Rules of Thumb with Doctor G

Subscribe: ⁠⁠⁠⁠⁠⁠Subscribe to Dr. G's Rules of Thumb Newsletter⁠⁠⁠⁠⁠⁠⁠ Original Article: ⁠⁠ ⁠⁠⁠From Door Slams to Hammers: Understanding Fingertip Injuries Summary: In this episode of the Rules of Thumb podcast, the host discusses the prevalence and complexity of fingertip injuries, exploring their anatomy, evaluation, treatment options, and recovery processes. The conversation emphasizes the importance of understanding these injuries, proper evaluation, and the need for early motion in recovery. The host also highlights the unique healing capabilities of fingertips and the long-term effects of such injuries. Keywords: fingertip injuries, nail bed injuries, hand surgery, injury recovery, fingertip anatomy, emergency care, patient evaluation, fingertip treatment Takeaways: Fingertip injuries are more common than you might think.Understanding the anatomy of the fingertip is crucial for treatment.Not all fingertip injuries require surgery; evaluation is key.The fingertip has a remarkable ability to heal over time.Early motion is essential to prevent stiffness during recovery.Cold intolerance can last for a year or more after injury.Proper wound care is vital for healing.Most fingertip injuries look better after a few months.Patient preferences play a significant role in treatment decisions.Fingertip injuries can lead to long-term sensitivity issues. Chapters: 00:00 Introduction to Fingertip Injuries 04:50 Evaluating Fingertip Injuries Disclaimer: If you are having a medical emergency, call 911. Do not attempt to contact or obtain medical services through this site. This content is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this site or materials linked from this site is at the user's own risk. The content of this site is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their healthcare professionals for any such conditions. The content is my own and does not necessarily reflect the views of my employer.

Subscribe: ⁠⁠⁠⁠⁠⁠⁠Subscribe to Dr. G's Rules of Thumb Newsletter⁠⁠⁠⁠⁠⁠⁠⁠ Original Article: ⁠⁠ ⁠⁠⁠⁠How to See a Specialist in 2025 — An Insider's Guide to Making Your Visit Count Summary: In this episode of the Rules of Thumb Podcast, Dr. G shares valuable insights on how to effectively navigate specialist visits in the current healthcare system. He emphasizes the importance of preparation, including organizing symptoms, completing paperwork in advance, and bringing necessary imaging. Dr. G also discusses the significance of asking focused questions to maximize the limited time with a specialist, ultimately aiming to enhance the patient experience and ensure better healthcare outcomes. Keywords: specialist visits, healthcare tips, patient preparation, medical system, musculoskeletal health Takeaways: Think like a doctor before your visit.Organize your symptoms using the doctor's framework.Complete paperwork in advance to save time.Bring imaging on a physical disk for better care.Focus on three to five high-impact questions.Quality of questions is more important than quantity.Prepare for your appointment to maximize time with the doctor.Understand the limitations of the current medical system.Use these strategies to navigate specialist visits effectively.Share these tips with friends who are waiting for appointments. Chapters: 00:00 Introduction to Musculoskeletal Health 04:46 Maximizing Your Time with Specialists Disclaimer: If you are having a medical emergency, call 911. Do not attempt to contact or obtain medical services through this site. This content is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this site or materials linked from this site is at the user's own risk. The content of this site is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their healthcare professionals for any such conditions. The content is my own and does not necessarily reflect the views of my employer.

Subscribe: ⁠⁠⁠⁠⁠⁠Subscribe to Dr. G's Rules of Thumb Newsletter⁠⁠⁠⁠⁠⁠⁠ Original Article: ⁠⁠ ⁠⁠⁠Turkey Carving Injuries — A Hand Surgeon's Guide to Not Ruining Thanksgiving Disclaimer: If you are having a medical emergency, call 911. Do not attempt to contact or obtain medical services through this site. This content is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this site or materials linked from this site is at the user's own risk. The content of this site is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their healthcare professionals for any such conditions. The content is my own and does not necessarily reflect the views of my employer.

