• MENISCUS TEARS AFTER FORTY: A TREATISE

      I could talk generally about meniscus tears, but not all meniscus tears are created equal. There are meniscus tears and then there are degenerative meniscus tears, and it’s the latter I’m talking about now. And the two types of meniscus tears are almost entirely different entities. DEFINITION OF MENISCUS TEARS But for starters, let’s just define the two types of tears, and to do this, it’s easiest to define acute meniscus tears and then just about everything else is degenerative. That way it will be easier for you to figure out which kind you have. Just about any meniscus tear in a person under forty who injures their knee,…

  • DON’T WORK THROUGH THE PAIN

      We’ve been brainwashed into working through pain. It’s noble. Remember the coaching adage, “No pain, no gain.” I’m the first to say that there are some instances when you have to work through pain…like when you need to run from the saber-toothed tiger even though you sprained your ankle. Run or be dinner. But we don’t live in that world. We live in a world of self-inflicted activities, which sometime result in pain and injury. If your livelihood depends on working through pain, then in some cases you have to do what you have to do. But when it comes to recreation and exercise…my recommendation is that with any…

  • KIDS AND PILLS

    Before I say anything about kids and pills, I have to preface it by saying that for adults and pills, whatever I say goes double. But first a few definitions. Ninety-five percent of the pills I prescribe fall into two categories; anti-inflammatories and pain relievers. Anti-inflammatories fall into two categories; steroids and non-steroidal anti-inflammatories (NSAIDs). Pain relievers also fall into two categories; narcotics and non-narcotics. Steroids are…well…steroids. They’re also commonly known as cortisone, corticosteroids and prednisone. The most common one used by orthopedic surgeons is methylprednisolone, often prescribed in the form of a Medrol Dosepak, which is a tapering dose of the medication. It’s used for a short burst of…

  • DR. NO

    I often refer to myself as Dr. No or the Doctor of No, because I find myself telling patients more of what they can’t do than what they can do. It doesn’t feel good to do it, and other than dictating charts and dealing with electronic medical records, it’s one of the most unrewarding things I have to do on a daily basis.  Occasionally I start out the day promising myself to tell more patients about the things they can do rather than focusing on what they can’t do. But it doesn’t last for long. At the end of a long day in the office…I’m Dr. No. And I’ll stand…