Robby Bowers DO, PhD
@TheDrROBO
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Hubs/Dad | Sports Med physician | @FurmanBaseball alum | @AuburnKINES PhD | Team physician @gtbaseball , @braves , @cpskyhawks , @WAWarEagles | #baseballmedicine
Atlanta, GA
Joined August 2012
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Pinned Tweet
Just published today. Our review discussing why platelet poor plasma is a better injection option than
#PRP
for muscle injuries. Included is a case series of baseball players I successfully treated with PPP. Hope this helps.
@GeorgeRaumDO
@C_KenyonDO
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This is why advanced programs with separate intern years should be abolished. All programs should be categorical. There is no logical reason to make a dad/mom spend a year away from family and kids (please correct me if there is a reason that makes sense).
@acgme
Completing intern year away from home means dinner dates via Zoom. July 2023 and
#Physiatry
training can't get here soon enough
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Mama, just killed a man…
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Mamaaaaaa, just killed a man…
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This is literally one of the dumbest things I have ever read and not even remotely true. Noakes has lost it. So we should ignore meta analyses in favor of case studies? This is what he is saying.
#science
#evidencebasedmedicine
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Set my personal aspiration record yesterday. 1,160 cc. This is from a hip with possible metallosis.
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For med students and early residents interested in MSK. What is this and what is it indicative of?
#MedTwitter
#orthotwitter
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Received my
@braves
World Championship ring today. Very blessed to be a small part of this first class organization and to have the opportunity to help care for these athletes with an outstanding medical team.
#baseballmedicine
#sportsmedicine
#BattleWon
#ForTheA
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Really interesting case today. Patient with severe forearm pain with supination.
#Ultrasound
image shows fluid tracking from the bicipitoradial bursa into the radial tunnel displacing the supinator and likely leading to PIN compression/irritation.
#sportsmedicine
#physiatry
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Just published. Great study with 10 year follow up indicating that a pro inflammatory diet is assoc with worse knee OA pain. Data supporting the notion that we should be recommending an anti-inflammatory diet (Mediterranean diet) for knee OA patients.
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The mechanics are exactly the same. Filthy.
@ian_anderson15
Ian Anderson, 89mph Changeup and 95mph Fastball, Individual Pitches + Overlay.
Also, Anderson's Mechanics Isolated (overlay)
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More pics coming tomorrow, but for now, we are world champions!!! Let’s goooooooo!!!!!!!!!
@KneerMd
@EmorySportsMed
#BattleATL
#sportsmedicine
#baseballmedicine
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Brett Ryan “Bear” Bowers. Born 8/5/21 at 3:08 PM. 7 lbs 10 oz. Mama and Bear are doing great. Can’t wait to get the 🐻 cub back home to meet his brother and sister and round out our family of 5.
#partyof5
#family
#bear
#familyof5
#partyoffive
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If any 4th year med students going into
#physiatry
or current PM&R residents interested in
#sportsmedicine
need help with anything (ANYTHING), I’m happy to mentor. Just shoot me a DM.
#medtwitter
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Great quick reference on rec’d daily protein requirements by body weight for maximizing muscle growth from
@TheAlanAragon
#nutrition
#sportsnutrition
#protein
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It is hard to put last night into words. An amazing experience. I’m so honored to be a member of the
@Braves
medical team with a great group of people. We are World Champions!!! Let’s goooo!!!
#sportsmedicine
#baseballmedicine
#BattleATL
@EmorySportsMed
@KneerMd
@doctbgriffith
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And he was also the best RB in the NFL at that time as well.
Bo knows hitting ABSOLUTE BOMBs off Hall of Famers. 💣 😳
Bo Jackson nearly hitting the ball out of the stadium vs. Jack Morris.
Bo hitting one of the longest HRs Randy Johnson ever gave up...
And hitting the LONGEST HR given up by Nolan Ryan in his career.
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If you:
1. Are a fellow, resident, or med student
2. Have significant research experience including data analysis
3. Have a strong interest in baseball medicine/throwing athletes
Then please reach out to me. I have a project you may be interested in. DM or email.
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A reminder that corticosteroid injections are far from benign. We see here deleterious effects with a single high dose injection and multiple injections. Is it time we start considering ketorolac as our primary anti inflammatory injectate for joints?
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Today I scanned a median nerve at the carpal tunnel inlet with a cross sectional area measurement of 41 mm^2. 😳 If you know, you know.
