Posts filtered by tags: Orthopedics[x]


The history and physical often falls by the wayside in modern medicine. That’s a shame.

Did you feel a pop? It is a simple question that we rattle off to complete our musculoskeletal history. The answer may or may not give higher suspicion for a diagnosis of tear over sprains. But have you — the provider — ever felt a pop? Like any good physiatrist, I try to fill my […] Find jobs at Careers by Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Orthopedics, Conditions, PA NP, CRNA

Twitch, Fortnite, and the emergence of eSports medicine

Here is a simple question: In terms of social media engagements, who is the most popular athlete in the world? Super Bowl sensation and apparent immortal Tom Brady? Nope. Philanthropist Lebron James? Not even close. International superstar Cristiano Ronaldo? It used to be. Tyler Blevins. For those of you now drawing a blank, unable to […] Find jobs at Careers by Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Instagram, Cristiano Ronaldo, Tom Brady, Lebron James, Primary Care, Orthopedics, Physician, PA NP, CRNA, Tyler Blevins

How to cut avocados: tips from an orthopedic surgeon

Love avocados, but hate cutting them. They are slippery little rascals and are responsible for many nasty hand injuries. Stab wounds from using knives in the kitchen are not fun but are reported daily. Accidental self-inflicted knife injuries to digits are a common cause of tendon and nerve injury requiring hand surgery. Many of us […] Find jobs at Careers by Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Orthopedics, Conditions, PA NP, CRNA

Is it orthopaedic surgery or orthopedic surgery?

In 1741, a French physician named Nicolas Andre coined a new word, Orthopédie, and published a book on the topic. Andry described how physicians and families could correct or prevent skeletal abnormalities in children. At that time, the treatment methods were entirely non-operative because the development of general anesthesia and the concept of non-emergency surgery […] Find jobs at Careers by Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Surgery, Orthopedics, Conditions, PA NP, Andry, CRNA, Nicolas Andre

An orthopedic surgeon’s bone broth journey

Many cooks traditionally use broth derived from simmered bones of fish, fowl, or four-footed critters to flavor soups and sauces. Recently, bone-broth bars have popped up around the country and serve a non-caffeinated, nutritious alternative to tea or coffee. In some of these health-conscious establishments, the owners claim that these drinks also have filling, cleansing, […] Find jobs at Careers by Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Orthopedics, Physician, PA NP, CRNA

A tipping point for women physicians at the podium

It has been suggested that once leadership of an organization is made up of 30 percent women, integration and increased success are enjoyed. As an orthopaedic surgeon, the feeling of being surrounded by so many women is not something that I have experienced. But last week I felt something close. The International Pediatric Orthopaedic Symposium […] Find jobs at Careers by Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Orthopedics, Physician, PA NP, CRNA

Piriformis muscle syndrome remains controversial and diagnosis is difficult

Piriformis syndrome is a controversial entrapment neuropathyWhat is  piriformis muscle?The piriformis muscle is a small but important external rotator of the hip that crosses the sciatic nerve and is believed by some to cause sciatica-type pain when it compresses the nerve. However, the existence of this so-called "piriformis syndrome" remains controversial and diagnosis is difficult.Controversy is due to the limited research about the condition and the difficulty of making the diagnosis, partic...
Tags: Health, Facebook, Youtube, Sports, Orthopedics, Ves Dimov

The challenge of no to arthroscopic surgery

Nearly half of Canadians aged 65 and over experience osteoarthritis in their knees. Osteoarthritis is the most common form of arthritis and occurs when the protective cartilage on the ends of bones wears down over time leading to pain, stiffness and decreased mobility.  It frequently occurs in the hips and knees — and can be quite […] Find jobs at Careers by Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Surgery, Orthopedics, Conditions, PA NP, CRNA

Physician Speaking by KevinMD: Dr. David Geier

Physician Speaking by KevinMD is a boutique speakers bureau founded by Kevin Pho, MD. Today’s spotlight physician speaker is Dr. David Geier. David Geier, MD is a double-board certified orthopedic surgeon and sports medicine specialist in Charleston, South Carolina. After serving as director of sports medicine at the Medical University of South Carolina, he is […] Find jobs at Careers by Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Medical University of South Carolina, Charleston South Carolina, Orthopedics, Kevin Pho, PA NP, CRNA, KevinMD, David Geier, David Geier David Geier

What this physician learned after coming back from a medical crisis

Medical crises come in many forms: from illnesses to sudden injuries. Most often the victims are unsuspecting. They may be gradual in onset or happen in seconds. There are many causes, from faulty drivers to electrolyte disturbances. Mine was caused by a squirrel, a routine yard rodent. In less than three seconds, I went from […] Find jobs at Careers by Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Endocrinology, Orthopedics, Physician, PA NP, CRNA

