Category: Shoulder Injuries

Are There Too Many Pitching Injuries in Major League Baseball Right Now?

Are There Too Many Pitching Injuries in Major League Baseball Right Now?

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…


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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 WebOn X
Dr. Brian Feeley - Host of The 6-8 Weeks Podcast - 6to8WeeksPodcast.Com

=== Connect with Dr. Nirav Pandya: On the Web:– On XDr. Nirav Pandya - Host of The 6-8 Weeks Podcast - 6to8WeeksPodcast.Com

=== Connect with Dr. Drew Lansdown: On the WebDr. Drew Lansdown - Host of The 6-8 Weeks Podcast - 6to8WeeksPodcast.Com


When the Shoulder Fails: Understanding Labral Tears and Sports Recovery

When the Shoulder Fails: Understanding Labral Tears and Sports Recovery

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…


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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 WebOn X
Dr. Brian Feeley - Host of The 6-8 Weeks Podcast - 6to8WeeksPodcast.Com

=== Connect with Dr. Nirav Pandya: On the Web:– On XDr. Nirav Pandya - Host of The 6-8 Weeks Podcast - 6to8WeeksPodcast.Com

=== Connect with Dr. Drew Lansdown: On the WebDr. Drew Lansdown - Host of The 6-8 Weeks Podcast - 6to8WeeksPodcast.Com


Preparing for Ski Season: How Can You Avoid Injury?

Preparing for Ski Season: How Can You Avoid Injury?

Skiing and Snowboarding are annual Meccas for many around the globe, but one thing is often forgotten when it comes to hitting the powder: How can one best prepare for it while at the same time, help prevent injury on the slopes? It’s time to learn what Orthopedic Surgeons and a Physical Therapist think about all of it inside this episode of The 6-8 Weeks Podcast.


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

— What is Skiing? https://www.adventurenation.com/activity/skiing

— What is Snowboarding? https://www.rookieroad.com/snowboarding/what-is/

— UCSF’s Department of Physical Therapy & Rehabilitation: https://ptrehab.ucsf.edu/ucsf-department-physical-therapy-and-rehabilitation-science

— Connect with Danny Keller, PT, DPT, OCS: https://www.ucsfhealth.org/providers/daniel-keller

— Do All Skiers “Pop Their Collar?” A Final Discussion: https://www.wsj.com/articles/once-and-for-all-is-a-popped-collar-cool-11675951201

— Learn All About Sacramento, CA: https://www.downtownsac.org/learn-about-downtown/

— Learn All About Lake Tahoe, CA/NV: https://www.california.com/fun-facts-about-lake-tahoe-california-that-are-fun-to-know/

— What is Wakeboarding? https://www.supraboats.com/the-history-of-wakeboarding-and-watersports/

— What is Waterskiing? https://sportsmatik.com/sports/water-skiing

— What is a Concussion? https://www.cdc.gov/headsup/basics/concussion_whatis.html

— What are Common Skiing Injuries? https://www.urmc.rochester.edu/orthopaedics/sports-medicine/skiing-injuries.shtml

— What are Common Snowboarding Injuries? https://fittoplay.org/sports/snowboard/the-most-common-injuries/

— Trivia About Ski Helments: https://www.cdc.gov/headsup/pdfs/helmets/headsup_helmetfactsheet_ski_508.pdf

— Learn All About Ski Boots: https://www.innerbootworks.com/fit-facts/

— Do YOU Remember the Yellow Banana? https://www.vtcng.com/stowe_reporter/on_snow/people-made-fun-of-the-yellow-banana-but-it-was-a-winner/article_3f13b4a2-27fc-11ea-b32c-673b5b87162f.html

— What are the Differences Between Skiing and Snowboarding? https://www.youtube.com/watch?v=rdQ08U6PtAw&t=43s

— What is The American Society of Testing and Materials? https://www.astm.org/


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 WebOn X
Dr. Brian Feeley - Host of The 6-8 Weeks Podcast - 6to8WeeksPodcast.Com

=== Connect with Dr. Nirav Pandya: On the Web:– On XDr. Nirav Pandya - Host of The 6-8 Weeks Podcast - 6to8WeeksPodcast.Com

=== Connect with Dr. Drew Lansdown: On the WebDr. Drew Lansdown - Host of The 6-8 Weeks Podcast - 6to8WeeksPodcast.Com


When are Steroid Injections Safe?

When are Steroid Injections Safe?

We all have preconceived notions when it comes to “injected steroids”. Now – thanks to our three orthopedic surgeons, it’s time to learn all about HOW AND WHY, in many cases, injecting steroids makes definitive sense. Whether it be to treat a soon-to-be-vacationing construction worker or a troubled athlete, all of the answers to resolve your questiosn are here inside this episode of The 6-8 Weeks Podcast.


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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!


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

— What is Knee Arthritis? https://www.hopkinsmedicine.org/health/conditions-and-diseases/knee-arthritis#:~:text=What%20is%20knee%20arthritis%3F,to%20smoothly%20bend%20and%20straighten.

