• Ep. 43: Turkey Carving Injuries — A Hand Surgeon's Guide to Not Ruining Thanksgiving
    Nov 23 2024

    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.

    Show more Show less
    7 mins
  • Ep. 42: Understanding Radial Head and Neck Fractures — What You Need to Know
    Nov 16 2024

    ⁠⁠⁠⁠⁠⁠⁠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.

    Show more Show less
    8 mins
  • Ep. 41: "If It Dries, It Dies" — A Surgeon's Guide to Wound Care
    Nov 9 2024

    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.

    Show more Show less
    10 mins
  • The Sprained Thumb: A 6-Step Guide for Patients
    Nov 3 2024

    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.

    Show more Show less
    8 mins
  • Ep. 39: Nutrition and Musculoskeletal Health — What to Eat for Stronger Bones, Joints, and Muscles
    Oct 26 2024

    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.

    Show more Show less
    12 mins
  • Ep. 38: How Diabetes Affects Your Hands — From Trigger Finger to Carpal Tunnel Syndrome
    Oct 19 2024

    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.

    Show more Show less
    7 mins
  • Ep. 37: Hand and Wrist Pain During Pregnancy — Causes and Relief Strategies⁠
    Oct 12 2024

    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.

    Show more Show less
    12 mins
  • Ep. 36: A Hand Surgeon’s Top-5 Tips For Safe Pumpkin Carving This Halloween
    Oct 5 2024

    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.

    Show more Show less
    6 mins