Past Episodes - The Sports Medicine Broadcast

November 23, 2022October 31, 2022

Elevate Athletic Training

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“We have to elevate Athletic Trainers.” This has been a driving force for me since I became a director of athletic accounts at Henry Schein. – Eric Kearns

Rising Star Award –

Shortlink – sportsmedicinebroadcast.com/RisingStarAward

How can we give back and elevate?
What are some of the conflicts ATs are dealing with?
It is peer-nominated and voted on
Less than 5 years of experience
Previous winners become judges as well
Happens during NATM – so each March

What is your first memory of an AT?

Jim M. at the University of Kentucky
Had to fill the role of a previous AT with a great relationship
We did not have an AT as hockey players growing up in New York
Here is your one shot to make our relationship work

First “normal year” post-pandemic what are ATs needing

Stuff delivered on time…that is the biggest struggle.
The rising cost of goods is also an issue for everyone.

Favorite use of space tip you give to ATs?

Eric Kearns was a contractor for years before coming to sales so this is great for me.
Start with the big objects and work from there
- Tables can only go in certain areas.
A turf workout area is a really awesome concept that provides greater rehab opportunities.

Call to action:

For more information about Henry Schein Medical’s Athletics and Schools business, click here.

Connect with us on our social channels:

LinkedIn: Henry Schein Medical, https://www.linkedin.com/showcase/henry-schein-medical

Twitter: @HScheinMedical, https://twitter.com/hscheinmedical

Instagram: @henryschein, www.instagram.com/henryschein

YouTube: https://www.youtube.com/channel/UCb6fjfUWDOKmgZKSnSFVcXw

Facebook: @HenryScheinAthletics, https://www.facebook.com/HenryScheinAthletics/

Contact:

Eric:

Phone: Cell – 631-793-5020

Email: Eric.Kearns@henryschein.com Henry Schein Medical Customer Service: AthleticsandSchools@henryschein.com

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Marc Pro – Use “THESMB” to recover better.

November 9, 2022September 27, 2022

Ice Machine Tips and Tricks

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The Ice Machine is not working..we all know the story, cross country meet followed by a football game and the Ice Machine stops making ice the day before.

Paul Calloway and Jake Stiefel share some tips and tricks for avoiding that nightmare morning.

Ice Machine Maintenance

Try to have two machines running and schedule maintenance one at a time.

Cube Ice drops in batches and needs time to cycle

Nugget ice (Sonic Ice) machines continue to run and don’t need to shut down and cool off.

Water cooled is typically better than air cooled

Water filters?

6 months is a must for filters.

Proper size filter is really important, typically follow manufacturers' instructions.

Try to use the multi-phase filter approach to help prevent the machine from shutting down.

Clean the ice machine every six months or when you change your filter.

Change the filter anytime you have the water shut off.

Scale reduction is important in maintaining the life of the machine.

Bad taste, lower performance.

Air Filter?

Cleaning them when you change your filter is a good recommendation

Emptying and cleaning the Ice Machine?

Use a scale cleaner or remover according to the manufacturer's recommendations

Best if you let someone trained to run the cleaning cycle.

Ice machine sanitizer from amazon is usually ok but check for food-safe branding.

Sanitize and rinse the machine because scale remover is caustic.

Be sure it is food grade!!!

Troubleshooting

Make sure the machine is level or it can decrease the production rate.

The filter is the number one cause for not making ice – no water pressure means your filter is clogged

Most machines will have an error code you can google or look up on the chart.

Making a loud noise – turn it off and leave it until it can be serviced.

This is a great time to clean it out anyway.

Won’t dump – usually a sensor that stops working.

Check that the sensor door doesn't have an ice cube blocking it from closing

From the fans:

Tip#1

Stop using ice.