⁠⁠⁠⁠⁠⁠⁠Subscribe to Dr. G's Rules of Thumb Newsletter⁠⁠⁠⁠⁠⁠⁠⁠ Original Article: ⁠⁠ ⁠⁠⁠⁠⁠⁠Understanding Radial Head and Neck Fractures — What You Need to Know⁠ Summary: In this episode of the Rules of Thumb podcast, Dr. G discusses radial head and neck fractures, a common elbow injury. He explains the anatomy of the elbow, how these fractures occur, their symptoms, and the importance of early diagnosis and treatment. Most fractures do not require surgery, and early movement is crucial for recovery. The episode emphasizes the need for proper evaluation and rehabilitation to prevent long-term stiffness and ensure a smooth return to normal activities. Keywords: radial head fractures, elbow injuries, musculoskeletal health, treatment options, recovery, rehabilitation, elbow anatomy, diagnosis, symptoms, surgery Takeaways: - Most radial head and neck fractures don't need surgery, but proper diagnosis is crucial to make that call. - Early movement, when appropriate, is your friend in preventing stiffness. - Make sure to pay attention to your whole arm during recovery, not just the elbow. - Getting evaluated early gives us the best chance of choosing the right treatment path. - The elbow joint is where bones come together to allow for movement. - The top of the radius bone is called the radial head. - The vast majority of these ligament injuries will heal on their own. - If the fracture is non-displaced, it just needs a few days in a sling. - Recovery is typically straightforward with proper care and dedication to rehab. - Elbows get stiff really quickly after an injury, so early movement is essential. Chapters: 00:00 Introduction to Radial Head and Neck Fractures 04:06 Diagnosis and Treatment Options Disclaimer: If you are having a medical emergency, call 911. Do not attempt to contact or obtain medical services through this site. This content is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this site or materials linked from this site is at the user's own risk. The content of this site is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their healthcare professionals for any such conditions. The content is my own and does not necessarily reflect the views of my employer.

Subscribe: ⁠⁠⁠⁠⁠⁠Subscribe to Dr. G's Rules of Thumb Newsletter⁠⁠⁠⁠⁠⁠⁠ Original Article: ⁠⁠ ⁠⁠⁠"If It Dries, It Dies" — A Surgeon's Guide to Wound Care Summary: In this episode of the Rules of Thumb podcast, Dr. Nick Golinvaux discusses essential wound care practices, emphasizing the importance of understanding the stages of wound healing. He provides detailed guidance on caring for surgical and open wounds, the significance of moisture in healing, and the proper approach to scar care. Additionally, he highlights warning signs of infection and the importance of monitoring the healing process. Keywords: wound care, surgical wounds, open wounds, scar care, infection signs, healing process, musculoskeletal health, first aid, skin care, medical advice Takeaways: All wounds follow the same healing progression, from open wound to closed wound to scar.If it dries, it dies. Remember to keep raw open wounds moist with Vaseline or Aquaphor.Once wounds are closed, less is more in terms of moisture.Watch the trend of your wound's healing; sudden worsening needs medical attention.Healing is a progression, and knowing care principles is crucial.Surgical wounds should be kept covered for the first five days.Open wounds need to stay moist to prevent tissue death.Scars take around 9 to 12 months to mature and require sun protection.Massage can help thick scars mature faster, but vitamin E oil may not be beneficial.Redness around a wound is normal, but excessive redness may indicate infection. Chapters: 00:00 Introduction to Wound Care 01:14 Understanding Surgical Wound Care 03:35 Open Wound Management 06:40 Scar Care and Healing Process 08:14 Recognizing Warning Signs of Infection Disclaimer: If you are having a medical emergency, call 911. Do not attempt to contact or obtain medical services through this site. This content is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this site or materials linked from this site is at the user's own risk. The content of this site is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their healthcare professionals for any such conditions. The content is my own and does not necessarily reflect the views of my employer.

Subscribe: ⁠⁠⁠⁠⁠⁠⁠⁠Subscribe to Dr. G's Rules of Thumb Newsletter⁠⁠⁠⁠⁠⁠⁠⁠⁠ Original Article: ⁠⁠ The Sprained Thumb: A 6-Step Guide for Patients Summary: In this episode of the Rules of Thumb podcast, Dr. G discusses the common injury known as Skiers' Thumb, detailing its symptoms, diagnosis, treatment options, and recovery timeline. The conversation emphasizes the importance of understanding this injury for better health outcomes and provides a comprehensive guide for patients. Keywords: musculoskeletal health, thumb injury, skier's thumb, UCL injury, thumb sprain, treatment options, recovery timeline, surgery, hand specialist, rehabilitation Takeaways: Musculoskeletal health is crucial for longevity.Skiers' thumb is a common injury that can be serious.The thumb UCL is vital for pinch stability.Diagnosis of Skiers' thumb benefits from a hand specialist.MRI is essential for confirming a UCL tear.Treatment varies based on the extent of the injury.Surgical repair is recommended for complete tears.Recovery can take several months, with gradual rehabilitation.Understanding the injury helps in making informed health decisions.Timely intervention is key to successful recovery. Chapters: 00:00 Introduction to Musculoskeletal Health 00:39 Understanding Skiers' Thumb 01:04 Symptoms and Diagnosis of Skiers' Thumb 03:35 Treatment Options for Skiers' Thumb 05:05 Surgical Procedures for Skiers' Thumb 06:24 Recovery Timeline After Surgery Disclaimer: If you are having a medical emergency, call 911. Do not attempt to contact or obtain medical services through this site. This content is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this site or materials linked from this site is at the user's own risk. The content of this site is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their healthcare professionals for any such conditions. The content is my own and does not necessarily reflect the views of my employer.

