Orthopedics: Recent Episodes
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Host: Kevin C.J. Yuen, MD
Guest: Eliza B. Geer, MD
Elevate your clinical expertise in acromegaly by delving into the latest advances in diagnosis, treatment modalities, and patient-centered care to foster a deeper understanding of optimal management strategies. Join us to enhance your skills and contribute to improved outcomes for patients with acromegaly.
Host: Eliza B. Geer, MD
Elevate your clinical expertise in acromegaly by delving into the latest advances in diagnosis, treatment modalities, and patient-centered care to foster a deeper understanding of optimal management strategies. Join us to enhance your skills and contribute to improved outcomes for patients with acromegaly.
Host: Susan L Samson, MD, PhD, FRCPC, FACE
Elevate your clinical expertise in acromegaly by delving into the latest advances in diagnosis, treatment modalities, and patient-centered care to foster a deeper understanding of optimal management strategies. Join us to enhance your skills and contribute to improved outcomes for patients with acromegaly.
Host: Eliza B. Geer, MD
Guest: Susan L Samson, MD, PhD, FRCPC, FACE
Guest: Kevin C.J. Yuen, MD
Elevate your clinical expertise in acromegaly by delving into the latest advances in diagnosis, treatment modalities, and patient-centered care to foster a deeper understanding of optimal management strategies. Join us to enhance your skills and contribute to improved outcomes for patients with acromegaly.
Host: Susan L Samson, MD, PhD, FRCPC, FACE
Guest: Eliza B. Geer, MD
Guest: Kevin C.J. Yuen, MD
Elevate your clinical expertise in acromegaly by delving into the latest advances in diagnosis, treatment modalities, and patient-centered care to foster a deeper understanding of optimal management strategies. Join us to enhance your skills and contribute to improved outcomes for patients with acromegaly.
Host: Susan L Samson, MD, PhD, FRCPC, FACE
Guest: Kevin C.J. Yuen, MD
Elevate your clinical expertise in acromegaly by delving into the latest advances in diagnosis, treatment modalities, and patient-centered care to foster a deeper understanding of optimal management strategies. Join us to enhance your skills and contribute to improved outcomes for patients with acromegaly.
Host: Eliza B. Geer, MD
Guest: Kevin C.J. Yuen, MD
Elevate your clinical expertise in acromegaly by delving into the latest advances in diagnosis, treatment modalities, and patient-centered care to foster a deeper understanding of optimal management strategies. Join us to enhance your skills and contribute to improved outcomes for patients with acromegaly.
Host: Kevin C.J. Yuen, MD
Guest: Susan L Samson, MD, PhD, FRCPC, FACE
Elevate your clinical expertise in acromegaly by delving into the latest advances in diagnosis, treatment modalities, and patient-centered care to foster a deeper understanding of optimal management strategies. Join us to enhance your skills and contribute to improved outcomes for patients with acromegaly.
Host: Andrea Singer, MD, FACP, CCD
Guest: Susan V. Bukata, MD, FAOA, FAAOS
Life-altering secondary fractures are a harsh reality, but Medicare studies show, and orthopedic surgeons agree, that knowledge has not translated into prevention. Why is there clinical inertia in providing preventative interventions related to secondary fragility fractures? Join Drs. Andrea Singer and Susan Bukata as they provide a cogent medical approach to preventing these fractures and a roadmap for when and how to use available therapies based on their mechanisms of action.
Host: Andrea Singer, MD, FACP, CCD
Guest: Susan V. Bukata, MD, FAOA, FAAOS
Life-altering secondary fractures are a harsh reality, but Medicare studies show, and orthopedic surgeons agree, that knowledge has not translated into prevention. Why is there clinical inertia in providing preventative interventions related to secondary fragility fractures? Join Drs. Andrea Singer and Susan Bukata as they provide a cogent medical approach to preventing these fractures and a roadmap for when and how to use available therapies based on their mechanisms of action.
Host: Andrea Singer, MD, FACP, CCD
Guest: Paul A. Anderson, MD
Guest: Susan V. Bukata, MD, FAOA, FAAOS
Since the recording of this CME activity, the following updates have been published:
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NAMS Position Statement on the Management of Osteoporosis in Postmenopausal Women
- Menopause. 2021;28(9):973-997.
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Consensus Statement from the Bone Health and Osteoporosis Foundation, formerly known as the National Osteoporosis Foundation
- The Clinician’s Guide to Prevention and Treatment of Osteoporosis. Osteoporosis Int. 2022;33(10):2049-2102.
While there’s growing awareness among orthopedic surgeons that osteoporosis is the underlying cause of fractures, there is often a disconnect between this recognition and action in the form of treatment to prevent subsequent fractures. In this discussion, Drs. Andrea Singer, Paul Anderson, and Susan Bukata address the pathophysiology of osteoporosis and the need to identify patients at risk for additional fractures. Osteoporosis treatment (including pharmacotherapy) can play a critical role in preventing future fractures, but physicians must first recognize that fracture is a sentinel event and treat it as a call to action.
Host: Charles Turck, PharmD, BCPS, BCCCP
Guest: Nick Kusnezov, MD
Can you balance locum tenens with a full-time career? To answer that question, Dr. Charles Turck is joined by board-certified orthopedic surgeon, Dr. Nicholas Kusnezov, to walk us through his journey from joining the military to locum tenens.
Host: Jennifer Caudle, DO
Guest: Roni Devlin, MD
As rates of burnout continue to rise in the healthcare community, how can help our female physicians combat it? Dr. Jennifer Caudle joins Infectious Disease Specialist, Dr. Roni Devlin, to discuss how we can prevent burnout for female physicians.
Host: Paul P. Doghramji, MD, FAAFP
Guest: Samantha Conroy, MD
Locum tenens can improve quality of care around the globe—especially in remote and underserved communities. To share how, Dr. Paul Doghramji joins Dr. Samantha Conroy, a family practice obstetrician to share her experiences working as a locum tenens obstetrician in underserved communities.
Host: Charles Turck, PharmD, BCPS, BCCCP
Guest: Trevor Cabrera, MD
What’s it like becoming a locum tenens physician right out of residency? Dr. Charles Turck joins Dr. Trevor Cabrera, a Board-Certified pediatrician who trained in Houston, Texas, to share his firsthand experience and offer advice for residents.
Host: Jennifer Caudle, DO
Guest: Maurice G. Sholas, MD, PhD
After years of serving the New Orleans community, one physician decided to pursue locum tenens work. Dr. Jennifer Caudle joins Dr. Maurice Sholas, a pediatric physical rehabilitation physician, to share his experiences with locum tenens and in New Orleans.
Host: Charles Turck, PharmD, BCPS, BCCCP
Guest: Trevor Cabrera, MD
What’s it like becoming a locum tenens physician right out of residency? Dr. Charles Turck joins Dr. Trevor Cabrera, a Board-Certified pediatrician who trained in Houston, Texas, to share his firsthand experience and offer advice for residents.
Host: John J. Russell, MD
Guest: Joseph E. Bavaria, MD
Featuring a wide range of disciplines and a new approach to comprehensive care, what do we need to know about the Aorta Center at Penn Medicine? Dr. John Russell is joined by Dr. Joseph E. Bavaria to dive into this aortic program and discuss a new approach to comprehensive care.