— What is Bursitis? https://www.mayoclinic.org/diseases-conditions/bursitis/symptoms-causes/syc-20353242

— What is Return to Play? https://www.nm.org/healthbeat/healthy-tips/what-does-return-to-play-really-mean

— How Often Does Arthritis Impact Construction Workers? https://www.safetyandhealthmagazine.com/articles/20166-construction-agricultural-workers-at-higher-risk-of-knee-osteoarthritis-study

— What is an Anti-Inflammatory? https://www.healthline.com/health/pain-relief/otc-anti-inflammatories

— What is Advil? https://www.advil.com/faqs-en/

— What is Aleve? https://www.aleve.com/frequently-asked-questions-safety-and-usage?gclid=CjwKCAjwp8OpBhAFEiwAG7NaElXGOEjUEaFYifyMEVBvwGwZaj2pvDOTihkIH0ASBdL0rycLV3ewkRoCtXAQAvD_BwE

— What is Motrin? https://www.motrin.com/what-is-motrin

— What is Meloxicam? https://www.mayoclinic.org/drugs-supplements/meloxicam-oral-route/description/drg-20066928

— How Does the Human Bloodstream Carry Medications? https://www.nigms.nih.gov/education/Inside-Life-Science/Pages/A-Medicines-Life-Inside-the-Body.aspx

— What is Prednisone? https://my.clevelandclinic.org/health/drugs/20469-prednisone-tablets

— Learn All About the Knee Joint: https://www.youtube.com/watch?v=_q-Jxj5sT0g

— What is Synovium? https://www.physio-pedia.com/Synovium_%26_Synovial_Fluid

— What is a Narcotic? https://www.dea.gov/sites/default/files/2020-06/Narcotics-2020.pdf

— What is Vicodin? https://www.deadiversion.usdoj.gov/drug_chem_info/hydrocodone.pdf

— What is Norco? https://www.accessdata.fda.gov/drugsatfda_docs/label/2019/040148s073lbl.pdf

— What is Hip Arthritis? https://www.hopkinsmedicine.org/health/conditions-and-diseases/hip-arthritis

— What are Meniscus Root Tears? https://tcomn.com/meniscus-root-tears-on-the-rise/

— Be Sure to Listen to Our Episode on Meniscus Tears! https://music.amazon.com/podcasts/74f824ce-3c64-4e14-8c64-da985a8ea19a/episodes/d4b9f236-ce61-4abb-9eb5-dba27edd8a7d/6-8-weeks-perspectives-on-sports-medicine-meniscus-tears—when-should-you-worry

— What is Knee Replacement? https://www.mayoclinic.org/tests-procedures/knee-replacement/about/pac-20385276

— Learn All About the British Medical Journal: https://www.bmj.com/

— What are the Tell-Tale Symptoms of Arthritis? https://www.painandtherapy.com/blog/5-telltale-signs-of-arthritis

— What is a Knee Injection? https://www.mayoclinic.org/drugs-supplements/hyaluronic-acid-injection-route/description/drg-20074557

— What is a Spine Injection? https://orthoinfo.aaos.org/en/treatment/spinal-injections/

— Learn All About the Journal of The American Medical Association (JAMA): https://jamanetwork.com/journals/jama

— What is a Placebo? https://www.youtube.com/watch?v=5RhG_ySxhDA

— What is the Value of Utilizing a Placebo? https://www.health.harvard.edu/mental-health/the-power-of-the-placebo-effect

— What is an ACL Tear? https://orthoinfo.aaos.org/en/diseases–conditions/anterior-cruciate-ligament-acl-injuries/

— What is Bicep Tendinitis? https://orthoinfo.aaos.org/en/diseases–conditions/biceps-tendinitis/

— What is Arthroscopic Surgery? https://losrobleshospital.com/your-health/video/what-is-arthroscopy-or-arthroscopic-surgery

— What is a Hamstring?
— A Little Something About Steroid Injections to Read Over on Reddit:
https://www.reddit.com/r/science/comments/j32d4q/cortisone_injections_increased_risk_for_knee/

— Will There Be Trouble When Getting Injections Prior to Surgeries?
https://pubmed.ncbi.nlm.nih.gov/37058158/
https://pubmed.ncbi.nlm.nih.gov/36737032/
https://pubmed.ncbi.nlm.nih.gov/35829737/

— Should You Get a Steroid Injection Before Rotator Cuff Surgery?
https://pubmed.ncbi.nlm.nih.gov/36734466/

— Learn About the Differences Between Cuff tendinopathy Vs PRP: https://pubmed.ncbi.nlm.nih.gov/34020672/


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 WebOn X
Dr. Brian Feeley - Host of The 6-8 Weeks Podcast - 6to8WeeksPodcast.Com

=== Connect with Dr. Nirav Pandya: On the Web:– On XDr. Nirav Pandya - Host of The 6-8 Weeks Podcast - 6to8WeeksPodcast.Com

=== Connect with Dr. Drew Lansdown: On the WebDr. Drew Lansdown - Host of The 6-8 Weeks Podcast - 6to8WeeksPodcast.Com