kayalortho Podcast

Unlock the secrets of chiropractic medicine with Dr. David Saint, Chief Chiropractor and Clinical Director at the Montvale and Stony Point locations of Kayal Orthopaedic Center. Dr. Saint brings a legacy of healing to our latest episode. His narrative begins with a New York Giants player's astonishing recovery, setting the stage for a deep dive into the transformative power of chiropractic care. We expose the myths and highlight the critical importance of spinal health, much like we prioritize dental hygiene, to our overall well-being. Dr. Saint takes us through a fascinating look at how chiropractic principles prioritize the central nervous system and the wide range of conditions they can address, from persistent back pain to the radiating discomfort of sciatica.

This episode isn't just about the individual; it's about the power of team. We explore the immense benefits of multidisciplinary collaboration in patient care, illustrating how chiropractors serve as primary contact providers, pivotal in detecting serious health concerns. Hear how Dr. Saint shares his experiences at Kayal Orthopaedic Center, where the confluence of expertise from orthopaedic surgeons, podiatrists, and other healthcare specialists enriches patient outcomes and elevates practice dynamics. We shed light on the multimodal treatment strategies that are reshaping the future of chiropractic interventions, such as spinal decompression therapy, and discuss how these non-invasive options work synergistically with other treatments to enhance recovery.

Our final thoughts in this episode center around the personalized approach chiropractic care brings to the table. Dr. Saint voices his appreciation for the bespoke assessments that form the cornerstone of effective treatment. As your host, I reflect on the dual commitment to conservative management and the seamless integration of more invasive procedures when necessary. We've woven a tapestry of insights that not only showcase the broad capabilities of chiropractic practitioners but also affirm their vital role in musculoskeletal health and patient recovery experiences. Join us for a session that promises to deepen your understanding and confidence in this field of medicine.

Unlock the mysteries of gout and inflammatory arthritis with Dr. Irina Raklyar, whose insights illuminate the shadows of this commonly misunderstood condition. As we sit down with this revered rheumatologist, prepare to be guided through the complex world of purine metabolism, the impact of lifestyle diseases, and the intricate dance between diet and uric acid levels. Dr. Raklyar's deep dive into the prevalence of gout among men and postmenopausal women reveals a tapestry of risk factors and physiological nuances that could change your understanding of joint health forever.

Ever wondered how a single joint can cause such immense pain? Dr. Raklyar sheds light on the excruciating reality of gouty arthritis, taking us beyond the typical swollen joint presentation to a detailed examination of tophaceous deposits and their long-term impact on the body. With her expertise, we navigate the diagnostic minefield, distinguishing gout's needle-shaped crystals from other imitators. The collaboration between rheumatologists and orthopedic surgeons comes to life, illustrating their vital role in decoding symptoms and delivering targeted treatments that restore quality of life.

The finale of our conversation with Dr. Raklyar is a tribute to the revolutionary strides made in gout management. From the stalwart allopurinol to innovative therapies like pegloticase, we explore the arsenal of medications changing the game for patients. Dr. Raklyar candidly discusses the challenges of flare prophylaxis and the journey towards maintaining optimal uric acid levels. Her heartfelt thanks to the team at Kayal Orthopaedic Center reinforces the importance of dedication and expertise in the relentless pursuit of patient relief and recovery. Join us for a session that's not just informative, but transformative for anyone touched by the world of inflammatory arthritis.

Unlock the secrets of hip health with Dr. Victor Ortiz as we navigate the complexities of hip anatomy and the innovative treatments that are shifting the landscape of patient care. The hip joint is more than a ball and socket point—it's a marvel of engineering that Dr. Ortiz decodes for us, shedding light on the labrum's pivotal role in joint stability and how its dysfunction can lead to debilitating conditions like FAI and labral tears. Suffering from hip pain or know someone who is? Get ready to arm yourself with knowledge that could change the course of treatment.

This episode is a deep dive into how experts like Dr. Ortiz diagnose hip joint pathologies. Through a detailed exploration of examination techniques such as the FADIR and FABER tests, we reveal how specialists pinpoint the exact nature of hip discomfort. Discover the puzzle pieces that contribute to these conditions and how early detection can keep invasive surgeries at bay. Athletes, the hypermobile, and the young active demographic - this conversation is especially relevant to you as we uncover why these issues are so important.