Host: Miguel A. Escobar, MD
Guest: Cindy Leissinger, MD
Guest: Guy Young, MD
Hemophilia A is an X-linked genetic disorder characterized by a deficiency in normal factor VIII resulting in an increased risk of bleeding. Repeated bleeds, notably in the joints, lead to chronic pain and loss of function. Joint damage can be prevented, at least in part, with prophylactic factor VIII replacement. Although factor VIII can be replaced, its intravenous administration is burdensome, which may impair adherence. Furthermore, about 30% of patients treated with factor VIII will develop inhibitors—neutralizing alloantibodies to factor VIII—making factor VIII replacement ineffective. Although patients with inhibitors can be treated with bypassing agents, these agents are expensive and less predictable than factor VIII.
However, there is now another option for both patients with and without inhibitors: bispecific antibody non–factor replacement prophylaxis. It is important for the interprofessional care team to be aware of how this treatment compares with traditional prophylactic agents, its safety and efficacy data, and how to appropriately incorporate prophylaxis therapy based on the latest real-world clinical data.
In this educational activity, an expert faculty will review and provide their interprofessional perspectives on currently approved prophylaxis therapy in hemophilia A, including the benefits of prophylaxis and adherence, real-world experience, and patient quality of life factors.
Host: Charles Turck, PharmD, BCPS, BCCCP
Guest: Kathryn Gallagher, MS, RN, BSN
Guest: Kate Newcomb-DeSanto, MSN, RN, MSW
What does Penn Medicine’s newly-opened patient room facility have to offer? Dr. Charles Turck is joined by Penn Medicine Clinical Advisors Kathy Gallagher and Kate Newcomb-DeSanto to discuss the new pavilion and how it's revolutionizing patient care.
Host: Charles Turck, PharmD, BCPS, BCCCP
Guest: Sandy Marks
Guest: Kim Horvath, JD
Guest: Kyle Thomson, JD
With telehealth services expanding during the COVID-19 pandemic, has our access to them changed? To better understand this, Dr. Charles Turck meets with Sandy Marks, Kim Horvath, and Kyle Thomson from the AMA to explore what’s been done to provide Medicare coverage during a public health emergency and what’s on the horizon for telehealth access.
Host: Charles Turck, PharmD, BCPS, BCCCP
Guest: Emily Carroll, JD, MSW
The No Surprises Act aims to protect consumers from surprise medical bills. But how exactly does it go about doing that, and what’s the current status of its implementation? Joining Dr. Charles Turck to share progress and challenges associated with the No Surprises Act is Ms. Emily Carroll, a senior legislative attorney for the American Medical Association's Advocacy Resource Center.
Host: Jennifer Caudle, DO
Guest: Sarah Ali, MD
From working in a big city to taking on an assignment in a small mountain village, Dr. Sarah Ali from the Ventura County Medical Center joins Dr. Jennifer Caudle to talk about her adventures abroad with locum tenens and share key lessons she learned along the way.
Guest: Patty Bobryk, MHS, PT, MSCS, ATP
The rehabilitation track at the 2021 Consortium of Multiple Sclerosis Centers (CMSC) was filled with key updates regarding collaboration, nonpharmaceutical symptom management strategies, and more. And Ms. Patty Bobryk, a physical therapist at Yampa Valley Medical Center, is here to review those updates with us.
Guest: Patty Bobryk, MHS, PT, MSCS, ATP
A multidisciplinary approach to multiple sclerosis (MS) is becoming more and more integral in practice as research continues to emerge on its significance. That’s why physical therapist Ms. Patty Bobryk is here to debrief us on some highlights from the rehabilitation track at the 2021 Consortium of Multiple Sclerosis Centers (CMSC) that focused on collaborative care.
Host: Andrea Singer, MD, FACP, CCD
Guest: Paul A. Anderson, MD
Guest: Susan V. Bukata, MD, FAOA, FAAOS
While there’s growing awareness among orthopedic surgeons that osteoporosis is the underlying cause of fractures, there is often a disconnect between this recognition and action in the form of treatment to prevent subsequent fractures. In this discussion, Drs. Andrea Singer, Paul Anderson, and Susan Bukata address the pathophysiology of osteoporosis and the need to identify patients at risk for additional fractures. Osteoporosis treatment (including pharmacotherapy) can play a critical role in preventing future fractures, but physicians must first recognize that fracture is a sentinel event and treat it as a call to action.
Host: Paul P. Doghramji, MD, FAAFP
Guest: Mojgan Saber, MD
Can Locum Tenens be an option for healthcare professionals just completing their residency? Dr. Paul Doghramji is joined by Dr. Mojgan Saber to share her own experience as well as tips and tricks for residents looking at Locum Tenens right after residency.
Host: Charles P. Vega, MD
Guest: Robert O. Roswell, MD, FACC, FACP
Diversifying our physician workforce so that it is more racially, ethnically, and geographically balanced can ultimately have a positive impact on community health. Join us as two experts discuss how pipeline programs reaching children as early as elementary school can help ensure workplace diversity. Also find out how clinicians can be advocates for their patients by helping to disentangle them from structural inequities and working towards policy changes. There’s a lot than can be done to provide more balanced care, but we need to look beyond simple fixes to the root causes of the issues. So find your bandwidth – that’s what you can do today – and discover why it’s so important to move upstream to solve the problems manifesting downstream.
Host: Charles P. Vega, MD
Guest: Lionel Phillips, MBA
Learn why diversity in clinical trials is so important to community health. Two experts discuss the key role that trusted messengers play in enrollment, why it is critical to break the cycle of medical mistrust, and the downstream effect of a lack of diversity in clinical trials.
Host: Charles P. Vega, MD
Guest: Sateria Venable
Regional healthcare disparities are biases that are based on where people live. Are your patients’ treatment options being impacted and limited by their geographical location? Join us as our two experts discuss how to support broader policy issues and highlight the importance of diagnostic algorithms that have been developed with diverse input. These steps may be of value in your clinical practice to ensure all patients have equal access to care regardless of their epidemiologic, socioeconomic, or insurance circumstances.
Host: Charles P. Vega, MD
Guest: Candice Taylor Lucas, MD, MPH, FAAP
What is cultural humility, and how can it be incorporated into clinical practice? How does your patient's culture impact their health behaviors, and why does your culture matter?
Listen in as two leading experts navigate concerns surrounding cultural humility and emphasize the importance of empathy, awareness, and advocacy. Discover ways to integrate small but important changes into your clinical practice to help bridge communication gaps and enable your patients to thrive.
Host: Shannon L. Meeks, MD
Guest: Cindy Leissinger, MD
Pharmacovigilance begins after clinical trials end and new therapies enter everyday practice. Due to the rarity of hemophilia, participation in clinical trials has necessarily been small, and so monitoring the safety of new hemophilia treatments is especially important. Continued surveillance of adverse drug reactions (ADRs) after approval is a responsibility that falls on all members of the care team.
Dr. Shannon Meeks and Dr. Cindy Leissinger discuss the importance of safety surveillance and monitoring for novel hemophilia A therapeutics. To give a better understanding of pharmacovigilance, this activity includes animation that breaks down the process and illustrates where your ADR reports go and what happens next.
Host: Shannon L. Meeks, MD
Guest: Jonathan C. Roberts, MD
Dr. Shannon Meeks and Dr. Jonathan Roberts give an overview of the treatments used for the management of hemophilia A and discuss the safety and efficacy of these treatments. Using a patient case, they illustrate the pharmacovigilance process and explain how to implement this important reporting structure into everyday practice.