#physiatry
#orthopedics
#ultrasound
#carpaltunnel
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@FurmanPaladins
Shame on you
@FurmanU
. The baseball program began in 1891. For those of us who were a part of it,
@FurmanBaseball
is such a huge part of who we are. I can’t understand how baseball was the sport that was determined to be expendable. So much history.
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For those interested in thoracic outlet ultrasound. This softball player is the poster child for pec minor syndrome. She has significant pec minor bowing with her shoulder at her side. This is with no abduction. 😳
#sportsmedicine
#ultrasound
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Stepping up my portable/home
#ultrasound
game with the
@GEHealthcare
Vscan Air.
#sportsmedicine
#physiatry
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I love these interviews where elite guys show their pitch grips. They make it sound so easy.
Zac Gallen's Pitch Grips!
Fastball
Knuckle Curve
Changeup
Cutter
Thanks as always to awesome
@zacgallen23
🐏
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Systematic review just published in
@Sports_Health
.
Subacromial ketorolac injections are just as effective as corticosteroid. Ketorolac is also cheaper and has much less if any tendon toxicity.
#sportsmedicine
#orthopedics
#physiatry
#TeamToradol
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This is the MSK physical exam textbook that I recommend for med students, residents, and fellows. Not cumbersome and easy to refer to.
@DrKenMautner
did not pay me for this tweet.
#sportsmedicine
#physiatry
#meded
#orthopedics
#musculoskeletal
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Just going to leave this right here. Calling
#PRP
for knee osteoarthritis “experimental” simply is not evidence based.
#orthobiologics
#plateletrichplasma
#sportsmedicine
#physiatry
#osteoarthritis
#knee
#kneepain
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For all those interested, I’m going to host a zoom mentoring session for med students interested in PM&R and
#physiatry
residents interested in
#sportsmedicine
on Sunday, July 12 at 7 PM EST. DM or email me for the link and please share!
#meded
#medtwitter
#mentorship
#mentor
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Had 4 MRI denials today. All of the scans are for very legitimate reasons to guide treatment. Now I have to do 4 peer to peer calls during a busy clinic. These
#healthinsurance
companies are harming patients. Just let physicians practice medicine.
#medtwitter
@evicorehc
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Glad to be serving as the
@AAPMR
Overhead Athlete Community leader. Now to increase engagement. I’ve already started a Twitter group. Open to other suggestions!
#sportsmedicine
#physiatry
#baseballmedicine
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Spending the next few days doing medicals at the
@mlb
combine.
@EmorySportsMed
#baseballmedicine
#sportsmedicine
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New facilities being built for
@GTBaseball
. Amazing. You won’t find views like this anywhere else in college baseball.
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Classic info from
@TheAlanAragon
. For elite athletic performance (anything other than ultra endurance) a low carbohydrate diet is not recommended and will likely be detrimental.
#lowcarb
#sportsnutrition
#lchf
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Great group of
#sportsmedicine
docs teaching the muscle injury ultrasound course. Proud to be part of this group bringing high level US education to
#AMSSM2023
.
@DrAlfySportsMed
@WesTroyerDO
@ZachBailowitzMD
@ChrisCherianMD
@RaulRosarioMD
@thenewDrJ
@A_SchroederMD
@WadeJohnsonDO
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A few from last night celebrating the
@braves
winning the NL Pennant. Honored to be a part of this medical staff with great people. Now let’s go win a World Series!
#BattleATL
#sportsmedicine
#baseballmedicine
@EmorySportsMed
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Two papers accepted in three days. Not bad. Strong work
@JamesEGardnerMD
@WesTroyerDO
.
#baseballmedicine
#orthobiologics
#regenerativemedicine
#academicmedicine
#sportsmedicine
#physiatry
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For the love, can good journals please stop publishing papers that call ACP “PRP”? A 15 mL blood draw and single spin will not produce PRP. A failure of peer review. Journals must do a better job of selecting expert reviewers.
#orthobiologics
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Saw a 17 yo HS pitcher today for right shoulder pain. Pain worsened last week after throwing 35 pitches Monday, 31 pitches Tuesday, and 76 pitches Wednesday. 🤦♂️ No kidding. That should not be allowed to happen in high school baseball.
#SaveTheArms
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Spending the day in Raleigh as the Braves physician representative for the inaugural MLB draft combine.
#sportsmedicine
#baseballmedicine
@EmorySportsMed
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Really honored to get to present some of our research at the
@MLB
Winter Meetings last night. Thanks to my great collaborators who did most of the work for these projects.
