The Bone and Joint Playbook, Tips for pain-free aging. Presented by Dr. John Urse

In this episode of The Bone and Joint Playbook with Dr. John Urse, Dr. Urse is joined by special guest neurosurgeon Dr. Neil Patel for an insightful discussion on spine health. Together, they delve into the pros and cons of disc replacement versus spine fusion, exploring the latest advancements, patient outcomes, and factors that influence which option may be best. Whether you're a patient or healthcare enthusiast, tune in to gain a deeper understanding of these transformative procedures in spinal care.

New Podcast with Dr. John Urse called the 7 Minute Drill - where we tackle orthopedic topics in a fast pace conversation to give the listeners a good understanding of causes & treatments for common orthopedic topics.  In this episode we talk about the Collar Bone. 

Welcome to "The Bone and Joint Playbook with Dr. John Urse." In today's episode, we delve into the complexities of the unfixable rotator cuff with special guest Dr. Shariff K. Bishai. Join us as Dr. Bishai, an expert in orthopedic surgery, shares insights on the latest treatment options, rehabilitation strategies, and advancements in managing severe rotator cuff injuries. Whether you're a medical professional or someone dealing with shoulder issues, this episode offers valuable information on navigating the challenges of unrepairable rotator cuff conditions.

The conversation begins with an exploration of prevalent thumb conditions such as arthritis, tendinitis, and ligament injuries, elucidating their causes, symptoms, and potential impact on daily life. Dr. Urse and Dr. Martineau emphasize the importance of early diagnosis and intervention in managing these conditions effectively, highlighting the significance of seeking professional medical advice at the onset of thumb discomfort.

Listeners gain a deeper understanding of the diverse treatment modalities available for thumb issues, ranging from conservative approaches like splinting and physical therapy to more invasive options such as injections and surgical procedures. Through compelling case studies and patient anecdotes, the experts illustrate the tailored nature of treatment plans, tailored to each individual's unique circumstances and goals.

Doctor John Urse talks about : Tennis elbow, medically known as lateral epicondylitis, is a common condition characterized by pain and inflammation in the tendons that connect the forearm muscles to the outside of the elbow. This injury often occurs due to repetitive motions or overuse of the arm, such as those seen in tennis players, hence the name. Treatment options for tennis elbow vary depending on the severity of the condition but typically include rest, ice therapy, and over-the-counter pain relievers to alleviate discomfort. Physical therapy exercises and techniques can help strengthen the affected muscles and improve flexibility. In more severe cases, corticosteroid injections or surgery may be considered to relieve pain and restore function. Additionally, using proper equipment and techniques during physical activities can help prevent the onset of tennis elbow.

Why lose weight , control blood sugar, and exercise to begin with?
How much weight reduction is needed to see a benefit on hips/knees?
Why not just have a gastric bypass to lose a lot of weight?
New weight loss drugs, Wegovy and  Ozempic-  GLP1 mimickers.. is that an option?
Can weight loss /proper diet and strength training prevent/control Diabetes 
Types of Diabetes..Type 1- body doesnt produce insulin to control blood sugar, often seen at an early age

                                           Type 2- Chronic insulin resistence..body's cells dont open up or respond to insulin lowering blood sugar, which then elevates ones blood sugar over 100 and leads to issues with nerves (neuropathy, vascular issues , kidney and eye problems over time.  risk factors as this develops later in life are waistlines over 40 in men, 35 in women, so weight reduction and control important.

                                           Type 3 Diabetes--is there a link betw Diabetes and Alzheimers?   Does poor sugar control increase amyloid/tau proteins in brain?

Our guest speaker

Charles Urse, DO

Board Cert. Anesthesiologist

In practice over 30 yrs

Cadillac, Mi

[email protected]

Outline of questions

1. What is important to do before seeing your anesthesia team before a surgery?

(meds and nutritionals  to stop, clearance from cardiologist or oncologist, what lab/imaging needed for patients age and procedure requirements)

2.  What to ask your anesthesiology team before surgery..can only part of the body be put to sleep, airway or neck issues you have, regional or general anesthesia..Chuck for this

3.  What will happen after surgery, ie will there be persistent numbness and pain relief ?, when nausea go away, what to start drinking or eating and when

4.  Record any problems after which be something that may be avoided for future procedures

Realize all this better than a surgery without anesthesia....

We have a fun conversation about how Pickleball is fast becoming the #1 sport for the senior crowd and its driving a huge amount of injuries that are causing a great influx of orthopedic visits.  

What is like to be a patent having hip replacement surgery.  Perspectives from a surgeons wife.  Hear all about the procedure, getting ready for the surgery and  what to expect after surgery + what its like to be the wife of an orthopedic surgeon and still be reluctant to have a procedure.  

In this Episode Dr John Urse talks about some very interesting facts how surgery has evolved over the years.   You will definitely hear some new info here!