Reporting Dr. Google

bone and joint health Nov 25, 2019

As an orthopaedic surgeon, I often will be asked by patients about remedies they read about on the internet. “But Google said…”.  Well, I’d like to report this Doctor Google to the medical board. 


1. Dr. Google hasn’t gone through the appropriate schooling or residency

The schooling it takes to become a physician is extensive. After high school, there’s typically 4 years of undergraduate education, followed by 4 years of medical school, then anywhere from 3 to 7 years more of medical residency. Many physicians undergo additional fellowship or subspecialty training, which can be a minimum of another year before even starting practice. If you do the math, at minimum it’s 11 years more of education after high school.


2. Dr. Google doesn’t make it easy to distinguish science and pseudoscience 

Jade eggs? Biofrequency healing stickers? Dr. Google lets them all in. Just because there’s a celebrity behind the...

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Sports Medicine for Women: How About Those Knees?

bone and joint health May 02, 2019

Dr. Breanne Brown and I sit down at Providence Park, where the MLS Timbers plan, to have a Facebook Live chat on women and knee conditions. We talk about ACL injuries, arthritis, and more!

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Does Long Distance Running Cause Arthritis?

bone and joint health Mar 12, 2019


I often get this question - does running cause arthritis?

In general, physical activity is important in maintaining your health. Many people falsely believe that running can cause arthritis but research show that this isn't necessarily true.

In reality, walking, running or strenuous exercise can significantly decrease risk of any knee osteoarthritis. Doctors are still trying to understand how running can improve knee arthritis, with continual research studies.

Osteoarthritis (OA) is the most common form of arthritis caused by trauma or overuse of joints. Any of your joints can be affected, but the knee is the most common.  Knee arthritis occurs when the cartilage that covers the surface of your joint (also called hyaline cartilage or articular cartilage) becomes progressively worn away, eventually leaving the raw bone beneath exposed. Under normal conditions the cartilage is even slicker than a hockey puck on ice, but once the smooth covering wears away the result is a...

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But I’m Not a Tennis Player!

bone and joint health Feb 25, 2019


As a sports medicine orthopaedic surgeon, I often see patients with complaints at their elbow. One of the more common diagnoses is tennis elbow, otherwise known as lateral epicondylitis. Surprisingly, most of my patients with this condition don’t even play tennis!! Many types of repetitive arm movement can lead to tennis elbow. It all has to do with the tendons in our arms.

Tendons are the structures that hold muscle to bone. The tendons in our bodies are very tough and stretchy, kind of like rubber bands. But like rubber bands, tendons can weaken over time. Wear and tear on these tendons as we go about our daily activities can eventually lead to micro tears, and instead of being one long, smooth bundle of stretchy fibers, the tendons become “tangled” by the process of tearing and re-healing, and are weakened. This leads to inflammation of the tendons. When this inflammation happens at the outside of the elbow, a part of the body called the epicondyle,...

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Nothing to Fear, Just a Dislocation Here!

bone and joint health Feb 09, 2019

Obviously going through medical school, we study a lot of very tethnical things - like the Krebs Cycle. But sometimes the practical aspects of specialties other than our own escape us. I was honored to have Dr. Bradley Block ask me to make a guest appearance on his podcast, Physicians Guide to Doctoring, where we talk about the common sports and orthopaedic injuries tat are encountered. 


Take a listen right here:


You can learn more about what Dr. Bradley Block  and other great podcast episodes at Physicians Guide to...

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Injury Prevention on the Slopes

bone and joint health Jan 28, 2019


Ski season is here, and it's time to think about how we can avoid injuries on the slopes. As an orthopaedic surgeon, I most often see knee injuries, but also plenty of wrist, elbow and shoulder injuries as well. 

Hopefully you've done some pre-season conditioning - but if not, go ahead and start now! Obviously avoid a heavy workout the day prior to your first ski day, but if you have time to become more regularly active with your cardio, strength and flexibility routine, get started with that. It's important to increase intensity, duration and weight slowly to avoid injury. Don't let your injury avoidance plan injure you! Always talk to your doctor about starting an exercise program. 


