Podcasts about orthopedic medicine

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Best podcasts about orthopedic medicine

Latest podcast episodes about orthopedic medicine

The Ortho Show
Dr. Thomas DeBerardino – From the Military to Orthopedic Surgery

The Ortho Show

Play Episode Listen Later Feb 26, 2025 35:16


This week, Dr. Scott Sigman sits down with Dr. Thomas DeBerardino, a retired US Army Colonel and and Professor of Orthopedic Medicine at University of Texas Health in San Antonio. Here, they discuss his childhood as a military brat, his education at West Point, his residency in Hawaii, and more.

Strength Chat by Kabuki Strength
#25: Revolutionizing Recovery: Dr. Rahul Desai on the Power of Light and Regeneration

Strength Chat by Kabuki Strength

Play Episode Listen Later Feb 5, 2025 81:03


Chris Duffin welcomes Rahul Desai, a renowned expert in regenerative orthopedic medicine and founder of Restore PDX and Redvive. Join us as we explore Rahul's journey from radiology to regenerative medicine, where his innovative techniques in tissue regeneration have set new standards in the field. Delving into the world of red light therapy, or photobiomodulation, Rahul shares fascinating insights into its impact on enhancing tissue recovery, reducing inflammation, and accelerating healing. Discover how precision diagnosis and cutting-edge therapeutic approaches are helping people overcome musculoskeletal challenges and unlock their true strength. Rahul Desai always had a fascination with the human body and initially aspired to specialize in orthopedics and sports medicine. His journey through medical school led him to St. Jude's Children's Hospital, where he discovered a profound interest in radiology, specifically musculoskeletal interventional radiology. Captivated by the precision and technology involved, he became adept at using imaging techniques like MRIs, CAT scans, live X-rays, and ultrasounds to guide procedures such as steroid injections, biopsies, and device placements. Rahul's career path, marked by serendipity and passion, showcases his dedication to advancing medical interventions through innovative imaging techniques.   Check out Restore PDX: https://www.restorepdx.com/energy-based-medicine/   Regenerative Medicine Techniques Explanation of PRP and its effects on tissue healing. Introduction to cell therapy using bone marrow and fat for stem cells. Presentation of case studies involving regenerative medicine, including recovery from tendon and ligament injuries. Photobiomodulation (Red Light Therapy) Introduction of photobiomodulation as a complementary therapy. Benefits observed in terms of sleep improvement, HRV (Heart Rate Variability), and stem cell activation. Discussion of studies highlighting photobiomodulation's impact on stem cell circulation and cellular health.   This episode of the ARCHITECT of RESILIENCE podcast is available on Apple, Spotify & YouTube, and is sponsored by  @marekhealth : Performance. Longevity. Optimization.

The Osteopathic Manipulative Medicine Podcast
Ep. 123 The Right Tools for the Job - Dr. Steven Karageanas D.O.

The Osteopathic Manipulative Medicine Podcast

Play Episode Listen Later Dec 22, 2024 69:34


Dr. Karageanes is a primary care sports medicine physician who has specialty certification in performing arts medicine. He is President-Elect of the American Academy of Orthopedic Medicine and past-President of the American Osteopathic Academy of Sports Medicine.  He is the editor of Principles of Manual Sports Medicine and is Official Company Physician for Eisenhower Dance Detroit. Dr. Steven Karageanas D.O. - drscoop69@gmail.com Dr. Ben Greene D.O. - benjaminjkgreene@gmail.com Dr. Jordan Little D.O. - jordanlittle.do@gmail.com ONMM Podcast - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠onmmpodcast@gmail.com

Brawn Body Health and Fitness Podcast
Dr. Angela Gordon: Differential Diagnosis & Treatment of Anterior Shoulder Pain in Overhead Athletes

Brawn Body Health and Fitness Podcast

Play Episode Listen Later Jul 29, 2024 46:58


In this episode of the Braun Performance & Rehab Podcast, Dan is joined by Dr. Angela Gordon to discuss causes of anterior shoulder pain in overhead athletes and how to treat anterior shoulder pain. Angela T. Gordon PT, DSc, MPT, FAAOMPT, COMT, ATC, OCS, FMS has more than 16 years of clinical experience in orthopedic and sports physical therapy. Dr. Gordon was a high school and collegiate athlete  suffering several injuries that lead her pursue a career in physical therapy. She went on to earn her Bachelor's degree from Baldwin Wallace College in 2000 for athletic training, her Masters of Physical Therapy from Andrews University in 2002, and her Doctorate of Science from Andrews University 2012. Dr. Gordon earned her orthopedic manual therapist certification through NAIOMT in 2012. In 2012 Dr. Gordon received her functional dry needling specialist certification and in 2014 became Board Certified Orthopedic Clinical Specialist from the American Physical Therapy Association. In 2017, Dr. Gordon completed her fellowship with NAIOMT and is recognized by the American Academy of Orthopedic Manual Therapists. In April 2013 Dr. Gordon became a published author for an article in the IJSPT: Relationships between core strength, hip external rotator muscle strength, and star excursion balance test performance in female lacrosse players. Dr. Gordon's co authored a book chapter “Physical Therapy considerations Following Regenerative Medicine Interventions” in September 2017 in the textbook Regenerative Treatments in Sports and Orthopedic Medicine. Dr. Gordon has served as the lead physical therapist for the Washington Nationals Baseball in 2005 and from 2010-2015.  She works extensively with numerous professional and semi professional athletes from MLB, NFL, PGA, Canadian Football League, and European basketball players. She also works closely with many high school and collegiate overhead throwers and female athletes. Dr. Gordon is guest faculty with NAIOMT, teaching a specialty course for rehabilitation of overhead athletes and she has been invited to speak at a variety annual sports medicine conferences across the country. Dr. Gordon is the owner and creator of F. A.S.T.™ (Female Athlete Sports Training program) and is physical therapy consultant to George Mason University Athletics. For more on Angela & Advanced Kinetics, be sure to check out https://advancedkinetics.com/ & https://advancedkinetics.com/courses/overhead-athlete-courses/ *SEASON 5 of the Braun Performance & Rehab Podcast is brought to you by Isophit. For more on Isophit, please check out isophit.com and @isophit - BE SURE to use coupon code brawnbody10 at checkout to save 10% on your Isophit order! Episode Affiliates: MoboBoard: BRAWNBODY10 saves 10% at checkout! AliRx: DBraunRx = 20% off at checkout! https://alirx.health/ MedBridge: https://www.medbridgeeducation.com/brawn-body-training or Coupon Code "BRAWN" for 40% off your annual subscription! CTM Band: https://ctm.band/collections/ctm-band coupon code "BRAWN10" = 10% off! Ice shaker affiliate link: https://www.iceshaker.com?sca_ref=1520881.zOJLysQzKe Make sure you SHARE this episode with a friend who could benefit from the information we shared! Check out everything Dan is up to by clicking here: https://linktr.ee/braun_pr Liked this episode? Leave a 5-star review on your favorite podcast platform --- Support this podcast: https://podcasters.spotify.com/pod/show/daniel-braun/support

Resiliency Radio
207: Resiliency Radio with Dr. Jill: Why Go Under the Knife When you Can Go Under the Needle?

Resiliency Radio

Play Episode Listen Later Jul 10, 2024 56:32


In today's fast-paced world, many individuals are seeking alternatives to invasive surgical procedures. Dr. Mazzola explains how ultrasound guided diagnosis has revolutionized the field by providing accurate and precise treatment options for patients. By using this innovative technique, doctors can identify and target the root cause of the problem, such as arthritis or ligament injuries, without the need for surgery. Key Points ✅ Regenerative Medicine and ultrasound guided diagnosis is changing the way we treat arthritis and other non-surgical sports injuries ✅ Keys to physical exam and diagnosis of injuries to avoid surgery ✅ When does PRP injection make since to avoid surgery after tendon or ligament injuries? Dr. Tim Mazzola Dr. Mazzola is board certified in both Family Medicine and Sports Medicine. He is also certified in musculoskeletal ultrasound since 2013. He currently practices as a Non-operative Regenerative Orthopedist at Breakthrough Regenerative Orthopedics in Boulder, CO. He previously served as a Team Physician at the US Air Force Academy. Passionate about teaching, Dr. Mazzola is affiliated with the University of Colorado Medical School and is completing 2 SI ligament research studies with Rocky Vista University College of Osteopathic Medicine. He has taught Advanced Musculoskeletal Ultrasound and Regenerative Orthopedics for several years.  He co-authored a chapter on Ultrasound Guided techniques in Regenerative Medicine Procedures in Dr. Malanga and Ibrahim's textbook titled Regenerative Treatments in Sports and Orthopedic Medicine.  He co- authored a recent review paper on optimizing PRP dose and formulations with Peter Everts and others. https://www.orthopedicscolorado.com/  

The Postural Restoration Podcast
Episode 34: Frank Mallon, PT, DPT, PRC

The Postural Restoration Podcast

Play Episode Listen Later Jun 13, 2024 93:27


In this episode of the Postural Restoration Podcast I am joined by Frank Mallon, PT, DPT, PRC. Frank grew up in the Philadelphia area and attended Physical Therapy school at Arcadia University. Although he has had many unique experiences in his home state he has remained there ever since. One of the biggest influences on his early career was the work of Shirley Sahrmann. In his first clinical setting, alongside one of his earliest mentors, Carl Mangione, they were able to implement these concepts with their patients and also share them in the university settings to others interested. Franks first years as a PT in this setting allowed him to explore other schools of thought that otherwise had not been introduced throughout his schooling.Through this relationship, Frank was first introduced to PRI coursework and the science as a whole. In 2013 he took his first course, Pelvis Restoration, with Jennifer Poulin. After implementing what he had learned and seeing enough change within his patient population he knew additional coursework was merited. Over the next several years Frank attended many PRI courses, traveling from city to city to immerse himself more.Two years from his first course exposure Frank achieved his Postural Restoration Certified (PRC) credential with the intent of providing a true form of PRI to his patients no matter what setting he may be in. Eventually finding himself directing various programs in the hospital setting he became more limited in the amount of freedom he had to incorporate all PRI aspects into his patient care. However overtime in this role he was able to introduce the science to his patients and other providers within this orthopedic hospital setting. Like many within our community, Frank at one point needed integrative care for himself, and found himself seeking that out through the PRIME Program here in Lincoln. This experience solidified his desire to be able to offer similar services in his area of Philadelphia. Over time Frank began building an Integrative team of many varying professionals within the fields of dentistry, optometry, and other modalities to begin building a network of integrative care. This style of interdisciplinary care, would eventually lead him to start a private practice to be able to offer services and incorporate integrative care in a more meaningful way. Frank has since built Renaissance Physical Therapy & Wellness into a practice that allows him to do just that. Incorporating PRI with every client and working closely with multiple disciplines to address dysfunctions across many systems as a holistic team. Renaissance Physical Therapy is available in 5 locations around the Philly metro, and beyond offering his clinical services, Frank stays very active in the community by educating others on the role they too can have as part of a team approach to neurological re-patterning.In this episode we discuss some of the challenges that providers may face when first learning to implement the science of Postural Restoration, and the effort it takes to build relationships with integrative professionals in your own community while appreciating the power of doing so. PRI communities are not formed over night and Franks journey is a testament to the commitment and dedication required to be able to offer a truly integrative approach to those in your own communities.

