kayalortho Podcast Robert A. Kayal, MD, FAAOS, FAAHKS

Experience the intrigue of unraveling the complexities of sciatica with Dr. Paul Bagi and Dr. Steve Aydin as they take us on an insightful journey through the symptoms and risk factors of this common condition. Uncover the silent contributors to back pain, from our daily activities and habits to lumbar disc problems, and learn how they interplay with age and occupation to leave us vulnerable. Knowledge is power, and this episode equips you with an understanding of how posture and spinal alignment directly impact your comfort and health, setting the stage for an empowering discussion that could change the way you manage back pain.

Feel a wave of hope wash over you as our experts illuminate the transformative potential of physical therapy and proper muscle support for spinal health. Together with Dr. Bagi and Dr. Steven Aydin, we navigate the delicate intricacies of the spine's natural curvature and the pivotal role these structures play in our overall well-being. Their conversation moves beyond mere theory, offering real-world insights into the progression of treatments for sciatica, from trigger point injections to the cutting-edge advances in less invasive spine surgeries. Discover the evolving landscape of back pain management where individualized care promises better outcomes, less discomfort, and a quicker path to recovery.

Cap off this informative session with a deep dive into the latest breakthroughs in interventional pain management and endoscopic spine surgery techniques. As our esteemed guests articulate the careful balance between intervention and the body's innate healing processes, you will gain a fresh perspective on pain management that prioritizes patient safety and optimized recovery. By the end of our dialogue, you'll be motivated by the promise of current and emerging treatments that not only alleviate pain but transform lives. This is a must-listen episode for anyone touched by the shadow of back pain—patients and practitioners alike will find valuable takeaways to carry into their journey towards a pain-free existence.
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Unlock the secrets of chiropractic medicine with Dr. David Saint, Chief Chiropractor and Clinical Director at the Montvale and Stony Point locations of Kayal Orthopaedic Center. Dr. Saint brings a legacy of healing to our latest episode. His narrative begins with a New York Giants player's astonishing recovery, setting the stage for a deep dive into the transformative power of chiropractic care. We expose the myths and highlight the critical importance of spinal health, much like we prioritize dental hygiene, to our overall well-being. Dr. Saint takes us through a fascinating look at how chiropractic principles prioritize the central nervous system and the wide range of conditions they can address, from persistent back pain to the radiating discomfort of sciatica.

This episode isn't just about the individual; it's about the power of team. We explore the immense benefits of multidisciplinary collaboration in patient care, illustrating how chiropractors serve as primary contact providers, pivotal in detecting serious health concerns. Hear how Dr. Saint shares his experiences at Kayal Orthopaedic Center, where the confluence of expertise from orthopaedic surgeons, podiatrists, and other healthcare specialists enriches patient outcomes and elevates practice dynamics. We shed light on the multimodal treatment strategies that are reshaping the future of chiropractic interventions, such as spinal decompression therapy, and discuss how these non-invasive options work synergistically with other treatments to enhance recovery.

Our final thoughts in this episode center around the personalized approach chiropractic care brings to the table. Dr. Saint voices his appreciation for the bespoke assessments that form the cornerstone of effective treatment. As your host, I reflect on the dual commitment to conservative management and the seamless integration of more invasive procedures when necessary. We've woven a tapestry of insights that not only showcase the broad capabilities of chiropractic practitioners but also affirm their vital role in musculoskeletal health and patient recovery experiences. Join us for a session that promises to deepen your understanding and confidence in this field of medicine.
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Unlock the mysteries of gout and inflammatory arthritis with Dr. Irina Raklyar, whose insights illuminate the shadows of this commonly misunderstood condition. As we sit down with this revered rheumatologist, prepare to be guided through the complex world of purine metabolism, the impact of lifestyle diseases, and the intricate dance between diet and uric acid levels. Dr. Raklyar's deep dive into the prevalence of gout among men and postmenopausal women reveals a tapestry of risk factors and physiological nuances that could change your understanding of joint health forever.

Ever wondered how a single joint can cause such immense pain? Dr. Raklyar sheds light on the excruciating reality of gouty arthritis, taking us beyond the typical swollen joint presentation to a detailed examination of tophaceous deposits and their long-term impact on the body. With her expertise, we navigate the diagnostic minefield, distinguishing gout's needle-shaped crystals from other imitators. The collaboration between rheumatologists and orthopedic surgeons comes to life, illustrating their vital role in decoding symptoms and delivering targeted treatments that restore quality of life.