Morning Warm Up

Before you start down the mountain, you will want to make sure all your muscles are properly warmed up to avoid injury. The glutes, hamstrings, quads and core are great stabilizing muscles that protect the rest of your body from injury. Make sure these are...

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Kitchen Mishaps! Knives and Avocados

bone and joint health Jan 14, 2019


Love avocados, but hate cutting them…..they are slippery little rascals and are responsible for many nasty hand injuries.

Stab wounds from using knives in the kitchen are not fun but are reported daily. Accidental self-inflicted knife injuries to digits are a common cause of tendon and nerve injury requiring hand surgery.

Many of us do not think about how much you use “your hands for your senses”!

Until you lose that ability of sensation, not just functional implications, but how else do you recognize hot, cold or pain but by touch.


Kitchen Knife and Avocado Statistics

The Consumer Product Safety Commission estimates over 137,000 people receive hospital treatments for injuries from kitchen knives every year.

There has been an apparent increase in avocado injuries due to the way people hold the fruit in the hand. Therefore, dubbed “avocado hand”, has spread as one plastic surgeon in England says, into an epidemic and suggests that avocados...

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My shoulder’s my...biceps???

bone and joint health Dec 21, 2018


Patients are often confused when I inform them that the biceps (long head of the biceps) is to blame for their shoulder pain. Most think of their biceps as the “Popeye” muscle at the mid portion of the upper arm.

To understand why the biceps can play a role in shoulder pain, we need to understand a little anatomy. The long head of the biceps takes a right-hand turn as it dives into the shoulder joint, attaching at the labrum, which is a cartilage rim around the cup, or the glenoid, of the ball and cup shoulder joint.

The reason the long head is susceptible to injury is because it is vulnerable in its journey. There are two parts to the biceps tendon - the long and the short head. The short head does not tear often and isn’t a part of the actual shoulder joint. Because of the short head, most sedentary people can still use their biceps even if the long head is completely torn - though cosmetically there may be an asymmetry in the appearance of the biceps. It...

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Should I sit or should I stand…are standing desks good for you?

bone and joint health Oct 30, 2018

Sit-stand desks are becoming increasingly popular, and have been touted as solutions for reducing obesity, combating cardiovascular disease, premature death.

The British Medical Journal published a study this month that looked at a sit-stand desk and its effects on prolonged sitting and physical activity as well as psychological and work-related health. They found that giving the worker this desk promoted less sitting, and using self-reported evaluations, the workers noted a positive change in work engagement, occupational fatigue, daily anxiety and quality of life. 

It’s important however when studies come out, to look at them with a critical eye. When a study uses self-reports, that always introduces the possibility of bias. Reporting one's own experience is very subjective. 

Also - it’s important to note that while there were some positive benefits reported in this study, it doesn’t necessarily measure whether one is less likely to be obese, have heart...

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Staying Active and Injury-Free...At Any Age!

bone and joint health Oct 10, 2018

No one can argue that staying active can have multiple benefits. Adults that maintain a regular exercise program will find that exercise can help them: 

  • Maintain healthier weight
  • Have healthier cholesterol and blood pressure levels
  • Be at lower risk of suffering a heart attack
  • Lower their risk of type 2 diabetes and some cancers
  • Have stronger bones, muscles and joints
  • Have a lower risk of falls
  • Improve mood
  • Improve sleep patterns



One of the tricks of starting and sticking to an exercise program is to avoid injury.
There's nothing more frustrating than finally getting over inertia to start a fitness program, only to be sidelined by injury.
In my personal journey, I'm frequently discovering new sports and hobbies - or rediscovering. And if I find something I love, I tend to overdo it. As I got into my forties, I found out first-hand that charging hard at one sport without balancing that with cross-training resulted in some of the common overuse...
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