The Dr. Tyna Show
EP. 142: Strength Training for Stronger Knees | Quick + Dirty

The Dr. Tyna Show

Play Episode Listen Later Apr 12, 2024 26:26


On this episode of the Dr. Tyna Show, I'm doing a Quick and Dirty episode on knee health. Ever heard the argument that bad knees mean you can't strength train? Think again. I've seen a lot of aching knees in my career and today I'm sharing my insights with you. Learn how your knee works, the root causes of knee issues, and the science behind pain and recovery. Ozempic Uncovered FREE 4 Part Video Series    On This Episode We Cover: 3:23 - Effects of metabolic dysfunction on your knees 05:18 - Gluteal atrophy and medial knee degeneration 10:06 - The physiology of the knee 16:24 - Imagining does not always correlate to pain  18:26 - Joint degeneration and ligament laxity   19:21 - Benefits of strength training 23:35 - Finding a coach or trainer Sponsored by: TIMELINE NUTRITION  Go to timelinenutrition.com/DRTYNA and use code DRTYNA for 10% off LMNT Get 8 FREE packs with any order at drinkLMNT.com/drtyna   Further Listening: EP: 45: Joint Pain and Metabolic Health with Dr. Shawn Baker EP. 94: For the Men: Master Your Testosterone | Solo Episode EP. 95: Women Need Testosterone, Too | Solo Episode Strength Training Is Associated With Less Knee Osteoarthritis: Data From the Osteoarthritis Initiative Dr. Tyna's Strength Corner use code STRONG10 Orthopedic Medicine is a Scam Podcast Series EP. 83: Orthopedic Medicine is a Scam | Part 1 EP. 84: Orthopedic Medicine is a Scam PT. 2 | Regenerative Medicine EP. 86: Orthopedic Medicine is a Scam PT. 3 | Osteoarthritis is Diabetes of the Joint EP. 92: Orthopedic Medicine is a Scam PT. 4 | Xrays, MRIs & Imaging Studies EP. 96: Orthopedic Medicine is a Scam PT. 5 | Pain is Not Always Structural Ozempic Uncovered Podcast Series: EP 106: Ozempic Done Right Part 1 | Solo Episode EP 107: Ozempic Done Right Part 2 | Solo Episode EP. 109: Ozempic Done Right Part 3 | Solo Episode Ep. 116: Berberine: NOT Nature's Ozempic | Quick & Dirty EP. 118: My GLP-1 Experience | Quick & Dirty EP. 129: Ozempic Done Right Part 4: Sustained Weight Loss | Solo Episode EP. 132: Ozempic Done Right Part 5: Osteoarthritis + GLP1 Agonists | Solo Episode EP. 136: Ozempic Does NOT Cause Muscle Loss | Solo Episode Disclaimer: Information provided in this podcast is for informational purposes only. This information is NOT intended as a substitute for the advice provided by your physician or other healthcare professional, or any information contained on or in any product. Do not use the information provided in this podcast for diagnosing or treating a health problem or disease, or prescribing medication or other treatment. Always speak with your physician or other healthcare professional before taking any medication or nutritional, herbal or other supplement, or using any treatment for a health problem. Information provided in this blog/podcast and the use of any products or services related to this podcast by you does not create a doctor-patient relationship between you and Dr. Tyna Moore. Information and statements regarding dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent ANY disease.

Brawn Body Health and Fitness Podcast
Dr. Angela Gordon: Physical Therapy Considerations for Overhead Athletes

Brawn Body Health and Fitness Podcast

Play Episode Listen Later Oct 25, 2023 41:10


In this episode of the Brawn Body Health and Fitness Podcast, Dan is joined by Dr. Angela Gordon to discuss physical therapy considerations for overhead athletes. Angela T. Gordon PT, DSc, MPT, FAAOMPT, COMT, ATC, OCS, FMS has more than 16 years of clinical experience in orthopedic and sports physical therapy. Dr. Gordon was a high school and collegiate athlete  suffering several injuries that lead her pursue a career in physical therapy. She went on to earn her Bachelor's degree from Baldwin Wallace College in 2000 for athletic training, her Masters of Physical Therapy from Andrews University in 2002, and her Doctorate of Science from Andrews University 2012. Dr. Gordon earned her orthopedic manual therapist certification through NAIOMT in 2012. In 2012 Dr. Gordon received her functional dry needling specialist certification and in 2014 became Board Certified Orthopedic Clinical Specialist from the American Physical Therapy Association. In 2017, Dr. Gordon completed her fellowship with NAIOMT and is recognized by the American Academy of Orthopedic Manual Therapists. In April 2013 Dr. Gordon became a published author for an article in the IJSPT: Relationships between core strength, hip external rotator muscle strength, and star excursion balance test performance in female lacrosse players. Dr. Gordon's co authored a book chapter “Physical Therapy considerations Following Regenerative Medicine Interventions” in September 2017 in the textbook Regenerative Treatments in Sports and Orthopedic Medicine. Dr. Gordon has served as the lead physical therapist for the Washington Nationals Baseball in 2005 and from 2010-2015.  She works extensively with numerous professional and semi professional athletes from MLB, NFL, PGA, Canadian Football League, and European basketball players. She also works closely with many high school and collegiate overhead throwers and female athletes. Dr. Gordon is guest faculty with NAIOMT, teaching a specialty course for rehabilitation of overhead athletes and she has been invited to speak at a variety annual sports medicine conferences across the country. Dr. Gordon is the owner and creator of F. A.S.T.™ (Female Athlete Sports Training program) and is physical therapy consultant to George Mason University Athletics. To keep up to date with everything Dan is doing on the podcast, be sure to subscribe and follow @brawnbody on social media! Episode Sponsors: MoboBoard: BRAWNBODY10 saves 10% at checkout! AliRx: DBraunRx = 20% off at checkout! https://alirx.health/ MedBridge: https://www.medbridgeeducation.com/brawn-body-training or Coupon Code "BRAWN" for 40% off your annual subscription! CTM Band: https://ctm.band/collections/ctm-band coupon code "BRAWN10" = 10% off! PurMotion: "brawn" = 10% off!! GOT ROM: https://www.gotrom.com/a/3083/5X9xTi8k Red Light Therapy through Hooga Health: hoogahealth.com coupon code "brawn" = 12% off Ice shaker affiliate link: https://www.iceshaker.com?sca_ref=1520881.zOJLysQzKe Training Mask: "BRAWN" = 20% off at checkout https://www.trainingmask.com?sca_ref=2486863.iestbx9x1n Make sure you SHARE this episode with a friend who could benefit from the information we shared! Check out everything Dan is up to, including blog posts, fitness programs, and more by clicking here: https://linktr.ee/brawnbodytraining Liked this episode? Leave a 5-star review on your favorite podcast platform! --- Send in a voice message: https://podcasters.spotify.com/pod/show/daniel-braun/message Support this podcast: https://podcasters.spotify.com/pod/show/daniel-braun/support

Physician NonClinical Careers
How to Market Your Surgical and Nonsurgical Careers Like a Pro

Physician NonClinical Careers

Play Episode Listen Later Oct 10, 2023 42:32


John invited Dr. David Geier back to the podcast for this week's interview. His first appearance was in August of 2018 in Episode 49. He was an early adopter of using social media and podcasting to help promote his practice and speaking engagements. Dr. Geier is a local media personality with thousands of television appearances. As a podcaster, he has posted over 400 podcast episodes. And he has written a book called That's Gotta Hurt: The Injuries That Changed Sports Forever, which we discussed during his first appearance. David is a triple board-certified orthopedist who has shifted his approach to sports injuries and chronic joint problems over the past few years. During our interview we talked about his experiences with burnout, his YouTube channel, how he uses speaking engagements to promote himself, his new medical practice, and how he uses artificial intelligence (AI) to facilitate content creation. You will find all of the links mentioned in the episode at nonclinicalphysicians.com/how-to-market/                                                            =============== You can support this podcast by making a small monthly or annual donation. To learn more, go to nonclinicalphysicians.com/donate You can now join the most comprehensive Community for all clinicians looking for a nontraditional career at NewScr!pt. Get an updated edition of the FREE GUIDE to 10 Nonclinical Careers at nonclinicalphysicians.com/freeguide. Get a list of 70 nontraditional jobs at nonclinicalphysicians.com/70jobs.

