Articles Posted in Back/Spine Surgery

nwsl-logo-150x150tua-150x150While fans may wax poetic about how sports show humanity at its finest, the grim and even sleazy aspects of U.S. games also have been on full display in recent days.

The poohbahs of two of the nation’s most popular pastimes have acted poorly and spoken loudly as to how, maybe they don’t really give a whit about players’ health and well-being, permitting perversity and demeaning behaviors to flourish in women’s soccer and brutality and an almost willful medical blindness to rise anew in pro football for head trauma.

What are parents supposed to tell their kids about such sports “role models?”

pickleball-300x178The newly familiar thwack, pop, and crack of the pastime of pickleball, alas, is increasingly accompanied by some other sounds — the moans and groans of picklers who find themselves with injuries that can be more than annoying for older aficionados of this trendy sport.

Noe Sariban, a pickleball instructor, former pro player, and a physical therapist who markets himself as the Pickleball Doctor, told the New York Times about the rising list of injuries he sees regularly from a game that is played in a constrained space and purports to offer a less-strenuous alternative for those who can’t quite cover an expansive court any more in other racket sports:

“Achilles’ strains or tears, shoulder problems, rotator cuff injuries, lower back problems such as disc injuries, muscle strains …”

footballrest-150x150Even before the school bells ring to bring kids back to classes, young athletes have taken to steamy fields and other facilities for fall training — making this an ideal time to remind coaches, trainers, players, and parents to ensure important steps are taken for safety’s sake.

While injury prevention of all kinds must be paramount in school sports — programs that must focus on young folks’ recreation and enjoyment as much as competition — two problems persist and require great diligence as players ramp up their conditioning: heat injury and head trauma.

Susan Yeargin, an associate professor of athletic training at the University of South Carolina and co-author of the National Athletic Trainers Association’s position statement on heat illness, told the Washington Post that it takes all people, but especially younger players, time to adjust to the heat and humidity of late summer and early fall:

cbstulsavictims-300x120In Tulsa, Okla., a 45-year-old patient angry over what he claimed was the pain he suffered after a back operation, bought a handgun and an assault rifle. He stormed into the office of his orthopedic surgeon,  killing him, another doctor, a receptionist, and an office visitor, police say. The man then killed himself.

In Dayton, Ohio, a 30-year-old county jail inmate receiving care at a hospital wrestled with the 78-year-old contract guard accompanying him, fatally wounding him, threatening others, and finally killing himself.

The relentless spate of gun violence and multiple deaths has spread once again into settings designed to heal the sick and treat the injured.

stretch-195x300Even as patients in a giant and rapidly graying generation throng orthopedic surgeons’ offices seeking relief from aging’s pain and discomfort, the evidence for these pricey and invasive medical interventions is slim at best and too often is simply unpersuasive.

Those are the findings of an expansive, rigorous “meta examination” of major medical databases and reports on hundreds of reports they contained of clinical trials and other evidence on 10 of the most commonly performed orthopedic procedures. Researchers published their results in the BMJ, a respected medical journal of the British Medical Association.

As the New York Times reported of the experts’ conclusions:

Back-Pain-300x188As the nation rapidly grays, not only are middle-aged and older patients undergoing increasing numbers of knee, hip, ankle, and shoulder surgeries, back operations also have spiked — and a significant number of these procedures may be unwarranted and harmful.

Spinal surgery is a booming business for orthopedic surgeons and hospitals, with  Wall Street analysts forecasting, according to one report, that the “sales of spinal surgery implants, instruments, pharmaceuticals and other novel treatments for chronic and disabling back pain will … rise from $10 billion in 2020 to $14 billion -$ 16 billion by 2030.”

While rising numbers of patients, starting around age 42, complain of back pain and many eventually seek surgical relief, skepticism and concern may be deserved for the common, costly, and lucrative spinal fusion surgery, Modern Healthcare, an industry trade publication reported in its Oct. 5 edition.

medscrewsuw-171x300Patients, regulators, hospitals, and doctors themselves need to open their eyes and ask tougher questions about the eyebrow-raising trend occurring among a specialized set of “sawboneses” — orthopedists and neurosurgeons.

Hundreds of them are profiting handsomely, not on their  medical skills  but rather their investments in and relationships with surgical hardware. The specialists also are increasingly reliant, in dubious fashion, on medical device salespeople.

Fred Schulte, an investigative reporter with the independent, nonpartisan Kaiser Health News service, has written a pair of detailed news articles raising yet more questions about medical devices, specifically the $3 billion that floods a peculiar pipeline between those who operate on patients’ backs, knees, hips, and shoulders and the companies that provide the surgical hardware for the procedures.

Patients, politicians, and regulators may find it tough to believe, so they need sharp periodic reminders: While there are many terrific, dedicated doctors working today, there also are some truly terrible ones. And dealing with the harms of medical malpractice by the incompetent and abusive can require courage and vigilance.

  • Perhaps a new, streamed Hollywood serial — starring the likes of Alec Baldwin, Christian Slater, AnnaSophia Robb, and Joshua Jackson — can underscore for the public how grisly the results can be until a rare criminal prosecution derails the likes of Christopher Duntsch, a Dallas surgeon so grim he is nicknamed “Dr. Death?”

tbbacteria-300x200A rare outbreak of tuberculosis among dozens of surgical patients — some of them at hospitals in northern Virginia — is under investigation by federal health authorities, including the Centers for Disease Control and Prevention.  The CDC  suspects the infections may be tied to a malleable bone putty used in spinal and other orthopedic procedures.

The substance includes human cells harvested from cadavers, according to Aziyo Biologics Inc., a regenerative medicine company that has voluntarily recalled 154 containers of its FiberCel product.

Patrick Malone & Associates represents patients infected with tuberculosis apparently from this FiberCel bone putty product. Our firm is actively investigating what happened to determine the legal liability of everyone involved and to see where the  breakdowns occurred in the checks and balances intended to keep medical products safe.

caddytweet-223x300As pandemic-curtailed traffic returns to greater normality, motorists, bikers, and pedestrians may need to pay increased attention to two novel means of transportation taking to the roads: monster-sized SUVs and zippy high-tech scooters.

Even as officials in the nation’s capital approved, as expected, new rules on e-scooters, Andrew Hawkins, a reviewer at the Verge news and information site, deserves credit for raising safety concerns about a rising slice of the U.S. auto market: the over-sized Sport Utility Vehicle.

In case you missed it, SUVs have become the nation’s vehicular obsession, particularly in the kid-filled suburbs, with experts estimating they made up a large part — 47.4% — of auto sales in 2019.

Patrick Malone & Associates, P.C. listed in Best Lawyers Rated by Super Lawyers Patrick A. Malone
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