MDNews - Central New York

++++++++++++++++++ + + ++++++++++++++++++ LOCAL NEWS +++ +++ Q&A With Q + University of Rochester B.A. + Yale University Medical School + Surgical internship at New York–Presbyterian/Weill Cornell Medical Center + Orthopedic residency at Hospital for Special Surgery in New York + Sports medicine fellowship at Kerlan–Jobe Orthopaedic Clinic in Los Angeles + Partner, Raphael Sports Medicine Bradley Raphael, M.D., Orthopedic Surgeon at Raphael Sports Medicine :Dr. Raphael, before you came back to Syracuse to partner with your father, you were involved in sports medicine with several Los Angeles professional teams, among them the Lakers, Dodgers, Kings and Ducks. Did you work with platelet-rich plasma (PRP) as a treatment for stimulating healing of bone and soft tissues? A: PRP has become quite popular on the West Coast. Southern California is known for a very active lifestyle, and with active lifestyles come overuse injuries and tendonopathies. PRP was being used not only in professional athletes, but in recreational athletes as well to treat tendonitis and ligament strains/tears, and had even started to be used in early arthritis. Some of the common pathologies used on the professional and collegiate athletes were for Achilles strains and tears, patella tendonitis, MCL tears in the knee and elbow, and intraoperatively for shoulder and knee surgeries. Q 26 | Central New York MD NEWS s MDNEWS.COM :How do you feel orthobiologics will enhance the practice here in Syracuse? A: Orthobiologics have been more popular internationally, with encouraging results in the literature. They are now becoming much more common treatment options here in the United States and are an important part of our practice here in Central New York. However, they are not appropriate for everyone. Viscosupplementation in the knee can help alleviate arthritic pain to help delay the need for joint replacement. PRP has become very popular in the sports world, and it can help avoid surgery in chronic conditions. However, recent literature has shown mixed results in certain pathologies, and there are many variables that need to be taken into account when discussing it as an option with your patient. Q :Your father, Dr. Irving Raphael, is the head team physician for Syracuse University. Do you feel that a team approach to sports medicine is the preferable route? A: A team approach to sports medicine is not only preferable, but imperative. As medicine has become more and more specialized, the athletic performance levels have also risen, necessitating an expectation to constantly update our knowl- edge base and treatment options for a fast and safe recovery. This requires a multidisciplinary approach including orthopedics, primary care and concussion-management experts. It also involves supplemental care from physical therapists, athletic trainers, nutritionists and alternative medicine caregivers. s ADVERTISERS' INDEX Danlee Medical Products, Inc. ............................19 Excellus.................................................... Back Cover Health Wear .............................................................25 Infusacare Medical Services, P.C. .....................25 Keurig ........................................................................... 5 Maico Hearing Aid Service ...................................19 MLMIC ..........................................Inside Back Cover St. Joseph's ...............................Inside Front Cover

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