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BackTable Bone & Sports

BackTable Bone & Sports

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The go-to podcast for orthopedic surgeons, sports medicine docs, pain specialists, and MSK radiologists. Tune in every week for practical, physician-led conversations on common and complex clinical topics in bone, spine, and musculoskeletal care. Hear how experienced physicians approach real cases, and get practical advice from your peers in your field.All rights reserved. Hygiene & gesundes Leben
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  • Ep. 119 The TOUCH Procedure: An Innovative Approach in Hand Surgery with Dr. Jamie Alexander and Dr. Daniel Torres

    Ep. 119 The TOUCH Procedure: An Innovative Approach in Hand Surgery with Dr. Jamie Alexander and Dr. Daniel Torres
    Oct 20 2026
    Today’s fifty-year-old deadlifts, plays pickleball, and does yoga. When pain starts at the base of her thumb and the X-ray looks normal, it is easy to call it tendinitis and miss early arthritis. On this episode of BackTable Bone & Sports, Dr. Larry Balle welcomes Dr. Jamie Alexander and Dr. Daniel Torres, orthopedic hand surgeons at Houston Methodist, to discuss how they diagnose and manage thumb carpometacarpal (CMC) osteoarthritis in active and younger patients. They explore why early disease often gets missed, which metabolic and inflammatory workups matter, and how a multidisciplinary team helps patients get the right care. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction07:02 - Prevalence and Underdiagnosis of Thumb CMC Arthritis13:56 - Instability in Younger Active Patients15:34 - Metabolic and Inflammatory Workup21:27 - Multidisciplinary Care27:22 - Limits of Trapeziectomy and the Move to Implant Arthroplasty36:43 - Conservative Management45:54 - Injections and Bracing50:21 - Candidate Selection and Bone Health55:18 - Surgical Pearls and Revision Options57:58 - Closing Remarks --- More about this episode The conversation moves from conservative management, such as splints, hand therapy, grip changes, and injections, to surgical options. Dr. Torres and Dr. Alexander explain when to consider dual mobility thumb CMC arthroplasty for patients with good bone stock, how trapeziectomy compares, and why setting realistic expectations about function and recovery is so important. They share pearls for picking candidates, protecting bone health, and keeping surgical options open for future revisions, closing with advice for sports medicine physicians and therapists about recognizing instability and early arthritis before it progresses. --- Resources American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee. Arthritis Care Res. 2020https://doi.org/10.1002/acr.24131 Own the Bone, the American Orthopaedic Association bone health and fragility fracture prevention programhttps://www.ownthebone.org/ Dr. Daniel Torres, Houston Methodist physician profilehttps://www.houstonmethodist.org/doctor/daniel-torres/ Dr. Jamie Alexander, Houston Methodist physician profilehttps://www.houstonmethodist.org/doctor/jamie-j-alexander/ Houston Methodist Orthopedics & Sports Medicine at Clear Lakehttps://www.houstonmethodist.org/orthopedics/locations/clearlake/ Dr. Larry Balle, BackTable contributor pagehttps://www.backtable.com/shows/msk/contributors/dr-larry-balle --- BackTable Bone & Sports is the go-to podcast for orthopedic surgeons, sports medicine docs, pain specialists, and MSK radiologists. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app
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    1 Std. und 3 Min.
  • Ep. 118 Navigating Basketball Medicine: An Athletic Trainer’s Perspective with Matt Townsend, ATC

    Ep. 118 Navigating Basketball Medicine: An Athletic Trainer’s Perspective with Matt Townsend, ATC
    Oct 13 2026
    When a college basketball player asks when he can go back in the game, the person making the call is rarely wearing a white coat. On this episode of BackTable Bone & Sports, Dr. Larry Balle welcomes Matt Townsend, ATC, head athletic trainer for Arkansas men’s basketball, for an inside look at basketball medicine from the training room. They walk through the basketball calendar, common injuries, and the return-to-play decisions that happen in real time, including movement screening, tendinopathy rehab, vitamin D supplementation, and the impact of name image and likeness (NIL) on athlete advocacy. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction04:21 - A Day in the Life of a Basketball Athletic Trainer12:47 - Common Basketball Injuries16:20 - Training Load and Recovery Education19:44 - Return to Play Philosophy25:45 - Name Image and Likeness and the People Around the Athlete28:59 - Taping and Bracing Decisions35:11 - Anterior Knee Pain and Tendinopathy Management39:08 - Vitamin D and Bone Health45:50 - Agents, Pressure and Athlete Advocacy51:14 - Communication With Coaching Staff55:20 - Advice for Future Athletic Trainers1:00:36 - Closing Remarks --- More about this episode They walk through the basketball year from pre-participation physicals and movement screening to the injuries that define the sport, like lateral and high ankle sprains, MCL injuries, anterior knee pain, and stress fractures. Townsend shares how return-to-play decisions are made in real time, balancing objective force plate data, player feedback, and the demands of coaches and agents in the NIL era. The conversation covers the shift away from rest and ice toward progressive tendon loading, how quad weakness explained a player’s chronic knee pain, and how vitamin D protocols are managed for indoor athletes. They discuss bracing and taping as negotiations, the realities of injury prevention and load management, and why pre-participation screens can reveal more than a clinic visit. The episode closes with insights on athlete advocacy, team communication, and the reminders that even elite athletes are often just eighteen years old. --- Resources Matt Townsend, ATC, Head Athletic Trainer, Men's Basketball, University of Arkansashttps://arkansasrazorbacks.com/support-staff/matt-townsend/ University of Arkansas Sports Medicine staffhttps://arkansasrazorbacks.com/sports-medicine/ Dr. Larry Balle, BackTable contributor pagehttps://www.backtable.com/shows/msk/contributors/dr-larry-balle Dr. Larry Balle, Houston Methodist physician profilehttps://www.houstonmethodist.org/doctor/larry-balle BackTable Bone and Sports Ep. 100, Return to Play Post-Injury: Balancing Risk and Recovery, with Dr. Andy Glidewellhttps://www.backtable.com/shows/msk/podcasts/100/return-to-play-post-injury-balancing-risk-recover BackTable Bone and Sports Ep. 103, Sports Medicine and Lifestyle Medicine Intersections, with Dr. Megan Ferderberhttps://www.backtable.com/shows/msk/podcasts/103/sports-medicine-lifestyle-medicine-intersections Andrew M. Schween, DPT, physical therapist, UAMS Healthhttps://uamshealth.com/provider/andrew-m-schween Barrie Steele, athletic training, University of Idahohttps://govandals.com/sports/general/roster/barrie-steele/1205 National Athletic Trainers' Associationhttps://www.nata.org/ Kaminski TW, et al. National Athletic Trainers' Association Position Statement: Conservative Management and Prevention of Ankle Sprains in Athletes. J Athl Train. 2013https://doi.org/10.4085/1062-6050-48.4.02 --- BackTable Bone & Sports is the go-to podcast for orthopedic surgeons, sports medicine docs, pain specialists, and MSK radiologists. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app
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    1 Std. und 5 Min.
  • Ep. 117 Upper Extremity Rehab: Key Concepts & Techniques with Corbin Hedt PT, DPT