Michelle Crosby

Annual maintenance is a MUST, depending on your water, here in El Paso the water is so hard with minerals that 7 years is the life expectancy of ice machines. Change your filters, at least every 6 months more if waterlines are broken or whenever you have mandatory boil drinking water. We bought Scotsman nugget ice machines and ironically exactly 7 years they both died, with gearboxes getting water and burning out covid hits, and parts are slim to not available, we switched to Manitowoc insides are stainless steel made in the middle of covid in ITALY bought with fundraiser money right at $9,000 worth. Wow, that was a lot of Gatorades.

Joe Messinger, MA, LATC

Athletic Trainer/Sports Med. Instructor

Bel Air High School/Medical Magnet

Hey Jeremy, my school gets my ice machines serviced annually and has a service contract. My one horror story is that this company came recently without my advanced knowledge to service both on the same day and so drained them both and left me without ice for the day. Luckily I didn’t need it so badly that day

David Silverstein

Michelle Crosby –

My coaches take care of water for games, etc. and we utilize water systems we’ve made that hook up to spigots for practices.

During times I need a cold tub set up for heat illness, we do have an ice machine but I also Freeze 1g pails of water to lessen the amount we take from the ice machine (and wear and tear).

For injuries, I’ll use an ice cup every now and then or a reusable ice pack if necessary (rarely).

Honestly, I function without an ice machine for 90% of the year.

Keep up the good work!

Contact:

Jake Steifel – stiefelrep.com

Paul Calloway – MioGaurd.com

Jeremy – @MrJeremyJackson on Twitter

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October 26, 2022October 31, 2022

Robotic Surgery

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Robotic Surgery is the movement of medicine. Dr. Jeff Davis of Andrews Sports Medicine believes the repeatability makes robotic surgery a better long-term option for the health of the patient.

– iStock Photos

Paint me a picture, what does robotic orthopedic surgery look like?

Robot-assisted procedures

Primarily used for the spine but as we progress more surgeries become an option.

Total hip and knees are currently being done.

There is imaging to “zero” the joint.

Why Robotic Surgery?

It is an imageless surgery so it reduces the radiation.

The program runs based on preoperative planning.

There is a learning curve and it does take a slight bit longer

There is more opportunity for error if you do it manually

The reproducibility of the surgery is improved

How can Athletic Trainers be a part of the change?

My MA is an AT with a lot of field experience

There is not anything specific about the robot that an AT would benefit.

Knowing about it and its advantages as a resource to the community.

Do some people choose not to have Robotic surgery?

There is some fear of who is controlling the robot, but the surgeon is in control of the robot.

One patient would not get into the CT scanner so we could not do the surgery.

Share some fun / cool stories

Patients that have been in pain for a while have really benefited from the robotic surgery.

The more difficult the surgery the better the outcome from the robot.

With the robot, you can have a much better idea if previous surgeries will impact the current one. Since we use imaging and a computer plan we can prepare a little better than non-robotic procedures.

Robotic Surgery questions from Twitter:

Have you noticed a reduction in recovery times or improvements in outcomes? – ATScoop

Decreased dislocation rate

It is still the same surgery

Who gets credit for mistakes? – 2thebrownbear

Ultimately it comes down to the surgeon

Contact Us

Dr. Jeffrey Davis – 205-939-3699

Jeremy Jackson

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October 12, 2022September 9, 2022

Muscle Atrophy and Quad Inhibition

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Quad Inhibition and Muscle Atrophy can really slow down the recovery process. However, Jackie Kleihege and Jena-Claire Auten know it is essential for healing. Finding the balance between helpful and hurtful is kind of an art form.

Looking at the timeline is essential so we can see the progress of where we have come.

What is the research showing us?

We do not have all the data yet from the quad tendon ACL

We have 10 years of data on it

What are some reasons we have inhibition?

In the acute phase, it looks about the same.

If we can interrupt the inhibition early then we have better outcomes

It is really hard to study the brain when we are studying the knee

How can we find this loophole or workaround to muscle atrophy?

Decrease swelling

Decrease local inflammatory response

ICE???

Is there a time frame where are going too fast in turning off the inflammation?

