Tag Archives: Ray Olivo

Athletic Shoulder – Stephen Simonich – 619

What does the Athletic Sholder look like in 2019?

Dr. Stephen Simonich, MD joins us today to talk about the athletic shoulder from the Memorial Hermann Sports Medicine Update.

Dealing with Challenging Parents

Ever wondered how to explain the rotator cuff as a secondary stabilizer in the GH joint to either your athlete or their family?  Dr. Simonich has the perfect analogy.

He tells his patients that it is like if I were to take a big exercise ball in my right arm and pull it into my chest.  My chest would be the socket, the exercise ball my humeral head, my arm would be the rotator cuff and my hand the tendons of the cuff.  That demonstration can help show how difficult it is for the rotator cuff to stabilize the joint.

What are the two types of shoulder dislocations, where do you see them and how should we treat them?

TUBS (Traumatic Unilateral Bankart Surgical) and AMBRI (atraumatic multidirectional bilateral rehab rarely inferior capsular shift) are the two types of dislocations.

You will see TUBS is most often in contact or collision sports like football or rugby.  AMBRI is seen often in swimmers especially at the end of a long season.  

Post a TUBS dislocation and relocation Dr. Simonich likes to use the apprehension test as an indicator of further treatment.  He also uses athlete age (young athletes have a high rate of recurrence) individual goals, sport played and level of participation as indicators for surgery.  Surgery reduces the high rate of recurrence in young athletes.

What are the types of AC joint separation and how do you treat them?

AC joint separations are relatively easy to see and cause biplanar instability.  There are 5 types with Type I and II requiring conservative treatment, Type III going either way but trending non-operatively and Type IV V VI requiring reconstruction with a joint tie-down.

Clavicle fracture treatments have changed throughout the years due to research.  What does the current research say?

Prior to 06’-07’ most clavicle fractures were treated non operatively.  Research was introduced in two studies in those years that saw a better union rate with fixation in the clavicle post-fracture and surgeons began to surgically treat and fixate. 

In 2017 a new study showed that while the rate of union is still higher in clavicle fractures with fixation, fixation doesn’t improve shoulder function nor does it decrease limitations in the shoulder.  Dr. Simonich will put a plate to fixate the clavicle on an athlete with shortening, displacement, or comminution because they get faster healing rates, are more predictable and can get them back to their sports.

Watch the Athletic Shoulder 2019 presentation on Facebook

The Athletic Shoulder – Stephen Simonich, MD

The Athletic Shoulder – Stephen Simonich, MD

Posted by Sports Medicine Broadcast on Tuesday, June 11, 2019

Contact Us

Stephen Simonich(713) 486-9800

Jeremy Jackson

Shawn Readyshawnreadyatc@gmail.com

Ray Olivorayolivo1@gmail.com

Dr. Mark Knoblauchmaknobla@Central.UH.EDU

Dr. Layci Harrisonlharris5@Central.UH.EDU

Bob MarleyBob.Marley@uth.tmc.edu

Sponsors

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free

DragonflyMax – one-stop EMR

HOIST – no matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second-year free and support the podcast.

PhysicalTherapy.com; 1freecourse; continued; Physical therapy; Athletic SHoulder

Previous episodes discussing the Athletic Shoulder:

The Athletic Shoulder: What You Need To Know – 394

Shoulder Rehab Tips – 494

Shoulder Anatomy – 489

Stop Using Ice – Gary Reinl – 576

Stop Using Ice!!!

Stop Using Ice; Gary Reinl; Ray Olivo; John Ciecko

Buy a FrioHydration Unit that will hold ice for days and then STOP USING ICE and be done…

Actually, this is about using Ice as a treatment option for injuries.

In his book, Iced, The Illusionary Treatment Option, Gary Reinl covers almost everything we talk about here.

Stop Using Ice, Gary Reinl, Delayed healing, congestion of waste

Why should you Stop Using Ice?

There is very little research to support its efficacy

It actually slows the healing down by creating congestion at the damage site. Similar to a lane closure on a freeway due to an accident. when the cars back up the Emergency crew can not get there quickly and the 30-minute commute now takes 90 minutes.

There is no Google or Waze app for the human body. It really tries to repair rather than destroy itself. Let it run its course.

We confuse swelling and inflammation

Swelling can occur when a part of the body becomes inflamed. However, it is caused by the accumulation of fluid in tissues throughout the body, or in a specific region of the body

Inflammation is classified as a protective response from the immune system to injury, infection, or irritation.

Discussion on the SMB not in the book…

Practical application of the principal

  • How to talk to your coaches about it
  • How to talk with your athletes about it
  • How to discuss changing your physician's protocol

Slight exception to the rules:

  • If you have a dislocation and need to transport, ice will reduce swelling which will allow for a better relocation.
  • If you are using it once as an emotional trigger to help calm down the athlete

What About MarcPro

Using my code (TheSMB) helps to ensure your best discount as well as support the SMB

A medical-grade device that can run for hours to relieve the congestion of waste in and around the damaged tissue.

Try out the loaner program and see if it is worth your while – Email Gary@MarcPro.com and mention the Sports Medicine Broadcast and the Loaner Program

Contact us:

Gary Reinl – Email Gary Reinl

Jeremy Jackson

Shawn Readyshawnreadyatc@gmail.com

Ray Olivorayolivo1@gmail.com

Dr. Mark Knoblauchmaknobla@Central.UH.EDU

Dr. Layci Harrisonlharris5@Central.UH.EDU

Bob MarleyBob.Marley@uth.tmc.edu

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

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free

DragonflyMax – one-stop EMR

HOIST – no matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second-year free and support the podcast.