Host: Brian P. McDonough, MD, FAAFP
Guest: Christopher Spagnuola, MD, FAAOS
As with any technology, there are benefits and limitations to the computerization of healthcare. On the plus side, as Dr. Christopher Spagnuola explains, electronic medical records are streamlining communication between medical providers when it comes to prescriptions, and telemedicine is revolutionizing post-op following orthopedic surgery. But there are unfortunately some downsides to this technology as well.
Host: Prathima Setty, MD
Dr. Prathima Setty traveled to the Physician Advisor and Medical Director Summit in Orlando, Florida, where she caught up with Dr. Simon Ahtaridis. As the National Clinical Advisor and the Chief Medical Officer of Advisory Services of Sound Physicians, Dr. Ahtaridis describes the implications of the change regarding total knee replacements and how providers and patients alike will be impacted.
Host: Barnett Mennen, MD
Guest: Comron Saifi, MD
Spinal deformity places strain on the vertebrae and supporting muscles, tendons, ligaments, and tissues supporting the spinal column. The treatment and management of this condition becomes centrally important to maintain patient quality of life through functional mobility and activity levels.
Host, Dr. Barry Mennen and Dr. Comron Saifi discuss the leading assessment and treatment options for spinal deformity. Dr. Saifi is an Assistant Professor of Orthopaedic Surgery in the Division of Spine Surgery at the Perelman School of Medicine at the University of Pennsylvania.
Host: Brian P. McDonough, MD, FAAFP
Out of the approximately 340,000 hip fractures that occur in the US each year, 9 out of 10 of them happen to people older than 65. Hip fractures in an older population can result in significant complications including pneumonia and blood clots, among others.
Host Dr. Brian McDonough sits down with Dr. Derek Donegan, Assistant Professor of Orthopedic Surgery in the Division of Orthopedic Trauma at the Hospital of the University of Pennsylvania to talk about some of the challenges physicians face when treating hip fractures in elderly patients.
Host: Matt Birnholz, MD
Guest: Susan Greenspan, MD
Guest: John Carey, MB, BCh, BAO
It is estimated that 54 million Americans over the age of 50 are affected by osteoporosis and low-density bone mass, putting them at higher risk for fractures. Additionally, new evidence is emerging that the 30-year downward trend in hip fractures has hit a plateau recently, indicating that the field, as a whole, must take action to aggressively reduce this danger in our aging population.
Dr. John Carey, President of the International Society for Clinical Densitometry, and Dr. Susan Greenspan, Vice President of the National Osteoporosis Foundation, speak with host Dr. Matt Birnholz about diagnostic and treatment priorities for osteoporosis to help reduce fractures.
Host: Shira Johnson, MD
For the first time, Penn Medicine surgeons were able to complete a bilateral hand transplant on a child. The surgical team successfully transplanted donor hands and forearms onto 8-year-old Zion Harvey who, several years earlier, had undergone amputation of his hands and feet and a kidney transplant following a serious infection.
Host Dr. Shira Johnson sits down with Dr. Scott Levin, who led the surgical team and is Chairman of the Department of Orthopaedic Surgery at Penn Medicine. They discuss this remarkable, groundbreaking surgery.
Host: Jennifer Caudle, DO
On this episode of Everyday Medicine, host Dr. Jennifer Caudle welcomes Dr. Danielle Cooley to discuss the many facets of Osteopathic Manipulative Treatment (OMT), and the identification and treatment of somatic dysfunction. Dr. Danielle Cooley is Associate Professor at Rowan SOM in the Osteopathic Manipulative Medicine/Neuro-musculoskeletal Institute and Medical Director of the Family Medicine office in Mt. Laurel, NJ.
Host: Jennifer Caudle, DO
Guest: G. Russell Huffman, MD, MPH
Host Dr. Jennifer Caudle welcomes Dr. G. Russell Huffman, Associate Professor and Director of the Shoulder and Elbow Fellowship at the University of Pennsylvania. Dr. Huffman provides an overview of the various types of elbow injuries, treatment options for athletes at all levels, and special considerations for those who require surgery. Dr. Huffman focuses in particular on updated techniques in ulnar collateral ligament reconstruction, otherwise known as the Tommy John surgery.
Host: Jennifer Caudle, DO
Why is it important to understand what our body looks like when we are completing tasks, otherwise known as the study of ergonomics? How do we best counsel our patients, as well as clinicians, to notice changes in posture when sedentary? And how can achieve the more optimal "neutral posture" even when inactive? In this episode, host Dr. Jennifer Caudle welcomes Dr. Rubina Tahir, chiropractor, author, and host of The Rx on My New Philly. Dr. Tahir will discuss the importance of posture given the challenges of technology and other factors driving sedentary lifestyles.
Host: Jennifer Caudle, DO
Guest: James L. Carey, MD, MPH
What happens when articular cartilage is damaged? And what are the differences between focal cartilage defects and arthritis? Joining Dr. Jennifer Caudle to discuss current mechanistic understandings of articular cartilage is Dr. James Carey, Director of the Penn Center for Cartilage Repair and Osteochodritis Dissecans Treatment; and, Assistant Professor of Orthopaedic Surgery at Penn Medicine
Host: Brian P. McDonough, MD, FAAFP
Guest: Samir Mehta, MD
Patients of all ages can be affected by a traumatic injury. These injuries can be complex to treat and may involve multiple parts of the body. And, in traumatic situations, decisions need to be made quickly. Host Dr. Brian McDonough welcomes Dr. Samir Mehta, Assistant Professor in the Department of Orthopaedic Surgery at the Perelman School of Medicine; and, Chief of the Orthopaedic Trauma and Fracture Service at the University of Pennsylvania.
Host: Brian P. McDonough, MD, FAAFP
Shoulder pain is one of the most common presentations in primary care, but the most proper workups to determine causes and develop effective treatment plans are not universally known. Joining Dr. Brian McDonough to update clinicians on common shoulder injuries, the patient histories that often correspond with them, and best treatment practices for each problem, is Dr. Kelton Burbank, orthopedic surgeon and the Worcester Medical Center in Worcester, MA. Dr. Burbank is the orthopedic consultant for the UMass-Amherst men’s hockey team and the Massachusetts representative to the American Orthopaedic Society for Sports Medicine. He is also president of the New England Orthopedic Society.
Host: Brian P. McDonough, MD, FAAFP
Dr. Brian McDonough welcomes Dr. Eric Edmonds, co-director of 360 Sports Medicine and one of two fellowship-trained orthopedic surgeons at Rady Children’s Hospital-San Diego with subspeciality certification in sports medicine. Dr. Edmond is also an associate clinical professor at UC San Diego, where he is actively involved with the education of pediatric orthopaedic fellows, residents from UC San Diego, the Navy and the Air Force, and UC San Diego medical students.
Host: Lee Freedman, MD
Osteosarcoma is a relatively rare but feared disease. What exactly is an osteosarcoma and how should it be worked up and treated? Host Dr. Lee Freedman discusses this diagnosis with Dr. Kristy Weber, Abramson Family Professor in Sarcoma Care Excellence and Professor, Vice-Chair of Faculty Affairs, Department of Orthopaedic Surgery; Director of the Sarcoma Program, Abramson Cancer Center; Chief, Orthopaedic Oncology.
Host: Brian P. McDonough, MD, FAAFP
Dr. David Fisher, orthopedic surgeon and Director of the Total Joint Center at Indiana Orthopedic Hospital, joins Dr. Brian McDonough to discuss historical to current methods and technologies in knee replacement procedures, and how primary care clinicians can assess patients for surgical vs non-surgical interventions in patients with chronic knee pain.