We still want the natural healing process to continue through that phase.

And then for that to quietly fade out.

NMES

JK: I have probably underutilized it most of my career.

I needed to give something more and then added NMES and made a difference.

What are your ideal volume and exercises to prevent muscle atrophy?

PRE-OP therapy is critical

There is not a magic wand protocol

Pre-Op nutrition is super important as well.

When we try to activate the quad and then the patient is absent for a week what is the problem?

Latency is key – I want those first 7 days like they are falling downhill, then I dial it back.

Often day 1 postop patients do not look bad, but then days 2-3 are worse.

JA: Genetics plays a role in the inflammation process.

Consistency is key, similar to Instagram and Facebook, they keep putting the ads in front of you and then you end up buying it…

Continue to use the same methods so the patients know what is coming and can buy in

Looking at the 12-16 week patient

OPEN KINETIC CHAIN – the type of graft makes a difference as well

I need to be able to read the signs and customize the options for them.

The goal is quad communication

Determining when to progress:

Biofeedback can help give visual and auditory feedback.

BFR:

It is really as good as they say.

The uses keep growing.

Femur fractures were one of the biggest changes on paper.

Watch the Muscle Atrophy presentation on the Sports Medicine Broadcast Facebook.

Contact Us:

Jena Claire Auten – JenaClaire.Auten@memorialhermann.org

Jackie Kleihege – jacquelyn.kleihege@memorialhermann.org

Jeremy Jackson

Shawn Ready – shawnreadyatc@gmail.com

Ray Olivo – rayolivo1@gmail.com

Dr. Mark Knoblauch – maknobla@Central.UH.EDU

Dr. Layci Harrison – lharris5@Central.UH.EDU

Bob Marley – Bob.Marley@uth.tmc.edu

Dr. Josh Yellen – jbyellen@central.uh.edu

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September 28, 2022September 9, 2022

TFCC Injuries are like Low Back Pain

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Dr. Candice Teunis discusses TFCC injuries with Dr. Layci Harrison live from the Memorial Hermann Sports Medicine Update.

You compared wrist injuries to low back pain

Low back pain has so many different causes and ulnar wrist pain is so similar

You do not always have to have all of the answers on your first interaction.

Using a differential diagnosis is super helpful.

I think it is either this or this…here are some options for both of these.

What are the red flags for ATs to be referring?

Ulnar wrist pain is fairly forgiving

If you think the DREJ is unstable then you really need to get fixed quickly

On the ulnar side are the differences in age?

Yes, all of our joints wear down over time and those needs to be considered.

We see traumatic injuries as well as chronic issues.

Recovery in age differences

In older patients we are astarting to see some wear in the joint and lengthens the recovery time. The wrist has to be unloaded in some of the older patients the you would not with younger patients.

Reinjury risk?

Pediatric patients are more likely due to the constant motion

This can be trick since the imaging show the repair. You really have to look critically at this point.

How can we help prevent reinjury of the TFCC?

Strengthening helps

Pronator strengthening

ECU work

Most of the stuff we do not have control over except for the gymnastic population due to the constant weight bearing on their wrists.

Should we be limited movement in gymnastics?

It would help but its nearly impossible.

These kids tend to live with some amount of pain and ignore but it eventually catches up with them.

What should we be teaching students about interprofessional communication?

Develop a personal relationship with the people around you.

ATs can benefit by connecting with hand therapists to help improve the outcome for the patients.

Getting a congruent plan benefits all parties.

Watch Dr. Teunis lead her breakout session on TFCC

@HandSurgeonCandice

Contact Us:

Dr. Candice Teunis – Candice.B.TeunisWashko@uth.tmc.edu

Dr. Josh Yellen – jbyellen@central.uh.edu

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September 14, 2022September 9, 2022

Running Analysis – Kimberly Gandler

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Running Analysis is not just for the elite runner. Kimberly Gandler works with runners in all stages of the sport to help improve efficiency and reduce injury.

