6-8 Weeks: Perspectives on Sports Medicine Dr. Nirav Pandya, Dr. Brian Feeley, Dr. Drew Lansdown

Athletes, both professional and every-day, are playing far-longer than they have in recent decades. The hope to find something special to extend performance but also general satisfaction from participation in sports is real. It's time to talk with a man that has done extensive research into a variety of internal aspects concerning logevity in sports inside this episode of The 6 to 8 Weeks Podcast...





















Connect with The 6-8 Weeks Podcast:

There's a LOT of detail included in this program. Do you want to share YOUR perspective about it? Connect with The 6-8 Weeks Podcast Now!







Subscribe to, Like and Share The 6-8 Weeks Podcast Everywhere:

             









The Detailed Shownotes for This Episode of The 6-8 Weeks Podcast:



These questions and more are answered inside this episode of The 6 to 8 Weeks Podcast:



1. **Stem Cell Basics**: What are stem cells, and why are they crucial for understanding aging and regenerative medicine?



2. **Parabiosis Experiments**: How does the parabiosis experiment work, and what were the significant findings from exposing old mice to young blood?



3. **Healthspan vs. Lifespan**: What is the difference between healthspan and lifespan, and why is it more critical to focus on healthspan?



4. **Youthful Environment**: What changes in the blood composition from youth to old age can impact tissue regeneration and overall cellular function?



5. **Personal Lifestyle**: Based on Dr. Tom Rando's personal practices, what lifestyle changes can individuals adopt to potentially maintain their healthspan?



6. **Evolutionary Perspective**: How could evolutionary theories explain the shift from growth-promoting factors in the blood of younger individuals to more inflammatory factors as we age?



7. **Clinical Implications**: What are the potential risks associated with transfusing young blood into older individuals, and how might these risks impact the feasibility of this as a treatment?



8. **Diet and Exercise Balance**: What role does diet and exercise play in maintaining a healthy balance for aging, and how does this balance relate to the inverted bell-shaped curve mentioned by Dr. Rando?



9. **Early Life Interventions**: How might early life interventions (including prenatal and childhood conditions) influence long-term health and susceptibility to diseases according to the discussion?



10. **Future Research**: What are the next steps for research in this field, and how might we balance the benefits and drawbacks of potential rejuvenation therapies?



























Timestamps from This Episode of The 6-8 Weeks Podcast:



00:00 Advancements in science and athlete self-care have defied the conventional notion of aging in the sports world. Athletes like Tom Brady, LeBron James, and Drew Brees have continued to perform at a high level well into their second and even third decades, attributing some of their success to luck in avoiding injuries and also to the advancements in sports science that have allowed them to better care for their bodies. This trend is not only observed in professional athletes but also in everyday individuals who are now able to maintain their physical activities well into their later years. These developments have not only extended lifespans but have also enhanced the quality of life for many people.



06:10 Muscle function tends to peak in the early twenties, with some plateauing and then a decline. Performance in most sports peaks around this age as well. However, there is no set age or decade for decline, and there is potential for improvement beyond this po...

Injuries for professional basketball players are a very common occurrence. What isn't common, however is having to endure an NBA final season - without a California-based basketball team represented. It's time to find out what three orthopedic surgeons from the San Francisco area think of both of these phenomenon and more inside this episode of The 6 to 8 Weeks Podcast...





















Connect with The 6-8 Weeks Podcast:

There's a LOT of detail included in this program. Do you want to share YOUR perspective about it? Connect with The 6-8 Weeks Podcast Now!







Subscribe to, Like and Share The 6-8 Weeks Podcast Everywhere:

             









The Detailed Shownotes for This Episode of The 6-8 Weeks Podcast:



You'll get the answers to these questions and more inside this episode of The 6 to 8 Weeks Podcast!



1. **Understanding Injuries:**



- What is the difference between a knee strain and a knee sprain, and how do these injuries impact an athlete's performance and risk for long-term damage?



2. **Management and Decision Making:**



- How should teams balance the immediate need to win games with the long-term health of players, particularly when dealing with star athletes like Luka Doncic?



3. **Effectiveness of Treatments:**



- What role do taping techniques play in managing knee injuries in athletes, and how much of their effect is structural versus placebo?



4. **Comparative Injuries:**



- Compare the severity and recovery process for different types of calf injuries with other common sports injuries like hamstring strains.



5. **Use of Diagnostics:**



- How useful are MRIs and ultrasounds in diagnosing and managing sports-related injuries, and should they be used routinely for all athlete injuries?



6. **Injury Recurrence:**



- Why do hamstring injuries often lead to other injuries later in the season? What measures can teams take to prevent this cascade of injuries?