Host: Prathima Setty, MD
Dr. Prathima Setty welcomes Dr. Ethel Siris, the Madeline C. Stabile Professor of Clinical Medicine in the Department of Medicine, College of Physicians and Surgeons of Columbia University, and the Director of the Toni Stabile Osteoporosis Center of the Columbia University Medical Center. Their discussion focuses on updated indications and assessments for confirming diagnoses of osteoporosis and recommended approaches to treatment in mild to severe cases.
About NAMS The interview was conducted live at The North American Menopause Society (NAMS) meeting. Founded in 1989, NAMS is North America's leading nonprofit organization dedicated to promoting the health and quality of life of all women during midlife and beyond through an understanding of menopause and healthy aging. Its multidisciplinary membership of 2,000 leaders in the field-including clinical and basic science experts from medicine, nursing, sociology, psychology, nutrition, anthropology, epidemiology, pharmacy, and education-makes NAMS uniquely qualified to serve as the definitive resource for health professionals and the public for accurate, unbiased information about menopause and healthy aging To learn more about NAMS, visit www.menopause.org.
Host: Lee Freedman, MD
Hip pain can be a major roadblock to an active lifestyle, and even effect activies of daily living. This is sometimes even more profound when seen in younger patients. How can we preserve hip function in younger patients, for whom replacement is not an option? In this segment, Dr. Lee Freedman speaks to Dr. Atul Kamath, Director, Center for Hip Preservation and Assistant Professor of Orthopaedic Surgery at the Hospital of the University of Pennsylvania.
Host: Lee Freedman, MD
Presentation of lumps and bumps are common in the primary care setting, but the appropriate approach is vital to determine whether there may be a deeper problem. A better understanding can lead to more effective treatment. Expert guest Dr. Kristy Weber discusses musculoskeletal tumors during her discussion with host Dr. Lee Freedman. Dr. Weber is the Abramson Family Professor in Sarcoma Care Excellence as well as Professor, Vice-Chair of Faculty Affairs, Department of Orthopaedic Surgery; and Director of the Sarcoma Program, Abramson Cancer Center; and Chief, Orthopaedic Oncology.
Host: Brian P. McDonough, MD, FAAFP
Dr. Brian McDonough speaks with guest Dr. John Kelly, Associate Professor of Clinical Orthopaedic Surgery and Director of Undergraduate Orthopaedic Education at the University of Pennsylvania School of Medicine. Dr. Kelly's areas of expertise are two-fold: (1) updating medical professionals with the latest trends in sports medicine management, and (2) addressing physician stress reduction strategies. This discussion broaches various interconnections between these two important subjects and their respective applications to primary care practice.
Host: Brian P. McDonough, MD, FAAFP
Guest: Steven T. Harris, MD, FACP
Join host Dr. Brian McDonough as he welcomes Dr. Steven Harris, Clinical Professor of Medicine from the University of California-San Francisco, to discuss the practice guidelines in preventing osteoporotic fracture and the appropriate treatments to prevent additional fractures. He will also address how to best ensure patient compliance.
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Host: Matt Birnholz, MD
Guest: Michael Lewiecki, MD, FACP, FACE
Anyone in medicine will freely admit that osteoporosis is a major health threat in the United States, and yet the majority of patients with osteoporosis remain undiagnosed and untreated. In fact, fewer than one-third of cases have even been diagnosed, and only 14% of women with osteoporosis receive treatment. This comes in stark contrast to the fact that more than 50% of women over age 50 will encounter an osteoporosis-related fracture. So what can the healthcare community do in the face of those odds? Addressing this issue is Dr. Michael Lewiecki, Osteoporosis Director at the New Mexico Clinical Research and Osteoporosis Center. He's also Clinical Assistant Professor of Medicine at the University of New Mexico School of Medicine. Dr. Matt Birnholz hosts.
Host: Matt Birnholz, MD
This year's meeting, February 15th through the 19th, in San Diego, attracted approximately 30,000 participants from around the world, highlighting recent advances in the diagnosis and management of musculoskeletal conditions, with presentations focusing on joint fractures, osteoarthritis, and other musculoskeletal injuries as well as factors impacting joint replacement procedure outcomes.
Guest: Donald Sefcik, MD
Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA
After many years of discussion, the National Commission on Certification of Physician Assistants (NCCPA) will offer PAs Certificates of Added Qualification in 5 specialties, beginning in 2011. Dr. Don Sefcik, chairman of the NCCPA, joins host Lisa Dandrea Lenell to explain what it takes to obtain certification, what the benefits are to PAs, and why the NCCPA decided to institute the certification now, with the nation's healthcare system in flux.
Guest: Scott Levin, MD
Host: Lee Freedman, MD
Trauma patients with injury to one or more limb often have additional systemic injuries that need to be considered during treatment. One approach to limb salvage is the ortho-plastic technique, which involves integrated soft tissue and bone. This conversation covers some of the latest advances in limb salvage techniques that might benefit trauma patients, as well as those with diabetes or peripheral vascular disease. Dr. Scott Levin, professor and chair of orthopaedic surgery and professor of plastic surgery at Penn Medicine, discusses strategies for avoiding amputation. Dr. Lee Freedman hosts.
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Guest: Rachel Kim, MD
Host: Steven Edelman, MD
Diabetes may affect the musculoskeletal system in a variety of ways. The metabolic perturbations in diabetes result in changes in the connective tissue. What are current recommendations for healthcare providers as an overall strategy in the treatment of patients living with diabetes? Join host Dr. Steven Edelman and his guest, rheumatologist at the Scripps Clinic, Dr. Rachel Kim, as they discuss musculoskeletal complications, intervention and treatment.
Host: Anthony Alessi, MD
Guest: Jeffrey Kutcher, MD
There are two causes of death in sports: cardiac and neurological. Dr. Jeffrey Kutcher joins host Dr. Anthony Alessi to explore the neurological causes of sudden death in sports. Dr. Kutcher is associate professor of neurology at the University of Michigan, director of Michigan NeuroSport, a multidisciplinary center dedicated to the evaluation and management of neurologic sports injuries, and chairs the sports neurology section of the American Academy of Neurology.
Guest: Allan Mishra, MD
Host: Shira Johnson, MD
The common standard of treatment for tendonitis usually involves cortisone shots, medication, physical therapy and sometimes surgery. Platelet rich plasma, utilized for years to heal bone injuries, is now being examined across the United States as a possible treatment for soft tissue injuries such as tendonitis. Dr. Alan Mishra, an adjunct clinical professor of orthopedic surgery at Stanford University in Palo Alto, California, and the director of Total Tendon, joins host Dr. Shira Johnson to discuss his research on platelet rich plasma in this rapidly evolving field.
Host: Mark Nolan Hill, MD
Guest: Anthony Miniaci, MD
Early arthritis of the knee is a frustrating and painful condition, especially for our more active patients. Some will begrudgingly accept the end of their adult sports league careers, others will be less inclined to hang up their sneakers. In this case, depending on the severity of the condition, there could be several procedural options, including a new arthroscopic resurfacing technique for those with less severe arthritis: could this be the quickest route back to the playing field? Dr. Anthony Miniaci, executive director of Cleveland Clinic Sports Health and one of the developers of this new procedure, explains why this procedure could be the answer for patients who have failed all biologic procedures, but are not yet ready for a total knee replacement. Which of your patients might be a candidate? Dr. Mark Nolan Hill hosts.