Doctor Mark Knoblauch from the University of Houston Master's of Athletic Training program follows up on her presentation at the Memorial Hermann Sports Medicine Update.

Running Analysis – who is it for?

If you are going to be a runner I would highly recommend getting a gait analysis

Shoes are important and going to a run-specific store where educated people can help you.

Fleet feet in Houston, Run on in Downtown

They can do that at Memorial Hermann on a cash pay basis.

Maximal vs Minimal vs Traditional shoes

That focuses more on cushion than support.

Think about the area you are running. Your body can not handle constant banging on concrete.

Hoka and Merrel have a pretty low heel-to-toe drop

But if you switch to an ultra runner shoe then you need to retrain your body as if you are doing a couch to 5k.

How do you balance your style of running and the shoe you need

Change your style before changing your shoes.

YOU CAN NOT BELIEVE THAT THE SHOES ARE MAGIC

If it is not broken do not fix it.

Look at the situation. Do not mess up the time of an elite runner

Weight training can be the bridge to adjusting the form and help prevent injuries.

Late-onset runners – what are you seeing?

Those who pick it up later tend to have better form because they go with what feels right rather than trying to meet the expectations of some coach.

You do not have to go run if you hate it, there are plenty of other exercises.

Marathoners

Most people who sign up for a marathon to lose weight end up using it as a free pass

How do you make it fun for them?

If you do not like it then do not do it. Find something you like and something you can maintain.

I found a way to enjoy strengthening after having 3 kids.

Watch Kimberly's Presentation

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Contact Us

Kimberly Gandler – kimberly.gandler@memorialhermann.org

Dr. Josh Yellen – jbyellen@central.uh.edu

These people LOVE ATs and help the SMB pay the bills:

August 31, 2022September 9, 2022

Keith Jones – Develop Relationships

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As the director of AT services for the Houston Rockets, Keith Jones has seen the entire evolution of sports performance. He knew early on that he needed this team in his corner for the health and safety of the athletes he was caring for.

Build a Team

Building the relationship with the strength coach

There was none

Then I was the strength coach

Then we hired a professional strength coach

Many of them were from colleges or football programs

It was an adjustment for us to learn what we needed from them and the athletes.

Building the relationship from the ground up is crucial for success.

Find out what is important to you

We can Assist each other better by building relationships.

Keith Jones, how have we changed for the need?

30 – 40 years ago we were fighting each other, muscle head vs medicine.

Let's sit down and figure out what is needed for success in this situation/sport

If we fail then we will have to fail together.

The ATs need to know that the strength coach can be their ally or enemy.

Get in the same room and work together often.

The triangle analogy – How do we ensure the athlete is in the center of patient-centered care?

I love people, I think all ATs love people deep down.

Let me take my skill set and help the people I am passionate about.

In 30 years of NBA experience, my greatest success is collaborating.

How have you spent time in the other spaces and stayed in our lane?

Maybe go into the weight room and enter your paperwork to catch what they are doing

Invite them to use your microwave or fridge.

Intentionally cross paths

Be bought into each other's goals

CHECK YOUR EGO.

In my setting, we spent a lot of nights together on the road and so I tried not to eat alone. We shared meals and car rides together.

How you have developed leadership?

I never really view myself as a leader, I am but do not really look at myself that way.

I want to help, I have learned a lot about what to do and what not to do.

Empathy is important – why are they doing that

Figure out how you can help.

Transformational and servant leadership combine to make the most sustainable change.

Series on Leadership in AT

Watch Keith Jones's Presentation here:

Contact Us:

Keith Jones – keith.jones@memorialhermann.org

Dr. Josh Yellen – jbyellen@central.uh.edu

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August 17, 2022August 16, 2022

On Field Cervical Spine

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On-field cervical spine evaluations are an area of expertise for Dr. Mark Prasarn. He is the spine consultant for the Houston Texans and all University of Houston sports teams.