The Dr. Tyna Show
EP 107: Ozempic Done Right Part 2 | Solo Episode

The Dr. Tyna Show

Play Episode Listen Later Sep 27, 2023 46:35


This is part of of my series, “Ozempic Done Right.”  If you have not listened to Part 1, click here to listen first!On Part 2 of my series, join me on a discussion that strips away the prejudice and misunderstanding around GLP1 agonists like Ozempic and highlights novel insights into their roles and mechanisms against age related diseases. We uncover research insights into these peptides' roles against the most common age-related diseases, lending a dynamic perspective that challenges their common vilification.On This Episode We Cover:0:00:42 - Clearing Peptide & GLP1 Misinformation 0:05:01 - Vilification and Remarkable Results With Peptides 0:09:04 - Gut Microbiota's Impact on Metabolism 0:19:12 - Exploring GLP1 Agonists for Various Conditions 0:25:16 - Using Drugs at Low Doses 0:29:30 - Benefits of GLP1's in Reducing Polypharmacy 0:36:50 - Peptides' Potential Benefits for Various Conditions 0:41:37 - Peptides' Impact on Musculoskeletal Conditions Sponsored By:PALEOVALLEYFor 15% off go to http://paleovalley.com/drtynaLMNTGet 8 FREE packs with any order at drinkLMNT.com/drtynaRUPA HEALTHPractitioners: CLICK HERE TO SIGN UP with Rupa or head to Rupahealth.com and let them know Dr. Tyna sent you!Consumers: Head to www.Drtyna.com/labsALITURAwww.alitura.com Use Code DRTYNA for 20% offHead to www.Drtyna.com for the following offers:Grab my FREE GUIDE to Assess Your Metabolic Health.Check out my Metabolic Revamp Toolkit for a deeper dive.Join me inside my Private Membership/Strength Training PortalGrab My Winter Crud Cheat Sheet Now! Click Here!Further Listening:EP 106: Ozempic Done Right Part 1 | Solo Episode EP. 104: Fatty Liver 101 | Solo EpisodeEP. 83: Orthopedic Medicine is a Scam Part 1EP. 84: Orthopedic Medicine is a Scam PT. 2 | Regenerative MedicineEP. 86: Orthopedics is a Scam PT. 3 | Osteoarthritis is Diabetes of the JointEP. 92: Orthopedic Medicine is a Scam PT. 4 | Xrays, MRI's & ImagingDisclaimer: Information provided in this blog/podcast is for informational purposes only. However, this information is NOT intended as a substitute for the advice provided by your physician or other healthcare professional, or any information contained on or in any product. Do not use the information provided in this blog/podcast for diagnosing or treating a health problem or disease, or prescribing medication or other treatment. Always speak with your physician or other healthcare professional before taking any medication or nutritional, herbal or other supplement, or using any treatment for a health problem. If you have or suspect that you have a medical problem, contact your health care provider promptly. Do not disregard professional medical advice or delay in seeking professional advice because of something you have read in this blog/podcast. Information provided in this blog/podcast and the use of any products or services related to this blog/podcast by you does not create a doctor-patient relationship between you and Dr. Tyna Moore. Information and statements regarding dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent ANY disease. Get full access to Dr. Tyna Show Podcast & Censorship-Free Blog at drtyna.substack.com/subscribe

The Dr. Tyna Show
EP. 96: Orthopedic Medicine is a Scam PT. 5 | Pain is Not Always Structural

The Dr. Tyna Show

Play Episode Listen Later Jul 12, 2023 46:22


This is Part 5 of my series "Orthopedic Medicine is a Scam." If you have not listened to episodes 1-4, you can find the links below under "Further Listening." In Part 5, listen in as I share my personal journey with chronic pain and dispel the common misconception that pain is always structural. Discover how various factors, including hormones and thyroid levels, can significantly drive pain and how managing these elements can help alleviate discomfort.On This Episode We Cover:0:01:45 - Orthopedic Medicine and Non-Structural Pain0:02:30 - Hormonal Balance and Autoimmune Conditions0:13:31 - Gut Health0:16:36 - Endocannabinoid System's Impact on Pain Processing0:16:47 - Adverse Childhood Events (ACE)0:27:14 - My Tools for PainSPONSORED BY:LMNTGet 8 FREE packs with any order at drinkLMNT.com/drtynaNutrisense Continuous Glucose Monitors (CGM)Listeners of The Dr. Tyna Show get $30 OFF when they use code DRTYNA at check out and follow THIS LINK: nutrisense.io/drtynaSunlighten SaunasYou can save up to $600 when you purchase through THIS LINK and let them know Dr. Tyna sent you! CLICK HERE TO SAVELinks to other items mentioned can be found at Drtyna.com/favoriteFurther Listening:EP. 82: Movement Overrides Pain | Solo EpisodeEP. 83: Orthopedic Medicine is a Scam Part 1EP. 84: Orthopedic Medicine is a Scam PT. 2 | Regenerative MedicineEP. 86: Orthopedics is a Scam PT. 3 | Osteoarthritis is Diabetes of the JointEP. 92: Orthopedic Medicine is a Scam PT. 4 | Xrays, MRI's & ImagingEP. 94: For the Men: Master Your Testosterone | Solo EpisodeEP. 95: Women Need Testosterone, Too | Solo Episode Get full access to Dr. Tyna Show Podcast & Censorship-Free Blog at drtyna.substack.com/subscribe

The Dr. Tyna Show
EP. 92: Orthopedic Medicine is a Scam PT. 4 | Xrays, MRIs & Imaging Studies

The Dr. Tyna Show

Play Episode Listen Later Jun 7, 2023 34:28


On this episode, I am going to be completing my series on why I think “Orthopedics is a Scam.”  If you have not listened to Parts 1-3, I highly recommend going back and listening to them first (linked below in Further Listening.)  Part 4 Is the quick and dirty on imaging and what you should know before you get your next scan.Sponsored By:KION AMINOSUNLOCK 20% OFF!www.getkion.com/drtynaOn This Episode We Cover:1:34 - Why most doctors use imaging + CTA Medicine2:33 - How to get a great orthopedic diagnosis and who to go to3:12 - How telling is an X-ray?5:02 - Are X-rays safe today?9:45 - What imaging shows soft tissue?10:57 - MRI's + Stage 1 cancers14:01 - Contrast dye for imaging + is it safe?15:20 - When I think you SHOULD get an MRI16:00 - CT Scans and massive doses of radiation18:15 - Cortisone shots + my warning19:26 - My candid opinion on the business of radiology and surgery21:00 - What to expect if you are an active male in your 30's or 40's23:06 - Ultrasound and why I love to use it26:09 - PET Scan27:02 - When to get a second opinion + what questions to ask30:54 - Pain and imaging DO NOT correlateFurther Listening:Orthopedics is a Scam PT. 1Orthopedics is a Scam PT. 2 | Regenerative MedicineOrthopedics is a Scam PT. 3 | Osteoarthritis is Diabetes of the Joint Get full access to Dr. Tyna Show Podcast & Censorship-Free Blog at drtyna.substack.com/subscribe

The Postural Restoration Podcast
Episode 33: Jason Miller, PT, MS, CSCS, PRC

The Postural Restoration Podcast

Play Episode Listen Later Jun 1, 2023 58:01


In this episode of the Postural Restoration Podcast I am joined by Jason Miller, PT, MS, CSCS, PRC. Jason graduated from Ithaca College in 1999 and started his career as a Physical Therapist in NY state working with individuals with developmental disabilities. In 2000, he moved to Missoula, MT and began a 20-year career in the outpatient orthopedic setting. After a decade of work in this setting Jason was first introduced to the science of PRI by a colleague, Kevin Vogelzang. Jason has always been fascinated by biomechanics and in 2011 took his first PRI course which was the catalyst for a paradigm shift in his approach to physical medicine.Jason discusses his early years of integrating PRI into an orthopedic setting while being in on a PRI island. He discusses the difficulties of applying PRI on your own, while appreciating the baby steps along the way. Some of his earliest success was achieved by selecting the appropriate clientele to introduce a new approach to. By starting with the right client, his early integration of repositioning had much better success. We go on to discuss how general PRI treatment looked like for Jason in a large outpatient, post-op setting, and some of the limitations he faced as well as how they affected his desire to treat and integrate areas other than the site of post operative care. In 2016, he joined the largest orthopedic practice in western Montana and later became the therapy department supervisor.  He provided numerous in-services and had many discussions with his fellow therapists and AT's as well as the MD's and PA's we worked with.  He has never forgotten the challenge of understanding and applying PRI from an orthopedic mindset and is passionate about helping smooth the transition for others. In 2017, he received the designation of Postural Restoration Certified (PRC) as a result of advanced training, extraordinary interest and devotion to the science of postural adaptations, asymmetrical patterns, and the influence of polyarticular chains of muscles on the human body as defined by the Postural Restoration Institute ®. Jason opened J Miller Physical Therapy in 2020 and currently practices in Mizzoula. Jason's ongoing history and passion for teaching others was soon recognized by the Institute and in 2021 began training to teach Myokinematic Restoration which he has now instructed several times as he became a Faculty member of the Postural Restoration Institute. Jason is an avid outdoors man, skiing, fishing, hiking and enjoying all that the state of Montana has to offer!

The Dr. Tyna Show
EP. 86: Orthopedic Medicine is a Scam PT. 3 | Solo Episode

The Dr. Tyna Show

Play Episode Listen Later May 1, 2023 36:18


This is Part 3 of my series, "Orthopedic Medicine is a Scam." If you have not listened to Part 1 and Part 2, please pause this and come back after you have checked those out. Today I am focusing on why I believe osteoarthritis (your wear and tear disease of the joints) is actually diabetes of the joints. On This Episode We Cover:2:24 - Commonalities between osteoarthritis and diabetes 26:20 - Stats on type 2 diabetes7:00 - Who is most likely to get osteoarthritis and type 2 diabetes10:40 - Importance of metabolic health14:30 - Why I am into regenerative injections15:15 - Risks of joint replacement surgery17:32 - Cardiovascular disease and melting joints18:18 - What insulin does in the joint21:51 - Why I believe the root cause of osteoarthritis is insulin resistance23:50 - Link between psoriatic arthritis and diabetes27:25 - Hormone therapy and dementiaSponsored by Nutrisense. Listeners of The Dr. Tyna Show get $30 OFF when they use code DRTYNA at check out and follow THIS LINK: nutrisense.io/drtynaFurther Listening:Orthopedic Medicine is a Scam PT. 1Orthopedic Medicine is a Scam PT. 2Crawling Out of Chronic Illness | Solo Episode Get full access to Dr. Tyna Show Podcast & Censorship-Free Blog at drtyna.substack.com/subscribe

The Dr. Tyna Show
EP. 84: Orthopedic Medicine is a Scam PT. 2 | Regenerative Medicine