7. **Age and Performance:**



- Discuss the risks and benefits of relying on older athletes with high wear and tear like LeBron James versus younger athletes with significant injury histories like Kevin Durant.



8. **Predicting Outcomes:**



- How can sports medicine better use the data from diagnostic tools to predict recovery times and outcomes for athletes?



9. **Epidemiology of Injuries:**



- Based on the discussion around Yao Ming, Kevin Durant, and LeBron James, what role does an athlete's height and body type play in the types of injuries they are likely to encounter?



10. **Team Strategies and Player Health:**



- Given the Warriors' scenario regarding older athletes, what health strategies could the team employ next season to potentially enhance performance and reduce injuries?



























Timestamps from This Episode of The 6-8 Weeks Podcast:



00:00 Knee injuries can range from minor tweaks to ligament tears, with implications for the player's performance and long-term health. The severity of the injury and its impact on stability and pain level will determine the player's ability to continue playing and the potential risks of aggravating the injury. This presents a dilemma for the team in balancing the desire to win with the player's long-term well-being.



03:51 Calf strain affects muscle-tendon injuries, hindering movement.



07:32 MRI or ultrasound can aid athlete diagnosis.



10:07 Hamstring cramps can usually resolve with stretching, hydration, and rest.

Surgery can be tremendously stressful - unless you are familiar with what happens before you get there. There's finally a compiled listing of events, planning and detail that helps you to undersetand more of what  goes into the innerworkings of your surgery - thanks to the this program. It's time to learn what three orthopedic surgeons do to prepare for your first visit and surgery inside this episode of The 6 to 8 Weeks Podcast...





















Connect with The 6-8 Weeks Podcast:

There's a LOT of detail included in this program. Do you want to share YOUR perspective about it? Connect with The 6-8 Weeks Podcast Now!







Subscribe to, Like and Share The 6-8 Weeks Podcast Everywhere:

             









The Detailed Shownotes for This Episode of The 6-8 Weeks Podcast:



You'll get the answers to these questions and more inside this episode of The 6 to 8 Weeks Podcast!



1. How do surgeons like Dr. Nirav Pandya, Brian Feeley and Dr. Drew Lansdown prepare for a typical surgery day and how does this preparation enhance patient outcomes?



2. In the episode, Dr. Pandya discusses the seasonal ebb and flow of pediatric orthopedic cases. What insights can be drawn about the relationship between seasonality and traumatic injuries in children?



3. Dr. Lansdown and Dr. Pandya describe the integration of electronic medical records in their practice. Discuss the benefits and limitations of this technology in streamlining patient care based on their experiences.



4. The discussion touched on the importance of preparing for various contingencies during surgery. Can you explore the impact of such meticulous planning on the success and safety of orthopedic surgeries?



5. Both surgeons mention the role of reviewing patient history and imaging before appointments. Discuss how this pre-appointment preparation contributes to efficiency and effectiveness during patient consultations.



6. Dr. Feeley and the other surgeons talk about the environmental impact of unnecessary in-person follow-ups. What are some sustainable practices that could be implemented in healthcare systems to address this issue?



7. The role of trainees in the operating room was discussed, including the perception of their involvement in surgeries. How does the presence of trainees affect patient care and surgical education, according to the hosts?



8. Dr. Pandya mentions using AI for documentation and patient interaction in the future. Discuss how AI could transform patient care in orthopedics and the potential challenges that might arise.



9. Given the potential for robotic assistance in surgeries discussed by Dr. Lansdown, debate the ethical and practical considerations of integrating more robotics into medical procedures.



10. Reflect on the personal anecdotes shared by the surgeons about their experiences and challenges in the OR. How do these personal reflections enhance the listener’s understanding of the realities of surgical practice?



























Timestamps from This Episode of The 6-8 Weeks Podcast:



03:05 Orthopedic institute provides comprehensive services, including outpatient care with patient rooms, x-ray, MRI, physical therapy, and bracing on site. Surgeries are performed at Mount Zion hospital, some requiring overnight stays. The practice caters to patients of all ages, focusing on the transition from teenagers to adulthood and addressing a wide range of orthopedic issues.



07:58 Gathering and reviewing detailed patient information for care.



09:26 Drew struggled multiple times, but doctor's appointments changed.

It used to be that pitchers in Major League Baseball (MLB) not only pitched for many if not all innings in a game - but for far longer periods of time when it comes to career length. What's happened recently? There is apparently a trend where MLB pitchers are injuring and reinjuring themselves far-more regularly. Three orthopedic surgeons dig in deep to uncover what's generating larger and larger disabled lists inside this episode of The 6 to 8 Weeks Podcast...





