@DrZSportsDoc
@NEBaseballDoc
@EricWagnerMD
@EmoryUECenter
@EmorySportsMed
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Is ketorolac a better initial intra-articular injection option than corticosteroid? The data is compelling. Ketorolac has non inferior pain outcomes, may have less/no deleterious effect on cartilage, and is cheaper than steroids.
#physiatry
#sportsmedicie
#orthopedics
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Great job by
@C_KenyonDO
discussing the ongoing development of our novel pitch efficiency rating for baseball athletes.
#AMSSM2022
#sportsmedicine
#baseballmedicine
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Just published in
@AJSM_SportsMed
. Level 1 data showing adipose derived MSCs outperform placebo for KL grade 3 knee OA. Keep in mind we can’t use culture expanded MSCs in the US, but this is great high level data nonetheless.
#orthobiologics
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Just finished notes from my clinic last Wednesday. I did 48 separate US guided injections in 1 day😳. Definitely a record for me.
#physiatry
#sportsmedicine
#ultrasound
#needlejockey
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A group of
@FurmanBaseball
alumni has been in contact with
@FurmanU
administration. After seeing the debrief from week 1 of info gathering, I believe it is best for all to transition away from the negativity and focus on a substantive effort to save our program.
#SaveFUBaseball
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I was not a believer in topical diclofenac for knee
#osteoarthritis
b/c it did not seem feasible to me that the medicine would penetrate down to the joint. However, when I looked at the data, I changed my mind. I now prescribe it often for knee OA.
#physiatry
#sportsmedicine
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Great night to be a member of the Braves medical staff. Honored to be part of this team. Now let’s go win the NL Pennant!
#sportsmedicine
#baseballmedicine
#Braves
#Atlanta
#ATL
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I will say it again. Suprascapular notch injections are WAY underutilized in the treatment of shoulder pathology. Indications include GH joint OA, adhesive capsulitis, subacromial impingement, rotator cuff tendinopathy, among others.
#sportsmedicine
#orthopedics
#physiatry
Suprascapular nerve block plus glenohumeral joint injection can decrease duration of frozen shoulder symptoms by 6 months compared to joint injection alone.
@TheDrROBO
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One of the coolest gifts ever. The Braves athletic training staff gave me the framed and personalized lineup card from the day that Bear was born. Something Bear will have for the rest of his life and that very few people can say they have. Really, really cool.
#grateful
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Started doing the Coolief (cooled genicular nerve radiofrequency ablation) procedure yesterday. All ultrasound guided. Good to add another tool to the toolbox.
@EmorySportsMed
#sportsmedicine
#physiatry
#kneepain
#kneeosteoarthritis
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This morning I had the distinct pleasure of paying my specialty board $360 to be able to answer a set of busy work questions that have no relevance to my practice, yet somehow prove that I am still a competent doctor. What a racket.
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When Marte’s soul leaves his body, I legit LOL’d.
#sword
@PitchingNinja
2021 PitchingNinja Award for Sword of the Year
🏆⚔️
It's NOT this pitch from Charlie Morton!
Watch & See who Won. Hit Subscribe so you don't miss any of the Awards!
Award Video Link:
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Yesterday was
@WBerriganMD
’s last day with
@emorysportsmed
. This guy is an absolute superstar and I’m going to miss him here at Emory.
@UCSFOrthosurg
, y’all are getting a great one. Take good care of him. The best is yet to come. 👊
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Our review on upper extremity peripheral nerve injuries in throwing athletes is now freely available online as part of the most recent issue of
@PMRJournal
in partnership with
@TheAMSSM
.
#baseballmedicine
#sportsmedicine
@DrZSportsDoc
@ChrisCherianMD
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Just published. Further RCT data indicating that both PRP and MFAT work for knee OA. However, again, MFAT is not superior to PRP. Because of this study and others, I recommend PRP for knee OA before considering MFAT or BMAC due to cost and ease of use.
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Just published. Our systematic review on percutaneous
#ultrasound
guided A1 Pulley (trigger finger) release. Compelling data for one of my favorite procedures to perform. The overall success rate in the literature is 97% with no major complications.
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Y’all. Tonight I got to celebrate an NL Pennant victory on the field with the team that I idolized as a kid growing up in Atlanta. Surreal. What a blessing. 4 more wins to a world championship.
