Orthopedics

The link between chronic back pain and depression

Conditions
August 9, 2025

When a patient walks into an orthopedic spine clinic, most providers are focused on one thing: the back. But after over a decade of caring for patients with chronic pain, I noticed something deeper lurking behind the disc herniation and spinal stenosis: depression. And it was not being addressed.

That is why I launched a quality-improvement (QI) project focused on integrating depression screening into the routine evaluation of orthopedic spine patients. …

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JFK warned us about physical fitness. Sixty years later, we’re still not listening.

Conditions
May 24, 2025

“We are under-exercised as a nation; we look instead of play; we ride instead of walk.”
—John F. Kennedy, Sports Illustrated, 1960

In 1960, then-President-elect John F. Kennedy issued a striking warning: Americans were becoming physically unfit, and this trend threatened not just individual health, but the vitality of the nation itself. He saw physical activity as foundational to our strength—not just as a people, but as a country. Over sixty years …

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The hidden cost of delaying back surgery

Conditions
May 15, 2025

Spinal surgery patients frequently present to me after multiple years of managing their chronic back pain through physical therapy, injections, medications, and alternative treatment methods. Patients arrive at my office already worn out physically and emotionally drained from frustration about their chronic condition. What increases my concern is that irreversible damage has already resulted in many cases, which could have been reduced or prevented through earlier surgical treatment.

I recommend starting …

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Why it’s time for doctors to become performance coaches

Physician
May 4, 2025

The American public has lost its faith in the traditional U.S. health care system. Ultimate Fighting Championship (UFC) President Dana White’s statement is representative: “Do not talk to a doctor about your general health.”

This is not a fringe sentiment.

A 2022 survey of 4,208 adults in the U.S. revealed that only 54 percent of respondents placed “a great deal” of trust in doctors as sources of information.

I have patients who tell …

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The future of orthopedic care: Embracing the ASC-urgent care model

Physician
December 6, 2024

The landscape of orthopedic care is undergoing a significant transformation, driven by rising health care costs, patient demand for convenience, and the increasing popularity of ambulatory surgery centers (ASCs). As an orthopedic surgeon dedicated to advancing minimally invasive techniques and maximizing patient outcomes, I believe the key to navigating this evolving landscape lies in prioritizing patient access to the appropriate clinician via seamless care delivery. Simply put, “the right clinician …

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My spinal cord injury story from physician to patient, and how I rebuilt my nervous system

Physician
January 26, 2024

It took a traumatic spinal cord injury in 2008 to transform my life.

The experience was a radical awakening. I was told that I would never walk again.

On one fine spring day in 2008, my life changed forever. I was walking to work when I was hit by a car at high speed. My body was flung into the sky, and as I hovered, like a slow-motion movie, a few thoughts …

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New year, new resolutions: an orthopedic surgeon’s path to balancing career and family in 2024

Physician
January 23, 2024

A recent discussion with a partner led us to list our academic goals for 2024.

It’s a process many of us go through each year. What did we accomplish throughout the year? Could we have done better? Is there more to do? How could we improve? What’s on tap for the upcoming year?

It’s an annual ritual, I know.

We reviewed his overall plan and went through how he could accomplish his professional …

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Don’t put off medical care: X-ray for minor knee pain finds tumor

Conditions
October 6, 2023

My fiancée had been complaining on and off about minor knee pain and swelling for months. She kept putting off doing anything about it, because she’s a former college basketball player who had already had two surgeries on that knee, and she assumed it was residual effects from those injuries. But I was having a slow day in clinic, so I told her to come in for an X-ray.

And then …

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Debating the role of psychiatric assessments in medical decisions

Conditions
September 26, 2023

I recently had an incident involving a long-time patient. This particular encounter proved to be challenging. The patient had chronic pain for years and had already exhausted all conventional treatment options. Ironically, he was otherwise healthy and fit. His recalcitrant condition made him a prime candidate to be treated with a spinal sord stimulator (SCS).

An SCS is an implantable device with two electrode leads connected to a battery-powered pulse generator. …

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Are we doing enough to help chronic pain sufferers?

Conditions
September 19, 2023

One in five adults in the U.S. suffers from chronic pain. We see these patients every day—but do we really hear them when they confide in us about their pain?

As health care providers, no matter our discipline, we can do more to truly listen and consider the best referral pathway for pain sufferers. We should never assume they’re making it up, that it’s in their heads, or that nothing …

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The link between orofacial myofunctional disorders and dental health

Conditions
September 17, 2023

How many rabbits have you seen with crooked teeth? How about bears or dogs? Why are humans the only mammals with crooked teeth?

An orofacial myofunctional disorder, or OMD, describes abnormal lip, jaw, or tongue positions during rest, swallowing, or speech. There are many distinct points at which a child or adult’s system may experience a breakdown, leading to subsequent events known as craniofacial sequences. Allowing these events to persist without …

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Orthopedists’ role in gender diverse athletes’ care

Education
August 1, 2023

Ask Alex what cuddly toy they slept with as a child, and you’ll discover that it was a soccer ball – real, not plush. This was by choice; they assure me. We sit at a small corner table in a local coffee shop in Ann Arbor, MI. With exposed brick walls, mix-and-match seating, and the latest pride flag in the window, it’s no wonder that two queer millennials choose this …

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How unproven orthopedic treatments impact health care costs

Physician
July 31, 2023

I am a clinically retired orthopedist who completed my residency training in the mid-80s. I trained at a university residency program with faculty who were both forward-thinking and innovative, yet always grounded in evidence-based medicine. It was understood that many traditional concepts in orthopedic surgical care had not been challenged and lacked convincing clinical data to justify their continued advocacy. Examples included post-operative immobilization, avoidance of internal fixation in the …

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Optimize your knee injury recovery without surgery

Conditions
July 24, 2023

Recently, growing attention has been given to the fact that some types of surgery may be overrated. This article succinctly summarizes the situation, citing dozens of studies showing that some orthopedic surgeries popular in past decades had no better results than non-invasive treatments.

This issue is deeply personal to me. In 2020, during the pandemic, I sustained an injury to my left knee, experiencing severe pain, swelling, and loss of …

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Cracking the code to a healthy spine: Revealing the secrets of aging gracefully [PODCAST]

Podcast
June 14, 2023
YouTube video

Subscribe to The Podcast by KevinMD. Catch up on old episodes!

Join us in this enlightening episode as we welcome orthopedic surgeon and author Yoshihiro Katsuura, who sheds light on the process of spinal degeneration and the secrets to aging gracefully. With a focus on back and neck …

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The incredible journey of pregnancy: endurance, resilience, and unconditional love

Conditions
May 13, 2023

“Pregnancy is the longest duration and highest energy expenditure that humans can experience. Mothers probably aren’t surprised by this.”
-Herman Pontzer

How fast you can run depends on why, for how long, and, more importantly, the drive that sets the purpose for why you are running in the first place. In all emergencies, trying to avoid becoming a tiger’s lunch does not take long: You either run as hard as ever to …

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