For those weighing the options between surgery and non-invasive treatment, Dr. Ortiz illuminates the path to recovery. We investigate the role of physical therapy in strengthening core muscles and how diagnostic injections can be game-changers in managing hip pain. Delving into the realm of hip preservation procedures, we look at when surgery becomes the right choice and the breakthroughs in minimally invasive techniques like hip arthroscopy. Join us for this episode and take a significant step towards understanding and potentially overcoming hip pain.

Are your hamstrings the unsung heroes of knee stability? Discover how this overlooked muscle group plays a crucial role in maintaining the health of your ACL with our guest, Dr. Jeffrey Pope, a renowned orthopaedic surgeon from Kayal Orthopaedic Center. His expert insights on the anatomy of the ACL and its interplay with the hamstrings are revelations that you won't want to miss. 

Injuries can throw life off balance, especially those as common and challenging as an ACL tear. This episode is your guide to understanding the epidemiology, signs, and symptoms of ACL tears, as well as the assessment methods used to diagnose them. But the knowledge-sharing doesn't stop there. Dr. Pope also weighs the pros and cons of nonoperative care and reveals the circumstances when an ACL reconstruction or repair becomes necessary. If you've ever wondered about the importance of physical therapy or the criteria to be met before surgery, this episode is for you.

Buckle up for a deep dive into the exciting world of ACL surgery advancements. From autograft and allograft therapies to arthroscopic techniques, we explore it all. Listen in as Dr. Pope deciphers these complex medical terms and procedures, discussing the indications, benefits, and potential risks involved. With a focus on the post-operative biological process, he emphasizes the necessity of a minimum nine-month wait before returning to sports activities. Wrapping up, Dr. Pope shares invaluable advice on managing ACL tears and offers a message of hope for recovery, reminding us that patience, perseverance, and the right care can conquer even the toughest challenges.

Ever wished you could understand the nuanced world of bunions from a specialist's perspective? Brace yourself for a riveting discussion with Dr. Mark Sheehan, a foot and ankle connoisseur from the Kayal Orthopaedic Center, as we dissect the anatomy of the foot, focusing specifically on the big toe joint and the bones of the forefoot. Dr. Sheehan masterfully guides us through the essence of foot alignment and gait, their crucial role in diagnosing bunion deformities, and the potential for other deformities like flat foot to coexist.

With Dr. Sheehan's expertise, we delve into the labyrinth of diagnosing bunions and the interplay of two essential angles. Get ready to gain valuable insights into the typical presentation of this condition and the myriad surgical options available for bunion deformity. Be it a simple medial eminence resection, a distal metatarsal head osteotomy, or foot fusion, the chosen procedure depends on the severity of the bunion, and this is something we'll dissect in-depth. 

As we advance, we plunge into the rare condition of juvenile bunion deformities and the significance of their conservative treatment. Dr. Sheehan provides enlightening details on the prevalence of this condition, the need for more education on surgical treatments, and the potential for secondary problems arising from bunion deformities. Join us on this thrilling journey into the realm of bunions, where understanding these deformities paves the way for more effective treatments. Don't miss out on this captivating conversation; it's sure to change the way you view bunions forever.

Do you ever wonder why pain feels the way it does? Or how to manage it effectively? We're pulling back the curtain on these questions with our esteemed guest, Dr. Jonathan Reisman, a board-certified physiatrist from the Kayal Orthopaedic Center. Together, we navigate the elusive world of pain management, shining a light on the different types of pain - nociceptive, neuropathic, somatic, and visceral - and unveiling the intricate network of nerve fibers transmitting these signals to our brains. 

But it's not just about the physical. We also delve into the psychological aspect of pain, underlining the integral role the doctor-patient relationship plays in addressing secondary gain issues. Understanding pain isn't merely a medical exercise; it's a human one too. We delve into the power of patient education, setting expectations before surgery, and addressing possible roadblocks that could hinder recovery. 