Subscribe: ⁠⁠⁠⁠⁠⁠⁠Subscribe to Dr. G's Rules of Thumb Newsletter⁠⁠⁠⁠⁠⁠⁠⁠ Original Article: ⁠⁠ ⁠⁠⁠⁠⁠⁠Nutrition and Musculoskeletal Health — What to Eat for Stronger Bones, Joints, and Muscles Summary: In this episode of the Rules of Thumb podcast, Dr. G discusses the critical role of nutrition in maintaining musculoskeletal health. He emphasizes the importance of protein for muscle strength, the impact of diet on joint health, and the essential nutrients for bone health. The conversation also covers food choices that support musculoskeletal health and the role of supplements, while cautioning listeners about the unregulated nature of the supplement industry. Ultimately, Dr. G highlights that nutrition is a long-term commitment that requires a balanced approach. Keywords: nutrition, musculoskeletal health, protein, joint health, bone health, supplements, inflammation, diet, omega-3, antioxidants Takeaways: Nutrition plays a big role in musculoskeletal health.Protein is essential for muscle strength and repair.Chronic inflammation is linked to joint pain.Vitamin D is crucial for calcium absorption.Fatty fish provide omega-3 fatty acids for inflammation.A variety of nutrient-rich foods is important.Supplements should be approached with caution.Nutrition is a long-term commitment.Balance in diet is key to overall health.Regular updates in nutrition science are necessary. Chapters: 00:00 Introduction to Nutrition and Musculoskeletal Health 01:51 The Importance of Protein for Muscles 03:08 Joint Health and Nutrition 04:13 Understanding Bone Health 05:28 Key Foods for Musculoskeletal Health 08:40 Supplements for Musculoskeletal Support 10:48 Long-Term Nutrition Strategies for Health Disclaimer: If you are having a medical emergency, call 911. Do not attempt to contact or obtain medical services through this site. This content is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this site or materials linked from this site is at the user's own risk. The content of this site is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their healthcare professionals for any such conditions. The content is my own and does not necessarily reflect the views of my employer.

Subscribe: ⁠⁠⁠⁠⁠⁠⁠Subscribe to Dr. G's Rules of Thumb Newsletter⁠⁠⁠⁠⁠⁠⁠⁠ Original Article: ⁠⁠ ⁠⁠⁠⁠⁠⁠How Diabetes Affects Your Hands — From Trigger Finger to Carpal Tunnel Syndrome Summary: In this episode, Dr. G discusses the significant impact of diabetes on hand health, particularly focusing on conditions like carpal tunnel syndrome and trigger finger. He explains the mechanisms behind these conditions, including the role of glycation and Advanced Glycation End Products (AGEs). The episode emphasizes the importance of managing blood sugar levels and offers practical strategies for preventing and managing hand issues in patients with diabetes. Keywords: Diabetes, Carpal Tunnel Syndrome, Trigger Finger, Hand Health, Glycation, Blood Sugar Management, Nerve Damage, AGEs, Musculoskeletal Health, Diabetes Management Takeaways: Diabetes can significantly impact your hands, leading to issues like carpal tunnel syndrome and trigger finger.By actively managing your blood sugar levels and incorporating preventive measures, you can protect your hands and maintain their functionality.Unfortunately, diabetes makes the above hand and risk conditions more resistant to non-surgical treatment and makes surgery itself a higher risk.Carpal tunnel syndrome occurs when the median nerve becomes compressed, causing pain and numbness.Patients with diabetes are nearly 10 times more likely to develop trigger fingers compared to the average person.Maintaining healthy blood sugar levels is the most important step in managing diabetes effectively.Regular physical activity controls blood sugar, increases circulation, and strengthens muscles.Seeking professional help early can prevent complications associated with diabetes.AGEs accumulate in tissues due to high blood sugar, causing irreversible damage.Diabetes leads to progressive, universal damage throughout the human body, including the hands. Chapters: 00:00 Understanding Diabetes and Its Impact on Health 01:34 Carpal Tunnel Syndrome: A Diabetic Perspective 03:50 Trigger Finger: Risks and Management 04:56 Managing Hand Issues in Diabetes 06:18 Key Takeaways on Diabetes and Hand Health Disclaimer: If you are having a medical emergency, call 911. Do not attempt to contact or obtain medical services through this site. This content is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this site or materials linked from this site is at the user's own risk. The content of this site is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their healthcare professionals for any such conditions. The content is my own and does not necessarily reflect the views of my employer.