Guest: Selene Parekh, MD, MBA
Host: Mark Nolan Hill, MD
Ankle injuries extend from the common sprain, to the complex arthritis case that could warrant total joint replacement surgery. With respect to the basic sprain, why do we see so many of these injuries in our practices: are our ankles not strong enough, are we wearing the wrong shoes or are we simply more active than we used to be? What are the keys to a good clinical evaluation for these ankle injuries and what can you counsel your patients to anticipate following a more serious ankle injury? Dr. Selene Parekh, head of the foot and ankle division of the department of orthopaedic surgery at the University of North Carolina School of Medicine, assesses a range of ankle injuries in this conversation with host Dr. Mark Nolan Hill.
Guest: Jack Morgan, DPM
Host: Michael Kotzen, DPM
What are the latest trends in surgical treatment options available for patients suffering from recurrent heel pain, and how have podiatrists evolved in practice to manage the myriad of heel problems? Dr. Jack Morgan, attending staff member at the Los Angeles USC Medical Center and fellow of the American College of Foot and Ankle Surgeons, outlines the most common causes of heel pain, their respective modern treatment strategies, and upcoming advances in joint biomechanics. Dr. Michael Kotzen hosts.
Guest: Ronald Lepow, DPM
Host: Michael Kotzen, DPM
Most of us will have walked the equivilent of three times around the world in our lifetimes. Taking into account that 75% of the population suffers foot problems at least once, the importance of taking care of our feet and ankles cannot be overstated. Dr. Ronald Lepow, past president of the American Podiatric Medical Association and the only American to ever serve as the President of the Federation Internationale des Podologues (FIP), joins host Dr. Michael Kotzen to discuss the evolution of podiatric medicine and surgery.
Guest: Donald Robinson, MD
Host: Leslie P. Lundt, MD
Many commonly used medications are being implicated in increased risk of osteoporotic fractures, for example proton pump inhibitors. Psychotropics are getting scrutiny as well. Dr. Donald Robinson, professor of pharmacology and medicine at the University of Vermont and the author of more than 175 scientific papers on neuroscience topics, joins host Dr. Leslie Lundt to explain which psychotropics are especially risky and why.
Guest: Paul Holman, MD
Host: Mark Nolan Hill, MD
At first glance, minimally invasive spine surgery sounds like a contradiction in terms: how could an operation on an area of the body so complex, be navigated successfully through only a few simple incisions? Dr. Paul Holman, a neurosurgeon for the Methodist Neurological Institute at the Methodist Hospital in Houston, joins host Dr. Mark Nolan Hill to explore the intricacies of these procedures, as well as the outcomes: how do the results of minimally invasive spine surgery compare with the more traditional open procedure? Dr. Holman also takes a look ahead, envisioning the technologies and techniques of future minimally invasive spine procedures.
Guest: Brian Kelly, MD
Host: Mary Leuchars, MD
Recent advancements in hip arthroscopy and magnetic resonance imaging have elucidated several sources of non-arthritic hip abnormalities which, if left untreated, could result in chronic disabling symptoms. What are the current indications for hip arthroscopy, and what management issues should clinicians be made aware? Host Dr. Mary Leuchars examines these questions with Dr. Brian Kelly, assistant professor of orthopedic surgery at the Weill Medical College of Cornell University and attending physician at the Hospital for Special Surgery in New York.
Host: Mary Leuchars, MD
Guest: Brian Kelly, MD
In sports medicine, the hip has traditionally received less attention from physicians than other joints. What are the types of non-arthritic hip pain that clinicians need to recognize in order to make accurate diagnoses for both recreational and professional athletes? Dr. Brian Kelly, assistant professor of orthopedic surgery at the Weill Medical College of Cornell University and attending physician at the Hospital for Special Surgery in New York, examines this issue from two vantage points: as clinician researcher, and as team physician for the NFL's New York Giants. Dr. Mary Leuchars hosts.
Guest: Scott Rodeo, MD
Host: Mary Leuchars, MD
What are the latest research and treatment modalities orthopedic surgeons use for meniscus-deficient patients? Dr. Scott Rodeo, professor of orthopedic surgery at Weill Cornell Medical College in New York and co-chief of the Sports Medicine and Shoulder Service at the Hospital for Special Surgery, discusses synthetic meniscal replacement in the knee joint with host Dr. Mary Leuchars.
Guest: Scott Rodeo, MD
Host: Mary Leuchars, MD
Swimmers rely heavily on the stability and flexibility of their shoulders to maintain optimum performance. At times the line between joint laxity and instability can be difficult to assess. What sorts of injuries do swimmers incur around the shoulder joint, and what are the latest treatment techniques available? Guest Dr. Scott Rodeo, Professor of Orthopedic Surgery at Weill Cornell Medical College and Co-Chief of the Sports Medicine and Shoulder Service at The Hospital for Special Surgery, speaks on both professional and personal athletic experiences to address this clinical challenge. Hosted by Dr. Mary Leuchars.
Guest: David Felson, MD, MPH
Host: Mark Nolan Hill, MD
A patient in your office describes the knee pain they have been feeling for an extended period of time. The MRI that you order on their knee reveals meniscal damage. New research is telling us that meniscal tears may be more common than we realize, and further, raises questions as to whether the meniscal tear is really the source of your patient's knee pain. Dr. David Felson, professor of medicine at the Boston University (BU) School of Medicine and professor of epidemiology at the BU School of Public Health, explains that damaged meniscal cartilage may not be directly linked to knee pain. Dr. Mark Nolan Hill hosts.
Host: Mark Nolan Hill, MD
Guest: David Felson, MD, MPH
Despite previous evidence to suggest that arthroscopic surgery does not improve symptoms associated with osteoarthritis of the knee, the procedure continues to be a common treatment for arthritis. Now, novel data is backing up this earlier research on arthroscopy. Going forward, how will this development impact practice? Host Dr. Mark Nolan Hill talks with Dr. David Felson, professor of medicine at the Boston University (BU) School of Medicine and professor of epidemiology at the BU School of Public Health, about the utility of the procedure, and explores alternative thoughts on the pathogenesis of the pain experienced by this class of patients.
Guest: Riley J. Williams III, MD
Host: Sherwin Ho, MD
The latest cartilage repair strategies can restore cartilage in the knees of athletes who one time would have had their career ended by their injuries. Dr. Riley Williams, associate professor of orthopedic surgery at Weill Medical College and director of the Institute for Cartilage Repair at the Hospital for Special Surgery, both in New York, talks with host Dr. Sherwin Ho about different techniques for repairing cartilage. What are the trade-offs between procedures that use the patient's own tissue, donor tissue, or biologics? Find out how today's autologous chondrocyle implantation procedure provides better results than its predecessors, and discover what the future holds for tissue repair.
Guest: Riley J. Williams III, MD
Host: Sherwin Ho, MD
When articular cartilage is damaged orthopedic intervention is required. Dr. Riley Williams, associate professor of orthopedic surgery at Weill Medical College, director of the institute for cartilage repair at the Hospital for Special Surgery, and a leading expert on cartilage repair, joins host Dr. Sherwin Ho to talk about current surgical and non-surgical techniques for repairing tissue. Find out also what Dr. Williams is learning from clinical trials on an updated version of an ACI procedure.