We wrap up by impressing upon you the critical importance of multimodal pain management. From early and aggressive treatment to prevent chronic pain, to the application of preemptive anesthesia and regional blocks, we leave no stone unturned. We also explore the role of radiofrequency ablation, medication, and the often underplayed value of exercise, physical therapy, acupuncture and chiropractic in improving mobility and reducing pain. Tune in as we demystify the fascinating world of interventional pain management with Dr. Reisman.

Ever wondered how advances in orthopaedic surgery, particularly hip replacement, have revolutionized patient care in the last few decades? Join us for an enlightening conversation with Dr. Gerald Andah, a fellowship-trained orthopaedic joint replacement surgeon at the Kayal Orthopaedic Center, as we dissect the intricacies of revision hip replacement surgery.  Immerse yourself in the realities of the surgical world as we talk about the durability of hip replacement implants and the remarkable strides made in this field. 

Warning signs post-surgery are not to be taken lightly. A major aspect of our discussion involves the significance of post-operative follow-up care, and how to interpret symptoms that might indicate complications such as implant failure or infection. Take note as we discuss practical ways to reduce pre-surgical bacterial levels and the importance of maintaining optimal health and nutritional status. We'll also delve into the potential consequences of ignoring persistent pain after a total hip replacement – a situation that demands immediate medical intervention. 

We round off our conversation by discussing possible complications that could arise from hip replacement surgery, such as implant failure due to wear and tear, osteolysis, instability, and leg length inequality. Hear Dr. Andah explain the techniques adopted in revision hip replacement surgeries, including the use of modular implants that provide a customized approach for each patient. Don't miss out on the valuable advice on maintaining open and regular communication with your orthopaedic surgeon and why follow-up visits are crucial in ensuring the success of the surgery.

Unmask the hidden complexities behind rheumatoid arthritis with renowned rheumatologist, Dr Alan Zalkowitz from the Kayal Orthopedic Center, in this thought-provoking conversation. We trace Dr Zalkowitz’s journey in the medical field, before diving into the depths of rheumatoid arthritis – a systemic, inflammatory condition that affects millions worldwide. From understanding its risk factors to discerning its symptoms, we leave no stone unturned.

As we journey further into uncharted territories, we explore the intricacies of diagnosing and assessing rheumatoid arthritis. Dr Zalkowitz guides us through the physical exams and the nuanced signs that often escape the untrained eye. We also delve into the world of imaging modalities and laboratory tests that are vital in confirming a diagnosis. The importance of early detection and treatment is emphasized, as we unveil how it can alter the course of this debilitating disease.

Finally, we navigate through the maze of treatment options and understand the significance of combination therapy. We compare the roles of rheumatologists and orthopedic surgeons, highlighting the value of their collaborative effort in managing chronic diseases. From understanding joint deformities to discussing the potential cure of rheumatoid arthritis, this episode is a goldmine of information. Join us as we embark on this enlightening journey with Dr Zalkowitz, whose expertise brings a wealth of knowledge to our multi-specialty practice.

Do you ever find yourself grappling with neck pain that just doesn't seem to go away, or perhaps, unexplained numbness or weakness in your arm? Let us embark on a journey to explore the intricate world of cervical disc herniations, guided by our expert guest, Dr. Michael Dinizo - a seasoned orthopaedic spine surgeon. Drawing on his deep knowledge, we unravel the complexities of the cervical spine and the varied symptoms that cervical disc herniations can present.

Take a deep dive into the realm of advanced cross-sectional medical imaging modalities as we explore how they play a pivotal role in diagnosing and understanding cervical disc herniations. We shed light on how MRI's, CAT scans, and nerve studies can be instrumental in the diagnostic process. Dr. Dinizo, with his wealth of experience, walks us through the process of discerning between a soft and hard disc and the implications this has on treatment plans. Plus, we underscore the importance of reducing inflammation and allowing the patient time to heal.

Finally, we navigate through the pros and cons of cervical spine surgery. We zoom in on the anterior cervical discectomy fusion surgery, discussing the materials used and their role in stabilizing the vertebral bodies. The conversation also covers the significance of maintaining good posture in mitigating neck and lower back pain. So, tune in for an enlightening ride through the nuanced landscape of cervical disc herniations and make informed decisions about managing this common condition. Trust us, your neck will thank you for it!