@Braves
#WorldSeries
#NLCS2021
@EmorySportsMed
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Driving home last night, I was able to listen to the
@ATLHawks
game on the radio, which I haven’t been able to do much this year. Reminded me just how enjoyable
@RealVoiceofHawk
is to listen to. We are lucky to have him. Also, great win.
#BelieveAtlanta
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For students/residents/fellows interested in MSK ultrasound,
@USGuidance
has well done ultrasound education videos available online for a very reasonable price. I used several sample images from their videos for my anteromedial hip lecture today.
#physiatry
#AAPMR2022
@USGuidance
is grateful to support the educational mission of respected leaders such as
@TheDrROBO
! Thank you for the shoutout!
#AAPMR22
#Physiatry
#Meded
#Ultrasound
#SportsMedicine
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Just published. Interesting that towel drills create 80% of the valgus stress of a full effort throw. Intent/intensity needs to be monitored with towel drills as well.
#baseballmedicine
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Here is the
@AJSM_SportsMed
link. Just published systematic review/meta analysis showing
#PRP
to be superior to corticosteroid, HA, placebo for knee
#osteoarthritis
. So when is insurance going to start covering this for the good of patients???
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The full text article is now available for free online. Link here:
@DrKenMautner
#orthobiologics
#regenerativemedicine
#stemcell
#stemcells
#knee
#osteoarthritis
#kneeosteoarthritis
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I would specifically like to invite detractors of orthobiologics to join
@EmorySportsMed
Lunch and Learn tomorrow at noon EST for a talk from
@DrKenMautner
on “Rationale for regenerative interventions in musculoskeletal and sports medicine”. DM me for zoom link.
#orthotwitter
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Now it is time for
@NBOME
to do away with Comlex Level 2 PE. Do the right thing. That test has no bearing on success in medicine and is ridiculously expensive.
#MedEd
#comlex
#usmle
Today, the USMLE Program is announcing the discontinuation of work to relaunch a modified Step 2 Clinical Skills examination (Step 2 CS). Read the full statement here
#MedTwitter
#MedEd
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Diet along with resistance training is superior to diet plus aerobic training for weight loss. If adding aerobic training to this regimen, intervals/HIIT are more effective than steady state/moderate aerobic exercise.
#weightloss
#exercise
courtesy of
@mariespano
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This Summer Team Bowers is picking up a new recruit and transitioning from man to man to zone defense!
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I also use multi site injections as the initial treatment for
#frozenshoulder
(US guided intra-articular and suprascapular notch injections). I’ve found this to be more effective than GH joint injection alone.
#sportsmedicine
#physiatry
#orthopedics
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A few things here. Does either team benefit from playing to this score? Where is the mercy rule? How many unnecessary pitches did the NZ kids have to throw while giving up 43 runs? Lastly, is it really necessary to have a 12U national team?
@DrPKrizBCHSM
@DrZSportsDoc
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That’s a wrap for
#AMSSM2023
. I had a great time at the meeting this year speaking on
#baseballmedicine
, teaching MSK
#ultrasound
, and seeing so many amazing colleagues and friends in person. Until next year…
@TheAMSSM
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If you are attending the
@TheAMSSM
meeting in Austin next month, come check out our ultrasound course on lower extremity neuropathies on Monday, April 11 at 6:45 AM (😳). I promise we will do our best to make the early wake up call worth it.
#sportsmedicine
#ultrasound
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Excited to give this talk at the
@ASMI_INFO
@AndrewsInst
@AndrewsSportMed
Injuries in Baseball Course tomorrow afternoon. Hopefully this will help to open some eyes regarding a better understanding of TOS in throwers. I have some new data to share as well.
#baseballmedicine
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World champion parade day! Another amazing experience!
#BattleWon
#BattleATL
#sportsmedicine
#baseballmedicine
@EmorySportsMed
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The formatted version of our review article on upper extremity peripheral nerve injuries in throwing athletes is now available online. I hope you find this review helpful!
@DrZSportsDoc
@ChrisCherianMD
#sportsmedicine
#baseballmedicine
#physiatry
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Thanks to
@UWRehabMed
and
@ErekLatzkaMD
for having me this morning to discuss the care of throwing athletes and
#baseballmedicine
!
@EmorySportsMed
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If you are out there giving patients plantar fascia injections without first giving them a tibial nerve block, stop. It’s not hard to do and it makes the experience infinitely less painful for the patient.
#orthotwitter
#medtwitter
#physiatry
#sportsmedicine
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Regardless of primary specialty, please join tonight to learn more about these discriminatory/ill informed policies against PM&R sports medicine physicians.