The Dr. Tyna Show

Play Episode Listen Later Apr 7, 2023 40:28


This is Part 2 of my "Orthopedic Medicine is a Scam" series, the Regenerative Medicine episode. Everything you need to know about stem cells, PRP and more. If you have not heard part 1, you can listen to it here.On This Episode We Cover:2:15 - Recap of the “standard of care”4:04 - The root cause of most orthopedic issues6:04 - Hormone health joint and soft tissue wear and tear6:55 - Imaging recap8:06 - Regenerative Injection Therapy10:47 - What is Prolotherapy?13:40 - What dextrose does inside the joints15:10 - How to find a good Prolotherapist15:57 - What is PRP?19:20 - Stem cells vs. growth factors and why you're probably NOT getting real stem cells20:50 - Exosomes23:44 - Finding the pain generator25:15 - Why cleaning up your lifestyle is important when getting injections28:00 - Risks of injections31:50 - Uses for PRP34:00 - Who is eligible for these injectionsSponsored by Nutrisense. Listeners of The Dr. Tyna Show get $30 OFF when they use code DRTYNA at check out and follow THIS LINK: nutrisense.io/drtynaFurther Listening:EP. 83: Orthopedic Medicine is a Scam Part 1 Get full access to Dr. Tyna Show Podcast & Censorship-Free Blog at drtyna.substack.com/subscribe

The Dr. Tyna Show
EP. 83: Orthopedic Medicine is a Scam | Solo Episode

The Dr. Tyna Show

Play Episode Listen Later Mar 24, 2023 53:05


On this weeks episode, I am going solo to talk about why I think orthopedic medicine is a scam. I spent the entirety of my medical career in musculoskeletal medicine and I've seen behind the curtain on more than one occasion. I've also heard the MANY horror stories from patients. My job was to keep folks out from under the orthopedists knife and I'd like to finally share my thoughts on this busted system. I'm tired of watching human beings be handled in this medieval way and I want to set the story straight.On This Episode We Cover:2:19 - What is synovitis?4:17 - Weight gain and orthopedic issues6:00 - Vegetarians/vegans and joint degradation7:54 - What is standard of care when you get hurt? What's my take on that.13:37 - NSAIDs16:57 - Fractures and ibuprofen17:21 - Tylenol and the liver21:00 - What to look for in a healthcare provider when dealing with an injury23:40 - X-ray vs MRI vs ultrasound28:30 - Cortisone injections33:30 - Are you a surgical candidate?37:00 - What is PARQ?38:38 - What if you're a Medicare patient and you get injured?42:07 - My metabolic revamp44:00 - A discussion on moderation47:40 - What can you do right now?Stay tuned for Parts 2 & 3 on this topic!My Metabolic Revamp Toolkit can be found at drtyna.comJoin me on my NEW exclusive strength training platform where I'll be sharing workouts, teaching proper and safe form with strength training from a rehab based perspective, talking all things metabolic health and hormones, plus much more! You can sign up via my website at www.drtyna.com.Further Listening:Movement Overrides Pain - Solo EpisodeDangers of NSAID's - Solo Episode Get full access to Dr. Tyna Show Podcast & Censorship-Free Blog at drtyna.substack.com/subscribe

Angelo Cataldi And The Morning Team
Orthopedic Medicine Specialist on Jalen Hurts

Angelo Cataldi And The Morning Team

Play Episode Listen Later Jan 19, 2023 4:01


Orthopedic Medicine Specialist Dr. Lyons joins the show to discuss Jalen Hurts' shoulder injury. Presented by NovaCare. 

Angelo Cataldi And The Morning Team
Sports and Orthopedic Medicine Specialist Dr. Andrew Lyons Presented by NovaCare

Angelo Cataldi And The Morning Team

Play Episode Listen Later Jan 19, 2023 6:13


Dr. Andrew Lyons joins the show to talk about Hurts and Lane Johnson injuries.

The Sonography Lounge
EP29. Tendinosis vs. Tendonitis, and Ultrasound Guided Regenerative Medicine treatments - With Dr. Tim Mazzola

The Sonography Lounge

Play Episode Listen Later Oct 1, 2022 49:51


Sonography Lounge Hosts, Lori Green, BA, RDMS, RDCS RVT, and Trisha Reo, RDMS, RVT interview Dr. Timothy Mazzola to discuss Tendinitis versus Tendinosis; Regenerative Medicine, and how diagnostic/interventional ultrasound can play a clinical role. Dr. Mazzola is triple board certified in Family Medicine, Sports Medicine, and Musculoskeletal Ultrasound. He practices as a non-operative Regenerative Orthopedic and Sports Medicine specialist at Breakthrough Regenerative Orthopedics in Boulder, Colorado. He formerly served in the US Air Force as a Team Physician at the US Air Force Academy. A passionate educator, Dr. Mazzola is a Senior Clinical Instructor at the University of Colorado School of Medicine and has taught Advanced MSK US for many years for various courses.  Most recently, he co-authored the chapter “Techniques for Performing Regenerative Procedures for Orthopedic Conditions” in the groundbreaking textbook “Regenerative Treatments in Sports and Orthopedic Medicine.” He has performed diagnostic and interventional MSK US since 2007, Regenerative medicine since 2009 and precision diagnostic and regenerative injections are the cornerstone of his current practice.   Breakthrough Regenerative Orthopedics Dr. Timothy Mazzola https://www.orthopedicscolorado.com/ 350 Broadway St., Suite 202, Boulder, CO 80305 720-463-0567 ____________________________________________   CME and Cross-training resources: Gulfcoast Ultrasound Institute (MSK Ultrasound Education Resources)   Certification Agencies: Sonographer / Physician: American Registry of Diagnostic Medical Sonography (ARDMS): www.ardms.org Physicians: Alliance for Physician Certification & Advancement (APCA): www.APCA.org Point of Care Healthcare Providers: Point of Care Certification Academy (POCUS): www.pocus.org   Find an accredited long term Ultrasound Program: https://www.caahep.org/Students/Find-a-Program.aspx

Family Business Radio
Michael Horwitz, Transworld Business Advisors of Atlanta, Nancy Pridgen, Pridgen Bassett Law, and Dr. Jaeson Courseault, Trif3cta Sports Medicine

Family Business Radio

Play Episode Listen Later Feb 15, 2022


Michael Horwitz, Transworld Business Advisors of Atlanta, Nancy Pridgen, Pridgen Bassett Law, and Dr. Jaeson Courseault, Trif3cta Sports Medicine (Family Business Radio, Episode 29) Financial and physical health is the focus of this episode of Family Business Radio. Michael Horwitz with Transworld Business Advisors of Atlanta discussed the need for clean books and sound preparation […] The post Michael Horwitz, Transworld Business Advisors of Atlanta, Nancy Pridgen, Pridgen Bassett Law, and Dr. Jaeson Courseault, Trif3cta Sports Medicine appeared first on Business RadioX ®.

Fit As A Fiddle
A Year In a Nutshell: Happy Holidays From Dr. Sneha Gazi

Fit As A Fiddle

Play Episode Play 30 sec Highlight Listen Later Dec 30, 2021 7:36


It has been truly an incredible year. Sneha Physical Therapy, our in-home & telehealth PT practice, has cared for more patients in 2021 than any year before. Dr. Sneha Gazi proudly serves NY, NJ, and MD and treats across the age spectrum: 1-week-old babies with developmental delay, elderly individuals with gait and balance issues, and everything in between. Dr. Gazi is known for her specialties within dance medicine, pelvic health, and chronic pain conditions.Fit As A Fiddle is a leading health and wellness podcast with nearly 100 episodes of free content from top experts in various fields. This year alone we have released 47 episodes. Dr. Gazi hosts and produces this weekly show and it is available on all major podcasting platforms. Join our community!PTIS is a 501(c)(3) nonprofit founded by Dr. Gazi. Currently, we have four virtual programs and support any underserved community that has a need for our resources. This year alone we have served a few hundred individuals with health-related programs. All of our programs are conducted free of charge by PTs, students, and movement experts who graciously donate their time. You can show your support for our work by donating any amount that helps us maintain our administrative costs.  Sneha Physical Therapy's website has a plethora of health resources for anyone interested in gaining more knowledge about their bodies. Check out our blog page and our education page for fun articles and videos!As a faculty member of the International Academy of Orthopedic Medicine, Dr. Gazi will be teaching a course on pelvic health to clinicians in 2022. Click to receive 20% off the course registration price with promo code NEXTPELVIC20. I hope you and your loved ones stay safe this holiday season. Lots of great stuff coming up in 2022 as we keep charging forward with our mission to serve in every way we can.To 2022.Dr. Sneha Gazi, PT, DPT

FOCUS on POCUS™
Role of POCUS within Regenerative Medicine

FOCUS on POCUS™

Play Episode Listen Later Nov 19, 2021 21:30


  Mr. Suresh Sudula, MCSP Consultant Physiotherapist in MSK Ultrasound | MSK Medicine Medway Hospital NHS Foundation Trust | Kent Musculoskeletal Clinic | LifePlus Stem Cells | Harley Street Specialist Hospital Mr. Sudula has specialized in Musculoskeletal Medicine for the last 20 years. He has a Diploma in Orthopedic Medicine and Injection Therapy and a Postgraduate Certificate in Musculoskeletal Ultrasound from Canterbury Christ Church University. His specialist interest is advanced ultrasound guided musculoskeletal interventions, including Orthobiologics and ultrasound guided spinal injections. Mr. Sudula is the first physiotherapist from the UK to obtain a visiting fellowship at Thomas Jefferson University Hospital Radiology department. He is also an honorary lecturer at Canterbury Christ Church University, teaching a MS Ultrasound PG Cert program and teaches on national and international MSK US courses and musculoskeletal society conferences. Mr. Sudula worked in collaboration with SonoSkills, as a course director/developer for an online e-learning MSK ultrasound-guided injection masterclass and is Consultant Physiotherapist in Diagnostic and Interventional Musculoskeletal Ultrasound at the Medway Maritime Hospital. Mr. Sudula is a program director for MSK Ultrasound and MSK Medicine and the founder and director of Kent Musculoskeletal Clinic; a private clinic offering highly specialized ultrasound guided injection services. More recently Mr. Sudula has been appointed as a Head of Education at LifePlus Stem Cells, first Stem Cell service in the UK to provide clinicians with quantifiable, quality assured autologous and allogenic stem cells to be prescribed as a medicine for a wide range of medical conditions including orthopedic, manufactured under HTA and MHRA Licenses.