What if you could unlock the mysteries of that persistent numbness in your fingers? Would you be eager to learn about the common culprit, Carpal Tunnel Syndrome, and the many factors that contribute to it? Dr. Edward Lin, our esteemed Chief of Hand Surgery at the Kayal Orthopaedic Center, is joining us to unravel the complexities of this condition. We'll first delve into understanding Carpal Tunnel Syndrome and its association with the median nerve in the hand. We also tackle how conditions such as diabetes, rheumatoid arthritis, and even your job could be leading to the syndrome.

Often, Carpal Tunnel Syndrome gets confused with other conditions due to the numerous sites where the median nerve can experience compression. Hence, Dr. Lin enlightens us on the importance of accurate diagnosis and the role of diagnostic imaging in the process. We highlight the benefits of an EMG nerve conduction study and how it can depict the severity of the condition. We'll then navigate through a sea of treatment options—ranging from immobilizing the wrist joint, modifying activities, to exercises like tendon gliding, and even medications that can manage the symptoms.

We don't stop at conventional treatments. Dr. Lin walks us through fascinating alternative modalities like acupuncture and physical therapy. Hear about promising natural remedies like omega-3 fatty acids and Vitamin B6 complex antioxidants. We explore how early intervention leads to better results, and the potential risks of severe Carpal Tunnel Syndrome secondary to delayed treatment. Post-surgery recovery and the chances of recurrence are also discussed. All in all, we aim to provide you with exhaustive information to help you tackle Carpal Tunnel Syndrome effectively.

If shoulder arthritis has been causing you pain, this episode is your gateway to a pain-free life. Today, we learn from the best in the field, Dr Amit Sood, Chief of the Shoulder Service at Kayal Orthopaedic Center. Dr. Sood takes us on a journey through the intricate world of shoulder arthritis. He gives us a glimpse into how he diagnoses and manages this debilitating condition, elucidating on the anatomy of the shoulder joint. 

We discuss not only the common symptoms and causes but also the various treatment options available. Dr. Sood shares his insights on the advancements in shoulder replacement surgery, with a detailed explanation of the pre-operative block and the benefits of outpatient procedures. His expertise on the precise placement of implants and the importance of preserving bone for potential revision surgeries is truly enlightening.

But what comes after the surgery? Dr. Sood emphasizes how we can live a full life post-shoulder replacement. By engaging in activities mindfully, we can ensure the longevity of the shoulder replacement and enjoy life to the fullest. Just like caring for a prized car, we need to treat our shoulder with care to enhance the quality of life. So, join us as we delve into the world of shoulder arthritis and its management, and equip ourselves with the knowledge to live a pain-free life.

Are you ready to unravel the mysteries of ankle arthritis? What if you could gain a comprehensive understanding of this often misunderstood condition from one of the field's top experts? Dr Chad W. Rappaport, the Chief of the Foot & Ankle Service at Kayal Orthopaedic Center, is here to guide you through the labyrinth of ankle health. Learn how this unique three-bone joint functions and why it's less likely to succumb to arthritis than the hip or knee. You'll also uncover the most common causes and symptoms of ankle arthritis, providing you with the knowledge to manage this painful condition.

If you've ever wondered about the wizardry behind modern medical treatments for ankle arthritis, you're in for a treat. From ankle arthroscopy, with its impressive capability to alleviate pain, to the gold standard of end-stage ankle arthritis treatment - ankle arthrodesis, or fusion, Dr. Rappaport reveals all. You'll be fascinated as we dissect the role of screws and rods in post-operative healing and examine the technique of arthroscopic lavage for maintaining joint health.

The grand finale of our journey is a deep dive into the latest advancements in total ankle replacement surgery. Picture patient-specific implants, designed with the precision of preoperative planning, and the remarkable benefits of press-fit implants. You'll hear how 3D-printing technology is catapulting the field into the future and even glimpse how these innovations could transform revision surgeries. This enlightening conversation with Dr. Rappaport is a treasure trove of information for anyone seeking to understand the complexities of ankle arthritis and the cutting-edge therapies available. Tune in and unlock a wealth of knowledge.