The increasingly obfuscated medical algorithms for simple problems

A physical therapist, commenting on my blog, recently shared an excellent point of view with me: As a therapist myself, I don’t know that I’d want to be betting on that differential diagnosis of tear, rupture, etc. when giving online advice. What is good treatment for one, can be disastrous for the other. Seeing someone […] Find jobs at Careers by Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Orthopedics, Conditions, PA NP, CRNA

Not so fast with joint MRIs

You wake up one morning, and your shoulder hurts. You’re not sure why, and blame it on your sleeping position. Perhaps you bend down to pick something up, and when you stand up your knee hurts. These are very common stories heard from patients in an orthopedic surgeon’s office. The onset of joint pain without significant trauma is very common over the age of 40. Perhaps you wait a week, or worse, you run off to your primary care doctor immediately. Surely, pain means that something is wro...
Tags: Health, Orthopedics, Conditions

ACL injuries in middle-age athletes

Over the last 20 years, physical fitness as a means to improve overall health has increased among the over-40 set. This is great, right? Yes, absolutely. Athletes who remain active as they age do a better job than non-athletes in retaining lean muscle mass. They also show improved bone density, bone structure and bone strength. However, what physicians are seeing are injuries related to the increased level of activity. One area of interest is anterior cruciate ligament injury in the over-40 age ...
Tags: Health, Orthopedics, Conditions

This physician stuck himself with a needle. Intentionally.

I stuck myself with a hypodermic needle the other day. Intentionally. The first time in over 25 years of doctoring. More surprising, a six-year-old patient told me to do it, so I had to. The boy, who I’ll call Tyler, came to the office with his father and had a large ganglion cyst on the back of his wrist — bigger than a jellybean. I told Tyler and his father all about ganglions and their treatment and my advice to drain it with a needle. Tyler didn’t say anything when I mentioned “needle,” but ...
Tags: Health, Tyler, Orthopedics, Physician

An orthopedic surgeon’s take on the e-scooter craze

A number of major cities have seen shared e-scooters, or electrical scooters, take over their streets. It’s certainly popular with the riders, but it is creating waves with a lot of critics as well. In Portland, Oregon, there are four companies trialing the scooters over a several-month period.  Driving around my city, I find that we are being inundated with scooters being used on the sidewalk, on the streets, in bike lanes. Some of the 75 plus cities that have tried to adopt this new concept of...
Tags: Health, Portland, Portland Oregon, Emergency Medicine, Orthopedics, Conditions

Do your children know what you do?

The wizards have determined that an important monitor for the eventual success of your children is … drum roll please … whether or not the family eats dinner together. How prosaic. At first glance, this seems counterintuitive. What about private school, tutoring, soccer camp, circumnavigating the earth solo? Those activities all pale against the family values that are shared, whether you know it or not, at the dinner table. “How was your day?” “Not so good.” “Why?” “Problem patient, wasn’t sure ...
Tags: Health, Orthopedics, Physician

How many bones in the human body? It’s not what you think.

If somebody asks you how many bones there are in a human body, please do not blurt out, “206.” The correct answer is nuanced. To respond accurately to the query, you have to address five questions. Who? What? When? Where? Why? Consider first that humans vary from one another in facial features, hair color, height, and shoe size. Unknown to nearly everybody except anatomists, surgeons, and radiologists, variety continues beneath the skin. Nerves, tendons, arteries all have their unique features,...
Tags: Health, Roy, Sparks, Orthopedics, Conditions

The human hand: not really that good for anything

Long ago primitive sharks had ridges running down their sides from gill to tail. Later, muscles grew into the folds, and eventually, the central portion of each ridge receded while the ends enlarged to form fins both fore and aft. All was well. Then one day several hundred million years ago, a fish was swimming blissfully in a shallow pool. The tide went out and much to the fish’s surprise, she could use her five-rayed fins to move around a bit on the rocky bottom. The tide came in and she swam...
Tags: Health, Orthopedics, Conditions

Who named our bones? And what were they thinking?

All of our 200+ bones have names, which facilitates describing them when we cannot actually hold them or point directly at them. It might be easier to remember the names if they were familiar ones like Robert, Sally, and Kevin, but no such luck. Latin was the original language of science, so the bones received Latin names. Some of those were derived from Greek. All were purely descriptive and widely understood, providing that you spoke Latin. For example, the shoulder blade is mostly flat and t...
Tags: Health, Kevin, Orthopedics, Conditions, Robert Sally

Where has the loyalty in medicine gone?