Connect with The 6-8 Weeks Podcast:

There's a LOT of detail included in this program. Do you want to share YOUR perspective about it? Connect with The 6-8 Weeks Podcast Now!







Subscribe to, Like and Share The 6-8 Weeks Podcast Everywhere:

             









The Detailed Shownotes for This Episode of The 6-8 Weeks Podcast:



-- What is the MLB? https://www.mlb.com/official-information/about-mlb



-- What is an MLB Pitcher? https://www.ducksters.com/sports/baseball/pitcher.php



-- What is Tommy John Surgery? https://sportsmedicine.mayoclinic.org/condition/ligament-injuries/



-- What is a "Complete Game" in the MLB? https://baseball.fandom.com/wiki/Complete_game



-- What is a Shoulder Strain? https://www.mercy.com/health-care-services/orthopedics-sports-medicine-spine/specialties/shoulder-upper-arm/conditions/shoulder-sprain-strain



-- What is an Elbow Strain? https://upswinghealth.com/conditions/elbow-strain/#:~:text=An%20elbow%20strain%20is%20an,as%20a%20%E2%80%9Cpulled%20muscle.%E2%80%9D



-- What is a Position Player in MLB? https://www.baseball-reference.com/bullpen/Position_player



-- What is a Pitch Count in MLB? n baseball statistics, pitch count is the number of pitches thrown by a pitcher in a game. Pitch counts are especially a concern for young pitchers, pitchers recovering from injury, or pitchers who have a history of injuries. The pitcher wants to keep the pitch count low because of his stamina.



-- What is Spin Rate in MLB? https://www.mlb.com/glossary/statcast/spin-rate



-- What are Trunk Mechanics? https://www.youtube.com/watch?v=msnvZG56eKA



























Timestamps from This Episode of The 6-8 Weeks Podcast:



00:00 Increasing trend in pitching injuries, especially elbow-related.



03:46 Young athletes face high risks from overuse, especially in elite-level throwing sports. The intense training and repeated stress on their elbows put them at significant risk for injuries, such as flexor pronator strains, due to the natural fatigue of the protective muscles over time.



08:24 Study finds MLB pitchers predominantly from Sunbelt region.



11:18 Use technology to measure all aspects of pitcher performance.



13:04 MLB should prioritize youth development and education.



16:56 Advancements in surgery allow athletes to undergo revision procedures to address recurring problems, providing both excitement and caution.





























Connect with the Hosts of The 6-8 Weeks Podcast:



It's never been easier to connect with the hosts of The 6-8 Weeks Podcast. Read on below to share your perspectives on this episode of The 6-8 Weeks Podcast.





=== Connect with Dr. Brian Feeley: On the Web -- On X





=== Connect with Dr. Nirav Pandya: On the Web:-- On X: 



=== Connect with Dr. Drew Lansdown: On the Web

While many people are familiar with meniscus injuries and ACL tears, when they hear they've injured their labrum - the question marks pop up a'plenty. What exactly is going on with this injury and what can three orthopedic surgeons tell us about it? That and the process of recovery after this injury are the focus of this episode of The 6 to 8 Weeks Podcast...





















Connect with The 6-8 Weeks Podcast:

There's a LOT of detail included in this program. Do you want to share YOUR perspective about it? Connect with The 6-8 Weeks Podcast Now!







Subscribe to, Like and Share The 6-8 Weeks Podcast Everywhere:

             









The Detailed Shownotes for This Episode of The 6-8 Weeks Podcast:



Questions Answered Inside This Episode;



1. What are the primary roles of the labrum in shoulder stability and function, and how does a labral tear impact these roles?



2. Can you describe the differences between the various types of labral tears, such as Bankart and SLAP tears, and how their treatments might differ?



3. Why are superior labral tears commonly found in aging populations, and how should this influence our approach to diagnosis and treatment?



4. What factors contribute to the long recovery time for labral tear surgeries, despite the procedure itself being relatively straightforward?



5. How do the hosts differentiate between a labral tear that needs surgical intervention and one that can be managed conservatively?



6. Could you elaborate on the potential implications of a biceps tenodesis procedure for middle-aged or older athletes with labral tears?



7. In what ways might our understanding of the biceps's role in shoulder mechanics change the future of labral tear treatment, especially for elite athletes?



8. What are the particular challenges in managing labral injuries in pediatric and adolescent populations, as compared to adults?



9. How can we effectively communicate MRI results pertaining to labral tears to patients, ensuring they understand what findings are clinically significant versus age-related changes?



10. What are the key considerations for a clinician when deciding whether an in-season athlete with a labral tear should continue to play or rest and undergo therapy?



