The finale of our conversation with Dr. Raklyar is a tribute to the revolutionary strides made in gout management. From the stalwart allopurinol to innovative therapies like pegloticase, we explore the arsenal of medications changing the game for patients. Dr. Raklyar candidly discusses the challenges of flare prophylaxis and the journey towards maintaining optimal uric acid levels. Her heartfelt thanks to the team at Kayal Orthopaedic Center reinforces the importance of dedication and expertise in the relentless pursuit of patient relief and recovery. Join us for a session that's not just informative, but transformative for anyone touched by the world of inflammatory arthritis.
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Unlock the secrets of hip health with Dr. Victor Ortiz as we navigate the complexities of hip anatomy and the innovative treatments that are shifting the landscape of patient care. The hip joint is more than a ball and socket point—it's a marvel of engineering that Dr. Ortiz decodes for us, shedding light on the labrum's pivotal role in joint stability and how its dysfunction can lead to debilitating conditions like FAI and labral tears. Suffering from hip pain or know someone who is? Get ready to arm yourself with knowledge that could change the course of treatment.

This episode is a deep dive into how experts like Dr. Ortiz diagnose hip joint pathologies. Through a detailed exploration of examination techniques such as the FADIR and FABER tests, we reveal how specialists pinpoint the exact nature of hip discomfort. Discover the puzzle pieces that contribute to these conditions and how early detection can keep invasive surgeries at bay. Athletes, the hypermobile, and the young active demographic - this conversation is especially relevant to you as we uncover why these issues are so important.

For those weighing the options between surgery and non-invasive treatment, Dr. Ortiz illuminates the path to recovery. We investigate the role of physical therapy in strengthening core muscles and how diagnostic injections can be game-changers in managing hip pain. Delving into the realm of hip preservation procedures, we look at when surgery becomes the right choice and the breakthroughs in minimally invasive techniques like hip arthroscopy. Join us for this episode and take a significant step towards understanding and potentially overcoming hip pain.
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Are your hamstrings the unsung heroes of knee stability? Discover how this overlooked muscle group plays a crucial role in maintaining the health of your ACL with our guest, Dr. Jeffrey Pope, a renowned orthopaedic surgeon from Kayal Orthopaedic Center. His expert insights on the anatomy of the ACL and its interplay with the hamstrings are revelations that you won't want to miss. 

Injuries can throw life off balance, especially those as common and challenging as an ACL tear. This episode is your guide to understanding the epidemiology, signs, and symptoms of ACL tears, as well as the assessment methods used to diagnose them. But the knowledge-sharing doesn't stop there. Dr. Pope also weighs the pros and cons of nonoperative care and reveals the circumstances when an ACL reconstruction or repair becomes necessary. If you've ever wondered about the importance of physical therapy or the criteria to be met before surgery, this episode is for you.

Buckle up for a deep dive into the exciting world of ACL surgery advancements. From autograft and allograft therapies to arthroscopic techniques, we explore it all. Listen in as Dr. Pope deciphers these complex medical terms and procedures, discussing the indications, benefits, and potential risks involved. With a focus on the post-operative biological process, he emphasizes the necessity of a minimum nine-month wait before returning to sports activities. Wrapping up, Dr. Pope shares invaluable advice on managing ACL tears and offers a message of hope for recovery, reminding us that patience, perseverance, and the right care can conquer even the toughest challenges.
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Ever wished you could understand the nuanced world of bunions from a specialist's perspective? Brace yourself for a riveting discussion with Dr. Mark Sheehan, a foot and ankle connoisseur from the Kayal Orthopaedic Center, as we dissect the anatomy of the foot, focusing specifically on the big toe joint and the bones of the forefoot. Dr. Sheehan masterfully guides us through the essence of foot alignment and gait, their crucial role in diagnosing bunion deformities, and the potential for other deformities like flat foot to coexist.

With Dr. Sheehan's expertise, we delve into the labyrinth of diagnosing bunions and the interplay of two essential angles. Get ready to gain valuable insights into the typical presentation of this condition and the myriad surgical options available for bunion deformity. Be it a simple medial eminence resection, a distal metatarsal head osteotomy, or foot fusion, the chosen procedure depends on the severity of the bunion, and this is something we'll dissect in-depth. 

As we advance, we plunge into the rare condition of juvenile bunion deformities and the significance of their conservative treatment. Dr. Sheehan provides enlightening details on the prevalence of this condition, the need for more education on surgical treatments, and the potential for secondary problems arising from bunion deformities. Join us on this thrilling journey into the realm of bunions, where understanding these deformities paves the way for more effective treatments. Don't miss out on this captivating conversation; it's sure to change the way you view bunions forever.
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