Subscribe: ⁠⁠⁠⁠⁠⁠Subscribe to Dr. G's Rules of Thumb Newsletter⁠⁠⁠⁠⁠⁠⁠ Original Article: ⁠⁠ ⁠⁠⁠Hand and Wrist Pain During Pregnancy — Causes and Relief Strategies Summary: In this episode of the Rules of Thumb Podcast, Dr. G discusses the common issue of hand and wrist pain during pregnancy. He explores the causes, including fluid retention, posture changes, and repetitive motions, and offers practical strategies for managing these conditions. The episode emphasizes the importance of understanding symptoms and seeking professional help when necessary, while also providing at-home remedies to alleviate discomfort. Keywords: musculoskeletal health, pregnancy, hand pain, wrist pain, carpal tunnel syndrome, De Quervain's tenosynovitis, pain management, postpartum care, health strategies, women's health Takeaways: Hand and wrist pain during pregnancy is common, but it doesn't have to be debilitating.Understanding the causes can help minimize discomfort.Fluid retention and hormonal changes are significant contributors to pain.Posture changes during pregnancy can affect hand and wrist usage.Repetitive motions can lead to conditions like tendonitis.Carpal tunnel syndrome symptoms often improve after delivery.Nighttime bracing can alleviate carpal tunnel symptoms.De Quervain's tenosynovitis is common postpartum due to baby care activities.Movement and elevation are key strategies for managing swelling.Consulting a healthcare professional is crucial for persistent symptoms. Chapters: 00:00 Introduction to Hand and Wrist Pain During Pregnancy 00:47 Understanding Causes of Hand and Wrist Pain 04:23 Management Strategies for Carpal Tunnel Syndrome 07:07 De Quervain's Tenosynovitis: Symptoms and Treatment 08:58 Generalized Hand and Wrist Swelling: Relief Techniques 10:26 Final Thoughts and Key Takeaways Disclaimer: If you are having a medical emergency, call 911. Do not attempt to contact or obtain medical services through this site. This content is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this site or materials linked from this site is at the user's own risk. The content of this site is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their healthcare professionals for any such conditions. The content is my own and does not necessarily reflect the views of my employer.

Subscribe: ⁠⁠⁠⁠⁠⁠Subscribe to Dr. G's Rules of Thumb Newsletter⁠⁠⁠⁠⁠⁠⁠ Original Article: ⁠⁠ ⁠⁠⁠A Hand Surgeon’s Top-5 Tips For Safe Pumpkin Carving This Halloween Summary: In this episode of the Rules of Thumb podcast, Dr. G shares essential tips for safe pumpkin carving, especially as Halloween approaches. He discusses common injuries associated with pumpkin carving and provides practical advice to prevent accidents. The episode emphasizes the importance of adult supervision, proper tools, and alternative activities like painting pumpkins. Dr. G also offers guidance on what to do in case of an injury, highlighting the need for prompt medical attention. Keywords: Pumpkin carving, safety tips, hand injuries, Halloween, family activities, carving tools, emergency care, painting pumpkins Takeaways: Pumpkin carving injuries are common during Halloween.Always have adults do the knife work.Cut the bottom of the pumpkin for safety.Keep the carving area clean and dry.Use proper carving tools designed for safety.Consider painting pumpkins as a safer alternative.Hold pressure on injuries to stop bleeding.Seek medical care if bleeding persists.Many palm injuries require timely surgical intervention.Safety should always come first during family activities. Chapters: 00:00 Introduction to Safe Pumpkin Carving 01:02 Understanding Pumpkin Carving Injuries 02:21 Top Tips for Safe Pumpkin Carving 05:03 Conclusion and Key Takeaways Disclaimer: If you are having a medical emergency, call 911. Do not attempt to contact or obtain medical services through this site. This content is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this site or materials linked from this site is at the user's own risk. The content of this site is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their healthcare professionals for any such conditions. The content is my own and does not necessarily reflect the views of my employer.

