• Controversies in Treatment of Achilles Tendon Ruptures

    Achilles tendon ruptures are very common sports injuries.   Many years ago, these were treated without surgery, but muscular weakness and a high risk of re-rupture were common problems.  Over the past 10-15 years, the majority of orthopedists have advocated repair.  Repair clearly decreases the risk of re-rupture, but muscular weakness remains an issue, and there are […]

  • Operation Rainbow

    Last week I was priveleged to join Operation Rainbow on an orthopedic mission to Guatemala.  I’ve been familiar with their work for a number of years, as some of my San Francisco colleagues have been on trips with them.  This inspiring group does great work taking care of patients and educating doctors in developing countries.  Last week […]

  • There’s No Place Like Home

    As this recent article from the New York Times points out, the rehab facility (or hospital) is not the best place to recover from joint replacement surgery.  You want to get out of the hospital as soon as you are stable and get home where (1) you won’t be exposed to a lot of sick people and (2) […]

  • Relieving Post Surgical Pain Without Narcotics?

    Orthopedic surgery is painful.  There’s just no getting around the basic fact.  A lot of my patients, when they learn they need surgery, are more concerned about the pain, than the details of the actual surgery.  And almost no one really wants to be on narcotics.  Fortunately with multi-modal pain management (using smaller amounts of several […]