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Statistics versus Success

Individual Person or Medical Statistic
Which are you: a statistic or a person with a problem? If you ask the government, or many of the “managed” health care plans, you are seen as a “life”—as in, how many “lives” will be treated and at what cost? If you ask a doctor who has your best interests at heart, you are a person. But if he or she says they must follow a guideline for your arthritis care, walk out. Here is why.

Conservative Care vs Operative Care

Band Aid Solution Conservative Care
The choice to operate—or not to operate—is a daily decision that all surgeons go through and that all injured patients face. At times, operative care can actually be more conservative than non-operative care, notably in cases where the injury is only going to get worse. Here are some of the typical choices our patients will face during this upcoming ski and winter sports season.

Gratitude Muscle

Gratitude Muscle
Much has made about the effectiveness of exercising your gratitude muscle. The health benefits of gratitude are broad and often begin with lowered stress, stronger relationships, and more energy. But how we practice this exercise, and make it part of our daily lives, is the dilemma. Here are five observations about what gratitude is not and a few tips for training the muscle:

Weight Gain for the Too Thin

Weight Gain for the Too Think
Too thin, too little muscle, too lean, too stressed; all describe many of my most driven athletes. What’s the best way to gain muscle and improve performance? Here are my five top tips.

Go Big and Get Hurt

Go Big or Get Hurt
“Go big or go home” is a command that many of us grew up with. But “Go small and get great” is the mantra of the wizened athlete. Which path do you follow? Your choice will determine your health.

Streaming Stem Cells

Stem Cell Streaming
Yes, you can stream Netflix—and your body can stream stem cells. In fact, this is the up-to-the-minute thinking about how stem cells work. Here is the latest from the recent International Cartilage Repair Society meeting on stem cells, growth factors, bone marrow, fat, and PRP.

Pre-season Fitness Training

Pre-Season Training
Pre-season—whether ski season, basketball, volleyball, or any vigorous sport season—has two goals. The first is to perform better; the second, to reduce injury. What is your program? Here is how to think about it.

Bone Bruises

Bone Bruise MRI
Bone bruises are often the first, middle, or last step in the development of arthritis. The old thinking was to just let them heal. The new thinking tells us to treat both the bruise and the cause of it before it gets worse. Here is how.

Don’t Open the Achilles

Achilles Tear Repair
The ruptured Achilles tendon heals beautifully when repaired. It just doesn’t need open surgery to repair it. Here is why.

What is a Partial Knee Replacement?

What is a Partial Knee Replacement
80% of people told they need a Total Knee Replacement may not need one, according to an Oxford study. Many only require a partial knee replacement. Learn how a partial knee replacement functions & how this intervention can preserve the healthy parts of your knee.

Failed Surgeries

Surgeon Trust
News flash: Surgery doesn’t always work. The most important thing I tell my patients is that any effort to make a person better might make them worse.

One Thing

One Thing
After completing a project—large or small—try asking yourself (and your team) these questions: What is one thing you learned from this experience? What is one thing that went right, one thing that went wrong, and why?

Old dog. No tricks.

Old Dog. No Tricks.
The aging family dog relies on a comfortable routine to manage life. Slowing down is just fine. Needs are simplified: a little less food, shorter walks, a bit of help getting into the car. Decisions about health interventions are made with the perspective of limited time left. Still, there is delight in sharing life.

Why You Should Go to Burning Man

Why You Should Go to Burning Man
Everyone should go to Burning Man—at least once. Participating in an 80,000 person pop-up community, in a harsh and challenging desert environment, where there is nothing to buy and nothing can be left behind, brings out the best and weirdest in people. And best and weirdest are both worth sharing.

Acceptance

Accepting Total Knee Replacement
Some injuries and some cases of arthritis are just too extreme to repair biologically. Accepting that you need an artificial implant is tough to do—but it’s the right decision when natural therapies are not effective. Here is some hopeful news about the decision to replace your joint.

Sit Up

Health Benefits of Good Posture
Sit up. Just like your mother told you to. Sit up straight. Stand up straight—and feel healthy and powerful. Improving your posture does a world of good for you and for others.

The Sport of CrossFit

CrossFit Medical Advice
CrossFit became one of the world’s largest sports gym chains by motivating people to compete with themselves and with others in a variety of fitness tests. While initially focused on Olympic weight lifting and gymnastics, the CrossFit world morphed into a dizzying variety of athletic performance drills—along the way, becoming a sport unto itself. Now what?

Why ACL Repairs Fail

Why ACL Repairs Fail
For decades there have been unsuccessful efforts to repair the anterior cruciate ligament (ACL) after rupture. Why? Because the forces required to tear the complex weave of the ACL’s collagen fibers involve both tearing and pulling apart. Think of a climbing rope: When overstretched the rope fails within its sheath, not just at a single clean edge. Here is why the ruptured anterior cruciate ligament is most often replaced (reconstructed) rather than repaired.

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Organ Donor Transplants
If all of us were organ donors, there would not be a shortage of the life-saving tissues that go to waste every day. And I’m talking about more than kidneys, hearts, and lungs. Orthopaedic tissues, such as meniscus and articular cartilage, are also in short supply. Here is a little insight into a solvable problem.

Avoiding Total Knee Replacements

Avoiding a Total Knee Replacement Stone Clinic
This year, in the US alone, the number of total knee replacements will exceed 600,000. Eighty percent of these are unnecessary. Here is why.