Guest: Riley J. Williams III, MD
Host: Sherwin Ho, MD
Muscle strength and flexibility are the best defense against lower extremity soccer injuries. Dr. Riley Williams, associate professor of orthopedic surgery at Weill Medical College in New York and medical director for the New York Red Bulls professional soccer club, tells host Dr. Sherwin Ho why Pilates is the preferred off season strength training method. In the second half of the interview they discuss the prevention, diagnosis and correction of hip injuries. When is surgery necessary to get the player back in the game?
Guest: Stuart McGill, PhD
Host: Leslie P. Lundt, MD
How might back pain be prevented? Dr. Stuart McGill, professor of spine biomechanics and chair of the Department of Kinesiology at the University of Waterloo, shares his research with host Dr. Leslie Lundt regarding the mechanisms of back injury. A greater understanding of these mechanisms can help patients prevent back pain and injuries. They discuss twisting, lifting, disk hydration and stabilization. In addition, Dr. McGill talks about spine research observing athletes and their spines as they come in and out of the game.
Guest: Stuart McGill, PhD
Host: Leslie P. Lundt, MD
Each year, 40 to 60 percent of American adults suffer from chronic back pain. More than one million spine surgery procedures are performed annually in the US, with medical costs to treat back pain approaching $24 billion per year. Dr. Stuart McGill, professor of spine biomechanics and chair of the department of kinesiology at the University of Waterloo in Ontario, Canada, joins host Dr. Leslie Lundt to talk about cost-effective treatments for back pain.
Guest: Stuart McGill, PhD
Host: Leslie P. Lundt, MD
At some point nearly 85% of your patients below age 50 will present with back pain and nearly all of them will have at least one recurrence. Host Dr. Leslie Lundt welcomes Dr. Stuart McGill, professor of spine biomechanics and chair of the Department of Kinesiology at the University of Waterloo to review the primary causes of back pain.
Guest: William Jiranek, MD
Host: Mark Nolan Hill, MD
Many countries around the world maintain a national joint registry, which collects evidence of successful trends in joint implantation, and provides opportunities to find areas for improvement in the procedures, devices and techniques we use. In the absence of a national system, as is the case in the United States, state-level programs may help us gather data. What are the keys to building a statewide joint registry? Dr. William Jiranek, associate professor of orthopaedics and chief of the adult reconstruction section of orthopaedic surgery at the Virginia Commonwealth University School of Medicine, currently leads a campaign across the state of Virginia to create a statewide joint registry. He joins host Dr. Mark Nolan Hill to share his perspective on his efforts in Virginia and the larger national issues at play.
Guest: William Jiranek, MD
Host: Mark Nolan Hill, MD
Routine joint replacements are more common in the United States than in any other country. With each case, patient follow-up brings us evidence to measure the success of the surgery and to measure against other techniques and devices used for similar procedures. Are we collecting this data to the best of our ability? Host Dr. Mark Nolan Hill welcomes Dr. William Jiranek, associate professor of orthopaedics and chief of the adult reconstruction section of orthopaedic surgery at the Virginia Commonwealth University School of Medicine, to speak about the value of a national joint registry, as seen in other nations, including Sweden, Britain, Norway and Australia, which have adopted this concept. How do the overseas databases impact our approach to these surgeries? In the absence of nationwide data collection in the United States, how can we improve our outcomes?
Guest: William Jiranek, MD
Host: Mark Nolan Hill, MD
One of your patients undergoes routine hip replacement surgery. Months later, you learn that they are now suffering with significant pain that appears to be secondary to the procedure. What's next for this patient? Is there a bona fide mechanism through which we can report both positive and negative procedural outcomes? Dr. William Jiranek, associate professor of orthopaedics and chief of the adult reconstruction section of orthopaedic surgery at the Virginia Commonwealth University School of Medicine, outlines our need for a comprehensive joint registry to track surgical outcomes. Dr. Mark Nolan Hill hosts.
Guest: John Kennedy, MD
Host: Jordan Metzl, MD
Several studies looking at efficacy for custom and off-the-shelf orthotics indicate that the vast majority of patients don't need a custom device. How do we decide who is an appropriate candidate for each product? How does this debate about specialized product lines project to running shoes and other items that help us work toward better foot health for our patients? Host Dr. Jordan Metzl welcomes Dr. John Kennedy, assistant professor of orthopaedic surgery at Weill Medical College of Cornell University and an orthopaedic surgeon at the Hospital for Special Surgery in New York.
Host: Jordan Metzl, MD
Guest: John Kennedy, MD
Commonly perceived as a minor injury, ankle sprains are dismissed by many athletes, in particular, who are encouraged to shake it off, play through pain, and pursue some simple rehab as their game and practice schedule allows. Yet there is more to simple ankle sprains than we may realize, including diminished proprioception and balance that may leave our patients more vulnerable to chronic injury. Why is this loss of proprioception specific to the ankle? Are we approaching our treatment of these injuries in the proper manner? Dr. John Kennedy, assistant professor of orthopaedic surgery at Weill Medical College of Cornell University and an orthopaedic surgeon at the Hospital for Special Surgery in New York, details effective diagnostic and treatment strategies with host Dr. Jordan Metzl. Dr. Kennedy urges us not to underestimate what may be perceived as a simple ankle sprain.
Host: Lee Freedman, MD
Guest: Samir Mehta, MD
Dr. Samir Mehta, chief of orthopedic trauma at the Hospital of the University of Pennsylvania, discusses the role of the orthopedic traumatologist. What does this designation mean? What kind of special care or expertise do these specialists bring to the care of the patient? In what situations might an orthopedic traumatologist be called in for consultation? If you were in an accident, wouldn't you want this specialist called in to assist in your care? Dr. Lee Freedman hosts.
Guest: Col. Jim Ficke, MD
Host: John Armstrong, MD
Many of the extremity injuries suffered in Iraq and Afghanistan are similar to those seen in previous conflicts. But according to Dr. Jim Ficke, chief of orthopaedic surgery at Brooke Army Medical Center in San Antonio, and an orthopaedic consultant to the United States Army Surgeon General, the wounds are occurring at a notably higher rate. How are we keeping up with these injuries? Dr. Ficke credits new debridement and external fixation techniques as key advances. Learn more with host Dr. John Armstrong.
Guest: Bert Mandelbaum, MD
Host: Mark Nolan Hill, MD
Intense competition and year-round scheduling demands are now common trademarks of adolescent sports. As a result, we see more and more sports-related injuries, including the all-too-frequent anterior cruciate ligament (ACL) injuries. Dr. Bert Mandelbaum, president of the Santa Monica Orthopedic and Sports Medicine Research Foundation in Santa Monica, Calif., and principal investigator of the ACL Prevention Project, shares details of his potentially groundbreaking program, with results published in the American Journal of Sports Medicine. When should young athletes begin this prevention regimen? Taking the mechanisms of prevention a step further, can we teach athletes to run, jump and land in ways that will lessen their risk of injury? Dr. Mark Nolan Hill hosts.
Guest: Bert Mandelbaum, MD
Host: Mark Nolan Hill, MD
We're making great progress in the diagnosis and treatment of anterior cruciate ligament (ACL) injuries suffered by young athletes. It's no longer the injury that ends a sports career, but an ACL tear can still quickly end a season. Taking our work a step further, how can we equip our athletes with strategies to prevent ACL injuries before they happen? Dr. Bert Mandelbaum, president of the Santa Monica Orthopedic and Sports Medicine Research Foundation in Santa Monica, California, is the principal investigator of the ACL Prevention Project, with results published in the American Journal of Sports Medicine. He shares details of this potentially groundbreaking program with host Dr. Mark Nolan Hill.