Subscribe: ⁠⁠⁠⁠⁠⁠Subscribe to Dr. G's Rules of Thumb Newsletter⁠⁠⁠⁠⁠⁠⁠ Original Article: ⁠⁠ ⁠⁠⁠How Orthopedic Surgeons Fix Bones - Part 2 Other Articles: How Orthopedic Surgeons Fix Bones - Part 1 Summary: In this episode of the Rules of Thumb podcast, Dr. G discusses the intricacies of orthopedic surgery, focusing on the processes of primary and secondary bone healing. He explains how orthopedic surgeons utilize various techniques, such as compression plating and bridge plating, to facilitate healing in fractured bones. The episode highlights the importance of stability in the healing process and introduces innovative solutions like femoral nails. Listeners gain insights into the surgical approaches and biological mechanisms involved in bone repair. Keywords: orthopedic surgery, bone healing, secondary bone healing, compression plating, bridge plating, femoral nail, musculoskeletal health, fracture treatment, callus formation, orthopedic techniques Takeaways: When using compression is not an option to fix a bone, orthopedic surgeons can use the phenomenon of secondary bone healing to their advantage.This is typically achieved via bridge plate fixation or the use of an intramedullary nail.This is also how a standard arm or leg cast works.The key is achieving enough basic stability of the fracture to allow the body to take over the rest of the healing process with a tissue called callus.Bones can heal in two different ways after they break: primary and secondary healing.The maximum amount of instability under which a bone can manage to heal is 10% strain.Bridge plating provides stability for shattered fractures without compression.Femoral nails allow for internal stabilization of the bone.The healing process typically takes about six to ten weeks following surgery.Most patients choose to keep the surgical hardware for life after healing. Chapters: 00:00 Introduction to Orthopedic Surgery and Bone Healing 00:53 Understanding Primary and Secondary Bone Healing 02:33 Surgical Techniques for Secondary Bone Healing 05:00 Innovative Solutions: Bridge Plating and Femoral Nails 06:23 Key Takeaways on Bone Healing Techniques Disclaimer: If you are having a medical emergency, call 911. Do not attempt to contact or obtain medical services through this site. This content is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this site or materials linked from this site is at the user's own risk. The content of this site is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their healthcare professionals for any such conditions. The content is my own and does not necessarily reflect the views of my employer.

Subscribe: ⁠⁠⁠⁠⁠⁠Subscribe to Dr. G's Rules of Thumb Newsletter⁠⁠⁠⁠⁠⁠⁠ Original Article: ⁠⁠ ⁠⁠⁠Golfer's Elbow (aka Medial Epicondylitis) Other Articles: ⁠⁠⁠How To Use a Brace To Actually Treat Your Tendinitis Or Sprain: A Framework⁠⁠⁠⁠⁠⁠Home Physical Therapy⁠⁠⁠ Summary: In this episode of the Rules of Thumb podcast, Dr. G discusses golfer's elbow, also known as medial epicondylitis, a painful condition resulting from overuse of wrist and finger flexor muscles. The episode covers the causes, symptoms, and effective treatment options, emphasizing the importance of a wrist brace and physical therapy. Dr. G provides insights into managing the condition and highlights that while recovery may take time, the body has the ability to heal itself. Keywords: Golfer's elbow, medial epicondylitis, tendonitis, musculoskeletal health, treatment options, wrist brace, physical therapy, pain management, sports injuries, recovery Takeaways: Golfer's elbow is a painful condition from overuse.Symptoms can last many months without quick relief.Treatment is primarily non-surgical and focuses on management.A wrist brace is essential for recovery, not an elbow brace.Home physical therapy can aid in healing.Proper mechanics in sports can prevent injuries.Steroid injections may prolong symptoms despite temporary relief.Patience is key in the healing process.Understanding the condition helps in making informed treatment decisions.Trusting your body is crucial for recovery. Chapters: 00:00 Introduction to Golfer's Elbow 02:01 Understanding Golfer's Elbow 04:51 Treatment Options for Golfer's Elbow 09:59 Key Takeaways and Conclusion Disclaimer: If you are having a medical emergency, call 911. Do not attempt to contact or obtain medical services through this site. This content is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this site or materials linked from this site is at the user's own risk. The content of this site is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their healthcare professionals for any such conditions. The content is my own and does not necessarily reflect the views of my employer.

Subscribe: ⁠⁠Subscribe to Dr. G's Rules of Thumb Newsletter⁠⁠⁠ Summary This episode of the Rules of Thumb podcast discusses the injuries caused by cats and dogs and helps listeners decide whether to get a dog or a cat based on the injuries they are likely to cause. The episode explores the spectrum of injuries caused by household pets, focusing on bites and other orthopedic injuries. It compares dog bites and cat bites, highlighting the differences in the severity and infection rates. The episode also discusses the surprising number of injuries caused by walking dogs and emphasizes the need for caution. The main takeaways are that cat bite injuries have worse outcomes due to the risk of infection, and walking dogs can result in serious injuries. Keywords cat bites, dog bites, injuries, orthopedic injuries, infection, walking dogs, pet injuries Chapters 00:00 Introduction 02:00 Dog Bites 04:25 Cat Bites 06:33 The Dangers of Walking Dogs 08:16 Considering the Downsides of Pet Ownership 09:14 Conclusion