There are 168 hours in a week and 8,736 hours in a year. There are 10,080 minutes in a week, and 524,160 minutes in a year. Residents and fellows working in an academic environment often work close to, if not in large part, more than 80 hours a week, or 4,160 hours a year. They work 4,800 minutes a week, and a staggering 249,600 minutes a year. In medicine, it’s simple, be perfect all 4,800 minutes a week and all 249,600 minutes a year. Decisions made in 30 seconds, arguments that last two minut...
Tags: Health, Department, Orthopedics, Physician, Residency, Hospital-Based Medicine

How to match into a fellowship

Residency training is an opportunity to get a good feeling of the specialty that interested you when thinking about what to pursue in the future. You may think that after applying for premed college, medical school and residency, applying for fellowship would be a piece of cake for you. Let me tell you: applying for fellowship is probably the hardest one among all other applications you went through so far. We are talking about applying for a specialty that you’re going to practice for rest of y...
Tags: Health, Education, Orthopedics

This doctor stopped prescribing opioids. Other physicians should do the same.

Have you ever had a prescription altered? I have, several times — all opioids. Despite making copies of every prescription to prove what I actually wrote for, dealing with everything from patients who threatened to sue me for false accusations to time spent with the DEA was a real pain. The good news is that during the pre “pain as fifth vital sign” era at least — since my prescribing habits were nominal — the process was handleable. I attribute this to the fact the prescribing decisions were en...
Tags: Health, DEA, Pain Management, Orthopedics, Meds

MKSAP: 28-year-old man with right knee pain

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 28-year-old man is evaluated for right knee pain that began 2 days ago. He was playing football when he stopped suddenly and pivoted to make a catch. He heard a popping sound and immediately developed severe pain in his right knee. Within 30 minutes, the knee became swollen. Since the injury, he has been able to bear weight, but he has discomfort with ambulation and reports feeling th...
Tags: Health, American College of Physicians, Primary Care, Orthopedics, Conditions, Lachman

A clear case of suspected child abuse turns out to be something else

The emergency room staff was immediately suspicious. His father said that Peter, just over six months old, was pulling himself up to a standing position by grasping his pant leg. Peter fell back, screaming. The extreme distress, entirely unusual for Peter, continued until some Tylenol helped him fall asleep. The next morning Peter was screaming again, and his mother took him to the emergency room. X-rays showed a fractured leg. The parents were accused of child abuse, and Child Protection Servic...
Tags: Health, Cps, Peter, Orthopedics, Physician, Child Protection Services CPS

BU study: Insurance status affects in-hospital complication rates after total knee arthroplasty

In-hospital complications following total knee arthroplasty (TKA) are higher among Medicare and Medicaid patients compared to those with private insurance. The study, which appears in the journal Orthopedics, is believed to the largest and most comprehensive assessment of medical and surgical com¬plications after TKA and of specifically how patients' insurance status affects overall complication rates.
Tags: Science, Medicare, Medicaid, Orthopedics

Learn about Salter-Harris fractures with a Medcomic

Pediatric physeal fractures have traditionally been described by the five-part Salter-Harris classification system. Type I fractures occur through the growth plate. These injuries may present with normal radiographs, and the diagnosis is often made clinically when tenderness is palpated over the growth plate. Type II fractures occur through the growth plate and metaphysis. Type II injuries are the most common physeal fractures. Type III fractures occur through the growth plate and epiphysis. Ty...
Tags: Health, Pediatrics, Orthopedics, Conditions, Jorge Muniz, Salter Harris

The large mouth of largemouth bass is of interest to scientists trying to understand how joints work

Inside the bass’s mouth is a system of linked muscle and bone that resembles the mechanism of an oil rig. NYTimes:Read more here: Posted at Clinical Cases and Images. Stay updated and subscribe, follow us on Twitter and connect on Facebook. [Author: [email protected] (Ves Dimov)]
Tags: Health, Facebook, Anatomy, Nytimes, Orthopedics, Ves Dimov, Rheumatology

MKSAP: 48-year-old man with knee pain and swelling

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 48-year-old man is evaluated for a 2-day history of right anterior knee pain and swelling. The pain began suddenly and has increased in intensity. He currently rates his pain as an 8 on a 10-point scale. He has no knee instability and reports no fever or chills. He has no history of trauma and has never had this problem before. Other than his right knee pain and swelling, he feels wel...
Tags: Health, American College of Physicians, Orthopedics, Conditions, Lachman, Rheumatology

Is assembly line surgery better for the patient?

A friend of mine recently underwent a total knee replacement. Although he did well and was pain-free, he did say that he felt he was on an assembly line. I asked him what he meant. As he was talking, I flashed back 30 years, back to a time when by today’s standards I would be considered a “good old country orthopedist.” Thirty years ago, I moved to a small community to join a small two-man orthopedic group. I did total knee replacements (TKR) and was quite proud of the results. I also handled ev...
Tags: Health, Surgery, TKR, Orthopedics, Physician, Public Health & Policy