Ask Dr. B Episode 1: “Wear and Tear” Overuse Injuries

Causes, Prevention, Do You Need Surgery?

By Coach E

In this episode, Dr. B and Eric will review how wear and tear accumulates in our musculoskeletal system and the manner in which it “sneaks” up on us. They will discuss the common treatment methods for wear and tear injuries and the role of surgery.

Part 1:

In the first part of the video, Dr. B presents a case study involving a rotator cuff injury in a middle-aged national level female tennis player. The case study highlights key principles to emphasize how movement leads to imbalances in the body that can cause structural damage.

Part 2:

In Part 2, Dr. B and Coach E answer the following questions:

  • 30:05 – How do you treat a Baker’s cyst?
  • 34:55 – How do you determine what the correct endurance and strength levels are before moving up the pyramid?
  • 38:11 – Had suspected tennis elbow in left arm from golf. I am right handed so it was the lead arm. Elbow better after physio but pain now on upper outside of arm when raising to the side. Thoughts?
  • 40:22 – Does meniscus pain extend to the upper calf and lower hamstring? I very rarely have pain at the medial joint line but when going into extreme flexion, such as sitting on heels I’ll feel discomfort.
  • 44:48 – My shoulder will eventually suffer weakness and hurning pain. It tends to crackle and pop.

About the Author

Eric Wong (aka Coach E) is the founder of Precision Movement and has a degree in Kinesiology from the University of Waterloo. He's been a coach since 2005 and spent his early career training combat athletes including multiple UFC fighters and professional boxers. He now dedicates himself to helping active people eliminate pain and improve mobility. He lives in Toronto (Go Leafs Go!) with his wife and two kids and drinks black coffee at work and IPAs at play. Click here to learn more about Eric.