• GET MORE SLEEP

      Why do we yawn? It’s probably not because we’re bored. How often do you yawn because you’re bored?  We take in more oxygen when we yawn. Maybe we need more oxygen. I believe yawning was a signal we developed before we used language. It might have been a way to show our teeth before fighting. Have you ever noticed that you sometimes yawn when you’re nervous? I always thought I yawned before a test because I was tired after staying up all night. I thought I yawned before surgery while I was in residency because I had been on call the night before, and yet I wasn’t actually tired.…

  • FEAR OF NEEDLES

    I’m a doctor. I give shots. It doesn’t bother me to give shots…not one iota. But you know what? I am a freak when it comes to getting shots. Oh you might smugly say, “The doctor doesn’t like it when the shoe’s on the other foot.” But let me tell you, it doesn’t bother me to break my arm or blow out my knee. It doesn’t bother me to have babies. It doesn’t bother me to get thrown off horses…too much. But I can’t handle getting a measly shot. I haven’t taken a flu shot in 5 years. Six years ago someone talked me into getting one…for the first and…

  • I LEARNED ABOUT STIFFNESS IN ANATOMY LAB

    One of the most common complaints I hear from patients is that they experience pain in transitions; going from sitting to standing, standing to sitting, getting out of chairs, getting out of bed. Now let me say, I never hear that complaint from 20 year olds. I only hear it from those over forty.  I often recall my old days in medical school anatomy class when my patients ask me why they begin falling apart sometime after forty. I remember so clearly the first day we were “introduced” to our cadavers. It was so amazing on so many different levels, the first and most significant of which was simply the fact…

  • DO NOT DO SQUATS!

      I’m going to go ahead and post this blog. It’s going to make a lot of people mad. I posted it on my group’s blog (www.texasorthopedics.com) and we got more responses to it than any we’ve previously posted. And they were all negative! The exercise industry is highly invested in squatting. You just have to look at a health magazine to see that about every 10 pages has an ad or a column or a device incorporating the use of some variety of squat.   My physician assistant and I keep a running tally on the number of patients I see every day in my clinic who have knee…

  • HUMANS AND SPORTS CARS COMPARED

      So, why do we get this heel pain? With few exceptions, plantar fasciitis is a disease which affects women over 40. That’s why I said to start stretching your plantar fascia when you’re 35.  Of course there are exceptions, but let’s add this common condition in a larger category; adult repetitive strain disorders. This group of disorders, which probably accounts for a third of the patients I see, includes disorders like rotator cuff diseases, hip bursitis and tennis elbow. There are hundreds more but I will see at least a half dozen patients every day with those four conditions! Some patients come to see me with all four. Poor…

  • PLANTAR FASCITIS

      If you’re female and over 40, stretch your feet every morning before you get out of bed. I think this was one of my very first advice-giving posts. Why this? Why was this my first tidbit of advice for my readers? Because I see at least one to two women every day in my office with this problem. I have 35 partners, many of whom each see a similar numbers of patients with plantar fasciitis every day. Our foot and ankle specialists, probably see even more. Do a little extrapolation and you can begin to imagine the amount of plantar fascial pain out there and then the cost of…