LECOM presents: Heroes in Training
Do What Makes You Happy

LECOM presents: Heroes in Training

Play Episode Listen Later Nov 3, 2021 37:51


Hosts: Nick Debiec and Alex NguyenGuest: Dr. Logan BartschDr. Logan Bartsch is a 2018 LECOM graduate and is currently in his PGY-3 for Emergency Medicine at Cape Fear Valley Medical Center. Dr. Bartsch shares his journey of how he wanted to do Orthopedic Medicine up until his fourth year of medical school, then took a transition year to follow his true passion. This episode is great for those who still are wavering in what they want to do and how to approach it. Dr. Bartsch's story is one of adversity and proves to always do what your heart tells you, no matter how far in the game you are.________Please visit LECOM.edu for to learn more about the educational opportunities available at our institution.

emergency medicine bartsch pgy orthopedic medicine lecom
The Sonography Lounge
EP12. Knee Osteoarthritis and Ultrasound Guided Regenerative Medicine with Dr. Tim Mazzola - The Episode You KNEED to Hear

The Sonography Lounge

Play Episode Listen Later Nov 1, 2021 44:38


Sonography Lounge Hosts, Lori Green, BA, RDMS, RDCS RVT, and Trisha Reo, RDMS, RVT interview Dr. Timothy Mazzola to discuss Knee Osteoarthritis; Regenerative Medicine, and how diagnostic/interventional ultrasound can play a clinical role. Dr. Mazzola is triple board certified in Family Medicine, Sports Medicine, and Musculoskeletal Ultrasound. He practices as a non-operative Regenerative Orthopedic and Sports Medicine specialist at Breakthrough Regenerative Orthopedics in Boulder, Colorado. He formerly served in the US Air Force as a Team Physician at the US Air Force Academy. A passionate educator, Dr. Mazzola is a Senior Clinical Instructor at the University of Colorado School of Medicine and has taught Advanced MSK US for many years for various courses.  Most recently, he co-authored the chapter “Techniques for Performing Regenerative Procedures for Orthopedic Conditions” in the groundbreaking textbook “Regenerative Treatments in Sports and Orthopedic Medicine.” He has performed diagnostic and interventional MSK US since 2007, Regenerative medicine since 2009 and precision diagnostic and regenerative injections are the cornerstone of his current practice.   Breakthrough Regenerative Orthopedics Dr. Timothy Mazzola https://www.orthopedicscolorado.com/ 350 Broadway St., Suite 202, Boulder, CO 80305 720-463-0567 ____________________________________________   CME and Cross-training resources: Gulfcoast Ultrasound Institute (MSK Ultrasound programs): https://www.gcus.com/cme/msk-musculoskeletal-ultrasound-courses-traininghttps://www.gcus.com/cme/emergency-medicine-ultrasound-courses-trainingwww.gcus.com   Certification Agencies: Sonographer / Physician: American Registry of Diagnostic Medical Sonography (ARDMS): www.ardms.org Physicians: Alliance for Physician Certification & Advancement (APCA): www.APCA.org Point of Care Healthcare Providers: Point of Care Certification Academy (POCUS): www.pocus.org   Find an accredited long term Ultrasound Program: https://www.caahep.org/Students/Find-a-Program.aspx

It's Rainmaking Time!®
Regenerative Medicine-Next Generation Healing

It's Rainmaking Time!®

Play Episode Listen Later Oct 13, 2021 65:38


Dr. Craig Chase Regenerative Medicine is a very exciting and fast moving field of Medical research, discovery and applications with some very hopeful and viable options for patients with degenerating conditions. Dr. Craig Chase, a chiropractor, physician's assistant and vascular expert is the founder of The Center for Regenerative Medicine, who joins us to discuss the specifics of Regenerative Medicine in the orthopedic area. With a traditional standard of care in Orthopedic Medicine, healing often involves many complications because the paradigm underlying it has to do with the mechanical approach to fixing structural injuries.  Joint, tissue and cartilage injuries are often complicated and impact other surrounding areas of the body as a whole system.  Very often, surgery makes permanent changes to the body where the injury was and therefore to body mechanics. Stem Cell and Platelet Rich Plasma Treatments are often a way to keep existing structures in the body and to induce their regeneration. This regeneration is also influenced by other factors such as the age of the patient, their diet, and daily habits related to movement, posture or even a lack of activity. While there will always be a need for orthopedic surgeons, there may not always be a need for the traditional standard of care in the orthopedic space. What's being learned about Regeneration is slowly but surely having it's way in those patients who want to be receive care at the frontier of science and healing. Join us as we get inside the often hidden details of import that are involved in stem cell generation, platelet rich plasma and A2M procedures and how they are designed to heal injuries.

living healthy longer
Arthritis from Dogs to People with Dr. Felix Duerr

living healthy longer

Play Episode Listen Later Aug 23, 2021 34:55


Felix Duerr, an associate professor of Orthopedic Medicine and Mobility at CSU's Veterinary Teaching Hospital, is interested in solving musculoskeletal problems to improve quality of life. In this episode, we focus on arthritis and the treatments and therapies that Duerr is researching to benefit both humans and dogs. We discuss why the placebo effect makes it easier to study disorders in dogs and what we can do to prevent, rather than react to, mobility issues.

dogs mobility arthritis csu orthopedic medicine veterinary teaching hospital
The Beats with Kelly Kennedy
(Ep. 64) The Future of Medicine with Dr. Jagdeep Gupta

The Beats with Kelly Kennedy

Play Episode Listen Later Aug 22, 2021 52:17


On this weeks episode of The Beats with Kelly Kennedy, we sit down with the lovely Dr. Jagdeep Gupta from Cloud Care Clinics in Toronto, Canada. Kelly and Dr. Gupta dive into what is truly causing our pain and what we as individuals need to do to ensure our overall wellness. Dr. Gupta believes in holistic healing, taking the whole person into consideration when treating complex pain conditions. Using an integrative approach to treatment allows him to minimize side effects and focus on improving quality of life for each of his patients. He holds a Bachelor of Science in Biology from Simon Fraser University and a Medical Degree from the University of British Columbia. He is trained in Chronic Pain Management through the Wasser Pain Clinic and Toronto Poly Clinic. Dr. Gupta is a proud member of the International Association for the Study of Pain, Canadian Pain Society, Canadian Association of Orthopedic Medicine, British Columbia Medical Association, Ontario Medical Association, College of Family Physicians of Canada, American Academy of Family Physicians, and Canadian Medical Association. Show Notes || 0:00| Introduction 3:08 | How did Kelly and Dr. Jag Gupta meet? 6:36 | Dr. Gupta's Story 10:00 | What should we expect from future doctors 11:55 | What is Platelet Rich Plasma (PRP)? 16:10 | Is plasma really just lymph fluid? 19:20 | Pain persists when there are blockages 22:04 | The importance of being in optimal health yourself before teaching others 23:10| Health is not a destination 25:13 | Kelly's story of pain 28:15 | Kelly's 'Cure' Program 30:50 | How does Dr. Jag bio hack? 33:50 | If you are not doing the basics, therapies are not going to save you 35:30 The emotional component to releasing chronic pain 37:30 | The Benefits of water fasting 39:40| The difference between compulsive actions versus conscious actions 44:20 | We don't have to live in pain it can be resolved 47:00 | Doctors can't cure the foundational aspects of your health 48:30 |What is Dr. Gupta's secret? Resources Mentioned|| The Beats Ep. 63 Heart Healing with Tommy Mahko oghealthinstitute.com cloudcareclinics.ca

The Hand to Shoulder Podcast
004: TFCC...the Meniscus of the Wrist? with Theresa Parry, OTR, CHT, COMT

The Hand to Shoulder Podcast

Play Episode Listen Later Jan 19, 2021 52:09


The Triangular Fibrocartilage Complex (TFCC) can be a complicated and intimidating structure. Theresa Parry OTR, CHT, COMT joins us to break it down with an insightful discussion of the structures, the role, rehabilitation, and orthotic selection when treating someone with TFCC involvement. If you are interested in learning from Theresa she teaches continuing education courses for the International Academy of Orthopedic Medicine and has two courses on medbridgeeducation.com dedicated to this topic: "Understanding and Evaluating Ulnar Wrist Pain" and "Treatment of Ulnar Wrist Sided Pain".