What is the initial on-field assessment look like

ABCs

When do we transport?

Anyone that is unconscious

Significant neck pain

Weakness or numbness

Bilateral is a much greater indicator.

What does it look like once we transport it?

This really depends on the group, but equipment removal

Then get them stabilized

What are our early-stage rehab focus and goals?

If there is an AT it is a huge benefit

ROM

Transient hemioplegic patient

This can be mistaken for strokes

Neck pain is the significant indicator

Education is important

Most cases resolve in a few seconds or few minutes when it is a stinger

If it does not resolve then have them evaluated

Refer for imaging per doctor's orders.

What conversations should ATs be having with local staff?

Where are they going?

You should be involved in the decision-making.

What can we do to prevent these cervical spine injuries?

There is not really much we can do to train away injuries. Strengthening is most likely going to help

Do we need acclimatization for tackling?

Data shows that tackling technique improves injury rates

Watch the presentation:

Dr. Josh Yellen – jbyellen@central.uh.edu

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July 6, 2022April 20, 2022

Randy and Sandy – AT Corner Podcast

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Randy and Sandy Harris are young professionals looking to positively impact Athletic Training.

I personally listen to their podcast and love the interaction between the two of them.

At some point this summer I will have a gap in content. I will be recording a lot over the summer but I won’t release any until I get them ready. So to help you fill the void in AT content I encourage you to listen to my friends Randy and Sandy over at ATCorner Podcast.

Randy, How did y’all meet?

R: Scrolling on Instagram and WOW…I went to work and found a mutual connection. The rest was history.

S: I was actually not going to post the picture of getting my acceptance letter…luckily I did.

Sandy, what is Randy’s Favorite Podcast

S: This one is easy…the Sports Medicine Broadcast…Seriously

Other than that the British Journal of sports medicine.

Randy, what is your favorite part about hosting a podcast with Sandy?

The balance. She keeps from being too nerdy. We have different experiences and play well off each other.

Jeremy: I love the relationship and quirkiness. Watching on social media how you two are genuine and enjoy your time together is such an encouragement.

What is your favorite piece of feedback you have received regarding the podcast?

R: Hearing people comment after the show with a story that we reminded them of.

S: The growth of our audience to include college students through late careers.

Win the crowd over, what will they gain by listening to AT Corner?

We want to be the bridge between education and experience, the college student and the seasoned pro.

Plus free CEUs…

Contact:

Instagram: @ATCorner

Website: https://atcornerds.wixsite.com/home/about-us

Email: atcornerds@gmail.com

Jeremy: Do not disturb me, I am vacationing.

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June 22, 2022April 18, 2022

Head Impact Monitoring with Athlete Intelligence

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Athlete Intelligence currently has 3 products: Vector, Cue, and Cue+ to help you monitor head impacts for your athletes.

Tell me about Athlete Intelligence

Wearable device – Cue sports sensor – Bluetooth enabled device

Vector mouthguard – transmits data live and not just Bluetooth

Can receive signals up to 300 yards away

Cue+ – combo of the other two, wearable with the capability of the mouthguard.

Discuss the science behind Athlete Intelligence?

It is the only way to measure in real-time what is happening to the player's head.

Complex algorithms and really nerdy stuff aside, we use accelerometers and gyroscopes to calculate and pinpoint the impacts players receive.

Who is using it?

We built Athlete Intelligence for the youth sports crowd. It is made to be set up and run by volunteer coaches with little to no training.

What does this look like in a high school setting?

Generally, there would be a locker room table with the mouth guard cases set out. The cases would be labeled with the player's name or number.

At the end of the day, the player returns the mouthguard or Cue to the case for charging.

Inside the software, the data automatically syncs and send reports as assigned by the administrator in charge.

I do not want to add another task to Athletic Trainers, can coaches run this program?

Create a system that is easy to use
Create affordable packages
Answer the question “What do I do with the data?”
1. We are really good at data visualization

“ You can not manage what you do not measure”