Subscribe: ⁠⁠⁠⁠⁠⁠⁠Subscribe to Dr. G's Rules of Thumb Newsletter⁠⁠⁠⁠⁠⁠⁠⁠ Original Article: ⁠⁠ ⁠⁠⁠⁠⁠⁠How Orthopedic Surgeons Fix Bones - Part 1 Summary: In this episode of the Rules of Thumb Podcast, Dr. Nick Golinvaux delves into the intricacies of orthopedic surgery, specifically focusing on how orthopedic surgeons fix broken bones. He explains the two primary mechanisms of bone healing: primary and secondary healing, with a detailed exploration of primary bone healing. The episode highlights the importance of compression at the fracture site, the use of plates and screws, and the overall healing process. Dr. Golinvaux also discusses alternative techniques for achieving bone compression, providing listeners with a comprehensive understanding of the surgical process involved in bone repair. Keywords: orthopedic surgery, bone healing, primary bone healing, screws, plates, musculoskeletal health, fracture treatment, orthopedic tools, healing process, medical technology Takeaways: Fractured bones can heal in different ways depending on the characteristics of the break and how stable they are as they heal.Orthopedic surgeons need to know which type of bone healing they want to achieve when designing an implant to fix the fracture.Primary bone healing requires compression at the fracture site, which can be achieved with compression plating, lag screws, or headless compression screws.The ends of the bones must be within 200 microns of each other for primary healing to occur.A single break across the bone is ideal for primary bone healing.The 'magic screw' plays a crucial role in compressing the fracture site.Most hardware used in surgery becomes irrelevant after the bone heals.Alternative techniques for compression include lag screws and headless compression screws.Understanding the mechanics of bone healing can enhance patient education and awareness.Knowledge of orthopedic tools and techniques can be beneficial for both patients and practitioners. Chapters: 00:00 Introduction to Orthopedic Surgery and Bone Healing 01:04 Understanding Primary Bone Healing 02:40 Techniques for Achieving Primary Bone Healing 05:19 The Healing Process and Hardware Relevance Disclaimer: If you are having a medical emergency, call 911. Do not attempt to contact or obtain medical services through this site. This content is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this site or materials linked from this site is at the user's own risk. The content of this site is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their healthcare professionals for any such conditions. The content is my own and does not necessarily reflect the views of my employer.

Subscribe: ⁠⁠⁠⁠⁠⁠⁠Subscribe to Dr. G's Rules of Thumb Newsletter⁠⁠⁠⁠⁠⁠⁠⁠ Original Article: ⁠⁠ ⁠⁠⁠⁠⁠⁠An Overview Of Dupuytren’s…And What To Look Out For Summary: In this episode of the Rules of Thumb Podcast, Dr. G discusses Dupuytren's disease, a common condition affecting the hand, characterized by fibrotic changes in the palmar fascia. The conversation covers the definition, symptoms, causes, demographics, and the unpredictable nature of the disease, emphasizing that while there is no cure, treatment options exist for its more severe form, Dupuytren's contracture. The episode concludes with a promise to explore treatment options in future discussions. Keywords: Dupuytren's disease, Dupuytren's contracture, hand health, musculoskeletal health, treatment options, symptoms, causes, demographics, progression, non-surgical treatments Takeaways: Dupuytren's disease is a common, often inherited condition of the hand that appears later in life and has variable degrees of severity.About one in five patients with the condition will go on to develop a hand contracture associated with the disease, and most of these do necessitate treatment.Dupuytren’s is not a cancer and is not a dangerous condition.However, it can severely limit hand function if the contracture gets bad enough.Dupuytren's disease involves fibrotic changes to the palmar fascia.Symptoms can include nodules or cords in the palm that can lead to contractures.The root cause of Dupuytren's disease remains unclear, with both genetic and environmental factors at play.The disease progresses unpredictably, with some patients experiencing severe symptoms while others remain asymptomatic.There are no unique biomarkers for Dupuytren's disease, making it difficult to study.Future discussions will cover treatment options for different stages of Dupuytren's contracture. Chapters: 00:00 Introduction to Dupuytren's Disease 00:45 Understanding Dupuytren's Disease and Contracture 02:33 Symptoms and Progression of Dupuytren's Disease 05:01 Causes and Risk Factors of Dupuytren's Disease 06:46 Implications and Future Discussions on Treatment Disclaimer: If you are having a medical emergency, call 911. Do not attempt to contact or obtain medical services through this site. This content is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this site or materials linked from this site is at the user's own risk. The content of this site is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their healthcare professionals for any such conditions. The content is my own and does not necessarily reflect the views of my employer.

