The Detailed Shownotes for This Episode of The 6-8 Weeks Podcast: You'll get the answers to these questions and more inside this episode of The 6 to 8 Weeks Podcast! 1. How do surgeons like Dr. Nirav Pandya, Brian Feeley and Dr. Drew Lansdown prepare for a typical surgery day and how does this preparation enhance patient outcomes? 2. In the episode, Dr. Pandya discusses the seasonal ebb and flow of pediatric orthopedic cases. What insights can be drawn about the relationship between seasonality and traumatic injuries in children? 3. Dr. Lansdown and Dr. Pandya describe the integration of electronic medical records in their practice. Discuss the benefits and limitations of this technology in streamlining patient care based on their experiences. 4. The discussion touched on the importance of preparing for various contingencies during surgery. Can you explore the impact of such meticulous planning on the success and safety of orthopedic surgeries? 5. Both surgeons mention the role of reviewing patient history and imaging before appointments. Discuss how this pre-appointment preparation contributes to efficiency and effectiveness during patient consultations. 6. Dr. Feeley and the other surgeons talk about the environmental impact of unnecessary in-person follow-ups. What are some sustainable practices that could be implemented in healthcare systems to address this issue? 7. The role of trainees in the operating room was discussed, including the perception of their involvement in surgeries. How does the presence of trainees affect patient care and surgical education, according to the hosts? 8. Dr. Pandya mentions using AI for documentation and patient interaction in the future. Discuss how AI could transform patient care in orthopedics and the potential challenges that might arise. 9. Given the potential for robotic assistance in surgeries discussed by Dr. Lansdown, debate the ethical and practical considerations of integrating more robotics into medical procedures. 10. Reflect on the personal anecdotes shared by the surgeons about their experiences and challenges in the OR. How do these personal reflections enhance the listener's understanding of the realities of surgical practice? Timestamps from This Episode of The 6-8 Weeks Podcast: 03:05 Orthopedic institute provides comprehensive services, including outpatient care with patient rooms, x-ray, MRI, physical therapy, and bracing on site. Surgeries are performed at Mount Zion hospital, some requiring overnight stays. The practice caters to patients of all ages, focusing on the transition from teenagers to adulthood and addressing a wide range of orthopedic issues. 07:58 Gathering and reviewing detailed patient information for care. 09:26 Drew struggled multiple times, but doctor's appointments changed. 13:21 Anticipating potential surgical complications is crucial for success. Planning ahead for different scenarios, equipment readiness, and revision surgeries can ensure smoother procedures and better outcomes. It's essential to be prepared rather than figuring things out on the spot, which can lead to less-than-ideal results. 17:36 Decision making in the operating room,