Are you tired of suffering from hip pain and searching for a solution? We're excited to welcome Dr. Victor Ortiz, a board-certified, fellowship-trained orthopaedic surgeon at the Kayal Orthopaedic Center, to share his expertise on revolutionary advancements in hip replacement surgery. Discover how the cutting-edge Mako robotic arm assisted total hip arthroplasty, and minimally invasive direct anterior total hip replacement techniques are transforming the field and offering life-changing relief for patients.

In our conversation, we unravel the complexities of arthritis, its various types, and the symptoms you should be aware of. Dr. Ortiz will guide us through the critical role that the labrum, joint fluid, and articular cartilage play in hip health, and how these components can be damaged by arthritis. We'll also discuss the importance of consulting an orthopaedic surgeon for any musculoskeletal issues.

Lastly, Dr. Ortiz compares the traditional posterior approach in hip replacement surgery to the minimally invasive anterior approach, which results in less pain and better functional outcomes for patients. Learn about the crucial role of the MAKO robotic system in ensuring proper implant positioning and sizing, as well as its impact on procedure efficiency and patient outcomes. Don't miss out on this fascinating exploration of the future of hip replacement surgery with Dr. Victor Ortiz.

Are you aware of the silent killer affecting over 10.2 million Americans? Join us for a riveting discussion with Patricia Donahue, an acute care nurse practitioner at the Kayal Orthopaedic Center, as we uncover the mystery of osteoporosis. Gain valuable insights on bone metabolism, the process of bone growth and turnover, and why it's crucial to build up our bone mass during our childhood and adolescent years.

Discover the various tests that can be done to assess for osteopenia and osteoporosis, including the gold standard, the DEXA imaging test. Learn the importance of regular testing, especially for high-risk groups, in order to prevent fractures and maintain bone health. Patricia also sheds light on the difference between Z scores and T scores and how they help to identify the risks of developing osteoporosis.

Finally, we explore the treatment options available for osteoporosis, including medications like bisphosphonates, RANKL inhibitors, and anabolic agents. Patricia emphasizes the need for monitoring vitamin D and calcium levels when starting medication treatment and the implications of stopping medications without proper transition. We also delve into the role of hormone replacement therapy and the use of the drug Evista in breast cancer patients with osteoporosis. Don't miss this informative conversation with an expert in the field of osteoporosis diagnosis and treatment.

Are you struggling with chronic pain and looking for innovative ways to alleviate your discomfort? Join us as we sit down with Dr. Steven Aydin – a double board-certified physiatrist – to discuss the world of interventional pain management and physiatry. In our engaging conversation, we delve deep into the most common musculoskeletal conditions, such as herniated discs and spinal stenosis, and how a combination of diagnostic techniques, imaging studies, and injection therapies can help manage pain and improve your quality of life.

We also explore how multidisciplinary collaboration among healthcare providers is crucial for achieving the best possible outcomes for patients, all while addressing the challenges of pain being referred from different areas. Dr. Aydin shares his expertise on nerve-blocking techniques, minimally invasive procedures, and addressing pain associated with osteoporosis through methods like vertebroplasty and kyphoplasty.

Finally, we dive into the fascinating realm of regenerative medicine, discussing cutting-edge biological therapies like platelet-rich plasma and bone marrow aspirate. Dr. Aydin enlightens us on how these treatments can provide essential components for healing that may not be present locally, offering a greater chance for a pain-free life. Don't miss this informative and hopeful episode with our esteemed guest, Dr. Steven Aydin.

Robert A. Kayal, MD, FAAOS, FAAHKS interviews Mark Leichter, DC, a chiropractor at Kayal Orthopaedic Center, and discusses with him the origin of the field of chiropractics, what chiropractics is, how it helps patients and how it complements the specialty of orthopaedic surgery.

Robert A. Kayal, MD, FAAOS interviews Fellowship-Trained Kayal Orthopaedic Center Orthopaedic Spine Surgeon, Paul S. Bagi, MD about causes of low back pain and leg pain and discusses diagnosis and treatment options. We go over spinal anatomy, common etiologies of lower back and leg pain and we discuss surgical and non-operative management.

Robert A. Kayal, MD, FAAOS interviews Edward C. Friedland, MD, FAAOS of the Kayal Orthopaedic Center to discuss how the field of Orthopaedic Surgery has evolved over the past 55 years!