Subscribe: ⁠⁠⁠⁠⁠⁠⁠Subscribe to Dr. G's Rules of Thumb Newsletter⁠⁠⁠⁠⁠⁠⁠⁠ Original Article: ⁠⁠ ⁠⁠⁠⁠⁠⁠Ice, Ice, Maybe? A Surgeon's Perspective on Icing Injuries Summary: In this episode of the Rules of Thumb Podcast, Dr. Nick Golinvaux explores the controversial topic of icing injuries. He discusses the historical context of icing, the physiological effects, and the ongoing debate between proponents and critics of the practice. Through an examination of recent studies, particularly in knee replacement patients, he highlights the potential benefits and lack of harm associated with icing, ultimately recommending a moderate approach to its use. Keywords: musculoskeletal health, icing injuries, RICE protocol, inflammation, knee replacement, recovery, pain management, sports medicine, injury treatment, health podcast Takeaways: Icing injuries has been debated for years.Proponents argue it reduces swelling and pain.Critics believe it interferes with natural healing.Studies show icing can lead to shorter hospital stays.No evidence of slowed healing from icing was found.Knee replacement patients benefit from icing post-surgery.The inflammatory process is crucial for healing.The evidence on icing is not conclusive.Moderation is key when using ice for injuries.Medical decisions often involve gray areas and uncertainties. Chapters: 00:00 Introduction to Musculoskeletal Health 00:37 The Debate on Icing Injuries 03:24 Understanding the Evidence on Icing 06:32 Conclusion and Recommendations Disclaimer: If you are having a medical emergency, call 911. Do not attempt to contact or obtain medical services through this site. This content is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this site or materials linked from this site is at the user's own risk. The content of this site is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their healthcare professionals for any such conditions. The content is my own and does not necessarily reflect the views of my employer.

Subscribe: ⁠⁠⁠⁠⁠⁠⁠Subscribe to Dr. G's Rules of Thumb Newsletter⁠⁠⁠⁠⁠⁠⁠⁠ Original Article: ⁠⁠ ⁠⁠⁠⁠⁠⁠De Quervain’s Tenosynovitis — Wrist Pain That Will Stop You In Your Tracks Summary: In this episode of the Rules of Thumb podcast, Dr. G discusses De Quervain's Tenosynovitis, a common and painful wrist condition often caused by repetitive motions. The conversation covers the anatomy involved, how to diagnose the condition through self-assessment, and various treatment options ranging from activity modification to surgery. Listeners gain insights into managing their symptoms and understanding when to seek professional help. Keywords: De Quervain's Tenosynovitis, wrist pain, tendonitis, diagnosis, treatment, activity modification, bracing, steroid injections, surgery Takeaways: De Quervain's Tenosynovitis is a common cause of wrist pain.It is often caused by repetitive motions like texting or lifting children.Diagnosis can be done easily with the modified Eikhoff or Finkelstein test.Activity modification is a key treatment strategy.Bracing is effective and should immobilize part of the thumb.Therapy may help but is not always necessary.Steroid injections can be effective but have potential side effects.Surgery is a reliable option for those who do not respond to other treatments.Knowledge about the condition empowers patients to manage their symptoms.Understanding the anatomy helps in recognizing the causes of pain. Chapters: 00:00 Introduction to De Quervain's Tenosynovitis 00:45 Understanding the Anatomy and Causes 02:15 Diagnosis and Self-Testing Techniques 04:00 Treatment Strategies: Activity Modification and Bracing 06:32 Advanced Treatment Options: Therapy, Injections, and Surgery Disclaimer: If you are having a medical emergency, call 911. Do not attempt to contact or obtain medical services through this site. This content is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this site or materials linked from this site is at the user's own risk. The content of this site is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their healthcare professionals for any such conditions. The content is my own and does not necessarily reflect the views of my employer.

Subscribe: ⁠⁠⁠⁠⁠⁠⁠Subscribe to Dr. G's Rules of Thumb Newsletter⁠⁠⁠⁠⁠⁠⁠⁠ Original Article: ⁠⁠ ⁠⁠⁠⁠⁠⁠Avoiding the Scalpel — Lessons from 57 Carpal Tunnel Surgeries So Far This Year Summary: In this episode of the Rules of Thumb podcast, Dr. G discusses carpal tunnel syndrome, its common symptoms, and effective non-surgical treatments. He emphasizes the importance of wrist positioning, minimizing repetitive tasks, and the effectiveness of wearing a wrist brace at night. The episode provides practical advice for listeners to manage their symptoms and avoid surgery when possible. Keywords: musculoskeletal health, carpal tunnel syndrome, home remedies, wrist positioning, bracing, non-surgical treatment, health tips, pain relief, surgery alternatives, hand health Takeaways: Carpal tunnel syndrome is common but often misunderstood.Home remedies can be effective for managing symptoms.Wrist positioning plays a crucial role in preventing carpal tunnel syndrome.Minimizing repetitive tasks can help reduce symptoms.Wearing a wrist brace at night is highly recommended.True carpal tunnel syndrome rarely improves with therapy or injections.Non-operative treatments can be effective and are often overlooked.Commit to wearing a brace for at least six weeks for best results.Surgery should be a last resort after exploring non-surgical options.Understanding your options can lead to better management of carpal tunnel syndrome. Chapters: 00:00 Introduction to Carpal Tunnel Syndrome 00:38 Understanding Carpal Tunnel Surgery 01:27 Home Remedies for Carpal Tunnel Syndrome 03:12 The Importance of Ergonomics 04:37 Effective Non-Surgical Treatments Disclaimer: If you are having a medical emergency, call 911. Do not attempt to contact or obtain medical services through this site. This content is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this site or materials linked from this site is at the user's own risk. The content of this site is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their healthcare professionals for any such conditions. The content is my own and does not necessarily reflect the views of my employer.