    Ep. 117 Upper Extremity Rehab: Key Concepts & Techniques with Corbin Hedt PT, DPT
    Oct 6 2026
    Why is rehab for the overhead athlete so nuanced—and how much of the answer is hidden below the shoulder? On this episode of BackTable Bone & Sports, Dr. Larry Balle welcomes Corbin Hedt, PT, DPT, SCS, CSCS, to explore upper extremity rehabilitation, fellowship training in sports physical therapy, and the evidence behind advanced throwing programs. Hedt breaks down the kinetic chain from the ground up, explains why only a few accredited fellowships exist for upper extremity athletes, and shares why modern rehab is all about proximal stability leading to distal performance. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction07:43 - Nuances of Upper Extremity Rehab14:22 - Upper Extremity Fellowship Overview21:12 - Barriers to Fellowship Expansion28:15 - Kinetic Chain in Throwing33:03 - Core Control and Movement Quality37:27 - Evaluating the Softball Pitcher44:24 - Blood Flow Restriction Training49:42 - BFR Protocols and Study Findings56:06 - Injury Risk and Workload Research1:03:37 - Imaging Findings in Asymptomatic Throwers1:07:36 - Curveballs, Velocity and Volume1:11:01 - Final Takeaways and Closing Remarks --- More about this episode The discussion covers clinical decision-making for common injuries like rotator cuff tendinopathy and UCL injury, the use of blood flow restriction therapy, and how evaluation and rehab protocols are evolving with new research. They dive into the mechanics of throwing, movement quality, imaging findings in asymptomatic athletes, and what really drives youth arm injuries. The episode closes with practical pearls for trainers and clinicians, including the dynamometer trick for patient buy-in, and why looking at the whole athlete, not just the pain, matters most. --- Resources Lambert BS, Hedt C, Ankersen JP, et al. Rotator cuff training with upper extremity blood flow restriction produces favorable adaptations in Division IA collegiate pitchers: a randomized trial. J Shoulder Elbow Surg. 2023;32(6):e279-e292.https://doi.org/10.1016/j.jse.2023.02.116 Intelangelo L, Lassaga I, Gonzalo E, et al. Is Strength the Main Risk Factor of Overuse Shoulder Injuries? A Cohort Study of 296 Amateur Overhead Athletes. Sports Health. 2025.https://doi.org/10.1177/19417381241298287 Bowen L, Gross AS, Gimpel M, Bruce-Low S, Li FX. Spikes in acute:chronic workload ratio (ACWR) associated with a 5-7 times greater injury rate in English Premier League football players: a comprehensive 3-year study. Br J Sports Med. 2020;54(12):731-738.https://pmc.ncbi.nlm.nih.gov/articles/PMC7285788/ Erickson BJ, Camp CL, D'Angelo J, et al. Musculoskeletal Findings of the Major League Baseball Combine: A Description of the "Normal" Prospective Professional Baseball Player. Am J Sports Med. 2025.https://doi.org/10.1177/03635465251339773 Fleisig GS, Andrews JR, Cutter GR, et al. Risk of Serious Injury for Young Baseball Pitchers: A 10-Year Prospective Study. Am J Sports Med. 2011;39(2):253-257.https://doi.org/10.1177/0363546510384224 Ready To Throw, the free throwing program, rehab protocol and pitching mechanics repository https://www.readytothrow.com/ --- BackTable Bone & Sports is the go-to podcast for orthopedic surgeons, sports medicine docs, pain specialists, and MSK radiologists. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app
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    1 Std. und 17 Min.
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