Timestamps from This Episode of The 6-8 Weeks Podcast:



06:19 Siakam's shoulder injury hampers elite performance.



10:00 Young throwing athletes may experience shoulder injuries due to throwing. MRI may show labral pathology, often incidental. Management includes monitoring pain, rest, and potential physical therapy. Caution is advised to avoid worsening the condition.



13:35 Labrum tear treatment options: rest, therapy, surgery.



14:40 Avoid surgery over 37 to prevent 33% failure.





























Connect with the Hosts of The 6-8 Weeks Podcast:



It's never been easier to connect with the hosts of The 6-8 Weeks Podcast. Read on below to share your perspectives on this episode of The 6-8 Weeks Podcast.





=== Connect with Dr. Brian Feeley: On the Web -- On X





=== Connect with Dr. Nirav Pandya: On the Web:-- On X: 



=== Connect with Dr. Drew Lansdown: On the Web

When you gather a group of towering men, have them run in close proximity during what is a decidedly competitive professional basketball season - there's going to be wear and tear - and that means INJURIES. It's time to get the most-recent hot take from three orthopedic surgeons about injuries impacting professional NBA players in the Western Conference, as this year's NBA Playoffs approach inside this episode of The 6 to 8 Weeks Podcast...





















Connect with The 6-8 Weeks Podcast:

There's a LOT of detail included in this program. Do you want to share YOUR perspective about it? Connect with The 6-8 Weeks Podcast Now!







Subscribe to, Like and Share The 6-8 Weeks Podcast Everywhere:

             









The Detailed Shownotes for This Episode of The 6-8 Weeks Podcast:













-- What is the NCAA? https://www.ncaa.org/sports/2021/2/10/about-resources-media-center-ncaa-101-what-ncaa.aspx



-- What is the NBA? https://www.nba.com/news/about



-- Learn All About The Golden State Warriors: https://www.goldenstateofmind.com/23005511/warriors-franchise-questions-faq



-- Check Out the Current NBA Standings...



-- Learn All About Jonathan Kuminga: https://www.nba.com/player/1630228/jonathan-kuminga



-- What is Knee Tendinitis? https://www.mayoclinic.org/diseases-conditions/patellar-tendinitis/symptoms-causes/syc-20376113



-- The Origin of the Phrase "Jumper's Knee": https://www.ncbi.nlm.nih.gov/books/NBK532969/



-- Learn All About Arik Armstead: https://www.nfl.com/players/arik-armstead/



-- What are Kinimatics? https://www.techtarget.com/whatis/definition/kinematics



-- Who are on the Current Roster of Players for the Golden State Warriots? https://www.nba.com/warriors/roster



-- What is Tendinosis? Tendinosis is a degeneration of the tendon's collagen in response to chronic overuse; when overuse is continued without giving the tendon time to heal and rest, such as with repetitive strain injury, tendinosis results. Even tiny movements, such as clicking a mouse, can cause tendinosis, when done repeatedly.



-- What is Bursitis? https://www.youtube.com/watch?v=r8Tv6L783zs



-- What are Back Spams? https://my.clevelandclinic.org/health/diseases/22881-back-spasms



-- Who is Carl Anthony Towns? https://www.app.com/story/sports/college/2015/06/24/karl-anthony-towns-nba-draft-monmouth-university/29204149/



-- What is a Meniscectomy? https://www.ncbi.nlm.nih.gov/books/NBK559105/



-- Learn All About the Los Angeles Lakers: https://www.basketball-reference.com/teams/LAL/



-- What Kind of Problems Do 7' Tall People Have Living Their Lives? https://americantall.com/blogs/we-the-tall/tall-people-problems



-- Learn All About The Denver Nuggets: https://facts.net/lifestyle/sports/12-facts-about-denver-nuggets/



-- Learn All About the Minnesota Timberwolves: https://facts.net/lifestyle/sports/20-facts-about-minnesota-timberwolves/



-- Learn All About the Los Angeles Clippers: https://www.nba.com/clippers/news/behind_the_name.html



-- Learn All About Duane Wade: https://dwyanewade.com/about-dwyane-wade/



-- Learn All About the New Orleans Pelicans: https://www.neworleans.com/things-to-do/sports/teams/pelicans/



-- What is a Bone Bruise? https://my.clevelandclinic.org/health/diseases/bone-bruise-bone-contusion



-- What is an Ankle Sprain? https://www.mayoclinic.org/diseases-conditions/sprained-ankle/symptoms-causes/syc-20353225



-- Learn All About The Houston Rockets: https://www.britannica.com/topic/Houston-Rockets