Back Talk Doc
Regenerative Spine & Orthopedic Medicine with Dr. John Lesher

Back Talk Doc

Play Episode Listen Later Nov 13, 2020 52:07


From Kim Kardashian getting a vampire facial to Hines Ward's extraordinary knee recovery in the weeks leading up to the 2009 Super Bowl, regenerative medicine has gained a tremendous amount of interest in both the lay population and the scientific community. This medical-assisted self-healing process has helped athletes including Tiger Woods, Kobe Bryant and other high-profile celebrities not only overcome injuries but increase their recovery times. On this special one-year anniversary episode of Back Talk Doc, Dr. Lakhia welcomes https://www.cnsa.com/providers/john-m-lesher-md-mph (Dr. John Lesher) to discuss regenerative spine and orthopedic medicine, including the use of platelet-rich plasma (PRP) injections and stem-cell therapy. Dr. Lesher is board certified in physical medicine and rehabilitation with subspecialty certifications in sports medicine, electrodiagnostic medicine, and certification in musculoskeletal ultrasound. Dr. Lesher shares his experience and knowledge in regenerative spine and orthopedic medicine from a personal and professional perspective. Given his background in athletics, he also discusses regenerative medicine and its applications in the sports arena. Highlights from the episode:What we mean when we say “regenerative medicine” (8:32) Examples of medical-assisted self-healing (9:47) Stem Cells 101 (14:01) Joint arthritis: the difference between corticosteroid injections vs stem cells or PRP (20:22) Effectiveness of regenerative medicine options: joints and tendons (23:34) The role for regenerative medicine in spine care (32:45) The future of regenerative medicine (43:26)  Dr. John Lesher’s personal health tips (46:19) Dr. John Lesher’s podcast recommendations (48:03) Resources mentioned on this episode:https://read.qxmd.com/read/23140128/prospective-study-of-disc-repair-with-allogeneic-chondrocytes-presented-at-the-2012-joint-spine-section-meeting (Prospective study of disc repair with allogeneic chondrocytes presented at the 2012 Joint Spine Section Meeting) by Coric D, Pettine K, Sumich A, http://valleysportsandspine.com/wp-content/uploads/2015/02/mesoblast.pdf (Mesoblast Study) by Mesoblast the regenerative medicine company  https://www.beckersspine.com/spine/item/34294-cell-based-therapy-for-spinal-disc-regeneration-dr-domagoj-coric-discusses-how-far-it-s-come-how-far-it-has-to-go.html (Cell-based therapy for spinal disc regeneration) by Coric D. https://static1.squarespace.com/static/59d2b1d812abd948b8707a48/t/5c9b9bdde4966b6c30bde84e/1553701858593/ORS+2019+Clinical+Study+Overview.pdf (Clinical Study to Evaluate the Safety and Preliminary Efficacy of IDCT, a Cell Therapy to Treat Moderate, Symptomatic Lumbar Degenerative Disc Disease) by Silverman L, Coric D, Foley K, https://bjsm.bmj.com/ (British Journal of Sports Medicine) https://www.outsideonline.com/podcasts (Outside podcast) https://peterattiamd.com/podcast/ (The Peter Attia Drive Podcast)  https://www.wunc.org/programs/peoples-pharmacy (The People's Pharmacy)   For more information on Dr. Sanjiv Lakhia’s practice, visit https://www.backtalkdoc.com/ (BackTalkDoc.com) If you enjoyed this episode of Back Talk Doc, check out our episode https://www.backtalkdoc.com/introduction-to-spinal-artificial-disc-replacement-surgery-with-dr-dom-coric---back-talk-doc-podcast-episode-19.html (Introduction to Spinal Artificial Disc Replacement Surgery with Dr. Dom Coric). Back Talk Doc is brought to you by Carolina Neurosurgery & Spine Associates, with offices in North and South Carolina. To learn more about Dr. Lakhia and treatment options for back and spine issues, go to backtalkdoc.com. To schedule an appointment with Carolina Neurosurgery & Spine Associates, you can call us at 1-800-344-6716 or visit our website atcarolinaneurosurgery.com.

The Local 724 Podcast
#043 - Dr. Jacob DiCesare - DiCesare Orthopedic Medicine

The Local 724 Podcast

Play Episode Listen Later Sep 22, 2020 7:49


Hey everyone! Hope you're all having a fantastic week. We're back at it on a Tuesday with NEW episode here for you. We have a fun one for you today... Dr. Jacob DiCesare stopped by to tell us about his new practice that he opened in the middle of the pandemic. Very knowledgeable guy and skilled in his craft. Take a listen and connect with him at the links below!   ** As always, please take ONE second to hit that share button... It helps. Thanks for your support!   https://greensburgortho.com/ https://www.facebook.com/greensburgortho   --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app

orthopedics orthopedic medicine
The Road to Medical Sales Podcast
Mitch Doyle: The 2019 US Sports Med Rep of the Year

The Road to Medical Sales Podcast

Play Episode Play 49 sec Highlight Listen Later Sep 16, 2020 20:50


Should always try to understand “why” a surgeon buys something. During this episode we will be talking to Mitch Doyle. Mitch was the 2019 US Sports Med Rep of the year for Smith & Nephew. He started out as an Assistant Athletic Trainer at the University of Arizona. He then became the Director of Athletic training and Assistant professor at Coe College in Cedar Rapids, IA. Shortly after taking a role as a Sports Medicine Instructor at the International Academy of Orthopedic Medicine, he started working at TOSA Medical, a Medical Sales Distributorship representing Orthofix, Exactech, Arthrosurface, etc. Three years later, he moved to Arizona and worked at Arthrex in Orthopedic Surgical Sales for 4+ years. Eventually after his non-compete was up, he transitioned to a role in Orthopedic Surgical Sales at Smith and Nephew in Arizona. He has been there for 5+ years. For those currently in medical sales or right about to break in, this episode will be an incredible listen to start you out on the right foot! We discover the importance of using the "sniper" approach rather then the "shotgun" approach to find your first medical sales job. This also translates to when you are targeting a surgeon in your territory. We also learn about uncovering a surgeon's "why." Throwing brochures with features and benefits at a surgeon is not enough in this arena. ______________This podcast was brought to you by Legacy Now Coaching LLCWebsite: https://www.legacynowcoaching.comBook an appointment here: https://www.legacynowcoaching.com/bookingRoad to Medical Sales Podcast here: https://roadtomedicalsales.buzzsprout.com Legacy Now Coaching Linkedin Page: https://www.linkedin.com/company/legacy-now-coaching/?viewAsMember=true Legacy Now Coaching Instagram: https://www.instagram.com/legacynowcoaching/?hl=en Legacy Now Coaching Facebook: https://www.facebook.com/legacynowcoaching/?view_public_for=102904654693161 _____________This video was also brought to you by Legacy Now Coaching LLC ______________© 2020 Legacy Now Coaching______________Song: The Odyssey AheadArtist: Dream CaveLicense Purchased By: Legacy Now Coaching LLCLicense ID: DL-0oh-yawcarn4qpSupport the show (https://www.buymeacoffee.com/legacynow)

Corsi Nation
Dr Corsi DEEP DIVE Interview 05 - 07 - 20 Dr. Jane Orient Dr Karladine Graves

Corsi Nation

Play Episode Listen Later May 7, 2020 47:06


Dr Corsi interviews Dr. Jane Orient & Dr. Karladine Graves, who agree what Fauci has done to America makes no medical or imperical sense. Dr. Orient is the Managing Editor of the Journal of American Physicians and Surgeons www.jpands.org and a member of Association of American Physicians and Surgeons (AAPS), Arizona Medical Association, Pima County Medical Society, American Association of Orthopedic Medicine, American College of Legal Medicine, Doctors for Disaster Preparedness, International Dose-Response Society. http://drjaneorient.com/credentials.php Dr. Orient and Dr. Graves argue strongly that Fauci and the AMA are wrong about almost everything they are recommending, and most of what they are not recommending, expecially their hostile response to the fact that physicians around the world are using Hydroxychloroquine and Zinc with many patients during this virus outbreak. The conclusion: Saving lives and returning the sick to health does not appear to be the goal of those so strongly opposed to allowing doctors and their patients to use medications and other treatment steps during this time of crisis. Tune in Monday through Friday at 11:00am EDT for another show. Visit our sister website, http://www.theprayerfulpatriot.com dedicated to faith and prayer. https://www.patreon.com/jeromecorsi/ https://www.subscribestar.com/jerome_corsi/

Athlete Factors
Podcast Episode # 33: Dr. Bill Kelley, DPT, ATC, CSCS, and Coming Back from Severe injury

Athlete Factors

Play Episode Listen Later Nov 22, 2019 47:52


In this episode I talk with Dr. Bill Kelley, DPT, ATC, CSCS, about his injury experience and how to come back after a "career-ending" injury. Dr. Kelley is the Director of Physical Therapy and co-owner of Aries Physical Therapy, a premium Orthopedic and Sports physical therapy practice in South Florida. He has worked with world renowned athletes like Stefi Cohen and Noah Olsen, and has published in the International Journal of Sports Physical Therapy as well as publications including Men’s health and The Huffington post. He has also lectured on mechanobiology and mechanotherapy at the AAOM (American Academy of Orthopedic Medicine) national conference.Follow Dr. Kelley on Instagram:@bkelleydptVisit his website at:https://ariesphysicaltherapy.com/

Health Hacker Life
#012: How to Heal Injuries Through the Power of Regenerative Medicine with Dr. Tim Mazzola

Health Hacker Life

Play Episode Listen Later Apr 8, 2019 71:27


Dr. Tim Mazzola is triple board-certified in Family Medicine, Primary Care Sports Medicine and Musculoskeletal Ultrasound. Dr. Mazzola has been performing Regenerative Orthopedic techniques since 2009 and Ultrasound since 2007. In 2009 he joined an amazing Orthopedic group, Cornerstone Orthopedics and Sports Medicine, and was Certified in Musculoskeletal Ultrasound in 2013. After 8 years with Cornerstone he started ROSM (Regenerative Orthopedics and Sports Medicine) in Boulder, CO in February of 2018. He’s co-authored a chapter in multiple Regenerative Orthopedic textbooks, Regenerative Treatments in Sports and Orthopedic Medicine and The Sports Medicine Resource Manual. He has also taught over a thousand physicians various aspects of Ultrasound in Sports Medicine and Orthopedics through the Gulfcoast Ultrasound Institute and the American Medical Society for Sports Medicine.He comes on the show today to discuss how the body heals from injuries and how Regenerative Medicine can help support and accelerate proper healing and performance. This is also a special show, because Dr. Mazzola recently helped me work towards healing an ankle injury from 2018. To learn more about Dr. Mazzola’s Regenerative Orthopedic Sports Medicine practice you can visit his website here: http://www.rosm.org/. Show Notes:  2:14 - Dr. Mazzola’s journey in regenerative orthopedic sports medicine9:16 - ultrasound as diagnostic tool16:30 - how to build your care team after injury24:04 - what creates healing for injuries27:50 - how to qualify levels of sprains32:32 - the difference between treating a simple fracture and an unstable sprain37:28 - suggested approaches using heat and ice for injuries and other health hacks41:20 - stages of healing54:54 - other regenerative options and the basics of PRP Links: PRP injections  Dr. Victor Ibrahim founder of Regenerative Orthopedics & Sports Medicine  ROSM (Regenerative Orthopedics & Sports Medicine) mesenchymal stem cells - MSCs Dr. Arnold Caplan StemCellReference.com   Quotes:21:18 - “We want to be able to be ethical, patient centered, focused on research that is meaningful and based in evidence (and not just hope)… and we all want to be orthopedic experts.”25:19 - “The body has innate intelligence and has amazing ability the heal itself.”42:18 - “When the body doesn’t heal you can almost always look back to a reason why.”

