H2Orthopedics

Mike Begg DMSc, PA-C ATC
  • 5.0 (1)
  • MEDICINE
  • UPDATED WEEKLY

An honest, easy-to-understand approach to Orthopedic Conditions and Sports Injuries focused on educating you as a patient regarding your injury or condition. We review normal anatomy, "injured or abnormal" anatomy, discuss the "work-up" leading to diagnosis, and the current treatment options you have for your condition. Using easy-to-understand analogies and stories, you will have a new appreciation for what is going on, how we determine your diagnosis, and most importantly, what you can do about it to reach your recovery goals!

  1. 04/01/2024

    Exploring Tibial Spine Avulsion: A Specialized Injury in Youth Athletes

    This summary provides an in-depth exploration of tibial spine avulsion, a knee injury commonly seen in skeletally immature patients. The episode discusses the anatomy of the tibial spine, the causes of avulsion in young athletes, and the potential long-term complications associated with this injury. Treatment options, both surgical and non-operative, are also covered, with a focus on the importance of proper rehabilitation and monitoring for postoperative complications.

    23 min

  2. 03/18/2024

    Autologous Biologics in Orthopedics: A Closer Look at PRP and Stem Cell Injections

    Orthobiologics, including PRP and stem cell injections, have gained popularity in orthopedic surgery as potential treatments for a variety of conditions. While these injections hold promise, there is still much debate and uncertainty surrounding their effectiveness and appropriate use. PRP injections involve drawing blood from the patient and separating the plasma and platelets, which are then reinjected into the target tissues. Stem cell injections, on the other hand, utilize bone marrow or adipose tissue-derived cells with the potential to differentiate into different types of tissues. Despite their popularity, the scientific consensus on when and how to use orthobiologics remains unclear, with conflicting research and varying opinions. The FDA has strict regulations regarding their use, including limitations on cell manipulation and requiring the injections to be performed in the same setting. It is important for patients to have informed discussions with their healthcare providers to fully understand the potential benefits and limitations of orthobiologic treatments.

    30 min

  3. 03/11/2024

    Unraveling the Anatomy of Tibial Plateau Fractures

    Tibial plateau fractures, a common occurrence in winter sports like skiing, can significantly impact an athlete's performance and overall knee joint health. This podcast episode of h2 Orthopedics explores the mechanism of tibial plateau fractures and the factors that influence the decision between surgical and non-surgical treatment options. The fractures typically occur when the femoral condyle impacts the top of the shin bone with enough force to cause a fracture. The severity and location of the fracture determine the necessary treatment approach, with the Schatzker classification providing a framework for categorizing these fractures. Non-displaced or minimally displaced fractures may be managed conservatively, while fractures with significant displacement or multiple fragments require surgical intervention. Rehabilitation strategies emphasize protecting the healing bone, gradually restoring range of motion, and strengthening the surrounding muscles. By understanding the complexities of tibial plateau fractures, healthcare professionals can effectively guide patients through their recovery journey and optimize outcomes.

    23 min

  4. 02/26/2024

    ACL Revision: Understanding some of the reasons for failure and steps necessary for successful revision.

    ACL revision surgery is a procedure performed when a patient's anterior cruciate ligament (ACL) reconstruction has failed. This transcript delves into the reasons for ACL revision and the considerations to be taken prior to the surgery. The episode discusses various factors that can contribute to the failure of an ACL graft, such as improper tunnel positioning and size, alignment issues, meniscus tears, and ligament instability. It highlights the importance of preoperative planning and the need to assess the patient's unique situation before proceeding with a revision. The episode also explores different graft options, mentioning autografts and allografts, and emphasizes the significance of choosing the most suitable graft for each individual. Additionally, it touches upon the possibility of staging the procedure if bone grafting, osteotomy, or additional ligament reconstruction is necessary. Overall, this transcript provides valuable insights into ACL revision surgery and the importance of tailoring the approach to each patient's specific needs.