Subscribe: ⁠⁠⁠⁠⁠⁠⁠Subscribe to Dr. G's Rules of Thumb Newsletter⁠⁠⁠⁠⁠⁠⁠⁠ Original Article: ⁠⁠ ⁠⁠⁠⁠⁠⁠Your Primer on Inflammation Summary: In this episode of the Rules of Thumb podcast, Dr. G discusses the concept of inflammation, its role in the body, and the implications of chronic inflammation. He explains how inflammation is a natural healing process that can become harmful when it persists. The conversation covers the science behind inflammation, its effects on conditions like tendonitis and arthritis, and various strategies for managing inflammation, including diet, lifestyle changes, medications, and surgery. The episode emphasizes the importance of balance in treating inflammation and encourages listeners to consider the implications of their treatment choices. Keywords: inflammation, health, wellness, anti-inflammatory, musculoskeletal health, chronic pain, healing, diet, lifestyle, medical insights Takeaways: Inflammation is a natural bodily process that can be beneficial for healing in acute situations.Chronic inflammation can be harmful and lead to various diseases.The inflammatory cascade is the body's primary response to damage, including injuries and arthritis.Diet and lifestyle changes can help manage inflammation effectively.Medications like ibuprofen can block inflammatory processes but may also hinder healing.Surgery may be necessary when inflammation is out of control and other treatments fail.Understanding inflammation helps in making informed health decisions.Balance is key in managing inflammation without suppressing healing.The conversation around inflammation is evolving as more research emerges.Listeners should consider their treatment choices carefully. Chapters: 00:00 Introduction to Inflammation 00:44 Understanding Inflammation: A Natural Process 02:22 The Science Behind Inflammation 04:08 The Cycle of Inflammation and Pain 05:10 Strategies to Combat Inflammation 05:52 Finding Balance in Inflammation Management Disclaimer: If you are having a medical emergency, call 911. Do not attempt to contact or obtain medical services through this site. This content is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this site or materials linked from this site is at the user's own risk. The content of this site is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their healthcare professionals for any such conditions. The content is my own and does not necessarily reflect the views of my employer.

Subscribe: ⁠⁠⁠⁠⁠⁠⁠Subscribe to Dr. G's Rules of Thumb Newsletter⁠⁠⁠⁠⁠⁠⁠⁠ Original Article: ⁠⁠ ⁠⁠⁠⁠⁠⁠Don’t Confuse Osteoarthritis and Rheumatoid Arthritis Summary: In this episode of the Rules of Thumb podcast, Dr. G discusses the critical differences between osteoarthritis and rheumatoid arthritis, two common forms of arthritis that often confuse patients. He explains the underlying mechanisms of each condition, their symptoms, and the distinct treatment approaches required for effective management. The episode aims to enhance understanding of these conditions to improve patient conversations and treatment outcomes. Keywords: Osteoarthritis, Rheumatoid Arthritis, Joint Pain, Autoimmune Disease, Musculoskeletal Health, Treatment Options, Cartilage, Inflammation, Health Education Takeaways: Osteoarthritis and rheumatoid arthritis are fundamentally different.Osteoarthritis is primarily due to aging and wear and tear.Rheumatoid arthritis is an autoimmune disease.Symptoms of osteoarthritis include stiffness and pain with movement.Rheumatoid arthritis can cause diffuse swelling in joints.Treatment for osteoarthritis is mostly symptomatic.Rheumatoid arthritis treatment has advanced significantly with medications.Understanding these differences aids in patient education.Both conditions lead to cartilage loss but through different processes.Effective communication with patients starts with shared knowledge. Chapters: 00:00 Introduction to Musculoskeletal Health 01:14 Understanding Osteoarthritis 03:15 Exploring Rheumatoid Arthritis 04:59 Key Differences and Treatment Options Disclaimer: If you are having a medical emergency, call 911. Do not attempt to contact or obtain medical services through this site. This content is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this site or materials linked from this site is at the user's own risk. The content of this site is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their healthcare professionals for any such conditions. The content is my own and does not necessarily reflect the views of my employer.