Guest: Col. Geoffrey Ling, MD, PhD
Host: John Armstrong, MD
Col. Dr. Geoffrey Ling, program manager at the Defense Advanced Research Projects Agency (DARPA) and former professor and chair of neurology at Uniformed Services University of the Health Sciences, joins host Dr. John Armstrong for an inspiring conversation about the future of revolutionary prosthetic limbs. At the crossroads of biology and artificial technology, from ‘strap-and-go' devices to cortical interface tools, we hold the power to revitalize the human spirit.
Guest: Nicola Maffulli, MD, MS, PhD
Host: Sherwin Ho, MD
How can you help your patients with overused tendons and tendinopathies, like Achilles tendon problems and tennis elbow? Dr. Nicolas Maffulli, professor and chair of trauma and orthopaedic surgery at Keele University School of Medicine in Staffordshire, England, clinically specializes is tendinopathy. He says that we often misconceive tendinopathy as a degenerated tendon, when the problem is an actually injured tendon that cannot heal. Studies show that genetics as well as overuse may play a role in tendinopathy. Join us to learn about the latest research, treatment options and when the best solution may be surgery. Dr. Sherwin Ho hosts.
Guest: Nicola Maffulli, MD, MS, PhD
Host: Sherwin Ho, MD
Dr. Nicola Maffulli, professor and chair of trauma and orthopaedic surgery at the Keele University School of Medicine in Staffordshire, England, joins host Dr. Sherwin Ho to discuss pediatric sports injuries. Their discussion includes the causes and treatments for the most common sports injuries, including stress fractures, extreme hyper extension, back injuries, bone edema, and wrist and elbow injuries.
Guest: William J. Bryan, MD
Host: Sherwin Ho, MD
Dr. William Bryan, orthopaedic surgeon, cyclist and former medical doctor for the US Cycling Team, discusses the common injuries sustained by cyclists, from abrasions to fractures. Falls from cycling often cause injury to multiple parts of the body, and he says that a cyclist who has one fracture often has another. Dr. Bryan joins host Dr. Sherwin Ho to discuss measures your cycling patients might take to prevent injuries, as well as treatment options for when they do take spills.
Guest: Mininder Kocher, MD, MPH
Host: Mark Nolan Hill, MD
In pediatric sports medicine, it is now recognized that ACL injuries are increasingly common in kids. But their still-growing bodies present added risk when considering treatment options, not the least of which is the grueling recovery process following surgery to repair the injury. Dr. Mininder Kocher, associate professor of orthopaedic surgery at Harvard Medical School, and associate director of sports medicine at the Children's Hospital in Boston, assesses the relative risks of operative and non-operative treatment for ACL injuries in young athletes. How can we counsel our young patients who will not have surgery, but also refuse to adjust their activity level? Dr. Mark Nolan Hill hosts.
Host: Mark Nolan Hill, MD
Guest: Mininder Kocher, MD, MPH
In years past, we understood that children rarely suffered ACL injuries. But we're now learning that this diagnosis, previously reserved for adults, has become increasingly common in children. How can we best counsel a young patient who suffers an ACL injury? Host Dr. Mark Nolan Hill welcomes Dr. Mininder Kocher, associate professor of orthopedic surgery at Harvard Medical School, and associate director of sports medicine at the Children's Hospital in Boston.
Guest: William J. Bryan, MD
Host: Sherwin Ho, MD
How did Hall of Fame pitcher Nolan Ryan stay in baseball for so many years with only minor injuries? What are the two most important factors that help a major league pitcher stay off the disabled list? Join host Dr. Sherwin Ho for an inside look at Major League Baseball pitching with former Houston Astros team physician and orthopaedic surgeon, Dr. Bill Bryan. Learn more about strengthening techniques used to avoid injury, and surgical modalities used to resolve injury.
Guest: Michael Lardon, MD
Host: Leslie P. Lundt, MD
Our guest today specializes in helping elite athletes enhance their performance. What can we learn from these Olympic and PGA athletes and from the psychiatrist who helps them train? Host Dr. Leslie Lundt welcomes Dr. Michael Lardon to discuss his work in performance enhancement.
Guest: Victor Elinoff, MD
Host: Leslie P. Lundt, MD
What happens to someone who breaks their hip when there is no orthopedic surgeon to provide care? In many third-world countries, where medical caregivers are few and far between, how do people find treatment for their medical problems? Traditional healers may be part of the answer. So what can we learn from this group of caregivers? Host Dr. Leslie Lundt welcomes Dr. Victor Elinoff, to discuss his work in Ghana.
Guest: William Welch, MD
Host: Lee Freedman, MD
Dr. Welch reviews the approach to this common and disabling condition that affects our older patients. He reviews the diagnosis and initial treatment of lumbar spinal stenosis and then discusses how surgical techniques can bring relief to many of our patients.
Guest: William Welch, MD
Host: Lee Freedman, MD
Advancing surgical treatments and devices are producing better outcomes for patients with spinal problems. How do these innovations alleviate pain associated with spinal stenosis, spinal metastases and spine trauma? Dr. William Welch, chief of neurosurgery at Pennsylvania Hospital, describes new spinal implants, including the X-STOP device, and motion preservation systems that are replacing traditional fusions.
Host: Lee Freedman, MD
Guest: Craig Israelite, MD
Dr. Craig Israelite, assistant professor of orthopedic surgery at the University of Pennsylvania School of Medicine, discusses a series of approaches to knee osteoarthritis. A brief review of non-surgical treatment is followed by a discussion of image-guided surgery, minimally invasive surgery, partial knee replacements and the post-operative use of multi-modal pain strategies. Dr. Lee Freedman hosts.
Host: Lee Freedman, MD
Guest: Craig Israelite, MD
Dr. Israelite intially reviews some basic concepts in the approach to osteoarthritis. He then outlines recent surgical advances in the treatment of osteoarthritis of the hip that have led to better outcomes for our patients. These include minimally invasive surgery, progress in postoperative rehabilitation and the development of new bearing surfaces that both improve range of motion and extend the life of the hip prosthesis.
Guest: Clifford Tribus, MD
Host: Mark Nolan Hill, MD
X-Stop, a ruuner up in the 2007 Wall Street Journal Technology Awards for best medical devices is an innovative implantable device to relieve pain in patients with spinal stenosis. In this segment Dr. Cliff Tribus shares his experience implanting the X-Stop. He discusses which patients benefit most from X-Stop and how it helps them. He also speaks about the concept of stenosis being a threshold disease and considers the role of a physician in helping to manage the pain threshold.
Guest: Louis Soslowsky, PhD
Host: Lee Freedman, MD
Dr. Louis Soslowsky, from the University of Pennsylvania Health System, outlines how newer understanding of the mechanism of injury in overuse syndromes is leading to new approaches in treatment. Dr. Soslowsky shares his expertise in biomedical engineering to help doctors fine tune their approach to rotator cuff tendinosis, epicondylitis and other common clinical problems caused by overused tendons.
Guest: Louis Soslowsky, PhD
Host: Lee Freedman, MD
Dr. Soslowsky discusses how new understandings of the pathophysiology of tendon-to-bone repair are leading to a new therapeutic approach to rotator cuff tears.