    23 min

  5. 02/12/2024

    Back Pain- Touching the Surface of a Common but Complex Problem

    Back pain is a common and often debilitating condition that affects a large portion of the population. In this comprehensive guide,  Doctor of Medical Science, Physician Assistant, and Athletic Trainer Mike Begg discusses the different causes of back pain and offers insights into managing and treating the condition. He explains that, in most cases, back pain is muscular in nature, and can be attributed to an imbalance in core muscles. Begg emphasizes the importance of rest, stretching, and physical therapy in treating muscular back pain, along with the judicious use of over-the-counter anti-inflammatory medications. However, he cautions against over-reliance on advanced imaging, as back pain is usually not associated with serious underlying issues. Begg also delves into the potential causes of back pain, including arthritis, disc problems, fractures, and nerve compression. He discusses various treatment options, including injections and surgical interventions, highlighting the importance of individualized care and the role of physical therapy in recovery. Finally, he cautions against ignoring back pain with associated weakness as this may be indicative of a more serious issue.

    25 min

  6. 02/05/2024

    A Patients Perspective Who are all these people involved with my surgery?!?

    This podcast episode delves into the complex and intriguing process of surgery, providing a comprehensive overview from the decision to undergo a surgical procedure to the post-operative recovery. The host, Mike Begg, shares his extensive experience in sports medicine and orthopedics, shedding light on the many steps involved in getting a patient from point A to point Z. From obtaining surgical authorization to scheduling the procedure, reviewing medications and past surgical history, to the actual operating room experience and post-operative care, Mike highlights the crucial role played by various healthcare professionals in ensuring a successful surgical outcome. This behind-the-scenes look at the intricacies of surgery serves to educate and inform patients, support staff, and the entire treatment team about the collaborative efforts required to navigate this complex process.

    28 min

  7. 01/22/2024

    Decoding Unusual Presentation of Shoulder Pain: A Case Study

    In this engaging case study, a 56-year-old man presents with shoulder pain following a tennis ball throw but exhibits atypical symptoms. Despite initial suspicions of a rotator cuff tear, further examination reveals potential neck involvement. The patient experiences weakness, limited motion, and radiating pain down the arm. Range of motion tests and strength assessments indicate a combination of shoulder and neck issues. X-rays detect arthritic changes in the cervical spine, narrowing the neural foramina and likely impinging the nerves. The subsequent MRI findings confirm a partial rotator cuff tear and stenosis in the cervical spine. Treatment involves targeted injections to alleviate symptoms and eventually leads to cervical spine decompression surgery. This case underscores the importance of considering differential diagnoses and utilizing appropriate imaging to identify and address the root cause of shoulder pain.

    18 min

  8. 01/15/2024

    Understanding Chondral Defects: A Case Study

    Chondral defects can cause knee pain, swelling, and limited range of motion. In this podcast episode, an orthopedic specialist presents a case study of a 45-year-old patient experiencing knee pain and swelling after an injury. The examination reveals a large effusion and tenderness on the medial side of the knee joint. X-rays show slight narrowing of the medial compartment, indicating potential early osteoarthritic changes. An MRI confirms a full-thickness chondral defect on the medial femoral condyle and a loose body in the knee joint. Treatment options discussed include conservative management with physical therapy, injections, and surgical interventions such as microfracture, osteochondral autograft transfer system (OATS), and matrix-induced autologous chondrocyte implantation (MACI). Successful outcomes depend on proper rehabilitation and weight-bearing restrictions. The patient is considering the best option based on the advantages and disadvantages of each procedure.

    32 min
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About

An honest, easy-to-understand approach to Orthopedic Conditions and Sports Injuries focused on educating you as a patient regarding your injury or condition. We review normal anatomy, "injured or abnormal" anatomy, discuss the "work-up" leading to diagnosis, and the current treatment options you have for your condition. Using easy-to-understand analogies and stories, you will have a new appreciation for what is going on, how we determine your diagnosis, and most importantly, what you can do about it to reach your recovery goals!

Information

  • Creator
    Mike Begg DMSc, PA-C ATC
  • Years Active
    2023 - 2024
  • Episodes
    27
  • Rating
    Clean
  • Show Website
    H2Orthopedics