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In preparation for my rotator cuff talk today, I went back and watched the
@TheAMSSM
lecture from
@ZachBailowitzMD
on rotator cuff disorders. I’m again very impressed with his talk and how he succinctly explains a very heavy topic.
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Just published in
@BJSM_BMJ
. Excellent review that should be very helpful for any of us using ESWT to treat athletes/active individuals.
“Use of extracorporeal shockwave therapies for athletes and physically active individuals: a systematic review”
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💯. I only send my baseball athletes to PTs that specialize in baseball players/throwing athletes. As docs we have to get out in the community to find PTs with specific niche interests/specialties. This will only lead to better athlete/patient care.
In our opinion, the Physical Therapy world can provide a much higher quality of care if people niched down more rather than clinics being full of generalists that treat everything
That’s the baseball world equivalent of coaches coaching every sport and every position in each
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Good job everyone. Patella Alta indicative of a patellar tendon rupture. I will try to post more of these if I can remember.
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Good luck to at the
#sportsmedicine
fellowship applicants with the match today! I hope you all are happy with the results! I’m excited to see who we get here at
@EmorySportsMed
. 👊
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I swear I’m going to punch the display screen the next time a
@onepeloton
trainer mentions “flushing out the lactic acid”. It’s lactate and it doesn’t need to be “flushed out”. Just stop it.
#lactate
#exercisephysiology
#lacticacid
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Insurance company: We are denying knee PT for your patient because she has done too much PT for other problems this year.
Me: OK, then let’s get an MRI.
Insurance company: We are going to deny the MRI because your patient hasn’t done PT specific for the knee.
Me: 🤨🔫
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Always love talking about
#baseballmedicine
and throwing athletes. Thanks to
@DrZSportsDoc
and
@TheAMSSM
for the invite to discuss weighted ball throwing programs and their impact on throwing mechanics and injury risk.
#AMSSM2023
@EmorySportsMed
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Just published, our evidence based review on the management of acute/chronic rotator cuff tears. You may find some differences compared to what is typically recommended for no op care. Thanks to
@JenSooHooMD
for the invite.
#sportsmedicine
#physiatry
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30% of asymptomatic adults have meniscus tears on MRI. A meniscus tear does not mean that you need surgery or that it is even a source of pain.
#knee
#kneepain
#meniscus
#meniscustear
#mri
#sportsmedicine
#orthopedics
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You can now access our accepted paper in
@PMRJournal
. Final publication coming soon.
"A Review of Upper Extremity Peripheral Nerve Injuries in Throwing Athletes".
#sportsmedicine
#baseballmedicine
@ChrisCherianMD
@DrZSportsDoc
@EmorySportsMed
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That’s a wrap for the 2023
@MLB
combine representing the
@Braves
sports medicine team. Great to see some of the
@GTBaseball
guys included as top draft prospects.
@doctbgriffith
@NeeruJayanthi
@EmorySportsMed
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My sports medicine and exercise physiology worlds colliding at
#AMSSM2023
. This is Dr George Brooks who is an absolute LEGEND in exercise physiology and husband to trailblazing sports med doc, Rosemary Agostini. Just the nicest and most genuine guy. What a pleasure to meet him.
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Just published. Great paper from
@ChrisCampMD
@EricBowmanMD
@PeterChalmersMD
and team.
#baseballmedicine
“Early single sport specialization does not improve pitching velocity, motion, strength, or utilization in high school baseball pitchers”
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Our
@EmorySportsMed
Symposium has been rescheduled for May 16-17 online through zoom. There is a $25 registration fee for CME credit, otherwise it is free. Registration link is below as is the link to the agenda.
#sportsmedicine
0
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Just published. Great systematic review from
@WBerriganMD
and team in
@ArthroscopyJ
highlighting that all
#PRP
is not created equal. PRP platelet dose matters for better clinical outcomes. So take those low dose “PRP” trials with a grain of salt.
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We have promising initial reliability data for our novel Emory Pitching Efficiency Rating. A lot of hard work has gone into this behind the scenes. Still much more to be done. Stay tuned!
#sportsmedicine
#baseballmedicine
#baseball
#pitching
@EmorySportsMed
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Our review on
#orthobiologics
from December 2020. This is a good comprehensive review of the topic for those with a new interest in orthobiologics or those who need a quick refresher.
#sportsmedicine
#orthopedics
#physiatry
#regenerativemedicine
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