The Bone and Joint Playbook, Tips for pain-free aging. Presented by Dr. John Urse Dr. John Urse

The conversation begins with an exploration of prevalent thumb conditions such as arthritis, tendinitis, and ligament injuries, elucidating their causes, symptoms, and potential impact on daily life. Dr. Urse and Dr. Martineau emphasize the importance of early diagnosis and intervention in managing these conditions effectively, highlighting the significance of seeking professional medical advice at the onset of thumb discomfort.
Listeners gain a deeper understanding of the diverse treatment modalities available for thumb issues, ranging from conservative approaches like splinting and physical therapy to more invasive options such as injections and surgical procedures. Through compelling case studies and patient anecdotes, the experts illustrate the tailored nature of treatment plans, tailored to each individual's unique circumstances and goals.

Doctor John Urse talks about : Tennis elbow, medically known as lateral epicondylitis, is a common condition characterized by pain and inflammation in the tendons that connect the forearm muscles to the outside of the elbow. This injury often occurs due to repetitive motions or overuse of the arm, such as those seen in tennis players, hence the name. Treatment options for tennis elbow vary depending on the severity of the condition but typically include rest, ice therapy, and over-the-counter pain relievers to alleviate discomfort. Physical therapy exercises and techniques can help strengthen the affected muscles and improve flexibility. In more severe cases, corticosteroid injections or surgery may be considered to relieve pain and restore function. Additionally, using proper equipment and techniques during physical activities can help prevent the onset of tennis elbow.

Why lose weight , control blood sugar, and exercise to begin with?
How much weight reduction is needed to see a benefit on hips/knees?
Why not just have a gastric bypass to lose a lot of weight?
New weight loss drugs, Wegovy and  Ozempic-  GLP1 mimickers.. is that an option?
Can weight loss /proper diet and strength training prevent/control Diabetes 
Types of Diabetes..Type 1- body doesnt produce insulin to control blood sugar, often seen at an early age
                                           Type 2- Chronic insulin resistence..body's cells dont open up or respond to insulin lowering blood sugar, which then elevates ones blood sugar over 100 and leads to issues with nerves (neuropathy, vascular issues , kidney and eye problems over time.  risk factors as this develops later in life are waistlines over 40 in men, 35 in women, so weight reduction and control important.
                                           Type 3 Diabetes--is there a link betw Diabetes and Alzheimers?   Does poor sugar control increase amyloid/tau proteins in brain?

Our guest speaker
 
Charles Urse, DO
Board Cert. Anesthesiologist
In practice over 30 yrs
Cadillac, Mi
charlesurse@gmail.com


 


 
Outline of questions
 
1. What is important to do before seeing your anesthesia team before a surgery?
(meds and nutritionals  to stop, clearance from cardiologist or oncologist, what lab/imaging needed for patients age and procedure requirements)
 
2.  What to ask your anesthesiology team before surgery..can only part of the body be put to sleep, airway or neck issues you have, regional or general anesthesia..Chuck for this
 
3.  What will happen after surgery, ie will there be persistent numbness and pain relief ?, when nausea go away, what to start drinking or eating and when
 
4.  Record any problems after which be something that may be avoided for future procedures
 
Realize all this better than a surgery without anesthesia....

We have a fun conversation about how Pickleball is fast becoming the #1 sport for the senior crowd and its driving a huge amount of injuries that are causing a great influx of orthopedic visits.  

What is like to be a patent having hip replacement surgery.  Perspectives from a surgeons wife.  Hear all about the procedure, getting ready for the surgery and  what to expect after surgery + what its like to be the wife of an orthopedic surgeon and still be reluctant to have a procedure.