New Books in Folklore
Marsha MacDowell, Clare Luz, and Beth Donaldson, “Quilts and Health” (Indiana UP, 2017)

New Books in Folklore

Play Episode Listen Later Jul 25, 2018 58:21


In Quilts and Health (Indiana University Press, 2017), Marsha MacDowell and her colleagues examine the phenomenon of health-related quilts, of which there are millions around the world. In fact, and as this book documents, almost any illness, disease, or condition is likely to be associated in some way with quiltmaking. Quilts are made to support health education and patient advocacy, to raise funds, to memorialize those passed, to promote personal well-being, and to comfort others in distress. Some quilts even document medical history; for example, Ohio-based quilter Helen Murrell created a piece that serves as a statement of outrage for the unjust treatment of 600 African-American men who, without their knowledge or consent, were subjected to a forty-year medical experiment of the United States government.  During the experiment, 399 men were deliberately infected with syphilis and were allowed to go untreated, even after a cure was developed. Quilts and Health explores the myriad connections that are forged between disease, recovery, and quilt making.  As the authors note, systematic study of quilts and the stories they hold has “great potential to help us understand the human experience for illness and health, advance medical knowledge, and, ultimately, enhance the quality of health, outcomes, and life” (2). McDowell’s co-writers are Clare Luz and Beth Donaldson, both of whom are also based at Michigan State University. Luz is Assistant Professor in the Department of Orthopedic Medicine.  Donaldson is Digital Humanities Project Asset Coordinator at the Museum and Coordinator of the Museum’s Quilt Index. Rachel Hopkin is a UK born, US based folklorist and radio producer and is currently a PhD candidate at the Ohio State University.   Learn more about your ad choices. Visit megaphone.fm/adchoices

New Books in Medicine
Marsha MacDowell, Clare Luz, and Beth Donaldson, “Quilts and Health” (Indiana UP, 2017)

New Books in Medicine

Play Episode Listen Later Jul 25, 2018 58:21


In Quilts and Health (Indiana University Press, 2017), Marsha MacDowell and her colleagues examine the phenomenon of health-related quilts, of which there are millions around the world. In fact, and as this book documents, almost any illness, disease, or condition is likely to be associated in some way with quiltmaking. Quilts are made to support health education and patient advocacy, to raise funds, to memorialize those passed, to promote personal well-being, and to comfort others in distress. Some quilts even document medical history; for example, Ohio-based quilter Helen Murrell created a piece that serves as a statement of outrage for the unjust treatment of 600 African-American men who, without their knowledge or consent, were subjected to a forty-year medical experiment of the United States government.  During the experiment, 399 men were deliberately infected with syphilis and were allowed to go untreated, even after a cure was developed. Quilts and Health explores the myriad connections that are forged between disease, recovery, and quilt making.  As the authors note, systematic study of quilts and the stories they hold has “great potential to help us understand the human experience for illness and health, advance medical knowledge, and, ultimately, enhance the quality of health, outcomes, and life” (2). McDowell's co-writers are Clare Luz and Beth Donaldson, both of whom are also based at Michigan State University. Luz is Assistant Professor in the Department of Orthopedic Medicine.  Donaldson is Digital Humanities Project Asset Coordinator at the Museum and Coordinator of the Museum's Quilt Index. Rachel Hopkin is a UK born, US based folklorist and radio producer and is currently a PhD candidate at the Ohio State University.   Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

New Books Network
Marsha MacDowell, Clare Luz, and Beth Donaldson, “Quilts and Health” (Indiana UP, 2017)

New Books Network

Play Episode Listen Later Jul 25, 2018 58:21


In Quilts and Health (Indiana University Press, 2017), Marsha MacDowell and her colleagues examine the phenomenon of health-related quilts, of which there are millions around the world. In fact, and as this book documents, almost any illness, disease, or condition is likely to be associated in some way with quiltmaking. Quilts are made to support health education and patient advocacy, to raise funds, to memorialize those passed, to promote personal well-being, and to comfort others in distress. Some quilts even document medical history; for example, Ohio-based quilter Helen Murrell created a piece that serves as a statement of outrage for the unjust treatment of 600 African-American men who, without their knowledge or consent, were subjected to a forty-year medical experiment of the United States government.  During the experiment, 399 men were deliberately infected with syphilis and were allowed to go untreated, even after a cure was developed. Quilts and Health explores the myriad connections that are forged between disease, recovery, and quilt making.  As the authors note, systematic study of quilts and the stories they hold has “great potential to help us understand the human experience for illness and health, advance medical knowledge, and, ultimately, enhance the quality of health, outcomes, and life” (2). McDowell’s co-writers are Clare Luz and Beth Donaldson, both of whom are also based at Michigan State University. Luz is Assistant Professor in the Department of Orthopedic Medicine.  Donaldson is Digital Humanities Project Asset Coordinator at the Museum and Coordinator of the Museum’s Quilt Index. Rachel Hopkin is a UK born, US based folklorist and radio producer and is currently a PhD candidate at the Ohio State University.   Learn more about your ad choices. Visit megaphone.fm/adchoices

New Books in Art
Marsha MacDowell, Clare Luz, and Beth Donaldson, “Quilts and Health” (Indiana UP, 2017)

New Books in Art

Play Episode Listen Later Jul 25, 2018 58:21


In Quilts and Health (Indiana University Press, 2017), Marsha MacDowell and her colleagues examine the phenomenon of health-related quilts, of which there are millions around the world. In fact, and as this book documents, almost any illness, disease, or condition is likely to be associated in some way with quiltmaking. Quilts are made to support health education and patient advocacy, to raise funds, to memorialize those passed, to promote personal well-being, and to comfort others in distress. Some quilts even document medical history; for example, Ohio-based quilter Helen Murrell created a piece that serves as a statement of outrage for the unjust treatment of 600 African-American men who, without their knowledge or consent, were subjected to a forty-year medical experiment of the United States government.  During the experiment, 399 men were deliberately infected with syphilis and were allowed to go untreated, even after a cure was developed. Quilts and Health explores the myriad connections that are forged between disease, recovery, and quilt making.  As the authors note, systematic study of quilts and the stories they hold has “great potential to help us understand the human experience for illness and health, advance medical knowledge, and, ultimately, enhance the quality of health, outcomes, and life” (2). McDowell’s co-writers are Clare Luz and Beth Donaldson, both of whom are also based at Michigan State University. Luz is Assistant Professor in the Department of Orthopedic Medicine.  Donaldson is Digital Humanities Project Asset Coordinator at the Museum and Coordinator of the Museum’s Quilt Index. Rachel Hopkin is a UK born, US based folklorist and radio producer and is currently a PhD candidate at the Ohio State University.   Learn more about your ad choices. Visit megaphone.fm/adchoices

New Books in American Studies
Marsha MacDowell, Clare Luz, and Beth Donaldson, “Quilts and Health” (Indiana UP, 2017)

New Books in American Studies

Play Episode Listen Later Jul 25, 2018 58:21


In Quilts and Health (Indiana University Press, 2017), Marsha MacDowell and her colleagues examine the phenomenon of health-related quilts, of which there are millions around the world. In fact, and as this book documents, almost any illness, disease, or condition is likely to be associated in some way with quiltmaking. Quilts are made to support health education and patient advocacy, to raise funds, to memorialize those passed, to promote personal well-being, and to comfort others in distress. Some quilts even document medical history; for example, Ohio-based quilter Helen Murrell created a piece that serves as a statement of outrage for the unjust treatment of 600 African-American men who, without their knowledge or consent, were subjected to a forty-year medical experiment of the United States government.  During the experiment, 399 men were deliberately infected with syphilis and were allowed to go untreated, even after a cure was developed. Quilts and Health explores the myriad connections that are forged between disease, recovery, and quilt making.  As the authors note, systematic study of quilts and the stories they hold has “great potential to help us understand the human experience for illness and health, advance medical knowledge, and, ultimately, enhance the quality of health, outcomes, and life” (2). McDowell’s co-writers are Clare Luz and Beth Donaldson, both of whom are also based at Michigan State University. Luz is Assistant Professor in the Department of Orthopedic Medicine.  Donaldson is Digital Humanities Project Asset Coordinator at the Museum and Coordinator of the Museum’s Quilt Index. Rachel Hopkin is a UK born, US based folklorist and radio producer and is currently a PhD candidate at the Ohio State University.   Learn more about your ad choices. Visit megaphone.fm/adchoices