Guest: Spero Karas, MD
Host: Mark Nolan Hill, MD
What is the latest thinking in anterior cruciate ligament (ACL) injury and repair? Should techniques differ for men and women? Join orthopaedic Surgeon Dr. Spero Karas in a discussion about ACL injury and repair with host Dr. Mark Nolan Hill.
Guest: Spero Karas, MD
Host: Mark Nolan Hill, MD
The reported rates of failure after arthroscopic rotator cuff repair are widely varied. Dr. Spero Karas, director of the Emory Orthopaedic Sports Medicine Fellowship Program, talks host Dr. Mark Nolan Hill through the double-row rotator cuff repair procedure, a newer and more successful repair technique. Which patient populations will do best with this procedure and how do the results differ when compared with a more traditional repair?
Guest: William Hozack, MD
Host: Mark Nolan Hill, MD
As America ages, hip replacement will be a more common surgery than it already is. Has anything changed in hip replacement surgery? What do you need to be able to tell your patient? Join host, Dr. Mark Nolan Hill in an update on hip replacement with guest Dr. Bill Hozack.
Guest: William Hozack, MD
Host: Mark Nolan Hill, MD
Host Dr. Mark Nolan Hill interviews orthopedic surgeon, Dr. Bill Hozack, of Thomas Jefferson University Hospital in Philadelphia, about hip resurfacing, a newer alternative to the hip replacement procedure. What are the benefits of hip resurfacing? Is it here to stay? Find out if your patients should consider hip resurfacing.
Guest: Pierce Scranton, MD
Host: Sherwin Ho, MD
Join host Dr. Sherwin Ho for this interesting conversation with Dr. Pierce Scranton, past president of the National Football League (NFL) Physicians Society, formerly the team physician for the NFL's Seattle Seahawks for nearly two decades, and author of Playing Hurt: Treating and Evaluating the Warriors of the NFL. From the excitement of being part of a team and the greater community, to the burdensome expectations of caring for high-profile athletes, Dr. Scranton takes us through the highs and lows of his work as a team physician.
Guest: Pierce Scranton, MD
Host: Sherwin Ho, MD
The Team Physician. It’s a term we hear every day, but perhaps one that may not mean the same thing to all of our listeners. Join host Dr. Sherwin Ho as he speaks to Dr. Pierce Scranton, past-president of the NFL Physicians Society, team physician for the Seattle Seahawks of the NFL for 17 years, and author of “Playing Hurt; Treating and Evaluating the Warriors of the NFL.” They will discuss the life of an NFL team physician and speak to the demands and pressures therein.
Guest: Pierce Scranton, MD
Host: Sherwin Ho, MD
The Team Physician. It’s a term we hear every day, but perhaps one that may not mean the same thing to all of our listeners. Join host Dr. Sherwin Ho as he speaks to Dr. Pierce Scranton, past-president of the NFL Physicians Society, team physician for the Seattle Seahawks of the NFL for 17 years, and author of “Playing Hurt; Treating and Evaluating the Warriors of the NFL.” They will discuss the life of an NFL team physician and speak to the commitments of time, money, and effort therein.
Guest: Murray Favus, MD
Host: Lauren Streicher, MD
Dr. Murray Favus, a Professor of Medicine at The University of Chicago Pritzker School of Medicine, and director of The University of Chicago Bone Program discusses denosumab, zoledronic acid, oral calcium sensing receptor antagonists, and other emerging therapies for osteoporosis.
Guest: Murray Favus, MD
Host: Lauren Streicher, MD
Dr. Lauren Streicher speaks with Dr. Murray Favus, professor of medicine at the University of Chicago Pritzker School of Medicine and director of the University of Chicago Bone Disease Program, about managing patients who are not tolerating a bisphosphonate or who do not respond to bisphosphonate therapy.
Guest: Murray Favus, MD
Host: Lauren Streicher, MD
Dr. Lauren Striecher speaks to Dr. Murray Favus, a Professor of Medicine at The University of Chicago Pritzker School of Medicine, and director of The University of Chicago Bone Program. They will discuss management of patients identified with osteoporosis.
Guest: Paul Lux, MD
Host: Mark Nolan Hill, MD
Many physicians have ideas about better drugs or better medical devices. How do you take these ideas a step further? Join Dr. Mark Hill interview orthopedic surgeon and inventor Paul Lux, MD to learn about his experiences.
Guest: Paul Lux, MD
Host: Mark Nolan Hill, MD
What causes arthritis? Is it wear and tear or genetics? What are the best solutions for arthritis of the knee, hip and shoulder? Join Dr. Mark Hill interview Dr. Paul Lux, orthopedic surgeon and expert on joint replacement on the topic of arthritis.
Guest: Paul Lux, MD
Host: Mark Nolan Hill, MD
In this segment, Dr. Mark Nolan Hill interviews orthopedic surgeon, Dr. Paul Lux about what is new in the area of hip replacement.
Guest: John Feagin, MD
Host: Maurice Pickard, MD
Dr. Maurice Pickard Interviews Dr. John Feagin about the complexities of being the orthopedic surgeon to the U.S. Olympic Ski Team. All injuries are difficult to address with athletic patients, but in these elite athletes the emotional impact of losing a participating place in the Olympics can be devastating. In this environment physical therapy to recovery can be inspiring, and lessons can be learned that are useful to all sports medicine practitioners.
Guest: John Feagin, MD
Host: Maurice Pickard, MD
Dr. John Faegin explains to host Dr. Maurice Pickard the value of being a soldier before becoming a physician when practicing medicine in a war zone. One is made aware of how much medical care US military doctors provide to the civilians, whose lives have been so disrupted.
Guest: John Feagin, MD
Host: Maurice Pickard, MD
How often do you treat a crush injury and multiple fractures inflicted by the powerful jaws of a leopard? And are post-op temperatures more likely to be due to malaria than wound infections? Dr. Maurice Pickard discusses with Dr. John Feagin the problems and rewards of being an orthopedic surgeon in Tenwek, Kenya.
Host: Larry Kaskel, MD
Guest: Elizabeth Tieman, MD
Work-life balance: how many of us can say we have it, let alone come close to having it? Board-certified radiologist Dr. Betsy Tieman is one healthcare professional who can say she achieved work-life balance by leaving private practice where she was working 14 hours a day to take advantage of locum tenens work, which also enabled her to train and compete in triathlons.
Guest: Myron Genel, MD
Host: Bill Rutenberg, MD
In this segment Dr. Genel, who served as an ad-hoc member of the US Olympic Medical Committee, narrates a historical perspective of gender verification for Olympic Athletes. Dr. Genel explores the gender testing process and its flaws, and explains some of the genetic disorders that may have caused certain athletes to fail the gender tests.
Guest: John Harper, PhD
Host: Mark Nolan Hill, MD
Dr. Harper explores the behavior and integration of bioprosthetics in comparison to the natural regenerative process. In addition he explains the difference in integrating bioprosthetics vs. plastic prosthetics.
Guest: John Harper, PhD
Host: Mark Nolan Hill, MD
What is a bioprosthetic? How are bioprosthetics developed? How to the work? In this segment, Dr. Harper of Lifecell Corpation explains everything you need to know about bioprosthetics.
Guest: Martin Lanoff, MD
Host: Larry Kaskel, MD
Dr. Marty Lanoff, a physical medicine and rehabilitation specialist joins Dr. Larry Kaskel to discuss the meaning of Physiatry and exactly what being a physiatrist entails.