Specialty Stories
74: A Community Prolotherapist Talks About His Specialty

Specialty Stories

Play Episode Listen Later Jul 18, 2018 42:24


Session 74 Dr. Ross Hauser is residency trained in physiatry and has gone on to train in prolotherapy. He talks about what it is and why it's the future! Ross is very passionate about prolotherapy. If you want to learn more about this, visit his website on Caring Medical. Also, check out all the rest of our episodes on MedEd Media Network, including The Premed Years Podcast, The MCAT Podcast, The OldPreMeds Podcast, Ask Dr. Gray: Premed Q&A, and some more coming in the future! [02:05] Interest in Prolotherapy In the last two months of his residency, Ross had an elective rotation which he did with prolotherapist Dr. Hamwell back in 1992. Then he joined the physician in 1993, so he has been a prolotherapist for over 25 years. Ross describes himself as always liking old people. Thinking he was going to be a geriatrician initially, it was during his chronic pain rotation in his physiatry residency that he discovered his love of the mystery of pain. He was told by the physician he rotated with that most structural chronic pain is from joint instability or ligament laxity. And the curative treatment in a lot of people was prolotherapy. So he wanted to go for the cure instead of pain management. [04:15] What is Prolotherapy? The term prolotherapy was originally coined by Dr. Hackett, in short for proliferative therapy. The treatment is designed to cause the proliferation of cells, which make the extracellular matrix made up of ligaments, tendons, cartilages, or whatever you're trying to regenerate. In the Webster's International New Dictionary, prolotherapy is defined as the rehabilitation of an incompetent structure such as a ligament or tendon by the induced proliferation of cells. So if a person has a tendon or ligament tear, you want to proliferate the fibroblasts, the actual cells in the body that make the ligaments or tendons. You want to proliferate those cells so they can then regenerate the ligaments or tendons. Ross goes on to explain that the body's response to an unstable joint is to try itself to limit motion. One of the ways it does is it causes synovitis resulting in a very low level type of inflammation in the joint. Since medical doctors have been trained to very quickly try to get rid of symptoms, that's why treatments have gone more toward a treatment that dissolves the pain quickly. "Medical doctors have been trained to very quickly try to get rid of symptoms, that's why treatments have gone more toward a treatment that dissolves the pain quickly." However, 97% of tendon tear, for instance, occur in a degenerated tendon. Under a microscope, a degenerated tendon has way less cells than a normal tendon. So there's fewer cells to regenerate for a degenerated tendon. So the best curative type treatment for this is prolotherapy. The problem is that beside physiatry, prolotherapy is now becoming one of the standards of care for pain treatment. But in other fields like family practice, a doctor has to get training after residency. But once you get into practice, you get too busy to even get training. Ross hopes medical schools and residency programs recognize that the cause of osteoarthritis or a degenerative disease is ligament laxity or joint instability. Apparently, they have to shift to this paradigm. Otherwise, they won't be able to emphasize prolotherapy. [08:22] PRP vs. Prolotherapy PRP stands for Platelet Rich Plasma. Ross explains the inflammatory cascade where when tissue injures and there's bleeding, platelets rush to the area and change their shape to stop the bleeding. When they do this, they release growth factors. To simulate the way the body heal for a degenerated joint, they take the blood out and centrifuge the blood. They get the plasma out and then you're left with just the platelets, which are then injected into the injured area like the shoulder or lower back. "Platelet rich plasma is one of the more natural solutions we use in prolotherapy to proliferate cells." [09:33] Traits that Lead to Becoming a Good Prolotherapist Ross explains that until that paradigm changes, until we stop trying to resolve symptoms and we start trying to treat the actual structural cause of the pain, which is joint instability, in medicine, we're going to be led astray. We're still going to use pharmaceuticals. "There's no pain that the underlying cause is a drug deficiency. We want to be healers in the truest sense and cure problems instead of covering up the symptoms." If you want to become a good prolotherapist, you've got to commit to it. He says that if you only do a bit of this and that, you're never going to be an expert. If you get the skill set to document the instability and treat it with prolotherapy, then the next visit, you look at the tissue. So if you find something to be true, commit to it. Treat your patients that way and document your results. That means if somebody doesn't come back, you have to call them. So you have to follow up and have to commit. [14:15] Types of Patients and Typical Day The average person they see is a middle age to older age that had a degenerated tendon that the tendon just tore. The more degenerated tendon means there's less and less cells to regenerate. A degenerated tendon is a lot weaker than a normal tendon. So it gets weaker and weaker until it tears. With prolotherapy, they use ultrasound guidance to put the PRP into where the tendon tear is. They're also doing comprehensive prolotherapy into the ligament support of the shoulder. So they're resolving the joint instability and also helping the tear repair. The've also done pubis ligament. Ross explains the more children a woman has, the looser the pubis. And a lot of people think this is a hip or back problem but it's really a loose pubis. What they do is have them put on compression shorts to keep it tight and then they do prolotherapy to tighten the ligament support. Most people also don't realize there's a disc in the pubis. Ross describes this as a strange joint, since you don't typically talk about it in medical school. "100% of them think they know the problem the doctor gave them. But 75% of the time, they're wrong." Ross points out that with ultrasound technology, it can locate all the nerves of the body. It's very easy by history to tell when it's a compressed nerve and what's a joint problem. But with our technology now, they can already tell whether the nerve is swollen or not and measure it. Ultrasound scanners now are so detailed. He can even now see the vagus nerve in the carotid sheath. It's unbelievable what a doctor in their own office can see. Ross would work half a day with patients, like 5 solid hours seeing patients. He would see patients at 8 am. His staff gets the patients going although they review the patients the night before. Some are new, others are follow ups. They try to figure out whether a patient needs a motion scan. In that case, they'd have to numb the musculature in the back of the neck so the muscles can't limit the joint motion. Then they'll do a fluoroscopic evaluation of them moving their neck to see where the instability is. So the first thirty minutes, he'd do emails and by 8:30, he'd begin seeing the patients after the staff had gotten them ready. Then he will start treating people. Whoever gets scanned, his assistant does ultrasound exams. He'll also go over some of the scans with the patients. On average, he'd see 10 patients in a five-hour stretch. The rest of the day, as the editor in chief of the Journal in Prolotherapy, he'd review studies and does his research and writing in the afternoon. He'd have some clinical trials going on with regard to surgical instability and some research projects. He's currently in the middle of a thousand-paged joint instability book as well. Eventually, he hopes this will be the gold standard. [21:46] Taking Calls In private practice where you do procedures on people, Ross believes you should be available after hours for them. In his practice, there are two prolotherapists and another two in their office in Chicago. So there's a total of four prolotherapists and they do calls one month at a time. They're available 24/7. But you could get one call a week, not a lot. And since they do a good job in educating patients what to expect, they get less and less calls. "In private practice, if you do procedures on people, you should be available after hours for them." [23:05] The Training Path Ross thinks some of the best training is in the University of Wisconsin. The Hackett Hemwall Patterson Foundation, named after Dr. Hackett, who was at the University of Medicine for many years. They have a training in October. Ross recommends going to this. Once you go to that four-day training, they have trips all over the globe so they normally have experienced prolotherapist and you get to go to Peru, Latin America, etc. There might be 100 people with 30-40 doctors getting trained and there are charity clinics there. So you have experience prolotherapists working side by side with doctors wanting to learn prolotherapy. "I think mentorship or hands on training is the best training... a cadaver is so much different than a live person." If this is something you're interested in, Ross recommends getting a mentor that's in your area or go to a place overseas and do some mission work. Through the foundation, Ross went to Honduras where he did 150 cases of prolotherapy, which means he did thousands of injections. After two weeks of intensive training and all those patients, he really got to hone his skills. There are also other organizations you can get involved in. Ross is the member of the American Academy of Orthopedic Medicine. They have training there. There's also the Osteopathic Prolotherapy Association. So go to several of these. You  may have to go through some courses. You'd also have to learn ultrasound courses and go through training in Central America or Mexico. You'd want to be training with an experienced prolotherapist by your side. Ross also mentions the neuromuscular residency in osteopathy and in this you'd have to do a bunch of prolotherapy training. If you're going to be a family physician or a physiatrist, Ross recommends you spend your elective time with the prolotherapist like what he did for two months. [27:30] Working with Primary Care and Other Specialties Ross says it's really about primary care physicians understanding the degenerative cascade and that the model of just relieving information that doesn't cure people of pain has to change. As a family physician, you have the obligation to the patient to really understand why a person has an autoimmune disease or why they have chronic pain. He explains that osteoarthritis is a whole organ disease. You've got to address all the causes. "You have to have the skillset of being able to evaluate the whole structure and correct what needs to be corrected and try to cure the person of the problem instead of managing it." Ross stresses that pain management is not working. If you're able to address the cause of the problem instead of the symptoms, you're going to really alter the course of people's lives. Prolotherapists work closely with chiropractors who understand that if they adjust a spine and they can't hold the adjustment, it means there's ligament laxity. To him, the specialty that thinks most like the prolotherapists are chiropractors. In regard to traditional, they'd work with other physiatrists. [33:00] The Analogy of the Door Hinge Ross uses the analogy of prolotherapy to the door hinge. If one of the screws is loose on a door hinge and there's a another screw and you don't take a screw driver and tighten that screw, the other screw is going to loosen too. Once the hinge is loosened, the next hinge is going to get loosened too. That's why somebody has knee pain and eventually they have ankle pain and then hip pain or neck pain progressing up and down the spine. "Joint instability is a progressive disorder. So you can't not do something about it. You have to correct it and the treatment to correct it is prolotherapy." [33:48] What He Wished He Knew and the Most & Least Liked Going into prolotherapy, what he wished he knew is how much people are struggling in their daily lives. He encourages young people going to medicine that you've got to learn about what's going on with your patients. There are so many broken homes. People are struggling as human beings. We are supposed to be in health care. As physicians, we have got to know about care. And what care is you have got to ask your patients about what's going on. And one of the best questions he asks his patients is, what have you been thinking about lately? "People are struggling as human beings. We are supposed to be in health care. As physicians, we have got to know about care. And what care is, is you have got to ask your patients about what's going on." So he wished early on he would have really gotten to know his patients better and he finds this to be so rewarding. What he likes the most about being a prolotherapist is the Christmas card he gets that somebody has been pain-free for ten years. His office is just inundated with gifts and letters from people appreciating them. What he likes the least is the business side of it. The average number of visits to a prolotherapist is 4 so you'd have to explain it to people. They get one visit and they're not better and then a lot of stress comes with that. If you don't help them in just one visit then they just don't return. Hence, the reason it's important to talk to them about what's going on in their lives. When you're in the chronic disease business, things aren't going to get better typically with one visit. The hardest part is when people spend money since prolotherapy is not covered under medicare so people have to spend their own money. So sometimes, they don't come the second time. [38:30] Reception in the Insurance World Ross sees the trend that there's going to be more self-insured companies. And what they're going to cover is stuff like this because it's so much less expensive. It's all 1/10 of the cost when it's all been said and done. Hopefully, Medicare will also review this eventually. So private insurance they cover prolotherapy but for government insurance, it's a non covered procedure. "More and more companies are going to go to this so it's definitely the future. And eventually Medicare will wake up and they'll really review prolotherapy openly." [40:30] Last Words of Wisdom Ultimately if he had to do it all over again, he'd still be a prolotherapist and he's still continually learning stuff which he really loves. He goes on that chronic pain and osteoarthritis are the most disabling of lost years working. So he encourages students to research, is joint instability the cause of that? And if it is, you have got to resolve the joint instability to cure chronic pain. And if you do give it a try in your future practice that you will see that everything he said on this podcast is absolutely correct. Links: MedEd Media Network The Premed Years Podcast The MCAT Podcast The OldPreMeds Podcast Ask Dr. Gray: Premed Q&A Caring Medical American Academy of Orthopedic Medicine Osteopathic Prolotherapy Association